Author(s)

Armel Poda^1*, M’winmalo Ines Evelyne Da², Ziemlé Clément Méda³, Serge Somda², Arsène Héma¹, Jacques Zoungrana¹, Isidore Traoré², Apoline Sondo⁴, Ismael Diallo⁴, Mamadaou Savadogo⁴, Issiaka Sombié⁵, Madina Traoré⁶, Nicolas Méda²

¹Department of Infectious Diseases, Souro Sanou Teaching Hospital, Bobo-Dioulasso, Burkina Faso.
²Centre MURAZ, Bobo-Dioulasso, Burkina Faso.
³Department of Infectious Diseases, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso.
⁴Health Regional Direction of Hauts Bassins Region, Bobo-Dioulasso, Burkina Faso.
⁵West African Health Organization (WAHO), Bobo-Dioulasso, Burkina Faso.
⁶Centre Anonyme de Dépistage et d’Information (CADI), Bobo-Dioulasso, Burkina Faso.

Background: The Anonymous Screening and Information Centre (CADI) is the oldest screening centre of HIV from Burkina Faso. Since its opening, no analysis on the evolution of Human Immunodeficiency Virus (HIV) prevalence has been carried out. Objective: The study aimed to describe the dynamics of HIV infection when managing centres offering voluntary counselling and testing to client, such as the Screening and Counselling Centre (CADI), in Bobo Dioulasso, Burkina Faso. Patients and Methods: A cross-sectional study was performed including people screened at the CADI from May 1996 to June 2014. Pearson khi² test and Cuzick trend test were used with a 5% significance level. Results: From 7.1% of the 11,451 cases analyzed, the average age of clients screened was 30 ± 10.83 year-old. There was a female predominance (sex ratio = 0.8). The 16.4% (15.7 - 17.1) of the cases from the 11,451 clients included in our study were tested HIV positive. The global prevalence rate of HIV in the centre has significantly decreased from 46.2% in 1996 to 1.5% in 2014 (p < 0.0001). In 1999, 2001, and 2006, the peaks of the HIV prevalence rates were noted: 22.9%, 34.1%, and 22.8% respectively. CADI’s customers’ profile has significantly changed. Therefore between 1996 and 2000, people with HIV symptoms were more common at the centre (42.7%). From 2001 to 2008, physician-prescribed screenings were best predominant (83.95%). From 2008 to 2014, a total of 72.7% people reported with reason for the screening a desire to know their serological status. Conclusion: The behaviour change could be a justification for the decline in HIV prevalence at the centre, hence the importance of sensitization campaigns.

Burkina Faso, Clients, Prevalence, HIV, Screening, Case Management

Poda, A. , Evelyne Da, M. , Méda, Z. , Somda, S. , Héma, A. , Zoungrana, J. , Traoré, I. , Sondo, A. , Diallo, I. , Savadogo, M. , Sombié, I. , Traoré, M. and Méda, N. (2019) Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014). Advances in Infectious Diseases, 9, 137-149. doi: 10.4236/aid.2019.92010.