PrEPare_Morocco a successful community-based PrEP delivery demonstration program for men who have sex with men and female sex workers in Morocco

Pre-exposure prophylaxis (PrEP) is an effective HIV prevention tool, recommended for persons at substantial risk for HIV, such as female sex workers (FSW) and men who have sex with men (MSM). We present Morocco's and the Middle East/North Africa's first PrEP demonstration project. Our pilo...

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Bibliographic Details
Published in:	AIDS care Vol. 36; no. 4; pp. 508 - 516
Main Authors:	Ben Moussa, Amal, Belhiba, Ouijdane, Sodqi, Mustapha, Hajouji, Fatima Zahra, Salah, Nour Elimane Issam, Sakhri, Noureddine, Alami, Kamal, Omari, Boutaina El, Ouarsas, Lahoucine, Karkouri, Mehdi
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 02-04-2024 Taylor & Francis Ltd
Subjects:	Acceptability Anti-HIV Agents - therapeutic use Community community-based PrEP delivery program Demonstration programmes Feasibility Female Females FSW HIV HIV Infections - drug therapy Homosexuality, Male Human immunodeficiency virus Humans Male Men Men who have sex with men Morocco MSM Occupational exposure Pre-Exposure Prophylaxis - methods PrEP Prevention programs Preventive medicine Prophylaxis Retention Sex industry Sex Workers Sexual and Gender Minorities Sexually transmitted diseases STD Uptake Morocco community-based PrEP delivery program HIV Morocco MSM FSW PrEP retention acceptability
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Summary:	Pre-exposure prophylaxis (PrEP) is an effective HIV prevention tool, recommended for persons at substantial risk for HIV, such as female sex workers (FSW) and men who have sex with men (MSM). We present Morocco's and the Middle East/North Africa's first PrEP demonstration project. Our pilot aimed to assess the feasibility and acceptability of a community-based PrEP program for FSW and MSM in Morocco's highest HIV prevalence cities: Agadir, Marrakech, and Casablanca. From May to December 2017, 373 eligible participants engaged in a 5-9 month program with daily oral TDF/FTC and clinic visits. Of these, 320 initiated PrEP, with 119 retained until the study's end. We report an 86% PrEP uptake, 37% overall retention, and 78% retention after 3 months. No seroconversions occurred during follow-up. These results underscore PrEP's need and acceptability among MSM and FSW and demonstrate the effectiveness of a community-based PrEP program in Morocco. These findings informed Morocco's current PrEP program and hold potential for the wider region with similar challenges.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0954-0121 1360-0451 1360-0451
DOI:	10.1080/09540121.2023.2263679