1. Tunisia

2. Outline of Presentation
 Background
 Best practices strategy
 Approach and Findings
 Partnerships
 Successes & Challenges
 Lessons Learned

3. Background
National popn=11 million
Adult HIV Prevalence <1%
Estimate HIV infected (1.4 -
3.8 million)
98.5% attend ANC

4. Best Practice Strategy
 Pre-natal HCT

5. Approach and Findings
 Gradual implementation
 7000 women tested
 No HIV positive result so far
 989 health professionals
trained
 21 ToTs

6. Partnerships
 MoH
 AIDS and STI programs
 Directorate of Basic Health
Care
 Women’s participation

7. Successes & Challenges
 Enabling Policy direction
 Capacity Building
 400 BHC in 7 governorates
 Ownership by regional teams
 Monitoring and evaluation
 44% invited vs 50% target

8. Lessons Learned
 Monitoring and review
 Private sector in second phase
 High level stewardship and
political leadership Ministry of
Health

9. Thank you