Amsterdam 2015
Menu
AIDSImpact.com
Conference Details
Authors
International Committee
Plenary Speakers
Presenting Speakers
Programme
Sessions
Scientific Committee
Acknowledgements
| Abstract #2066 - We are our choices - launch plenary | ||||
|
Session: 3.2: We are our choices - launch plenary (Plenary) on Tuesday @ 15.45-17.30 in C103 Chaired by Lorraine Sherr, Gretchen Bachman, Kai Jonas Authors: Presenting Author: Dr Bruno Spire - INSERM, France |
||||
| Additional Authors: | ||||
| Aim: The HIV epidemic in France is concentrated in three key populations: men who have sex with men (MSM), injecting drug users (IDUs) and sub-Saharan African migrants. These populations are actively mobilized in AIDES, the primary nationwide community-based HIV association in France, and have identified key research questions leading to research projects supported by the French agency for AIDS research (ANRS). The first such project, ANRS-DRAG, demonstrated the feasibility and public health value of task-shifting HIV testing to lay individuals. Results showed that MSM attracted by the community-based testing offer, are less often tested and more often HIV-exposed, when compared with beneficiaries of conventional HIV testing offers. The second project, ANRS-AERLI, evaluated the effectiveness of a community-based intervention which provided training and education on risk reduction of HIV and other infections, in the context of drug injection. This intervention resulted in a reduction of at-risk injection practices, and in reduced local complications related to injection. The third project, ANRS IPERGAY, showed that “on demand” oral PrEP with TDF/FTC resulted in an 86% (95% CI: 40-99) reduction in HIV-incidence among highly exposed MSM. This same approach was also implemented by Coalition Plus, an alliance between 13 international community-based organizations including AIDES. Coalition Plus’s first large scale community-based study, PARTAGES (performed in the Democratic Republic of Congo, Ecuador, Mali, Morocco, and Romania), documented the factors associated with serostatus disclosure by PLHIV in several contexts where available data are rare. For all these four projects, community-based representatives were associated with the design, implementation and governance. In addition, specific roles were assigned to community stakeholders including outreach, enrolment, and counseling of participants. Community-based representatives were considered principal co-investigators, with equal recognition and responsibilities to their academic counterparts. These four projects allowed researchers, doctors, funders and the populations concerned, to learn how to better conduct community-based research, how to overcome difficulties through collaboration, and to understand the value of working with and not for people. | ||||
| Go Back | ||||