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Outreaching MSM in a Conservative Environment Egypt Case

Outreaching MSM in a Conservative Environment Egypt Case. S. Elkamhawi 1 , O. Abaza 1 , E. Elghamrawy 1 , S. Abou Elmagd 2 , H. Ramy 2 , S. Atallah 3 , N. Elkot 4 , M. Kamal 5 , F. Mawazini 6 , R. Helmy 1 , C. Soliman 1 1 FHI 360 Egypt, 2 Waay NGO, 3 Befrienders NGO, 4 Hayat NGO,

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Outreaching MSM in a Conservative Environment Egypt Case

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  1. Outreaching MSM in a Conservative Environment Egypt Case S. Elkamhawi1, O. Abaza1, E. Elghamrawy1, S. Abou Elmagd2, H. Ramy2, S. Atallah3, N. Elkot4, M. Kamal5, F. Mawazini6, R. Helmy1, C. Soliman1 1 FHI 360 Egypt, 2 Waay NGO, 3 Befrienders NGO, 4 Hayat NGO, 5Ford Foundation, 6 Drosos Foundation

  2. Egypt Background • Egypt Population: 84.5 million • HIV Prevalence among general population is less than 0.1% • The 2010 Bio-BSS conducted by FHI 360 & MOHP revealed: • Concentrated HIV epidemic among MSM population (5.7-5.9%) • Linkage to the general population through marriage (10.0-16.5%) • Overlap of risk behaviors: • MSM reported injecting drugs (2.3-4.9%) • Male IDUs reported having sex with men (7.7-14.3%) • Cultural and religious values limit MSM to access health care services

  3. Comprehensive Care Center (CCC) Model VCT Peer Education Support Group Clinic • Rehab. • ARVs • Social • Legal • Medical • Religious • By peers • By other MARPs • (cars & drivers) • STI • General • Home care • HIV Refer Outreach Provision • Syringes • Condoms • IEC Counseling • Addiction • HIV Attractive & Secure Center

  4. MSM Findings • Of the 5,481 males who sought care at the CCCs between 2008 and 2012, 27.6% were MSM (n=1510)

  5. Conclusions & Recommendations • The CCC model offers an attractive and practical solution for reaching MSM with proper care and support services. • The positive impact of peer support is ideal for reaching MSM. • Building the capacity of NGOs to provide HIV prevention and care services for MSM needs renewed focus. • The CCC model should be replicated in other Egyptian governorates

  6. Thank You

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