SidaSubSaharaV1, Main, Merge, bibRecord, 001269

Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)

Identifieur interne : 001269 ( Main/Merge ); précédent : 001268; suivant : 001270

Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)

Auteurs : Mansour Farahani [États-Unis] ; Natalie Price [États-Unis] ; Shenaaz El-Halabi [Botswana] ; Naledi Mlaudzi [Botswana] ; Koona Keapoletswe [Botswana] ; Refeletswe Lebelonyane [Botswana] ; Ernest Benny Fetogang [Botswana] ; Tony Chebani [États-Unis] ; Poloko Kebaabetswe [Botswana] ; Tiny Masupe [Botswana] ; Keba Gabaake [Botswana] ; Andrew Auld [États-Unis] ; Oathokwa Nkomazana [Botswana] ; Richard Marlink [États-Unis]

Source :

Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 2015.

RBID : PMC:4834839

Abstract

Objective

To evaluate the variation in all-cause attrition (mortality and loss to follow-up (LTFU)) among HIV-infected individuals in Botswana by health district during the rapid and massive scale-up of the National Treatment Program.

Methods

Analysis of routinely collected longitudinal data from 226,030 patients who received ART through the Botswana National HIV/AIDS Treatment Program across all 24 health districts from 2002 to 2013. A time-to-event analysis was used to measure crude mortality and loss to follow-up rates (LTFU). A marginal structural model was used to evaluate mortality and LTFU rates by district over time, adjusted for individual-level risk factors (e.g., age, gender, baseline CD4, year of treatment initiation, and antiretroviral regimen).

Results

Mortality rates in the districts ranged from the lowest 1.0 (95% CI 0.9–1.1) in Selibe-Phikwe, to the highest 5.0 (95% CI 4.0–6.1), in Mabutsane. There was a wide range of overall LTFU across districts, including rates as low as 4.6 (95% CI 4.4–4.9) losses per 100 person-years in Ngamiland, and 5.9 (95% CI 5.6–6.2) losses per 100 person-years in South East, to rates as high as 25.4 (95% CI 23.08–27.89) losses per 100 person-years in Mabutsane and 46.3 (95% CI 43.48–49.23) losses per 100 person-years in Okavango. Even when known risk factors for mortality and LTFU were adjusted for, district was a significant predictor of both mortality and LTFU rates

Conclusion

We found statistically significant variation in attrition (mortality and LTFU) and data quality among districts. These findings suggest that district-level contextual factors affect retention in treatment. Further research needs to investigate factors that can potentially cause this variation.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834839

DOI: 10.1111/tmi.12623
PubMed: 26485172
PubMed Central: 4834839

Links toward previous steps (curation, corpus...)

to stream Pmc, to step Corpus: 001F16
to stream Pmc, to step Curation: 001F15
to stream Pmc, to step Checkpoint: 000928
to stream Ncbi, to step Merge: 003387
to stream Ncbi, to step Curation: 003387
to stream Ncbi, to step Checkpoint: 003387

Links to Exploration step

PMC:4834839

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)</title>
<author><name sortKey="Farahani, Mansour" sort="Farahani, Mansour" uniqKey="Farahani M" first="Mansour" last="Farahani">Mansour Farahani</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Price, Natalie" sort="Price, Natalie" uniqKey="Price N" first="Natalie" last="Price">Natalie Price</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="El Halabi, Shenaaz" sort="El Halabi, Shenaaz" uniqKey="El Halabi S" first="Shenaaz" last="El-Halabi">Shenaaz El-Halabi</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mlaudzi, Naledi" sort="Mlaudzi, Naledi" uniqKey="Mlaudzi N" first="Naledi" last="Mlaudzi">Naledi Mlaudzi</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Keapoletswe, Koona" sort="Keapoletswe, Koona" uniqKey="Keapoletswe K" first="Koona" last="Keapoletswe">Koona Keapoletswe</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lebelonyane, Refeletswe" sort="Lebelonyane, Refeletswe" uniqKey="Lebelonyane R" first="Refeletswe" last="Lebelonyane">Refeletswe Lebelonyane</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fetogang, Ernest Benny" sort="Fetogang, Ernest Benny" uniqKey="Fetogang E" first="Ernest Benny" last="Fetogang">Ernest Benny Fetogang</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chebani, Tony" sort="Chebani, Tony" uniqKey="Chebani T" first="Tony" last="Chebani">Tony Chebani</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kebaabetswe, Poloko" sort="Kebaabetswe, Poloko" uniqKey="Kebaabetswe P" first="Poloko" last="Kebaabetswe">Poloko Kebaabetswe</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Masupe, Tiny" sort="Masupe, Tiny" uniqKey="Masupe T" first="Tiny" last="Masupe">Tiny Masupe</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gabaake, Keba" sort="Gabaake, Keba" uniqKey="Gabaake K" first="Keba" last="Gabaake">Keba Gabaake</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Auld, Andrew" sort="Auld, Andrew" uniqKey="Auld A" first="Andrew" last="Auld">Andrew Auld</name>
<affiliation wicri:level="2"><nlm:aff id="A4">Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nkomazana, Oathokwa" sort="Nkomazana, Oathokwa" uniqKey="Nkomazana O" first="Oathokwa" last="Nkomazana">Oathokwa Nkomazana</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Marlink, Richard" sort="Marlink, Richard" uniqKey="Marlink R" first="Richard" last="Marlink">Richard Marlink</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26485172</idno>
<idno type="pmc">4834839</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834839</idno>
<idno type="RBID">PMC:4834839</idno>
<idno type="doi">10.1111/tmi.12623</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">001F16</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F16</idno>
<idno type="wicri:Area/Pmc/Curation">001F15</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001F15</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000928</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000928</idno>
<idno type="wicri:Area/Ncbi/Merge">003387</idno>
<idno type="wicri:Area/Ncbi/Curation">003387</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">003387</idno>
<idno type="wicri:doubleKey">1360-2276:2015:Farahani M:variation:in:attrition</idno>
<idno type="wicri:Area/Main/Merge">001269</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)</title>
<author><name sortKey="Farahani, Mansour" sort="Farahani, Mansour" uniqKey="Farahani M" first="Mansour" last="Farahani">Mansour Farahani</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Price, Natalie" sort="Price, Natalie" uniqKey="Price N" first="Natalie" last="Price">Natalie Price</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="El Halabi, Shenaaz" sort="El Halabi, Shenaaz" uniqKey="El Halabi S" first="Shenaaz" last="El-Halabi">Shenaaz El-Halabi</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mlaudzi, Naledi" sort="Mlaudzi, Naledi" uniqKey="Mlaudzi N" first="Naledi" last="Mlaudzi">Naledi Mlaudzi</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Keapoletswe, Koona" sort="Keapoletswe, Koona" uniqKey="Keapoletswe K" first="Koona" last="Keapoletswe">Koona Keapoletswe</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lebelonyane, Refeletswe" sort="Lebelonyane, Refeletswe" uniqKey="Lebelonyane R" first="Refeletswe" last="Lebelonyane">Refeletswe Lebelonyane</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fetogang, Ernest Benny" sort="Fetogang, Ernest Benny" uniqKey="Fetogang E" first="Ernest Benny" last="Fetogang">Ernest Benny Fetogang</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Ministry of Health, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>Ministry of Health, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chebani, Tony" sort="Chebani, Tony" uniqKey="Chebani T" first="Tony" last="Chebani">Tony Chebani</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kebaabetswe, Poloko" sort="Kebaabetswe, Poloko" uniqKey="Kebaabetswe P" first="Poloko" last="Kebaabetswe">Poloko Kebaabetswe</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Masupe, Tiny" sort="Masupe, Tiny" uniqKey="Masupe T" first="Tiny" last="Masupe">Tiny Masupe</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gabaake, Keba" sort="Gabaake, Keba" uniqKey="Gabaake K" first="Keba" last="Gabaake">Keba Gabaake</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Auld, Andrew" sort="Auld, Andrew" uniqKey="Auld A" first="Andrew" last="Auld">Andrew Auld</name>
<affiliation wicri:level="2"><nlm:aff id="A4">Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nkomazana, Oathokwa" sort="Nkomazana, Oathokwa" uniqKey="Nkomazana O" first="Oathokwa" last="Nkomazana">Oathokwa Nkomazana</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Botswana, Gaborone, Botswana</nlm:aff>
<country xml:lang="fr">Botswana</country>
<wicri:regionArea>University of Botswana, Gaborone</wicri:regionArea>
<wicri:noRegion>Gaborone</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Marlink, Richard" sort="Marlink, Richard" uniqKey="Marlink R" first="Richard" last="Marlink">Richard Marlink</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard T.H. Chan School of Public Health, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Tropical medicine & international health : TM & IH</title>
<idno type="ISSN">1360-2276</idno>
<idno type="eISSN">1365-3156</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To evaluate the variation in all-cause attrition (mortality and loss to follow-up (LTFU)) among HIV-infected individuals in Botswana by health district during the rapid and massive scale-up of the National Treatment Program.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Analysis of routinely collected longitudinal data from 226,030 patients who received ART through the Botswana National HIV/AIDS Treatment Program across all 24 health districts from 2002 to 2013. A time-to-event analysis was used to measure crude mortality and loss to follow-up rates (LTFU). A marginal structural model was used to evaluate mortality and LTFU rates by district over time, adjusted for individual-level risk factors (e.g., age, gender, baseline CD4, year of treatment initiation, and antiretroviral regimen).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Mortality rates in the districts ranged from the lowest 1.0 (95% CI 0.9–1.1) in Selibe-Phikwe, to the highest 5.0 (95% CI 4.0–6.1), in Mabutsane. There was a wide range of overall LTFU across districts, including rates as low as 4.6 (95% CI 4.4–4.9) losses per 100 person-years in Ngamiland, and 5.9 (95% CI 5.6–6.2) losses per 100 person-years in South East, to rates as high as 25.4 (95% CI 23.08–27.89) losses per 100 person-years in Mabutsane and 46.3 (95% CI 43.48–49.23) losses per 100 person-years in Okavango. Even when known risk factors for mortality and LTFU were adjusted for, district was a significant predictor of both mortality and LTFU rates</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">We found statistically significant variation in attrition (mortality and LTFU) and data quality among districts. These findings suggest that district-level contextual factors affect retention in treatment. Further research needs to investigate factors that can potentially cause this variation.</p>
</sec>
</div>
</front>
</TEI>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Merge

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001269 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 001269 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    SidaSubSaharaV1
   |flux=    Main
   |étape=   Merge
   |type=    RBID
   |clé=     PMC:4834839
   |texte=   Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i   -Sk "pubmed:26485172" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a SidaSubSaharaV1

This area was generated with Dilib version V0.6.32.
Data generation: Mon Nov 13 19:31:10 2017. Site generation: Wed Mar 6 19:14:32 2024

	Le SIDA en Afrique subsaharienne (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Le SIDA en Afrique subsaharienne (serveur d'exploration)

Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)

Variation in attrition at sub-national level: Review of the Botswana National HIV/AIDS Treatment (Masa) program data (2002–2013)

Source :

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki