{"id":22482,"date":"2025-06-02T10:15:37","date_gmt":"2025-06-02T10:15:37","guid":{"rendered":"https:\/\/macite.tg\/?p=22482"},"modified":"2025-06-02T10:15:42","modified_gmt":"2025-06-02T10:15:42","slug":"sante-publique-le-togo-un-modele-delimination-des-hepatites-virales-de-la-syphilis","status":"publish","type":"post","link":"https:\/\/macite.tg\/?p=22482","title":{"rendered":"SANTE PUBLIQUE\u00a0: Le Togo, un mod\u00e8le d\u2019\u00e9limination des h\u00e9patites virales, de la syphilis, \u2026"},"content":{"rendered":"\n

C’est un chantier de sant\u00e9 publique que le Togo semble bien d\u00e9termin\u00e9 \u00e0 mener \u00e0 terme : mettre fin \u00e0 la transmission m\u00e8re-enfant du VIH, de la syphilis et des h\u00e9patites virales. Sur le terrain, les efforts s’intensifient et les r\u00e9sultats sont encourageants.<\/em><\/strong><\/p>\n\n\n\n

Il s’agit du fruit d’une volont\u00e9 politique affirm\u00e9e et d’une coordination efficace entre les diff\u00e9rents acteurs du syst\u00e8me de sant\u00e9. L’objectif est align\u00e9 sur les recommandations de l’OMS et les engagements onusiens : z\u00e9ro infection chez les nourrissons d’ici 2030.<\/p>\n\n\n\n

En 2023, la couverture de la pr\u00e9vention de la transmission m\u00e8re-enfant (PTME) du VIH a atteint 85 % au Togo. Une statistique r\u00e9jouissante qui signifie que la majorit\u00e9 des femmes enceintes vivant avec le VIH sont d\u00e9sormais accompagn\u00e9es pour donner naissance \u00e0 des enfants s\u00e9ron\u00e9gatifs.<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

Une couverture PTME de plus en plus solide<\/strong><\/p>\n\n\n\n

Selon les donn\u00e9es du Programme national de lutte contre le sida (PNLS), le Togo compte 829 sites fonctionnels pour la PTME, ce qui repr\u00e9sente une couverture g\u00e9ographique de 84,3 %. Dans ces structures sanitaires, 4 634 femmes enceintes vivant avec le VIH ont \u00e9t\u00e9 recens\u00e9es, dont 3 602 \u00e9taient sous traitement antir\u00e9troviral (soit 77,7 %).<\/p>\n\n\n\n

Les r\u00e9sultats sont \u00e9galement probants du c\u00f4t\u00e9 des nouveau-n\u00e9s : sur 2.956 enfants vivants n\u00e9s de m\u00e8res s\u00e9ropositives, 2.907 ont re\u00e7u une prophylaxie antir\u00e9trovirale, soit 98,3 %, une progression notable par rapport aux 96 % enregistr\u00e9s en 2021.<\/p>\n\n\n\n

Dans la dynamique de l’\u00e9radication, une \u00e9tude \u00e9pid\u00e9miologique et virologique sur la transmission m\u00e8re-enfant du VIH a par ailleurs permis de collecter 3.148 \u00e9chantillons de sang de cordon ombilical. Elle r\u00e9v\u00e8le que 99,3 % des femmes ont effectu\u00e9 au moins une consultation pr\u00e9natale et que la s\u00e9ropr\u00e9valence s’\u00e9tablit \u00e0 3,8 % \u00e0 Lom\u00e9.<\/p>\n\n\n\n

Surtout, 97,5 % des femmes s\u00e9ropositives (ayant accouch\u00e9) pr\u00e9sentaient une charge virale inf\u00e9rieure \u00e0 1.000 copies\/ml, un facteur d\u00e9terminant dans la pr\u00e9vention de la transmission.<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

Des objectifs ambitieux mais r\u00e9alistes<\/strong><\/p>\n\n\n\n

Appel\u00e9e aussi transmission verticale, la transmission m\u00e8re-enfant peut intervenir durant la grossesse, l’accouchement ou l’allaitement. L’\u00e9limination de cette voie est au c\u0153ur des engagements du Togo, qui s’aligne sur la strat\u00e9gie mondiale du secteur de la sant\u00e9 de l’OMS.<\/p>\n\n\n\n

Le pays vise un taux de transmission inf\u00e9rieur ou \u00e9gal \u00e0 50 cas pour 100.000 naissances vivantes, avec une pr\u00e9valence inf\u00e9rieure \u00e0 2 % chez les enfants non allait\u00e9s et \u00e0 5 % chez les allait\u00e9s. Le Togo s’attaque \u00e9galement \u00e0 la transmission verticale de l’h\u00e9patite B (VHB).<\/p>\n\n\n\n

Conform\u00e9ment \u00e0 la strat\u00e9gie mondiale 2016-2021 de l’OMS, l’ambition est de r\u00e9duire de 90 % l’incidence, de 65 % la mortalit\u00e9 et de parvenir \u00e0 une pr\u00e9valence AgHBs inf\u00e9rieure \u00e0 0,1 % chez les enfants de cinq ans d’ici 2030.<\/p>\n\n\n\n

Concernant la syphilis, deuxi\u00e8me cause de mortinatalit\u00e9 dans le monde apr\u00e8s le paludisme, le pays affiche une faible pr\u00e9valence de 0,6 % parmi les populations cl\u00e9s. D’apr\u00e8s une enqu\u00eate men\u00e9e sur 2.158 personnes (dont 678 hommes ayant des rapports avec des hommes \u2013 HSH, 1 003 travailleuses du sexe \u2013 FSW, et 477 usagers de drogues \u2013 UD), aucun cas de syphilis n’a \u00e9t\u00e9 d\u00e9tect\u00e9 chez les 298 personnes s\u00e9ropositives au VIH. Un indicateur rassurant.<\/p>\n\n\n\n

Depuis 2018, le test DUO VIH\/syphilis est d\u00e9ploy\u00e9 sur 93 sites PTME. Gr\u00e2ce \u00e0 ce dispositif, 103.721 femmes enceintes ont \u00e9t\u00e9 d\u00e9pist\u00e9es. R\u00e9sultat : 1.276 tests positifs \u00e0 la syphilis, soit 1,2 %, en baisse par rapport aux 2,1 % en 2020. Parmi elles, 836 (65,5 %) ont \u00e9t\u00e9 trait\u00e9es avec la Benzathine benzylp\u00e9nicilline. On note cependant 32 cas de syphilis cong\u00e9nitale enregistr\u00e9s, contre 24 en 2020, signe qu’il reste des marges de progression.<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

La victoire \u00e0 port\u00e9e de main<\/strong><\/p>\n\n\n\n

Entre les campagnes de sensibilisation, l’am\u00e9lioration de la couverture g\u00e9ographique des services PTME, la formation du personnel soignant, la disponibilit\u00e9 des tests rapides combin\u00e9s et l’acc\u00e8s \u00e9largi aux traitements, le Togo met toutes les chances de son c\u00f4t\u00e9 pour relever le d\u00e9fi de l’\u00e9limination. \u00c0 l’horizon 2030, le r\u00eave d’un pays sans transmission m\u00e8re-enfant du VIH, de la syphilis et des h\u00e9patites virales n’a rien d’utopique. Il est en marche.<\/p>\n\n\n\n

Samir<\/strong><\/a><\/p>\n\n\n\n

@macite.tg        <\/em><\/strong><\/p>\n\n\n\n

E-mail : <\/em><\/strong>maciteinfo@gmail.com<\/em><\/strong><\/a>; <\/em><\/strong>bawela1@gmail.com<\/em><\/strong><\/a><\/em><\/strong><\/p>\n\n\n\n

Pour vos annonces, (publi)reportages, etc., joignez-nous au (00228)91515309\/79872224 <\/strong>www.macite.tg, L\u2019information, la bonne !<\/em><\/strong><\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

C’est un chantier de sant\u00e9 publique que le Togo semble bien d\u00e9termin\u00e9 \u00e0 mener \u00e0 terme : mettre fin \u00e0 la transmission m\u00e8re-enfant du VIH, de la syphilis et des h\u00e9patites virales. Sur le terrain, les efforts s’intensifient et les r\u00e9sultats sont encourageants. 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