{"id":61338,"date":"2024-03-14T07:59:40","date_gmt":"2024-03-14T11:59:40","guid":{"rendered":"https:\/\/www.psi.org\/?p=61338"},"modified":"2024-07-22T09:53:01","modified_gmt":"2024-07-22T13:53:01","slug":"hiv-treatment-literacy-are-we-missing-the-forest-for-the-trees","status":"publish","type":"post","link":"https:\/\/www.psi.org\/fr\/2024\/03\/hiv-treatment-literacy-are-we-missing-the-forest-for-the-trees\/","title":{"rendered":"Alphab\u00e9tisation au traitement du VIH : Sommes-nous en train de rater la for\u00eat pour les arbres ?"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><em>Par Shawn Malone, directeur du projet Mpilo, ISP Afrique du Sud<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La connaissance du traitement semble \u00eatre la tendance actuelle de la riposte au VIH, car nous recherchons des strat\u00e9gies qui non seulement am\u00e8neront les gens \u00e0 commencer un traitement, mais les aideront aussi \u00e0 rester en bonne sant\u00e9 et \u00e0 adh\u00e9rer au traitement au cours des prochaines d\u00e9cennies. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chaque personne est diff\u00e9rente, mais qu'est-ce que chacun a besoin d'entendre lorsqu'il commence \u00e0 travailler ? En tant que professionnels de la sant\u00e9 publique, nous pensons souvent directement aux conseils cliniques. Mais lorsqu'il s'agit de mettre en \u0153uvre la <a href=\"https:\/\/www.psi.org\/fr\/publication\/the-coach-mpilo-playbook-a-practical-guide-for-implementers\/\" target=\"_blank\" rel=\"noreferrer noopener\">Projet Mpilo<\/a>, Nous avons appris que ce qui est <em>nous<\/em> Les besoins que les gens pensent avoir ne correspondent pas toujours \u00e0 ce qu'ils attendent. <em>ils<\/em> pensent qu'ils ont besoin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En ce qui concerne la connaissance des traitements, sur la base de ce que des milliers de personnes nous ont dit, nous pensons qu'il est pr\u00e9f\u00e9rable que les prestataires de soins de sant\u00e9 commencent par une vue d'ensemble en utilisant les messages suivants :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Le traitement du VIH est aujourd'hui tr\u00e8s bon, bien meilleur que par le pass\u00e9, et la plupart des gens trouvent que le VIH est facile \u00e0 g\u00e9rer.<\/strong> Si tu prends ta pilule tous les jours, tu peux vivre aussi longtemps et \u00eatre en aussi bonne sant\u00e9 qu'une personne qui n'a pas le VIH. Il est normal de se sentir inquiet ou effray\u00e9, mais tout ira bien.<\/li>\n\n\n\n<li><strong>Apr\u00e8s seulement quelques mois de traitement, vous pouvez atteindre la suppression virale, ce qui signifie que votre VIH est compl\u00e8tement ma\u00eetris\u00e9.<\/strong> \u00c0 ce stade, il y a si peu de VIH dans votre corps qu'il ne peut pas vous nuire et que vous ne pouvez pas le transmettre \u00e0 quelqu'un d'autre lors d'un rapport sexuel. Vous pouvez dormir sur vos deux oreilles en sachant que vous restez en bonne sant\u00e9 et que vous prot\u00e9gez les personnes que vous aimez.<\/li>\n\n\n\n<li><strong>La collecte de vos m\u00e9dicaments deviendra plus facile.<\/strong> Vous n'aurez pas \u00e0 vous rendre \u00e0 la clinique tous les mois. Si vous prenez votre pilule tous les jours, dans les six mois, vous pourrez commencer \u00e0 aller chercher vos m\u00e9dicaments dans un endroit plus pratique, comme une pharmacie ou un autre point de collecte dans votre communaut\u00e9, sans avoir \u00e0 attendre dans une longue file d'attente. Vous pouvez m\u00eame envoyer quelqu'un chercher vos m\u00e9dicaments pour vous. Vous n'aurez besoin de venir \u00e0 la clinique que deux fois par an.<\/li>\n\n\n\n<li><strong>Nous avons r\u00e9cemment adopt\u00e9 un nouveau type de traitement beaucoup plus doux pour l'organisme. <\/strong>Pour la plupart des gens, le traitement n'a que peu ou pas d'effets secondaires, et si vous en avez, ils devraient dispara\u00eetre rapidement. Si vous ressentez des effets secondaires, vous pouvez m'en faire part et nous \u00e9tablirons ensemble un plan pour les g\u00e9rer.<\/li>\n\n\n\n<li><strong>Si vous vous demandez comment annoncer \u00e0 vos proches que vous \u00eates s\u00e9ropositif, nous pouvons \u00e9galement vous aider. <\/strong>Bien que la stigmatisation soit r\u00e9elle, la plupart des gens trouvent que leur famille et leurs amis les acceptent et les soutiennent, et la plupart des relations survivent \u00e0 un diagnostic de VIH et en sortent m\u00eame renforc\u00e9es. M\u00eame si cela peut faire peur, la plupart des gens se sentent soulag\u00e9s apr\u00e8s l'avoir dit \u00e0 quelqu'un.<\/li>\n\n\n\n<li><strong>Des \u00e9v\u00e9nements peuvent survenir dans votre vie qui vous emp\u00eachent de vous rendre \u00e0 la clinique ou de suivre votre traitement, et c'est normal.<\/strong> S'il se passe quelque chose qui vous emp\u00eache de suivre votre traitement, vous pouvez m'en parler et je ne vous jugerai pas. Je suis l\u00e0 pour te soutenir et t'aider \u00e0 trouver des solutions.&nbsp;<\/li>\n\n\n\n<li>Quelles sont les autres questions ou pr\u00e9occupations que vous avez en ce moment ? Qu'est-ce qui vous trotte dans la t\u00eate ? Quoi qu'il en soit, nous pouvons en parler et trouver une solution.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nous devons \u00e9galement couvrir certaines informations cliniques, bien s\u00fbr. Mais c'est par les \u00e9l\u00e9ments humains qu'il faut commencer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Financ\u00e9 par la Fondation Bill &amp; Melinda Gates et dirig\u00e9 par Population Services International (PSI) en partenariat avec Ipsos, Matchboxology et le minist\u00e8re sud-africain de la sant\u00e9, le projet Mpilo a pour objectif d'am\u00e9liorer l'acc\u00e8s au traitement et \u00e0 la pr\u00e9vention du VIH chez les hommes en Afrique du Sud en concevant, en testant et en \u00e9largissant des interventions fond\u00e9es sur une compr\u00e9hension des obstacles et des pr\u00e9f\u00e9rences des hommes.&nbsp;<\/em><\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"tb-social-share tb-social-share--092 tb-social-share--round\" data-shareurl=\"https:\/\/www.psi.org\/fr\/2024\/03\/hiv-treatment-literacy-are-we-missing-the-forest-for-the-trees\/\" data-title=\"\" data-image=\"\" 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