Références bibliographiques

Petitprez Karine, Mattuizzi Aurélien, Guillaume Sophie, Arnal Maud, Artzner France, Bernard Catherine, Caron François-Marie, Chevalier Isabelle, Daussy-Urvoy Claude, Ducloy-Bouthorsc Anne-Sophie, Garnier Jean-Michel, Keita-Meyer Hawa, Lavillonnière Jacqueline, Lejeune-Sadaa Valérie, Le Ray Camille, Morandeau Anne, Nadjafizade Marjan, Pizzagalli Franck, Schantz Clemence, Schmitz Thomas, Shojai Raha, Hédon Bernard et Sentilhes Loïc (2021) « Normal delivery: physiologic support and medical interventions. Guidelines of the French National Authority for Health (HAS) with the collaboration of the French College of Gynecologists and Obstetricians (CNGOF) and the French College of Midwives (CNSF) », The Journal of Maternal-Fetal & Neonatal Medicine (mai 12), p. 1-10. DOI : 10.1080/14767058.2021.1918089. https://www.tandfonline.com/doi/full/10.1080/14767058.2021.1918089.

Résumé : Objective: To define for women at low obstetric risk methods of management that respect the rhythm and the spontaneous course of giving birth as well as each woman’s preferences. Methods: These clinical practice guidelines were developed through professional consensus based on an analysis of the literature and of the French and international guidelines available on this topic. Results: Labor should be monitored with a partograph (professional consensus). Digital cervical examination should be offered every 4 h during the first stage of labor, hourly during the second. The choice between continuous (cardiotocography) or discontinuous (by cardiotocography or intermittent auscultation) monitoring should be left to the woman (professional consensus). In the active phase of the first stage of labor, dilation speed is considered abnormal if it is less than 1 cm/4 h between 5 and 7 cm or less than 1 cm/2 h after 7 cm. In those cases, an amniotomy is recommended if the membranes are intact, and the administration of oxytocin if the membranes are already broken and uterine contractions are judged insufficient (professional consensus). It is recommended that pushing not begin when full dilation has been reached; rather, the fetus should be allowed to descend (grade A). Umbilical cord clamping should be delayed beyond the first 30 s in newborns who do not require resuscitation (grade C). Conclusion: The establishment of these clinical practice guidelines should enable women at low obstetric risk to receive better care in conditions of optimal safety while supporting physiologic birth.

Pierce L, Zahreddine C, Abreu K, Dantas M. A., Caprara A, Ridde Valéry et Zinszer K (2021) « Dengue knowledge, attitudes, and practices : baseline data from the COESA study », AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 105 (5) (novembre), p. 326-326.

Mots-clés : ⛔ No DOI found.

Pison Leslie (2021) « La dissonance dans le dissensus : manifestations et conséquences argumentatives d’une attaque psychologisante », Argumentation et analyse du discours, 27 (octobre 14). DOI : 10.4000/aad.5820. http://journals.openedition.org/aad/5820.

Résumé : L’objectif de cet article est de décrire le fonctionnement argumentatif de l’expression « dissonance cognitive » sur le réseau social Twitter. La démarche descriptive proposée s’attache à rendre compte de l’usage de ce lexème dans le cadre d’échanges polémiques. La spécificité de l’expression « dissonance cognitive », contrairement à d’autres attaques psychiatrisantes, réside dans le fait qu’elle est également une critique méta-argumentative. En effet, « dissonance cognitive » désigne initialement en sciences cognitives une incohérence entre deux éléments perçus par le cerveau. Les analyses menées dans cet article, en portant notamment une attention particulière au contre-discours, montrent que cette théorisation est réinvestie lors de l’usage argumentatif de « dissonance cognitive », qui produit un double mouvement de réfutation-disqualification. L’argument de la dissonance cognitive est par conséquent assimilable à un ad hominem tu quoque.

Pourette Dolorès (2021) « Les défis du transfert de connaissances scientifiques. Réflexions à partir d'un projet en cours (Madagascar, Maurice) » (communication orale), présenté à Conférence internationale de la Fondation Croix rouge française : Transition humanitaire dans l’océan Indien : enjeux, acteurs et dynamiques, Saint-Denis, La Réunion. https://www.fondation-croix-rouge.fr/conference-internationale-fondation/.

Pourette Dolorès (2021) « Réflexions à partir de deux études socio-anthropologiques sur le cancer du col de l'utérus à (Madagascar, Burkina Faso) » (communication orale), présenté à La recherche en sciences sociales au service de la lutte contre les cancers féminins en Afrique, Fondation Sylvia Bongo Ondimba, Gabon (virtuel).

Pourette Dolorès, Rakotoarisoa Onintsoa, Louault Marion, Rakotomanana Elliot et Mattern Chiarella (2021) « The impact of Covid-19 on healthcare provision and support services for PLHIV in Antananarivo: ANRS CoVIH-OI qualitative study initial results (2021) » (communication orale), présenté à 21st ICASA Conference, Durban.

Pourette Dolorès, Rakotoarisoa Onintsoa, Louault Marion, Rakotomanana Elliot et Mattern Chiarella (2021) « Effets de la Covid-19 sur le suivi médical des personnes vivant avec le VIH à Antananarivo, Madagascar. Premiers résultats de l’étude qualitative ANRS CoVIH-OI (2021) » (communication orale), présenté à Colloque international "Les sciences sociales face à la pandémie de Covid-19. Etat des connaissances et propositions concrètes" organisé par l'UNESCO, Paris. https://events.unesco.org/event?id=309483114&lang=1033.

Pourraz Jessica, Haxaire Claudie et Arhinful Daniel Kojo (2021) « Strengthening national pharmaceutical regulation through local production », in Understanding Drugs Markets An Analysis of Medicines, Regulations and Pharmaceutical Systems in the Global South, London : Routledge, p. 321. (Routledge Studies in the Sociology of Health and Illness). ISBN : 978-0-367-35067-3.

Quet Mathieu (2021) « Fakeness, Human-Object Fluidity and Ethnic Suspicion on the Kenyan Pharmaceutical Market », Journal of African Cultural Studies, 33 (3) (juillet 3), p. 359-363. DOI : 10.1080/13696815.2021.1886057. https://www.tandfonline.com/doi/full/10.1080/13696815.2021.1886057.

Quet Mathieu (2021) « Subalternes (études) », Publictionnaire. Dicitionnaire encyclopédique et critique des publics. http://publictionnaire.huma-num.fr/notice/subalternes-etudes/.

Ravalihasy Andrainolo, Rude Nathalie, Yazdanpanah Yazdan, Kardas-Sloma Lidia, Desgrées du Loû Annabel, Gosselin Anne et Ridde Valéry (2021) « Development and Validation of an HIV/AIDS Empowerment Scale for Impact Intervention Evaluation. An Example from the MAKASI Intervention », American Journal of Health Education (août 6), p. 1-11. DOI : 10.1080/19325037.2021.1955230. https://www.tandfonline.com/doi/full/10.1080/19325037.2021.1955230.

Résumé : Background The MAKASI intervention aimed to empower sub-Saharan immigrants living in the Paris metropolitan area regarding sexual health and reduce their HIV exposure. The intervention was developed based upon a theoretical model of individual empowerment. Purpose A scale was developed using sixteen 4-point Likert items adapted from existing tools to measure HIV/AIDS empowerment as an intervention outcome. This study describes the psychometric validation of this scale. Methods Data from 433 participants were used. Construct validity and internal consistency were assessed using factor analysis and Cronbach’s alpha coefficient (α). The scale’s predictive validity for health and social outcomes was assessed using bivariable logistic regressions. Results Five dimensions were identified: i) sexual communication; ii) perceived control at the individual level; iii) knowledge of HIV treatment and social resources; iv) ability to find and understand healthcare information; and v) ability to understand and use disease prevention messages. The internal consistency (α = 0.71) and predictive validity (p < .05) were satisfactory.

Rice Benjamin L., Annapragada Akshaya, Baker Rachel E., Bruijning Marjolein, Dotse-Gborgbortsi Winfred, Mensah Keitly, Miller Ian F., Motaze Nkengafac Villyen, Raherinandrasana Antso, Rajeev Malavika, Rakotonirina Julio, Ramiadantsoa Tanjona, Rasambainarivo Fidisoa, Yu Weiyu, Grenfell Bryan T., Tatem Andrew J. et Metcalf C. Jessica E. (2021) « Variation in SARS-CoV-2 outbreaks across sub-Saharan Africa », Nature Medicine, 27 (3) (mars), p. 447-453. DOI : 10.1038/s41591-021-01234-8. http://www.nature.com/articles/s41591-021-01234-8.

Résumé : A surprising feature of the SARS-CoV-2 pandemic to date is the low burdens reported in sub-Saharan Africa (SSA) countries relative to other global regions. Potential explanations (for example, warmer environments(1), younger populations(2-4)) have yet to be framed within a comprehensive analysis. We synthesized factors hypothesized to drive the pace and burden of this pandemic in SSA during the period from 25 February to 20 December 2020, encompassing demographic, comorbidity, climatic, healthcare capacity, intervention efforts and human mobility dimensions. Large diversity in the probable drivers indicates a need for caution in interpreting analyses that aggregate data across low- and middle-income settings. Our simulation shows that climatic variation between SSA population centers has little effect on early outbreak trajectories; however, heterogeneity in connectivity, although rarely considered, is likely an important contributor to variance in the pace of viral spread across SSA. Our synthesis points to the potential benefits of context-specific adaptation of surveillance systems during the ongoing pandemic. In particular, characterizing patterns of severity over age will be a priority in settings with high comorbidity burdens and poor access to care. Understanding the spatial extent of outbreaks warrants emphasis in settings where low connectivity could drive prolonged, asynchronous outbreaks resulting in extended stress to health systems.

Texte intégral 8.1 Mio (source)

Ridde Valéry (2021) « Researchers and humanitarian actors: moving from mistrust to efficiency », Humanitarian Alternatives, 17, p. 1-9. https://alternatives-humanitaires.org/en/2021/07/19/researchers-and-humanitarian-actors-moving-from- mistrust-to-efficiency/.

Mots-clés : ⛔ No DOI found.

Ridde Valery (2021) « L’épidémie de choléra en Haïti : histoire d’un fiasco des Nations Unies et de la persévérance d’un (collectif) chercheur français », Médecine Tropicale et Santé Internationale - magazine, 1 (février 19). http://revuemtsi.societe-mtsi.fr/index.php/bspe-mag/article/view/53.

Résumé : Alors que la pandémie de Covid-19 fait des ravages dans le monde, il est certainement utile de prendre un peu de recul épidémiologique. La lecture de l’ouvrage de Renaud Piarroux concernant son expérience de lutte contre l’épidémie de choléra en Haïti entre 2010 et 2018 est riche d’enseignements. Il montre le fiasco et les errances du système des Nations Unies et de certains de ses cadres mais aussi la vision étriquée des diplomates et des responsables de la santé mondiale française. Mais l’ouvrage est aussi précieux pour comprendre le fonctionnement académique de la santé publique mondiale, à l’image du désastre contemporain covidien : une santé publique biomédicale, orientée vers certaines maladies en particulier, sans vision interdisciplinaire et avec son lot de dérives, d’abus et de clientélisme scientifique. Les étudiant.es et les jeunes chercheur.es devraient pouvoir se saisir de cette analyse pour faire évoluer la situation…en espérant qu’on leur donne de la place.

Mots-clés : ⛔ No DOI found.

Ridde Valéry, ss la dir. de (2021) Une couverture sanitaire universelle en 2030 ? Réformes en Afrique subsaharienne, Québec, Canada : ESBC (Éditions science et bien commun), 950 p. ISBN : 978-2-925128-08-3. https://scienceetbiencommun.pressbooks.pub/cus/.

Résumé : Cet ouvrage collectif, sous la direction de Valéry Ridde, rassemble les connaissances scientifiques les plus récentes sur les réformes du financement de la santé en Afrique subsaharienne, que ce soit à propos des politiques de gratuité, des financements basés sur les résultats ou des mutuelles de santé. Outre l’origine et le contenu de ces différentes politiques, les textes analysent les défis de leur mise en œuvre, mais aussi leurs effets et leur pérennité. Tout en s’inscrivant pleinement dans le débat actuel sur la couverture sanitaire universelle (CSU), l’un des principaux enjeux de cet ouvrage est aussi de nourrir les réflexions au niveau national, du Sénégal à la République démocratique du Congo, en passant par le Sahel ou le Bénin. Ainsi, une quarantaine d’autrices et d’auteurs partagent, dans une langue accessible, leurs analyses rigoureuses et pour la plupart inédites, pour mieux comprendre le chemin qu’il reste à parcourir afin que la CSU devienne une réalité pour l’Afrique subsaharienne, n’en déplaise aux tenants de la nouvelle gestion publique.

Ridde Valery, Ba M. F., Gaye I., Diallo A. I., Bonnet Emmanuel et Faye A. (2021) « Participating in a vaccine trial for COVID-19 in Senegal: trust and information », Human Vaccines & Immunotherapeutics (juillet 19), p. 1-6. DOI : 10.1080/21645515.2021.1951097. https://www.tandfonline.com/doi/full/10.1080/21645515.2021.1951097.

Résumé : This research aims to understand the level and determinants of people’s willingness to participate in a vaccine trial for COVID-19 in Senegal. We conducted a telephone survey among a marginal quota sample of 607 people over 18 years of age. Only 44.3% of the participants wanted to participate in a vaccine trial for COVID-19, with females intending to participate more than males (AOR = 1.82, 95% CI [1.22–2.72]). Participants who intended to be vaccinated against COVID-19 (AOR = 6.48, 95% CI [4.12–10.4]) and who thought that being infected with the coronavirus would have a significant impact on their health (AOR = 2.34, 95% CI [1.57, 3.51]) were more likely to agree to take part in the COVID-19 vaccine trial. Confidence in the vaccine, health personnel, and the government in the fight against the pandemic are key factors in participants’ willingness to participate in a vaccine trial in Senegal.

Ridde Valéry (2021) « From malaria-dengue to an intervention in Burkina Faso », in Sonar-Global team. SPECIAL SOC EPIDEMICS: Training social scientists on the social dimensions of epidemics, par A Billaud, Alice Desclaux, et K. Sow, Dakar : CRCF.

Ridde Valéry et Faye Adama (2021) La riposte nationale contre la COVID-19 au Sénégal : de la formulation à sa mise en œuvre, Working Papers du CEPED (50), Paris : Ceped. https://www.ceped.org/wp.

Résumé : Face à l’arrivée de la pandémie de COVID-19, les gouvernements africains ont été contraints de réagir promptement et par anticipation pour protéger leurs populations. Au Sénégal, le plan national de riposte a été planifié avant que le pays ait connu son premier cas officiel de COVID-19, le 2 mars 2020. Alors que le pays subit une troisième vague épidémique depuis fin juin 2021, cette étude en méthodes mixtes, réalisée en mars et avril 2021, vise à comprendre comment la riposte nationale a été formulée et mise en œuvre dans les régions. L’étude montre que si la réaction a été rapide, le contenu (les instruments) de la riposte est resté classique, dominé par les solutions biomédicales et verticales influencées par le passé (lutte contre Ébola) et donnant lieu à des enjeux de pouvoir propres à la gestion de l’urgence. La mise en œuvre de la réponse à la pandémie a été influencée par de nombreux facteurs facilitants et contraignants et elle s’est confrontée à des contextes régionaux divers et spécifiques qui ont façonné son organisation. Le niveau central a également parfois usé de processus de réflexivité pour adap-ter sa riposte. Malgré la vague épidémique sans précédent qui déferle en ce mois de juillet 2021, les mesures drastiques prises en 2020 et étudiées dans ce texte ne sont pas encore revenues. Cohérence et confiance sont de nouveau questionnées par les citoyens qui voient les médias s’inquiéter des conséquences pour le système de santé et la santé des populations.

Ridde et Faye - 2021 - La riposte nationale contre la COVID-19 au Sénégal.pdf 3.7 Mio

Snapshot (source)

Ridde Valéry et Fillol Amandine (2021) « Santé Mondiale », Anthropen (juin 13). DOI : 10.47854/anthropen.vi0.51161. https://revues.ulaval.ca/ojs/index.php/anthropen/article/view/51161.

Résumé : La santé mondiale et sa définition sont l’objet de multiples débats dans un contexte de mondialisation. Elles souffrent encore d’un manque de clarté conceptuelle. Notre texte propose une analyse critique du vocable de santé mondiale. Après avoir décrit les définitions proposées, nous abordons les enjeux de pouvoir qui sont au cœur du fonctionnement et du quotidien de la santé mondiale que la nouvelle génération (si on lui laisse de la place) devra nécessairement affronter.

Mots-clés : Coopération.

Ridde Valéry, Gautier Lara, Dagenais Christian, Chabrol Fanny, Hou Renyou, Bonnet Emmanuel, David Pierre-Marie, Cloos Patrick, Duhoux Arnaud, Lucet Jean-Christophe, Traverson Lola, de Araujo Oliveira Sydia Rosana, Cazarin Gisele, Peiffer-Smadja Nathan, Touré Laurence, Coulibaly Abdourahmane, Honda Ayako, Noda Shinichiro, Tamura Toyomitsu, Baba Hiroko, Kodoi Haruka et Zinszer Kate (2021) « Learning from public health and hospital resilience to the SARS-CoV-2 pandemic: protocol for a multiple case study (Brazil, Canada, China, France, Japan, and Mali) », Health Research Policy and Systems, 19 (1) (mai 6), p. 76. DOI : 10.1186/s12961-021-00707-z. https://doi.org/10.1186/s12961-021-00707-z.

Résumé : All prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected health care systems and professionals in terms of their work. Finding effective ways to share the knowledge and insight between countries, including lessons learned, is paramount to the international containment and management of the COVID-19 pandemic. The aim of this project is to compare the pandemic response to COVID-19 in Brazil, Canada, China, France, Japan, and Mali. This comparison will be used to identify strengths and weaknesses in the response, including challenges for health professionals and health systems.

Ridde Valéry et Hane Fatoumata (2021) « La couverture sanitaire universelle : un toit percé depuis trop longtemps », AOC.Média (décembre 10). https://hal.ird.fr/ird-03473381.

Mots-clés : ⛔ No DOI found.

Full Text PDF 583 kio (source)

Ridde Valéry et Hane Fatoumata (2021) « Universal health coverage: the roof has been leaking for far too long », BMJ Global Health, 6 (12) (décembre), p. e008152. DOI : 10.1136/bmjgh-2021-008152. https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2021-008152.

Ridde Valéry, Ouedraogo Samiratou et Yaya Sanni (2021) « Closing the diversity and inclusion gaps in francophone public health: a wake-up call », BMJ Global Health, 6 (2) (février), p. e005231. DOI : 10.1136/bmjgh-2021-005231. https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2021-005231.

Ridde Valéry, Saré Diane, Quan Nha Hong, et Pluye Pierre (2021) « Grilles pour décrire les interventions populationnelles dans les revues des écrits scientifiques en santé », McGill Family Medicine Studies Online, 16:e02.

Résumé : L'étude a pour objectif de répertorier toutes les grilles de description des interventions populationnelles et celles qui soutiennent l’extraction des données pour la réalisation des revues systématiques des écrits scientifiques en santé publique.

Mots-clés : ⛔ No DOI found.

Rikap Cecilia (2021) Capitalism, power and innovation: intellectual monopoly capitalism uncovered, Abingdon, Oxon ; New York, NY : Routledge, 1 p. (Routledge studies in the economics of innovation). ISBN : 978-1-00-036875-8 978-0-429-34148-9.

Résumé : "In contemporary global capitalism, the most powerful corporations are innovation or intellectual monopolies. The book's unique perspective focuses on how private ownership and control of knowledge and data have become a major source of rent and power. The author explains how at the one pole, these corporations concentrate income, property and power in the US, China, and in a handful of intellectual monopolies, particularly from digital and pharmaceutical industries, while at the other pole developing countries are left further behind. The book includes detailed empirical mappings of how intellectual monopolies develop and transform knowledge from universities and open-source collaborations into intangible assets. The result is a strategy that combines undermining the commons through privatization with harvesting from the same commons. The book ends with provoking reflections to tilt the scale against intellectual monopoly capitalism and arguing that desired changes require democratic mobilization of workers and citizens at large. This book represents one of the first attempts to capture the contours of an emerging new era where old perspectives lead us astray, and the old policy toolbox is hopelessly inadequate. This is true for the idea that the best, or only, way to promote innovation is to transform knowledge into private property. It is also true for anti-trust policies focusing exclusively on consumer prices. The formation of global infrastructures that lead to 'natural monopolies' call for public rather than private ownership. Scholars and professionals from the social sciences and humanities (in particular economics, sociology, political science, geography, educational science and science and technology studies) will enjoy a clear and all-embracing depiction of innovation dynamics in contemporary capitalism, with a particular focus on asymmetries between actors, regions and topics. In fact, its topical issue broadens the book's scope to those curious about how innovation networks shape our world"--

Mots-clés : Capitalism, Economic aspects, Information technology, Intellectual capital, Monopolies, Political aspects, Power (Social sciences), Technological innovations.

Rikap Cecilia et Lundvall Bengt-Åke (2021) The Digital Innovation Race: Conceptualizing the Emerging New World Order, Cham : Springer International Publishing. ISBN : 978-3-030-89442-9 978-3-030-89443-6. https://link.springer.com/10.1007/978-3-030-89443-6.

Résumé : This book develops new theoretical perspectives on the economics and politics of innovation and knowledge in order to capture new trends in modern capitalism. It shows how giant corporations establish themselves as intellectual monopolies and how each of them builds and controls its own corporate innovation system. It presents an analysis of a new form of production where Google, Amazon, Facebook, Apple and Microsoft, and their counterparts in China, extract value and appropriate intellectual rents through privileged access to AI algorithms trained by data from organizations and individuals all around the world. These companies’ specific form of production and rent-seeking takes place at the global level and challenges national governments trying to regulate intellectual monopolies and attempting to build stronger national innovation systems. It is within this context that the authors provide new insights on the complex interplay between corporate and national innovation systems by looking at the US-China conflict, understood as a struggle for global technological supremacy. The book ends with alternative scenarios of global governance and advances policy recommendations as well as calls for social activism. This book will be of interest to students, academics and practitioners (both from national states and international organizations) and professionals working on innovation, digital capitalism and related topics. Bengt-Åke Lundvall is Professor emeritus in economics at Department of Business Studies at Aalborg University and Professor emeritus at Department of Economic History at Lund University. His research is organized around a broad set of issues related to innovation systems and learning economies. Cecilia Rikap is Lecturer in International Political Economy at City, University of London, CONICET researcher and associate researcher at COSTECH, Université de Technologie de Compiègne. She has a PhD in Economics from the University of Buenos Aires, Argentina. Her research deals with the global political economy of science, technology and innovation.

Robinson David, Hayes Alex, Couch [aut Simon, cre, Patil Indrajeet, Chiu Derek, Gomez Matthieu, Demeshev Boris, Menne Dieter, Nutter Benjamin, Johnston Luke, Bolker Ben, Briatte Francois, Arnold Jeffrey, Gabry Jonah, Selzer Luciano, Simpson Gavin, Preussner Jens, Hesselberth Jay, Wickham Hadley, Lincoln Matthew, Gasparini Alessandro, Komsta Lukasz, Novometsky Frederick, Freitas Wilson, Evans Michelle, Brunson Jason Cory, Jackson Simon, Whalley Ben, Whiting Karissa, Rosseel Yves, Kuehn Michael, Cimentada Jorge, Holgersen Erle, Werner Karl Dunkle, Christensen Ethan, Pav Steven, PJ Paul, Schneider Ben, Kennedy Patrick, Medina Lily, Fannin Brian, Muhlenkamp Jason, Lehman Matt, Denney Bill, Crane Nic, Bates Andrew, Arel-Bundock Vincent, Hayashi Hideaki, Tobalina Luis, Wang Annie, Tham Wei Yang, Wang Clara, Smith Abby, Cooper Jasper, Krauska E. Auden, Wang Alex, Barrett Malcolm, Gray Charles, Wilber Jared, Gegzna Vilmantas, Szoecs Eduard, Aust Frederik, Moore Angus, Williams Nick, Barth Marius, Wundervald Bruna, Cahoon Joyce, McDermott Grant, Zarca Kevin, Kuriwaki Shiro, Wallrich Lukas, Martherus James, Xiao Chuliang, Larmarange Joseph, Kuhn Max, Bojanowski Michal, Malmedal Hakon, Wang Clara, Oller Sergio, Sonnet Luke, Hester Jim, Brunson Cory, Schneider Ben, Gray Bernie, Averick Mara, Jacobs Aaron, Bender Andreas, Templer Sven, Buerkner Paul-Christian, Kay Matthew, Pennec Erwan Le, Junkka Johan, Zhu Hao, Soltoff Benjamin, Saldana Zoe Wilkinson, Littlefield Tyler, Gray Charles T., Banks Shabbh E., Robinson Serina, Bivand Roger, Ots Riinu, Williams Nicholas, Jakobsen Nina, Weylandt Michael, Lendway Lisa, Hailperin Karl, Rodriguez Josue, Bryan Jenny, Jarvis Chris, Macfarlane Greg, Mannakee Brian, Tyre Drew, Singh Shreyas, Geffert Laurens, Ooi Hong, Bengtsson Henrik, Szocs Eduard, Hugh-Jones David, Stigler Matthieu, Tavares Hugo, Vervoort R. Willem, Wiernik Brenton M., Yamamoto Josh, Lee Jasme et Sanders Taren (2021) Broom: Convert Statistical Objects into Tidy Tibbles, version 0.7.10. https://CRAN.R-project.org/package=broom.

Résumé : Summarizes key information about statistical objects in tidy tibbles. This makes it easy to report results, create plots and consistently work with large numbers of models at once. Broom provides three verbs that each provide different types of information about a model. tidy() summarizes information about model components such as coefficients of a regression. glance() reports information about an entire model, such as goodness of fit measures like AIC and BIC. augment() adds information about individual observations to a dataset, such as fitted values or influence measures.

Rouveau Nicolas, Ky-Zerbo Odette, Boye Sokhna, Simo Fotso Arlette, d’Elbée Marc, Maheu-Giroux Mathieu, Silhol Romain, Kouassi Arsène Kra, Vautier Anthony, Doumenc-Aïdara Clémence, Breton Guillaume, Keita Abdelaye, Ehui Eboi, Ndour Cheikh Tidiane, Boilly Marie-Claude, Terris-Prestholt Fern, Pourette Dolorès, Desclaux Alice, Larmarange Joseph et ATLAS Team (2021) « Describing, analysing and understanding the effects of the introduction of HIV self-testing in West Africa through the ATLAS programme in Côte d’Ivoire, Mali and Senegal », BMC Public Health, 21 (1) (janvier 21), p. 181. DOI : 10.1186/s12889-021-10212-1. https://doi.org/10.1186/s12889-021-10212-1.

Résumé : The ATLAS programme aims to promote and implement HIV self-testing (HIVST) in three West African countries: Côte d’Ivoire, Mali, and Senegal. During 2019–2021, in close collaboration with the national AIDS implementing partners and communities, ATLAS plans to distribute 500,000 HIVST kits through eight delivery channels, combining facility-based, community-based strategies, primary and secondary distribution of HIVST. Considering the characteristics of West African HIV epidemics, the targets of the ATLAS programme are hard-to-reach populations: key populations (female sex workers, men who have sex with men, and drug users), their clients or sexual partners, partners of people living with HIV and patients diagnosed with sexually transmitted infections and their partners. The ATLAS programme includes research support implementation to generate evidence for HIVST scale-up in West Africa. The main objective is to describe, analyse and understand the social, health, epidemiological effects and cost-effectiveness of HIVST introduction in Côte d’Ivoire, Mali and Senegal to improve the overall HIV testing strategy (accessibility, efficacy, ethics). Methods ATLAS research is organised into five multidisciplinary workpackages (WPs): Key Populations WP: qualitative surveys (individual in-depth interviews, focus group discussions) conducted with key actors, key populations, and HIVST users. Index testing WP: ethnographic observation of three HIV care services introducing HIVST for partner testing. Coupons survey WP: an anonymous telephone survey of HIVST users. Cost study WP: incremental economic cost analysis of each delivery model using a top-down costing with programmatic data, complemented by a bottom-up costing of a representative sample of HIVST distribution sites, and a time-motion study for health professionals providing HIVST. Modelling WP: Adaptation, parameterisation and calibration of a dynamic compartmental model that considers the varied populations targeted by the ATLAS programme and the different testing modalities and strategies. Discussion ATLAS is the first comprehensive study on HIV self-testing in West Africa. The ATLAS programme focuses particularly on the secondary distribution of HIVST. This protocol was approved by three national ethic committees and the WHO’s Ethical Research Committee.

Mots-clés : Côte d’Ivoire, HIV self-testing, HIV/AIDS, Mali, Senegal, West Africa.

Rozée Virginie et Schantz Clémence (2021) « Les violences gynécologiques et obstétricales : construction d’une question politique et de santé publique », Sante Publique, 33 (5), p. 629-634. DOI : 10.3917/spub.215.0629. https://www.cairn.info/revue-sante-publique-2021-5-page-629.htm.

Résumé : Le concept de « violences gynécologiques et obstétricales » a émergé au début des années 2000 en Amérique latine dans les milieux militants et scientifiques. Il a été repris à partir des années 2010 dans les débats féministes et politiques français et européens. Les militantes féministes, notamment à travers les réseaux sociaux et les médias, ont joué un rôle important dans la construction de cette question de santé publique. Ce concept est aujourd’hui mobilisé dans l’espace public, politique et académique, en France et à l’international. Il recouvre des réalités et des pratiques médicales diverses et permet de rendre compte des expériences, à la fois objectives et subjectives, des femmes. Les travaux en sciences sociales qui mobilisent cette nouvelle approche conceptuelle sont de plus en plus nombreux. Ils portent cependant majoritairement sur l’accouchement, alors que le domaine de la gynécologie reste plus largement à explorer.

Ruiz de Elvira Laura (2021) « De l’engagement armé à l’engagement humanitaire : trajectoires militantes, émotions et sentiments moraux dans la Syrie post-2011: », Critique internationale, 91 (2) (avril 27), p. 23-44. DOI : 10.3917/crii.091.0026. https://www.cairn.info/revue-critique-internationale-2021-2-page-23.htm?ref=doi.

Ruiz de Elvira Laura (2021) « « Associations de bienfaisance et prise en charge du social en Syrie. De l’étatisme à la "décharge" », in Les mondes de la bien-faisance. Les pratiques du bien au prisme des sciences sociales, Paris : CNRS Editions, p. 355-377. (CNRS Alpha). ISBN : 978-2-271-13205-5. https://www.cnrseditions.fr/catalogue/sciences-politiques-et-sociologie/les-mondes-de-la-bien-faisance/.

Ruiz de Elvira Laura et Saeidnia Sahar Aurore (2021) « Introduction. Les mondes de la bien-faisance. Pour une nouvelle analyse des pratiques du « bien » », in Les mondes de la bien-faisance. Les pratiques du bien au prisme des sciences sociales, Paris : CNRS Editions, p. 15-37. (CNRS Alpha). ISBN : 978-2-271-13205-5. https://www.cnrseditions.fr/catalogue/sciences-politiques-et-sociologie/les-mondes-de-la-bien-faisance/.

Ruiz de Elvira Laura et Saeidnia Sahar Aurore (2021) Les mondes de la bien-faisance. Les pratiques du bien au prisme des sciences sociales, Paris : CNRS Editions, 408 p. (CNRS Alpha). ISBN : 978-2-271-13205-5. https://www.cnrseditions.fr/catalogue/sciences-politiques-et-sociologie/les-mondes-de-la-bien-faisance/.

Résumé : Charité, philanthropie, solidarité, aide humanitaire, care… les pratiques du « bien » sont au cœur du fonctionnement de nos sociétés. Interdisciplinaire et comparatiste, cet ouvrage propose de les analyser dans leur pluralité et leurs diverses histoires politiques, sociales et religieuses, de la Judée antique à la France contemporaine, en passant par la Tunisie et l’Iran du xixe siècle. Il explore les mondes de la bien-faisance au prisme des représentations qui leur sont associées, de leurs fondements moraux, des formes organisationnelles qu’ils adoptent, mais aussi – et surtout – à partir des investissements concurrentiels du social qu’ils produisent. Ce faisant, il met en lumière le caractère construit, voire conflictuel, du partage des tâches et expose en quoi et comment celui-ci contribue au maintien de l’ordre social et de ses hiérarchies, ou bien à sa recomposition et à sa critique.

Ruiz de Elvira Laura et Saeidnia Sahara Aurore (2021) « Beneficence and Welfare: Notes for the Comparative Study of “Doing Good” Practices (‘amal khayr) in the Islamic World », in Social Policy in the Islamic World (Editors: Tajmazinani, Ali Akbar), Palgrave MacMillan, p. 63-82. ISBN : 978-3-030-57753-7. https://www.palgrave.com/gp/book/9783030577520.

Sambou Césarine, Allavena Clotilde, DeBeaudrap Pierre, Pourette Dolorès et Raho-Moussa Mariem (2021) « Les médecins généralistes face à la prise en charge des personnes âgées de 70 ans et plus vivant avec le VIH (PvVIH 70+) et polypathologiques : cloisonnements, fractionnements des soins et difficultés associées » (poster), présenté à Congrès SLFS 22éme édition, Grenoble.

Saulnier Dell D, Blanchet Karl, Canila Carmelita, Cobos Muñoz Daniel, Dal Zennaro Livia, de Savigny Don, Durski Kara N, Garcia Fernando, Grimm Pauline Yongeun, Kwamie Aku, Maceira Daniel, Marten Robert, Peytremann-Bridevaux Isabelle, Poroes Camille, Ridde Valery, Seematter Laurence, Stern Barbara, Suarez Patricia, Teddy Gina, Wernli Didier, Wyss Kaspar et Tediosi Fabrizio (2021) « A health systems resilience research agenda: moving from concept to practice », BMJ Global Health, 6 (8) (août), p. e006779. DOI : 10.1136/bmjgh-2021-006779. https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2021-006779.

Résumé : Health system resilience, known as the ability for health systems to absorb, adapt or transform to maintain essential functions when stressed or shocked, has quickly gained popularity following shocks like COVID-19. The concept is relatively new in health policy and systems research and the existing research remains mostly theoretical. Research to date has viewed resilience as an outcome that can be measured through performance outcomes, as an ability of complex adaptive systems that is derived from dynamic behaviour and interactions, or as both. However, there is little congruence on the theory and the existing frameworks have not been widely used, which as diluted the research applications for health system resilience. A global group of health system researchers were convened in March 2021 to discuss and identify priorities for health system resilience research and implementation based on lessons from COVID-19 and other health emergencies. Five research priority areas were identified: (1) measuring and managing systems dynamic performance, (2) the linkages between societal resilience and health system resilience, (3) the effect of governance on the capacity for resilience, (4) creating legitimacy and (5) the influence of the private sector on health system resilience. A key to filling these research gaps will be longitudinal and comparative case studies that use cocreation and coproduction approaches that go beyond researchers to include policy-makers, practitioners and the public.

Schantz Clémence (2021) « L’enjeu des violences obstétricales en Afrique de l’Ouest », ID4D, Le media du développement Durable. https://ideas4development.org/violences-obstetricales-afrique-ouest/.

Résumé : Malgré la médicalisation de l’accouchement en Afrique de l’Ouest, des violences obstétricales continuent de miner la santé maternelle.

Schantz Clémence (2021) « Accouchement et césarienne: quels vécus des femmes en France? », Colloque international présenté à Salon de Gynécologie Obstétrique Pratique, juin 17, Paris, France.

Schantz Clémence (2021) « Biomédicalisation massive de l’accouchement au Cambodge après 150 ans de résistance », Moussons, 38 (novembre 25), p. 85-110. DOI : 10.4000/moussons.8023. http://journals.openedition.org/moussons/8023.

Schantz Clémence, Lhotte Marie et Pantelias Anne-Charlotte (2021) « Dépasser les tensions éthiques devant les demandes maternelles de césarienne », Santé Publique, Vol. 32 (5) (mars 2), p. 497-505. DOI : 10.3917/spub.205.0497. https://cairn.info/revue-sante-publique-2020-5-page-497.htm?ref=doi.

Résumé : Introduction : Dans un contexte juridique centré sur le droit et l’autonomie de la patiente, certaines femmes souhaitent pouvoir choisir leur mode d’accouchement. Les sages-femmes étant les actrices de premier recours des femmes enceintes avec une grossesse physiologique, nous avons voulu savoir s’il était, pour elles, éthiquement recevable d’accompagner une femme dans sa décision de césarienne. Méthode : Cette enquête est une étude ancillaire du programme de recherche CESARIA validé par le Comité de Protection des Personnes Sud Méditerranée IV et déclaré au CNIL. Trente-sept entretiens semi-directifs ont été réalisés auprès de sages-femmes et de femmes. Résultats : La majorité des femmes et des sages-femmes partagent une vision de l’accouchement comme « naturel » et considèrent la demande de césarienne comme relevant de la déviance. Lorsqu’elle est formulée, cette demande place les sages-femmes dans une situation de tension éthique. D’une part, les sages-femmes souhaitent orienter les femmes vers l’accouchement par voie basse qu’elles considèrent comme étant la norme, et ce choix incarne les principes éthiques de bienfaisance et de non-malfaisance. D’autre part, les sages-femmes expriment vouloir respecter le choix et la liberté des patientes, illustrant le principe éthique de respect de l’autonomie. Conclusion : L’enjeu éthique de la césarienne sur demande ne se situe pas tant dans la décision d’accepter ou non une césarienne, mais plutôt dans l’écoute de cette demande. Prendre en considération une indication médicale plus largement que la simple indication obstétricale permet d’accompagner de manière éthique ces demandes, dans le respect de l’autonomie de la femme enceinte.

Schantz Clémence, Pantelias Anne-Charlotte, de Loenzien Myriam, Ravit Marion, Rozenberg Patrick, Louis-Sylvestre Christine et Goyet Sophie (2021) « ‘A caesarean section is like you've never delivered a baby’: A mixed methods study of the experience of childbirth among French women », Reproductive Biomedicine & Society Online, 12 (mars), p. 69-78. DOI : 10.1016/j.rbms.2020.10.003. https://linkinghub.elsevier.com/retrieve/pii/S2405661820300277.

Résumé : The experience of childbirth has been technologized worldwide, leading to major social changes. In France, childbirth occurs almost exclusively in hospitals. Few studies have been published on the opinions of French women regarding obstetric technology and, in particular, caesarean section. In 2017–2018, we used a mixed methods approach to determine French women’s preferences regarding the mode of delivery, and captured their experiences and satisfaction in relation to childbirth in two maternity settings. Of 284 pregnant women, 277 (97.5%) expressed a preference for vaginal birth, while seven (2.5%) women expressed a preference for caesarean section. Vaginal birth was also preferred among 26 women who underwent an in-depth interview. Vaginal birth was perceived as more natural, less risky and less painful, and to favour mother–child bonding. This vision was shared by caregivers. The women who expressed a preference for vaginal birth tended to remain sexually active late in their pregnancy, to find sexual intercourse pleasurable, and to believe that vaginal birth would not enlarge their vagina. A large majority (94.5%) of women who gave birth vaginally were satisfied with their childbirth experience, compared with 24.3% of those who underwent caesarean section. The caring attitude of the caregivers contributed to increasing this satisfaction. The notion of women’s ‘empowerment’ emerged spontaneously in women’s discourse in this research: women who gave birth vaginally felt satisfied and empowered. The vision shared by caregivers and women that vaginal birth is a natural process contributes to the stability of caesarean section rates in France.

Schantz Clémence, Rozée Virginie et Molinier Pascale (2021) « Introduction. Les violences obstétricales, un nouvel axe de recherche pour les études de genre, un nouveau défi pour le soin et la société », Cahiers du Genre, 71 (2), p. 5-24. DOI : 10.3917/cdge.071.0005. https://www.cairn.info/revue-cahiers-du-genre-2021-2-page-5.htm.

Snapshot (source)

Schantz et al_2021_Introduction.pdf 356.9 kio (source)

Schloerke Barret, Cook Di, Larmarange Joseph, Briatte Francois, Marbach Moritz, Thoen Edwin, Elberg Amos, Toomet Ott, Crowley Jason, Hofmann Heike et Wickham Hadley (2021) GGally: Extension to 'ggplot2', version 2.1.2. https://CRAN.R-project.org/package=GGally.

Résumé : The R package 'ggplot2' is a plotting system based on the grammar of graphics. 'GGally' extends 'ggplot2' by adding several functions to reduce the complexity of combining geometric objects with transformed data. Some of these functions include a pairwise plot matrix, a two group pairwise plot matrix, a parallel coordinates plot, a survival plot, and several functions to plot networks.

Schultz Émilien (2021) « Quel(s) intérêt(s) de programmer en Python pour les sciences humaines et sociales ? Présentation, exemples et applications » (communication orale), présenté à Semaine Data-SHS. https://hal-amu.archives-ouvertes.fr/hal-03524165.

Full Text PDF 12.5 Mio (source)

Schultz Emilien et Ward J.K. (2021) « Public perceptions of scientific advice: toward a science savvy public culture? », Public Health, 194 (mai), p. 86-88. DOI : 10.1016/j.puhe.2021.02.007. https://linkinghub.elsevier.com/retrieve/pii/S0033350621000652.

Schultz Émilien, Ward Jeremy K., Atlani-Duault Laëtitia, Holmes Seth M. et Mancini Julien (2021) « French Public Familiarity and Attitudes toward Clinical Research during the COVID-19 Pandemic », International Journal of Environmental Research and Public Health, 18 (5) (mars 5), p. 2611. DOI : 10.3390/ijerph18052611. https://www.mdpi.com/1660-4601/18/5/2611.

Résumé : The COVID-19 pandemic put clinical research in the media spotlight globally. This article proposes a first measure of familiarity with and attitude toward clinical research in France. Drawing from the “Health Literacy Survey 2019” (HLS19) conducted online between 27 May and 5 June 2020 on a sample of the French adult population (N = 1003), we show that a significant proportion of the French population claimed some familiarity with clinical trials (64.8%) and had positive attitudes (72%) toward them. One of the important findings of this study is that positive attitudes toward clinical research exist side by side with a strong distancing from the pharmaceutical industry. While respondents acknowledged that the pharmaceutical industry plays an important role in clinical research (68.3%), only one-quarter indicated that they trust the industry (25.7%). Positive attitudes toward clinical trials were associated with familiarity with clinical trials (Odds Ratio, OR 2.97 [1.90–4.63]), financial difficulties (OR 0.63 [0.46–0.85]), as well as mistrust of doctors (0.48 [0.27–0.85]) and of scientists (OR 0.62 [0.38–0.99]). Although the French media provided a great deal of information on how clinical research works during the first months of the pandemic, there remains profound mistrust of the pharmaceutical industry in France. This suspicion can undermine crisis management, especially in the areas of vaccine development and preparation for future pandemics.

Texte intégral 725.9 kio (source)

Seppey Mathieu, Somé Paul-André et Ridde Valéry (2021) « Sustainability determinants of the Burkinabe performance-based financing project », Journal of Health Organization and Management, ahead-of-print (ahead-of-print) (février 5). DOI : 10.1108/JHOM-04-2020-0137. https://www.emerald.com/insight/content/doi/10.1108/JHOM-04-2020-0137/full/html.

Résumé : A performance-based financing (PBF) pilot project was implemented in 2011 in Burkina Faso. After more than five years of implementation (data collection in 2016), the project's sustainability was not guaranteed. This study's objective is to assess this project's sustainability in 2016 by identifying the presence/absence of different determinants of sustainability according to the conceptual framework of Seppey et al. (2017). Design/methodology/approach It uses a case study approach using in-depth interviews with various actors at the local, district/regional and national levels. Participants (n= 37) included health practitioners, management team members, implementers and senior members of health directions. A thematic analysis based on the conceptual framework was conducted, as well as an inductive analysis. Findings Results show the project's sustainability level was weak according to an unequal presence of sustainability's determinants; some activities are being maintained but not fully routinised. Discrepancies between the project and the context's values appeared to be important barriers towards sustainability. Project's ownership by key stakeholders also seemed superficial despite the implementers' leadership towards its success. The project's objective towards greater autonomy for health centres was also directly confronting the Burkinabe's hierarchical health system. Originality/value This study reveals many fits and misfits between a PBF project and its context affecting its ability to sustain activities through time. It also underlines the importance of using a conceptual framework in implementing and evaluating interventions. These results could be interesting for decision-makers and implementers in further assessing PBF projects elsewhere.

Seppey Mathieu, Touré Laurence et Ridde Valéry (2021) « Defining an action-research’s content to improve a policy supporting indigents’ health in Mali: a concept mapping », Journal of Global Health Reports, 5 (avril 19), p. e2021031. DOI : 10.29392/001c.21956.

Silhol Romain, Maheu-Giroux Mathieu, Soni Nirali, Fotso Arlette Simo, Rouveau Nicolas, Vautier Anthony, Doumenc-Aïdara Clémence, Larmarange Joseph et Boily Marie-Claude (2021) « Modelling the population-level impact of a national HIV self-testing strategy among key populations in Côte d'Ivoire », présenté à 21st ICASA conference. https://hal.science/hal-04121480.

Résumé : Background: A third of people living with HIV (PLHIV) in Western Africa are not diagnosed, hindering progress towards HIV elimination. Scaling-up HIV self-testing (HIVST) among key populations (KP) such as female sex workers (FSW), their clients, and men who have sex with men (MSM), may further curb HIV transmission in this region. Using data from the ATLAS program in Côte d’Ivoire, we projected the potential impact of a national HIVST strategy among KP in the country. Methods: A deterministic model of HIV transmission and different testing modalities among key and lower-risk populations was parameterized following a review of demographic, behavioural, HIV and intervention data of the epidemic in Côte d’Ivoire over time. The model was then calibrated to empirical outcomes, including HIV prevalence, the fractions of PLHIV ever HIV tested, diagnosed, and treated, by risk group. Based on interim ATLAS HIVST programme data among KP in southern Côte d’Ivoire, we assumed that 440,000 HIVST are distributed annually (i.e. 10% of all tests in the country), including 29%, 22%, 32%, and 18% to FSW, their clients, MSM, and lower-risk populations, respectively. We predicted the potential impact of this HIVST strategy on new HIV infections and deaths, and new diagnoses over 10 years. Results: After 10 years, the HIVST strategy is expected to increase the fraction of all PLHIV diagnosed by 18%-points in both FSW (86% vs 69% without HIVST) and MSM (95% vs 77%), resulting in small increases overall (85% vs 83%). Overall, this strategy may avert 10,800 (5,100-24,200) new HIV infections over 10 years; equivalent to one infection averted per 400 HIVST distributed. This corresponds to a relative decrease in new infections of 10% (5-17%), 9% (4-21%), and 32% (23-48%) among FSW, their clients, and MSM, respectively, and 5% (3-10%) overall. However, given the larger population size, two-thirds (63%; 44-78%) of all infections prevented over 10 years were among all lower-risk populations, reflecting the indirect effects of prioritizing KP. HIV mortality among FSW and MSM may be reduced by around 15% over 10 years, vs 4% among FSW clients and 2% overall (i.e. 2700 (1400-5600) total deaths averted). Conclusions and recommendations: A national HIVST strategy may prevent 3-10% of new HIV infections in Côte d’Ivoire, especially among FSW clients and MSM. This would help reduce disparities in HIV burden by reaching key populations and addressing their unmet treatment needs.

Full Text PDF 3.9 Mio (source)

Silhol Romain, Maheu-Giroux Mathieu, Soni Nirali, Simo Fotso Arlette, Rouveau Nicolas, Vautier Anthony, Doumenc-Aïdara Clémence, Larmarange Joseph, Boily Marie-Claude et for the ATLAS Team (2021) « Modelling the population-level impact of a national HIV self-testing strategy among key populations in Côte d’Ivoire » (poster #PEC029), présenté à 21st ICASA conference, Durban.

Résumé : Background: A third of people living with HIV (PLHIV) in Western Africa are not diagnosed, hindering progress towards HIV elimination. Scaling-up HIV self-testing (HIVST) among key populations (KP) such as female sex workers (FSW), their clients, and men who have sex with men (MSM), may further curb HIV transmission in this region. Using data from the ATLAS program in Côte d’Ivoire, we projected the potential impact of a national HIVST strategy among KP in the country. Methods: A deterministic model of HIV transmission and different testing modalities among key and lower-risk populations was parameterized following a review of demographic, behavioural, HIV and intervention data of the epidemic in Côte d’Ivoire over time. The model was then calibrated to empirical outcomes, including HIV prevalence, the fractions of PLHIV ever HIV tested, diagnosed, and treated, by risk group. Based on interim ATLAS HIVST programme data among KP in southern Côte d’Ivoire, we assumed that ~440,000 HIVST are distributed annually (i.e. ~10% of all tests in the country), including 29%, 22%, 32%, and 18% to FSW, their clients, MSM, and lower-risk populations, respectively. We predicted the potential impact of this HIVST strategy on new HIV infections and deaths, and new diagnoses over 10 years. Results: After 10 years, the HIVST strategy is expected to increase the fraction of all PLHIV diagnosed by 18%-points in both FSW (86% vs 69% without HIVST) and MSM (95% vs 77%), resulting in small increases overall (85% vs 83%). Overall, this strategy may avert 10,800 (5,100-24,200) new HIV infections over 10 years; equivalent to one infection averted per ~400 HIVST distributed. This corresponds to a relative decrease in new infections of 10% (5-17%), 9% (4-21%), and 32% (23-48%) among FSW, their clients, and MSM, respectively, and 5% (3-10%) overall. However, given the larger population size, two-thirds (63%; 44-78%) of all infections prevented over 10 years were among all lower-risk populations, reflecting the indirect effects of prioritizing KP. HIV mortality among FSW and MSM may be reduced by around 15% over 10 years, vs 4% among FSW clients and 2% overall (i.e. 2700 (1400-5600) total deaths averted). Conclusions and recommendations: A national HIVST strategy may prevent 3-10% of new HIV infections in Côte d’Ivoire, especially among FSW clients and MSM. This would help reduce disparities in HIV burden by reaching key populations and addressing their unmet treatment needs.

Publications des membres du Ceped

2021

Flux

Outils internes