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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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Egypt looking forward

Managing Changes in MENA Region

Egypt Looking Forward

Dr. Ihab Ahmed Abdelrahman,

ICASA 2015 President,

SAA President,


Introduction
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
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
Modes of Transmission

HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt


Awareness
Awareness

GARPR, 2014


Stigma discrimination among hiv infected women
Stigma & Discrimination among HIV infected Women

Stigma Index, ESPSRH, Egypt, June 2014


Stigma discrimination among hiv infected men
Stigma & Discrimination among HIV infected Men

Stigma Index, ESPSRH, Egypt, June 2014


Key population prevalence
Key Population Prevalence

Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS


Msm sexual relations
MSM Sexual Relations

Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS


Msm condom use
MSM Condom Use

Condom Use in Last 6 Months

Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS


Pwid sexual relations
PWID Sexual relations

Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS


Pwid sexual relations with male partner
PWID Sexual relations with Male Partner

Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS


Pwid condom use
PWID Condom Use

Condom Use in Last 12 Months

Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS


Challenges
Challenges

  • Political Challenges.

  • Stigma and Discrimination.

  • Challenges in Health System.

  • Monitoring and Evaluation Challenges.

  • Travel Restrictions.


Opportunities
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
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)


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