Élaboration d’un modèle simplifié de prise en charge décentralisée des patients porteurs chroniques de l’hépatite B au Sénégal
Project acronym: PECSEN
Topics: International Visibility, Chronic Diseases, Health, Patient Care
Disciplinary fields: Medicine, Epidemiology, Health Technologies, Public Health, Health Economics, Social Sciences
Summary: The PECSEN project is a continuation of the « AMBASS » research project, funded by the ANRS and being carried out in Senegal in partnership with IRESSEF in Dakar, the European Hospital in Marseille, the IHU Méditerranée Infection and the IRD. This project aims to study the prevalence and the socio-economic consequences of chronic hepatitis B infection in rural areas in Senegal, based on a cross-sectional survey proposing home screening for hepatitis B in a representative sample of 3,200 individuals. An initial biological and clinical assessment is also offered to participants diagnosed as chronic carriers in order to evaluate the stage of the disease and eligibility for antiretroviral treatment. Patients are then referred to Fatick Regional Hospital for treatment (PEC).
However, at this decentralized level of health care provision, effective access to treatment and monitoring of infection raises many issues related in particular to the unavailability of certain diagnostic tools and the high cost of treatment and follow-up examinations in relation to the local population’s ability to pay. In order to meet these challenges and to provide access to treatment to the greatest number of patients, the project proposes to develop a new PEC model adapted to the decentralised context of the care offer and accessible, financially and geographically, to the population.
Project duration: 06/03/2019 – 11/03/2021
Call of proposal: Pépinière d’Excellence 2018