title: [Sociological perspectives on the management of TB/HIV co-infection in Burkina Faso].
abstract: In Burkina Faso, the management of TB/HIV co-infection presents a challenge for policy-makers and the health-care system, with its psychological, sociocultural and biomedical issues. The purpose of this paper is to describe the concerns caused by this co-infection and propose a management strategy for these patients. These findings result from a qualitative socio-anthropological study during a public health project in three health districts from 2006 to 2008 and from the observation of care practices in health centres. Patients face a double burden: the negative social image of both diseases and complicated difficult treatment. They deal with problems of social integration, with their social relations impaired by humiliation and marginalisation. The painful experience of daily doses of antiretroviral and anti-TB drugs creates bitterness against drugs, aggravated sometimes by apparently capricious care. In addition to economic insecurity, these chronically ill patients face social stigma and marginalisation, all damaging to their self-esteem.
authors.affiliation: Institut de recherche en sciences de la santé 09 BP : 82 Ouagadougou 09 Burkina Faso, École de santé publique Université libre de BruxellesESP-ULB CP 597 808, route de Lennik 1070 Bruxelles Belgique.
authors.forename: Roger
authors.initials: R
authors.lastname: Zerbo
authors.forename: Koiné Maxime
authors.initials: KM
authors.lastname: Drabo
authors.forename: Séni
authors.initials: S
authors.lastname: Kouanda
authors.forename: Jean-Bosco
authors.initials: JB
authors.lastname: Ouedraogo
authors.forename: Bruno
authors.initials: B
authors.lastname: Dujardin
authors.forename: Jean
authors.initials: J
authors.lastname: Macq
authors.forename: Pierre
authors.initials: P
authors.lastname: Huygens
mesh_terms: D002050:Burkina Faso; D060085:Coinfection; D003695:Delivery of Health Care; D015658:HIV Infections; D006801:Humans; D012961:Sociology