Effectiveness Evaluation of the First-Phase of an Integrated Chronic Care Model to Improve Prevention, Care, and Support for People Living with HIV in Côte d’Ivoire

2021 ◽  
Author(s):  
Stacie Stender ◽  
Kiyali Ouattara
Keyword(s):  
Cote D'ivoire ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Côte D’Ivoire ◽  
Effectiveness Evaluation ◽  
People Living With Hiv ◽  
Care Model ◽  
Cote D’Ivoire ◽  
Care And Support ◽  
Living With Hiv

scholarly journals Discrimination of people living with hiv/aids: a survey with dentists in Abidjan, Côte d’Ivoire

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J C Guinan ◽  
G D Meless ◽  
A D Sangaré ◽  
V Danho-Da ◽  
B S Kouassi ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Continuing Education ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Hiv Transmission ◽  
People Living With Hiv ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Living With Hiv ◽  
Lack Of Knowledge

Abstract Background Despite several decades of fighting HIV infection, discrimination against people living with this infection persists, even among health professionals. Understanding the determinants of discriminatory attitudes of dentists is a first step towards access to oral health care and improved care for people living with HIV (PLHIV). Objectives To analyse the determinants of discriminatory attitudes towards people living with HIV among dentists in Côte d’Ivoire. Methods A cross-sectional survey was conducted among dentists in Abidjan in 2016. In addition to socio-professional characteristics, a questionnaire collected information on their knowledge about HIV (transmission, hiv-related oral diseases) and their individual perception (fear of being contaminated, cross-contamination...). The chi2 test for independent sampling was used to identify factors associated with discriminatory attitudes (threshold α = 5%). Results A total of 120 dentists were interviewed: 61.3% from the public sector; 56.7% men; 54.2% in couple; 53.3% had participated in continuing education on HIV; 29.2% did not know HIV-related diseases and transmission modes and 69.2% reported fear of being infected during care; 44.2% reported informing staff of the patient’s HIV status. The proportion of dentists with discriminatory attitudes was estimated at 69.2%. The main associated factors were: female gender (p = 0.001), living in couple (p = 0.000), lack of knowledge of the risk of HIV transmission after a blood exposure accident (p = 0.000), the law protecting people living with HIV in Côte d’Ivoire (p = 0.009) and fear of being infected (p = 0.000). Conclusions The results of this study show that the determinants of discriminatory attitudes among dentists result from their lack of knowledge of the disease, justifying the need to strengthen their continuing education on HIV/AIDS infection. Key messages Dentists discrimination towards people living with HIV infection result from their lack of knowledge about the infection. It’s essential to strengthen their knowledge about HIV in order to improve access to care for people living with HIV.

Effects of a collaborative approach to documentation of care for people living with HIV (PLWHIV) in Côte d’Ivoire

2017 ◽  
Vol 27 (4) ◽  
pp. 397-401
Author(s):  
I. Tiembre ◽  
V.J. Benie Bi ◽  
H. Attoh-Touré ◽  
D. Bassalia ◽  
H. N’Guessan ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
People Living With Hiv ◽  
Collaborative Approach ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Living With Hiv

scholarly journals Vitamin D Deficiency and Evaluation of the Parathyroid Hormone Status in People Living with HIV in Côte d’Ivoire

2018 ◽  
pp. 1-10
Author(s):  
Aya Jeanne Armande Aké ◽  
Lydie Boyvin ◽  
Kipré Laurent Séri ◽  
Mousso Jean Maurel Allico ◽  
Kadjoweli Djakaridja Yéo ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Hiv Infection ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
The Body ◽  
Cd4 Count ◽  
People Living With Hiv ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Living With Hiv

Background: Micronutrients play an important role in the human immune system. During HIV infection, the virus utilises the micronutrients of the body, for its replication causing metabolic disorders including phosphocalcic. Parathyroid hormone (PTH), vitamin D3 (25-hydroxyvitamin D3) and calcitonin are essential for the maintenance of phosphocalcic homeostasis and the proper functioning of the body. In Côte d'Ivoire, very few studies on HIV infection and the mechanism of phosphocalcic metabolism have been done. The purpose of this study was to determine the status of 25 (OH) D3 and parathyroid hormone in people living with HIV. Methodology: The study involved 326 adults (163 HIV-positive and 163 HIV-negative as control subjects). After confirmation by HIV serologic scanning result, CD4 count was performed by flow cytometry (Facs Calibur). Assays for 25 (OH) D3 and PTH were performed by HPLC and COBAS 6000 automated systems, respectively. Results: A decrease in mean values ​​of 25 (OH) D3 (16 ± 0.46 ng / mL) was observed in 50% of HIV-infected on ART and 87% of these patients presented a normal PTH level (28 ± 1.95 pg / mL). Deficiency of 25 (OH) D3 (20 ± 1.03 ng / mL) is higher in HIV-infected on ART who have a CD4 count < 200 cells / mL. Conclusion: Parathyroid hormone levels were normal in this study. Insufficiency or deficiency of 25-hydroxyvitamin D3 is more common in HIV-infected on ART with a CD4 count < 200 cells / mL. This decrease characterized the degree of immunodepression.

scholarly journals Financial burdens of HIV and chronic disease on people living with HIV in Côte d’Ivoire: A cross-sectional out-of-pocket expenditure study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255074
Author(s):  
Rachel D. Stelmach ◽  
Miriam Rabkin ◽  
Kouame Abo ◽  
Irma Ahoba ◽  
Mahena Gildas Anago ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Direct Costs ◽  
User Fees ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Convenience Sample ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Living With Hiv

Background Although people living with HIV in Côte d’Ivoire receive antiretroviral therapy (ART) at no cost, other out-of-pocket (OOP) spending related to health can still create a barrier to care. Methods A convenience sample of 400 adults living with HIV for at least 1 year in Côte d’Ivoire completed a survey on their health spending for HIV and chronic non-communicable diseases (NCDs). In addition to descriptive statistics, we performed simple linear regression analyses with bootstrapped 95% confidence intervals. Findings 365 participants (91%) reported OOP spending for HIV care, with a median of $16/year (IQR 5–48). 34% of participants reported direct costs with a median of $2/year (IQR 1–41). No participants reported user fees for HIV services. 87% of participants reported indirect costs, with a median of $17/year (IQR 7–41). 102 participants (26%) reported at least 1 NCD. Of these, 80 (78%) reported OOP spending for NCD care, with a median of $50/year (IQR 6–107). 76 participants (95%) with both HIV and NCDs reported direct costs, and 48% reported paying user fees for NCD services. Participants had missed a median of 2 HIV appointments in the past year (IQR 2–3). Higher OOP costs were not associated with the number of HIV appointments missed. 21% of participants reported spending over 10% of household income on HIV and/or NCD care. Discussion and conclusions Despite the availability of free ART, most participants reported OOP spending. OOP costs were much higher for participants with co-morbid NCDs.

scholarly journals Assessment of dietary diversity and nutritional support for children living with HIV in the IeDEA pediatric West African cohort: a non-comparative, feasibility study

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Julie Jesson ◽  
Ayoko Ephoevi-Ga ◽  
Marie-Hélène Aké-Assi ◽  
Sikiratou Koumakpai ◽  
Sylvie N’Gbeche ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Nutritional Support ◽  
Côte D’Ivoire ◽  
Dietary Diversity ◽  
Hiv Care ◽  
Z Score ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Moderate Malnutrition ◽  
Living With Hiv

Abstract Background Nutritional care is not optimally integrated into pediatric HIV care in sub-Saharan Africa. We assessed the 6-month effect of a nutritional support provided to children living with HIV, followed in a multicentric cohort in West Africa. Methods In 2014-2016, a nutritional intervention was carried out for children living with HIV, aged under 10 years, receiving antiretroviral therapy (ART) or not, in five HIV pediatric cohorts, in Benin, Togo and Côte d’Ivoire. Weight deficiency was assessed using two definitions: wasting (Weight for Height Z-score [WHZ] for children<5 years old or Body-Mass-Index for Age [BAZ] for ≥5 years) and underweight (Weight for Age Z-score [WAZ]) (WHO child growth standards). Combining these indicators, three categories of nutritional support were defined: 1/ children with severe malnutrition (WAZ and/or WHZ/BAZ <-3 Standard Deviations [SD]) were supported with Ready-To-Use Therapeutic Food (RUTF), 2/ those with moderate malnutrition (WAZ and/or WHZ/BAZ = [-3;-2[ SD) were supported with fortified blended flours produced locally in each country, 3/ those non malnourished (WAZ and WHZ/BAZ ≥-2 SD) received nutritional counselling only. Children were followed monthly over 6 months. Dietary Diversity Score (DDS) using a 24h recall was measured at the first and last visit of the intervention. Results Overall, 326 children were included, 48% were girls. At baseline, 66% were aged 5-10 years, 91% were on ART, and 17% were severely immunodeficient (CD4 <250 cells/mL or CD4%<15). Twenty-nine (9%) were severely malnourished, 63 (19%) moderately malnourished and 234 (72%) non-malnourished. After 6 months, 9/29 (31%) and 31/63 (48%) recovered from severe and moderate malnutrition respectively. The median DDS was 8 (IQR 7-9) in Côte d’Ivoire and Togo, 6 (IQR 6-7) in Benin. Mean DDS was 4.3/9 (sd 1.2) at first visit, with a lower score in Benin, but with no difference between first and last visit (p=0.907), nor by intervention groups (p-value=0.767). Conclusions This intervention had a limited effect on nutritional recovery and dietary diversity improvement. Questions remain on determining appropriate nutritional products, in terms of adherence, proper use for families and adequate energy needs coverage for children living with HIV. Trial registration PACTR202001816232398, June 01, 2020, retrospectively registered.

Reaching an AIDS-Free Generation in Côte d'Ivoire, Data Driven Policy Design for HIV/AIDS Response Programs

2016 ◽  
Vol 5 (1) ◽  
pp. 43-62 ◽  
Author(s):  
Paulo Gonçalves ◽  
Simplice Takoubo Kamdem
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Policy Design ◽  
Behavior Pattern ◽  
Formal System ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Hiv Aids

Sub-Saharan Africa is home to 24.7 million people living with HIV of an estimated total of 35.0 million people globally in 2013. It also accounts for almost 70% of the new HIV infections globally. In West Africa, Cote d'Ivoire has the highest HIV prevalence, or 3.7% of the 2012 population, and the two virus types (HIV-1 & HIV-2) are present. From an epidemiological standpoint, these unique attributes make Cote d'Ivoire unique. At the same time, existing HIV/AIDS modeling policies have being developed from the data of countries that do not have these peculiarities. This research develops a formal system dynamics model capturing the evolution of HIV/AIDS in Cote d'Ivoire for four decades, starting in 1990. The findings include a development of HIV/AIDS behavior pattern over time that led to the proposal of evidence-based policies.

scholarly journals Avoidable workload of care for patients living with HIV infection in Abidjan, Côte d’Ivoire: A cross-sectional study

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0202911 ◽  
Author(s):  
Viet-Thi Tran ◽  
Mariam Mama Djima ◽  
Eugene Messou ◽  
Jocelyne Moisan ◽  
Jean-Pierre Grégoire ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Living With Hiv
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