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Othoman Mellouk ITPC-MENA/ALCS Maroc

This case study explores the challenging landscape of HIV and migration in Morocco, a country that has transitioned from a primary source of emigration to an immigration hub for sub-Saharan Africans. It highlights the vulnerability of migrant populations, particularly concerning access to healthcare services and the stigma surrounding HIV. The study emphasizes the need for enhanced public health programs, tailored services for migrant women, and the operationalization of combined prevention strategies. Collaboration with NGOs and health authorities is crucial for effective interventions and support for these marginalized communities.

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Othoman Mellouk ITPC-MENA/ALCS Maroc

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  1. Othoman Mellouk ITPC-MENA/ALCS Maroc HIV and Migration in Morocco Case Study

  2. Introduction • In the middle of the XXthcentury: Moroccois principal country of «Emigration » • Moroccansconstitute a community of migrants among the largests and more dispersed in Western Europe • Moroccoused to be a transit country for migrants fromSubsaharanAfrica to Europe • More recentlyitbecame a country of immigration for many migrants fromsub-SaharanAfrica (EU migration policies) • Migration is a sensitive political issue in Moroccoboth in relationshipswith EU and internally • High social vulnerability • Little information isavailable about migrants (clandestinity) • Myths about HIV and Migration…

  3. Sinceyears 2000: NGOs (ALCS, Médecins du Monde, Médecins Sans Frontières…) launched HIV programs targeting migrants • NGOsalsosuccedded to obtain the right for migrants to samehealthcare services as nationals • However, no data available about HIV and migrants • 2012-2013: MoH and NGOslaunched a study

  4. Studied population • Migrants in irregularadministraive situation • Originallyfrom a sub-saharan country • Irregularadministraive situation (refugee, asilumseeker, undocumented) • Aged + 18 ansyo • Living in Rabat/Salé or Témara and more than3 months in Morocco • Speaking French or English • Able to provide consent • TWO studies: Francophone (n=410) and Anglophone (n=277) populations. Formative researchshowedthat the twocommunitiesweresociallydissociatedwithlimited interaction

  5. Origin Country of Migrants Global 78%

  6. Reasons of migration

  7. Sociodemographics Francophone Anglophone

  8. Entry in Morocco

  9. Life conditions

  10. Sources of income Francophone

  11. Health conditions

  12. Health conditions

  13. Access to Health Services Evaluation of quality of services

  14. Family Planning Francophone Anglophone

  15. Pregnancy and Delivery

  16. SexualPartners

  17. Use of Condoms Sources of condom procurement

  18. HIV Testing Location of HIV test for thosetested in Morocco

  19. Violence

  20. Stigma and discrimination

  21. HIV and Syphilis Prevalence

  22. Recommendations • Increasecoverage of migrants populations by public health programs, family planning, antenatal and PMTCT services • Implementation of a genderbasedapproachgiven the highvulnerability of migrant womenespecially the anglophones. Streghteningsexual and reproductive health services for migrants. • Operaationnalization of the concept of combinedprevention and strenghtening of networking of NGOs/Services providers workingwith migrants • Integration of Prevention/Testing services in public healthcenters

  23. Recommendations • Train healthcareworkers to increasecapacity, impove services aandreduce stigma and dicsrimination • Icrease programs against violence and addresssexual violence • Developtools and adapted services to enable anglophone migrants accesshealth services • Generalize free access to treatment and care espacially ART for ALL migrants eligible to treatment • Conductotherstudies on migrants in othercities in Morocco

  24. Aknowledgements: Investigators • Ministry of Health, Morocco (PNLS, INH, SMP, SMR) • ALCS, OPALS • GFATM Management Unit • UNAIDS Country Office in Morocco • Lisa Johnston Partners : FOO, CARITAS, Action Urgence, UNHCR, OIM Funders: UNAIDS, DDC Suisse, GFATM

  25. Thank you Merci

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