HIV is no longer circulating solely among the most exposed populations in Madagascar. According to the results of the 2024-2025 national seroprevalence survey presented by the Ministry of Public Health, 1.1% of pregnant women are carriers of the virus. Health authorities view this prevalence level as a clear indicator that the epidemic has now become generalized across the country.
Presented during an advocacy workshop for parliamentarians held on July 28-29 in Antananarivo, these results mark a shift in the epidemiological situation. Among the estimated 90,000 people living with HIV in Madagascar, pregnant women are a closely monitored group as they are considered representative of the general population.
“Pregnant women serve as a representative indicator of the general population. Their 1.1% prevalence rate shows that the virus is now circulating beyond the most exposed groups,” explained Dr. Norosoa Ratokoherimora, head of the National Program for the Fight against STIs, HIV, and AIDS (PNLS). She emphasized that strengthening prevention, screening, and care for pregnant women is essential to protect both mothers and children and to limit mother-to-child transmission.
However, the survey confirms that the epidemic remains particularly concentrated among key populations. Prevalence rates range from 13% to 23% among sex workers, men who have sex with men, and people who inject drugs. Prisoners, vulnerable youth, and children are also among the affected groups.
In response to this development, the Ministry of Public Health plans to adapt its strategy. “More effective strategies are now necessary because the epidemic can be considered generalized. Interventions can no longer be limited to key populations,” stated Dr. Andrianina Désiré Rakotoarimino, Director General of Preventive Medicine. This response is supported by technical and financial partners, notably the Global Fund. U.S. government support also continues through other mechanisms despite the withdrawal of USAID.
Dr. Lova Herizo Rajaobelina, President of the Public Health and Family Planning Commission at the National Assembly, called for legislative reforms to strengthen the fight against HIV/AIDS and improve sexual and reproductive health rights, noting that not all people living with HIV currently have access to care.
Health officials reiterated that HIV testing and antiretroviral treatment are free in specialized centers and hospitals, a system the authorities intend to strengthen to curb the progression of the epidemic.
Captured & Published at: 2026-07-29 16:23:45 (Madagascar Local Time EAT)
Original Source: https://2424.mg/sante-publique-une-prevalence-de-11-du-vih-chez-les-femmes-enceintes-indiquant-une-epidemie-desormais-generalisee-a-madagascar/?utm_source=rss&utm_medium=rss&utm_campaign=sante-publique-une-prevalence-de-11-du-vih-chez-les-femmes-enceintes-indiquant-une-epidemie-desormais-generalisee-a-madagascar