scholarly journals Bayesian estimation of MSM population size in Côte d’Ivoire

2017 ◽  
Author(s):  
Abhirup Datta ◽  
Wenyi Lin ◽  
Amrita Rao ◽  
Daouda Diouf ◽  
Abo Kouame ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Population Size ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Program Planning ◽  
Bayesian Regression ◽  
People Living With Hiv ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Population Size Estimates

AbstractCôte d’Ivoire has one of the largest HIV epidemics in West Africa with around half million people living with HIV. Key populations like gay men and other men who have sex with men (MSM) are often disproportionately burdened with HIV due to specific acquisition and transmission risks. Quantifying the MSM population sizes at subnational level is critical to improving the HIV prevention interventions. While survey-based direct estimates of MSM numbers are available at a few urban centers in Cˆote d’Ivoire, no data on MSM population size exists at other areas without any community infrastructure to facilitate sufficient access to the MSM community. We use this limited data in a Bayesian regression setup to produce first empirically calculated estimates of the numbers of MSM in all areas of Cˆote d’Ivoire prioritized in the HIV response. Our hierarchical model imputes missing covariates using geospatial information and allows for proper uncertainty quantification leading to meaningful confidence bounds for the predicted MSM population size estimates. The intended impact of this process is to increase uptake and use of high quality, comprehensive epidemiologic and interventional data in program planning. These estimates will help design future surveys and support the planning of the scale and content of HIV prevention and treatment programs for MSM in Cˆote d’Ivoire.

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

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

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

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

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

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

scholarly journals Peer Recruitment Strategies for Female Sex Workers Not Engaged in HIV Prevention and Treatment Services in Côte d’Ivoire: Program Data Analysis

10.2196/18000 ◽  
2020 ◽  
Vol 6 (4) ◽  
pp. e18000
Author(s):  
Oluwasolape Olawore ◽  
Hibist Astatke ◽  
Tiffany Lillie ◽  
Navindra Persaud ◽  
Carrie Lyons ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Cote D'ivoire ◽  
Sex Workers ◽  
Côte D’Ivoire ◽  
Key Populations ◽  
Cote D’Ivoire ◽  
Female Sex ◽  
Côte D'ivoire ◽  
Prevention And Treatment ◽  
Peer Outreach

Background In the context of the mostly generalized HIV epidemic in Côte d’Ivoire, key populations bear a higher burden of HIV than that borne by the general reproductive-aged population. Mathematical models have demonstrated the significant potential impact and cost-effectiveness of improving the coverage of HIV prevention and treatment services for key populations in Côte d’Ivoire. However, in 2019, coverage of these services remained limited by multiple intersecting stigmas affecting key populations, necessitating the study of innovative implementation strategies to better meet the needs of those most marginalized. Here, we leverage programmatic data to compare the effectiveness of the enhanced and traditional peer outreach approaches in reaching and providing community HIV testing to female sex workers not readily engaged in HIV prevention and treatment services in Côte d’Ivoire. Objective The aim of this study was to describe the characteristics of female sex workers reached by the LINKAGES project in Côte d’Ivoire with enhanced peer outreach and traditional peer outreach and to compare HIV-related outcomes between the women reached by both strategies. Methods Deidentified routine programmatic data collected as part of LINKAGES Côte d’Ivoire between October 2017 and April 2018 were used in these analyses. Demographic characteristics and HIV indicators including HIV testing history, HIV case-finding, linkage to HIV treatment, and treatment initiation were assessed using descriptive statistics. Differences in these indicators were compared by outreach strategy using Pearson chi-square tests. Results There were 9761 women reached with enhanced peer outreach and routine peer outreach included in these analyses. The overall case-finding rate in the sample was 7.8% (698/8851). Compared with women reached by routine outreach, those reached by enhanced peer outreach were more likely to have previously been tested for HIV (enhanced: 1695/2509, 67.6%; routine: 4302/7252, 60.0%; χ21=43.8; P=.001). The enhanced peer outreach approach was associated with a higher HIV case-finding rate (enhanced: 269/2507 10.7%; routine: 429/6344, 6.8%; χ21=32.3; P=.001), higher proportion of linkage to treatment (enhanced: 258/269, 95.9%; routine: 306/429, 71.3%; χ21=64.4; P=.001), and higher proportion of treatment initiation (enhanced: 212/269, 78.8%; routine: 315/429, 73.3%; χ21=2.6; P=.11). Women reached by both approaches were categorized as high risk for HIV-related behaviors such as condomless sex and number of sex acts in the previous week. Conclusions These analyses suggest that the novel peer-referral strategy, the enhanced peer outreach approach, was effective in reaching female sex workeres in Côte d’Ivoire with demonstrated acquisition risks for HIV and who had not been effectively engaged by routine outreach approaches. Scaling up novel strategies such as enhanced peer outreach in the context of differentiated service models may be needed to optimize HIV prevention and treatment outcomes for key populations in Côte d’Ivoire.

scholarly journals Peer Recruitment Strategies for Female Sex Workers Not Engaged in HIV Prevention and Treatment Services in Côte d’Ivoire: Program Data Analysis (Preprint)

2020 ◽  
Author(s):  
Oluwasolape Olawore ◽  
Hibist Astatke ◽  
Tiffany Lillie ◽  
Navindra Persaud ◽  
Carrie Lyons ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Cote D'ivoire ◽  
Sex Workers ◽  
Côte D’Ivoire ◽  
Key Populations ◽  
Cote D’Ivoire ◽  
Female Sex ◽  
Côte D'ivoire ◽  
Prevention And Treatment ◽  
Peer Outreach

BACKGROUND In the context of the mostly generalized HIV epidemic in Côte d’Ivoire, key populations bear a higher burden of HIV than that borne by the general reproductive-aged population. Mathematical models have demonstrated the significant potential impact and cost-effectiveness of improving the coverage of HIV prevention and treatment services for key populations in Côte d’Ivoire. However, in 2019, coverage of these services remained limited by multiple intersecting stigmas affecting key populations, necessitating the study of innovative implementation strategies to better meet the needs of those most marginalized. Here, we leverage programmatic data to compare the effectiveness of the enhanced and traditional peer outreach approaches in reaching and providing community HIV testing to female sex workers not readily engaged in HIV prevention and treatment services in Côte d’Ivoire. OBJECTIVE The aim of this study was to describe the characteristics of female sex workers reached by the LINKAGES project in Côte d’Ivoire with enhanced peer outreach and traditional peer outreach and to compare HIV-related outcomes between the women reached by both strategies. METHODS Deidentified routine programmatic data collected as part of LINKAGES Côte d’Ivoire between October 2017 and April 2018 were used in these analyses. Demographic characteristics and HIV indicators including HIV testing history, HIV case-finding, linkage to HIV treatment, and treatment initiation were assessed using descriptive statistics. Differences in these indicators were compared by outreach strategy using Pearson chi-square tests. RESULTS There were 9761 women reached with enhanced peer outreach and routine peer outreach included in these analyses. The overall case-finding rate in the sample was 7.8% (698/8851). Compared with women reached by routine outreach, those reached by enhanced peer outreach were more likely to have previously been tested for HIV (enhanced: 1695/2509, 67.6%; routine: 4302/7252, 60.0%; χ<sup>2</sup><sub>1</sub>=43.8; <i>P</i>=.001). The enhanced peer outreach approach was associated with a higher HIV case-finding rate (enhanced: 269/2507 10.7%; routine: 429/6344, 6.8%; χ<sup>2</sup><sub>1</sub>=32.3; <i>P</i>=.001), higher proportion of linkage to treatment (enhanced: 258/269, 95.9%; routine: 306/429, 71.3%; χ<sup>2</sup><sub>1</sub>=64.4; <i>P</i>=.001), and higher proportion of treatment initiation (enhanced: 212/269, 78.8%; routine: 315/429, 73.3%; χ<sup>2</sup><sub>1</sub>=2.6; <i>P</i>=.11). Women reached by both approaches were categorized as high risk for HIV-related behaviors such as condomless sex and number of sex acts in the previous week. CONCLUSIONS These analyses suggest that the novel peer-referral strategy, the enhanced peer outreach approach, was effective in reaching female sex workeres in Côte d’Ivoire with demonstrated acquisition risks for HIV and who had not been effectively engaged by routine outreach approaches. Scaling up novel strategies such as enhanced peer outreach in the context of differentiated service models may be needed to optimize HIV prevention and treatment outcomes for key populations in Côte d’Ivoire.

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

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

scholarly journals Sexual health needs of female sex workers in Côte d’Ivoire: a mixed-methods study to prepare the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e028508 ◽  
Author(s):  
Valentine Becquet ◽  
Marcellin Nouaman ◽  
Mélanie Plazy ◽  
Jean-Marie Masumbuko ◽  
Camille Anoma ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Condom Use ◽  
Cote D'ivoire ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Côte D’Ivoire ◽  
Mixed Methods Study ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Exposure Prophylaxis

ObjectiveTo describe sexual and reproductive health (SRH) needs of female sex workers (FSWs) to inform the future implementation of pre-exposure prophylaxis (PrEP) for HIV prevention in this population.Design and settingThe ANRS 12361 PrEP-CI cross-sectional and mixed-methods study was designed and implemented with two community-based organisations in Côte d’Ivoire.ParticipantsA convenience sample of 1000 FSWs aged ≥18, not known as HIV-positive, completed a standardised questionnaire assessing sociodemographic characteristics, sexual practices, use of community health services and a priori acceptability of PrEP. Twenty-two indepth interviews and eight focus group discussions were also conducted to document FSWs’ risky practices and sexual behaviours, experiences with violence and discrimination, attitudes regarding HIV and sexually transmitted infections (STIs), and barriers to SRH services.ResultsAlthough 87% described consistent condom use with clients, more than 22% declared accepting condomless sexual intercourse for a large sum of money. Furthermore, condom use with their steady partner and knowledge of their partner’s HIV status were low despite their acknowledged concurrent sexual partnerships. While inconsistent condom use exposed FSWs to STIs and undesired pregnancies, the prevalence of contraceptive strategies other than condoms was low (39%) due to fear of contraception causing sterility. FSWs faced obstacles to accessing SRH care and preferred advice from their peers or self-medication.ConclusionsDespite adoption of preventive behaviour in most cases, FSWs are still highly exposed to HIV. Furthermore, FSWs seem to face several barriers to accessing SRH. Implementing PrEP among FSWs in West Africa, such as in Côte d’Ivoire, constitutes an opportunity to consider the regular follow-up of HIV-negative FSWs. PrEP initiation should not condition access to SRH services; conversely, SRH services could be a way to attract FSWs into HIV prevention. Our results highlight the importance of developing a people-focused approach that integrates all SRH needs when transitioning from PrEP efficacy trials to implementation.

scholarly journals Understanding the financial lives of female sex workers in Abidjan, Côte d’Ivoire: implications for economic strengthening interventions for HIV prevention

AIDS Care ◽  
2018 ◽  
Vol 30 (sup3) ◽  
pp. 6-17
Author(s):  
Emily Namey ◽  
Brian Perry ◽  
Jennifer Headley ◽  
Albert Kouakou Yao ◽  
Mariame Louise Ouattara ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Cote D'ivoire ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Côte D’Ivoire ◽  
Cote D’Ivoire ◽  
Female Sex ◽  
Côte D'ivoire ◽  
Economic Strengthening

scholarly journals Selected DHS data on 10–14-year-olds: Côte d'Ivoire

2003 ◽  
Author(s):  
Keyword(s):  
Health Survey ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Program Planning ◽  
Demographic And Health Survey ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Annex to "Facts about adolescents from the Demographic and Health Survey—Statistical tables for program planning"

scholarly journals Population size and habitat of the White-breasted Guineafowl Agelastes meleagrides in the Taï region, Côte d'Ivoire

2009 ◽  
Vol 20 (1) ◽  
pp. 74-83 ◽  
Author(s):  
MATTHIAS WALTERT ◽  
CHARLOTTE SEIFERT ◽  
GERHARD RADL ◽  
BERND HOPPE-DOMINIK
Keyword(s):  
Population Size ◽  
Cote D'ivoire ◽  
National Park ◽  
Côte D’Ivoire ◽  
Encounter Rate ◽  
Cote D’Ivoire ◽  
Taï National Park ◽  
Côte D'ivoire ◽  
Tai National Park ◽  
The Impact

SummaryThe White-breasted Guineafowl Agelastes meleagrides is one of 15 bird species endemic to the Upper Guinea Forests of West Africa. The Taï region in southwestern Côte d'Ivoire probably holds one of the largest remaining populations of this species. We assessed population density in two different sectors in the southern part of Taï National Park and one sector in the N'Zo Faunal Reserve, north of the National Park. The sectors differ in rainfall patterns and hence vegetation type, as well as in previous and past levels of logging and hunting. Line transect surveys were undertaken between 2000 and 2001 with an overall survey effort of 2,883 km. Abundance was highest in the sector with the driest forest type, the N'Zo Faunal Reserve (encounter rate: 0.02 detections km−1, density: 32.9 ind. km−2), where we also observed the largest group recorded for the species so far (38 individuals). The species was almost absent in the southeast of Taï National Park (encounter rate: <0.002 detections km−1), where the impact of poaching on wildlife is strongest. The study confirms that the species reaches highest densities in drier forests and only occurs in smaller numbers in the wetter south of the Taï region. Our data also suggest that past disturbance from logging does not constitute an obstacle for its persistence. The population size in Taï National Park and N'Zo Faunal Reserve should be between 42,000 and 120,000 individuals.

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

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

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

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