Joseph Larmarange

Santé sexuelle & Consentement : Introduction par le grand témoin

Joseph LARMARANGE — 2023-11-28T08:00:00Z

Santé sexuelle & Consentement · Introduction par le grand témoin

Joseph Larmarange

Colloque Santé sexuelle et consentement, URACA Basiliade; COREVIH IDF-Nord, Nov 2023, Paris, France

Communication dans un congrès

hal-04307854

Santé sexuelle : un enjeu au-delà des infections

Joseph LARMARANGE — 2022-04-11T14:16:10Z

Communication plénière présentée à l'AFRAVIH 2022

Santé sexuelle : un enjeu au-delà des infections

Joseph Larmarange

11e AFRAVIH, AFRAVIH, Apr 2022, Marseille, France

Communication dans un congrès

ird-03883007

Mobility in Africa: human rights and the HIV care cascade

Joseph LARMARANGE — 2018-07-30T09:37:10Z

Oral communication presented at the 22^nd International AIDS Conference in Amsterdam the 24^th of July, 2018, in a satellite session entitled Population Mobility: Challenges for Universal HIV Testing and Treatment.

Author

Joseph Larmarange

Medias

aidsmap

Reference

Larmarange Joseph (2018) “Mobility in Africa: human rights and the HIV care cascade” (communication orale TUSA1802), presented at the 22nd International AIDS Conference, Amsterdam. http://programme.aids2018.org/Programme/Session/221.

Taking test and treat interventions to the next level: Beginning to think what additional information needs to guide public health and operational decisions?

Joseph LARMARANGE — 2013-06-24T13:57:01Z

Authors

John Imrie, Joseph Larmarange, Joanna Orne-Gliemann, Collins Iwuji, France Lert for the ANRS 12249 TasP Study Group.

Background

The proposition universal repeat HIV testing and early initiation of antiretroviral treatment for all HIV-positives (UTT) can lead to reduced HIV incidence is being, or will be, tested in several studies. UTT interventions are major social, as well as biomedical interventions, for individuals and target communities. Implementing UTT trial (ANRS 12249 TasP Trial) provoked thinking about what is needed for public health and operational decisions to move to the next level if UTT efficacy is demonstrated.

Methods

In ANRS 12249 Tasp Trial innovative social science tools are implemented at each UTT stage to ensure a comprehensive understanding of the social determinants of intervention uptake at the individual and community-level and the impacts at individual, household and community level. But these alone cannot guide such a decision.

Results

Additional questions requiring answers:

Social and Behavioural consequences of UTT: What are the long-term social and behavioural consequences of large numbers of people knowing their HIV-status and starting treatment early? Will impacts on sexual behaviour, disclosure and stigma necessarily be positive, now and in the long term?
Changes in individual and community norms: Will community perceptions of HIV and healthcare be changed seeing healthy people going to clinics? How are community norms around testing and treatment, stigma and discrimination affected by prolonged, intense research? Can salient positive changes be identified and replicated?
Operational and ethical implications of moving UTT into routine care: Who should lead? What are the sustainability requirements? What ethical issues are there in authorities ‘knowing' individuals' HIV status and care uptake?

Conclusions

UTT strategies have potentially great social consequences for the individuals and populations involved. Questions emerging from UTT trials need further enquiry before public health and operational decisions to move beyond the trials are made.

Reference

Imrie John, Larmarange Joseph, Orne-Gliemann Joanna, Lert France and ANRS 12249 TasP Study Group (2013) “Taking test and treat interventions to the next level – Beginning to think what additional information needs to guide public health and operational decisions?” (poster n°2289118), presented at the 6th South African AIDS Conference, Durban.

Homosexuels masculins et sida : une épidémie sous-estimée

Joseph LARMARANGE — 2008-11-07T12:00:28Z

Note de conférences parue dans le n°138 de la revue Transcriptases (numéro spécial Conférence mondiale sur le SIDA à Mexico, réalisé en commun avec ANRS Information), automne 2008, pages 63-64. La revue est disponible sur vih.org.

Larmarange Joseph (2008). “Homosexuels masculins : une épidémie sous-estimée”, Transcriptases / ANRS Information, 138, RIS, BibTeX.

Points Clés

Quelque soit le continent, les HSH (hommes ayant des rapports sexuels avec d'autres hommes) constituent l'une des populations les plus touchées par le VIH, y compris dans les pays à épidémie généralisée.
De nombreux pays ne prennent pas en compte les HSH dans leur système de surveillance de l'épidémie ni dans leurs programmes d'action.
Lorsqu'ils sont pris en compte, les sommes allouées aux actions de prévention qui leur sont destinées restent proportionnellement très inférieures à la place qu'occupent les HSH dans l'épidémie.
86 pays dans le monde criminalisent les rapports sexuels entre deux hommes adultes consentants, dont sept condamnant à la peine de mort.

Joseph Larmarange

Santé sexuelle & Consentement : Introduction par le grand témoin

Santé sexuelle & Consentement · Introduction par le grand témoin

Santé sexuelle : un enjeu au-delà des infections

Santé sexuelle : un enjeu au-delà des infections

Mobility in Africa: human rights and the HIV care cascade

Author

See also

Medias

Reference

Taking test and treat interventions to the next level: Beginning to think what additional information needs to guide public health and operational decisions?

Authors

Background

Methods

Results

Conclusions

Reference

Homosexuels masculins et sida : une épidémie sous-estimée

Points Clés