Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings.
Identifieur interne : 004627 ( Main/Exploration ); précédent : 004626; suivant : 004628Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings.
Auteurs : A. Spaar [Suisse] ; C. Graber ; F. Dabis ; A. Coutsoudis ; L. Bachmann ; J. Mcintyre ; M. Schechter ; H W Prozesky ; S. Tuboi ; D. Dickinson ; N. Kumarasamy ; M. Pujdades-Rodriquez ; E. Sprinz ; H J Schilthuis ; P. Cahn ; N. Low ; M. EggerSource :
- AIDS care [ 1360-0451 ] ; 2010.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Afrique, Amérique du Sud, Antirétroviraux (usage thérapeutique), Asie, Assistance, Enfant, Enquêtes et questionnaires, Femelle, Humains, Infections à VIH (), Infections à VIH (traitement médicamenteux), Mâle, Nourrisson, Nouveau-né, Prestations des soins de santé (), Prestations des soins de santé (organisation et administration), Préservatifs masculins, Services de médecine préventive (), Services de médecine préventive (organisation et administration), Soutien social, Transmission verticale de maladie infectieuse (), Éducation du patient comme sujet, Éducation pour la santé, Évaluation de programme.
- MESH :
- organisation et administration : Prestations des soins de santé, Services de médecine préventive.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Antirétroviraux.
- Adolescent, Adulte, Afrique, Amérique du Sud, Asie, Assistance, Enfant, Enquêtes et questionnaires, Femelle, Humains, Infections à VIH, Mâle, Nourrisson, Nouveau-né, Prestations des soins de santé, Préservatifs masculins, Services de médecine préventive, Soutien social, Transmission verticale de maladie infectieuse, Éducation du patient comme sujet, Éducation pour la santé, Évaluation de programme.
English descriptors
- KwdEn :
- Adolescent, Adult, Africa, Anti-Retroviral Agents (therapeutic use), Asia, Child, Condoms, Counseling, Delivery of Health Care (methods), Delivery of Health Care (organization & administration), Female, HIV Infections (drug therapy), HIV Infections (prevention & control), Health Education, Humans, Infant, Infant, Newborn, Infectious Disease Transmission, Vertical (prevention & control), Male, Patient Education as Topic, Preventive Health Services (methods), Preventive Health Services (organization & administration), Program Evaluation, Social Support, South America, Surveys and Questionnaires.
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- geographic : Africa, Asia, South America.
- drug therapy : HIV Infections.
- methods : Delivery of Health Care, Preventive Health Services.
- organization & administration : Delivery of Health Care, Preventive Health Services.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical.
- Adolescent, Adult, Child, Condoms, Counseling, Female, Health Education, Humans, Infant, Infant, Newborn, Male, Patient Education as Topic, Program Evaluation, Social Support, Surveys and Questionnaires.
Abstract
Expanded access to antiretroviral therapy (ART) offers opportunities to strengthen HIV prevention in resource-limited settings. We invited 27 ART programmes from urban settings in Africa, Asia and South America to participate in a survey, with the aim to examine what preventive services had been integrated in ART programmes. Twenty-two programmes participated; eight (36%) from South Africa, two from Brazil, two from Zambia and one each from Argentina, India, Thailand, Botswana, Ivory Coast, Malawi, Morocco, Uganda and Zimbabwe and one occupational programme of a brewery company included five countries (Nigeria, Republic of Congo, Democratic Republic of Congo, Rwanda and Burundi). Twenty-one sites (96%) provided health education and social support, and 18 (82%) provided HIV testing and counselling. All sites encouraged disclosure of HIV infection to spouses and partners, but only 11 (50%) had a protocol for partner notification. Twenty-one sites (96%) supplied male condoms, seven (32%) female condoms and 20 (91%) provided prophylactic ART for the prevention of mother-to child transmission. Seven sites (33%) regularly screened for sexually transmitted infections (STI). Twelve sites (55%) were involved in activities aimed at women or adolescents, and 10 sites (46%) in activities aimed at serodiscordant couples. Stigma and discrimination, gender roles and funding constraints were perceived as the main obstacles to effective prevention in ART programmes. We conclude that preventive services in ART programmes in lower income countries focus on health education and the provision of social support and male condoms. Strategies that might be equally or more important in this setting, including partner notification, prompt diagnosis and treatment of STI and reduction of stigma in the community, have not been implemented widely.
DOI: 10.1080/09540120903349102
PubMed: 20473792
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000595
- to stream PubMed, to step Curation: 000595
- to stream PubMed, to step Checkpoint: 000595
- to stream Ncbi, to step Merge: 000C35
- to stream Ncbi, to step Curation: 000C35
- to stream Ncbi, to step Checkpoint: 000C35
- to stream Main, to step Merge: 004676
- to stream Main, to step Curation: 004627
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings.</title><author><name sortKey="Spaar, A" sort="Spaar, A" uniqKey="Spaar A" first="A" last="Spaar">A. Spaar</name><affiliation wicri:level="4"><nlm:affiliation>Institute of Social and Preventive Medicine, University of Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Institute of Social and Preventive Medicine, University of Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region nuts="3" type="region">Canton de Berne</region></placeName><orgName type="university">Université de Berne</orgName></affiliation></author><author><name sortKey="Graber, C" sort="Graber, C" uniqKey="Graber C" first="C" last="Graber">C. Graber</name></author><author><name sortKey="Dabis, F" sort="Dabis, F" uniqKey="Dabis F" first="F" last="Dabis">F. Dabis</name></author><author><name sortKey="Coutsoudis, A" sort="Coutsoudis, A" uniqKey="Coutsoudis A" first="A" last="Coutsoudis">A. Coutsoudis</name></author><author><name sortKey="Bachmann, L" sort="Bachmann, L" uniqKey="Bachmann L" first="L" last="Bachmann">L. Bachmann</name></author><author><name sortKey="Mcintyre, J" sort="Mcintyre, J" uniqKey="Mcintyre J" first="J" last="Mcintyre">J. Mcintyre</name></author><author><name sortKey="Schechter, M" sort="Schechter, M" uniqKey="Schechter M" first="M" last="Schechter">M. Schechter</name></author><author><name sortKey="Prozesky, H W" sort="Prozesky, H W" uniqKey="Prozesky H" first="H W" last="Prozesky">H W Prozesky</name></author><author><name sortKey="Tuboi, S" sort="Tuboi, S" uniqKey="Tuboi S" first="S" last="Tuboi">S. Tuboi</name></author><author><name sortKey="Dickinson, D" sort="Dickinson, D" uniqKey="Dickinson D" first="D" last="Dickinson">D. Dickinson</name></author><author><name sortKey="Kumarasamy, N" sort="Kumarasamy, N" uniqKey="Kumarasamy N" first="N" last="Kumarasamy">N. Kumarasamy</name></author><author><name sortKey="Pujdades Rodriquez, M" sort="Pujdades Rodriquez, M" uniqKey="Pujdades Rodriquez M" first="M" last="Pujdades-Rodriquez">M. Pujdades-Rodriquez</name></author><author><name sortKey="Sprinz, E" sort="Sprinz, E" uniqKey="Sprinz E" first="E" last="Sprinz">E. Sprinz</name></author><author><name sortKey="Schilthuis, H J" sort="Schilthuis, H J" uniqKey="Schilthuis H" first="H J" last="Schilthuis">H J Schilthuis</name></author><author><name sortKey="Cahn, P" sort="Cahn, P" uniqKey="Cahn P" first="P" last="Cahn">P. Cahn</name></author><author><name sortKey="Low, N" sort="Low, N" uniqKey="Low N" first="N" last="Low">N. Low</name></author><author><name sortKey="Egger, M" sort="Egger, M" uniqKey="Egger M" first="M" last="Egger">M. Egger</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20473792</idno><idno type="pmid">20473792</idno><idno type="doi">10.1080/09540120903349102</idno><idno type="wicri:Area/PubMed/Corpus">000595</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000595</idno><idno type="wicri:Area/PubMed/Curation">000595</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000595</idno><idno type="wicri:Area/PubMed/Checkpoint">000595</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000595</idno><idno type="wicri:Area/Ncbi/Merge">000C35</idno><idno type="wicri:Area/Ncbi/Curation">000C35</idno><idno type="wicri:Area/Ncbi/Checkpoint">000C35</idno><idno type="wicri:Area/Main/Merge">004676</idno><idno type="wicri:Area/Main/Curation">004627</idno><idno type="wicri:Area/Main/Exploration">004627</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings.</title><author><name sortKey="Spaar, A" sort="Spaar, A" uniqKey="Spaar A" first="A" last="Spaar">A. Spaar</name><affiliation wicri:level="4"><nlm:affiliation>Institute of Social and Preventive Medicine, University of Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Institute of Social and Preventive Medicine, University of Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region nuts="3" type="region">Canton de Berne</region></placeName><orgName type="university">Université de Berne</orgName></affiliation></author><author><name sortKey="Graber, C" sort="Graber, C" uniqKey="Graber C" first="C" last="Graber">C. Graber</name></author><author><name sortKey="Dabis, F" sort="Dabis, F" uniqKey="Dabis F" first="F" last="Dabis">F. Dabis</name></author><author><name sortKey="Coutsoudis, A" sort="Coutsoudis, A" uniqKey="Coutsoudis A" first="A" last="Coutsoudis">A. Coutsoudis</name></author><author><name sortKey="Bachmann, L" sort="Bachmann, L" uniqKey="Bachmann L" first="L" last="Bachmann">L. Bachmann</name></author><author><name sortKey="Mcintyre, J" sort="Mcintyre, J" uniqKey="Mcintyre J" first="J" last="Mcintyre">J. Mcintyre</name></author><author><name sortKey="Schechter, M" sort="Schechter, M" uniqKey="Schechter M" first="M" last="Schechter">M. Schechter</name></author><author><name sortKey="Prozesky, H W" sort="Prozesky, H W" uniqKey="Prozesky H" first="H W" last="Prozesky">H W Prozesky</name></author><author><name sortKey="Tuboi, S" sort="Tuboi, S" uniqKey="Tuboi S" first="S" last="Tuboi">S. Tuboi</name></author><author><name sortKey="Dickinson, D" sort="Dickinson, D" uniqKey="Dickinson D" first="D" last="Dickinson">D. Dickinson</name></author><author><name sortKey="Kumarasamy, N" sort="Kumarasamy, N" uniqKey="Kumarasamy N" first="N" last="Kumarasamy">N. Kumarasamy</name></author><author><name sortKey="Pujdades Rodriquez, M" sort="Pujdades Rodriquez, M" uniqKey="Pujdades Rodriquez M" first="M" last="Pujdades-Rodriquez">M. Pujdades-Rodriquez</name></author><author><name sortKey="Sprinz, E" sort="Sprinz, E" uniqKey="Sprinz E" first="E" last="Sprinz">E. Sprinz</name></author><author><name sortKey="Schilthuis, H J" sort="Schilthuis, H J" uniqKey="Schilthuis H" first="H J" last="Schilthuis">H J Schilthuis</name></author><author><name sortKey="Cahn, P" sort="Cahn, P" uniqKey="Cahn P" first="P" last="Cahn">P. Cahn</name></author><author><name sortKey="Low, N" sort="Low, N" uniqKey="Low N" first="N" last="Low">N. Low</name></author><author><name sortKey="Egger, M" sort="Egger, M" uniqKey="Egger M" first="M" last="Egger">M. Egger</name></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Africa</term><term>Anti-Retroviral Agents (therapeutic use)</term><term>Asia</term><term>Child</term><term>Condoms</term><term>Counseling</term><term>Delivery of Health Care (methods)</term><term>Delivery of Health Care (organization & administration)</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (prevention & control)</term><term>Health Education</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Infectious Disease Transmission, Vertical (prevention & control)</term><term>Male</term><term>Patient Education as Topic</term><term>Preventive Health Services (methods)</term><term>Preventive Health Services (organization & administration)</term><term>Program Evaluation</term><term>Social Support</term><term>South America</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Afrique</term><term>Amérique du Sud</term><term>Antirétroviraux (usage thérapeutique)</term><term>Asie</term><term>Assistance</term><term>Enfant</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (traitement médicamenteux)</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Prestations des soins de santé ()</term><term>Prestations des soins de santé (organisation et administration)</term><term>Préservatifs masculins</term><term>Services de médecine préventive ()</term><term>Services de médecine préventive (organisation et administration)</term><term>Soutien social</term><term>Transmission verticale de maladie infectieuse ()</term><term>Éducation du patient comme sujet</term><term>Éducation pour la santé</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Africa</term><term>Asia</term><term>South America</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Delivery of Health Care</term><term>Preventive Health Services</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Prestations des soins de santé</term><term>Services de médecine préventive</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Delivery of Health Care</term><term>Preventive Health Services</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="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antirétroviraux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Condoms</term><term>Counseling</term><term>Female</term><term>Health Education</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Male</term><term>Patient Education as Topic</term><term>Program Evaluation</term><term>Social Support</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Afrique</term><term>Amérique du Sud</term><term>Asie</term><term>Assistance</term><term>Enfant</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Prestations des soins de santé</term><term>Préservatifs masculins</term><term>Services de médecine préventive</term><term>Soutien social</term><term>Transmission verticale de maladie infectieuse</term><term>Éducation du patient comme sujet</term><term>Éducation pour la santé</term><term>Évaluation de programme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Expanded access to antiretroviral therapy (ART) offers opportunities to strengthen HIV prevention in resource-limited settings. We invited 27 ART programmes from urban settings in Africa, Asia and South America to participate in a survey, with the aim to examine what preventive services had been integrated in ART programmes. Twenty-two programmes participated; eight (36%) from South Africa, two from Brazil, two from Zambia and one each from Argentina, India, Thailand, Botswana, Ivory Coast, Malawi, Morocco, Uganda and Zimbabwe and one occupational programme of a brewery company included five countries (Nigeria, Republic of Congo, Democratic Republic of Congo, Rwanda and Burundi). Twenty-one sites (96%) provided health education and social support, and 18 (82%) provided HIV testing and counselling. All sites encouraged disclosure of HIV infection to spouses and partners, but only 11 (50%) had a protocol for partner notification. Twenty-one sites (96%) supplied male condoms, seven (32%) female condoms and 20 (91%) provided prophylactic ART for the prevention of mother-to child transmission. Seven sites (33%) regularly screened for sexually transmitted infections (STI). Twelve sites (55%) were involved in activities aimed at women or adolescents, and 10 sites (46%) in activities aimed at serodiscordant couples. Stigma and discrimination, gender roles and funding constraints were perceived as the main obstacles to effective prevention in ART programmes. We conclude that preventive services in ART programmes in lower income countries focus on health education and the provision of social support and male condoms. Strategies that might be equally or more important in this setting, including partner notification, prompt diagnosis and treatment of STI and reduction of stigma in the community, have not been implemented widely.</div></front></TEI><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Berne</li></region><settlement><li>Berne</li></settlement><orgName><li>Université de Berne</li></orgName></list><tree><noCountry><name sortKey="Bachmann, L" sort="Bachmann, L" uniqKey="Bachmann L" first="L" last="Bachmann">L. Bachmann</name><name sortKey="Cahn, P" sort="Cahn, P" uniqKey="Cahn P" first="P" last="Cahn">P. Cahn</name><name sortKey="Coutsoudis, A" sort="Coutsoudis, A" uniqKey="Coutsoudis A" first="A" last="Coutsoudis">A. Coutsoudis</name><name sortKey="Dabis, F" sort="Dabis, F" uniqKey="Dabis F" first="F" last="Dabis">F. Dabis</name><name sortKey="Dickinson, D" sort="Dickinson, D" uniqKey="Dickinson D" first="D" last="Dickinson">D. Dickinson</name><name sortKey="Egger, M" sort="Egger, M" uniqKey="Egger M" first="M" last="Egger">M. Egger</name><name sortKey="Graber, C" sort="Graber, C" uniqKey="Graber C" first="C" last="Graber">C. Graber</name><name sortKey="Kumarasamy, N" sort="Kumarasamy, N" uniqKey="Kumarasamy N" first="N" last="Kumarasamy">N. Kumarasamy</name><name sortKey="Low, N" sort="Low, N" uniqKey="Low N" first="N" last="Low">N. Low</name><name sortKey="Mcintyre, J" sort="Mcintyre, J" uniqKey="Mcintyre J" first="J" last="Mcintyre">J. Mcintyre</name><name sortKey="Prozesky, H W" sort="Prozesky, H W" uniqKey="Prozesky H" first="H W" last="Prozesky">H W Prozesky</name><name sortKey="Pujdades Rodriquez, M" sort="Pujdades Rodriquez, M" uniqKey="Pujdades Rodriquez M" first="M" last="Pujdades-Rodriquez">M. Pujdades-Rodriquez</name><name sortKey="Schechter, M" sort="Schechter, M" uniqKey="Schechter M" first="M" last="Schechter">M. Schechter</name><name sortKey="Schilthuis, H J" sort="Schilthuis, H J" uniqKey="Schilthuis H" first="H J" last="Schilthuis">H J Schilthuis</name><name sortKey="Sprinz, E" sort="Sprinz, E" uniqKey="Sprinz E" first="E" last="Sprinz">E. Sprinz</name><name sortKey="Tuboi, S" sort="Tuboi, S" uniqKey="Tuboi S" first="S" last="Tuboi">S. Tuboi</name></noCountry><country name="Suisse"><region name="Canton de Berne"><name sortKey="Spaar, A" sort="Spaar, A" uniqKey="Spaar A" first="A" last="Spaar">A. Spaar</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004627 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004627 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:20473792
|texte= Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:20473792" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |