scholarly journals Pre-Exposure Prophylaxis (PrEP) in Men Who have Sex with Men in Bouaké, Côte d’Ivoire: A Qualitative Evaluation of Acceptability

2019 ◽  
Vol 13 (1) ◽  
pp. 49-58 ◽  
Author(s):  
Sara Jeanne Pelletier ◽  
Marie-Pierre Gagnon ◽  
Souleymane Diabaté ◽  
Ouffoué Kra ◽  
Yadjoro Josué Biékoua ◽  
...  
Keyword(s):  
High Risk ◽  
Focus Groups ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Ease Of Use ◽  
Public Health Issue ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Sex With Men ◽  
Exposure Prophylaxis

Background: HIV remains an important public health issue throughout the world. In Côte d’Ivoire, a high burden of HIV is observed in men who have sex with men (MSM). Objective: We assessed the acceptability of Pre-Exposure Prophylaxis (PrEP) among men who have sex with men (MSM) in Bouaké, Côte d’Ivoire. Methods: We conducted and analysed four focus groups with 31 HIV-negative MSM and eight in-depth individual interviews with participants recruited from the focus groups. Results: Four MSM (13%) were aware of PrEP before participating in the study. All the participants were interested in taking PrEP if available: 19 (61.3%) would prefer the daily regimen and 12 (38.7%) would opt for the on-demand regimen. Many advantages of PrEP were mentioned: protection in case of a condom break, protection in case of high-risk sexual behaviour, self-reliance, decreasing HIV fear and ease of use. Barriers to the use of PrEP included: it does not protect against other Sexually Transmitted Tnfections (STIs), taking a pill regularly is necessary, the size of the pill, possibility of side effects, the cost and accessibility. Six participants (19.3%) admitted that they would use condoms less if they take PrEP. Conclusion: Findings indicate that PrEP is acceptable within the MSM community. Implementation should be done rapidly, and PrEP should be part of a global prevention program which includes counselling, STI screening and promotion of safe sex practices. Health authorities should consider PrEP for all high-risk groups to avoid worsening stigmatization by targeting MSM only.

scholarly journals Pre-exposure prophylaxis among men who have sex with men in Côte d’Ivoire: a quantitative study of acceptability

AIDS Care ◽  
2020 ◽  
pp. 1-9
Author(s):  
S. Diabaté ◽  
O. Kra ◽  
Y. J. Biékoua ◽  
S. J. Pelletier ◽  
D. G. Osso ◽  
...  
Keyword(s):  
Quantitative Study ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals Epidemiology of Schistosomiasis in Two High-Risk Communities of South Côte d'Ivoire with Particular Emphasis on Pre-School–Aged Children

2013 ◽  
Vol 89 (1) ◽  
pp. 32-41 ◽  
Author(s):  
Jean T. Coulibaly ◽  
Yves K. N'Gbesso ◽  
Eliézer K. N'Goran ◽  
Jürg Utzinger ◽  
Nicaise A. N'Guessan ◽  
...  
Keyword(s):  
High Risk ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cote D’Ivoire ◽  
School Aged Children ◽  
Côte D'ivoire ◽  
Risk Communities

scholarly journals HIGH RISK OF POSTPARTUM HAEMORRHAGE AT BOUAKÉ UNIVERSITY HOSPITAL (NORTH-CENTRAL CÔTE D’IVOIRE)

2021 ◽  
Vol 1 (11) ◽  
pp. 78-91
Author(s):  
Zahouo Pascale Ghislaine KOUAMÉ ◽  
Adou Serge Judicaël ANOUA ◽  
N’Doumy Noël ABE
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Adolescent Mothers ◽  
Cote D'ivoire ◽  
Postpartum Haemorrhage ◽  
Côte D’Ivoire ◽  
Community Intervention ◽  
University Hospital ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Objectives. Postpartum haemorrhage is one of several direct causes of maternal death in Côte d’Ivoire. It is recurrent in the department of gynaecology and obstetrics at Bouaké University Hospital (CHU de Bouaké), but little is known to date about the underlying risk factors. The present study aims to describe the levels and trends displayed by the risk factors of postpartum haemorrhage before determining the contributing social factors in the aforesaid department. Material and methods. This study is retrospective in nature, concerning the period from 2014 to 2016. Data was obtained from delivery records and through individual interviews. The overall approach adopted is an anthropological one. Results. Postpartum haemorrhage is significant in light of its very high and increasing incidence (22.31%) among multiparous mothers. Within the latter category, fatal complications are a critical problem, with an annual average estimated at 35.98% and on the rise. The overall situation is alarming in view of this progressive deterioration. The persistence of the reproductive morbidity is attributable to various economic, social, cultural, and infrastructural factors. Conclusions. Communicational strategies are proposed as a type of community intervention conducive to social and behavioural change, with multiparous mothers as a priority target group, followed by older mothers in the medium term and by adolescent mothers in the long term. This should raise awareness about high-risk reproductive behaviours and practices as well as the environmental, economic, social, cultural, and infrastructural factors correlated to postpartum haemorrhage, with the ultimate goal of improving the quality and safety of reproductive practices. Keywords: postpartum haemorrhage, reproductive behaviour, high risk, obstetric emergency, maternal morbidity, Côte d’Ivoire.

scholarly journals Telephone peer recruitment and interviewing during a respondent-driven sampling (RDS) survey: feasibility and field experience from the first phone-based RDS survey among men who have sex with men in Côte d’Ivoire

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maxime Inghels ◽  
◽  
Arsène Kra Kouassi ◽  
Serge Niangoran ◽  
Anne Bekelynck ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Network Size ◽  
Sub Saharan Africa ◽  
Convergence To Equilibrium ◽  
Respondent Driven Sampling ◽  
Size Estimation ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Sex With Men

Abstract Background Many respondent-driven sampling (RDS) methodologies have been employed to investigate hard-to-reach populations; however, these methodologies present some limits. We describe a minimally investigated RDS methodology in which peer recruitment and interviewing are phone-based. The feasibility of the methodology, field experiences, validity of RDS assumptions and characteristics of the sample obtained are discussed. Methods We conducted a phone-based RDS survey among men who have sex with men (MSM) aged 18 or above and living in Côte d’Ivoire. Eight initial MSM across Côte d’Ivoire were selected. Participants were asked to call a hotline to be registered and interviewed by phone. After the participants completed the questionnaire, they were asked to recruit a maximum of 3 MSM from their acquaintances. Results During the 9 months of the survey, 576 individuals called the hotline, and 518 MSM completed the questionnaire. The median delay between the invitation to participate and the completion of the questionnaire by peer-recruited MSM was 4 days [IQR: 1–12]. The recruitment process was not constant, with high variation in the number of people who called the hotline during the survey period. RDS chain convergence to equilibrium was reached within 6 waves for most of the selected variables. For the network size estimation assumption, participants who incorrectly estimated their network size were observed. Regarding the sample obtained, MSM were recruited from all the regions of Côte d’Ivoire with frequent interregional recruitment; 23.5% of MSM were recruited by someone who does not live in the same region. Compared to the MSM who participated in two other surveys in Côte d’Ivoire, the MSM in our sample were less likely to know about an MSM non-governmental organisation. However, MSM aged 30 years old and above and those with a low level of education were underrepresented in our sample. Conclusion We show that phone-based RDS surveys among MSM are feasible in the context of sub-Saharan Africa. Compared to other classical RDS survey methodologies, the phone-based RDS methodology seems to reduce selection bias based on geography and proximity with the MSM community. However, similar to other methodologies, phone-based RDS fails to reach older and less-educated MSM.

scholarly journals The Epidemiology of HIV and Prevention Needs of Men Who Have Sex with Men in Abidjan, Cote d’Ivoire

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0125218 ◽  
Author(s):  
Avi J Hakim ◽  
Josephine Aho ◽  
Gisele Semde ◽  
Mamadou Diarrassouba ◽  
Konan Ehoussou ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Sex With Men

Violence by Nonstate Actors

2020 ◽  
pp. 88-117
Author(s):  
Sarah Birch
Keyword(s):  
High Risk ◽  
Case Studies ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Nonstate Actors ◽  
Vote Buying ◽  
Cote D’Ivoire ◽  
Electoral Violence ◽  
Côte D'ivoire ◽  
Forms Of Violence

This chapter discusses nonstate electoral violence, exploring the circumstances under which nonstate actors resort to violent means to achieve their ends, how state-initiated violence and nonstate violence interact, and also how nonstate electoral violence is produced. It demonstrates a strong and consistent empirical association between violence committed by nonstate actors and corruption, together with a link between this form of violence and vote buying suggestive of carrot-and-stick tactics. The chapter then explores the use made by nonstate actors of violent electoral protest as a mobilizational device, and the techniques whereby politicians enlist vigilante groups and proxies to carry out high-risk forms of violence. Analytically, mobilizational violence can be understood as taking two principal forms: protests against state electoral manipulation and violence between competing informal groupings seeking to secure the loyalty of their clients. Case studies of Pakistan, Ghana, Kyrgyzstan, and Côte d'Ivoire help to probe these casual mechanisms and to analyze the production of electoral violence.

scholarly journals Sexual health needs of female sex workers in Côte d’Ivoire: a mixed-methods study to prepare the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e028508 ◽  
Author(s):  
Valentine Becquet ◽  
Marcellin Nouaman ◽  
Mélanie Plazy ◽  
Jean-Marie Masumbuko ◽  
Camille Anoma ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Condom Use ◽  
Cote D'ivoire ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Côte D’Ivoire ◽  
Mixed Methods Study ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Exposure Prophylaxis

ObjectiveTo describe sexual and reproductive health (SRH) needs of female sex workers (FSWs) to inform the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention in this population.Design and settingThe ANRS 12361 PrEP-CI cross-sectional and mixed-methods study was designed and implemented with two community-based organisations in Côte d’Ivoire.ParticipantsA convenience sample of 1000 FSWs aged ≥18, not known as HIV-positive, completed a standardised questionnaire assessing sociodemographic characteristics, sexual practices, use of community health services and a priori acceptability of PrEP. Twenty-two indepth interviews and eight focus group discussions were also conducted to document FSWs’ risky practices and sexual behaviours, experiences with violence and discrimination, attitudes regarding HIV and sexually transmitted infections (STIs), and barriers to SRH services.ResultsAlthough 87% described consistent condom use with clients, more than 22% declared accepting condomless sexual intercourse for a large sum of money. Furthermore, condom use with their steady partner and knowledge of their partner’s HIV status were low despite their acknowledged concurrent sexual partnerships. While inconsistent condom use exposed FSWs to STIs and undesired pregnancies, the prevalence of contraceptive strategies other than condoms was low (39%) due to fear of contraception causing sterility. FSWs faced obstacles to accessing SRH care and preferred advice from their peers or self-medication.ConclusionsDespite adoption of preventive behaviour in most cases, FSWs are still highly exposed to HIV. Furthermore, FSWs seem to face several barriers to accessing SRH. Implementing PrEP among FSWs in West Africa, such as in Côte d’Ivoire, constitutes an opportunity to consider the regular follow-up of HIV-negative FSWs. PrEP initiation should not condition access to SRH services; conversely, SRH services could be a way to attract FSWs into HIV prevention. Our results highlight the importance of developing a people-focused approach that integrates all SRH needs when transitioning from PrEP efficacy trials to implementation.

scholarly journals Mycobacterium ulceransDisease with Unusual Sites Not to Be Ignored

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Sangaré Abdoulaye ◽  
Kourouma Sarah Hamdan ◽  
Kouassi Yao Isidore ◽  
Ecra Elidjé Joseph ◽  
Kaloga Mamadou ◽  
...  
Keyword(s):  
Public Health ◽  
Retrospective Study ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
University Teaching ◽  
Public Health Issue ◽  
Clinical Aspects ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
The University

Objective. The usual preferential site of BU is in the limbs. In our experience, we noticed atypical and often misleading sites which pose serious issues for the diagnosis and often for the treatment.Methods. This is a retrospective study conducted over a period of ten years of BU treatment at the Department of Dermatology of the University Teaching Hospital of Treichville (Abidjan, Côte d’Ivoire). We included in this study all BU cases with atypical site diagnosed clinically and confirmed either by the histology, by smear, or by PCR.Results. Epidemiologically, the age of patients ranged from 3 to 72 years with a median age of 14.2 years. Children aged less than 15 years were affected in almost 80% of case. The clinical table was dominated by ulcerated forms in 82.1% of cases. The unusual topography mostly observed was that of the torso (thorax, back, and abdomen) in 76.8% of cases.Conclusion. BU is an endemic disease in Côte d’Ivoire where it constitutes a serious public health issue. Several years following its first cases, BU still is little known. This dermatosis may present atypical misleading clinical aspects which must be ignored.

scholarly journals Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Côte d'Ivoire

2019 ◽  
Vol 33 ◽  
pp. 79-83.e1 ◽  
Author(s):  
Ayden Scheim ◽  
Carrie Lyons ◽  
Rebecca Ezouatchi ◽  
Benjamin Liestman ◽  
Fatou Drame ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Transgender Women ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Sex With Men

Prospective Mapping of Schistosomian Risk by Markovian Modelling and Multi-criteria Analysis in Central Côte d'Ivoire

2021 ◽  
Vol 6 (7) ◽  
pp. 127-132
Author(s):  
Gnahoua Guy Roger Gnazalé ◽  
Adonis Krou Damien Kouamé ◽  
Valère-Carin Jofack Sokeng
Keyword(s):  
High Risk ◽  
Cote D'ivoire ◽  
Control Strategy ◽  
Schistosoma Haematobium ◽  
Côte D’Ivoire ◽  
Markov Modeling ◽  
Cote D’Ivoire ◽  
Preventive Control ◽  
Côte D'ivoire ◽  
Risk Areas

The Bélier region and the autonomous district of Yamoussoukro, is a region of central Côte d'Ivoire that records every year cases of schistosomiasis contamination. Although the figures are low, this area is of interest for epidemiological control. The schistosomiasis infection with schistosoma haematobium or urinary bilharziasis is the most widespread and is important in some areas along the main rivers of the region. The development of maps of areas at risk schistosomiasis by 2027 by Markov modeling using Markov chains observable and by combining layers of sensitivity and vulnerability of 2027 of the infection show a change in the surface risk of contamination from 17% in 2017 to 23% in 2027 of the total area of the region. These areas are mainly located in the departments of Yamoussoukro, Toumodi and Djékanou. 15% of the localities in this region are high-risk areas in 2017 and 23% in 2027. The prediction of risk areas and localities at high risk of contamination by Markov modeling makes any preventive control strategy possible.

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