Population: 2.083.000 (year 2020).
Estimate number of PLHIV: 497.
- Percentage of PLHIV diagnosed (first 90 target): 66,4 %
- Percentage of PLHIV on treatment (second 90 target): 90,6 %
- Percentage of PLHIV with undetectable viral load (third 90 target): 94,3 %
Main epidemiological trends
The Republic of North Macedonia has а low-level, concentrated HIV prevalence. There is an increasing trend of new HIV diagnoses registered in the last years. Several categories of data suggest that the epidemic is under control among people who inject drugs and female sex workers, but prevalence is rising among men who have sex with men (MSM).
Cumulatively, until the end of 2020, among reported HIV cases, sex between men was the most frequently reported mode of transmission at 58,3 %. Heterosexual contact was reported in 34,7 % of the cases and injecting drug use was reported in 2,4 % of the cases. For 2,2 % of the new cases, the mode of transmission was not reported, while other routes of transmission are sporadic. Surveillance data show an increasing proportion of MSM among newly diagnosed HIV cases; during the period of 2013 to 2020, this proportion ranges between 58 % and 90 % on an annual basis. In 2018, 82 % of newly diagnosed cases were MSM.
2016-2017 Accessing HIV prevention, testing, treatment care and support in Europe as a migrant with irregular status in Europe - country profile - North Macedonia
Population: 2.083.000 (year 2020).
Estimate number of PLHIV: 497.
- Percentage of PLHIV diagnosed (first 90 target): 66,4 %
- Percentage of PLHIV on treatment (second 90 target): 90,6 %
- Percentage of PLHIV with undetectable viral load (third 90 target): 94,3 %
Main epidemiological trends
The Republic of North Macedonia has а low-level, concentrated HIV prevalence. There is an increasing trend of new HIV diagnoses registered in the last years. Several categories of data suggest that the epidemic is under control among people who inject drugs and female sex workers, but prevalence is rising among men who have sex with men (MSM).
Cumulatively, until the end of 2020, among reported HIV cases, sex between men was the most frequently reported mode of transmission at 58,3 %. Heterosexual contact was reported in 34,7 % of the cases and injecting drug use was reported in 2,4 % of the cases. For 2,2 % of the new cases, the mode of transmission was not reported, while other routes of transmission are sporadic. Surveillance data show an increasing proportion of MSM among newly diagnosed HIV cases; during the period of 2013 to 2020, this proportion ranges between 58 % and 90 % on an annual basis. In 2018, 82 % of newly diagnosed cases were MSM.
2016-2017 Accessing HIV prevention, testing, treatment care and support in Europe as a migrant with irregular status in Europe - country profile - North Macedonia