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Cascade of HIV Prevention, Care, and Treatment Services in Morocco in 2019
Cascade of HIV Prevention, Care, and Treatment Services in Morocco in 2019
Sakhri, Noureddine
2022-02-02 00:00:00
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 2015-2019. Methods: This is a retrospective study concerning the reference centers for HIV care in Morocco carried out in 2019. Three types of cascades of HIV prevention and care were studied: a transversal cascade at the national level (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 (2016-2017). The study process included collecting the data needed to construct the cascade and determining the magnitude of the deviations at each stage of the cascade. Results: For the transversal cascade of the year 2019, the objectives of the three 90s were achieved except for the 1st 90 with a difference of 12%. For the longitudinal cascade after the start of treatment between 2015-2017, retention under treatment at 48 months was 83.3%, at 36 months was 83.8%, and at 24 months 91.0%. The 48-month loss to follow-up rate was 12.5%; 7.0% at 36 months; and 4.0% at 24 months. More than 90% of PLHIV started antiretrovirals within 3 months of diagnosis. The 2016-2017 PMTCT cascade conducted on 13 pregnant women according to available data indicated the absence of transmission of HIV from mothers to their children. Conclusions: Our 2019 HIV cascade study demonstrated several successes. The achievement of the three 90s except for the first objective (of people who know their status), good retention of PLHIV in long-term treatment, and the success of PMTCT especially since Morocco aims to validate the elimination of mother-to-child transmission. (iproc 2022;8(1):e36373) doi: 10.2196/36373 KEYWORDS Cascade; HIV; mother-to-child transmission of HIV; PMTCT; proportion of people living with HIV; PLHIV Edited by Y Khader; this is a non–peer-reviewed article. Submitted 12.01.22; accepted 17.01.22; published 02.02.22. Please cite as: Sakhri N iproc 2022;8(1):e36373 URL: https://www.iproc.org/2022/1/e36373 doi: 10.2196/36373 PMID: https://www.iproc.org/2022/1/e36373 iproc 2022 | vol. 8 | iss. 1 | e36373 | p. 1 (page number not for citation purposes) XSL FO RenderX IPROCEEDINGS Sakhri ©Noureddine Sakhri. Originally published in Iproceedings (https://www.iproc.org), 02.02.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included. https://www.iproc.org/2022/1/e36373 iproc 2022 | vol. 8 | iss. 1 | e36373 | p. 2 (page number not for citation purposes) XSL FO RenderX
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Iproceedings
JMIR Publications
http://www.deepdyve.com/lp/jmir-publications/cascade-of-hiv-prevention-care-and-treatment-services-in-morocco-in-FzYHcTqzUp
Cascade of HIV Prevention, Care, and Treatment Services in Morocco in 2019
/lp/jmir-publications/cascade-of-hiv-prevention-care-and-treatment-services-in-morocco-in-FzYHcTqzUp
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Publisher
JMIR Publications
Copyright
Copyright © The Author(s). Licensed under Creative Commons Attribution cc-by 4.0 ISSN
2369-6893 DOI
10.2196/36373
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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 2015-2019. Methods: This is a retrospective study concerning the reference centers for HIV care in Morocco carried out in 2019. Three types of cascades of HIV prevention and care were studied: a transversal cascade at the national level (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 (2016-2017). The study process included collecting the data needed to construct the cascade and determining the magnitude of the deviations at each stage of the cascade. Results: For the transversal cascade of the year 2019, the objectives of the three 90s were achieved except for the 1st 90 with a difference of 12%. For the longitudinal cascade after the start of treatment between 2015-2017, retention under treatment at 48 months was 83.3%, at 36 months was 83.8%, and at 24 months 91.0%. The 48-month loss to follow-up rate was 12.5%; 7.0% at 36 months; and 4.0% at 24 months. More than 90% of PLHIV started antiretrovirals within 3 months of diagnosis. The 2016-2017 PMTCT cascade conducted on 13 pregnant women according to available data indicated the absence of transmission of HIV from mothers to their children. Conclusions: Our 2019 HIV cascade study demonstrated several successes. The achievement of the three 90s except for the first objective (of people who know their status), good retention of PLHIV in long-term treatment, and the success of PMTCT especially since Morocco aims to validate the elimination of mother-to-child transmission. (iproc 2022;8(1):e36373) doi: 10.2196/36373 KEYWORDS Cascade; HIV; mother-to-child transmission of HIV; PMTCT; proportion of people living with HIV; PLHIV Edited by Y Khader; this is a non–peer-reviewed article. Submitted 12.01.22; accepted 17.01.22; published 02.02.22. Please cite as: Sakhri N iproc 2022;8(1):e36373 URL: https://www.iproc.org/2022/1/e36373 doi: 10.2196/36373 PMID: https://www.iproc.org/2022/1/e36373 iproc 2022 | vol. 8 | iss. 1 | e36373 | p. 1 (page number not for citation purposes) XSL FO RenderX IPROCEEDINGS Sakhri ©Noureddine Sakhri. Originally published in Iproceedings (https://www.iproc.org), 02.02.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included. https://www.iproc.org/2022/1/e36373 iproc 2022 | vol. 8 | iss. 1 | e36373 | p. 2 (page number not for citation purposes) XSL FO RenderX
Journal
Iproceedings
– JMIR Publications
Published: Feb 2, 2022
Keywords: Cascade; HIV; mother-to-child transmission of HIV; PMTCT; proportion of people living with HIV; PLHIV
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APA
Sakhri, N. (2022). Cascade of HIV Prevention, Care, and Treatment Services in Morocco in 2019. Iproceedings, 8(1),
MLA
Sakhri, Noureddine. "Cascade of HIV Prevention, Care, and Treatment Services in Morocco in 2019." Iproceedings 8.1 (2022).
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