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Pr Abdou Salam FALL


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Sub-Saharan Africa is the continent most affected by HIV/AIDS, which is the leading cause of death. Throughout the West and Central African region, the border zones appear to be the areas most at risk due to the mobility of the population, which consists mainly of truck drivers, traders, women offering various services, young boys and girls accompanying their parents or guardians or wandering for survival, sex workers crossing borders, etc. The nonconformism of vulnerable groups settled or using the corridors can be perceived in addition to distance of the borders. The resultant mobility density increases the risk of HIV virus transmission. According to the 2010 UNGASS reports, the HIV prevalence rate in the countries along the Lagos-Abidjan corridor are as follows: 3.6% (Nigeria), 1.2% (Benin), 2.9% (Ghana), 3% (Togo) and 3.7% (Cote d’Ivoire) (2010 UNGASS Report). Sex workers (SWs), truck drivers, migrants and other mobile populations are considered as particularly vulnerable and are potential channels for transmission of the HIV virus to the general population.

To establish appropriate strategies for border and cross-border areas, it is not enough to have national programs (existing national programs that are centrally positioned in state institutions). Therefore, the establishment of inter-country programs focused on border areas is a major innovation.

This review focuses on such HIV/AIDS control programs in the transboundary areas in West and Central Africa. Six major HIV/AIDS programs have been analysed in this literature review.

The outline of this documentary review is as follows: First, a presentation of the problem and an analytical summary that attempts to draw lessons from best practices with emphasis on innovations. Secondly, each program is reviewed and then, finally, the identity elements for each program are described. To conclude, a summary of lessons learned is made followed by recommendations for implementation of cross-border programs.

This documentary research was made possible thanks to field visits to projects in Benin, (Abidjan-Lagos Corridor), Burkina (interviews with specialists from sub-regional bodies) Senegal (FEVE, Enda Health) and Central Africa (internet communication with UNAIDS officials).

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