ATLAS Project : ad apting HIVST distribution models in West Africa to reach those left behind
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ATLAS Project : adapting HIVST distribution models
in West Africa to reach those left behind
ICASA Conference, Session HIV Self-Testing, STAR and ATLAS
Wednesday 4th of December 14.45- 16.15
Clémence DOUMENC AÏDARA – Project Director (Solthis)
Joseph LARMARANGE – Scientific Coordinator (IRD/Ceped)
EPIDEMIOLOGICAL CONTEXT IN WEST AND CENTRAL AFRICA
A generalised epidemic at a
Concentrated epidemics
relative low level
among key populations:
(HIV prevalence :
MSM, FSW, PWuID
0.4 to 2.8%)
Low HIV prevalence High HIV prevalence
Large population Small populations
HIV TESTING: MAIN BARRIER FOR ACCESSING CARE
Testing coverage very different per sub-groups
➔ How to reach those unreached by current strategies?
KP ARE NOT HOMOGENOUS GROUPS (THE EXAMPLE OF MSM)
“Center” “Periphery”
more often self-identified as Gay more often self-identified as Straight
younger older
more male partners less male partners
less female partners more female partners
higher HIV prevalence lower HIV prevalence
higher testing coverage lower testing coverage
usually reached by CBOs hard-to-reach
4
PRIMARY AND SECONDARY HIVST DISTRIBUTION
Primary distribution Secondary distribution
for personal use to be redistributed to
partners and relatives
ATLAS DELIVERY CHANNELS
PROJECT OUTPUTS
QUANTIFICATION PREVISIONNELLE
FIRST ACHIEVEMENTS AND RESULTS
HIVST distribution - ATLAS, July to Oct 2019
2985
1117
522
392 407
239 149
119
PlWHIV STI partners MSM/ MSM/ FSW / Facility FSW DU /Facility DU /
partners Facility based Outreach based Outreach based OutreachQUANTIFICATION PREVISIONNELLE
FIRST ACHIEVEMENTS AND RESULTS
HIVST distribution per target population
ATLAS July to Oct 2019
DU & partners 4%
STI partners
19%
FSW and
partners/clients
43%
PLHIV’s partners
12%
MSM & partners
22%QUANTIFICATION PREVISIONNELLE
FIRST ACHIEVEMENTS AND RESULTS
ATLAS HIVST distribution (July 2019 to June 2020)
100 000
90 000
80 000
70 000
60 000
50 000
40 000
30 000
20 000
10 000
-
Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20QUANTIFICATION PREVISIONNELLE
FIRST ACHIEVEMENTS AND RESULTS
More then 1 200 people trained
Dispensing agents tools : trainers manuals, fact sheets,
demonstration tools…
Training modules developed and available on AIDS free website
4 HIVST indicators validated in DHIS2
PSM integrated in the national system (National Pharmacy)
ATLAS implementation (60 000 HIVST) in 3 regions from 07/19 to
11/21 and catalytic funds to cover all other Medical regions than
ATLAS (44 000 HIVST) from 10/19 to late 2021
HIVST quantification exercise done at national level integrating
ATLAS and GFATM contributionsPARTNERS
Consortium Donors
Funded and supported by With additional funding of
Implementing partners
Côte d’Ivoire Mali Sénégal
Ministère de la Santé et de l’Hygiène Publique Ministère de la Santé et des Affaires sociales Ministère de la Santé et de l’Action Sociale
PNLS HCNLS CNLS
Technical
Ariel Glaser AKS CTA partner
Espace Confiance Amprode Sahel CEPIAD
Heartland et ses partenaires ARCAD Sida Enda et ses partenaires
Ruban Rouge Danayaso
PSI
Soutoura
Research partners
Project
partnersSEE YOU IN DAKAR & SAN FRANCISCO! Save the
Consortium Donors
Funded and supported by With additional funding of date!
Implementing partners
Côte d’Ivoire Mali Sénégal
Ministère de la Santé et de l’Hygiène Publique Ministère de la Santé et des Affaires sociales Ministère de la Santé et de l’Action Sociale
PNLS HCNLS CNLS
Technical
Ariel Glaser AKS CTA partner
Espace Confiance Amprode Sahel CEPIAD
Heartland et ses partenaires ARCAD Sida Enda et ses partenaires
Ruban Rouge Danayaso
PSI
Soutoura
Research partners
Project
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