VCT Morocco

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HIV Voluntary Counselling and Testing Morocco: 

HIV Voluntary Counselling and Testing Morocco Consultation Meeting to develop HIV VCT in countries of EMR Cairo, July 28- 30, 2003

HIV/AIDS IN MOROCCO: 

HIV/AIDS IN MOROCCO 1113 cumulative AIDS cases (december 2002) HIV national survey (2002) * 0.16% STI patients * 0.12% ANC clients * 0.02% blood donors Heterosexual transmission (1996-2002): 77 % People living with HIV (2002): 12000 to 15000

NATIONAL STI/AIDS CONTROL PROGRAMME: 

NATIONAL STI/AIDS CONTROL PROGRAMME 3 main activities Improvement of STIs case management: Syndromic Approach IEC activities : multisectoral approach HIV testing and HIV/AIDS case management

HIV- VCT POLICY IN MOROCCO: 

HIV- VCT POLICY IN MOROCCO National Strategic Plan to fight HIV/AIDS, 2002- 2004 Priorities 6 regions Vulnerable groups: Youth, sex workers, MSM, drug addicts, prisoners, uniformed people, mobile population Main preventive activities : HIV -VCT among the main preventive activities

HIV- VCT POLICY IN MOROCCO: 

HIV- VCT POLICY IN MOROCCO Close collaboration between MOH and NGOs VCT centres within NGOs settings ALCS: Association Marocaine de Lutte contre le SIDA (9 centres) OPALS: Organisation Pan Africaine de Lutte contre le SIDA (11 centres) Counselling and blood sampling is done by NGOs’ staff Laboratory facilities are provided by the MOH

FREE AND ANONYMOUS HIV-VCT CENTRES: 

FREE AND ANONYMOUS HIV-VCT CENTRES Tangier Casablanca Essaouira Agadir Fes Marrakesh Rabat Tetuan ALCS OPALS El Kelaa Khenifra Beni Mellal

HIV- VCT POLICY IN MOROCCO: 

HIV- VCT POLICY IN MOROCCO Ethical issues : Non-mandatory, confidential, anonymous VCT provided services : free of charge Pre and Post- Test counselling HIV positive consultants: psychological and social support (NGOs) reference to the medical care centres (MOH)

HIV- VCT POLICY IN MOROCCO: 

HIV- VCT POLICY IN MOROCCO Beneficiaries : general population vulnerable groups (outreach prevention programs) Training issues National referential VCT guide Training module Training sessions: Counselling, Laboratory technical skills and HIV testing promotion (medical staff, paraprofessionals, NGOs volunteers)

RESULTS: 

RESULTS ALCS YEAR 1992 1996 1999 2001 CIDAG 1 5 4 4 TESTS 66 412 1184 1114 HIV + 0 1 7 22 Positive 0 0.002 1.7 2 Rate %

RESULTS: 

RESULTS OPALS YEAR 1997 1999 2002 2003 (06) CTA 1 3 8 11 TESTS 123 238 842 518 1114 HIV + 2 1 3 10 Positive Rate % 0.16 0.004 0.03 2

CONSTRAINTS: 

CONSTRAINTS Lack of VCT promotional tools (medias) Turn over of NGOs’ medical staff VCT cost (NGOs’: equipment and operating fees) Results delay (W.B. available in few centres)

PERSPECTIVES: 

PERSPECTIVES NSP objective: by 2004, 12 000 tests NSP: improvement of access to VCT To reinforce testing promotion To reinforce existing VCT To create new VCT centres (15) To establish mobile VCT units To implement Rapid tests To guarantee VCT quality