http://news.kuwaittimes.net/2013/03/16/around-29000-people-infected-with-hiv-in-morocco-battling-aids-stigma-in-religious-heartlands/

Around 29,000 people infected with HIV in Morocco – Battling AIDS stigma in 
religious heartlands 
 
Moroccan woman walks out of a mobile clinic

SALE: “I don’t have anything,” said Asmaa with a sigh as she stepped out of the 
mobile clinic offering free AIDS tests in Sale, in a conservative city in 
Morocco where the veiled young woman lives. Around 29,000 people are infected 
with HIV in a country of 33 million, according to estimates by the Pan African 
AIDS Organization (OPALS), a relatively low figure compared with other Arab 
countries. But large swathes of Moroccan society are religious, with sex 
outside of marriage and adultery still illegal, and the AIDS virus has long 
been a taboo subject.

Around 80 percent of victims don’t even know they are HIV carriers, according 
to OPALS, which was set up in 1994 to combat the spread of the disease and is 
active in 19 different parts of the country. While only a small proportion of 
the national population is infected (0.1 percent), the virus is concentrated in 
two specific areasthe southwestern tourist region of Agadir, notably among 
prostitutes and gay men, and the northern town of Nador, among drug addicts. 
Across much of Morocco, conservative religious attitudes and the stigma 
attached to AIDS can complicate the efforts made in testing, treatment and 
prevention.

But in Sale’s Douar Jbala, a stronghold of the Islamist Justice and Development 
Party that heads Morocco’s coalition government, OPALS officials carrying out 
the AIDS tests are happy with the response to their campaign. Like other poor 
neighborhoods, Douar Jbala is “vulnerable”, because of the conservative 
attitudes and prejudices that hold sway here, so the medics welcome the large 
turnout. “There is an enthusiasm, particularly among the women. It’s really 
important for us, it shows that it is no longer such a taboo,” said Dr Zakia 
Afkari, supervising the operation in partnership with Morocco’s health ministry.

These young women “don’t hesitate to come on their own,” she added, before 
heading back into the clinic where dozens of people were waiting to be tested. 
Asmaa, 21, said she decided to show up “without thinking too much” about it. In 
her age category (15-24), 61 percent of those infected are women. “I came 
across it by chance when I noticed a banner inviting locals to take the AIDS 
test. I hesitated for a moment and then came to the clinic,” she explained. 
“Now I’m glad I did,” she added with a smile, holding a piece of cotton wool on 
her finger where the blood sample was taken. There was no sign of embarrassment 
among those standing outside the truck where the free and anonymous tests were 
performed. “For me there’s no shame in being tested for AIDS.

It’s not a problem, it’s not against my religion,” said 18-year-old Khadija. 
Health experts say Morocco is ahead of other Arab countries partly because it 
began its anti-AIDS campaign early, in the 1990s, developing infrastructure to 
support victims of the virus, such as a hospital in the city of Casablanca run 
by the Association for the Fight against AIDS. But big challenges remain, 
especially in overcoming social prejudices surrounding the disease itself, said 
Dr Kamal Alami, who heads the UN’s AIDS/HIV program in Morocco. “Despite all 
the efforts, the taboo still exists,” Alami said. “There is a problem of 
discrimination and stigmatization for people who live with the HIV virus.” 
“Most of them prefer not to be seen (to be infected), and this is often an 
obstacle in the fight against AIDS, in terms of prevention and support.” The 
clinic in Douar Jbala is one step in the struggle against that stigma. “We have 
to get out among the poor and vulnerable, to make contact with them and raise 
their awareness,” said OPALS campaign organizer Khadija Ouazzani.— AFP



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