Solthis Therapeutic Solidarity and Initiatives for Health

HEALTH INFORMATION SYSTEMFighting HIV / AIDS

Context:

Although the seroprevalence rate remains low for the general population (0.1%) in Tunisia, two bio-behavioural surveys from 2017 – 2018 showed that HIV prevalence among key populations IDU, MSM is high (respectively 6% for IDU; 11.2% for MSM) and has increased since the last surveys in 2014. This constitutes a high risk of transmission. The number of people living with HIV (PLHIV) is around 3000, most of whom are cared for in the four existing care centres in Tunis, Sousse, Monastir and Sfax. The geographical areas most affected would be Greater Tunis and the coastal zone, but information collected during the 2015 hotspot mapping exercise and community testing campaigns would indicate that the inland areas of the country are well affected.

As a sub-recipient of the GF HIV/AIDS grant, the Association for Positive Prevention (ATP+) was founded with the aim of providing support to PLWHA and key populations wherever they live by ensuring that needs are identified and reported at the highest level of the authorities involved in the fight against HIV/AIDS. It is in this context that ATP+ is asking the 5% Initiative to draw up a map of PLWHIV in Tunisia.

General objective of the mission:

Elaborate a mapping of PLWHIV in Tunisia in order to improve the offer and quality of services for PLWHIV and their families.

Specific objectives :

• To better understand the needs of PLWHIV in order to better guide prevention and support activities and to provide care as early as possible.
• Have data that can be used in the development of the next GMF grant.

Activities

• As part of their mission, the consultants will have to conduct a mapping of PLWHIV on the national territory, in order to :
• Identify and geo-reference sites frequented by PHAs;
• Identify the number of PHAs who attend and their profiles;
• Link the geographical presence of PLWHIV to the location of testing and care centres;
• Identify the care needs of PLWHIV ;
• Identify the number of PLWHIV who attend the four care sites;
• Indicate whether there is an association between the place of residence of PLWHIV and the care sites at the four university centres.