Accueil > Références bibliographiques

Publications des membres du Ceped

2016

  • (2016) « Table ronde : Comment soignent les médecines traditionnelles ? », Festival au coeur des Himalayas, Paris.
    Résumé : Autres participants : Dr. Bumchung Dr. Guattari Prof. Bouchaud
    Mots-clés : Côte d'Ivoire, médecine traditionnelle, pharmacopée, savoirs thérapeutiques africains.

  • AL DAHDAH Marine (2016) « MSanté au Ghana : analyse sociotechnique d’un dispositif de santé maternelle par téléphone portable », in Terminaux et environnements numériques mobiles dans l’espace francophone, Paris : L'Harmattan. (Communication et Civilisation). ISBN : 978-2-343-09352-9.
    Résumé : En 2014, avec presque 7 milliards d’usagers « mobile », le téléphone portable devient la technologie d'information et de communication la plus utilisée dans le monde. Du « dossier patient » en ligne à l’envoi dématérialisé de données cliniques, les systèmes de santé du monde entier y recourent de manière croissante dans un contexte de réduction des ressources et des dépenses de santé, mais aussi d’implication croissante des patients. La cybersanté (eSanté) a fait l’objet de nombreux travaux ces dernières années, mais peu de recherches ont a été réalisées sur la mSanté. Cet article aborde ce nouvel objet à travers l'étude d'un projet de santé maternelle déployé eu Ghana. Nous nous pencherons sur les perceptions des usagers de cette technologie mobile comme expression de ses effets.
    Mots-clés : mHealth, mobile, mSanté, pays en développement, téléphone portable.
  • AL DAHDAH Marine et KUMAR Aalok (2016) « Mobile phone in Bihar: a "smart" solution to reduce maternal mortality? » (AJEI - Association Jeunes Etudes Indiennes), présenté à “Multifaceted Inequality in Contemporary India”, Pondicherry, India.
    Résumé : This communication offers a glance at this new field of mHealth, the use of mobile phones for health programs, through the study of a particular maternal mHealth project deployed in Bihar,India.We’ll base our communication on a fieldwork conducted last autumn in two districts and 5 blocks of Bihar, among almost 100 women, 30 community healthworkers and 20 implementers, all involved in a maternal mobile health project. We propose to focus more specifically our talk on inequalities that those socio-technical devices are revealing and even enhancing on the ground : gender inequalities,socio economical inequalities, health inequalities. Whereas mobile health is presented by its implementers as a neutral, universal, accessible and “smart” technology to improve health in Bihar, we’ll analyse how it in fact reinforces inequalities on the ground.
    Mots-clés : Bihar, mHealth, mobile phones.

  • Bernard-Maugiron Nathalie (2016) « Should the Egyptian Constitution be Amended to Increase Presidential Powers? », Presidential Power, mars 14. http://presidential-power.com/?p=4581.

  • Boulay Sébastien (2016) « 'Returnees' and political poetry in Western Sahara: defamation, deterrence and mobilisation on the web and mobile phones », The Journal of North African Studies, p. 1-20. DOI : 10.1080/13629387.2016.1185942.
    Résumé : This paper explores the relationships between literature, migration and politics in Western Sahara, in a context of a four-decade decolonisation conflict. Since a few years, some Polisario Front personalities have been rallying the Moroccan ‘side’ and have aroused the production and circulation, on the web and the mobile phones, of a new kind of satirical poetry targeting these ‘ralliés’ considered as betrayers of the independence cause. This sensitive literature, whether funny or violent, rare but successful, amuse and disturb Sahrawi audiences, provokes poetic responses, create new debate opportunities and allow social sciences to better understand how politicians from both parties try to exploit and/or control population movements in that area and how people live and manoeuvre around these policies.
    Mots-clés : betrayal, literature, migration, New Media, politics, Western Sahara.


  • Boyer Sylvie, Iwuji Collins, Gosset Andréa, Protopopescu Camelia, Okesola Nonhlanhla, Plazy Mélanie, Spire Bruno, Orne-Gliemann Joanna, McGrath Nuala, Pillay Deenan, Dabis François, Larmarange Joseph et group on behalf of the ANRS 12249 TasP study (2016) « Factors associated with antiretroviral treatment initiation amongst HIV-positive individuals linked to care within a universal test and treat programme: early findings of the ANRS 12249 TasP trial in rural South Africa », AIDS Care, 28 (sup3), p. 39-51. DOI : 10.1080/09540121.2016.1164808. http://dx.doi.org/10.1080/09540121.2016.1164808.
    Résumé : Prompt uptake of antiretroviral treatment (ART) is essential to ensure the success of universal test and treat (UTT) strategies to prevent HIV transmission in high-prevalence settings. We describe ART initiation rates and associated factors within an ongoing UTT cluster-randomized trial in rural South Africa. HIV-positive individuals were offered immediate ART in the intervention arm vs. national guidelines recommended initiation (CD4≤350 cells/mm3) in the control arm. We used data collected up to July 2015 among the ART-eligible individuals linked to TasP clinics before January 2015. ART initiation rates at one (M1), three (M3) and six months (M6) from baseline visit were described by cluster and CD4 count strata (cells/mm3) and other eligibility criteria: ≤100; 100–200; 200–350; CD4>350 with WHO stage 3/4 or pregnancy; CD4>350 without WHO stage 3/4 or pregnancy. A Cox model accounting for covariate effect changes over time was used to assess factors associated with ART initiation. The 514 participants had a median [interquartile range] follow-up duration of 1.08 [0.69; 2.07] months until ART initiation or last visit. ART initiation rates at M1 varied substantially (36.9% in the group CD4>350 without WHO stage 3/4 or pregnancy, and 55.2–71.8% in the three groups with CD4≤350) but less at M6 (from 85.3% in the first group to 96.1–98.3% in the three other groups). Factors associated with lower ART initiation at M1 were a higher CD4 count and attending clinics with both high patient load and higher cluster HIV prevalence. After M1, having a regular partner was the only factor associated with higher likelihood of ART initiation. These findings suggest good ART uptake within a UTT setting, even among individuals with high CD4 count. However, inadequate staffing and healthcare professional practices could result in prioritizing ART initiation in patients with the lowest CD4 counts.

  • Bulegon Pilecco Flavia, Ravalihasy Andrainolo, Guillaume Agnès, Lert France, Bajos Nathalie, Lydié Nathalie, Dray-Spira Rosemary et Desgrées du Loû Annabel (2016) « VIH, hépatite B et avortement chez les migrantes d'Afrique subsaharienne vivant en Île-de-France: l'étude ANRS PARCOURS » (Communication orale ( AFRAVIH2016 - 1345), présenté à 8e Conférence Internationale Francophone VIH/Hépatites - AFRAVIH 2016, Bruxelles, Belgique. http://www.afravih2016.org/.
    Résumé : Les maladies chroniques telles que le VIH et l'hépatite B chronique (VHB) affectent fortement les migrants d'Afrique subsaharienne vivant en France. Ces maladies peuvent avoir un impact sur les décisions en matière de reproduction, en raison de la peur de transmettre le virus à l'enfant et de ne pas vivre assez longtemps pour grandir cet enfant. Cette étude a pour objectif d’estimer la prévalence d’une interruption volontaire de la grossesse (IVG) après l’arrivée en France et d'évaluer son association avec ces maladies chroniques chez les femmes migrantes d'Afrique sub-saharienne vivant en Île-de-France.


  • Camlin Carol S., Seeley Janet, Viljoen Lario, Vernooij Eva, Simwinga Musonda, Reynolds Lindsey, Reis Ria, Plank Rebeca, Orne-Gliemann Joanna, McGrath Nuala, Larmarange Joseph, Hoddinott Graeme, Getahun Monica, Charlebois Edwin D. et Bond Virginia (2016) « Strengthening universal HIV ‘test-and-treat’ approaches with social science research: », AIDS, 30 (6), p. 969-970. DOI : 10.1097/QAD.0000000000001008. http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00002030-201603270-00019.


  • Cannon Molly, Charyeva Zulfiya, Oguntunde Olugbenga, Sambisa William, Shoretire Kamil et Orobaton Nosa (2016) « A case study of community-based distribution and use of Misoprostol and Chlorhexidine in Sokoto State, Nigeria », Global Public Health (avril 21), p. 1-15. DOI : 10.1080/17441692.2016.1172102. http://www.tandfonline.com/doi/full/10.1080/17441692.2016.1172102.


  • Chikovore Jeremiah, Gillespie Natasha, McGrath Nuala, Orne-Gliemann Joanna, Zuma Thembelihle et Group On Behalf of the ANRS 12249 TasP Study (2016) « Men, masculinity, and engagement with treatment as prevention in KwaZulu-Natal, South Africa », AIDS Care, 28 (sup3), p. 74-82. DOI : 10.1080/09540121.2016.1178953. http://dx.doi.org/10.1080/09540121.2016.1178953.
    Résumé : Men’s poorer engagement with healthcare generally and HIV care specifically, compared to women, is well-described. Within the HIV public health domain, interest is growing in universal test and treat (UTT) strategies. UTT strategies refer to the expansion of antiretroviral therapy (ART) in order to reduce onward transmission and incidence of HIV in a population, through a “treatment as prevention” (TasP). This paper focuses on how masculinity influences engagement with HIV care in the context of an on-going TasP trial. Data were collected in January–November 2013 using 20 in-depth interviews, 10 of them repeated thrice, and 4 focus group discussions, each repeated four times. Analysis combined inductive and deductive approaches for coding and the review and consolidation of emerging themes. The accounts detailed men’s unwillingness to engage with HIV testing and care, seemingly tied to their pursuit of valued masculinity constructs such as having strength and control, being sexually competent, and earning income. Articulated through fears regarding getting an HIV-positive diagnosis, observations that men preferred traditional medicine and that primary health centres were not welcoming to men, descriptions that men used lay measures to ascertain HIV status, and insinuations by men that they were removed from HIV risk, the indisposition to HIV care contrasted markedly with an apparent readiness to test among women. Gendered tensions thus emerged which were amplified in the context where valued masculinity representations were constantly threatened. Amid the tensions, men struggled with disclosing their HIV status, and used various strategies to avoid or postpone disclosing, or disclose indirectly, while women’s ability to access care readily, use condoms, or communicate about HIV appeared similarly curtailed. UTT and TasP promotion should heed and incorporate into policy and health service delivery models the intrapersonal tensions, and the conflict, and poor and indirect communication at the micro-relational levels of couples and families.

  • Cosio Zavala Maria E., Loenzien Myriam de et Luu Bich-Ngoc, ss la dir. de (2016) Mutations démographiques et sociales du Viêt Nam contemporain, Nanterre : Presses universitaires de Paris Ouest, 221 p. (Sciences humaines et sociales). http://books.openedition.org/pupo/4384.
    Résumé : Il y a près de trente ans, le Viêt Nam initiait sa transition vers une économie mixte avec l’adoption de la politique du Doi moi ou Renouveau. Alors que les générations précédentes avaient été marquées par la colonisation, les conflits armés et les difficultés économiques généralisées, la génération qui a aujourd’hui trente ans a grandi dans un pays qui a connu une croissance économique extraordinaire, une amélioration considérable du niveau de vie, une ouverture sur le monde, une entrée dans une économie mondialisée, une transition démographique accélérée et une insertion économique dans des réseaux régionaux et internationaux. S’ils ont été à la fois les témoins, les artisans et les bénéficiaires d’avancées remarquables, les jeunes de trente ans vivent au sein d’une société qui fait face à de nouveaux défis. C’est l’univers social, démographique et économique de cette génération charnière que décrivent et analysent les neuf chapitres de cet ouvrage. Au fil des résultats de recherches, nous prenons la mesure des succès, des questions, des défis, des incertitudes et des obstacles qui marquent aujourd’hui la société vietnamienne. Organisés autour de trois grands thèmes – structure et hétérogénéité de la population, enjeux sanitaires et sociaux et migrations, urbanisation et développement – les neuf chapitres de cet ouvrage brossent un tableau du chemin parcouru au cours des dernières décennies et rendent compte de phénomènes nouveaux ou émergents, dont certains sont encore peu étudiés.
    Mots-clés : économie, ENVIRONNEMENT, famille, genre, migration, population, santé, sexualité, TRANSITION, Vietnam, VIH.

  • Debeaudrap Pierre, Pasquier Estelle, Tchoumkeu Alice, Touko Adonis, Essomba Frida, Brus Aude, Desgrées du Loû Annabel, Aderemi Toyin Janet, Hanass-Hancock Jill, Eide Arne Henning, Mont Daniel, Mac-Seing Muriel et Beninguisse Gervais (2016) « HandiVIH-A population-based survey to understand the vulnerability of people with disabilities to HIV and other sexual and reproductive health problems in Cameroon: protocol and methodological considerations », BMJ open, 6 (2), p. e008934. DOI : 10.1136/bmjopen-2015-008934.
    Résumé : INTRODUCTION: In resource-limited countries, people with disabilities seem to be particularly vulnerable to HIV infection due to barriers to accessing information and services, frequent exposure to sexual violence and social exclusion. However, they have often been left behind in the HIV response, probably because of the lack of reliable epidemiological data measuring this vulnerability. Multiple challenges in conducting good quality epidemiological surveys on people with disabilities require innovative methods to better understand the link between disability and HIV. This paper describes how the design and methods of the HandiVIH study were adapted to document the vulnerability of people with disabilities to HIV, and to compare their situation with that of people without disabilities. METHODS AND ANALYSIS: The HandiVIH project aims to combine quantitative and qualitative data. The quantitative component is a cross-sectional survey with a control group conducted in Yaoundé (Cameroon). A two-phase random sampling is used (1) to screen people with disabilities from the general population using the Washington Group questionnaire and, (2) to create a matched control group. An HIV test is proposed to each study participant. Additionally, a questionnaire including a life-event interview is used to collect data on respondents' life-course history of social isolation, employment, sexual partnership, HIV risk factors and fertility. Before the cross-sectional survey, a qualitative exploratory study was implemented to identify challenges in conducting the survey and possible solutions. Information on people with disabilities begging in the streets and members of disabled people's organisations is collected separately. ETHICS AND DISSEMINATION: This study has been approved by the two ethical committees. Special attention has been paid on how to adapt the consenting process to persons with intellectual disabilities. The methodological considerations discussed in this paper may contribute to the development of good practices for conducting quantitative health surveys on people with disabilities. TRIAL REGISTRATION NUMBER: NCT02192658.
    Mots-clés : EPIDEMIOLOGY, STATISTICS & RESEARCH METHODS.

  • Debeaudrap Pierre, Turyakira Eleanor, Nabasumba Carolyn, Tumwebaze Benon, Piola Patrice, Boum Ii Yap et McGready Rose (2016) « Timing of malaria in pregnancy and impact on infant growth and morbidity: a cohort study in Uganda », Malaria Journal, 15 (1), p. 92. DOI : 10.1186/s12936-016-1135-7.
    Résumé : BACKGROUND: Malaria in pregnancy (MiP) is a major cause of fetal growth restriction and low birth weight in endemic areas of sub-Saharan Africa. Understanding of the impact of MiP on infant growth and infant risk of malaria or morbidity is poorly characterized. The objective of this study was to describe the impact of MIP on subsequent infant growth, malaria and morbidity. METHODS: Between 2006 and 2009, 82 % (832/1018) of pregnant women with live-born singletons and ultrasound determined gestational age were enrolled in a prospective cohort with active weekly screening and treatment for malaria. Infants were followed monthly for growth and morbidity and received active monthly screening and treatment for malaria during their first year of life. Multivariate analyses were performed to analyse the association between malaria exposure during pregnancy and infants' growth, malaria infections, diarrhoea episodes and acute respiratory infections. RESULTS: Median time of infant follow-up was 12 months and infants born to a mother who had MiP were at increased risk of impaired height and weight gain (-2.71 cm, 95 % CI -4.17 to -1.25 and -0.42 kg, 95 % CI -0.76 to -0.08 at 12 months for >1 MiP compared to no MiP) and of malaria infection (relative risk 10.42, 95 % CI 2.64-41.10 for infants born to mothers with placental malaria). The risks of infant growth restriction and infant malaria infection were maximal when maternal malaria occurred in the 12 weeks prior to delivery. Recurrent MiP was also associated with acute respiratory infection (RR 1.96, 95 % CI 1.25-3.06) and diarrhoea during infancy (RR 1.93, 95 % CI 1.02-3.66). CONCLUSION: This study shows that despite frequent active screening and prompt treatment of MiP, impaired growth and an increased risk of malaria and non-malaria infections can be observed in the infants. Effective preventive measures in pregnancy remain a research priority. This study was registered with ClinicalTrials.gov, number NCT00495508.

  • Desgrées du Loû Annabel, Pannetier Julie, Ravalihasy Andrainolo, Gosselin Anne, Le Guen Mireille, Panjo Henri, Bajos Nathalie, Lydié Nathalie, Lert France et Dray-Spira Rosemary (2016) « La précarité augmente le risque d’infection VIH en France chez les migrants subsahariens. Résultats de l’étude ANRS- PARCOURS 2012-2013 » (Communication orale ( AFRAVIH2016 - 1046- S8.02), présenté à 8e Conférence Internationale Francophone VIH/Hépatites - AFRAVIH 2016, Bruxelles, Belgique. https://youtu.be/RKid6Hw7bm4?t=330.
    Résumé : En Europe, les migrants sub-sahariens sont le deuxième groupe le plus touché par le VIH, en partie parce qu’ils ont pu être infectés dans leurs pays d’origine, mais aussi du fait d’infections survenues dans le pays d’arrivée. En France, on estime que 30% des femmes et 44% des hommes nés en Afrique sub-saharienne et suivis pour un VIH ont été infectés après l’arrivée. Cependant les déterminants de l’acquisition après la migration sont mal connus.


  • Desgrées du Loû Annabel, Pannetier Julie, Ravalihasy Andrainolo, Le Guen Mireille, Gosselin Anne, Panjo Henri, Bajos Nathalie, Lydie Nathalie, Lert France et Dray-Spira Rosemary (2016) « Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France: », AIDS, 30 (4), p. 645-656. DOI : 10.1097/QAD.0000000000000957. http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00002030-201602200-00013.
    Résumé : {Objectives: } In Europe, sub-Saharan African migrants are a key population for HIVinfection. We analyse how social hardships during settlement in France shape sexual partnerships and HIV risk. {Design:} PARCOURS is a life-event survey conducted in 2012–2013 in 74 health-care facilities in the Paris region, among three groups of sub-Saharan migrants: 926 receiving HIV care (296 acquired HIV in France), 779 with chronic hepatitis B, and 763 with neither HIV nor hepatitis B (reference group). {Methods:} Hardships (lack of residence permit, economic resources and housing) and sexual partnerships were documented for each year since arrival in France. For each sex, reported sexual partnerships were compared by group and their associations with hardships each year analysed with mixed-effects logistic regression models. Results: Hardships were frequent: more than 40% had lived a year or longer without a residence permit, and more than 20% without stable housing. Most of the migrants had nonstable and concurrent partnerships, more frequent among those who acquired HIV in France compared with reference group, as were casual partnerships among men (76.7 vs. 54.2%; P¼0.004) and women (52.4 vs. 30.5%; P¼0.02), concurrent partnerships among men (69.9 vs. 45.8%; P¼0.02), and transactional partnerships among women (8.6 vs. 2.3%; P¼0.006). Hardship increased risky behaviours: in women, lacking a residence permit increased casual and transactional partnerships [resp. odds ratio (OR)¼2.01(1.48–2.72) and OR¼6.27(2.25–17.44)]. Same trends were observed for lacking stable housing [OR¼3.71(2.75–5.00) and OR¼10.58 (4.68–23.93)]. {Conclusion:} Hardships faced by migrants increase HIV risks. Women, especially during the period without stable housing, appear especially vulnerable.

  • Desgrées du Loû, Annabel (2016) « Quand les migrants contractent le sida en France », La Recherche. http://www.larecherche.fr/savoirs/epidemiologie/quand-migrants-contractent-sida-france-21-04-2016-204404.
    Résumé : Les migrants d’Afrique sub-saharienne arriveraient en France déjà contaminés par le virus du sida ? Faux : bon nombre d’entre eux se contaminent à leur arrivée dans l’Hexagone. En cause, la grande précarité à laquelle ils sont confrontés. L'auteur de cette étude, Annabel Desgrées du Loû, vient de présenter ses résultats au symposium AfraVIH, à Bruxelles.
  • Duchesne Véronique (2016) « Des corps reproducteurs féminins sous surveillance. Télephonie mobile et assistance médicale à la procréation » (communication orale), présenté à Dynamiques du genre en Afrique, Paris.
    Mots-clés : assistance médicale à la procréation, genre, téléphonie mobile.
  • Duchesne Véronique (2016) « Savoirs thérapeutiques traditionnels et santé publique en Côte d'Ivoire : nouveaux acteurs et nouveaux enjeux. » (communication orale), présenté à (Ré)appropriation des savoirs. Acteurs, territoires, processus, enjeux, Paris.
    Résumé : En Côte d’Ivoire, comme dans l’ensemble des pays africains, la valorisation de la « médecine traditionnelle » comporte de grands enjeux politiques et sanitaires, à travers la réglementation et le contrôle des acteurs de cette médecine et de leur pratique. En tant que catégorie moderne, la « médecine traditionnelle » donne forme aux frictions propres à la période postcoloniale. L’intégration de ces savoirs et pratiques, d’abord dans les soins de santé primaires puis dans le système sanitaire global, fut en partie impulsée puis accélérée par des instances nationales et internationales. Ces institutions participent désormais à la transformation des savoirs et des pratiques de santé en redéfinissant les champs sociaux et politiques dans lesquels ceux-ci s’expriment. Une enquête ethnographique au sein de l’Unité de Médecine Traditionnelle du CHU de Treichville (Abidjan) nous permet d’aborder les questions suivantes : comment les savoirs et les pratiques thérapeutiques traditionnels sont-ils pris en compte ou ignorés par les acteurs de la santé publique ? Quel rôle les acteurs de la santé publique détiennent-ils dans la dynamique des savoirs et des pratiques de santé traditionnels ?
    Mots-clés : médecine traditionnelle, santé publique, savoirs thérapeutiques.

  • Gosselin Anne, Desgrées du Loû Annabel, Lelièvre Eva, Lert France, Dray-Spira Rosemary et Lydié Nathalie (2016) « Migrants subsahariens : combien de temps leur faut-il pour s’installer en France ? », Population et Sociétés, 5 (533), p. 4. http://www.ined.fr/fr/publications/population-et-societes/migrants-subsahariens/.

  • Gosselin Anne, Desgrées du Loû Annabel, Lelièvre Éva, Lert France, Dray-Spira Rosemary, Lydié Nathalie et PARCOURS Study Group (2016) Understanding Sub-Saharan migrant settlement in France through a capability approach: evidence from a life-event history survey, Working Papers du CEPED (33), Paris : CEPED, 33 p. http://www.ceped.org/wp.
    Résumé : Settlement is a key moment in migrant trajectories in a new country. Although the field of migration studies has placed great emphasis on the causes of migration and its consequences, relatively much less is known about the moment of settlement. One of the reasons for this lies in the scarcity of longitudinal data that allow for an analysis of the settlement process. Drawing on Amartya Sen's concept of capabilities, this study aims at understanding Sub-Saharan migrant settlement in France and its potential interaction with HIV/AIDS and chronic hepatitis B which particularly affect this population. Using the PARCOURS life-event history survey led in 2012-2013 in Paris area which collected 2468 trajectories of migrants affected or not by HIV/AIDS or hepatitis B, we analyse the dynamics and factors of obtaining a personal dwelling, a residence permit and financial autonomy. We show that Sub-Saharan migrants take 6 to 9 years in median to obtain a minimal stability (dwelling, papers, resource) whatever their HIV or hepatitis B statuses are. They are then exposed to social difficulties during a long period. The sequence of settlement is gendered: men first access an activity whereas women first access personal dwelling. Being educated for men, and having a stable partner in France upon arrival both for men and women accelerate settlement.
    Pièce jointe wp33.pdf 1.5 Mo

  • Gosselin Anne, Ravalihasy Andrainolo, Lelièvre Eva, Lydié Nathalie, Lert France, Dray-Spira Rosemary, Desgrées du Loû Annabel et Group PARCOURS Study (2016) « Migration et VIH : une double peine ? Impacts de la migration et du diagnostic sur les conditions de vie des femmes migrantes d’Afrique subsaharienne en France » (Communication orale ( AFRAVIH2016 - 1349), présenté à 8e Conférence Internationale Francophone VIH/Hépatites - AFRAVIH 2016, Bruxelles, Belgique. https://www.youtube.com/watch?v=3ZxlZCt-C1c.
    Résumé : Les femmes migrantes d’Afrique subsaharienne sont le deuxième groupe le plus touché par le VIH/sida en France. A l’heure où le débat est engagé en Europe sur les conditions d’accueil des migrants et sur l’impact de la migration sur les vies des personnes, nous mesurons les impacts respectifs de la migration et du diagnostic VIH sur les difficultés que ces femmes, soumises ainsi à une « double peine », peuvent rencontrer en France.

  • Grolemund Garrett, Spinu Vitalie, Wickham Hadley, Lyttle Jan, Constigan Imanuel, Law Jason, Mitarotonda Doug, Larmarange Joseph, Boiser Jonathan et Lee Chel Hee (2016) Lubridate: Make Dealing with Dates a Little Easier, version 1.5.6. https://cran.r-project.org/web/packages/lubridate/index.html.
    Résumé : Functions to work with date-times and timespans: fast and user friendly parsing of date-time data, extraction and updating of components of a date-time (years, months, days, hours, minutes, and seconds), algebraic manipulation on date-time and timespan objects. The 'lubridate' package has a consistent and memorable syntax that makes working with dates easy and fun.


  • Iwuji Collins C., Orne-Gliemann Joanna, Larmarange Joseph, Okesola Nonhlanhla, Tanser Frank, Thiebaut Rodolphe, Rekacewicz Claire, Newell Marie-Louise, Dabis Francois et Group ANRS 12249 TasP trial (2016) « Uptake of Home-Based HIV Testing, Linkage to Care, and Community Attitudes about ART in Rural KwaZulu-Natal, South Africa: Descriptive Results from the First Phase of the ANRS 12249 TasP Cluster-Randomised Trial », PLOS Med, 13 (8) (août 09), p. e1002107. DOI : 10.1371/journal.pmed.1002107. http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002107.
    Résumé : Collins Iwuji and colleagues report implementation indicators and early health outcomes from the first phase of a cluster-randomized trial of immediate antiretroviral therapy to all HIV-positive individuals in rural KwaZulu-Natal, South Africa.
    Mots-clés : antiretroviral therapy, Cluster trials, HIV, HIV diagnosis and management, HIV epidemiology, HIV prevention, Questionnaires, South Africa.

  • Iwuji Collins, Orne-Gliemann Joanna, Balestre Eric, Larmarange Joseph, Thiébaut Rodolphe, Tanser Frank, Okesola Nonhlanhla, Makowa Thembisa, Dreyer Jaco, Herbst Kobus, McGrath Nuala, Bärnighausen Till, Boyer Sylvie, de Oliveira Tulio, Rekacewicz Claire, Bazin Brigitte, Newell Marie-Louise, Pillay Deenan, Dabis François et ANRS 12249 TasP Study Group (2016) « The impact of universal test and treat on HIV incidence in a rural South African population: ANRS 12249 TasP trial, 2012-2016 » (communication orale n°FRAC0105LB), présenté à 21st International AIDS Conference (AIDS 2016), Durban. http://programme.aids2016.org/Abstract/Abstract/10537.
    Résumé : Background: The population impact of universal test and treat (UTT) on HIV transmission has not yet been evaluated. Methods: A cluster-randomized trial was implemented in 2x11 rural communities in KwaZulu-Natal, South Africa. All residents ≥16 years were offered rapid HIV testing and provided dried blood spots (DBS) during 6-monthly home-based survey rounds. HIV-positive participants were referred to cluster-based trial clinics to receive ART regardless of CD4 count (intervention arm) or according to national guidelines (control arm). Standard of care ART was also available in the Department of Health clinics. HIV incidence was estimated on repeat DBS using cluster-adjusted Poisson regression. Results: Between 03/2012 and 04/2016, 13,239 and 14,916 individuals (63% women, median age 30 years) were registered in the intervention and control arms. Contact frequency per round among registered individuals ranged from 64% to 83%, HIV ascertainment from 74% to 85%. Baseline HIV prevalence was 29.4%(95%CI 28.8-30.0), with 7,578 individuals identified as HIV-positive. 1,513(36%) of 4,172 HIV-positive individuals not previously in care linked to trial clinics within 6 months of referral. ART initiation in trial clinics at 3 months was 90.9%(576/634) and 52.3%(332/635) in the intervention and control arms; viral suppression (< 400 copies/mL) 12 months after ART initiation was 94.9%(300/316) and 94.2%(194/206), respectively. Overall ART coverage at entry was 31% and 36% in the intervention and control arms, reaching 41% in both arms by closing date. Repeat DBS tests were available for 13,693 individuals HIV-negative at baseline, yielding 461 seroconversions in 20,833 person-years (PY). HIV incidence was 2.16 per 100 PY (1.88-2.45) in the intervention arm and 2.26 (1.98-2.54) in the control arm (adjusted relative risk: 0.95 [0.82-1.10]). Severe adverse events rates were 3.4%(45/1,323) and 3.5%(57/1,604) in the intervention and control arms. Follow-up will be completed by 06/2016. Conclusions: Our trial shows high acceptance of home-based HIV testing and high levels of viral suppression among individuals on ART. However overall linkage to care remains poor. No reduction in HIV incidence was demonstrated. Several factors are being investigated, including determinants of poor linkage, change in national ART guidelines, migration and geography of sexual networks. (Funded by ANRS, GiZ and 3ie; Clinical Trials registration NCT00332878).
  • Larmarange Joseph (2016) « Enjeux de l'accès à la PrEP en Afrique » (communication orale), présenté à Conventation Nationale de la Lutte contre le Sida (Sidaction), Paris.
  • Larmarange Joseph (2016) « L’évolution de l’épidémie, en France et dans le monde : vers une disparition du Sida ? (table ronde) » (communication orale), présenté à Journée d’étude de l'École Normale Supérieure : VIH/Sida, ce qu’on sait et ce que tu crois, Paris.

  • Larmarange Joseph, Iwuji Collins, Orne-Gliemann Joanna, McGrath Nuala, Plazy Mélanie, Baisley Kathy, Bärnighausen Till, Dabis François, Pillay Deenan et ANRS 12249 TasP Study Group (2016) « Measuring the Impact of Test and Treat on the HIV Cascade: the Challenge of Mobility » (communication orale), présenté à Conference on Retroviruses and Opportunistic Infections (CROI), Boston. http://www.croiwebcasts.org/console/player/29736.
    Résumé : Background Universal test and treat (UTT) could substantially improve the HIV care cascade at population level (i.e. the proportion of all HIV-infected people being diagnosed, on ART and virally suppressed at a given date) and thus reduce HIV incidence. Several trials are currently exploring this hypothesis. Due to demographic change, the study population of HIV-infected individuals is composed of people with various degrees of exposure to the trial interventions. This structural effect could potentially dilute the impact observed at population level of a UTT strategy. Here, we describe a dynamic cascade according to both calendar (population) and exposure (individual) time approaches, using preliminary data from the ANRS 12249 TasP cluster-randomized trial ongoing in rural KwaZulu-Natal (South Africa). Methods Analysis was conducted within a subgroup of 4 clusters with the longest follow-up time where five six-monthly rounds of home-based HIV testing had been conducted between March 2012 and July 2015. Resident members 16 years and above were offered rapid HIV testing and asked to provide dried blood spots (DBS) each time. Those ascertained HIV-positive were referred to local trial clinics for ART initiation and follow-up. HIV tests results and information on clinic visits, ART prescription, viral load and CD4 count, migration and death were used to calculate residency status, HIV status and HIV care status for each individual on each calendar day. This calendar cascade was then compared to the exposure cascade, where each status was recalculated for individuals at any given date with exposure time defined as the duration since trial registration. Results Figure 1 - CROI Abstract According to calendar time, the overall cascade improved rapidly during the first 15 months of the trial (from 25 to 40% virally suppressed), but more slowly thereafter (Fig a). Although the target population size of HIV-infected people remained rather stable over time ( 665 individuals, Fig b), population turnover was high (Fig c). According to exposure time, with a decreasing sample size over time (Fig e), the cascade improved continuously between M0 and M30, from 20% to 50% virally suppressed (Fig. d). Conclusions Population mobility dilutes the observed impact of UTT interventions on the cascade at population level. These preliminary findings also suggest that the impact of a UTT approach could be maximized as long as there is a coordination to facilitate continued access to care when people move.


  • Larmarange Joseph, Kassoum Ouattara, Kakou Élise, Fradier Yves, Sika Lazare et Danel Christine (2016) « Faisabilité et représentativité d’une enquête téléphonique avec échantillonnage aléatoire de lignes mobiles en Côte d’Ivoire », Population, 71 (1) (juillet 01), p. 121-134. DOI : 10.3917/popu.1601.0121. http://www.cairn.info/resume.php?ID_ARTICLE=POPU_1601_0121.
    Résumé : et article présente les résultats d’une enquête exploratoire pilote sur le dépistage du VIH/sida (DOD-CI) visant à tester la faisabilité et la représentativité d’une enquête nationale en population générale en Côte d’Ivoire à partir d’un échantillon aléatoire de numéros de téléphones portables. Les refus ont été peu nombreux et inférieurs à ce qui est habituellement observé dans des enquêtes similaires en France. En termes de représentativité, l’échantillon obtenu s’avère être plus jeune, plus urbain et plus masculin. Nous avons comparé quatre indicateurs de dépistage du VIH/sida avec l’Enquête démographique et de santé (EDS) réalisée en 2011-2012. Du fait de biais de sélection différents dans les deux enquêtes, les indicateurs étaient plus élevés que ceux observés dans l’EDS 2011-2012. Cependant, les différentiels observés par sexe, groupe d’âges, niveau d’instruction et milieu de résidence étaient similaires. Il paraît dès lors envisageable de réaliser une enquête nationale en Côte d’Ivoire selon cette approche, en opérant plusieurs ajustements, dont la prise en compte des non-abonnés à des téléphones mobiles résidant dans le même ménage qu’un abonné.
    Mots-clés : Côte d’Ivoire, échantillonnage, Enquête par téléphone, faisabilité, représentativité, téléphone mobile.

  • Larmarange Joseph, Kassoum Ouattara, Kakou Élise, Fradier Yves, Sika Lazare, Danel Christine et DOD-CI ANRS 12287 Study Group (2016) « Feasibility and Representativeness of a Random Sample Mobile Phone Survey in Côte d’Ivoire », Population, Vol. 71 (1) (juillet 01), p. 121-134. http://www.cairn.info/resume.php?ID_ARTICLE=E_POPU_1601_0121.
    Résumé : This short paper presents the results of an exploratory pilot survey on HIV-AIDS screening (DOD-CI) conducted in Côte d’Ivoire to test the feasibility and representativeness of a national general population survey based on a random sample of mobile phone numbers. The refusal rate was low, and below the levels habitually observed for similar surveys conducted in France. In terms of representativeness, the sample obtained was younger, more urban and more masculine than the population in general. Four HIV-AIDS screening indicators were compared with those obtained in the Demographic and Health survey (DHS) conducted in 2011-2012. Owing to differences in selection biases affecting the two surveys, the indicators were higher than those observed in the DHS 2011-2012. However, the differences observed by sex, age group, level of education and place of residence were similar. This confirms the feasibility of applying such an approach for a national survey in Côte d’Ivoire, providing that several adjustments are made, such as including non-subscribers living in the same household as a mobile phone subscriber.

  • Larmarange Joseph, Ludecke Daniel et Wickham Hadley (2016) Labelled: Manipulating Labelled Data, version 0.2.1. https://cran.r-project.org/web/packages/labelled/index.html.
    Résumé : Work with labelled data imported from 'SPSS' or 'Stata' with 'haven' or 'foreign'.
  • Larzillière Pénélope (2016) « Compte-rendu de lecture : « Riva Kastoryano, Que faire du corps des jihadistes. Territoire et identités, Paris, Fayard, 2015 » », Revue française de science politique, n° 66/1, p. pp. 176-177.


  • Larzillière Pénélope (2016) Activism in Jordan, Londres : Zed Books Ltd, 248 p. ISBN : 1-78360-574-X. https://www.amazon.fr/Activism-Jordan-Penelope-Larzilliere/dp/178360574X.
    Résumé : In Jordan, between censorship, repression and election rigging, political activism is limited –despite the democratic opening glimpsed in 1989. Pénélope Larzillière charts the path of longstanding activists in Jordan and shows how opposition movements there have shifted from the underground to a heavily controlled public sphere. Activists discuss their motivation and commitment and the consequences their activism has had throughout their lives. Not only do these accounts highlight the general conditions for political activism in a repressive regime, they also unpack the meaning individuals attach to their political journey and chosen ideology, whether communist, nationalist, Islamist or otherwise.
  • Lecestre-Rollier Béatrice (2016) « Du bled à la ville, de la famille à la société, de la solidarité aux conflits : au-delà des oppositions, permanences et cohérence d’une vision anthropologique des réalités marocaines », Habilitation à diriger des recherches, Paris : Ecole des Hautes Etudes en Sciences Sociales (EHESS), 256 p.

  • Lerner Susana, Guillaume Agnès et Melgar Lucía (2016) Realidades y falacias en torno al aborto: salud y derechos humanos, Centro de Estudios Demográficos y Urbanos, El Colegio de México, Institut de recherche pour le Developpement, México : El Colegio de México, Institut de recherche pour le Developpement, 422 p. ISBN : 978-607-462-938-5.


  • Loenzien Myriam de (2016) « Lone Motherhood and its Educational Outcomes for Children in Vietnam », Marriage & Family Review, 52 (1-2) (février 17), p. 162-195. DOI : 10.1080/01494929.2015.1136859. http://www.tandfonline.com/doi/full/10.1080/01494929.2015.1136859.
    Résumé : Micro-data from the 2009 Vietnam census indicate that lone mothers represent 11.0% of all women aged 15 to 49 living with at least one of their children (⬚17 years old). Results from logistic regression models show that school enrollment and attainment levels are lower for children of lone mothers than for children living with two parents. This negative effect is observed for children of never married, divorced or separated, and widowed lone mothers as well as for children of women currently married to a migrant not residing in the household provided they are not head of household. This disadvantage may be explained by reduced availability of human, material, and financial resources; restricted agency of the mother; and long-term socioeconomic and demographic processes shaping family relations and migration.
    Mots-clés : Census, children, Education, family, household, migration, motherhood, Vietnam.

  • Loenzien Myriam de (2016) « Inequalities in use of cesarean section in Vietnam: a population-based perspective » (communication orale), présenté à 16th Vietnam France Asia Pacific Obstetrics and Gynecology Conference, Ho Chi Minh City. http://benhvienphusantrunguong.org.vn/stores/customer_file/bvpstwadministrator/052016/31/Mt_cn_bng_trong_Molaythai_Phap.pdf.
    Mots-clés : caesarean, correlates, health, inequality, population, Vietnam.
  • Loenzien Myriam de (2016) « Bất bình đẳng về đẻ mổ tại Việt Nam: nghiên cứu dựa trên dân số [Inégalités en matière de recours à la césarienne au Viê t Nam: étude en population] » (communication orale), présenté à Hội nghị sản phụ khoa Việt Pháp năm 2016 [Conférence de gynécologie obstétrique Viêt Nam France 2016], Hanoi.


  • Mattern Chiarella, Pourette Dolorès, Raboanary Emma, Kesteman Thomas, Piola Patrice, Randrianarivelojosia Milijaona et Rogier Christophe (2016) « “Tazomoka Is Not a Problem”. Local Perspectives on Malaria, Fever Case Management and Bed Net Use in Madagascar », éd. par Vicki Marsh, PLOS ONE, 11 (3) (mars 4), p. e0151068. DOI : 10.1371/journal.pone.0151068. http://dx.plos.org/10.1371/journal.pone.0151068.
    Résumé : Background Although its incidence has been decreasing during the last decade, malaria is still a major public health issue in Madagascar. The use of Long Lasting Insecticidal Nets (LLIN) remains a key malaria control intervention strategy in Madagascar, however, it encounters some obstacles. The present study aimed to explore the local terminology related to malaria, information channels about malaria, attitude towards bed nets, and health care seeking practices in case of fever. This article presents novel qualitative findings about malaria. Until now, no such data has been published for Madagascar. Methods A comparative qualitative study was carried out at four sites in Madagascar, each differing by malaria epidemiology and socio-cultural background of the populations. Seventy-one semi-structured interviews were conducted with biomedical and traditional caregivers, and members of the local population. In addition, observations of the living conditions and the uses of bed net were conducted. Results Due to the differences between local and biomedical perspectives on malaria, official messages did not have the expected impact on population in terms of prevention and care seeking behaviors. Rather, most information retained about malaria was spread through informal information circulation channels. Most interviewees perceived malaria as a disease that is simple to treat. Tazomoka (“mosquito fever”), the Malagasy biomedical word for malaria, was not used by populations. Tazo (“fever”) and tazomahery (“strong fever”) were the terms more commonly used by members of the local population to refer to malaria related symptoms. According to local perceptions in all areas, tazo and tazomahery were not caused by mosquitos. Each of these symptoms required specific health recourse. The usual fever management strategies consisted of self-medication or recourse to traditional and biomedical caregivers. Usage of bed nets was intermittent and was not directly linked to protection against malaria in the eyes of most Malagasy people. Conclusions This article highlights the conflicting understanding of malaria between local perceptions and the biomedical establishment in Madagascar. Local perceptions of malaria present a holistic vision of the disease that includes various social and cultural dimensions, rather than reflecting one universal understanding, as in the biomedical image. The consideration of this “holistic vision” and other socio-cultural aspects surrounding the understanding of malaria is essential in implementing successful control intervention strategies.
    Mots-clés : Bed net, Fever, Local perceptions, Madagascar, Malaria, Qualitative study.

  • Mick Carola (2016) « ‘Yo sé hablar, dije.’ The conditions for Peruvian domestic workers to speak out for their rights », Amérique Latine Histoire et Mémoire. Les Cahiers ALHIM [online], 31. http://alhim.revues.org/5437.
    Résumé : Based on the analysis of autobiographic stories told by Peruvian domestic workers in Lima, the present article discusses the conditions for these women to stand up and speak out for their rights. Studying the speakers' use of the two verba dicendi (“verbs of speaking”) decir and hablar, it reconstructs the communicative competence these marginalised actors themselves define as necessary for their active participation in society. The analysis allows for discussing the conditions for women in Latin America to participate in the struggle against social inequalities, as well as the role and responsibility of the ethnographic research process with regard to this competence.
    Mots-clés : communicative competence, domestic workers, participation, Peru, verba dicendi.
  • Mick Carola (2016) « Re-articulación entre ‘centro‘ y ‘periferia‘: El español en contacto con ‘lenguas indígenas‘ en el marco de la ley de consulta previa en Perú », présenté à Congreso Internacional Español de América, Historia y Contactos, Pontificia Universidad Católica del Perú, Písac, Cusco, Perú.
  • Mick Carola (2016) « Consulta previa y la construcción de interculturalidad en Perú », présenté à Taller Etnológico de Cultura Política Perspectiva antropológicas sobre la consulta previa: Análisis de casos, Pontificia Universidad Católica del Perú, Lima, Perú.
  • Mick Carola (2016) « Consulta previa e interculturalidad en Perú », présenté à V Congreso Argentino Latinoamericano de Derechos Humanos, Universidad Nacional de Rosario, Argentine.
  • Mick Carola, Palacios Azucena et Deprez Christine (2016) « Creatividad lingüística y función del autor en narraciones autobiográficas de empleadas domésticas en Lima: el uso del pasado compuesto », présenté à Simposio Internacional Lenguas en contacto: Desafíos en la diversidad, Pontificia Universidad Católica del Ecuador, Quito, Equateur.


  • Moshabela Mosa, Zuma Thembelihle, Orne-Gliemann Joanna, Iwuji Collins, Larmarange Joseph, McGrath Nuala et Group on behalf of the ANRS 12249 TasP Study (2016) « “It is better to die”: experiences of traditional health practitioners within the HIV treatment as prevention trial communities in rural South Africa (ANRS 12249 TasP trial) », AIDS Care, 28 (sup3), p. 24-32. DOI : 10.1080/09540121.2016.1181296. http://dx.doi.org/10.1080/09540121.2016.1181296.
    Résumé : The ANRS 12249 Treatment-as-Prevention (TasP) cluster-randomized trial in rural South Africa uses a “test and treat” approach. Home-based testing services and antiretroviral treatment initiation satellite clinics were implemented in every cluster as part of the trial. A social science research agenda was nested within TasP with the aim of understanding the social, economic and contextual factors that affect individuals, households, communities and health systems with respect to TasP. Considering the rural nature of the trial setting, we sought to understand community perceptions and experiences of the TasP Trial interventions as seen through the eyes of traditional health practitioners (THPs). A qualitative study design was adopted using four repeat focus group discussions conducted with nine THPs, combined with community walks and photo-voice techniques, over a period of 18 months. A descriptive, interpretive and explanatory approach to analysis was adopted. Findings indicate that THPs engaged with the home-based testing services and HIV clinics established for TasP. Specifically, home-based testing services were perceived as relatively successful in increasing access to HIV testing. A major gap observed by THPs was linkage to HIV clinics. Most of their clients, and some of the THPs themselves, found it difficult to use HIV clinics due to fear of labelling, stigma and discrimination, and the ensuing personal implications of unsolicited disclosure. On the one hand, a growing number of patients diagnosed with HIV have found sanctuary with THPs as alternatives to clinics. On the other hand, THPs in turn have been struggling to channel patients suspected of HIV into clinics through referrals. Therefore, acceptability of the TasP test and treat approach by THPs is a major boost to the intervention, but further success can be achieved through strengthened ties with communities to combat stigma and effectively link patients into HIV care, including partnerships with THPs themselves.

  • Munir Arshad et Olojo Akinola (2016) « A study of violence-related deaths in Gudu, Gwadabawa and Illela local government areas of Sokoto state, and Sakaba local government area of Kebbi state (2006 – 2014) », in Violence in Nigeria: a qualitative and quantitative analysis, Leiden : African Studies Centre, p. 195-216. ISBN : 978-90-5448-149-2.
    Résumé : This paper highlights the outcome of a study on fatal incidents in four local government areas (LGAs) of northwestern Nigeria: Gwadabawa, Gudu, and Ilella LGAs in Sokoto State, and Sakaba LGA in Kebbi State. Data obtained from 1,083 questionnaires (out of 1,200) reveals that, since 2006, the year 2011 had the highest number of fatalities. Between 2006 and 2014, Gudu LGA recorded the highest number of fatalities and violent incidents, while Sakaba LGA had the lowest. For the period under review, the most frequent cause of fatal incidents was cattle grazing, followed by political clashes. Religion, which is often perceived as a major factor of conflict, contributed quite insignificantly to the overall level of violence in the four LGAs, with a few incidents involving the Yan Shi’a, the Tijaniyya Sufi brotherhood, and the Yan Izala movement. Finally, the study demonstrates that, just as in the urban centres of Sokoto and Kebbi, there are many fatal incidents in rural areas yet these are unreported. Some explanations for this omission are discussed in relation to poor road infrastructure.

  • Nansumba Margaret, Kumbakumba Elias, Orikiriza Patrick, Muller Yolanda, Nackers Fabienne, Debeaudrap Pierre, Boum Yap et Bonnet Maryline (2016) « Detection Yield and Tolerability of String Test for Diagnosis of Childhood Intrathoracic Tuberculosis », The Pediatric Infectious Disease Journal, 35 (2), p. 146-151. DOI : 10.1097/INF.0000000000000956.
    Résumé : BACKGROUND: Difficulty to obtain sputum in children complicates diagnosis of intrathoracic tuberculosis (TB). The intragastric string test (ST) used for retrieval of enteric pathogens might be an alternative specimen collection method but requires further evaluation of its utility in TB diagnosis. We conducted a cross-sectional study comparing the TB detection yield and the tolerability of ST and sputum induction (SI) in children. METHODS: Two ST and SI procedures were performed in children (3-14 years of age) who were clinically suspected of having TB. The string was removed after a 2-hour gastric downtime, and SI was done after a maximum of 20 minutes nebulization with 5% saline solution. LED-fluorescence microscopy and mycobacterial cultures were performed on all specimens, and XpertMTB/RIF assay was performed on stored specimen sediments. Tolerability questionnaires were administered to parents of children. RESULTS: Of 137 included children (median age: 8.1 years; 33.3% with HIV infection), 14 (10.2%) were diagnosed with TB, 10 (71.4%) by ST and 12 (85.7%) by SI. Among 105 children with both ST and SI performed, 5 (4.8%) versus 4 (3.8%) were smear positive using ST and SI, respectively (McNemar P = 1.00). Nine (8.6%) in each group had positive cultures (P = 1.00). Of 64 children tested with XpertMTB/RIF, 3 (4.7%) of the ST group versus 4 (6.3%) of the SI group were TB positive (P = 1.00). No adverse serious events were reported. ST could not be performed in 22 of 137 (16.1%) children because they were unable to swallow the capsule. CONCLUSIONS: TB detection yield was comparable between ST and SI. The tolerability of ST in young children might be improved by the reduction of the size of the capsule.

  • Nansumba Margaret, Kumbakumba Elias, Orikiriza Patrick, Muller Yolanda, Nackers Fabienne, Debeaudrap Pierre, Boum Yap et Bonnet Maryline (2016) « Detection Yield and Tolerability of String Test for Diagnosis of Childhood Intrathoracic Tuberculosis », The Pediatric Infectious Disease Journal, 35 (2), p. 146-151. DOI : 10.1097/INF.0000000000000956.
    Résumé : BACKGROUND: Difficulty to obtain sputum in children complicates diagnosis of intrathoracic tuberculosis (TB). The intragastric string test (ST) used for retrieval of enteric pathogens might be an alternative specimen collection method but requires further evaluation of its utility in TB diagnosis. We conducted a cross-sectional study comparing the TB detection yield and the tolerability of ST and sputum induction (SI) in children. METHODS: Two ST and SI procedures were performed in children (3-14 years of age) who were clinically suspected of having TB. The string was removed after a 2-hour gastric downtime, and SI was done after a maximum of 20 minutes nebulization with 5% saline solution. LED-fluorescence microscopy and mycobacterial cultures were performed on all specimens, and XpertMTB/RIF assay was performed on stored specimen sediments. Tolerability questionnaires were administered to parents of children. RESULTS: Of 137 included children (median age: 8.1 years; 33.3% with HIV infection), 14 (10.2%) were diagnosed with TB, 10 (71.4%) by ST and 12 (85.7%) by SI. Among 105 children with both ST and SI performed, 5 (4.8%) versus 4 (3.8%) were smear positive using ST and SI, respectively (McNemar P = 1.00). Nine (8.6%) in each group had positive cultures (P = 1.00). Of 64 children tested with XpertMTB/RIF, 3 (4.7%) of the ST group versus 4 (6.3%) of the SI group were TB positive (P = 1.00). No adverse serious events were reported. ST could not be performed in 22 of 137 (16.1%) children because they were unable to swallow the capsule. CONCLUSIONS: TB detection yield was comparable between ST and SI. The tolerability of ST in young children might be improved by the reduction of the size of the capsule.

  • Niangoran Serge, Fassassi Raïmi, Danel Christine, Badjé Anani, N'Takpe Jean-Baptiste, Kouame Gérard Menan, Jean Kévin, Eholié Serge, Anglaret Xavier et Desgrées du Loû Annabel (2016) Disclosure of HIV positive status: gender differences within the TEMPRANO trial participants, Côte d’Ivoire - ANRS 12239, Working Papers du CEPED (34), Paris : CEPED, 15 p. http://www.ceped.org/wp.
    Résumé : For people living with HIV, disclosure of HIV status is an important challenge: informed friends or family members can be supportive, or on the contrary can stigmatise the HIV-positive person. We aimed to compare HIV status disclosure among men and women, since gender relationships create different opportunities and difficulties for both sexes. The study was conducted among HIV-positive adults enrolled in the TEMPRANO randomized trial in Côte d’Ivoire, which aims to compare very early antiretroviral treatment versus treatment initiation as per WHO current guidelines. All participants in this trial were asked questions on HIV status disclosure after 24 months of follow-up. Univariate and multivariate analyses were performed to compare disclosure patterns among men and women, disclosure to people living inside and/or outside the household, and in particular to the spouse or regular partner, and to identify the factors associated with disclosure. HIV status disclosure was frequent (more than 80%) among HIV patients, with no difference between men and women (p=0.45). For both, the regular partner was the most frequent confidant. But patterns of disclosure were different: men more frequently disclosed to a regular partner than women (74.1% vs 64.9%, p=0.004), because they were more likely to live with a regular partner (58.6% of men vs 35.8% of women). Men and women living with a regular partner reported similar levels of disclosure to the spouse (82.1% for men and 82.4% for women). Women disclosed more often than men to their children, siblings and mother. For both, the confidants were more often women (sisters, mother) than men (brothers, father). Our study shows that differences in the living conditions of men and women living with HIV and differences in gender roles induce gendered differences in HIV disclosure that should be considered in the care of the patient.
    Pièce jointe wp34.pdf 745.6 ko

  • Olojo Akinola (2016) « Muslims, Christians and religious violence in Nigeria: patterns and mapping (2006–2014) », in Violence in Nigeria: a qualitative and quantitative analysis, Leiden : African Studies Centre, p. 91-111. ISBN : 978-90-5448-149-2.
    Résumé : The notion that religious violence in Nigeria is always characterised by conflicts between religions (Muslims versus Christians) is too simplistic. This study shows that between June 2006 and May 2014 the frequency of violent death incidents involving Islamic groups against Islamic groups is 60; a figure higher than 57, which is the frequency of violent death incidents involving Islamic groups against Christian groups or Churches within the same period. A second major point in this paper is that violence involving religious groups is not always caused by religious issues. This explains why the frequency of violent death incidents involving Islamic groups against Christian groups or Churches due to non-religious issues is as high as 42 between June 2006 and May 2014. Thirdly, it remains inconclusive whether or not more Muslims than Christians (or vice versa) are killed because of violence in general in Nigeria. Finally, the western media frames violence in Nigeria as being mainly inter-religious while lethal incidents involving Islamic groups against Islamic groups are largely under-reported.


  • Orne-Gliemann Joanna, Zuma Thembelihle, Chikovore Jeremiah, Gillespie Natasha, Grant Merridy, Iwuji Collins, Larmarange Joseph, McGrath Nuala, Lert France, Imrie John et Group On Behalf of the TasP Study (2016) « Community perceptions of repeat HIV-testing: experiences of the ANRS 12249 Treatment as Prevention trial in rural South Africa », AIDS Care, 28 (sup3), p. 14-23. DOI : 10.1080/09540121.2016.1164805. http://dx.doi.org/10.1080/09540121.2016.1164805.
    Résumé : In the context of the ANRS 12249 Treatment as Prevention (TasP) trial, we investigated perceptions of regular and repeat HIV-testing in rural KwaZulu-Natal (South Africa), an area of very high HIV prevalence and incidence. We conducted two qualitative studies, before (2010) and during the early implementation stages of the trial (2013–2014), to appreciate the evolution in community perceptions of repeat HIV-testing over this period of rapid changes in HIV-testing and treatment approaches. Repeated focus group discussions were organized with young adults, older adults and mixed groups. Repeat and regular HIV-testing was overall well perceived before, and well received during, trial implementation. Yet community members were not able to articulate reasons why people might want to test regularly or repeatedly, apart from individual sexual risk-taking. Repeat home-based HIV-testing was considered as feasible and convenient, and described as more acceptable than clinic-based HIV-testing, mostly because of privacy and confidentiality. However, socially regulated discourses around appropriate sexual behaviour and perceptions of stigma and prejudice regarding HIV and sexual risk-taking were consistently reported. This study suggests several avenues to improve HIV-testing acceptability, including implementing diverse and personalised approaches to HIV-testing and care, and providing opportunities for antiretroviral therapy initiation and care at home.

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