@article{fdi:010080991, title = {{D}escribing, analysing and understanding the effects of the introduction of {HIV} self-testing in {W}est {A}frica through the {ATLAS} programme in {C}ote d'{I}voire, {M}ali and {S}enegal}, author = {{R}ouveau, {N}icolas and {K}y-{Z}erbo, {O}. and {B}oye, {S}okhna and {F}otso, {A}. {S}. and d'{E}lbee, {M}. and {M}aheu-{G}iroux, {M}. and {S}ilhol, {R}. and {K}ouassi, {A}. {K}. and {V}autier, {A}. and {D}oumenc-{A}idara, {C}. and {B}reton, {G}. and {K}eita, {A}. and {E}hui, {E}. and {N}dour, {C}. {T}. and {B}oilly, {M}. {C}. and {T}erris-{P}restholt, {F}. and {P}ourette, {D}olores and {D}esclaux, {A}lice and {L}armarange, {J}oseph and {B}oily, {M}. {C}.}, editor = {}, language = {{ENG}}, abstract = {{B}ackground{T}he {ATLAS} programme aims to promote and implement {HIV} self-testing ({HIVST}) in three {W}est {A}frican countries: {C}ote d'{I}voire, {M}ali, and {S}enegal. {D}uring 2019-2021, in close collaboration with the national {AIDS} implementing partners and communities, {ATLAS} plans to distribute 500,000 {HIVST} kits through eight delivery channels, combining facility-based, community-based strategies, primary and secondary distribution of {HIVST}.{C}onsidering the characteristics of {W}est {A}frican {HIV} epidemics, the targets of the {ATLAS} programme are hard-to-reach populations: key populations (female sex workers, men who have sex with men, and drug users), their clients or sexual partners, partners of people living with {HIV} and patients diagnosed with sexually transmitted infections and their partners.{T}he {ATLAS} programme includes research support implementation to generate evidence for {HIVST} scale-up in {W}est {A}frica.{T}he main objective is to describe, analyse and understand the social, health, epidemiological effects and cost-effectiveness of {HIVST} introduction in {C}ote d'{I}voire, {M}ali and {S}enegal to improve the overall {HIV} testing strategy (accessibility, efficacy, ethics).{M}ethods{ATLAS} research is organised into five multidisciplinary workpackages ({WP}s): qualitative surveys (individual in-depth interviews, focus group discussions) conducted with key actors, key populations, and {HIVST} users.{K}ey {P}opulations {WP}: ethnographic observation of three {HIV} care services introducing {HIVST} for partner testing.{I}ndex testing {WP}: an anonymous telephone survey of {HIVST} users.{C}oupons survey {WP}: incremental economic cost analysis of each delivery model using a top-down costing with programmatic data, complemented by a bottom-up costing of a representative sample of {HIVST} distribution sites, and a time-motion study for health professionals providing {HIVST}.{C}ost study {WP}: {A}daptation, parameterisation and calibration of a dynamic compartmental model that considers the varied populations targeted by the {ATLAS} programme and the different testing modalities and strategies.{D}iscussion{ATLAS} is the first comprehensive study on {HIV} self-testing in {W}est {A}frica. {T}he {ATLAS} programme focuses particularly on the secondary distribution of {HIVST}. {T}his protocol was approved by three national ethic committees and the {WHO}'s {E}thical {R}esearch {C}ommittee.}, keywords = {{HIV} ; {AIDS} ; {HIV} self-testing ; {W}est {A}frica ; {S}enegal ; {C}ote d'{I}voire ; {M}ali ; {SENEGAL} ; {COTE} {D}'{IVOIRE} ; {MALI}}, booktitle = {}, journal = {{BMC} {P}ublic {H}ealth}, volume = {21}, numero = {1}, pages = {181 [14 p.]}, year = {2021}, DOI = {10.1186/s12889-021-10212-1}, URL = {https://www.documentation.ird.fr/hor/fdi:010080991}, }