Kingdom of Morocco Ministry of Health Global Fund to fight AIDS Tuberculosis and Malaria Morocco exp

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Kingdom of MoroccoMinistry of HealthGlobal
Fund to fight AIDS Tuberculosis and
MalariaMorocco experience Dr Kamal Alami
National AIDS Control Programme manager
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HIV/AIDS IN MOROCCO

• 963 cumulative AIDS cases (december 2001)
• HIV national survey (2000)
• 0.16 STI patients
• 0.15 ANC clients
• 0.02 blood donors
• Heterosexual transmission (1996-2001) 78
• People living with HIV (2001) 12000 to 15000

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CUMULATIVE AIDS CASES IN MOROCCO BY REGION

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NATIONAL STI/AIDS CONTROL PROGRAMME

• 3 main activities

Improvement of STD case management syndromic
Approach
IEC activities multisectoral approach
HIV testing and HIV/AIDS case management
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HIV/AIDS RESPONSE IN MOROCCO

• Flow charts for STIs case management by
  syndromic approach adopted at national level
  (1998- 2000)
• Collaboration with the National NGOS and other
  Ministries large experience in IEC
• Creation of regional mutisectoral STI/AIDS
  commettees
• VCT centres en partnership between Ministry of
  Heath and NGOs

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HIV/AIDS RESPONSE IN MOROCCO

• National strategy of HIV diagnosis and HIV/AIDS
  case management (1998)
• Access to ARV since 1990 and to HAART since 1999
  
• Inclusion of Morocco in access initiative
  Moroccan action plan accepted by UNADS
• Negotiations with pharmaceutical firms
• ARV prices reduction

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HIV/AIDS RESPONSE IN MOROCCO

• National HIV/AIDS strategic planning document
  2002-2004 adopted
• Situation Analysis
• Response analysis
• Strategies formulation
• Implementation steps
• Active UNAIDS thematic group

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PREPARATION PROCESS OF THE PROPOSAL

• Call for countries proposals 6 february
• Information of thematic group members 8
  february
• UNAIDS thematic group meeting
• 11 february
• Health problem targeted HIV/AIDS
• Commettee in charge of proposal preparation
  and writing
• Main content of the proposal, Steps for the
  elaboration, CCM members

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PROCESS OF THE PREPARATION OF THE PROPOSAL

• Call towards national NGOs and other Ministries
  for project submission 13 february
• CCM meeting 21 february  Comité
  de coordination du Maroc 
• Nomination of the CCM Chair
• Discussion on the submitted projects

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PROCESS OF THE PREPARATION OF THE PROPOSAL

• CCM members
• 20 institutions
• Public sector NACP, social ministries (4)
• NGOs (5)
• Private sector (2)
• University (1)
• UN and International partners (6)
• WHO, UNDP, UNFPA, UNAIDS,
• UNIFEM, FAO,EU, FC

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PROCESS OF THE PREPARATION OF THE PROPOSAL

• Steering committee (Comité de pilotage)
• CCM chairman
• NACP manager
• WHO
• UNFPA
• UNAIDS

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PROCESS OF THE PREPARATION OF THE PROPOSAL

• Proposal writing
• 11 february-4 mars
• CCM meeting 5 march
• Proposal validation
• Signature by all CCM members
• Submission 8 march

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SUMMARY OF THE PROPOSAL

• Title   Appui a la mise en uvre du plan
  stratégique national de lutte contre le
  VIH/SIDA 
• Amount 9,23 millions 5 year (2002/2006)
• Components
• Prevention of HIV/AIDS
• - Prevention among vulnerable groups
• (SW, MSM, ...)
• - Social communication programme among
• Youth and women
• Impact Reduction of HIV AIDS
• - Acces to ARV
• Managment, coordination, evaluation

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PROPOSAL SUBMITTED STATUS

• Letter received from the Global fund secretary
  22 may
• Moroccan proposal approved
• Complementary information needed
• - equipment on biological monitoring
• - details about NGOs activities
• - structure managment
• Feedback 26 june

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SUCCESS FACTORS

• Vision National Strategic Plan
• Political commitment towards HIV fight, social
  and cultural development
• Financing from the national level

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SUCCESS FACTORS

• Multisectoral approach (CCM)
• Innovative activities
• Feasibility of the activities in the context of
  the country
• Capacity building managment and evaluation