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1 François Dabis
Recherche opérationnelle
- Pourquoi ?
- Quels objectifs ?
- Comment ?
AC12 - Recherche PTME - Nord & Sud
2 François Dabis
0
10
20
30
40
50
60
70
Percent female (%)
Sub-Saharan Africa
GLOBAL
Caribbean
Asia
E Europe & C Asia
Latin America
1990 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 ‘06 2007
Year
% of HIV-Infected adults who are femaleby geographic location, 1990-2007
Source: UNAIDS/WHO Dec 2007
3 François Dabis
Despite Effective Regimens to Prevent MTCT, Globally Only 11% of Women Receive ARV Prophylaxis
8%12%
28%
16%
3%
14% 15%
37%
95%
2%
29%
77%
0%
25%
50%
75%
100%
India West &CentralAfrica
East &SouthAfrica
EasternAsia &Pacific
Central &South
America
Central &EasternEurope
%HIV+ women identified 2005 %HIV+ women given ARV 2005
Regions with95% of all MTCT
Interagency Task Team on PMTCT Report Card Feb 2007 UNICEF/WHO/UNAIDS
4 François Dabis
Accès aux services de PTME en Afrique sub-Saharienne, 2005
Guinea Bissau
Zimbabwe
Zambia
Central African Republic
Kenya
Côte d'Ivoire
Rwanda
SwazilandBurundi
Benin
Togo8080
Namibia7070
6060
5050
4040
3030
2020
1010
Uganda
Gabon
LesothoMozambique
Pourcentage de femmes ayant eu accès à une prophylaxie antirétrovirale pour la PTME
Tau
x d
e c
ouvert
ure
(%
)
5 François Dabis
Prenahtest ANRS 12127The public health impact of
couple-oriented counselling within low to medium HIV prevalence countries
Cameroon, Georgia, India, Santo Domingo
F. Dabis, P. Tchendjou
6 François Dabis
Prenahtest ANRS 12127 study design
Multicentric, international public health intervention study
Feasibility phase: define intervention components that are relevant and adapted to the local operational and socio-cultural contexts + evaluate the acceptability of the intervention
Intervention trial: evaluate the impact of couple-oriented post-test HIV counselling compared to standard post-test HIV counselling
Articulation quantitative - qualitative research methodologies
7 François Dabis
Recherche opérationnelle
- Pourquoi ?
- Quels objectifs ?
- Comment ?
AC12 - Recherche PTME - Nord & Sud