Les campagnes communautaires de promotion du depistage VIH en Afrique de l’Ouest : perceptions des usagers au Burkina Faso

Desclaux, Alice; Ky-Zerbo, Odette; Somé, J.F.; Makhlouf-Obermeyer, Carla

doi:10.1177/1757975914527325

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…We compared clients' notions to WHO’s definition of ethical principles applied to HIVCT labelled ‘3Cs’ and ‘5Cs’. These data complement more general analyses of clients’ perception which have been presented elsewhere [ 21 ].…”

Section: Methodssupporting

confidence: 67%

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Desclaux

Ky-Zerbo²,

Somé

et al. 2014

BMC Int Health Hum Rights

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BackgroundCampaigns have been conducted in a number of low HIV prevalence African settings, as a strategy to expand HIV testing, and it is important to assess the extent to which individual rights and quality of care are protected during campaigns. In this article we investigate provider and client perceptions of ethical issues, including whether they think that accessibility of counseling and testing sites during campaigns may hinder confidentiality.MethodsTo examine how campaigns have functioned in Burkina Faso, we undertook a qualitative study based on individual interviews and focus group discussions with 52 people (providers and clients tested during or outside campaigns and individuals never tested). Thematic analysis was performed on discourse about perceptions and experiences of HIV-testing campaigns, quality of care and individual rights.ResultsRespondents value testing accessibility and attractiveness during campaigns; clients emphasize convenience, ripple effect, the sense of not being alone, and the anonymity resulting from high attendance. Confronted with numerous clients, providers develop context-specific strategies to ensure consent, counseling, confidentiality and retention in the testing process, and they adapt to workplace arrangements, local resources and social norms. Clients appreciate the quality of care during campaigns. However, new ethical issues arise about confidentiality and accessibility. Confidentiality of HIV-status may be jeopardized due to local social norms that encourage people to share their results with others, when HIV-positive people may not wish to do so. Providers’ ethical concerns are consistent with WHO norms known as the ‘5 Cs,’ though articulated differently. Clients and providers value the accessibility of testing for all during campaigns, and consider it an ethical matter. The study yields insights on the way global norms are adapted or negotiated locally.ConclusionsFuture global recommendations for HIV testing and counseling campaigns should consider accessibility and propose ways for testing services to respond to new ethical issues related to high demand.

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Section: Methodssupporting

confidence: 67%

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Desclaux

Ky-Zerbo²,

Somé

et al. 2014

BMC Int Health Hum Rights

Self Cite

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“…Ces approches peuvent être regroupées sous l'appellation « dépistage en stratégie avancée » ou encore « dépistage hors les murs ». Elles ont contribué à augmenter le nombre de personnes connaissant leur statut séro logique du fait de leur gratuité, de leur attractivité, de leur accessibilité [6,7] et de leur capacité à lever certaines barrières socioculturelles [8].…”

Section: Introductionunclassified

Dépistage du VIH hors les murs en Côte d’Ivoire : des prestataires communautaires sous pression

Kouadio¹,

Carillon²,

Bekelynck³

et al. 2020

Santé Publique

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réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries

Kiendrébéogo,

Sory,

Kaboré

et al. 2024

Global Health Action

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Background Community health is key for improving Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAH-N). However, how community health supports integrated RMNCAH-N service delivery in francophone West Africa is under-researched. Objective We examined how six francophone West African countries (Burkina Faso, Côte d’Ivoire, Guinea, Mali, Niger, and Senegal) support community health through the Global Financing Facility for Women, Children and Adolescents (GFF). Methods We conducted a content analysis on Investment Cases and Project Appraisal Documents from selected countries, and set out the scope of the analysis and the key search terms. We applied an iterative hybrid inductive-deductive approach to identify themes for data coding and extraction. The extracted data were compared within and across countries and further grouped into meaningful categories. Results In country documents, there is a commitment to community health, with significant attention paid to various cadres of community health workers (CHWs) who undertake a range of preventive, promotive and curative roles across RMNCAH-N spectrum. While CHWs renumeration is mentioned, it varies considerably. Most community health indicators focus on CHWs’ deliverables, with few related to governance and civil registration. Challenges in implementing community health include poor leadership and governance and resource shortages resulting in low CHWs performance and service utilization. While some countries invest significantly in training CHWs, structural reforms and broader community engagement are lacking. Conclusions There is an opportunity to better prioritize and streamline community health interventions, including integrating them into health system planning and budgeting, to fully harness their potential to improve RMNCAH-N.

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Les campagnes communautaires de promotion du depistage VIH en Afrique de l’Ouest : perceptions des usagers au Burkina Faso

Cited by 3 publications

References 4 publications

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Ethical considerations of providers and clients on HIV testing campaigns in Burkina Faso

Dépistage du VIH hors les murs en Côte d’Ivoire : des prestataires communautaires sous pression

How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries

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