@article{fdi:010061444,
  title = {{W}hen a prevention policy leads to economic vulnerability : the case of {PMTCT} in {S}enegal},
  author = {{D}esclaux, {A}lice},
  editor = {},
  language = {{ENG}},
  abstract = {{W}hen, in 2010, a new {PMTCT} ({P}revention of {M}other-to-{C}hild {T}ransmission) strategy replaced the provision of infant formula to mothers living with {HIV} by a prophylaxis based on antiretrovirals, some {S}enegalese couples decided to purchase infant formula on their own, thereby risking medically induced poverty'. {T}his case study analyzes the emergence of a situation of economic vulnerability generated by a public health policy that is nevertheless globally appropriate in terms of accessibility and epidemiological effectiveness. {B}ecause of the gap between the rationales of institutions at the international and national levels and those of people on the ground', a strategy that has been defined as progress in terms of equity is interpreted as a regression creating inequality. {T}his situation stems from several determinants analyzed in this article: rapid and poorly managed transition from one strategy to another, different perceptions of acceptable risk levels, and inadequate communication of information by care providers.},
  keywords = {breastfeeding ; health policies ; {HIV} ; medically induced poverty ; {PMTCT} ; {S}enegal ; transitions ; {SENEGAL}},
  booktitle = {},
  journal = {{G}lobal {H}ealth {P}romotion},
  volume = {20},
  numero = {1},
  pages = {39--44},
  ISSN = {1757-9759},
  year = {2013},
  DOI = {10.1177/1757975912462421},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061444},
}