{"id":91746,"date":"2025-12-01T07:54:25","date_gmt":"2025-12-01T06:54:25","guid":{"rendered":"https:\/\/congopubonline.com\/?p=91746"},"modified":"2025-12-01T07:54:32","modified_gmt":"2025-12-01T06:54:32","slug":"lutte-contre-le-vih-sida-quelques-progres-et-beaucoup-dinquietudes","status":"publish","type":"post","link":"https:\/\/congopubonline.com\/?p=91746","title":{"rendered":"Lutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes"},"content":{"rendered":"\n

La lutte contre le VIH est dans une situation paradoxale. Malgr\u00e9 des avanc\u00e9es scientifiques r\u00e9elles, le dernier rapport de l\u2019Onusida livre un constat alarmant : la riposte mondiale est fragilis\u00e9e, prise dans une spirale de financements en baisse et de ruptures de services sanitaires.<\/p>\n\n\n\n

Selon la directrice de l\u2019Onusida<\/a><\/strong>, Winnie Byanyima,\u00ab la r\u00e9ponse mondiale contre le VIH a connu son plus important recul depuis des d\u00e9cennies <\/em>\u00bb. Dans treize pays, le nombre de personnes nouvellement mises sous traitement a diminu\u00e9. Des ruptures d\u2019approvisionnement sont rapport\u00e9es en \u00c9thiopie<\/a><\/strong> et en R\u00e9publique d\u00e9mocratique du Congo, touchant aussi bien les tests de d\u00e9pistage que l\u2019acc\u00e8s aux traitements antir\u00e9troviraux. Au Nigeria<\/a><\/strong>, la distribution de pr\u00e9servatifs a chut\u00e9 de 55%. Les organisations communautaires, qui constituaient jusqu\u2019ici le c\u0153ur de la riposte, sont durement frapp\u00e9es\u2009: plus de 60% de celles dirig\u00e9es par des femmes ont d\u00fb suspendre des programmes essentiels.<\/p>\n\n\n\n

\u00c0 l\u2019\u00e9chelle mondiale, pr\u00e8s de 40,8 millions de personnes vivent aujourd\u2019hui avec le VIH. L\u2019an dernier, 1,3 million de nouvelles infections ont \u00e9t\u00e9 enregistr\u00e9es. Et 9,2 millions de ces personnes n\u2019ont toujours pas acc\u00e8s \u00e0 un traitement ARV. <\/em>\u00ab Le VIH n\u2019est pas fini <\/em>\u00bb, insiste Winnie Byanyima, qui lance un appel pressant \u00e0 la mobilisation internationale, quelques jours seulement apr\u00e8s une terrible d\u00e9sillusion. Le Fonds mondial contre le sida, le paludisme et la tuberculose n\u2019a r\u00e9colt\u00e9 qu\u2019un peu plus de 11 milliards de dollars pour les trois prochaines ann\u00e9es, quand il estimait en avoir besoin de 18 milliards. Cette reconstitution est m\u00eame inf\u00e9rieure \u00e0 celle de 2022, mena\u00e7ant ainsi la p\u00e9rennit\u00e9 de nombreux programmes tout autour du monde.<\/p>\n\n\n\n

Quelques avanc\u00e9es dans les labos<\/h2>\n\n\n\n

Pourtant, dans les laboratoires et les centres de recherche, la lutte contre le virus ne stagne pas. Yazdan Yazdanpanah, directeur de l\u2019ANRS-MIE (Agence nationale de recherche sur le sida et les maladies \u00e9mergentes), y voit une situation paradoxale, une \u00ab double dynamique <\/em>\u00bb avec, d\u2019un c\u00f4t\u00e9, des progr\u00e8s th\u00e9rapeutiques importants\u2009; de l\u2019autre, un affaiblissement de la capacit\u00e9 \u00e0 les d\u00e9ployer.<\/p>\n\n\n\n

Des traitements antir\u00e9troviraux \u00e0 longue dur\u00e9e d\u2019action sont d\u00e9sormais disponibles. Plut\u00f4t que de vivre avec la prise quotidienne d\u2019un comprim\u00e9, des patients peuvent espacer les doses : \u00ab on peut faire tous les deux mois<\/em> \u00bb, explique Yazdan Yazdanpanah, ce qui am\u00e9liore l\u2019acceptation du traitement. \u00ab 43% des personnes vivant avec le VIH privil\u00e9gient ces traitements longue dur\u00e9e parmi leurs premiers choix, m\u00eame avant des crit\u00e8res comme les effets secondaires ou la taille des comprim\u00e9s <\/em>\u00bb.<\/p>\n\n\n\n

Autre innovation majeure : la PrEP<\/a><\/strong> injectable, en pr\u00e9vention. Le L\u00e9nacapavir, recommand\u00e9 r\u00e9cemment par l\u2019OMS, offre une protection semestrielle contre l\u2019infection. \u00ab C\u2019est une injection tous les six mois pour emp\u00eacher le VIH <\/em>\u00bb, pr\u00e9cise Yazdan Yazdanpanah. Gr\u00e2ce \u00e0 un accord international, le co\u00fbt pourrait tourner autour de 40 dollars par an dans 120 pays \u00e0 ressources limit\u00e9es, alors que le m\u00e9dicament \u00e9tait jusqu\u2019\u00e0 pr\u00e9sent vendu environ 30 000 dollars par an aux \u00c9tats-Unis.<\/p>\n\n\n\n

Comment faire sans assez d\u2019argent ?<\/h2>\n\n\n\n

Mais ces avanc\u00e9es risquent de rester th\u00e9oriques si les syst\u00e8mes de sant\u00e9 ne suivent pas. En 2025, l\u2019aide mondiale au d\u00e9veloppement en mati\u00e8re de sant\u00e9 a diminu\u00e9 de 22%, marqu\u00e9e par la diminution ou l\u2019arr\u00eat de programmes am\u00e9ricains.<\/p>\n\n\n\n

\u00ab Le probl\u00e8me, c\u2019est la brutalit\u00e9 qui va avec<\/em> \u00bb, estime Yazdan Yazdanpanah. \u00ab Il faut lutter contre. Mais dans le m\u00eame temps, cette d\u00e9pendance envers les \u00c9tats-Unis, en termes de recherche et d\u2019intervention sur le VIH, ce n\u2019est pas normal non plus. Il y a un probl\u00e8me avec notre \u00e9cosyst\u00e8me et il faut r\u00e9fl\u00e9chir \u00e0 \u00e7a.<\/em> \u00bb<\/p>\n\n\n\n

L\u2019Afrique subsaharienne illustre ce dilemme. Le continent concentre une grande partie des nouvelles infections et 60% des malades du VIH y vivent. Dans plusieurs zones, les fermetures de centres communautaires se multiplient, tandis que la distribution de pr\u00e9servatifs ou l\u2019acc\u00e8s au d\u00e9pistage r\u00e9gresse. La crise du financement, combin\u00e9e aux s\u00e9quelles de la pand\u00e9mie de Covid-19, fragilise, voire compromet, les progr\u00e8s r\u00e9alis\u00e9s depuis le d\u00e9but des ann\u00e9es 2000.<\/p>\n\n\n\n

L\u2019Onusida est claire : \u00ab La science seule ne suffira pas <\/em>\u00bb.L\u2019agence onusienne appelle ainsi \u00e0 repenser le mod\u00e8le de financement international, et que les pays les plus touch\u00e9s y consacrent des ressources propres. Faute de quoi, au lieu de mettre fin \u00e0 l\u2019\u00e9pid\u00e9mie de VIH\/sida en 2030 comme elle s\u2019y est engag\u00e9e, la communaut\u00e9 internationale ne pourra qu\u2019au mieux la contenir. Pire, si les trajectoires financi\u00e8res restent dans leur dynamique actuelle, l\u2019Onusida anticipe un retour \u00e0 la hausse du VIH\/sida d’ici \u00e0 2030.<\/p>\n\n\n\n

RFI<\/p>\n

<\/span> 164<\/span> Vues<\/span><\/div>","protected":false},"excerpt":{"rendered":"

La lutte contre le VIH est dans une situation paradoxale. Malgr\u00e9 des avanc\u00e9es scientifiques r\u00e9elles, le dernier rapport de l\u2019Onusida livre un constat alarmant : la riposte mondiale est fragilis\u00e9e,…<\/p>\n","protected":false},"author":1,"featured_media":91747,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[844,60],"tags":[],"class_list":["post-91746","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-sante"],"yoast_head":"\nLutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes - Congo Pub Online<\/title>\n<meta name=\"description\" content=\"Lutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes \u00c0 la Une\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/congopubonline.com\/?p=91746\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes\" \/>\n<meta property=\"og:description\" content=\"Lutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes \u00c0 la Une\" \/>\n<meta property=\"og:url\" content=\"https:\/\/congopubonline.com\/?p=91746\" \/>\n<meta property=\"og:site_name\" content=\"Congo Pub Online\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/web.facebook.com\/Congopubonline\" \/>\n<meta property=\"article:published_time\" content=\"2025-12-01T06:54:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-01T06:54:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/congopubonline.com\/wp-content\/uploads\/2025\/12\/aids_journee.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"797\" \/>\n\t<meta property=\"og:image:height\" content=\"447\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin9775\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@CONGOPUBOnline\" \/>\n<meta name=\"twitter:site\" content=\"@CONGOPUBOnline\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin9775\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/congopubonline.com\/?p=91746#article\",\"isPartOf\":{\"@id\":\"https:\/\/congopubonline.com\/?p=91746\"},\"author\":{\"name\":\"admin9775\",\"@id\":\"https:\/\/congopubonline.com\/#\/schema\/person\/d2f3a940be2e9c1a0e4f8831e203f3cc\"},\"headline\":\"Lutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes\",\"datePublished\":\"2025-12-01T06:54:25+00:00\",\"dateModified\":\"2025-12-01T06:54:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/congopubonline.com\/?p=91746\"},\"wordCount\":832,\"publisher\":{\"@id\":\"https:\/\/congopubonline.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/congopubonline.com\/?p=91746#primaryimage\"},\"thumbnailUrl\":\"https:\/\/congopubonline.com\/wp-content\/uploads\/2025\/12\/aids_journee.jpg\",\"articleSection\":[\"\u00c0 la Une\",\"Sant\u00e9\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/congopubonline.com\/?p=91746\",\"url\":\"https:\/\/congopubonline.com\/?p=91746\",\"name\":\"Lutte contre le VIH\/sida: quelques progr\u00e8s et beaucoup d\u2019inqui\u00e9tudes - 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