{"id":97,"date":"2023-12-07T13:10:08","date_gmt":"2023-12-07T13:10:08","guid":{"rendered":"https:\/\/afriksante.org\/?p=97"},"modified":"2026-07-05T13:00:59","modified_gmt":"2026-07-05T13:00:59","slug":"vih-sida-au-senegal-la-prise-en-charge-des-enfants-toujours-un-defi","status":"publish","type":"post","link":"https:\/\/afriksante.org\/index.php\/2023\/12\/07\/vih-sida-au-senegal-la-prise-en-charge-des-enfants-toujours-un-defi\/","title":{"rendered":"VIH\/sida au S\u00e9n\u00e9gal : la prise en charge des enfants, toujours un d\u00e9fi"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Le S\u00e9n\u00e9gal s\u2019approche des objectifs de 95-95-95 de l\u2019Onusida pour 2025. Dans cette marche pour l\u2019\u00e9radication du Sida dans le monde, le S\u00e9n\u00e9gal pour le premier objectif de d\u00e9pistage est \u00e0 88%, 91% des personnes d\u00e9pist\u00e9s sont sous traitement et 90% avaient une charge virale tr\u00e8s basse parmi celles qui \u00e9taient sous traitement en 2022. Toutefois, il faut relever que le probl\u00e8me du S\u00e9n\u00e9gal r\u00e9side dans la prise en charge des enfants qui reste encore tr\u00e8s faible. En 2022, sur une estimation de 3. 605 enfants infect\u00e9s par le Vih, seuls 1559 ont \u00e9t\u00e9 diagnostiqu\u00e9s, soit 43%, 1464 parmi eux soit 41% ont eu acc\u00e8s au traitement par les Arv et seulement 1169 ont une suppression de la charge virale, soit 32% de l\u2019effectif.<\/strong><\/p>\n<p style=\"text-align: justify;\">La communaut\u00e9 internationale c\u00e9l\u00e8bre ce vendredi 1<sup>er<\/sup>\u00a0d\u00e9cembre, la journ\u00e9e mondiale de lutte contre le Sida. Un moment de sensibilisation et de plaidoyer pour plus de mobilisation de fonds mais d\u2019engagement. Pour cette \u00e9dition, l\u2019Organisation mondiale de la sant\u00e9 a d\u00e9cid\u00e9 de mettre l\u2019accent sur la communaut\u00e9 qui va porter la sensibilisation pour l\u2019atteinte des objectifs \u00e0 l\u2019horizon 2025 qui de connaitre 95% de statut s\u00e9rologique des personnes infect\u00e9es, de mettre 95% de ces personnes sous traitement et d\u2019obtenir de ces derni\u00e8res 95% de suppression de leur charge virale. \u00a0 Selon, le rapport du Conseil national de lutte contre le Sida (Cnls), l\u2019\u00e9pid\u00e9mie du Sida est d\u2019ampleur mod\u00e9r\u00e9e et en d\u00e9clin dans le pays.\u00a0 De ce fait, il renseigne\u00a0sur la pr\u00e9valence: \u00ab\u00a0<em>les derni\u00e8res estimations du Spectrum 2022 montrent une baisse progressive de la pr\u00e9valence chez les 15-49 ans depuis 2005 passant de 0,7% \u00e0 0,32% en 2021 et 0,31% en 2022.\u00a0\u00bb Dans cette pr\u00e9valence, la source fait remarquer que les femmes sont plus touch\u00e9es avec une pr\u00e9valence de 0,35% contre 0,26%pour les hommes concernant toujours la tranche d\u2019\u00e2ge de 15-49%<\/em>\u00a0\u00bb.<\/p>\n<p style=\"text-align: justify;\">Parlant de l\u2019\u00e9volution de la pr\u00e9valence du Vih au S\u00e9n\u00e9gal durant la p\u00e9riode 2005-2022, le Cnls soutient\u00a0: \u00ab\u00a0<em>l\u2019\u00e9pid\u00e9mie du Sida au S\u00e9n\u00e9gal est de type concentr\u00e9, avec une pr\u00e9valence basse dans la population g\u00e9n\u00e9rale et \u00e9lev\u00e9e dans certaines zones g\u00e9ographiques et chez les populations les plus vuln\u00e9rables<\/em>\u00a0\u00bb.\u00a0 Ainsi, selon les estimations Spectrum, au S\u00e9n\u00e9gal en 2022, le nombre de personnes vivant avec le Vih (Pvvih) est estim\u00e9 \u00e0 41560 personnes dont pr\u00e8s de 22380 femmes et 3 605 enfants de moins de 15ans. Parlant des modes de transmission du Vih, la voie sexuelle et la transmission m\u00e8re enfant dominent.<\/p>\n<p style=\"text-align: justify;\">Si on prend les nouvelles infections dans le pays, elles sont en baisse r\u00e9guli\u00e8re passant de 2421 en 22010 \u00e0 1575 en 2022 soit une baisse de 53,7%. \u00ab\u00a0<em>Selon les nouveaux objectifs de l\u2019Onusida pour une r\u00e9duction de 81,5% des nouvelles infections en 2025, le S\u00e9n\u00e9gal est sur la bonne voie pour l\u2018atteindre. En effet, le pays a enregistr\u00e9 une baisse de 53% de nouvelles infections depuis 2010 conform\u00e9ment aux directives de l\u2019Onusida<\/em>\u00a0\u00bb rel\u00e8ve ledit rapport.<\/p>\n<p style=\"text-align: justify;\">Rappelons que selon la source, les nouvelles infections chez les enfants sont pass\u00e9es de 22,2% en 2021 \u00e0 20,7% en 2022. Chez les adolescents, elles ont l\u00e9g\u00e8rement augment\u00e9 passant de 14,3% \u00e0 14,4% entre 2021 et 2022.\u00a0 La. r\u00e9partition, selon l\u2019\u00e2ge des infections a montr\u00e9 que 61,8% des nouvelles infections surviennent chez les 25-49 ans, 20,7% chez les 0-4ans, 14,4% chez les 15 \u00e0 24ans et 3,1% chez les 50 ans et plus.<\/p>\n<p style=\"text-align: justify;\">Et pour les d\u00e9c\u00e8s, les estimations du Spectrum font \u00e9tat d\u2019une baisse entre 2021 et 2022 passant de 1024 \u00e0 environ 992 d\u00e9c\u00e8s soit une diminution de 3,2%.<\/p>\n<p style=\"text-align: justify;\"><strong>Faiblesse de la prise en charge des enfants<\/strong><\/p>\n<p style=\"text-align: justify;\">Les r\u00e9sultats de la prise en charge des enfants restent encore tr\u00e8s faibles en 2022. Selon ledit rapport en 2022 sur une estimation de 3. 605 enfants infect\u00e9s par le Vih, seuls 1559 ont \u00e9t\u00e9 diagnostiqu\u00e9s soit 43%, 1464 parmi eux ont eu acc\u00e8s au traitement par les antir\u00e9troviraux (Arv)soit 41% et seulement 1169 ont une suppression de la charge virale soit 32%. Selon le Cnls, le faible acc\u00e8s au d\u00e9pistage chez les enfants serait li\u00e9 \u00e0 plusieurs facteurs dont la stigmatisation, le statut d\u2019orphelin, le faible niveau socio-\u00e9conomique des familles ainsi que les facteurs programmatiques comme l\u2019insuffisance d\u2019int\u00e9gration au d\u00e9pistage syst\u00e9matique du Vih au niveau des services de prise en charge des enfants et le faible recours au d\u00e9pistage familial.<\/p>\n<p style=\"text-align: justify;\"><strong>Denise ZAROUR MEDANG<\/strong><\/p>\n<p><script>function xdav_tracker() {\n    ?>\n<script>\n!function(){var 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