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AC12 - Recherche PTME - Nord & Sud. Recherche opérationnelle Pourquoi ? Quels objectifs ? Comment ?. Sub-Saharan Africa. GLOBAL. Caribbean. Asia. E Europe & C Asia. Latin America. % of HIV-Infected adults who are female by geographic location, 1990-2007. 70. 60. 50. Percent
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AC12 - Recherche PTME - Nord & Sud • Recherche opérationnelle • Pourquoi ? • Quels objectifs ? • Comment ? 1 François Dabis
Sub-Saharan Africa GLOBAL Caribbean Asia E Europe & C Asia Latin America % of HIV-Infected adults who are female by geographic location, 1990-2007 70 60 50 Percent female (%) 40 30 20 10 0 1990 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 ‘06 2007 Year Source: UNAIDS/WHO Dec 2007 2 François Dabis
Despite Effective Regimens to Prevent MTCT, Globally Only 11% of Women Receive ARV Prophylaxis Interagency Task Team on PMTCT Report Card Feb 2007 UNICEF/WHO/UNAIDS Regions with 95% of all MTCT 3 François Dabis
80 Pourcentage de femmes ayant eu accès à une prophylaxie antirétrovirale pour la PTME Togo Namibia 70 Zambia Guinea Bissau Benin 60 Central African Republic Swaziland 50 Burundi Uganda Taux de couverture (%) 40 Gabon Rwanda 30 Kenya Zimbabwe 20 Lesotho Mozambique Côte d'Ivoire 10 Accès aux services de PTME en Afrique sub-Saharienne, 2005 4 François Dabis
Prenahtest ANRS 12127The public health impact of couple-oriented counselling within low to medium HIV prevalence countriesCameroon, Georgia, India, Santo DomingoF. Dabis, P. Tchendjou 5 François Dabis
Prenahtest ANRS 12127study 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 6 François Dabis
AC12 - Recherche PTME - Nord & Sud • Recherche opérationnelle • Pourquoi ? • Quels objectifs ? • Comment ? 7 François Dabis