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Using ict solutions to reach msm in morocco def
1. THSY10
Using ICT solutions to
reach MSM in Morocco
M. Karkouri, M. Harri, O. Mellouk, H. Himmich
Association de Lutte Contre le Sida, Morocco
2. The Context
• Low HIV overall prevalence but concentrated
epidemic among Key Populations (MSM)
• Homosexuality is illegal in Morocco by Law 489 (6m
to 3y prison and/or 12 to 120 $ fine)
• Homophobia and high level of
stigma, violence, police harassment
• Development and diffusion of ICT (mobile
phones, internet) lesser recourse to cruising areas
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3. The MSM Program of ALCS
• ALCS : Community-based
organization (1988) with extensive
experience working with MSM in
Morocco
• MSM Outreach Prevention Program (since 1993)
(Gov't approved):
– Prevention sessions on cruising areas and in-house
– Condom/lube access
– Information on HIV, AIDS and STIs
– Self-esteem improvement
– Psychosocial support and income-generating activities
• Coverage limited to major urban centers
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4. The Data
• BBSS Study, MSM, 2010-2011, Agadir & Marrakesh
– HIV prevalence among MSM:
• Agadir : 5.6% and Marrakech : 2.8%
– Internet at least once a week : 56% (daily : 19-31%)
– Gay sites at least once a week : 33% (daily : 18%)
– Peferred way to get information about HIV and STIs:
• TV 45.5%
• CBOs 26.3%
• Internet 15.8%
• Press 4.5%
• Brochures 3.9%
• Radio 3.8%
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5. The Intervention
• Creation of a profile "Pleasure & Health" on the most
popular gay sites (Gayromeo, NRJChat)
• A standard message is sent to users explaining the
purpose of our presence and offering to further chat
• Interested persons are invited to switch to "msn"
instant messaging
• Conversations are recorded and FAQ are noted in a
database allowing very quick answers ("Copy and
paste")
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7. The Services
• Education and information about HIV, AIDS and STIs
• Tailored counseling sessions on sexual practices
• Discussion about safer sex practices
• Reference to HIV Testing and Couseling sites
• Promotion of the HIV Hotline
• Information on psychological support and other
services offered to PLHIV
• Safe space to talk about homosexuality
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8. The Sexual and Reproductive Health
SMS Platform
• "Bilaharaje" ("Be comfortable to ask") program
• Partnership : ALCS – OneWorld UK – Butterfly Works
SMS Plateform (started 2011) hosted by ALCS
"On t’écoute" ("We are listening to you") live free
talk show airing weekly for two hours with a
sexologist answering questions from young people
(telephone calls, e-mail, Facebook)
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10. The Results
Jan-June July-Dec Jan – June
2011 2011 2012
Sessions 86 89 102
New contacts 432 562 583
Follow up contacts 120 482 489
Decline 88 89 85
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11. The Results
Most popular topics Referrals and orientation
Living with Marrakesh Men's
HIV Prevention Health Clinic
Family Hotline
& Society Sexual
Practices ALCS' HTC
Prevention
Religion Stigma & D website Hotline
ALCS'websi
Stigma Sexual
Religion HIV Testing te
& Discr. practices
& Couns. Health
Family Clinic
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12. The Results
Most popular topics Referrals and orientation
Living with Marrakesh Men's
HIV Prevention Health Clinic
Family Hotline
& Society Sexual
Practices ALCS' HTC
Prevention
Religion Stigma & D website Hotline
ALCS'websi
Stigma Sexual
Religion HIV Testing te
& Discr. practices
& Couns. Health
Family Clinic
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13. The Lessons learned
• High acceptability (low rate of decline)
• Low cost of operations
• Safety (for service providers and clients)
• Safe space to talk freely about sexual practices (no
face-to-face bias)
• Opportunity to scale up service provision
• Referral to services more effective
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14. The way forward
• Formal evaluation of the program needed (change of
behaviors)
• Scale up of the service provision
• More extensive research to harness the potential of
ICT solutions for targeting MSM
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