Cascade of HIV prevention, care and treatment services in Morocco in 2019
ABSTRACT
Background:
The HIV care cascade is a way to show the proportion of people living with HIV (PLHIV) engaged at each stage of HIV care. Analyzing an HIV testing, care and treatment cascade provides a framework for evaluating and improving service delivery.
Objective:
The objective of this study is to analyze the continuums of HIV prevention, care and treatment services at the national level in Morocco for the period from 2015 to 2019.
Methods:
This is a retrospective study which concerned the reference centers for HIV care in Morocco carried out in 2019. Three types of cascade of HIV prevention and care were studied: a transversal cascade at the national level in 2019 , a longitudinal cascade for newly diagnosed PLHIV between 2015 and 2017 and a cascade of prevention of mother-to-child transmission of HIV (PMTCT) among pregnant women in 2016-2017. The study process included collecting the data needed to construct the cascade, determining the magnitude of the deviations at each stage of the cascade.
Results:
This is a retrospective study which concerned the reference centers for HIV care in Morocco carried out in 2019. Three types of cascade of HIV prevention and care were studied: a transversal cascade at the national level in 2019 , a longitudinal cascade for newly diagnosed PLHIV between 2015 and 2017 and a cascade of prevention of mother-to-child transmission of HIV (PMTCT) among pregnant women in 2016-2017. The study process included collecting the data needed to construct the cascade, determining the magnitude of the deviations at each stage of the cascade.
Conclusions:
Our 2019 HIV cascade study demonstrated a number of successes. Achievement of the three 90s except for the 1st objective of people who know their status, good retention of PLHIV in long-term treatment and success of PMTCT especially since Morocco aims to validate the elimination of MTCT.
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