Bulletin de la Societe de Pathologie Exotique
Volume 105, Issue 2, 2012, Pages 130-136

HIV/AIDS care and international migrations in the rural district of Nanoro, Burkina Faso [Prise en charge du VIH/sida et migrations internationals dans le district rural de Nanoro, Burkina Faso] (Article)

Autino B. , Odolini S. , Nitiema H. , Kiema D. , Melzani A. , Pietra V. , Martinetto M. , Bettinzoli M. , Simpore J. , Sulis G. , Focà E. , Castelli F.*
  • a Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy, Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy
  • b Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy, Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy
  • c District Sanitaire de Nanoro, BP 30, Koudougou, Burkina Faso
  • d Hôpital St Camille de Nanoro, BP 38, Boussé, Burkina Faso
  • e Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy
  • f Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy, Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy
  • g Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy
  • h Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy, Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy
  • i Centre de Recherche en Biologie Moléculaire Pietro Annigoni (CERBA), Université de Ouagadougou, BP 364, Ouagadougou 01, Burkina Faso
  • j Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy
  • k Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy
  • l Université de Brescia, Piazza Spedali Civili, 1, 25123 Brescia, Italy, Medicus Mundi Italie, Via Martinengo da Barco 6a, 25121 Brescia, Italy

Abstract

West African Countries account for almost half of the estimated 20 000 000 international migrants in the continent. In the frame of the scaling up of HAART, our study aims to identify specific features and constraints of access to care for HIV migrant patients returning to Burkina Faso. From January 2007 to August 2011, the Nanoro District Hospital, serving a rural area in the Centre-West of Burkina Faso, followed 437 HIV/AIDS adult patients. Migrants were 139/437 (31.8 %), of whom 108/139 (77.7 %), declared they returned to Burkina Faso to seek care, because the area they migrated to did not offer specific HIV health assistance. At baseline, 113/139 (81,3 %) migrants and 181/298 (60,7 %) residents were in WHO clinical stages III or IV (p< 0.01). For every 100 patients/ year under HAART, 25.5 migrants (91.4 % of whom to foreign countries) and 5.7 Burkina residents were transferred to other centers (p<0.01). 21.8 migrants and 8.5 residents were dead or lost to follow up (p<0.05). For migrant patients, access to HIV screening and care seems to be delayed. The high frequency of migrants under HAART working abroad requires an improved cooperation among the health systems of the African Countries. © 2012 Société de pathologie exotique et Springer-Verlag France.

Author Keywords

Nanoro Interstate cooperation in health Subsaharan Africa West Africa Burkina Faso Côte d'Ivoire International migrations HIV/AIDS Antiretroviral treatment

Index Keywords

HIV Infections Human immunodeficiency virus infection physiology human highly active antiretroviral therapy Antiretroviral Therapy, Highly Active middle aged statistics travel Internationality rural population Acquired Immunodeficiency Syndrome international cooperation ethnology Burkina Faso Young Adult Humans Adolescent male female prevalence Hospitals, Rural Article adult migration HIV-1 Utilization Review Human immunodeficiency virus 1 Emigration and Immigration hospital acquired immune deficiency syndrome Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863567911&doi=10.1007%2fs13149-012-0229-x&partnerID=40&md5=fb14e2d2f3bd3a435947f82d4fc3f35a
DOI: 10.1007/s13149-012-0229-x
ISSN: 00379085
Cited by: 3
Original Language: French