2023-10-19 10:36:33
The Directorate of Epidemiology and Disease Control (DELM) will carry out an evaluation of sexual and reproductive health clinics. A roadmap will be developed before extending this experience to the national level.
The Directorate of Epidemiology and Disease Control (DELM) plans, with the support of the Global Fund, to evaluate the experience of sexual and reproductive health clinics at the level of the Association to Fight AIDS ( ALCS). The objective being to analyze the positive impacts of these clinics and to highlight the constraints encountered in their operation. The aim is to evaluate the contribution of these clinics to improving access to HIV prevention and care services for key and vulnerable populations. The consultant will have to carry out an inventory of the clinics and the availability of the combined prevention package at the level of these clinics.
It is also a question of carrying out a strategic analysis of the operation and coverage of these clinics and of evaluating the operating costs of these establishments and the main constraints relating to their financing. At the end of this evaluation, a roadmap will be developed before extending this experience to the national level by proposing avenues for improvement. The first ALCS sexual and reproductive health clinic was opened in 2010 in Marrakech. This offers diversified services relating to sexual and reproductive health (SRH) for the benefit of key populations (prostitutes and homosexuals).
After the creation of this first clinic, 7 others were opened in other cities. In 2022, the number of sexual and reproductive health clinics will reach 8 in the cities of Marrakech, Agadir, Casablanca, Fez, Nador, Rabat, Tangier and Safi. The health services offered to key populations concern awareness-raising and the distribution of means of prevention; medical consultations for sexually transmitted infections (STIs), HIV and STI screening. Also included are the dispensation and monitoring of HIV pre-exposure prophylaxis, medico-social support for people living with HIV (PLHIV), psychological support as well as the orientation and referral of positive cases to HIV testing. .
Note that the Ministry of Health and Social Protection has set a priority of reducing new HIV infections by 50% by the end of 2023 as part of the national strategic plan (PSN) for the fight once morest AIDS.
23,000 Moroccans live with HIV
According to figures from the Ministry of Health and Social Protection, 23,000 people were living with HIV in 2021. The number of AIDS-related deaths is estimated at 387 at the end of 2021. The incidence rate is 0.2 per 1,000 . Morocco records a low HIV prevalence of 0.08%. 77% of new infections occur among key populations most at risk of infection and their partners. Note that HIV prevalence is estimated at 1.7% among prostitutes, 4.1% among homosexuals and 7.1% among people who inject drugs. The cumulative total number of people living with HIV (PLHIV) notified stood at 19,000 at the end of September 2021, including 64% in the asymptomatic HIV stage. 63% of cases were reported in three regions, namely Souss-Massa, Casablanca-Settat and Marrakech-Safi. The proportion of people who know their HIV status increased from 22% in 2011 to 82% in 2021.
In terms of prevention, 125,490 people, among key and vulnerable populations, were covered by combined prevention programs in 2021. Regarding screening, the annual number of HIV tests carried out increased from 60,446 in 2011 to 275,439 in 2021 .
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