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16 Jan 2009 1Solthis Mali, rue 189, porte 372, Korofina Nord, BP3062, Bamako, Mali 2Solthis Paris, 58A, rue du Dessous des berges, 75013, Paris, France Sub-Saharan African countries are making significant efforts to provide full geographical coverage of their national territory. It is in this "scaling-up" context that the Solthis NGO (Solidarité Thérapeutique et Initiatives contre le Sida) began cooperating with Malian actors to extend access to quality treatment for patients living with HIV/AIDS in the city and region of Ségou. Based on a developmental approach, Solthis opted for continuing in situ technical support for national actors in the fight against AIDS. Thanks to the daily presence of a team "in the field" Solthis devotes a large part of its activities to capacity-building for health-care workers through an exchange of medical and scientific expertise. Efforts were also made to improve health-care workers' working conditions and to make various tests and drugs accessible to patients infected with HIV. The initial aim was to encourage universal access to ART. Today, the Ségou programme supported by Solthis has developed over 1500 new treatments in the region. In addition, every PMTCT centre in the region offers prevention and treatment services to mothers and children. Today, the Ségou region is an integral part of the IMAARV initiative as a decentralisation pilot project. Citation: Teisseire, P., Akonde, A., Pizzocolo, C., Calmettes, S., Bodo, N., and Pizarro, L.: Technical support by Solthis for health-care workers in order to decentralise medical treatment for people living with HIV in the Ségou region of Mali, Field. Actions Sci. Rep., 2, 9-17, doi:10.5194/facts-2-9-2009, 2009.
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