Research is often separated from the implementation of activities or health interventions. There is a wide gap between the development of efficient interventions and their optimal execution in real situations, particularly in countries with low incomes.
In order to improve the quality which is accessible, countries need to be able to question their own practices and to adapt them in view of the context, to test solutions to recurring problems, and to evaluate the benefits of some new innovations.
In order to do this, the development of operational research capacities within the countries where there is support from Solthis is essential. This is because it shows how to reinforce, critically examine and potentially modify interventions on the ground.
Our Priorities
Change the difficulties and operational problems found on the ground into research questions.
Devise solutions founded upon scientific evidence in order to respond to these operational difficulties and to develop their health policies and financing.
Promote local scientific research and academic partnerships between North and South.
Promote the results of the research done by the international scientific community.
Our Approach: A Dual Focus, both Academic and Multidisciplinary, and On the Ground
Operational research can engage, alternately or simultaneously according to the requirements of the analysis, almost the entire range of scientific disciplines: biomedical, clinical and public health-related, including social, human and economic sciences. Solthis therefore uses multidisciplinary academic expertise in order to take account of all types of health problems. Created by university doctors, supported by a group of scientific experts in health and in development, Solthis has developed a number of partnerships with research and public health institutions, university hospitals, university faculties, networks of partnerships, particularly African ones, and with other humanitarian groups.
Our Actions
Due to its multidisciplinary expertise, Solthis supports research in a number of different ways:
Through contributing to the analysis of the operatives on the ground, helping them to transform their operational problems into questions of research, and taking them forward to implement research projects. Solthis reinforces the capacities of local operatives with methodological training, creating a protocol suitable for publications and scientific communications but also for ad hoc instruction in operational research.
Through helping to identify new solutions based upon scientific evidence. A number of low-income countries have at their disposal meaningful data but little means of interpretation. Operational research allows for the exploitation of this data in order to identify strategies, interventions, tools and new forms of understanding, which in turn help to improve the quality, efficiency and performance of the health system, health services and programmes fighting against disease.
Through supporting the dissemination of the results of research projects to policy makers, in order to ensure that the results are taken into account in practice.As a result of operational research, Solthis can generate new ways of thinking as regards health programmes and the improvement of counter strategies. We are then in a position to offer specific recommendations, supported by in-depth research. The results of the operational research can also assist in advocating for changes in policies and practices.
Through promoting the results of research projects and their authors at international scientific events. Solthis contributes to the promulgation of the results of research projects within a community of “peers” supported by the scientific community: producing articles; authors participating at international conferences; and organizing seminars and workshops for scientific discussion, both on the ground and in Paris.
This English translation has been possible thanks to the PerMondo project: Free translation of website and documents for non-profit organisations. A project managed by Mondo Agit. Translator: Hannah Slater. Proofreader: Katie McIvor.
The INSERM and other partners of the JIKI trial, among which Alima, Doctors w/borders, the Red Cross published a research paper in PLOSmedicine : see this publication The JIKI clinical trial seeked to test the effectiveness of Favirapir among people infected with the Ebola virus in Guinea. Solthis is pleased to have been able to participate in a modest degree to this project by facilitating the achievement of this trial on the spot through its team based in Conakry.
Presentation of the poster “access to HIV care in the health districts affected by the Ebola outbreak in Sierra Leone” for the CROI 2016. Download the poster Official Website : CROI 2016
Solthis Resapsi and organized for the second time the training workshop on the methodology of clinical research. The objective of this workshop is to strengthen comptérences African doctors in clinical research on HIV / AIDS. The workshop was held in Grand Bassam (Ivory Coast) from March 16 to 19. Nearly 30 doctors from across francophone Africa (Mali, Niger, Ivory Coast RCA, Togo, Burundi, Benin, Guinea, Burkina Faso, Senegal, Cameroon) participated in this quality training provided by international experts.
Participants and teachers training workshop at the Clinical Research
Work methodology
The qualification was delivered in two stages
mornings devoted to theoretical instruction in plenary
the afternoon working group led by a binomial "Doctor clinician - Doctor methodologist"
The participants gathered in four groups worked on a subject of clinical research.
ART
Tuberculosis and HIV
PMTCT
HBV and HIV coinfection
Each morning, a reporter group presented the results of its advanced group in plenary. After 4 days of training, the four working groups were able to present a research topic.
International experts
The training workshop on the methodology of clinical research was conducted by experts of quality: teachers of clinical research of HIV on the one hand and teachers of research methodology on the other. All internationally recognized experts.
Analyse des enjeux d’un partenariat public/privé (PPP) en matière de prise en charge du VIH/Sida. Etude de cas dans la région minière de Boké (République de Guinée)
Compliance in Niger : a socio-anthropological approach useful for action Author(s) : JP. Olivier de Sardan, L. Pizarro, A. Diarra, A. Moumouni, C. Nicoué
Author(s) : A. Calmy, C. Pizzocolo, L. Pizarro, G. Brücker, R. Murphy, C. Katlama and the Strategies in Resource-Limited Settings Working Group Journal : AIDS - 2008, 22:2227-2230
Author(s) : A. Madec, D. Germanaud, V. Moya-Alvarez, W. Alkassoum, A. Issa, M. Amadou, S. Tchiombiano, C. Pizzocolo, F. Huber, S. Diallo, R. Abdoulaye-Mamadou Journal : PLOS ONE - Volume 6 - Issue 7 - e22787
Presentation of Solthis and Donka National Hospital poster on the 'impact of the Ebola outbreak on the quality of care of people living with HIV taking antiretroviral treatment at Donka National Hospital in Conakry, Guinea' More informations about CROI 2015
27th of June 2014, Solthis will held its annual Scientific Day in the presence of its field teams. Such as every year Solthis also invites its technical and financial, medical, institutional, associative partners. Discussions will focus on three major themes : - HIV and infectious diseases (hepatitis, tuberculosis and neurological opportunistic infections) - Mother and Child Program, a public health priority in sub-Saharan Africa - Key Populations: crossed viewpoints
On 28th june at the Pitié-Salpêtrière, Sothis organized its Scientific Day in the presence of its field teams. Medical, institutional, associative, technical and financial partners were present too. Discussions focused on 5 topical issues : paediatrics, hepatitis C, virological monitoring, Global Fund and monitoring-evaluation.
Special edition of Transcriptases magazine (spring 2012)
Solthis collaborated in the special issue of Transcriptases magazine (spring 2012), focusing on ICASA 2011 Addis Ababa. As such, Solthis members published many articles.
Création d’un hôpital de jour à l’Hôpital National de Niamey : Le vécu des patients sur l’évolution du continuum de soins Autor(s) : S. Mohamadou, M. Idé, G. Lurton, E. Adehossi, B. Madougou, H. Toure, E. Guillard, F. Huber, C. Dézé, S. Diallo Download the posterMettre en œuvre un programme public d’éducation thérapeutique des patients vivants avec le VIH dans les centres prescripteurs d’un pays à ressources limitées : l’expérience du Niger Autor(s) : Fati Maiga, Agnès Certain, Hadiza Baoua, Mamane Harouna, Caroline Gallais, Oumarou Seybou, Souleymanou Mohamadou, Pierre Teisseire, Sanata Diallo, Florence Huber, Sophie Calmettes, Etienne Gillard Download the posterPrévalence du risque cardiovasculaire évalué d’après les mesures des plis cutanés - Étude transversale au Niger Autor(s) : V. Moyà Alvarez I. Baragé, Y. Hanki, I. Dillé, F. Huber, G. Lurton, Y. Madec Download the posterLa difficulté du suivi des enfants infectés par le VIH au CHU Gabriel Touré de Bamako (Mali) Autor(s) : M. Sylla, H. Coulibaly, F. Dicko-Traoré, A. Akondé, G. Lurton, A. Diakité, A. Diallo, C. N'Diaye, M. Traoré, S. Touré, N. Koné, T. Sidibé Download the posterUne prévalence préoccupante de résistances transmises aux antirétroviraux chez les hommes ayant des relations sexuelles avec des hommes à Madagascar Autor(s) : S. Andriantsimietry, F. Lamontagne, M. Randria, M.L. Chaix, L. Pizarro, R.L. Razanakolona, C. Rouzioux Download the posterEnjeu de la prévision des besoins avec des données faibles : expérience d'utilisation de projections par scénarios en Guinée Autor(s) : G. Lurton, M. Diallo, E. Guillard Download the posterComparaison de l'apport des examens microbiologiques au diagnostic de la tuberculose chez les PVVIH au Niger. Données préliminaires d'une étude interventionnelle Autor(s) : M. Idé, S. Mohamadou, A. Yacouba, O. Seybou, R. Abba, S. Mamadou, F. Lamontagne, I. Diallo, G. Lurton, F. Huber, S. Diallo Download the posterLe défi de la coordination des approvisionnements : l'exemple réussi du "Groupe Approvisionnement" au Niger Autor(s) : Z. Ankourao, I. Mato, A. Messan Ganfled, S. Ouvrard, E. Guillard Download the poster
Consolider l’apprentissage des connaissances thérapeutiques sur le bon usage des traitements ARV par les professionnels de santé à partir d’un jeu de carte innovant : « La thérapeutique VIH en jeu»Author(s) : Charlotte Dézé, E. Guillard, S. Ouvrard, M. Diallo, P. Autret
Author(s) : M.C. Koné, E.T. Sidibé, K.K. Mallé, S. A. Beye, G. Lurton, M.T. Diarra Journal : Médecine et Santé Tropicales 2012; xx : 1-2. doi : 10.1684/mst.2012.0016
Dealing with uncertainty the challenge of long term projections in low data resources countries Author(s) : M. Diallo, G. Lurton, E. Guillard Connaître son virus, connaître son épidémie : contribution de la virologie moléculaire à la compréhension de l’épidémie VIH Author(s) : Franck Lamontagne Presentation non available
Identification d'un cluster viral à l'origine d'un taux élevé de résistance primaire aux ARV au niveau national : le cas singulier de Madagascar Author(s) : F. Lamontagne, S. Andriantsimietry, M.L. Chaix, M. Randria, J. Nely, C.B. Ramamonjisoa, J.S. Lalao, H. Rahasana, G. Lurton, L. Pizarro, F. Huber, R.L. Razanakolona, C. Rouzioux Download the posterBilan de 10 ans de prise en charge pédiatrique au CHU Gabriel Touré de Bamako (Mali) Author(s) : M. Sylla, H. Coulibaly, F. Dicko-Traoré, A. Akondé, G. Lurton, A.A. Diakité, A. Diallo, C.N'Diaye, M. Traoré, S. Touré, N. Koné, T. Sidibé Download the posterHétérogénéité des pratiques et difficultés diagnostiques de la tuberculose chez les personnes infectées par le VIH à Niamey, Niger Author(s) : R. Abba, F. Lamontagne, M. Souleymanou, O. Seybou, Y. Hanki, S. Diallo, G. Lurton, S. Mamadou Download the posterManifestations neurologiques chez les patients hospitalisés au CHU de Conakry : un diagnostic à améliorer compte tenu de leur impact majeur sur la mortalité Author(s) : G. Choaken, R. Vilain, F. Lamontagne, G. Lurton, M. Barry, A.A.S. Diallo, L. Laho, D. Mandiou, E. Papot, F. Huber, M. Cissé Download the posterOffrir systématiquement le dépistage VIH en milieu de soin : une urgence de santé publique Author(s) : R. Vilain, G. Choaken, F. Lamontagne, G. Lurton, M. Barry, A.A.S Diallo, L. Laho, D. Mandiou, E. Papo, M. Cissé, F. Huber Download the posterAméliorer la prévention de la transmission du VIH de la mère à l'enfant en Guinée selon une démarche participative d'accompagnement au changement Author(s) : C. Dézé, H. Yous, A. Keita, T.C. Sidibé, S. Calmettes, N. Barsacq, F. Lamontagne Download the poster
High prevalence of antiretroviral drug resistance among HIV-1-untreated patients in Guinea-Conakry and in Niger
Prof. C. Katlama, Prof. G. Brücker et S. Calmettes
On the occasion of its General Assembly, Solthis held Wednesday, July 6 at the Pitié-Salpêtrière, the 4th day meeting. Teams Solthis and partners in the field were present, especially from Mali, Guinea, Niger and Haiti. The presentations are available below on this page.
HIV testing: a challenge?
Y. Yazdanpanah, F. Huber, R. Tubiana, M. Idé
At the "Test and Treat", screening is an important theme in African contexts, as in Western countries. Also, the first workshop of the Scientific Day Solthis it was dedicated, moderated by Dr. M. Ide (Niger) and Dr. R. Tubiana (Paris). In his introduction, Dr. F. Huber (Solthis) presented the technical aspects of "rapid tests" raising the question of the limits of these tests, and the problem of lack of due process and the frequent inability to meet the temperature conditions recommended by the suppliers. This presentation was followed by a review of different screening strategies and the historical evolution of paradigms: the screening called "voluntary" to "provider-initiated testing for carers" as advocated by WHO and the various authorities health. Aspects of "cost effectiveness" of screening were then analyzed by Prof. Y. Yazdanpanah (Tourcoing). Dr. F. Lamontagne (Solthis Guinea) and Prof. M. Cisse (Guinea) have supported these statements by the West African experiences Solthis on screening in the care environment "opt out". If this type of screening "at the initiative of the caregiver" has made great advances in PMTCT or in tuberculosis centers, much remains to be done in other departments of medicine, where a high proportion of patients is not detected, not supported. Mobilization on this issue is more strategic than ever.
Despite the investment of Solthis on supply issues (ARV, all health products ...), stock-outs, especially for ARVs, are still common in the field and directly threaten the health of patients. The session dedicated to these issues was conducted by two doctors Dr. B. Diallo (Mali) and Dr. PM Girard (Paris). E. Guillard (Solthis Pharmacy Manager) said the overall functioning of the supply before presenting the main causes that lead to situations of stockouts. The threat of disruption of Guinea in February 2011 was taken as an example to highlight the failures at different levels of decision making. Teams in the field of pharmacy Solthis and their partners then described their daily actions, emphasizing the mode of intervention or Solthis tools developed together, such as coordinating groups and committees for monitoring supplies, tables edge compilation, analysis, alerting, quantification tools ... Finally, J. Langlois (Sidaction) and F. Foguito (TAW), representing civil society, concluded the session by the role of associations to fight against breakage, and more widely to improve the quality of care.
Prof. V. Calvez (Pitié-Salpêtrière, Paris) presented the situation of primary resistance throughout the world, before recalling the consequences attributable to virological choice of first-line treatments. He raised the problem of low genetic barrier of molecules commonly used in countries with limited resources (especially NNRTIs), especially when access to viral load is small or nonexistent.
This session, moderated by Prof. M. Cisse (Guinea) and Dr. G. Breton (Paris), addressed the issue of retention of patient care in the circuit, through various initiatives. After a general introduction of G. Lurton (Solthis), Dr. M. Ide (National Hospital of Niamey) lamented the difficulties of long-term monitoring of HIV patients in Niger, based on the experiences of ambulatory treatment center and day hospital in Niamey. The experience of Medecins du Monde, supporting marginalized populations in integrated centers in Asia, was reported by Dr. N. Luhman. Finally, Dr. Claude Pean, Haitian Institute Pereo Fame, introduced the operation of the center of Port-au-Prince, who has built an international program based on improving the encrypted performance.
The prevention of mother-to-child transmission of HIV in Mali: HIV-positive pregnant women and loss to follow-up in the Segou region (Mali)Author(s) : T. Mutel, A. Akondé, A. Doumbia, D. Coulibaly Traore, M. Diarra, F. Maiga, B. Coulibaly, L. Pizarro, F. Perez
April 28, Solthis and Epicentre organized a restitution of news presented on the fight against HIV in the South during the 18th Conference on Retroviruses and Opportunistic Infections (CROI) held in Boston from 27 February to 2 March 2011. This feedback workshop was held within the precincts of the faculty of Jussieu.
Author(s) : J. Landier, A. Akondé, C. Pizzocolo, I. Haidara, M. Drabo, L. Pizarro, A. Fontanet, C. Katlama, Y. Madec Journal : AIDS Care - Janvier;23(1):75-8
The Scientific Days of Mali experts have gathered several members of the Working Group Solthis: Christine Katlama, Roland Tubiana and Gilles Brucker. Solthis co-organized the National Day which brought together over 300 Malian professionals involved in the fight against HIV. For Solthis and its partners, it was an opportunity to present the results of the management and discuss immunological and therapeutic advances.
HIV prevalence and renutrition in children hospitalised for severe malnutrition in Niamey (Niger) Autor(s) : R. Maiga-Mamadou, W. Alkassoum, M. Hamadou, A. Abdou, C. Pizzocolo, S. Diallo, C. Dezé, V. Moya-Alvarez, F. Huber, Y. Madec
HIV prevalence and renutrition in children hospitalised for severe malnutrition in Niamey (Niger)Autor(s) : R. Maiga-Mamadou, W. Alkassoum, M. Hamadou, A. Abdou, C. Pizzocolo, S. Diallo, C. Dezé, V. Moya-Alvarez, F. Huber, Y. Madec
High prevalence of transmitted drug resistance in HIV-1-infected Antiretroviral-naïve Patients from Conakry, Guinea ConakryAuthor(s) : M. Diakite, C. Charptentier, P. Bellecave, M. Cisse, G. Peytavin, B. Djoudalbaye, L. Pizarro, C. Katlama, F. Huber, B. Masquelier, D. Descamps
Evolution de la prise en charge du VIH à Ségou entre 2003 et 2009 Author(s) : L. Diakité, D. Katilé, , N. Diallo, A. Doumbia, MS. Koné, B. Coulibaly, A. Sidibé, Y. Coulibaly, A. Akondé, G. Lurton, F. Huber Download the presentationEvaluation de la mise en place du dépistage et de la prise en charge du VIH au centre antituberculeux Carrière, à Conakry (Guinée) Author(s) : LM. Camara, B. Bah, D. Touré, P. Kourouma, L. Hajouji, C. Katlama, F. Huber, O. Sow Download the presentationDélégation de la prescription des antirétroviraux aux paramédicaux dans la PTME à Ségou (Mali) Author(s) :A. Doumbia, A. Sidibé, AT. Traoré, A. Akondé, F.Z.T. Sangaré, DC. Traoré, M. Maiga, AM. Soumaré, F.D. Cissé, SD. Naman, G. Lurton, C. Katlama, F. Huber Download the presentationCharge virale en routine dans un pays à ressources limitées : le cas du Niger Author(s) : Dr Hanki, H. Yahayé, S. Mamadou, I. Aboubacar, R. Ali Maazou, I. Dillé, C. Dézé, S. Diallo, F. Huber, M. Amadou, F. Maïga Download the presentationL'épidémiologie des perdus de vue dans les programmes VIH/SIDA Author(s) : E. Poulet, M. Pujades-Rodriguez Download the presentationL'approche anthropologique des ruptures de suivi médical des personnes vivant avec le VIH : l'exemple de Kayes (Mali) Author(s) : S. Carillon, V. Petit Download the presentationLes patients sous ARV perdus de vue : l'expérience de l'ONG WALE Author(s) : D. KatiléDownload the presentation
Corrélation entre les activités d'éducation thérapeutiques (ETP) et l'échappement virologique au Niger : Les activités d'ETP sont-elles favorables au succès virologique ? Autor(s) : H.Baoua, M. Naba Fati, I.Amy, F.Maïga, M.Saidou, G.Lurton, S.Diallo, E.Guillard, F.Huber., L.Pizarro Download the posterCréation d'un outil permettant de visualiser simplement la couverture des besoins en ARV dans un contexte d'extension de la prise en charge Autor(s) : E. Guillard, X. Paris, S. Ouvrard, M. Diallo, L. Pizarro Download the posterPremière évaluation nationale de la réponse virologique aux antirétroviraux à Madagascar Autor(s) : S. Andriantsimietry, F. Lamontagne, M. Randria, J. Nely, S. Randriamampionona, VJ. Soanomena, WR Lehimena, JN Andriambelo, F. Huber, L.R. Razanakolana Download the poster"Effet-centre" et fidélisation du patient infecté par le VIH dans le circuit de soin. Expérience de 2 pays Ouest-africains Autor(s) : F. Huber, A. Akondé, G. Lurton, I. Kamaye, AB. Dicko, S. Diallo, S. Tchiombiano, N. Daries, P. Teisseire, L. Pizarro Download the poster
After Paris, Montreal, Brussels, actors in the fight against HIV gathered in Casablanca on March 28 to 31, for the Fifth Conference of Francophone fight against AIDS Doctors, researchers, associations and instititutionnels, South and North, have answered the call for four days of scientific discussions, experience sharing and solidarity! On this occasion, Solthis mobilized to participate in this major event in the fight against HIV: a delegation of 40 people, 4 oral presentations, 4 posters, a symposium and a stand! Read Solthis interviews with the Presidents of the Conference: Professor Hakima Himmich, Professor Eric Delaporte and Professor Gilles Brucker
Symposium 1 - Sunday, March 28 at 16h - Room Jouad El JaiPerspectives on the overlooked: which tools for what response?
Diagnosis, by epidemiologist Elizabeth Chicken (Epicentre).How to measure the level of defaults and how to define the issues of sight loss?
The analysis, by anthropologist Séverine Carillon (CEPED).Possible causes with the example of those lost to in Kayes, Mali.
Treatment, by Dr. Drissa Katile (NGOs Wale).The example of the active search for patients in Segou, Mali.
This number is published on the occasion of the Francophone Conference, Solthis revisits some of which abstracts will be presented.Interviews with Himmich Pr, Pr Pr Delaporte & Brucker, the co-chairs of the Conference Screening: The déspistage initiated by the Caregiver and the rapid screening tests Biological monitoring: Reactions of experts to study the DART Folder on the phenomenon of Lost to: What tools? what response? Tuberculosis: The MDR / XDR and Practical Guide to WHO in its fight against infections Folder on the new WHO recommendationsPharmacy management tools
April 21, Solthis and GIP ESTHER organized a return of the 17th Conference on Retroviruses and Opportunistic Infections(CROI) held in San Francisco from February 16 to 20, 2010. This restoration has focused on the news of HIV to developing countries. Moderator : Professor Christine Katlama (Solthis) and Pr Yazdan Yazdanpanah (CH Tourcoing) Introduction : Professor Gilles Brucker, Director of ESTHER Access to viral load : new technologies by Professor Christine Rouzioux, Necker Hospital for Sick Children News Mother and Child by Dr. Catherine Dollfus, Armand Trousseau Hospital Co-infections : TB / HIV by Dr. William Breton, Pitié Salpêtrière Access to ARVs - Lost to - Sexual transmission of HIV by Dr. Gilles Raguin, ESTHER Conclusion : Professor Christine Katlama, Pitié-Salpêtrière The presentations can be downloaded :
Level of viral load and antiretroviral resistance after 6 months of non-nucleoside reverse transcriptase inhibitor first-line treatment in HIV-1-infected children in Mali
Author(s) : D. Germanaud, A. Derache, M. Traoré, Y. Madec, S. Touré, F. Dicko, H. Coulibaly, M. Traoré, M. Sylla, V. Calvez, AG. Marcelin Journal : Journal of Antimicrobial Chemotherapy - 2010 Jan;65(1):118-24
Solthis, GIP Esther and the Point G Hospital, organized the seminar "resistance" on 10 and 11 December 2009 in Bamako. More than fifty doctors and biologists from all over the country attended this training on viral load and resistance to ARVs patients living with HIV / AIDS. Several clinical cases were presented by the Malian and discussed with national medical authorities, also attended by experts from the Pitie-Salpetriere Hospital in Paris: Professor Christine Katlama, Prof. Vincent Calvez, Dr. Anne Genevieve Marcelin and Dr. Roland Tubiana .
The Scientific Days, organized by the ULSS and CMT, in partnership with Solthis and GIP Esther, took place on 2 and 3 October 2009 in Niamey in the presence of Professor Katlama (Solthis President), Prof. Brucker (Treasurer Solthis and CEO of Esther) but also of Dr Kassi (Ivory Coast) and Professor Toure (Senegal). More than 250 physicians, health professionals, representatives of the fight against HIV, tuberculosis in Niger attended these days. Many topics on Chess therapeutic Opportunistic Infections, PMTCT, Accidents of exposure to blood and the delegation of tasks were discussed.
Over a hundred people came to attend the Scientific Solthis Day on June 26. Players on the field of SOLTHIS, France or Paris, they met for the highlight of the association. Also, many distinguished guests were present: representatives of national and international institutions, the Global Fund, civil society actors ... Today, all teams SOLTHIS wishes to thank those who were able to attend this day to the quality of exchanges, the wealth of information and their demonstrated interest in our actions. Scientific Day of Solthis is also an opportunity to give voice to field to present the projects implemented and to share their thoughts on the challenges of HIV disease. See you in 2010!
Proceedings of the Round TableWhat future for international funding of HIV programs?
In the current economic crisis and crisis funding, SOLTHIS wanted to set up a reflection on this vast subject. The roundtable, chaired by Professor Gilles Brucker, gave rise to two questions, firstly that of continuous funding for the fight against HIV and the effectiveness of such funding. This debate was thus the occasion for Prof. Patrice Debré, new Ambassador in charge of the fight against HIV AIDS, to outline the challenges and the strategy it intends to introduce. Dr. Florence Veber, Assistant Director for Health and Human Development (MFA) has expressed his current thinking on innovative financing and recalled in place of the fight against HIV in health policy. Representatives of civil society were also at the table. Marie-Alexia Delerue, of Action for Global Health, called for a mobilization of governments for development of new sources of funding in addition to their official development assistance. As for Khalil Elouardighi, Coalition of More, he warned of the serious short-term decline in funding from the Global Fund, particularly for patients néceisstant treatment of second and third line.
Prof. Patrice Debré: Patients and international partnerships
Prof. Patrice Debré is the new Ambassador in charge of the fight against HIV / AIDS and infectious diseases.There is also a co-founder of Solthis.
Professor Debre presented the characteristics of the epidemic: 33 million people infected with HIV, 2.7 million new infections per year, two million deaths 75% in Saharan Africa. A disease that affects both women that man ... In countries é low or middle income, the access to ARVs is limited: only 31% of global demand for ARVs are covered. .. HIV was the illness that led to the concept of "Global Health" to emerge, this awareness of global health has led to considerable social and political commitments for which new resources and new funds were needed .
Then, the Ambassador outlined the contribution e franéaise the fight against pandemics based financing channels in 2007:
- For HIV: 363 million euros, 20 million for bilateral (AFD, Esther, ... AT MFA) and 26 million for Research (ANRS, IRD, CNRS ...).
- For malaria: 100 million for multilateral and bilateral for zero.
- For TB: 31 million for multilateral and bilateral 3 million for.
Finally, Professor Debré expressed challenges in the fight against HIV at international level:
1. Harmonization of the Governance of International Health
2. Cooperation among the multilateral organizations
3. Complementarity between the bilateral and the multilateral
4. European dimension
5. Support in general
6. Integrated approach between basic and clinical research, opening e other areas such as agronomy
7. Multiplication of innovative financing
Dr. Florence Veber is currently in charge of the Sub-Directorate of Health and Human Development of the Ministry of Foreign Affairs and European.
Dr. Florence Veber presented the new organizational structure of Ministry of Foreign Affairs and European set up to be in phase with the emergence of global issues like climate change or pandemics. She outlined the three main directions:
1. Administrative direction
2. Diplomatic lead (geographical division)
3. Overall direction of globalization development, partnerships and development.
This new direction is divided into four sub-directorates including the Directorate of global public goods including climate, natural resources (forests and water), food security and health and human development. Led by Dr. Veber, this sub-directorate deals with issues of health but also education, employability, gender equality, migration, demography and social protection. To date, this sub-department is particularly sought for the monitoring of commitments in the multilateral franéais since 75% of the budget of the health cooperation through multilateral channels. She is in charge of policy definitions, the Operational being managed by AFD (Franéaise Development Agency). Moreover, the strategy of cooperation policy for health should be reviewed to the end of 2009 with the participation of stakeholders. This new team wants to offer stakeholders greater access and transparency to the data field to promote shared approaches among other NGOs and the Ministry. Dr. Veber has shared his thoughts of two topics:
1. Consequences of funding for HIV / AIDS on strengthening health systems?
2. Efficiency and use of innovative financing in health?
Marie-Alexia Delerue: Health Care Financing
Marie-Alexia Delerue is responsible for advocacy at Medecins du Monde, a member of the NGO network European Action for Global Health.
Marie-Alexia Delerue presented the evolution of financing Development assistance for health:
- International: 4-fold increase between 1990 and 2007;
- At European level: 58% increase from 2001 e 2007;
- In France: 4-fold increase between 2000 and 2007;
- Sources: Public sources of funds, but increasingly the private / philanthropic (26.7% of total international aid health in 2007);
- Channels: increased multilateral channel (GFATM, GAVI). If this international movement, ed through increased international funding, has achieved considerable progress in terms of health (reduction of child mortality, increasing the number of patients having access to ARVs ...), we find that health issues in the South are immense: the eight Millennium Development Goals (MDGs), who increased the least are those for e health. Funding and predictability are still insufficient. In the current economic crisis, health indicators are threatened. The WB report on the global crisis provides that if any international response is urgently adopted to support developing countries, approximately 200 000 e 400 000 children under 5 years and more will lose their lives each year. It is therefore fondammental that donors meet their financial commitments in favor of health. Today, NGOs are calling on international donors and governments in the South:
- Putting health at the heart of development policies (for developing countries, have 15% of their health budget e)
- Respect the commitments made by donors in the framework of the G8
- Promote the strengthening of health systems
- Develop new funding sources, including quickly implement the tax on currency transactions, which could bring in $ 40 billion by annnée and would therefore make a real difference in terms of scale of development finance and accelerate the progress of health indicators. Innovative financing must be additional e the official development assistance and truly predictable.
The 15th International Conference on AIDS and Sexually Transmitted Infections in Africa was held from 3 to 7 December 2008 in Dakar. It was an important time to take stock of the various initiatives in the fight against HIV / AIDS implemented in Africa.
For Solthis, this conference was an opportunity to present at international level, the work done for 5 years, its action on the ground every day, in direct support of care teams and national health policies. Several papers were presented by members of Solthis, a satellite-symposium was organized, open to the public of broadcasts in partnership with RFI have been put in place ... Every day, the teams were present at booth to greet visitors and answer their questions.
An oral presentation
View lost in Segou (Mali) What drives HIV patients who receive free care to give it up and leave the circuit centers of care? To try to answer this question, Gregory Lurton, project manager of information systems, presented the investigation into the missing=in Segou and the work on information system support. View lost in Segou, Gregory Lurton
Communications posted
Solthis' teams participated to the drafting of several posters presented at the congress.
Solthis, in partnership with the Respasi (African Network of Practitioners Providing the Medical Management of People Living with HIV AIDS), held a symposium on satellite support transfronalière of phas in Africa. Indeed, more and more patients living with HIV / AIDS are required to travel within Africa. These movements can compromise the quality of their support for issues related to harmonization of the provision of care, equity of access to care, monitoring and tracking of patients and the vulnerability of these patients.
Solthis and the issuance of Priority Health Hédon Claire, broadcast daily on RFI, have partnered to offer the public a forum of ICASA. A recording booth in the center of the village association was installed to host two shows.
Priority health - Thursday, december 4
The first issuance took hold of the XV ICASA for an update on the current state of research on treatments against HIV: what the state of research in the North and the South? Professor Jean-Francois Delfraissy, Director of the ANRS, Professor Papa Salif Sow, Co-Chair of the Scientific Program Committee of the XV ICASA and Dr Diallo Sanata, medical coordinator in Niger Solthis met to take stock of research and its implementation in countries in Africa. They answer questions from the public and Claire Hédon of ICASA.
Priority health - Friday, december 5
What about access to treatment in Africa, what is the state of care for patients living with HIV / AIDS? In a second issue carried out as part of the XV ICASA, Claire Hédon pose his questions to Professor Christine Katlama of Pitie Salpetriere Hospital in Paris, and President of Solthis, Dr. Alain Akondé, Medical Coordinator for Solthis Mali and Pr Serge Eholié CHU Treichville in Abidjan.
Les perdus de vue de la région de Ségou, au Mali Author(s) : G. LurtonDownload the presentationPrise en charge transfrontalière des PVAVS : le point de vue du soignant Author(s) : S. DialloDownload the presentationMigrations transfrontalières en Afrique de l'Ouest : le regard des sciences sociales Author(s) : S. TchiombianoDownload the presentationContinuum des soins et politique d'accès aux traitements des IST/VIH/SIDA dans les cinq pays du Corridor Abidjan-Lagos Author(s) : J. KoffiDownload the presentationLa PEC transfrontalière des PVVIH : recommandations Author(s) : S. DialloDownload the presentationQuestions posées et enjeux de l'adoption d'une loi spécifique sur le VIH/sida : le cas du Niger Author(s) : S. TchiombianoDownload the presentation
HIV/AIDS care and follow-up on a national scale in low resource settings: experience of the Niger Initiative on Antiretroviral Access (INAARV), NigerAuthor(s) : M. Ide, Y. Madec, M. Boubacar, E. Adehossi, C. Dezé, GM. Lawal, O. Amadou, S. Diallo, C. Pizzocolo, IA. Touré, S. Mamadou, C. Katlama and the National Technical Committee Download the presentationPilot cell comprehensive care: a multidisciplinary service orientation and listening PHAs, NigerAuthor(s) : A. Alzouma, C. Dezé, B. Sabo, M. Bako, S. Maman, I. Mourtala, M. Goundara, F. Djermakoye, M. Ide, F. Aeberhard Download the presentationThe impact of prior recourse to traditional medicine on the out-of-pocket expenditure of HIV/AIDS patients in NigerAuthor(s): S. Walker, S. Tchiombiano, A. Maiga, R. Hassane, M. Idé, AH. Souna, V. Bignon, O. Weil, L. Pizarro Download the presentationIncidence and risk factor for tuberculosis (TB) in HIV patients on ART, Niger Author(s): A. Foucher, Y. Madec, S. Diallo, Z. Thiousso, I. Dillé, S. Gambo, HA. Souna, A. Oumarou, A. Manou, GM. Laoual, Al. Touré, C. Pizzocolo, L. Pizarro, A. Fontanet Download the presentationDecentralized access to triple therapy and viral load monitoring in West Africa (Mali)Author(s) : A. Akondé, Y. Madec, AB. Dicko, I. Haidarra, I. Katile, B. Diarra, M. Kye, A. Doumbia, C. Pizzocolo, C. Katlama and the Segou Medical Technical Committee Download the presentationA method of HAART decentralization in rural areas: Solthis' experience in Segou (Mali)Author(s) : P. Teisseire, A. Akondé, C. Pizzocolo, S. Calmettes, S. Dalglish, N. Bodo, L. Pizarro Download the presentationPrevention of mother-to-child transmission of HIV (PMTCT) in a rural setting : the experience of the Segou region in MaliAuthor(s) : CD. Traoré, A.akondé, T. Samake, T. Traoré, Y. Coulibaly, O. Coulibaly, A. Sidibé, D. Germanaud, Z. Traoré, A. Maiga, AG. Marcelin, C. Pizzocolo, C. Katlama and the Segou Medical Technical Committee Download the presentationAppraisal of treatment modification in HIV patient follow-up in the region of Segou (Mali)Author(s) : J. Landier, A. Akondé, C. Pizzocolo, I. Haidara, M. Drabo, L. Pizarro, A. Fontanet, C. Katlama, Y. Madec Download the presentationEtude virologique chez des sujets VIH-1 suivis à MadagascarAuthor(s) : F. Lamontagne, S. Andriantsimietry, ML. Chaix, JP. Viard, M. Randria, J. Nely, S. Randriamampionona, C. Aguilar, S. Royer, C. Pizzocolo, LR. Razanakolona, C. Rouzioux Download the presentation
International AIDS Conference – Mexico City, August 2008
HIV-infected children in the context of the Niger Initiative on Antiretroviral Access (INAARV), Niger (West Africa)Author(s) : R. Abdoulaye-Mamadou, I. Adehossi, Y. Madec, C. Dezé, W. Alkassoum, M. Mahamane, I. Daouda, M. Amadou, D. Germanaud, C. Pizzocolo, S. Mamadou, C. Katlama and the National Technical Pediatric Committee Download the presentationLooking for lost to follow-up patients: experiences of Segou (Mali)Author(s) : G. Lurton, A. Akondé, Y. Madec, P. Teisseire, T. Traore, B. Touré, D. Cissé, C. Koumaré, C. Pizzocolo, L. Pizarro, C. Katlama, and the Segou Medical Technical Committee Download the presentation
Les perdus de vue dans la file active de la région de Ségou
Solthis in Niger: Support Pediatric - Stephanie Tchiombiano, Sanata Diallo, Charlotte and Déze Hadiza Baoua
Les personnels de santé face au Sida et à la prise en charge des PVVIH à Niamey. Transformation ou reproduction des représentations et pratiques habituelles ?
Enquête comportementale face aux Accidents d'Exposition au Sang (AES) dans deux structures sanitaires de Zinder (Niger) Author(s) : M. Aminou Brah, C. Dézé
Author(s) : AG. Marcelin, B. Jarrousse, A. Derache, M. Ba, ML. Dakouo, A. Doumbia, I. Haidara, A. Maïga, G. Carcelain, G. Peytavin, C. Katlama, V. Calvez Journal : Aids - 2007, 12;21(17):2341-3
Apports et limites des ONG dans la lutte contre sida au Bénin
L’impact de la situation socio-économique sur la réussite de la prise en charge pour les patients vivants avec le VIH/Sida et l’effet de l’identité d’être malade de Sida sur la pauvreté – Travail suite à une enquête de terrain au Mali.
L'observance au Niger : une approche socio-anthropologique utile à l'action Author(s) : JP. Olivier de Sardan, A. Diarra, A. Moumouni Download the presentationEvaluation des patients VIH/Sida ayant bénéficié d'un traitement ARV au sein de l'INAARV (Initiative Nigérienne d'Accès aux Antirétroviraux) : résultats à 2 ans Author(s) : M. IdéDownload the presentationInfections opportunistes (IO) chez les patients infectés par le VIH traités par ARV au sein de l'INAARV (Initiative Nigérienne d'Accès aux Antirétroviraux) Author(s) : B. MadougouDownload the presentationSolthis : une ONG médicale au service des pays du Sud Author(s) : L. PizarroDownload the presentation
Evaluation d'un programme d'accès décentralisé aux antirétroviraux au Mali Author(s) : AB. Dicko, MH. Maiga, A. Akondé, Y. Madec, C. Pizzocolo, le Comité thérapeutique de Ségou et le groupe de travail Solthis Download the posterMise en place de la numération des lymphocytes T CD4+ par cytométrie de flux et suivi immunitaire des patients sous traitement antirétroviral à Ségou (Mali) Author(s) : A. Maiga, B. Jarrousse, I. Haidara, L. Tegna, G. Carcelain, B. Autran, C. Katlama, le comité thérapeutique de Ségou et le groupe de travail Solthis Download the posterEvaluation des enfants de moins de 5 ans nés de mères séropositives incluses dans l'INAARV Author(s) : R. Abdoulaye-Mamadou, G.M. Lawal, A. Soumana, A. Gali-Yaroh, I. Adéossi, A. Harakoye, A. Diatta, M. Idé, Saïdou, C. Dézé, le comité médical technique du Niger et le groupe de travail Solthis Download the poster
Les visites à domicile auprès des PVVIH à Niamey (approche socio-anthropologique)
Author(s) : A. Derache, Al. Maiga, O. Traoré, A. Akondé, M. Cissé, B. Jarrousse, V. Koita, B. Diarra, G. Carcelain, F. Barin, C. Pizzocolo, L. Pizarro, C. Katlama, V. Calvez, AG. Marcelin Journal : Journal of Antimicrobial Chemotherapy - Sep;62(3):456-63
Evaluation of safety and toxicity of nevirapine-containing regimen (D4T-3TC-NVP) in ARV nevirapine naive patients in Niamey (Niger) Author(s) : V. Meyssonnier-Pizarro
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