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Managing Changes in MENA Region. Egypt Looking Forward. Dr. Ihab Ahmed Abdelrahman , ICASA 2015 President, SAA President,. Introduction.
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Managing Changes in MENA Region Egypt Looking Forward Dr. Ihab Ahmed Abdelrahman, ICASA 2015 President, SAA President,
Introduction • Although Egypt considered as low prevalence country with less than 0.02%1 among the general population, there was an epidemiological change to concentrated epidemic captured since 20062. • Egypt has witnessed significant political unrest and deteriorating security since the 2011 revolutionwith a great socioeconomic impact. 1 HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt 2 Biological & Behavioral Surveillance Survey 2006, MoHP/FHI
Current situation • Prevalence rate less than 0.02%1. • PLHIV estimated to be 6,500 in 20132. • Confirmed cases in 2013 were almost double the cases in 20123. • There were 3,733 Known PLHIV by the end of 2013, among them 1,171 on ARVs1. 1 HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt 2Estimation projection, World AIDS report 2013, UNAIDS 3GRPR, 2014
Modes of Transmission HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt
Awareness GARPR, 2014
Stigma & Discrimination among HIV infected Women Stigma Index, ESPSRH, Egypt, June 2014
Stigma & Discrimination among HIV infected Men Stigma Index, ESPSRH, Egypt, June 2014
Key Population Prevalence Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
MSM Sexual Relations Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
MSM Condom Use Condom Use in Last 6 Months Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
PWID Sexual relations Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
PWID Sexual relations with Male Partner Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
PWID Condom Use Condom Use in Last 12 Months Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
Challenges • Political Challenges. • Stigma and Discrimination. • Challenges in Health System. • Monitoring and Evaluation Challenges. • Travel Restrictions.
Opportunities • RANAA • MENAHRA • ENNAA • NAHR • Arab League Strategic Plan. • Inmate harm reduction program. • Piloting OST in Egypt. • HIV legal services. • OFID, and other Bilateral, Multilateral donors.
Way Forward • Combating stigma & Discrimination and Key population (Egypt, March 2015) • Post 2015 (Algeria, May 2015) • Role of CSOs in post 2015 (Morocco, July 2015) • Reproductive Health (Zambia, December 2014) • ARVs (Cote d’lvoire (Ivory Coast), 2015) Internetworking (SAA)