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Exclusion, vulnerability, poverty and AIDS
Kablan, Cléopâtre
PhD Thesis, Université de Cocody, Côte d'Ivoire For further information please contact the author
Santé, pratiques sexuelles et VIH/SIDA chez les adolescents dans les écoles en milieu urbain au Tchad
Nodjiadim, Abdias Laoubaou
Master's Thesis, Université Marc Bloch de Strasbourg II, Strasbourg, France "Notre étude tente de comprendre les comportements, pratiques et attitudes des jeunes dans deux établissements scolaires au Tchad vis à vis de la sexualité et du VIH/SIDA et répond aux objectifs suivants : • Analyser les perceptions, attitudes et pratiques que les jeunes en milieu scolaire ont de la sexualité et des facteurs de risques d’infection à VIH ; • Identifier les comportements à risques chez les adolescents en milieu scolaire et les problèmes de santé sexuelle auxquels ils sont confrontés ; • Déterminer leur dynamique relationnelle en matière d’engagement pour un changement de comportement." Download
VIH/sida, genre et vulnérabilité
Kablan, Cléopâtre
"L'une des préoccupations majeures qui apparaît lorsqu'on s'intéresse au VIH/sida dans les pays du sud, est celle de la vulnérabilité des femmes infectées. Face à cette vulnérabilité, quelles réponses une association de femmes vivant avec le VIH/sida peut-elle apporter ? Pour répondre à cette question, nous avons mené une enquête de terrain auprès d'une association de femmes vivant avec le VIH/sida à Abidjan. Cette enquête qui a combiné approche quantitative et approche qualitative visait à cerner les réponses de l'association face aux risques auxquels sont exposées ces femmes. Les résultats indiquent que face à la vulnérabilité des femmes qui se traduit soit par une rupture des liens sociaux soit par le silence imposé par le risque d'une telle rupture, les soutiens moral, matériel et financier constituent les principales actions menées par l'association." VertigO - la revue électronique en sciences de l'environnement 2006, hors série 3, Article 6 Download PDF from: VertigO
Costs attributable to AIDS at household level in Chad
Wyss, Kaspar
"This paper assesses the economic costs of AIDS at the household level in Chad, one of the poorest countries in the world. One hundred and ninety-three AIDS patients living in four different regions were found by case identification at hospital level and through community based organizations providing psycho-social relief. They were matched by age, sex, professional category and zone of residence with controls. Costs were evaluated through a standard questionnaire. Costs at household level attributable to AIDS up to death were US$836 per case. Costs related to productivity losses made up 28% of total costs. More than half of total costs (56%) were health care related expenditures, and funeral costs contributed 16%. AIDS cases relied more often on borrowing and the selling of household assets than controls for treatment. Household expenditures of AIDS cases were much higher than control households mainly due to health related expenditure. The response of concerned families to HIV/AIDS implies high costs and for most households, especially in low-income settings, the consequences of AIDS are devastating. Innovative strategies on how best to assist households are thus requested and may include the strengthening of care and treatment services being offered to AIDS cases." AIDS Care 2004, Vol. 16, No. 7, pp. 808-816 Available from: Informaworld
Prioritization of prevention activities to combat the spread of HIV/AIDS in resource constrained settings
Hutton, G.
"In Chad, as in most sub-Saharan Africa countries, HIV/AIDS poses a massive public health threat as well as an economic burden, with prevalence rates estimated at 9% of the adult population. In defining and readjusting the scope and content of the national HIV/AIDS control activities, policy makers sought to identify the most cost-effective options for HIV/AIDS control. The cost-effectiveness analysis reported in this paper uses a mixture of local and international information sources combined with appropriate assumptions to model the cost-effectiveness of feasible HIV prevention options in Chad, with estimates of the budget impact. The most cost-effective options at under US$100 per infection prevented were peer group education of sex workers and screening of blood donors to identify infected blood before transfusion. These options were followed by mass media and peer group education of high risk men and young people, at around US$500 per infection prevented. Anti-retroviral therapy for HIV infected pregnant women and voluntary counselling and testing were in the order of US$1000 per infection prevented. The paper concludes with recommendations for which activities should be given priority in the next phase of the national HIV/AIDS control programme in Chad." The International Journal of Health Planning and Management 2003, Vol. 18, No. 2, pp. 117-136 Available from: Wiley InterScience
Effect of an armed conflict on human resources and health systems in Côte d'Ivoire
Betsi, Alain Nicolas
"In September 2002, an armed conflict erupted in Côte d'Ivoire which has since divided the country in the government-held south and the remaining territory controlled by the 'Forces Armées des Forces Nouvelles' (FAFN). There is concern that conflict-related population movements, breakdown of health systems and food insecurity could significantly increase the incidence of HIV infections and other sexually-transmitted infections, and hence jeopardize the country's ability to cope with the HIV/AIDS epidemic. Our objective was to assess and quantify the effect this conflict had on human resources and health systems that provide the backbone for prevention, treatment and care associated with HIV/AIDS. We obtained data through a questionnaire survey targeted at key informants in 24 urban settings in central, north and west Côte d'Ivoire and reviewed relevant Ministry of Health (MoH) records. We found significant reductions of health staff in the public and private sector along with a collapse of the health system and other public infrastructures, interruption of condom distribution and lack of antiretrovirals. On the other hand, there was a significant increase of non-governmental organizations (NGOs), some of which claim a partial involvement in the combat with HIV/AIDS. The analysis shows the need that these NGOs, in concert with regional and international organizations and United Nations agencies, carry forward HIV/AIDS prevention and care efforts, which ought to be continued through the post-conflict stage and then expanded to comprehensive preventive care, particularly antiretroviral treatment." AIDS Care 2006, Vol. 18, No. 4, pp. 356-365 Available to purchase from: Informaworld