According to the
national survey conducted by the Sudan
National AIDS Programme SNAP in 2002,
Sudan is the most severely affected
country in North Africa and the Middle
East with an estimated 500,000 people
living with HIV/AIDS, and mostly in
need of antiretroviral therapy (ART).
Despite the fact that the epidemiological
data is limited, it is believed that
the country is in the early stages
of a generalized HIV/AIDS epidemic,
with an almost exclusively heterosexual
transmission pattern. The adult prevalence
rate of HIV/AIDS has been estimated
at 1.6%, with specific population
group prevalence rates ranging from
0.5% to 2.5% in the northern part
of the country.
The 2002 survey showed a low awareness
of HIV/AIDS, with only 53% of the
population being aware of the sexual
transmission risk of HIV/AIDS, and
a total of 640,000 individuals being
infected with HIV. It has been reported
that 0.5% limited sentinel surveillance
testing during 2004 yielded prevalence
rates of 0.95% (18/1900) among pregnant
women, 1.9% (9/465) among symptomatic
STD patients, and 2.3% (33/1436) among
TB patients. False beliefs about HIV
transmission were common as were indicators
of strong stigma. In fact 44% of respondents
said that they would not share a meal
with an infected individual, 31% would
not nurse a patient, and 30% would
not allow an infected child or teacher
to attend school.
To address the HIV/AIDS situation
in Sudan, UNDP, with the support of
the Global Fund to Fights AIDS Tuberculosis
and Malaria (GFATM)
launched in April 2005 Fighting HIV/AIDS
in Sudan project.
The project’s ultimate objective
is to contribute to reducing HIV/AIDS
transmission and mortality in Sudan.
With this in mind, the project’s
specific objectives are as follows:
• To increase the prevalence
of safe behaviour among vulnerable
populations with a focus on female
sex workers, tea sellers, long-distance
truck drivers and jail inmates.
• To establish Voluntary, Confidential
Counseling and Testing (VCCT) services
and quality Antiretroviral treatment
(ART) and support centres for people
living with AIDS.
• To improve knowledge and practice
of HIV/AIDS preventive measures by
the general adult population during
2004/08, including the use of high
quality care services for sexually
transmitted infections (STI).
• To improve screening of blood
and blood products for HIV and other
blood born infections.
• To improve knowledge of HIV/AIDS
transmission among in-school youth.
• To monitor the trend of the
HIV/AIDS epidemic through Second Generation
Surveillance in selected high-risk
population groups, by measuring behavioural
and biological parameters and guide
programme planners to realign the
programme interventions in line with
current and future epidemic trends.
Snapshots of the project's major achievements
• A total of 332,045 people
from vulnerable groups reached by
community outreach activities.
• Free distribution of 3,130,721
condoms with GF resources.
• A total of 9,992 Sexually
Transmitted Infections (STI) cases
treated among vulnerable groups during
• A total of 728 lay and professional
counselors trained in Voluntary Counseling
and Testing Centers (VCT).
• A total of 75,275 people completed
the testing and counseling process.
• A total of 410 service deliverers
trained in ARV treatment and treatment
of opportunistic infections.
• Antiretroviral combination
therapy provided at 32 service delivery
• A total of 3,217 people with
advanced HIV infection received ARV
• Diagnosis and treatment for
opportunistic infections with GF Support
(combined indicator) provided to 5,013
people with HIV infection.
• A total of 2,092 health/community
workers received training on interpersonal
• A total of 1,194 Health Community
Professionals trained in syndromes
approach to STIs.
• Global Fund supported points
treated 76,184 STI cases.
• A total of 356 service deliverers
trained (blood bank staff trained
in screening of blood for HIV/HBV
• A total of 622,035 transfused
blood units screened for HIV/HBV.
• A total of 3,373 individuals
trained to deliver youth education
including trainers, school teachers
and counselors of drop-in-center.
• A total of 232 schools and
drop-in centers providing life-based
• HIV/AIDS education in Out-of-School
settings using GFATM resources was
provided to 239,747 young people.
• HIV/AIDS education reached
84,059 young people in school settings.
• A total of 35 sentinel sites
• Second generation surveillance
taught to 208 service deliverers.