不晓得当初马拉威跟台湾断交，
医疗团撤出对于他们爱滋问题影响多大
不过2008跟台湾断交至今也近10年了
马拉威现在的爱滋现况可以看一下新一点的资料
以下内容都摘译自这里：
https://tinyurl.com/y6wnlheq
重点：
1. 整体新感染人数显著下降
2. 感染以结婚或同居关系的异性恋为主
一、整体感染控制状况
New infections have dramatically declined from 98,000 new infections in 2005,
to 36,000 in 2016. Malawi has also witnessed a reduction in HIV infections
among children. There were 4,300 new paediatric infections in 2016, compared
with 16,000 in 2010.
新增感染人数从2006年的98000人，在2016年显著下降至36000人。儿童感染数也从2010年的
16000人，下降至2016年的4300人。
Unprotected heterosexual sex between married or co-habiting partners accounts
for 67% of all new HIV infections, while unprotected casual heterosexual sex
accounts for 12%. Beyond this, several populations groups such as adolescent
girls and young women, sex workers and men who have sex with men are
particularly to HIV.
结婚或同居的异性恋性行为，占了新感染数的67%，而非稳定关系的异性恋性行为占了12%。
此外，青少女、年轻妇女、性工作者和男男性行为者，也是易受感染的族群。
二、个别感染群体状况
A.女性
HIV disproportionately affects women in Malawi. A national assessment of the
impact of HIV on the population, carried out by the Malawian Ministry of Health
in 2015-2016, found HIV prevalence among adult women (aged 15-64) to be 12.8%,
compared with 8.2% among adult men. This disparity is especially prominent
among 25- to 29-year-olds, as HIV prevalence is three times higher among women
than men in this age group (14.1% vs 4.8%).
在马拉威，女性受HIV侵袭的比例高于男性。马拉威的成年妇女的带原比率为12.8%，而男性
则为8.2%。在25-29岁这个年龄层，差异更加悬殊，女性14.1%而男性4.8%。
Sexual violence is also an issue with 22% of women and 15% of men experiencing
sexual violence before the age of 18. Most of the perpetrators of sexual
violence against women are spouses, boyfriends or romantic partners
22%的女性和15%的男性，在18岁以前受到性暴力。对女性的性暴力主要来自配偶、男友、感
情对象。
B.青年
Roughly a third of all new HIV infections (12,500 out of 36,000) in Malawi in
2016 occurred among young people (aged 15-24) Of these, 70% were among young
women.
2016年马拉威大约三分之一（12500/36000）的新感染者，是15-24岁的年轻人，其中70%为
女性。
Of those young people living with HIV, less than half are aware of their status.
这些年轻的HIV带原者，只有不到一半知道自己的感染状况。
Early sexual activity is high in Malawi with around 15% of young women and 18%
of young men (aged 15-24) reporting having sex before the age of 15.
Furthermore, girls aged 15-19 are 10 times more likely to be married than their
male counterparts, with 45.9% of women having their first marriage before they
turn 18, nearly one in two.
15%的年轻女性和18%的年轻男性，在15岁之前就发生过性行为。15-19岁的女性早婚率高过
同龄男性10倍，45.9%的女性在满18岁前就结婚。
Despite increasing knowledge about HIV, condom use remains low among sexually
active 15-to-19-year-olds, with only 25% of married females and 30% of sexually
active unmarried females from this age group using any form of modern
contraception.
对于HIV的知识提升，但15-19岁的性活跃族群的保险套使用率依然很低，这之中只有25%的
已婚女性，和30%的未婚性活跃女性，会使用现代的避孕措施。
C.性工作者
The evidence that is available suggests a major decrease in HIV prevalence
among female sex workers, from 77% in 2006 to 24.9% in 2016, although it
remains unacceptably high.
资料显示，马拉威女性性工作者的HIV带原比率，从2006年的77%，降低到2016年的24.9%，
但这依然太高。
D.男男性行为
Nearly one in five men who have sex with men are living with HIV. At 17.3%,
prevalence remains two times higher than the rest of the adult male population.
在马拉威，近五分之一（17.3%）进行男男性行为的人有HIV带原，是其他成年男性的两倍。
Worryingly, 80% of men who have sex with men questioned in a 2014 study
incorrectly reported that anal sex carries a lower risk of HIV transmission
than vaginal sex and only 23% reported receiving targeted HIV prevention
information.
令人担心的是，根据2014年的调查，80%的男男性行为者认为肛门性交的感染风险低于阴道
性交，且只有23%的人有收到针对性的HIV防治资讯。
Homosexuality is illegal in Malawi, punishable by up to 14 years in prison,
although prosecutions were suspended in 2012. Nevertheless, men who have sex
with men still face varying levels of punishment.
马拉威同性恋是违法的，将面对最高14年的徒刑，虽然执行在2012年暂缓，但男男性行为仍
会受到不同程度的惩罚。
Furthermore, many men who have sex with men face increased levels of stigma and
violence in Malawi. A 2016 survey of around 200 men who have sex with men found
that 39% had experienced a human rights abuse in some form, including 12% who
had been raped.
在马拉威，男男性行为遭受愈见增强的的污名和暴力。2016年的调查显示，39%的男男性行
为者遭遇某些形式的人权侵害，包括12%遭受到强暴。
All of these factors create a hostile environment that increases men who have
sex with men’s vulnerability to HIV while lessening their ability to access
HIV prevention and treatment services.
以上这些要素构成的不友善环境，增加了男男性行为者面对HIV时的脆弱性，同时也降低了
他们使用HIV预防和治疗服务的能力。
E.儿童
An estimated 110,000 children (aged 0-14) were living with HIV in 2015 of whom
49% (53,400) were receiving antiretroviral treatment.
据估计在2015年有110000名0-14岁的HIV带原者，其中49%接受抗反转录疗法。
In 2013, the country had achieved a 67% reduction in children acquiring HIV,
the largest country decline across sub-Saharan Africa.
2013年马拉威的儿童感染HIV减少了67%，是整个撒哈拉以南的国家中减少最多的。
There is estimated to be 670,000 orphans in Malawi as a result of AIDS.
根据估计，现在马拉威的爱滋孤儿人数，约有670000人。
———
后面还有写到很多关于马拉威未来的防治策略和规划
有兴趣的人可以去参考
像是马拉威这样爱滋感染严重的国家
疾病散布有其体制性和结构性的原因
大概不是特定单一个医疗团队可以影响的
也不能简单归咎于特定族群的行为和观念
另外，爱滋在这些地方也有阶级和城乡差异
贫穷地区往往更加受的爱滋的危害
而爱滋又回过头来加剧了贫穷的循环
希望他们的防治措施能够逐步改善这个状态
天佑马拉威