Responding to HIV in Afghanistan.

Following almost three decades of war, Afghanistan is one of the poorest countries in the world. GDP per capita is estimated at about US$360 for 2007 (IMF 2007a). Life expectancy at birth is only 44.5 years (UNDP 2008), and maternal and child mortality are among the highest in the world. The literacy rate in the general population is very low (36 percent), especially for women (13 percent) (World Bank 2007). There are very limited data available on the state of HIV and AIDS in Afghanistan. The number of known cases of HIV infections has been relatively low so far. However, there is a risk of an escalation in HIV prevalence owing to a high and increasing number of injecting drug users in the country. The experience from other countries across Asia suggests the potential for rapid spread of HIV within the drug-injecting population and onward transmission of the virus (Friedman and Des Jarlais 1991; Riehman 1998; Monitoring of the AIDS Pandemic (MAP) 2005; Ohiri 2006). At the same time, opium production in Afghanistan reached record levels in 2007 (IMF 2007b). Keeping HIV prevalence low is one of the development objectives in Afghanistan.An increase in HIV and AIDS also has the potential to complicate progress in the attainment of other key development objectives. Responding to HIV in Afghanistan