{"id":2621,"date":"2018-04-16T12:57:07","date_gmt":"2018-04-16T12:57:07","guid":{"rendered":"https:\/\/cnls.sn\/?post_type=nos_actualites&amp;p=2621"},"modified":"2018-04-16T12:57:07","modified_gmt":"2018-04-16T12:57:07","slug":"demedicaliser-la-riposte-pourquoi-et-comment","status":"publish","type":"post","link":"https:\/\/cnls.sn\/?p=2621","title":{"rendered":"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ?"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"color: #000000;\">L<strong>a d\u00e9m\u00e9dicalisation a \u00e9t\u00e9 un des th\u00e8mes majeurs de la conf\u00e9rence Afravih 2018. Pourquoi est-il si important de s\u2019orienter de plus en plus vers la d\u00e9m\u00e9dicalisation\u00a0? Comment y arriver\u00a0?<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><span style=\"color: #333399;\"><strong>En 2018<\/strong>,<\/span> le monde est \u00e0 deux ans d\u2019atteindre les objectifs d\u2019acc\u00e9l\u00e9ration vers les 90-90-90 lanc\u00e9s par ONUSIDA en 2014 et pr\u00e9vus pour 2020. L\u2019urgence est r\u00e9elle\u00a0: <strong>L\u2019Afrique de l\u2019Ouest et du Centre<\/strong> accuse <span style=\"color: #ff0000;\"><strong>un retard<\/strong><\/span> particuli\u00e8rement fort: 3 personnes sur 4 n\u2019ont pas acc\u00e8s aux ARV et 1 d\u00e9c\u00e8s sur 4 li\u00e9 au sida dans le monde survient dans la r\u00e9gion . <strong>21% des nouvelles infections dans le monde<\/strong>.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Dans des pays aux ressources limit\u00e9es, la mise en \u0153uvre de l\u2019acc\u00e9l\u00e9ration de la riposte a permis de poser sur la table l\u2019option de la d\u00e9m\u00e9dicalisation. Il s\u2019agit de d\u00e9l\u00e9guer une t\u00e2che jusqu\u2019alors d\u00e9volue aux m\u00e9decins \u00e0 d\u2019autres travailleurs de sant\u00e9 notamment des infirmiers et infirmi\u00e8res et aux agents de sant\u00e9 communautaires (ASC) du syst\u00e8me public et ceux des associations communautaires.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>-D\u00e9pistage communautaire\u00a0:<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Selon les recommandations officielles de l\u2019Organisation Mondiale de la sant\u00e9(OMS)\u00a0: <strong><span style=\"color: #333399;\">Les agents communautaires ayant re\u00e7u une formation<\/span> <\/strong>peuvent, en utilisant des tests diagnostiques rapides, d\u00e9livrer de mani\u00e8re autonome des services s\u00fbrs et efficaces de d\u00e9pistage du VIH. Une plus grande capacit\u00e9 \u00e0 \u00e9tablir avec les populations cl\u00e9s des relations de confiance : la proximit\u00e9 des agents communautaires avec les groupes cl\u00e9s desquels ils sont issus favorise la confiance et le dialogue. Elle impacte ainsi positivement <span style=\"color: #ff0000;\">la r\u00e9duction de la stigmatisation<\/span>, encore bien pr\u00e9sente et dans certains centres de sant\u00e9 classiques notamment dans des contextes o\u00f9 la prostitution, l\u2019homosexualit\u00e9 et l\u2019usage de drogues injectables sont criminalis\u00e9s.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>-La prophylaxie pr\u00e9-exposition (PrEP)<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">L\u2019Organisation Mondiale de la Sant\u00e9 (OMS) recommande l\u2019utilisation de la PrEP pour \u00ab <span style=\"color: #ff0000;\">les personnes \u00e0 risque \u00e9lev\u00e9 d\u2019infection \u00e0 VIH<\/span> \u00bb, soit chez les populations au sein desquelles la pr\u00e9valence d\u00e9passe 3% en l\u2019absence de PrEP toujours selon l\u2019OMS,<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">\u00ab <strong><span style=\"color: #333399;\">les associations \u00e0 base communautaire,<\/span><\/strong> particuli\u00e8rement celles qui travaillent avec les populations cl\u00e9s \u2013 devraient jouer un r\u00f4le important dans le d\u00e9ploiement de la PrEP en impliquant les personnes les plus \u00e0 risque, fournissant de l\u2019information sur la disponibilit\u00e9 de la PrEP et promouvant le lien entre les fournisseurs de PrEP et les services sanitaires, sociaux et communautaires de soutien \u00bb.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>&#8211; L\u2019autotest: un outil prometteur mais des prix prohibitifs<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>\u00a0<\/strong>L\u2019ONUSIDA en 2014 \u00a0estime que : \u00ab <span style=\"color: #333399;\"><strong>Des initiatives de d\u00e9pistage proactives<\/strong><\/span> sont n\u00e9cessaires avec l\u2019utilisation d\u2019un large \u00e9ventail d\u2019approches de soutien et de d\u00e9pistage du VIH y compris <span style=\"color: #333399;\"><strong>l\u2019autotest<\/strong><\/span> \u00bb L\u2019autotest permet \u00e0 une personne qui veut conna\u00eetre son statut VIH d\u2019effectuer un test \u2013 par un \u00e9chantillon salivaire ou une goutte de sang \u2013 et d\u2019en analyser le r\u00e9sultat seule et en priv\u00e9. Plusieurs mod\u00e8les de distribution des autotests existent et certains impliquent la pr\u00e9sence des ASC dans la distribution, <\/span><span style=\"color: #000000;\">le conseil pr\u00e9-test ou le conseil post-test. L\u2019un des avantages majeurs de l\u2019autotest est <span style=\"color: #333399;\"><strong>la confidentialit\u00e9<\/strong> <\/span>qu\u2019il garantit, ce qui en fait un outil compl\u00e9mentaire de d\u00e9pistage particuli\u00e8rement attractif pour les populations cl\u00e9s criminalis\u00e9es..<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>Source\u00a0 : Coalition plus<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>\u00a0<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>\u00a0<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>La d\u00e9m\u00e9dicalisation a \u00e9t\u00e9 un des th\u00e8mes majeurs de la conf\u00e9rence Afravih 2018. Pourquoi est-il si important de s\u2019orienter de plus en plus vers la d\u00e9m\u00e9dicalisation\u00a0? Comment y arriver\u00a0? En 2018, le monde est \u00e0 deux ans d\u2019atteindre les objectifs d\u2019acc\u00e9l\u00e9ration vers les 90-90-90 lanc\u00e9s par ONUSIDA en 2014 et pr\u00e9vus pour 2020. L\u2019urgence est[&#8230;]\n","protected":false},"author":14,"featured_media":2622,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[5,27],"tags":[],"class_list":["post-2621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","category-atelier"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ? - CNLS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cnls.sn\/?p=2621\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ? - CNLS\" \/>\n<meta property=\"og:description\" content=\"La d\u00e9m\u00e9dicalisation a \u00e9t\u00e9 un des th\u00e8mes majeurs de la conf\u00e9rence Afravih 2018. Pourquoi est-il si important de s\u2019orienter de plus en plus vers la d\u00e9m\u00e9dicalisation\u00a0? Comment y arriver\u00a0? En 2018, le monde est \u00e0 deux ans d\u2019atteindre les objectifs d\u2019acc\u00e9l\u00e9ration vers les 90-90-90 lanc\u00e9s par ONUSIDA en 2014 et pr\u00e9vus pour 2020. L\u2019urgence est[...]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cnls.sn\/?p=2621\" \/>\n<meta property=\"og:site_name\" content=\"CNLS\" \/>\n<meta property=\"article:published_time\" content=\"2018-04-16T12:57:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"578\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/gif\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/cnls.sn\/?p=2621#article\",\"isPartOf\":{\"@id\":\"https:\/\/cnls.sn\/?p=2621\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ?\",\"datePublished\":\"2018-04-16T12:57:07+00:00\",\"dateModified\":\"2018-04-16T12:57:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/cnls.sn\/?p=2621\"},\"wordCount\":572,\"publisher\":{\"@id\":\"https:\/\/cnls.sn\/#organization\"},\"image\":{\"@id\":\"https:\/\/cnls.sn\/?p=2621#primaryimage\"},\"thumbnailUrl\":\"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif\",\"articleSection\":[\"Actualite\",\"Atelier\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cnls.sn\/?p=2621\",\"url\":\"https:\/\/cnls.sn\/?p=2621\",\"name\":\"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ? - CNLS\",\"isPartOf\":{\"@id\":\"https:\/\/cnls.sn\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/cnls.sn\/?p=2621#primaryimage\"},\"image\":{\"@id\":\"https:\/\/cnls.sn\/?p=2621#primaryimage\"},\"thumbnailUrl\":\"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif\",\"datePublished\":\"2018-04-16T12:57:07+00:00\",\"dateModified\":\"2018-04-16T12:57:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/cnls.sn\/?p=2621#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cnls.sn\/?p=2621\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/cnls.sn\/?p=2621#primaryimage\",\"url\":\"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif\",\"contentUrl\":\"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif\",\"width\":1024,\"height\":578},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cnls.sn\/?p=2621#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/cnls.sn\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cnls.sn\/#website\",\"url\":\"https:\/\/cnls.sn\/\",\"name\":\"CNLS\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/cnls.sn\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/cnls.sn\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/cnls.sn\/#organization\",\"name\":\"CNLS\",\"url\":\"https:\/\/cnls.sn\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/cnls.sn\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/cnls.sn\/wp-content\/uploads\/2025\/12\/Logo_Cnls_bleu_page-0001.jpg\",\"contentUrl\":\"https:\/\/cnls.sn\/wp-content\/uploads\/2025\/12\/Logo_Cnls_bleu_page-0001.jpg\",\"width\":814,\"height\":536,\"caption\":\"CNLS\"},\"image\":{\"@id\":\"https:\/\/cnls.sn\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"\",\"url\":\"https:\/\/cnls.sn\/?author=14\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ? - CNLS","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cnls.sn\/?p=2621","og_locale":"fr_FR","og_type":"article","og_title":"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ? - CNLS","og_description":"La d\u00e9m\u00e9dicalisation a \u00e9t\u00e9 un des th\u00e8mes majeurs de la conf\u00e9rence Afravih 2018. Pourquoi est-il si important de s\u2019orienter de plus en plus vers la d\u00e9m\u00e9dicalisation\u00a0? Comment y arriver\u00a0? En 2018, le monde est \u00e0 deux ans d\u2019atteindre les objectifs d\u2019acc\u00e9l\u00e9ration vers les 90-90-90 lanc\u00e9s par ONUSIDA en 2014 et pr\u00e9vus pour 2020. L\u2019urgence est[...]","og_url":"https:\/\/cnls.sn\/?p=2621","og_site_name":"CNLS","article_published_time":"2018-04-16T12:57:07+00:00","og_image":[{"width":1024,"height":578,"url":"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif","type":"image\/gif"}],"twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"","Dur\u00e9e de lecture estim\u00e9e":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/cnls.sn\/?p=2621#article","isPartOf":{"@id":"https:\/\/cnls.sn\/?p=2621"},"author":{"name":"","@id":""},"headline":"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ?","datePublished":"2018-04-16T12:57:07+00:00","dateModified":"2018-04-16T12:57:07+00:00","mainEntityOfPage":{"@id":"https:\/\/cnls.sn\/?p=2621"},"wordCount":572,"publisher":{"@id":"https:\/\/cnls.sn\/#organization"},"image":{"@id":"https:\/\/cnls.sn\/?p=2621#primaryimage"},"thumbnailUrl":"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif","articleSection":["Actualite","Atelier"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/cnls.sn\/?p=2621","url":"https:\/\/cnls.sn\/?p=2621","name":"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ? - CNLS","isPartOf":{"@id":"https:\/\/cnls.sn\/#website"},"primaryImageOfPage":{"@id":"https:\/\/cnls.sn\/?p=2621#primaryimage"},"image":{"@id":"https:\/\/cnls.sn\/?p=2621#primaryimage"},"thumbnailUrl":"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif","datePublished":"2018-04-16T12:57:07+00:00","dateModified":"2018-04-16T12:57:07+00:00","breadcrumb":{"@id":"https:\/\/cnls.sn\/?p=2621#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cnls.sn\/?p=2621"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cnls.sn\/?p=2621#primaryimage","url":"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif","contentUrl":"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif","width":1024,"height":578},{"@type":"BreadcrumbList","@id":"https:\/\/cnls.sn\/?p=2621#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/cnls.sn\/"},{"@type":"ListItem","position":2,"name":"D\u00e9m\u00e9dicaliser la riposte: pourquoi et comment ?"}]},{"@type":"WebSite","@id":"https:\/\/cnls.sn\/#website","url":"https:\/\/cnls.sn\/","name":"CNLS","description":"","publisher":{"@id":"https:\/\/cnls.sn\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cnls.sn\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/cnls.sn\/#organization","name":"CNLS","url":"https:\/\/cnls.sn\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cnls.sn\/#\/schema\/logo\/image\/","url":"https:\/\/cnls.sn\/wp-content\/uploads\/2025\/12\/Logo_Cnls_bleu_page-0001.jpg","contentUrl":"https:\/\/cnls.sn\/wp-content\/uploads\/2025\/12\/Logo_Cnls_bleu_page-0001.jpg","width":814,"height":536,"caption":"CNLS"},"image":{"@id":"https:\/\/cnls.sn\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"","url":"https:\/\/cnls.sn\/?author=14"}]}},"jetpack_featured_media_url":"https:\/\/cnls.sn\/wp-content\/uploads\/2018\/04\/sidaaaaa-okkkk_0.gif","_links":{"self":[{"href":"https:\/\/cnls.sn\/index.php?rest_route=\/wp\/v2\/posts\/2621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cnls.sn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cnls.sn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cnls.sn\/index.php?rest_route=\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/cnls.sn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2621"}],"version-history":[{"count":0,"href":"https:\/\/cnls.sn\/index.php?rest_route=\/wp\/v2\/posts\/2621\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cnls.sn\/index.php?rest_route=\/wp\/v2\/media\/2622"}],"wp:attachment":[{"href":"https:\/\/cnls.sn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cnls.sn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cnls.sn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}