Références bibliographiques

Alcaide Jorge, Meyer Jean-Baptiste, Greco Sabrina et Abdalla Sahar (2023) « Youth, Training and labour Insertion in Sudan : Lessons from the INSO Project », Journal of Comparative & International Higher Education, 15 (1). DOI : 10.32674/jcihe.v15i1.4028.

Arita Sayaka, Ba Mouhamadou Faly, Traoré Zoumana, Bonnet Emmanuel, Faye Adama et Ridde Valery (2023) « Use of interviewer-administered telephone surveys during infectious disease outbreaks, epidemics and pandemics: a scoping review », BMJ Global Health, 8 (5). DOI : 10.1136/bmjgh-2022-011109. https://hal.science/hal-04149577.

Résumé : INTRODUCTION: During the COVID-19 crisis, researchers had to collect data remotely. Telephone surveys and interviews can quickly gather data from a distance without heavy expense. Although interviewer-administered telephone surveys (IATS) can accommodate the needs of international public health research, the literature on their use during infectious disease outbreaks is scarce. This scoping review aimed to map the characteristics of IATS during infectious disease outbreaks. METHODS: IATS conducted principally during infectious disease outbreaks and answered by informants at least 18 years old were searched from PubMed and EBSCO. There was a manual addition of relevant documents identified during an initial search. Overall trends were reported using different groupings, including WHO regions, and study details were compared before and during the COVID-19 pandemic. RESULTS: 70 IATS published between 2003 and 2022 were identified. 57.1% were conducted during the COVID-19 pandemic. Among 30 IATS conducted before the COVID-19 pandemic in the world, only 3.3% were carried out in low-income and middle-income countries (LMICs). This percentage of studies in LMICs out of all the IATS rose to 32.5% during the pandemic. The share of qualitative studies grew from 6.7% before the COVID-19 outbreak to 32.5% during the outbreak. IATS performed during the COVID-19 pandemic focused on more diverse, specific population groups, such as patients and healthcare professionals. Mobile phones are increasingly used for IATS over time. CONCLUSION: IATS are used globally with high frequency in the Western Pacific Region and high-income countries. Technical and financial challenges continue to exist, and assessments of inclusiveness and representativeness should be carefully conducted. A lack of details related to methods was observed, and this scoping review urges researchers using this data collection method in the future to specify how they executed IATS for better use and more efficient deployment.

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Aubry Régis, Desgrées du Loû Annabel et Guimier Lucie (2023) « Repenser le système de soins sur un fondement éthique : leçons de la crise hospitalière, diagnostic et perspectives », Adsp, 121 (mars), p. 6-9.

Résumé : Face à la crise du système de soins, le Comité consultatif national d’éthique (CCNE) s’est penché sur les causes du malaise constaté. Il propose que du temps puisse être consacré à la réflexion éthique sur le sens du soin, ainsi que d’améliorer les conditions de travail et de revaloriser la relation entre soignants et personnes soignées.

Mots-clés : ⛔ No DOI found.

Beaujoin Camille, Gautier Lara, Gagnon-Dufresne Marie-Catherine, Mikanagu Rachel, Savard-Lamothe Ashley, Cloos Patrick, Ridde Valéry et Zinszer Kate (2023) « It felt like building a plane while in flight: the consideration of social inequalities in the design and planning of a contact-tracing intervention for COVID-19 in Montreal, Quebec », Canadian Journal of Public Health, 114 (3), p. 346. DOI : 10.17269/s41997-023-00759-4. https://hal.science/hal-04149582.

Résumé : OBJECTIVE: In Canada and globally, the COVID-19 pandemic has increased social inequalities in health (SIH), furthering the vulnerability of certain groups and communities. Contact-tracing is a cornerstone intervention with COVID-19 prevention and control programs. The aim of this study was to describe whether and how SIH were considered during the design of the COVID-19 contact-tracing intervention in Montreal. METHODS: This study is part of the multi-country research program HoSPiCOVID, looking at the resilience of public health systems during the COVID-19 pandemic. A descriptive qualitative study was carried out in Montreal, based on a "bricolage" conceptual framework describing the consideration for SIH in intervention and policy design. Qualitative data were collected using semi-structured interviews with 16 public health practitioners, recruited using both purposive and snowball sampling. Data were analyzed thematically, both inductively and deductively. RESULTS: According to participants, SIH were not initially considered during the design of the contract-tracing intervention in Montreal. The participants were frustrated by the Minister of Health’s initial resistance to integrating SIH into their public health response. However, adaptations were gradually made to better meet the needs of underserved populations. CONCLUSION: There is a need for a clear and common vision of SIH within the public health system. Decision-makers need to consider SIH prior to designing public health interventions in order for these not to further increase SIH in the future, especially in the face of a health crisis.

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Bell David, Brown Garrett W., Oyibo Wellington A., Ouédraogo Samiratou, Tacheva Blagovesta, Barbaud Elena, Kalk Andreas, Ridde Valery et Paul Elisabeth (2023) « COVAX - Time to reconsider the strategy and its target », Health Policy OPEN, 4, p. 100096. DOI : 10.1016/j.hpopen.2023.100096. https://hal.science/hal-04149586.

Résumé : COVAX, the international initiative supporting COVID-19 vaccination campaigns globally, is budgeted to be the costliest public health initiative in low- and middle-income countries, with over 16 billion US dollars already committed. While some claim that the target of vaccinating 70% of people worldwide is justified on equity grounds, we argue that this rationale is wrong for two reasons. First, mass COVID-19 vaccination campaigns do not meet standard public health requirements for clear expected benefit, based on costs, disease burden and intervention effectiveness. Second, it constitutes a diversion of resources from more cost-effective and impactful public health programmes, thus reducing health equity. We conclude that the COVAX initiative warrants urgent review.

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Besnard O., Maillard O., Franco J.-M., Lebreton N., Reix G., Legrand F., Bertolotti A. et Leruste S. (2023) « Hydration and clinical warning signs of dengue fever in primary care: An observational prospective study », Infectious Diseases Now, 53 (4), p. 104708. DOI : 10.1016/j.idnow.2023.104708. https://hal.science/hal-04149563.

Résumé : OBJECTIVES: Dengue fever is an arbovirosis expanding worldwide, for which hydration has been reported to reduce the risk of hospitalization. Our objective was to estimate the volume of hydration in Reunionese patients with dengue. METHODS: A prospective observational study included patients presenting with a ’dengue-like’ syndrome in ambulatory care. General practitioners recruited patients during consultation, and beverage consumption over the previous 24 hours was reported at two different times. Warning signs were defined according to the 2009 WHO guidelines. RESULTS: GPs included 174 patients from April to July 2019. Average oral hydration volume was 1863 mL and 1944 mL, at the 1st and 2nd medical consultations, respectively. Water was the most wide consumed liquid. Drinking at least 5 glasses of liquid was significantly associated with fewer clinical warning signs at the 1st medical consultation (p = 0.044). CONCLUSIONS: Sufficient hydration volume could prevent dengue warning signs. Further studies with standardized measurement of hydration would be needed.

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Bocoum Fadima Yaya, Kabore Charles Paulin, Barro Saran, Zerbo Roger, Tiendrebeogo Simon, Hanson Claudia, Dumont Alexandre, Betran Ana Pilar et Bohren Meghan (2023) « Women’s and health providers’ perceptions of companionship during labor and childbirth: a formative study for the implementation of WHO companionship model in Burkina Faso », Reproductive Health, 20 (1), p. 46. DOI : 10.1186/s12978-023-01597-w. https://hal.science/hal-04149616.

Résumé : Abstract Introduction A key component of achieving respectful maternal and newborn care is labor companionship. Despite important health benefits for the woman and baby, there are critical gaps in implementing labor companionship for all women globally. The paper aims to present the perceptions and experiences of pregnant women, postpartum women, and health care providers regarding companionship during labor and childbirth, and to identify barriers and facilitating factors to the implementation of labor companionship in Burkina Faso. Methods This is a formative study to inform the “Appropriate use of cesarean section through QUALIty DECision-making by women and providers” (QUALI-DEC) study, to design, adapt and implement a strategy to optimize the use of the cesarean section, including labor companionship. We use in-depth interviews (women, potential companions, and health workers) and health facility readiness assessments in eight hospitals across Burkina Faso. We use a thematic analysis approach for interviews, and narrative summaries to describe facility readiness assessment. Results In all, 77 qualitative interviews and eight readiness assessments are included in this analysis. The findings showed that all participants acknowledged an existing traditional companionship model, which allowed companions to support women only in the hospital waiting room and post-natal room. Despite recognizing clear benefits, participants were not familiar with companionship during labor and childbirth in the hospital as recommended by WHO. Key barriers to implementing companionship throughout labor and birth include limited space in labor and delivery wards, no private rooms for women, hospital rules preventing companionship, and social norms preventing the choice of a companion by the woman. Conclusion Labor companionship was considered highly acceptable in Burkina Faso, but more work is needed to adapt to the hospital environment. Revisions to hospital policies to allow companions during labor and childbirth are needed as well as changes to provide private space for women. Training potential companions about their roles and encouraging women’s rights to choose their companions may help to facilitate effective implementation.

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Boivin P., Gautier L., Coulibaly A., Zinszer K. et Ridde Valéry (2023) « Exploring how social inequalities in health have influenced the design of Mali's SARS-CoV-2 testing policy : a qualitative study », Health Policy and Planning, 38, p. 301. DOI : 10.1093/heapol/czac097. https://hal.science/hal-04145262.

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Bonnet Emmanuel, Lerosier T., Toure L., Diarra Y., Diabate S., Diarra D. et Ridde Valéry (2023) « Evolution of assisted deliveries at primary healthcare centres in an unstable security context in Mali », BMJ Global Health, 7 (Suppl. 9), p. e010811 [10 p.]. DOI : 10.1136/bmjgh-2022-010811. https://hal.science/hal-04145239.

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Boulay Sébastien (2023) « CLAUDOT-HAWAD Hélène, Habiter le désert. Les Touareg de l’Ahaggar photographiés par Marceau Gast 1951-1965, Paris, Non Lieu, 2021, 239 p.: », L’Ouest Saharien, Vol. 17 (2) (février 17), p. 216-219. DOI : 10.3917/ousa.222.0216. https://www.cairn.info/revue-l-ouest-saharien-2022-2-page-216.htm?ref=doi.

Cardoso Pablo et Chavez Henry (2023) « Booms petroleros, quimeras de transformación productiva y el retorno de Washington. Balance de un medio siglo de economía ecuatoriana (1970-2020) », Revue internationale des études du développement, 251 (avril 6), p. 203. DOI : 10.4000/ried.8179. https://hal.science/hal-04142370.

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Chabrol Fanny et David Pierre-Marie (2023) « How resilience affected public health research during COVID-19 and why we should abandon it », Global Public Health, 18 (1) (janvier 2), p. 2212750. DOI : 10.1080/17441692.2023.2212750. https://doi.org/10.1080/17441692.2023.2212750.

Résumé : Resilience has accompanied the COVID-19 pandemic as a rallying motto, with calls by governments for a resilient society, resilient families and schools, and, of course, resilient healthcare systems in the face of this unprecedented pandemic shock. Resilience had already gained traction as an analytical concept in public health research for approximately a decade. It became a key concept despite the recognition of its lack of conceptual consistency. The COVID-19 pandemic presented itself as a perfect test-case and encouraged a multiplicity of studies on resilience and health care systems. In this commentary, we add to the existing critiques of resilience in the social sciences by reflecting on the effects of resilience when used to frame empirical inquiries and to draw lessons from the crisis. Resilience as a concept is unable to address crucial structural issues that health systems already faced throughout the world, and it remains a non-neutral political notion. We argue that we need to resist a generalised view of resilience and work with alternative imaginaries.

Mots-clés : adaptation, COVID-19, public health, Resilience, social sciences.

Chabrol Fanny et David Pierre-Marie (2023) « Ce que la résilience nous aura fait », Anthropologie & Santé. Revue internationale francophone d'anthropologie de la santé, 26 (avril 12). DOI : 10.4000/anthropologiesante.12626. https://journals.openedition.org/anthropologiesante/12626.

Résumé : Nous sommes heureux d’inaugurer cette section « Anthropolémiques » de la revue Anthropologie & Santé par une réflexion sur la résilience en recherche qui nous tient à cœur au sortir de trois années de pandémie. Certains pourront penser que cette « anthropolémique » ne prend pas beaucoup de risques tant la critique de la résilience devient rétrospectivement évidente après la Covid-19. Ceci n’était cependant pas aussi évident au début de la pandémie, et encore moins au cours de l’épidémie d’Ebo...

Mots-clés : adaptation, anthropologie, Covid-19, Résilience.

Chabrol Fanny, Traverson Lola, Hou Renyou, Chotard Lisa, Lucet Jean-Christophe, Peiffer-Smadja Nathan, Bendjelloul Gisèle, Lescure François-Xavier, Yazdanpanah Yazdan, Zinszer Kate et Ridde Valéry (2023) « Adaptation and Response of a Major Parisian Referral Hospital to the COVID-19 Surge: A Qualitative Study », Health Systems & Reform, 9 (1) (décembre 31), p. 2165429. DOI : 10.1080/23288604.2023.2165429. https://doi.org/10.1080/23288604.2023.2165429.

Résumé : Since the beginning of the COVID-19 pandemic, few studies have focused on crisis management of multiple services within one hospital over several waves of the pandemic. The purpose of this study was to provide an overview of the COVID-19 crisis response of a Parisian referral hospital which managed the first three COVID cases in France and to analyze its resilience capacities. Between March 2020 and June 2021, we conducted observations, semi-structured interviews, focus groups, and lessons learned workshops. Data analysis was supported by an original framework on health system resilience. Three configurations emerged from the empirical data: 1) reorganization of services and spaces; 2) management of professionals’ and patients’ contamination risk; and 3) mobilization of human resources and work adaptation. The hospital and its staff mitigated the effects of the pandemic by implementing multiple and varied strategies, which the staff perceived as having positive and/or negative consequences. We observed an unprecedented mobilization of the hospital and its staff to absorb the crisis. Often the mobilization fell on the shoulders of the professionals, adding to their exhaustion. Our study demonstrates the capacity of the hospital and its staff to absorb the COVID-19 shock by putting in place mechanisms for continuous adaptation. More time and insight will be needed to observe whether these strategies and adaptations will be sustainable over the coming months and years and to assess the overall transformative capacities of the hospital.

Mots-clés : COVID-19, emergency response capacity, hospital, resilience.

Chabrol Fanny, Traverson Lola, Hou Renyou, Chotard Lisa, Peiffer-Smadja Nathan, Lucet Jean-Christophe, Bendjelloul Gisèle, Dagenais Christian et Ridde Valéry (2023) « Échanges interprofessionnels en temps de COVID-19 à l’hôpital Bichat Claude-Bernard : éclairages pour la recherche », Santé Publique, 35 (1), p. 59-64. DOI : 10.3917/spub.231.0059. https://www.cairn.info/revue-sante-publique-2023-1-page-59.htm.

Résumé : La gestion de l’épidémie de COVID-19 a bouleversé l’organisation des soins dans les hôpitaux. Dans le cadre d’un projet de recherche portant sur la résilience des hôpitaux et des professionnel·le·s de santé face à la pandémie de COVID-19 (HoSPiCOVID), nous avons documenté leurs stratégies d’adaptation dans cinq pays (France, Mali, Brésil, Canada, Japon). En France, dès la fin de la première vague (juin 2020), une équipe de chercheur·se·s et des professionnel·le·s de santé de l’hôpital Bichat Claude-Bernard ont organisé des groupes de discussion pour prendre acte de ces accomplissements et pour partager leurs expériences vécues. Un an plus tard, d’autres échanges ont permis de discuter et de valider les résultats de la recherche. L’objectif de cette contribution courte est de décrire les apports de ces temps d’échanges interprofessionnels conduits à l’hôpital Bichat Claude-Bernard. Nous montrons que ceux-ci ont permis : 1) de créer des espaces de parole pour les professionnel·le·s, 2) d’enrichir et de valider les données collectées au travers d’une (re)connaissance collective d’aspects saillants relatifs aux vécus de la crise, et 3) de rendre compte des attitudes, interactions et rapports de pouvoir de ces professionnel·le·s dans un contexte de gestion de crise.

Mots-clés : COVID-19, Groupe de discussion, Hôpital, Interprofessionnel, Recherche qualitative.

Chane-Po David, Gatina Jean-Hugues, Leruste Sébastien et Legrand Florian (2023) « Knowledge of type 2 diabetic patients followed for less than 5 years in primary care in the western region of Reunion Island: a cross-sectional pilot study », Pec Innovation, 2, p. 100122. DOI : 10.1016/j.pecinn.2023.100122. https://hal.science/hal-04149579.

Résumé : BACKGROUND: The learning needs of newly diagnosed diabetic patients followed up in medical offices in Reunion Island are unknown, although necessary for the improvement of education programmes and disease control. AIM: To assess the knowledge of type 2 diabetic patients in primary care followed for less than 5 years. METHOD: A cross-sectional study was carried out, using a self-questionnaire to assess patients’ knowledge of diabetes, complications, follow-up, diet and physical activity. Patients were recruited from medical offices in the western region of Reunion Island. RESULTS: From 23(rd) April to 31(st) July 2021, 89 patients were included. The knowledge level of the total sample was moderate (mean correct answers 65 % ± 17). The best knowledge levels were in the areas "generalities on diabetes" and "complications", while the lowest levels were in the categories "follow-up" and "diet and physical activity". Glycated haemoglobin, libido disorders, frequency of urinalysis and dental consultation, and the recommended diet for patients with diabetes which is the same as for the general population, were the least known concepts. CONCLUSION: This study revealed gaps in patients’ knowledge that could be used to improve education programmes which in turn could reduce or prevent diabetes complications.

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Combes Hélène, Ruiz De Elvira Laura, Musamba Josaphat et Dorronsoro Gilles (2023) « Faire face aux transformations des terrains : retours sur des expériences contrastées: », Critique internationale, N° 100 (3) (septembre 1), p. 177-192. DOI : 10.3917/crii.100.0177. https://www.cairn.info/revue-critique-internationale-2023-3-page-177.htm?ref=doi.

Coste Marion et Bousmah Marwân-al-Qays (2023) « Predicting health services utilization using a score of perceived barriers to medical care: evidence from rural Senegal », BMC Health Services Research, 23 (1) (mars 16), p. 263. DOI : 10.1186/s12913-023-09192-2.

Résumé : BACKGROUND: Ensuring access to healthcare services is a key element to achieving the Sustainable Development Goal 3 of "promoting healthy lives and well-being for all" through Universal Health Coverage (UHC). However, in the context of low- and middle-income countries, most studies focused on financial protection measured through catastrophic health expenditures (CHE), or on health services utilization among specific populations exhibiting health needs (such as pregnancy or recent sickness). METHODS: This study aims at building an individual score of perceived barriers to medical care (PBMC) in order to predict primary care utilization (or non-utilization). We estimate the score on six items: (1) knowing where to go, (2) getting permission, (3) having money, (4) distance to the facility, (5) finding transport, and (6) not wanting to go alone, using individual data from 1787 adult participants living in rural Senegal. We build the score via a stepwise descendent explanatory factor analysis (EFA), and assess its internal consistency. Finally, we assess the construct validity of the factor-based score by testing its association (univariate regressions) with a wide range of variables on determinants of healthcare-seeking, and evaluate its predictive validity for primary care utilization. RESULTS: EFA yields a one-dimensional score combining four items with a 0.7 Cronbach's alpha indicating good internal consistency. The score is strongly associated-p-values significant at the 5% level-with determinants of healthcare-seeking (including, but not limited to, sex, education, marital status, poverty, and distance to the health facility). Additionally, the score can predict non-utilization of primary care at the household level, utilization and non-utilization of primary care following an individual's episode of illness, and utilization of primary care during pregnancy and birth. These results are robust to the use of a different dataset. CONCLUSION: As a valid, sensitive, and easily documented individual-level indicator, the PBMC score can be a complement to regional or national level health services coverage to measure health services access and predict utilization. At the individual or household level, the PBMC score can also be combined with conventional metrics of financial risk protection such as CHE to comprehensively document deficits in, and progress towards UHC.

Mots-clés : Healthcare access, Perceived barriers, Primary care, Rural, Senegal, Sub-Saharan Africa, Universal health coverage (UHC).

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Coulaud Pierre-julien, Salway Travis, Jesson Julie, Bolduc Naseeb, Ferlatte Olivier, Bertrand Karine, Desgrées Du Loû Annabel, Jenkins Emily, Jauffret-Roustide Marie et Knight Rod (2023) « Moderation of the association between COVID-19-related income loss and depression by receipt of financial support: Repeated cross-sectional surveys of young adults in Canada and France (2020–2021) », SSM - Population Health, 21 (mars), p. 101340. DOI : 10.1016/j.ssmph.2023.101340. https://linkinghub.elsevier.com/retrieve/pii/S2352827323000058.

Coulibaly Abdourahmane, Chabrol Fanny, Touré Laurence, Hou Renyou, Dramé Boubacar Sidiki Ibrahim, Zinszer Kate et Ridde Valéry (2023) « Responses to Hospital Restrictions on Family Visits during the COVID-19 Epidemic in Mali and France », Health Systems & Reform, 9 (2) (juin 15), p. 2241188. DOI : 10.1080/23288604.2023.2241188. https://doi.org/10.1080/23288604.2023.2241188.

Résumé : Few studies have focused on the presence of families in the hospital in the context of an epidemic. The present study aims to contribute to filling this gap by answering the following question: How did professionals, patients and their families cope with more or less drastic restrictions to family visits and presence during the COVID-19 pandemic in a French and a Malian hospital during the COVID-19 pandemic? Data were collected during the first two waves of the pandemic through 111 semi-structured interviews (France = 55, Mali = 56). Most of the interviews were conducted with staff (n = 103), but also with families in the case of Mali (n = 8). The investigators also conducted 150 days of field observations, 44 in France and 106 in Mali. Thematic analysis was applied using an inductive approach. Interviews were content analyzed to identify passages in the interviews that were relevant to these different themes. The study highlighted the difficulty for the medical-clinical system to provide appropriate responses to the many emotional needs of patients in a pandemic context. Families in France benefited from a support service to reduce stress, while in Mali, no initiative was taken in this sense. In both countries, families often used the telephone as an alternative means of communicating with relatives. The results showed that in the two contexts, the presence and involvement of the families contributed to a better response to the patients’ psycho-affective demands and thus promoted resilience in this field.

Mots-clés : COVID-19, family visits, France, hospitals, Mali, resilience.

Coulibaly Abdourahmane, Touré Laurence, Chabrol Fanny, Zinszer Kate et Ridde Valéry (2023) « Quand les pratiques des soignants « calment » ou « stressent » les malades : l’accompagnement psychosocial des malades infectés par le SARS-CoV-2 à Bamako », Sciences sociales et santé, 41 (3) (septembre 1), p. 69-94. DOI : 10.1684/sss.2023.0255. https://www.jle.com/fr/revues/sss/e-docs/quand_les_pratiques_des_soignants_calment_ou_stressent_les_malades_laccompagnement_psychosocial_des_malades_infectes_par_le_sars_cov_2_a_bamako_333015/article.phtml?tab=texte.

Coulibaly Karna, Bousmah Marwân-al-Qays, Ravalihasy Andrainolo, Taéron Corinne, Mbiribindi Romain, Senne Jean-Noël, Gubert Flore, Gosselin Anne, Desgrées du Loû Annabel et for the MAKASI Study Group (2023) « Bridging the knowledge gap of biomedical HIV prevention tools among sub-saharan african immigrants in France. Results from an empowerment-based intervention », SSM - Population Health, 23 (septembre 1), p. 101468. DOI : 10.1016/j.ssmph.2023.101468. https://www.sciencedirect.com/science/article/pii/S2352827323001337.

Résumé : Introduction Biomedical HIV prevention tools are available in France to prevent new infections. However, evidence suggests a lack of knowledge of these tools among sub-Saharan African immigrants, who are particularly affected by HIV due to social hardship, an indirect factor of HIV acquisition. We analysed the impact of an empowerment-based intervention on the knowledge of treatment as prevention (TasP), pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) in a population of precarious sub-Saharan African immigrants. Methods Data were collected throughout the MAKASI project. Following an outreach approach, participants were recruited in public places based on their precarious situations and followed for six months (0, 3, 6 months) between 2018 and 2021. Participants were randomized into two groups and received an empowerment intervention sequentially (stepped wedge design). We used random-effects logistic regression models to evaluate the intervention effect on the knowledge of biomedical HIV prevention tools. ClinicalTrials.gov Identifier: NCT04468724. Results The majority of the participants were men (77.5%), and almost half of them had arrived in France within 2 years prior to inclusion (49.3%). At baseline, 56% of participants knew about TasP, 6% knew about PEP and 4% knew about PrEP. Receiving the intervention increased the odds of knowing about PEP (aOR = 2.02 [1.09–3.75]; p < 0.026). Intervention effects were observed for TasP and PrEP only after 6 months. We found significant time effects for PEP (at 3 months, aOR = 4.26 [2.33–7.80]; p < 0.001; at 6 months, aOR = 18.28 [7.39–45.24]; p < 0.001) and PrEP (at 3 months, aOR = 4.02 [2.10–7.72]; p < 0.001; at 6 months, aOR = 28.33 [11.16–71.91]; p < 0.001). Conclusions We showed that the intervention increased the knowledge of biomedical HIV prevention tools. The effect of the intervention was coupled with an important time effect. This suggested that exposure to the intervention together with other sources of information contributed to increased knowledge of biomedical HIV prevention tools among precarious sub-Saharan African immigrants.

Mots-clés : Empowerment intervention, France, Immigrants, Post-exposure prophylaxis, Pre-exposure prophylaxis, Sub-saharan african, Treatment as prevention.

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