The HIV epidemic remains a public health issue in Namibia despite significant achievements made by the Ministry of Health and Social Services to expand HIV treatment services. In 2001, there were an estimated 210,000 people living with HIV/AIDS, and the estimated death toll in 2003 was 16,000. According to the 2011 UNAIDS Report, the epidemic in Namibia "appears to be leveling off." As the HIV/AIDS epidemic has reduced the working-aged population, the number of orphans has increased. It falls to the government to provide education, food, shelter and clothing for these orphans. A Demographic and Health Survey with an HIV biomarker was completed in  2013 and served as the fourth comprehensive, national-level population and health survey conducted in Namibia as part of the global Demographic and Health Surveys (DHS) programme. The DHS observed important characteristics associated to the HIV epidemic: