Paediatric HIV infection in Western Africa: the long way to the standard of care.
Identifieur interne : 000712 ( Main/Exploration ); précédent : 000711; suivant : 000713Paediatric HIV infection in Western Africa: the long way to the standard of care.
Auteurs : Hyppolite K. Tchidjou [Italie] ; Alessandra Maria Martino ; Louis-Philippe K. Goli ; Maïmouna Diop Ly ; Leo Zekeng ; Mamadou Samba ; Stefano Maiolo ; Paolo Palma ; Giuseppe Pontrelli ; Giorgio Mancino ; Paolo Rossi ; Vittorio ColizziSource :
- Journal of tropical pediatrics [ 1465-3664 ] ; 2012.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Antirétroviraux (usage thérapeutique), Burkina (épidémiologie), Côte d'Ivoire (épidémiologie), Enfant, Enquêtes sur les soins de santé, Femelle, Ghana (épidémiologie), Grossesse, Humains, Infections à VIH (), Infections à VIH (traitement médicamenteux), Infections à VIH (épidémiologie), Morbidité, Mâle, Norme de soins (tendances), Nourrisson, Nouveau-né, Prophylaxie après exposition (), Prévalence, Transmission verticale de maladie infectieuse ().
- MESH :
- tendances : Norme de soins.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Antirétroviraux.
- épidémiologie : Burkina, Côte d'Ivoire, Ghana, Infections à VIH.
- Accessibilité des services de santé, Enfant, Enquêtes sur les soins de santé, Femelle, Grossesse, Humains, Infections à VIH, Morbidité, Mâle, Nourrisson, Nouveau-né, Prophylaxie après exposition, Prévalence, Transmission verticale de maladie infectieuse.
- Wicri :
- geographic : Burkina Faso, Ghana.
English descriptors
- KwdEn :
- Anti-Retroviral Agents (therapeutic use), Burkina Faso (epidemiology), Child, Cote d'Ivoire (epidemiology), Female, Ghana (epidemiology), HIV Infections (drug therapy), HIV Infections (epidemiology), HIV Infections (prevention & control), Health Care Surveys, Health Services Accessibility, Humans, Infant, Infant, Newborn, Infectious Disease Transmission, Vertical (prevention & control), Infectious Disease Transmission, Vertical (statistics & numerical data), Male, Morbidity, Post-Exposure Prophylaxis (statistics & numerical data), Pregnancy, Prevalence, Standard of Care (trends).
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- geographic , epidemiology : Burkina Faso, Cote d'Ivoire, Ghana.
- drug therapy : HIV Infections.
- epidemiology : HIV Infections.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical.
- statistics & numerical data : Infectious Disease Transmission, Vertical, Post-Exposure Prophylaxis.
- trends : Standard of Care.
- Child, Female, Health Care Surveys, Health Services Accessibility, Humans, Infant, Infant, Newborn, Male, Morbidity, Pregnancy, Prevalence.
Abstract
In sub-Saharan Africa, newborns and children continue to suffer from insufficient access to early diagnosis and antiretroviral (ARV) treatments. A survey had been conducted in Burkina Faso, Ghana and Ivory Coast, from January 2010 to February 2011 to identify the major challenges regarding HIV prophylaxis and treatment of children in western Africa. The results of this survey highlight that only a small proportion of HIV-exposed newborns receive ARV prophylaxis. However, this problem is often not perceived at the national level. The problem could be faced by improving the communication process between the peripheral health services and the national procurement system. Moreover, supporting the development of local pharmaceutical industries could facilitate the availability of child-sized drugs, contextualized to the socio-cultural needs of such area, adequate not only in terms of efficacy, safety and tolerability, but also in terms of palatability, storage, distribution and cost.
DOI: 10.1093/tropej/fms015
PubMed: 22529318
Affiliations:
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Tchidjou</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Pediatrics (DPUO), 'Bambino Gesù' Children's Hospital, Rome, Italy. hyppolite.tchidjouku@opbg.net</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University Department of Pediatrics (DPUO), 'Bambino Gesù' Children's Hospital, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Maria Martino, Alessandra" sort="Maria Martino, Alessandra" uniqKey="Maria Martino A" first="Alessandra" last="Maria Martino">Alessandra Maria Martino</name></author><author><name sortKey="Goli, Louis Philippe K" sort="Goli, Louis Philippe K" uniqKey="Goli L" first="Louis-Philippe K" last="Goli">Louis-Philippe K. 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Accessibility</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Infectious Disease Transmission, Vertical (prevention & control)</term><term>Infectious Disease Transmission, Vertical (statistics & numerical data)</term><term>Male</term><term>Morbidity</term><term>Post-Exposure Prophylaxis (statistics & numerical data)</term><term>Pregnancy</term><term>Prevalence</term><term>Standard of Care (trends)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Antirétroviraux (usage thérapeutique)</term><term>Burkina (épidémiologie)</term><term>Côte d'Ivoire (épidémiologie)</term><term>Enfant</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (traitement médicamenteux)</term><term>Infections à VIH (épidémiologie)</term><term>Morbidité</term><term>Mâle</term><term>Norme de soins (tendances)</term><term>Nourrisson</term><term>Nouveau-né</term><term>Prophylaxie après exposition ()</term><term>Prévalence</term><term>Transmission verticale de maladie infectieuse ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Burkina Faso</term><term>Cote d'Ivoire</term><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term><term>Infectious Disease Transmission, Vertical</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical 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Newborn</term><term>Male</term><term>Morbidity</term><term>Pregnancy</term><term>Prevalence</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Enfant</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH</term><term>Morbidité</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Prophylaxie après exposition</term><term>Prévalence</term><term>Transmission verticale de maladie infectieuse</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Burkina Faso</term><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In sub-Saharan Africa, newborns and children continue to suffer from insufficient access to early diagnosis and antiretroviral (ARV) treatments. A survey had been conducted in Burkina Faso, Ghana and Ivory Coast, from January 2010 to February 2011 to identify the major challenges regarding HIV prophylaxis and treatment of children in western Africa. The results of this survey highlight that only a small proportion of HIV-exposed newborns receive ARV prophylaxis. However, this problem is often not perceived at the national level. The problem could be faced by improving the communication process between the peripheral health services and the national procurement system. Moreover, supporting the development of local pharmaceutical industries could facilitate the availability of child-sized drugs, contextualized to the socio-cultural needs of such area, adequate not only in terms of efficacy, safety and tolerability, but also in terms of palatability, storage, distribution and cost.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Colizzi, Vittorio" sort="Colizzi, Vittorio" uniqKey="Colizzi V" first="Vittorio" last="Colizzi">Vittorio Colizzi</name><name sortKey="Diop Ly, Maimouna" sort="Diop Ly, Maimouna" uniqKey="Diop Ly M" first="Maïmouna" last="Diop Ly">Maïmouna Diop Ly</name><name sortKey="Goli, Louis Philippe K" sort="Goli, Louis Philippe K" uniqKey="Goli L" first="Louis-Philippe K" last="Goli">Louis-Philippe K. Goli</name><name sortKey="Maiolo, Stefano" sort="Maiolo, Stefano" uniqKey="Maiolo S" first="Stefano" last="Maiolo">Stefano Maiolo</name><name sortKey="Mancino, Giorgio" sort="Mancino, Giorgio" uniqKey="Mancino G" first="Giorgio" last="Mancino">Giorgio Mancino</name><name sortKey="Maria Martino, Alessandra" sort="Maria Martino, Alessandra" uniqKey="Maria Martino A" first="Alessandra" last="Maria Martino">Alessandra Maria Martino</name><name sortKey="Palma, Paolo" sort="Palma, Paolo" uniqKey="Palma P" first="Paolo" last="Palma">Paolo Palma</name><name sortKey="Pontrelli, Giuseppe" sort="Pontrelli, Giuseppe" uniqKey="Pontrelli G" first="Giuseppe" last="Pontrelli">Giuseppe Pontrelli</name><name sortKey="Rossi, Paolo" sort="Rossi, Paolo" uniqKey="Rossi P" first="Paolo" last="Rossi">Paolo Rossi</name><name sortKey="Samba, Mamadou" sort="Samba, Mamadou" uniqKey="Samba M" first="Mamadou" last="Samba">Mamadou Samba</name><name sortKey="Zekeng, Leo" sort="Zekeng, Leo" uniqKey="Zekeng L" first="Leo" last="Zekeng">Leo Zekeng</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Tchidjou, Hyppolite K" sort="Tchidjou, Hyppolite K" uniqKey="Tchidjou H" first="Hyppolite K" last="Tchidjou">Hyppolite K. 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