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Master Thesis

Étude des répercussions de l'indigence sur le suivi des personnes vivant avec le VIH/SIDA sous traitement antirétroviral, au Centre de Traitement Agréé de l'hôpital Laquintinie de Douala (Cameroun)

Abstract : Background. In Cameroon, where virtually 40% of the population lives below the poverty line, the prevalence of HIV is estimated at 5.3%. Since 2007, access to antiretroviral treatment (ART) is free. Is it enough so that people living with HIV (PLHIV) may medically be well managed? The aim of this study was to determine whether indigence was predictive of a therapeutic failure. Methods. Indigence was defined using a specific evaluation grid. The primary outcome was the occurrence of an immunologic failure. All patients who were over the age of 18 and who initiated their ART in 2008 were included in the study. But patients who had post-exposure prophylaxis or initiated their ART within the framework for prevention of mother-to-children transmission were excluded from this study. Results. One hundred and thirty eight patients were involved in the study, in a women to men ratio of 3.6. Forty-two percent of this group were indigent. At the start of the ART, the age was 34, the rate of CD4 was 173 cells/mm3, and 67% of the patients were at the WHO stage 3 or 4. The length of follow-up was 32 months. Indigence did not have a significant impact on the failure rate (10.3% of the indigent patients versus 8.8% of the non indigent, p-value=0.75). Conclusions. This study allowed to point out the difficulties of a medical follow-up care on the long run, for the most impoverished PLHIV. An early targeting of the indigent would enable an individual caring system to be put into place, for those patients who highly incur the risk of a breaking-off in their follow-up care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00645722
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Submitted on : Monday, November 28, 2011 - 3:15:41 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
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  • HAL Id : dumas-00645722, version 1

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François Cuchet. Étude des répercussions de l'indigence sur le suivi des personnes vivant avec le VIH/SIDA sous traitement antirétroviral, au Centre de Traitement Agréé de l'hôpital Laquintinie de Douala (Cameroun). Médecine humaine et pathologie. 2011. ⟨dumas-00645722⟩

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