{"id":5765,"date":"2019-11-07T16:59:55","date_gmt":"2019-11-07T13:59:55","guid":{"rendered":"https:\/\/www.pasteur.mg\/?p=5765"},"modified":"2025-06-26T11:01:54","modified_gmt":"2025-06-26T08:01:54","slug":"atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar","status":"publish","type":"post","link":"https:\/\/www.pasteur.mg\/en\/atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar\/","title":{"rendered":"Atelier de lancement du projet TB-VIH\/EP : \u00ab Am\u00e9liorer la prise en charge globale de  la tuberculose et de l\u2019infection VIH en milieu carc\u00e9ral \u00e0 Madagascar\u00bb"},"content":{"rendered":"<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-attachment-id=\"5772\" data-permalink=\"https:\/\/www.pasteur.mg\/en\/atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar\/ipm_1725\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?fit=1024%2C683&amp;ssl=1\" data-orig-size=\"1024,683\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;5&quot;,&quot;credit&quot;:&quot;Sitraka ANDRINIVO&quot;,&quot;camera&quot;:&quot;NIKON D7200&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1573033921&quot;,&quot;copyright&quot;:&quot;Institut Pasteur de Madagascar&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;3200&quot;,&quot;shutter_speed&quot;:&quot;0.0125&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"IPM_1725\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?fit=1024%2C683&amp;ssl=1\" src=\"https:\/\/i2.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?fit=1024%2C683\" alt=\"\" class=\"wp-image-5772\" srcset=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?w=1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1725.jpg?resize=704%2C470&amp;ssl=1 704w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>Pr\u00e9sentation du projet par le Dr RAKOTOMANANA Fanjasoa, Coordinatrice scientifique du projet TB-VIH\/EP<br><\/figcaption><\/figure>\n\n\n\n<p> L\u2019Institut Pasteur de Madagascar (IPM) s\u2019est engag\u00e9 \u00e0 porter un nouveau  projet d\u2019une dur\u00e9e de 3 ans intitul\u00e9 \u00ab Am\u00e9lioration de la prise en  charge globale de la tuberculose et de l\u2019infection au VIH en milieu  carc\u00e9ral\u00a0\u00bb dont le lancement officiel a eu lieu les 6 et 7 novembre  2019.  <\/p>\n\n\n\n<p>Bien souvent dans le monde, la sant\u00e9 des\npersonnes d\u00e9tenues n\u2019est pas consid\u00e9r\u00e9e comme une priorit\u00e9. Les\nsoins y sont le plus souvent pr\u00e9caires et en\nmarge du syst\u00e8me de sant\u00e9. Le manque de moyen mis \u00e0 disposition, ajout\u00e9 aux\ncontraintes impos\u00e9es par le contexte carc\u00e9ral rendent l\u2019acc\u00e8s aux soins, et\nnotamment le recours aux ressources sanitaires en dehors de la prison plus\ndifficile qu\u2019en population g\u00e9n\u00e9rale. Les conditions d\u2019hygi\u00e8ne, la surpopulation\net les conditions d\u2019incarc\u00e9ration, parfois tr\u00e8s pr\u00e9caires, exposent les d\u00e9tenus\n\u00e0 un plus fort risque d\u2019infection. De plus, les prisons rassemblent une\npopulation d\u00e9j\u00e0 vuln\u00e9rable d\u2019un point de vue \u00e9pid\u00e9miologique car elle se trouve\nissue majoritairement de milieux d\u00e9favoris\u00e9s o\u00f9 l\u2019offre de soin est d\u00e9j\u00e0\npr\u00e9caire. Cette exposition peut varier d\u2019un pays \u00e0 l\u2019autre. Cependant, il est\nprouv\u00e9 que les taux de pr\u00e9valence de la tuberculose et de s\u00e9ropr\u00e9valence du VIH\nsont toujours plus \u00e9lev\u00e9s en milieu carc\u00e9ral qu\u2019en population g\u00e9n\u00e9rale. A cause\nde la promiscuit\u00e9 forc\u00e9e, les infections respiratoires et, plus\nparticuli\u00e8rement la tuberculose, font partie des pathologies les plus\nrencontr\u00e9es en milieu carc\u00e9ral. <\/p>\n\n\n\n<p>Madagascar ne fait pas exception. Actuellement,\naucune \u00e9tude ne s\u2019est encore d\u00e9roul\u00e9e en milieu carc\u00e9ral dans le pays, mais\nselon les estimations, le risque de d\u00e9velopper une tuberculose maladie est\nenviron 8 fois sup\u00e9rieur chez les personnes d\u00e9tenues qu\u2019en population g\u00e9n\u00e9rale.\nConcernant l\u2019infection VIH, la disponibilit\u00e9 des donn\u00e9es reste tr\u00e8s h\u00e9t\u00e9rog\u00e8ne dans\nles \u00e9tablissements p\u00e9nitenciers car la possibilit\u00e9 de d\u00e9pistage n\u2019est pas\nsyst\u00e9matique. <\/p>\n\n\n\n<p>Le c\u0153ur de ce\nprojet novateur prendra place dans 4 \u00e9tablissements p\u00e9nitenciers du pays :\nAntanimora (Antananarivo), Manakara, Mahajunga et Toamasina et va tenter, \u00e0\ntravers une approche globale et multisectorielle de&nbsp;:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Permettre de mieux comprendre ce milieu tr\u00e8s peu\n\u00e9tudi\u00e9 gr\u00e2ce \u00e0 deux volets de recherche&nbsp;: (i) une \u00e9tude anthropologique ayant\npour but de documenter le parcours de soin et les dynamiques de pouvoir\ninternes pouvant l\u2019influencer, ainsi qu\u2019une analyse de situations des\ninstitutions et intervenant de la sant\u00e9 en milieu carc\u00e9ral&nbsp;; et (ii) une\nrecherche op\u00e9rationnelle (\u00e0 Antananarivo seulement) dans le but de mieux\ncomprendre les risques de transmission et de d\u00e9veloppement de la tuberculose\nmaladie et de l\u2019infection VIH dans ce contexte si particulier; <\/li><li>D\u2019am\u00e9liorer le parcours de soins intra et\npost-carc\u00e9ral des malades atteints de tuberculose et\/ou de l\u2019infection VIH \u00e0\ntravers un renforcement du d\u00e9pistage et de la prise en charge de ces deux\nmaladies. Des appuis aux formations sur le d\u00e9pistage et la prise en charge de\nla tuberculose et du VIH seront dispens\u00e9s pour les infirmiers des 20 plus importants\n\u00e9tablissements p\u00e9nitenciers du pays. De plus, des activit\u00e9s de sensibilisation\naux risques de transmission de la tuberculose et au VIH sont planifi\u00e9es pour\nles d\u00e9tenus.<\/li><li>De donner \u00e0 chaque d\u00e9tenu l\u2019opportunit\u00e9 de se\nd\u00e9velopper humainement \u00e0 travers un accompagnement psychosocial, et\n\u00e9conomiquement gr\u00e2ce \u00e0 la planification de leur sortie ainsi qu\u2019\u00e0 travers une\naide \u00e0 la r\u00e9insertion \u00e9conomique. Ce dernier point \u00e0 \u00e9galement pour but de\nrenforcer les chances de suivi de traitement \u00e0 la lib\u00e9ration. <\/li><\/ol>\n\n\n\n<p>Dans le but d\u2019accomplir les objectifs d\u00e9finis, le projet s\u2019appuiera sur l\u2019expertise de nombreux partenaires dont le Minist\u00e8re de la Sant\u00e9 Publique, mais sera \u00e9galement l\u2019occasion pour l\u2019IPM de diversifier ses partenariats \u00e0 travers des collaborations nouvelles avec le Minist\u00e8re de la Justice (MINJUS), les ONG Humanit\u00e9 &amp; Inclusion (HI) en charge d\u2019un volet psychosocial, Positive Plan\u00e8te International (PPI) pour la r\u00e9insertion des d\u00e9tenus sous traitement HIV et\/ou TB \u00e0 leur sortie, ainsi que l\u2019\u00c9glise Catholique Apostolique Romaine\/Aum\u00f4nerie Catholique des Prisons (ECAR CES\/ACP) pr\u00e9sent dans la majorit\u00e9 des \u00e9tablissements p\u00e9nitenciers.<\/p>\n\n\n\n<p><em>Ce projet b\u00e9n\u00e9ficie du soutien de l\u2019Initiative 5%, mise en \u0153uvre par Expertise France et pilot\u00e9e par le Minist\u00e8re de l\u2019Europe et des Affaires \u00c9trang\u00e8res.<\/em><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"5774\" data-permalink=\"https:\/\/www.pasteur.mg\/en\/atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar\/ipm_1693\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?fit=1024%2C683&amp;ssl=1\" data-orig-size=\"1024,683\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.5&quot;,&quot;credit&quot;:&quot;Sitraka ANDRINIVO&quot;,&quot;camera&quot;:&quot;NIKON D7200&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1573031757&quot;,&quot;copyright&quot;:&quot;Institut Pasteur de Madagascar&quot;,&quot;focal_length&quot;:&quot;16&quot;,&quot;iso&quot;:&quot;5000&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"IPM_1693\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?fit=1024%2C683&amp;ssl=1\" src=\"https:\/\/i1.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?fit=1024%2C683\" alt=\"\" class=\"wp-image-5774\" width=\"492\" height=\"327\" srcset=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?w=1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1693.jpg?resize=704%2C470&amp;ssl=1 704w\" sizes=\"(max-width: 492px) 100vw, 492px\" \/><figcaption>Les invit\u00e9s lors du lancement du projet TB-VIH\/EP<br><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"5775\" data-permalink=\"https:\/\/www.pasteur.mg\/en\/atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar\/ipm_1784-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?fit=1024%2C683&amp;ssl=1\" data-orig-size=\"1024,683\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Institut Pasteur de Madagascar&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"IPM_1784-1\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?fit=1024%2C683&amp;ssl=1\" src=\"https:\/\/i2.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?fit=1024%2C683\" alt=\"\" class=\"wp-image-5775\" width=\"486\" height=\"323\" srcset=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?w=1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/IPM_1784-1.jpg?resize=704%2C470&amp;ssl=1 704w\" sizes=\"(max-width: 486px) 100vw, 486px\" \/><figcaption>L&rsquo;atelier de travail des intervenants et partenaires du projet TB-VIH\/EP<\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"5786\" data-permalink=\"https:\/\/www.pasteur.mg\/en\/atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar\/image-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/image-2.png?fit=495%2C152&amp;ssl=1\" data-orig-size=\"495,152\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"image-2\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/image-2.png?fit=495%2C152&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/image-2.png?resize=763%2C234&#038;ssl=1\" alt=\"\" class=\"wp-image-5786\" width=\"763\" height=\"234\" srcset=\"https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/image-2.png?w=495&amp;ssl=1 495w, https:\/\/i0.wp.com\/www.pasteur.mg\/wp-content\/uploads\/2019\/11\/image-2.png?resize=300%2C92&amp;ssl=1 300w\" sizes=\"(max-width: 763px) 100vw, 763px\" \/><\/figure><\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>L\u2019Institut Pasteur de Madagascar (IPM) s\u2019est engag\u00e9 \u00e0 porter un nouveau projet d\u2019une dur\u00e9e de 3 ans intitul\u00e9 \u00ab Am\u00e9lioration de la prise en charge globale de la tuberculose et de l\u2019infection au VIH en milieu carc\u00e9ral\u00a0\u00bb dont le lancement officiel a eu lieu les 6 et 7 novembre 2019. Bien souvent dans le monde, [&hellip;]<\/p>","protected":false},"author":9,"featured_media":5783,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[629],"tags":[],"class_list":["post-5765","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tuberculose"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Atelier de lancement du projet TB-VIH\/EP : \u00ab Am\u00e9liorer la prise en charge globale de la tuberculose et de l\u2019infection VIH en milieu carc\u00e9ral \u00e0 Madagascar\u00bb - Institut Pasteur de Madagascar<\/title>\n<meta name=\"description\" content=\"Pr\u00e9sentation du projet par le Dr RAKOTOMANANA Fanjasoa, Coordinatrice scientifique du projet TB-VIH\/EP L\u2019Institut Pasteur de Madagascar (IPM) s\u2019est engag\u00e9\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pasteur.mg\/en\/atelier-de-lancement-du-projet-tb-vih-ep-ameliorer-la-prise-en-charge-globale-de-la-tuberculose-et-de-linfection-vih-en-milieu-carceral-a-madagascar\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atelier de lancement du projet TB-VIH\/EP : \u00ab Am\u00e9liorer la prise en charge globale de la tuberculose et de l\u2019infection VIH en milieu carc\u00e9ral \u00e0 Madagascar\u00bb - 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