<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04482010</url>
  </required_header>
  <id_info>
    <org_study_id>ANRS 12392</org_study_id>
    <nct_id>NCT04482010</nct_id>
  </id_info>
  <brief_title>ANRS 12392 Sanu Gundo</brief_title>
  <acronym>SANU GUNDO</acronym>
  <official_title>Sanu Gundo (jòli sègèsègèli - furakèli - jàntoli): Survey on the Feasibility of the Community-based HIV Care, and Its Impact on Access and Retention in Care in Artisanal Gold Mining Zones in Mali</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>ANRS, Emerging Infectious Diseases</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>UMR 1252 SESSTIM</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>ARCAD Santé PLUS</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>SEREFO</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>ANRS, Emerging Infectious Diseases</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      Sanu Gundo ANRS 12392 is a non-randomized and non-comparative intervention trial in Mali.&#xD;
&#xD;
      The main objective of the project is to study the feasibility of the community-based HIV care&#xD;
      in the context of the artisanal gold mining zones and to evaluate its contribution to the&#xD;
      linkage-to-care of PLWHIV with the health system and their retention in care, as well as its&#xD;
      effect on their health status.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Convergence of key-populations in the informal gold mining zones suggests the important&#xD;
      exposure to HIV contamination of people living in these zones. The pilot project Sanu Gundo&#xD;
      showed a prevalence of 8% in the site of Kokoyo, much higher than the 1.1% national&#xD;
      prevalence. The large rates of HIV patients lost to followup underline the difficulties&#xD;
      experienced by the health system. Introducing a community-based HIV care offer in proximity&#xD;
      to people in the informal gold mining zones could contribute to the improvement not only of&#xD;
      access to HIV prevention and testing, but also to the access and retention in care.&#xD;
&#xD;
      Sanu Gundo ANRS 12392 is a non-randomized and non-comparative intervention trial.&#xD;
      Community-based activities conducted by ARCAD Santé PLUS (during 5 months) including HIV&#xD;
      testing will contribute to the construction of both a control and intervention groups. These&#xD;
      groups will be formed by people tested positive to HIV during the community-based activities&#xD;
      conducted by ARCAD Santé PLUS in two artisanal gold mining sites.&#xD;
&#xD;
      The control group will include 129 participants positive to HIV in Diassa (Sikasso region),&#xD;
      and the intervention group will include 136 participants positive to HIV in Kofoulatiè&#xD;
      (Koulikoro region).&#xD;
&#xD;
      The intervention consists local community-based activities for HIV care provided by ARCAD&#xD;
      Santé PLUS for people living in Kofoulatiè (intervention group), whereas people living in&#xD;
      Diassa (control group) will be referred to the Referral Health Centers (CSRéf) as recommended&#xD;
      by the national guidelines.&#xD;
&#xD;
      The total number of 265 participants diagnosed positive to HIV enrolled in the study&#xD;
      corresponds (at least) to the HIV prevalence of 3% observed during the first two months of&#xD;
      participants enrolment (November 2020 to January 2021). Accounting for survey attrition,&#xD;
      refusal of the community-based HIV care and non-inclusion criteria, it is expected that 172&#xD;
      participants (86 per group) will be followed-up during the whole duration of the study. This&#xD;
      corresponds to the number of participants required to verify the primary endpoint of the&#xD;
      study: a better retention rate in healthcare 12 months after of HIV diagnosis for people&#xD;
      receiving community-based care by ARCAD Santé PLUS.&#xD;
&#xD;
      A quantitative survey will be conducted with the administration of questionnaires at&#xD;
      different point-times during the follow-up for HIV care: M1 (first contact with the&#xD;
      healthcare system and linkage-to-care), M3 (linkage-to-care and initiation of ARV treatment),&#xD;
      M6, M9 and M12 (medical follow-up and retention in care). Blood samples will be collected&#xD;
      using Dried Blood Spot testing (DBS) at enrolment, M6 and M12. Furthermore, data will be&#xD;
      collected about the characteristics of the healthcare centers around the artisanal gold&#xD;
      mining sites (i.e. healthcare supply) and the costs of community-based HIV care.&#xD;
&#xD;
      The results will overcome the lack of epidemiological data about HIV in the informal gold&#xD;
      mining zones, about the way in which PLWH are linked-to-care, and about the extent of the&#xD;
      PLWH loss to follow-up. The results will also allow both testing the feasibility of the&#xD;
      implementation of proximity community-based services for HIV care in the informal gold mining&#xD;
      zones, and evaluating their contribution to retention of PLWH in care. The success of this&#xD;
      project could allow extending the proposed strategy to other informal gold mining zones in&#xD;
      Mali.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Unknown status</overall_status>
  <last_known_status>Recruiting</last_known_status>
  <start_date type="Actual">November 29, 2020</start_date>
  <completion_date type="Anticipated">December 28, 2022</completion_date>
  <primary_completion_date type="Anticipated">March 28, 2022</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Non-Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <intervention_model_description>ARCAD Santé PLUS NGO will offer community-based activities of HIV prevention and screening during 5 months. 8833 people will be tested for HIV in the two artisanal gold-mining sites. Thus, 265 HIV-positive individuals will be enrolled:&#xD;
Control group: 129 (Diassa), 30% of attrition and 5% of discordant HIV screening and confirmatory tests;&#xD;
Intervention group: 136 (Kofoulatiè), 30% of attrition; 5% of people accepting the study but refusing the community-based HIV care; and 5% of discordant HIV screening and enrolment tests.&#xD;
This is the minimum number required to verify the primary endpoint of the study. The intervention consists in the provision of community-based healthcare services for HIV provided by ARCAD Santé PLUS's members in the Kofoulatiè site. People in the Diassa site (control group) will be referred to the public healthcare centers for classic HIV care. A quantitative survey with follow-up at M1, M3, M6, M9 and M12 after HIV diagnosis.</intervention_model_description>
    <primary_purpose>Health Services Research</primary_purpose>
    <masking>Single (Participant)</masking>
    <masking_description>Participants in the control group (HIV positive people at the artisanal gold-mining site in Diassa) will not be aware of the existence of the community-based HIV care services provided by ARCAD Santé PLUS at the Kofoulatiè artisanal gold-mining site.&#xD;
The distance between these sites is around 400km. However they share similar characteristics in terms of geographical localisation, size and healthcare supply.</masking_description>
  </study_design_info>
  <primary_outcome>
    <measure>Lost to follow-up rate 12 months after the HIV diagnosis</measure>
    <time_frame>12 months after HIV diagnosis (M12)</time_frame>
    <description>It was defined on the basis of existing data: 1) lost to follow-up rate in HIV care at the national level in Mali (32% in 2019); 2) lost to follow-up rate in the HIV care of ARCAD Santé PLUS in urban areas (12% in 2019).&#xD;
The primary endpoint is : the lost to follow-up rate in the community-based HIV care 12 months after diagnosis is (at least) 20 percentage points lower than the lost to follow-up rate in the classic HIV care.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Extent of the HIV epidemic in the artisanal gold-mining sites</measure>
    <time_frame>At enrolment (M0)</time_frame>
    <description>This outcome provides the prevalence of the HIV epidemic among people living/working in the artisanal gold-mining sites:&#xD;
number of HIV positive tests as percentage of the total number of people living/working in the sites</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Comparing linkage-to-care and retention between classic and community-based HIV care</measure>
    <time_frame>1 month after HIV diagnosis (M1) and 12 months after HIV diagnosis (M12)</time_frame>
    <description>For linkage-to-care:&#xD;
Percentage of people living with HIV starting a treatment 1 month and 3 months after diagnosis&#xD;
Percentage of people living with HIV with available blood tests (CD4 count, Viral load, etc) at the beginning of ARV treatment&#xD;
For retention in care:&#xD;
% of people living with HIV present for HIV care visits at 3, 6, 9 and 12 months after diagnosis</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Comparing the impact of classic and community-based HIV care on virological succes, behavioral and psychosocial outcomes</measure>
    <time_frame>From enrolment (M0) to 12 months after HIV diagnosis (M12)</time_frame>
    <description>CD4 count and viral load at the time of diagnosis (M0) and its evolution 6 and 12 months later (M6 and M12)&#xD;
Self-perception of health status, sexual behavior indicators at M1 and evolution at M12: number of partners, number of sexual intercourses, etc.</description>
  </secondary_outcome>
  <other_outcome>
    <measure>Material and human resources available for healthcare supply around gold-mining zones</measure>
    <time_frame>From enrolment (M0) to 12 months after HIV diagnosis (M12)</time_frame>
    <description>Description of the healthcare supply geographical distribution around the artisanal gold-mining zones included in the study;&#xD;
Description of the available human and material resources in the healthcare centers around the artisanal gold-mining zones included in the study</description>
  </other_outcome>
  <other_outcome>
    <measure>Working conditions of healthcare professionals involved in the classic HIV care</measure>
    <time_frame>From enrolment (M0) to 12 months after HIV diagnosis (M12)</time_frame>
    <description>Description of the socioeconomic and demographic characteristics of healthcare professionals in HIV care centers around the artisanal gold-mining zones included in the study;&#xD;
Number of working hours, number of medical visits, earnings, perceived health status, etc.</description>
  </other_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Anticipated">265</enrollment>
  <condition>HIV Infections</condition>
  <arm_group>
    <arm_group_label>Classic HIV care</arm_group_label>
    <arm_group_type>No Intervention</arm_group_type>
    <description>Participants diangosed HIV positive at the time of the community-based activities conducted by ARCAD Santé PLUS. They will be referred to the referral centers (CSRéf) for the classic HIV care in the Malian public health system.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Community-based HIV care</arm_group_label>
    <arm_group_type>Other</arm_group_type>
    <description>Participants diagnosed HIV positive at the time of the community-based activities by ARCAD Santé PLUS. They will receive community-based HIV care by the NGO at the gold-mining site.</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Local community-based HIV care</intervention_name>
    <description>Compared to the classic HIV care, community-based HIV care includes:&#xD;
Individual interviews with a psychosocial agent;&#xD;
Support groups conducted by psychosocial agents;&#xD;
Culinary workshops gathering PLWHIV and healthcare professionals;&#xD;
Home visits by a community worker;&#xD;
Emergency relief based on a funding for patients with urgent needs&#xD;
As in the classic HIV care, ARCAD Santé PLUS provides consultations with doctors, prescriptions and delivery of antiretroviral (ARV) treatment every 3 months, biological analyses for enrolment, and follow-up every 6 months. In addition, psychosocial agents from ARCAD Santé PLUS propose workshops on education and support for adherence to treatment.</description>
    <arm_group_label>Community-based HIV care</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  To live and/or to work in the sites of Kofoulatiè or Diassa (Mali)&#xD;
&#xD;
          -  To be diagnosed positive to HIV by ARCAD Santé PLUS (screening and enrolment tests&#xD;
             positive)&#xD;
&#xD;
          -  To be 18 years or older&#xD;
&#xD;
          -  To speak one of the most common languages (Bambara, French or English) and to be able&#xD;
             of providing informed consent&#xD;
&#xD;
        In addition, to be included in the intervention group, people living with HIV in the&#xD;
        Kofoulatiè site must accept the community-based HIV care provided by ARCAD Santé PLUS&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Women pregnant at the time of the HIV screening test by ARCAD Santé PLUS, or needing&#xD;
             ultrasound to confirm pregnancy&#xD;
&#xD;
          -  People with discordant screening and enrolment tests&#xD;
&#xD;
          -  People inebriated or under the influence of drugs at enrolment&#xD;
&#xD;
          -  Adults not able to understand and/or to provide informed consent&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Luis Sagaon Teyssier, PhD</last_name>
    <role>Principal Investigator</role>
    <affiliation>UMR1252 SESSTIM (INSERM, IRD, Aix Marseille Université)</affiliation>
  </overall_official>
  <overall_official>
    <last_name>Bintou Dembélé Keïta, MD</last_name>
    <role>Principal Investigator</role>
    <affiliation>ARCAD Santé PLUS</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Luis Sagaon Teyssier, PhD</last_name>
    <phone>+223 94 00 45 63</phone>
    <email>luis.sagaon-teyssier@inserm.fr</email>
  </overall_contact>
  <overall_contact_backup>
    <last_name>Aliou Kamissoko, MD</last_name>
    <phone>+223 93 00 94 53</phone>
    <email>kamissokoaliou8@gmail.com</email>
  </overall_contact_backup>
  <location>
    <facility>
      <name>ARCAD Santé PLUS mobile care unit for community-based HIV care and study follow-up (Kofoulatiè, intervention site)</name>
      <address>
        <city>Kofoulaté</city>
        <state>Koulikoro</state>
        <country>Mali</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Zoumana Diarra, MD</last_name>
      <phone>+223 79 26 51 89</phone>
      <email>zoumanadiarra72@gmail.com</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>ARCAD Santé PLUS mobile care unit for recruitment of participants (Kofoulatiè, Intervention site)</name>
      <address>
        <city>Kofoulaté</city>
        <state>Koulikoro</state>
        <country>Mali</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Zoumana Diarra, MD</last_name>
      <phone>+223 79 26 51 89</phone>
      <email>zoumanadiarra72@gmail.com</email>
    </contact>
    <investigator>
      <last_name>Zoumana Diarra, MD</last_name>
      <role>Principal Investigator</role>
    </investigator>
  </location>
  <location>
    <facility>
      <name>ARCAD Santé PLUS mobile care unit for recruitment of participants (Diassa, control site)</name>
      <address>
        <city>Diassa</city>
        <state>Sikasso</state>
        <country>Mali</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>To be recruited To be recruited, MD</last_name>
    </contact>
    <investigator>
      <last_name>Fodié Diallo, MD</last_name>
      <role>Sub-Investigator</role>
    </investigator>
  </location>
  <location>
    <facility>
      <name>Referral health center (CSRéf) Kolondieba, classic HIV care</name>
      <address>
        <city>Kolondieba</city>
        <state>Sikasso</state>
        <country>Mali</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Mamoutou Diarra, MD</last_name>
      <phone>+223 76 33 58 56</phone>
    </contact>
  </location>
  <location_countries>
    <country>Mali</country>
  </location_countries>
  <verification_date>February 2021</verification_date>
  <study_first_submitted>July 15, 2020</study_first_submitted>
  <study_first_submitted_qc>July 20, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">July 22, 2020</study_first_posted>
  <last_update_submitted>February 23, 2021</last_update_submitted>
  <last_update_submitted_qc>February 23, 2021</last_update_submitted_qc>
  <last_update_posted type="Actual">February 25, 2021</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>Linkage-to-care and retention</keyword>
  <keyword>Community-based research</keyword>
  <keyword>Informal gold mining zones</keyword>
  <keyword>Mali</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>HIV Infections</mesh_term>
  </condition_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04482010
org study id: ANRS 12392
nct id: NCT04482010
lead sponsor: 
collaborator: 
collaborator: 
collaborator: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
Sanu Gundo ANRS 12392 is a non-randomized and non-comparative intervention trial in Mali.

      The main objective of the project is to study the feasibility of the community-based HIV care
      in the context of the artisanal gold mining zones and to evaluate its contribution to the
      linkage-to-care of PLWHIV with the health system and their retention in care, as well as its
      effect on their health status.
Convergence of key-populations in the informal gold mining zones suggests the important
      exposure to HIV contamination of people living in these zones. The pilot project Sanu Gundo
      showed a prevalence of 8% in the site of Kokoyo, much higher than the 1.1% national
      prevalence. The large rates of HIV patients lost to followup underline the difficulties
      experienced by the health system. Introducing a community-based HIV care offer in proximity
      to people in the informal gold mining zones could contribute to the improvement not only of
      access to HIV prevention and testing, but also to the access and retention in care.

      Sanu Gundo ANRS 12392 is a non-randomized and non-comparative intervention trial.
      Community-based activities conducted by ARCAD Santé PLUS (during 5 months) including HIV
      testing will contribute to the construction of both a control and intervention groups. These
      groups will be formed by people tested positive to HIV during the community-based activities
      conducted by ARCAD Santé PLUS in two artisanal gold mining sites.

      The control group will include 129 participants positive to HIV in Diassa (Sikasso region),
      and the intervention group will include 136 participants positive to HIV in Kofoulatiè
      (Koulikoro region).

      The intervention consists local community-based activities for HIV care provided by ARCAD
      Santé PLUS for people living in Kofoulatiè (intervention group), whereas people living in
      Diassa (control group) will be referred to the Referral Health Centers (CSRéf) as recommended
      by the national guidelines.

      The total number of 265 participants diagnosed positive to HIV enrolled in the study
      corresponds (at least) to the HIV prevalence of 3% observed during the first two months of
      participants enrolment (November 2020 to January 2021). Accounting for survey attrition,
      refusal of the community-based HIV care and non-inclusion criteria, it is expected that 172
      participants (86 per group) will be followed-up during the whole duration of the study. This
      corresponds to the number of participants required to verify the primary endpoint of the
      study: a better retention rate in healthcare 12 months after of HIV diagnosis for people
      receiving community-based care by ARCAD Santé PLUS.

      A quantitative survey will be conducted with the administration of questionnaires at
      different point-times during the follow-up for HIV care: M1 (first contact with the
      healthcare system and linkage-to-care), M3 (linkage-to-care and initiation of ARV treatment),
      M6, M9 and M12 (medical follow-up and retention in care). Blood samples will be collected
      using Dried Blood Spot testing (DBS) at enrolment, M6 and M12. Furthermore, data will be
      collected about the characteristics of the healthcare centers around the artisanal gold
      mining sites (i.e. healthcare supply) and the costs of community-based HIV care.

      The results will overcome the lack of epidemiological data about HIV in the informal gold
      mining zones, about the way in which PLWH are linked-to-care, and about the extent of the
      PLWH loss to follow-up. The results will also allow both testing the feasibility of the
      implementation of proximity community-based services for HIV care in the informal gold mining
      zones, and evaluating their contribution to retention of PLWH in care. The success of this
      project could allow extending the proposed strategy to other informal gold mining zones in
      Mali.
allocation: Non-Randomized
intervention model: Parallel Assignment
intervention model description: ARCAD Santé PLUS NGO will offer community-based activities of HIV prevention and screening during 5 months. 8833 people will be tested for HIV in the two artisanal gold-mining sites. Thus, 265 HIV-positive individuals will be enrolled:
Control group: 129 (Diassa), 30% of attrition and 5% of discordant HIV screening and confirmatory tests;
Intervention group: 136 (Kofoulatiè), 30% of attrition; 5% of people accepting the study but refusing the community-based HIV care; and 5% of discordant HIV screening and enrolment tests.
This is the minimum number required to verify the primary endpoint of the study. The intervention consists in the provision of community-based healthcare services for HIV provided by ARCAD Santé PLUS's members in the Kofoulatiè site. People in the Diassa site (control group) will be referred to the public healthcare centers for classic HIV care. A quantitative survey with follow-up at M1, M3, M6, M9 and M12 after HIV diagnosis.
primary purpose: Health Services Research
masking: Single (Participant)
masking description: Participants in the control group (HIV positive people at the artisanal gold-mining site in Diassa) will not be aware of the existence of the community-based HIV care services provided by ARCAD Santé PLUS at the Kofoulatiè artisanal gold-mining site.
The distance between these sites is around 400km. However they share similar characteristics in terms of geographical localisation, size and healthcare supply.
measure: Lost to follow-up rate 12 months after the HIV diagnosis
time frame: 12 months after HIV diagnosis (M12)
description: It was defined on the basis of existing data: 1) lost to follow-up rate in HIV care at the national level in Mali (32% in 2019); 2) lost to follow-up rate in the HIV care of ARCAD Santé PLUS in urban areas (12% in 2019).
The primary endpoint is : the lost to follow-up rate in the community-based HIV care 12 months after diagnosis is (at least) 20 percentage points lower than the lost to follow-up rate in the classic HIV care.
measure: Extent of the HIV epidemic in the artisanal gold-mining sites
time frame: At enrolment (M0)
description: This outcome provides the prevalence of the HIV epidemic among people living/working in the artisanal gold-mining sites:
number of HIV positive tests as percentage of the total number of people living/working in the sites
measure: Comparing linkage-to-care and retention between classic and community-based HIV care
time frame: 1 month after HIV diagnosis (M1) and 12 months after HIV diagnosis (M12)
description: For linkage-to-care:
Percentage of people living with HIV starting a treatment 1 month and 3 months after diagnosis
Percentage of people living with HIV with available blood tests (CD4 count, Viral load, etc) at the beginning of ARV treatment
For retention in care:
% of people living with HIV present for HIV care visits at 3, 6, 9 and 12 months after diagnosis
measure: Comparing the impact of classic and community-based HIV care on virological succes, behavioral and psychosocial outcomes
time frame: From enrolment (M0) to 12 months after HIV diagnosis (M12)
description: CD4 count and viral load at the time of diagnosis (M0) and its evolution 6 and 12 months later (M6 and M12)
Self-perception of health status, sexual behavior indicators at M1 and evolution at M12: number of partners, number of sexual intercourses, etc.
measure: Material and human resources available for healthcare supply around gold-mining zones
time frame: From enrolment (M0) to 12 months after HIV diagnosis (M12)
description: Description of the healthcare supply geographical distribution around the artisanal gold-mining zones included in the study;
Description of the available human and material resources in the healthcare centers around the artisanal gold-mining zones included in the study
measure: Working conditions of healthcare professionals involved in the classic HIV care
time frame: From enrolment (M0) to 12 months after HIV diagnosis (M12)
description: Description of the socioeconomic and demographic characteristics of healthcare professionals in HIV care centers around the artisanal gold-mining zones included in the study;
Number of working hours, number of medical visits, earnings, perceived health status, etc.
arm group label: Classic HIV care
arm group type: No Intervention
description: Participants diangosed HIV positive at the time of the community-based activities conducted by ARCAD Santé PLUS. They will be referred to the referral centers (CSRéf) for the classic HIV care in the Malian public health system.
arm group label: Community-based HIV care
arm group type: Other
description: Participants diagnosed HIV positive at the time of the community-based activities by ARCAD Santé PLUS. They will receive community-based HIV care by the NGO at the gold-mining site.
intervention type: Other
intervention name: Local community-based HIV care
description: Compared to the classic HIV care, community-based HIV care includes:
Individual interviews with a psychosocial agent;
Support groups conducted by psychosocial agents;
Culinary workshops gathering PLWHIV and healthcare professionals;
Home visits by a community worker;
Emergency relief based on a funding for patients with urgent needs
As in the classic HIV care, ARCAD Santé PLUS provides consultations with doctors, prescriptions and delivery of antiretroviral (ARV) treatment every 3 months, biological analyses for enrolment, and follow-up every 6 months. In addition, psychosocial agents from ARCAD Santé PLUS propose workshops on education and support for adherence to treatment.
arm group label: Community-based HIV care
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: No
last name: Luis Sagaon Teyssier, PhD
role: Principal Investigator
affiliation: UMR1252 SESSTIM (INSERM, IRD, Aix Marseille Université)
last name: Bintou Dembélé Keïta, MD
role: Principal Investigator
affiliation: ARCAD Santé PLUS
last name: Luis Sagaon Teyssier, PhD
phone: +223 94 00 45 63
email: luis.sagaon-teyssier@inserm.fr
last name: Aliou Kamissoko, MD
phone: +223 93 00 94 53
email: kamissokoaliou8@gmail.com
facility: 
status: Recruiting
contact: 
facility: 
status: Recruiting
contact: 
investigator: 
facility: 
status: Recruiting
contact: 
investigator: 
facility: 
status: Recruiting
contact: 
country: Mali
responsible party type: Sponsor
mesh term: HIV Infections