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However, it is too early to know whether this heralds a trend, since other HIV indicators (such as prevalence among sex workers) have remained low. 2004). Ethiopia’s epidemic is most severe in urban areas, including in the capital Addis Ababa. However, there are encouraging signs that the declining HIV trend among pregnant women in the capital (first detected in 1997) is continuing. By 2003, HIV prevalence in the city had fallen to 11%, less than half the level (24%) it had reached in the mid-1990s.

Poorer, less educated women are more AIDS epidemic update: December 2004 likely to be HIV-infected than their better-off counterparts. Recent behavioural surveillance has shown that a significant proportion of the country’s largely young population (about 60% of which is under 24 years) is sexually active and having unprotected sex. In a 2001 survey, almost half the young women (and more than half the men) said they had become sexually active before their 18th birthday and 18% of urban women in their late teens (15–19 years) had been pregnant at least once.

39 UNAIDS/WHO Figure 15 HIV prevalence among injecting drug users and sex workers at selected sentinel sites in China, Indonesia and Viet Nam, 1994–2003 Injecting drug users 100 Sex workers Guangxi, China Jakarta, Indonesia Hanoi, Viet Nam Guangxi, China Jakarta, Indonesia Hanoi, Viet Nam 90 80 % HIV prevalence 70 60 50 40 30 20 10 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Sources: Adapted from MAP, 2004; National surveillance reports from China, Indonesia and Viet Nam. There are strong signs that the virus is spreading beyond sex workers and their clients.

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