Évaluation des défis organisationnels de la stratégie « Test & Treat » de simplification des soins d’hépatite virale C au Cameroun

Abstract

‘’Evaluation of the Organizational challenges of the “Test and Treat” strategy to simplify viral hepatitis C in Cameroon” is the title of this report. While this strategy recommended by the WHO aims to simplify and accelerate detection and treatment, its implementation remains marked by many obstacles. The problem here is to know how organizational, social and territorial challenges affect the implementation to the “test and Treat” strategy for viral hepatitis C in Cameroon, main objective of the research is to analyze the organizational challenges in the implementation of this strategy and to assess the impact of the latter on the effectiveness of this strategy. This brings us to the following main research question: in Cameroon; how are the major organizational challenges of the strategy Test and treat ‘’for hepatitis C do they influence its effectiveness?”. Such a question leads to the hypothesis that organizational challenges such as lack of resources, inadequacy of organizations and social barriers, significantly compromise the effectiveness of the “Test and Treat” strategy for hepatitis C in Cameroon. For the verification of this hypothesis, we adopted a theoretical framework based on the sociology of organization of Crozier and Friedberg, the sociology of health of Herzlich and David Le Breton and the sociology of public action by Claude Hassenteufel. This study therefore combines questionnaires, semi-directive interviews and direct observations conducted in the different health structures in Cameroon. This work proposes several socio-political and operational recommendations to improve the management of the hepatitis C viral virus in Cameroon, especially in community awareness of the realities of screening and treatment, the decentralization of care and the training of health workers. This research aims to contribute to a better understanding of the tensions in local realities in terms of public health policies.