According to the 2005 Health Demographic Survey (EDSG III), the HIV prevalence rate for men and women between 15-49 is 1,5%. Women are much more infected than men, they have a prevalence rate or 1,9%, compared to the men’s 0,9%. The disease touches women especially in the urban area, where we count 6 infected women for one infected man.

Prevalence rates refer to the capitals each region, as there is significant heterogeneity within the regions, particularly in Boké and Kankan. Indeed, the presence of mining sites and proximity to the northern border tend to attract inhabitants to certain cities, including Fria, Kamsar, and Siguiri, where HIV prevalence rates are much higher (estimated at 4.7% in mining cities).

Regarding the program for the prevention of mother-to-child transmission (PMTCT), it is estimated that 6,800 pregnant women are in need of treatment. Only 1% of HIV-positive pregnant women have received ARVs in the context of PMTCT. The number of children (0 to 14 years old) living with HIV is estimated at 7,000, whereas only 230 are currently receiving ARV treatment.

However, Guinea also presents the particularity of having mining zones, which concentrate populations and risk factors (sexual promiscuity, the tradition of "marriage contracts of limited duration" in the gold mining industry, low family revenues, etc). Mining companies have begun to develop prevention and treatment programs for their personnel in the face of increasing social pressure. Indeed, communities around the mining sites who experience deteriorating living conditions are beginning to demand that companies contribute to local development. These companies are increasingly disposed to participate in public-private partnerships to improve access to prevention and care for HIV for the population as a whole. Free treatment has been decided in September 2007.

The care package has been defined in an extensive manner, since it includes consultations, ARV, biological testing and anti opportunistic infections drugs. Decentralization started in 2007, towards regional hospitals and community care centers in Conakry.

• Comité national de lutte contre le sida (CNLS), which is responsible for coordinating the planning and execution of the national strategy on HIV/AIDS. A national strategic plan against STDs/HIV/AIDS was in place for the period 2003-2007
  www.cnlsguinee.org
   

• Programme National de Prise en Charge Sanitaire et de Prévention (PNPCSP), which is attached to the national public health directorate. Its activities include treatment, prevention of mother-to-child transmission, procurement, monitoring and evaluation, information and communication. It is a Global Fund recipient Principal.

• The Chair on HIV at the University of Conakry, where courses on HIV are currently being finalized.
• The Donka and Ignace Deen National Hospitals, which together make up the Conakry Teaching Hospital, were until mid 2007 the only public hospitals providing medical care to HIV-positive patients without the involvement of international organization.
  
• An important Guinean NGO, which has an important role in providing medical care: the ASFEGMASSI, which is supported by AIDES and AIDER Afrique, among others.
  
• MSF Belgium, which is behind two treatment centers in Conakry: the Matam Center that the Gueckédou center
  
• The DREAM project of the Sant'Egidio community (Italy), which provides full PMTCT services and treatment and care for pregnant women and their families
  
• The Guinean Mining Chambers has an HIV committee, which pilots the activities of the various mining companies in the country. The association Partenaires contre le Sida (Partners Against AIDS) finances a training program for health care personnel of mining companies' private hospitals in HIV care and PMTCT (November 2007- March 2008).
  
• GTZ supports treatment centers (in Labe and Mamou) and PLwA associations.