- Healthcare Systems and Practices
- Migration, Identity, and Health
- HIV/AIDS Research and Interventions
- Migration, Health and Trauma
- HIV/AIDS Impact and Responses
- HIV, Drug Use, Sexual Risk
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Health Policy Implementation Science
- Sex work and related issues
- Community Health and Development
- Employment and Welfare Studies
- Evaluation and Performance Assessment
- Adolescent Sexual and Reproductive Health
- Social Policies and Family
- Education, sociology, and vocational training
- Health disparities and outcomes
- Healthcare Policy and Management
- Migration and Labor Dynamics
- African Studies and Ethnography
- Intimate Partner and Family Violence
- French Urban and Social Studies
- African Studies and Geopolitics
- COVID-19 Pandemic Impacts
- Food Security and Health in Diverse Populations
Inserm
2017-2024
Campus Condorcet
2021-2024
Université Paris Cité
2015-2024
Institut de Recherche pour le Développement
2015-2024
Sorbonne Paris Cité
2015-2024
Institut Français des Relations Internationales
2022-2024
Centre National de la Recherche Scientifique
2022-2024
Centre Population et Développement
2015-2024
Institut National des Langues et Civilisations Orientales
2023-2024
Convergence
2024
In Europe, sub-Saharan African migrants are a key population for HIV infection. We analyse how social hardships during settlement in France shape sexual partnerships and risk.PARCOURS is life-event survey conducted 2012-2013 74 health-care facilities the Paris region, among three groups of migrants: 926 receiving care (296 acquired France), 779 with chronic hepatitis B, 763 neither nor B (reference group).Hardships (lack residence permit, economic resources housing) were documented each year...
We estimated the proportion of migrants from sub-Saharan Africa who acquired human immunodeficiency virus (HIV) while living in France. Life-event and clinical information was collected 2012 2013 a random sample HIV-infected outpatients born Paris region. assumed HIV infection France if at least one following fulfilled: (i) diagnosis 11 years after arrival France, (ii) negative test (iii) sexual debut Otherwise, time based on statistical modelling first CD4 + T-cell count; more than 50%...
BackgroundSub-Saharan African migrant women are a key population at risk of HIV infection in Europe. Using data from the ANRS-PARCOURS study, we aimed to assess prevalence forced sex after migration and its association with post-migration acquisition as well circumstances migration, including housing administrative insecurity, among sub-Saharan living Paris Region, France.MethodsThe study was retrospective life-event survey done between February, 2012, May, 2013, health-care facilities...
In Mauritania, obstetrical risk insurance (ORI) has been progressively implemented at the health district level since 2002 and was available in 25% of public healthcare facilities 2015. The ORI scheme is based on pre-payment principles focuses increasing quality access to both maternal perinatal healthcare. Compared with many community-based schemes, original because it not pooling. For a 16-18 USD, women are covered during their pregnancy for antenatal care, skilled delivery, emergency care...
Migrants' access to care depends on their health insurance coverage in the host country. We aimed evaluate France dynamic and determinants of acquisition among sub-Saharan migrants.
Objective Recent studies highlighted that many HIV-positive migrants in Europe acquired their infections post-migration. However, the timing of these is not always known. This study aims to estimate post-migration HIV acquisition among sub-Saharan France and understand correlates infection. Methods Within PARCOURS retrospective survey conducted 2012–2013 74 healthcare facilities Paris region, life-event data were collected a random sample 926 patients living with services 763 undiagnosed...
Background One of the classic challenges for prevention programmes is reaching populations they serve. In France, a substantial number African migrants living with HIV acquired their infection after migrating. The aim this paper to better understand characteristics population reached by community-based outreach approach. Methods We compared sociodemographic across three different groups in Paris greater area: (1) general migrant (Population census), (2) using either regular healthcare system...
Throughout Europe, migration-related health inequalities are mirrored by large in coverage. There is a need to develop novel strategies secure access insurance for immigrants order meet the shared Sustainable Development Goal of universal We evaluated impact an original health-related empowerment intervention on coverage among vulnerable, mostly undocumented France. As part MAKASI study, we adopted outreach approach and developed community-based with from sub-Saharan Africa living precarious...
In March 2020, the government of Senegal introduced a curfew, ban on travel between regions, closure markets, and attending places worship to contain spread COVID-19 pandemic. As part research into response COVID-19, we developed scale measure social acceptability these measures. We used Sekhon's theoretical framework (TFA) formulate content items. assessed homogeneity using Cronbach's Alpha average interitem correlations. measured dimensional properties rating models. tested sensitivity...
HIV heavily affects sub-Saharan African women living in France and can impact reproductive decisions. It was investigated whether associated with induced abortion pregnancies held after migration by from Africa Île-de-France.
Abstract As the Universal Health Insurance Plan (RAMU) is gradually being implemented in Mali, community‐based health insurance (CBHI) —considered one of pillars this programme— must innovate to meet challenge universal coverage. An experimental CBHI was tested central Mali between 2017 and 2021. This innovative professionalizes organizes risk sharing on a larger scale than before, moving from municipalities circles (departments). A mixed‐method study carried out Mopti region assess...
In this study, we aim to measure and compare the frequency of reported denial care in sub-Saharan African migrants living Paris area, according their HIV HBV status social migration characteristics.The ANRS-PARCOURS study is a life-event survey conducted 2012-13 healthcare facilities among three groups recruited primary centres (N = 760; reference group), dedicated for 922; group) chronic hepatitis B 777; CHB group). Characteristics associated with refusal since arrival France were...
Migrants from sub-Saharan Africa (SSA) are often diagnosed at an advanced stage of HIV, and many them have harsh living conditions. We aimed to evaluate the entry into care after HIV diagnosis examine related social determinants. The ANRS PARCOURS study is a life-event survey conducted in 2012–2013 Paris region among. Time between SSA migrants positive France determinants was assessed yearly by using mixed-effects logistic regression models. Among total 792 participants, 94.2% engaged within...
Biomedical HIV prevention tools are available in France to prevent new infections. However, evidence suggests a lack of knowledge these among sub-Saharan African immigrants, who particularly affected by due social hardship, an indirect factor acquisition. We analysed the impact empowerment-based intervention on treatment as (TasP), pre-exposure prophylaxis (PrEP) and post-exposure (PEP) population precarious immigrants.
Objective: The objective of this study was to analyse health care access Sub-Saharan African migrants living with chronic hepatitis B (CHB) in France. Methods: ANRS-Parcours survey a life-event conducted 2012-2013 among recruited by facilities managing CHB the Paris region. Data were collected face-to-face interview using biographical grid and standardized questionnaire. Results: 96.4% 619 participants basic insurance coverage CMU universal 18.6% cases AME state medical assistance 23.4%...
Résumé :Les recherches en santé publique reconnaissent de plus la pertinence des stratégies basées sur les inégalités sociales et le pouvoir d'agir populations. L'évaluation l'impact ces s'inspire souvent principes incohérents avec leur nature, inspirés biomédicales. Ces contribuent potentiellement à nier l'importance du contexte l'interaction entre acteurs d'une intervention. Dans cette étude, nous proposons une analyse réflexive l'usage méthodes quantitatives d'évaluation d'impact...
Migrants account for 35% of HIV diagnoses in the European Union (ECDC/WHO 2014). Little is known about impact such a lifelong infection diagnosis on lives that are already disrupted by migration. In this paper, we assess activity, union, well-being among African migrants living France, second group most affected after MSM. We compare it with Hepatitis B, another affecting migrants.We use ANRS PARCOURS survey, retrospective life-event survey led 2012-2013 74 health structures Paris greater...