{"id":2849,"date":"2018-07-30T17:59:25","date_gmt":"2018-07-30T15:59:25","guid":{"rendered":"http:\/\/dev.fondationpierrefabre.org\/our-programmes\/access-to-quality-healthcare\/amafrica\/"},"modified":"2019-04-12T10:42:29","modified_gmt":"2019-04-12T08:42:29","slug":"impact-study-telephone-follow-up-onco-haematological-treatment","status":"publish","type":"page","link":"https:\/\/sandbox.fondationpierrefabre.org\/en\/our-programmes\/access-quality-healthcare\/impact-study-telephone-follow-up-onco-haematological-treatment\/","title":{"rendered":"Impact study of telephone follow-up in onco-haematological treatment"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:#f2f2f2;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-color:#f2f2f2;--awb-bg-color-hover:#f2f2f2;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h1 style=\"text-align: center;\">Impact study of telephone follow-up in onco-haematological treatment<\/h1>\n<h3 style=\"text-align: center;\"><em><span style=\"color: #717171;\">\u2014 C\u00f4te d&#8217;Ivoire \u2014<\/span><\/em><\/h3>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-small-visibility lazyload\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"http:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/2\/2018\/07\/amafrica_principal-def.jpg\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-top:305px;--awb-margin-bottom:305px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-medium-visibility fusion-no-large-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:#f2f2f2;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center fusion-no-medium-visibility fusion-no-large-visibility in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"320\" height=\"180\" alt=\"Etude d\u2019impact du suivi t\u00e9l\u00e9phonique dans la prise en charge onco-h\u00e9matologique\" title=\"amafrica_principal-def (1)\" src=\"https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2018\/12\/amafrica_principal-def-1.jpg\" data-orig-src=\"http:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/2\/2018\/12\/amafrica_principal-def-1.jpg\" class=\"lazyload img-responsive wp-image-4036\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27320%27%20height%3D%27180%27%20viewBox%3D%270%200%20320%20180%27%3E%3Crect%20width%3D%27320%27%20height%3D%27180%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2018\/12\/amafrica_principal-def-1-200x113.jpg 200w, https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2018\/12\/amafrica_principal-def-1.jpg 320w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 800px) 100vw, 320px\" \/><\/span><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling reverse\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-bottom:40px;--awb-background-color:#f2f2f2;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_3_5 3_5 fusion-three-fifth fusion-column-first\" style=\"--awb-bg-size:cover;width:60%;width:calc(60% - ( ( 4% ) * 0.6 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-2\"><p><span style=\"font-size: 30pt; color: #14769e;\"><strong>BACKGROUND<\/strong><\/span><\/p>\n<\/div>\n<div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-3\"><p>In 2006, at the University Hospital (CHU) of Toulouse, the AMA project was born (Assistance M\u00e9dicale Ambulatoire, or outpatient medical support). Objectives: <strong>to assess the effectiveness of telephone follow-up in improving onco-haematology patients\u2019 compliance with dose intensity<\/strong>. Seven years later, the project has show very positive results, with an average dose reduction of 8%, compared to 20% without follow-up \u2013 all due to a simple and inexpensive procedure.<\/p>\n<p>In 2015, Prof. Laurent, encouraged by these achievements, suggested duplicating the study in Ivory Coast, where nearly 20,000 new cancer cases are reported annually, with a 60% treatment refusal and dropout rate, and a 20% survival rate at five years. The project, financed by Fondation Pierre Fabre, took the new name AMAFRICA. A simple, monocentric, randomised study will be conducted in collaboration with the onco-haematology department at the Abidjan University Hospital, headed by Professor Koffi. The central hypothesis is that consistent telephone contact with the patient by a coordinating nurse could reduce the dropout rate (primary objective), but also help identify and prioritise the causes of treatment dropout (secondary objective).<\/p>\n<p>The AMA procedure seems well-suited to the challenge of monitoring Ivorian patients, as 60% of the local population has a mobile phone. Working with a group of 100 adults and children with lymphoma, AMAFRICA will make it possible<strong> to track patients in the active phases of their treatment, and compare treatment adherence and toxicity<\/strong> in regard with patients not receiving phone follow-up during treatment.<\/p>\n<p>*Total dose administered and administration rate.<\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:15px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_5 2_5 fusion-two-fifth fusion-column-last page-side\" style=\"--awb-padding-top:10px;--awb-padding-right:15px;--awb-padding-left:15px;--awb-bg-size:cover;width:40%;width:calc(40% - ( ( 4% ) * 0.4 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last bloc-violet\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong><span style=\"font-size: 14pt;\">KEY FACTS<\/span><\/strong><\/span><br \/>\n<span style=\"font-size: 14pt; color: #ffffff;\">_____<\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>Priority<\/strong><\/span><br \/>\n<span style=\"color: #ffffff;\">Access to quality healthcare<\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>Programme<\/strong><\/span><br \/>\n<span style=\"color: #ffffff;\">Since December 2015<\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>Type of involvement<\/strong><\/span><br \/>\n<span style=\"color: #ffffff;\">Distributor<\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>Actions<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #ffffff;\">Funding for medical examinations (biological and radiological assessments, anatomical-pathological readings),<\/span><\/li>\n<li><span style=\"color: #ffffff;\">Equipment funding (anatomical-pathological material, mobiles and communications costs, IT, etc.)<\/span><\/li>\n<li><span style=\"color: #ffffff;\">Funding for nurse wages<\/span><\/li>\n<li><span style=\"color: #ffffff;\">Funding for physician-clinician missions<\/span><\/li>\n<\/ul>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last mod-contact\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-5\"><p><a href=\"https:\/\/www.iuct-oncopole.fr\/\">Institut Universitaire du Cancer de Toulouse Oncopole (IUCT)<\/a><\/p>\n<p>Centre Hospitalier Universitaire de Youpougon \u00e0 Abidjan<\/p>\n<p>Association-Assistance des Malades Ambulatoires (AAMA)<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:#22789c;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"--awb-bg-size:cover;width:25%;width:calc(25% - ( ( 4% ) * 0.25 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper lazyload fusion-flex-column-wrapper-legacy fusion-empty-column-bg-image fusion-column-has-bg-image\" data-bg-url=\"http:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/2\/2018\/07\/portrait_prguylaurent_nb.png\" data-bg=\"http:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/2\/2018\/07\/portrait_prguylaurent_nb.png\"><img decoding=\"async\" class=\"fusion-empty-dims-img-placeholder fusion-no-large-visibility\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-last\" style=\"--awb-padding-top:40px;--awb-bg-size:cover;width:75%;width:calc(75% - ( ( 4% ) * 0.75 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-6\"><p><span style=\"color: #000000;\"><img decoding=\"async\" class=\"lazyload alignnone wp-image-1802\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2775%27%20height%3D%2763%27%20viewBox%3D%270%200%2075%2063%27%3E%3Crect%20width%3D%2775%27%20height%3D%2763%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"http:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/2\/2018\/07\/Sans-titre-1-1.png\" alt=\"\" width=\"75\" height=\"63\" \/><\/span><\/p>\n<p><span style=\"color: #ffffff;\">The AMA procedure has tremendous potential in emerging countries suffering from an extreme shortage of specialised medical personnel. This is particularly true in C\u00f4te d&#8217;Ivoire, where there are only four oncologists for 25 million inhabitants. So this country was a natural choice for duplicating this procedure. What\u2019s more, it is a French territory, and the University Hospital of Toulouse has trained three generations of academic haematologists in Abidjan. Nevertheless, the Amafrica objectives differ from those of the French project. Improving treatment adherence is certainly a challenge, but this is also about understanding the mechanisms of treatment dropout, whether the reasons are economic, logistical, cultural, etc. The extremely diverse sociological parameters in Abidjan will inevitably come into play. And this means that Amafrica will serve as an excellent information resource regarding health inequalities and could be very instructive for our own practices in the North.\u201d<\/span><\/p>\n<p><span style=\"font-size: 10pt; color: #ffffff;\"><strong>Pr. Guy Laurent<\/strong><\/span><br \/>\n<span style=\"font-size: 10pt; color: #ffffff;\">Coordinator of the CAPTOR project (Cancer Pharmacology of Toulouse-Oncopole and Region), haematologist at the University Hospital of Toulouse (Institut Universitaire du Cancer de Toulouse-Oncopole) and President of the AAMA.<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:30px;--awb-margin-bottom:30px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last mod-focus\" style=\"--awb-padding-top:0px;--awb-padding-right:20px;--awb-padding-bottom:0px;--awb-padding-left:20px;--awb-bg-size:cover;--awb-border-color:#717171;--awb-border-style:solid;--awb-margin-top:20px;--awb-margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-7\"><h3><span class=\"null\">Future initiatives<\/span><\/h3>\n<\/div><div class=\"fusion-text fusion-text-8\"><p style=\"text-align: center;\">This project, based on regular phone contact between the patient and the coordinating nurse, could ultimately lessen the burden on healthcare facilities and could be used for other pathologies, including chronic ailments.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:30px;--awb-padding-bottom:20px;--awb-background-color:#f2f2f2;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-9\"><h2 style=\"text-align: center;\">PARTENAIRES<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-10\"><ul>\n<li>Association Amafrica<\/li>\n<li>Haematology Department at University Hospital of Yopougon, Abidjan<\/li>\n<\/ul>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-11\"><ul>\n<li><a href=\"https:\/\/www.iuct-oncopole.fr\/\">Institut universitaire du Cancer de Toulouse Oncopole<\/a><\/li>\n<\/ul>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:40px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% ) * 0.33333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-12\"><h4 class=\"heading\"><span class=\"nulle\">See also<\/span><\/h4>\n<\/div><div class=\"fusion-recent-posts fusion-recent-posts-1 avada-container layout-default layout-columns-1\"><section class=\"fusion-columns columns fusion-columns-1 columns-1\"><article class=\"post fusion-column column col col-lg-12 col-md-12 col-sm-12\"><div class=\"fusion-flexslider flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li style=\"width: 100%; float: left; margin-right: -100%; position: relative; opacity: 1; display: block; z-index: 2;\" class=\"flex-active-slide\"><a href=\"https:\/\/sandbox.fondationpierrefabre.org\/en\/our-programmes\/tropical-dermatology\/creation-of-a-teledermatology-service\/\" class=\"hover-type-none\" aria-label=\"Creation of a national teledermatology service\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27240%27%20height%3D%27135%27%20viewBox%3D%270%200%20240%20135%27%3E%3Crect%20width%3D%27240%27%20height%3D%27135%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2018\/09\/img_0486_1440x710.jpg\" alt=\"\" draggable=\"false\"><\/a><\/li><\/div><div class=\"recent-posts-content\"><h4 class=\"entry-title\"><a href=\"https:\/\/sandbox.fondationpierrefabre.org\/en\/our-programmes\/tropical-dermatology\/creation-of-a-teledermatology-service\/\">Creation of a national teledermatology service<\/a><\/h4><p>Mali, faced with a regional dermatologist shortage, is assessing the feasibility of a telemedicine programme. Objectives: improve healthcare and create a true communications network.<\/p><span class=\"fusion-date\"><em>31\/07\/2018<\/em><\/span><\/div><\/article><\/section><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% ) * 0.33333333333333 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-13\"><h4 class=\"heading\"><span class=\"nulle\">Follow our actions<\/span><\/h4>\n<\/div><div class=\"fusion-recent-posts fusion-recent-posts-1 avada-container layout-default layout-columns-1\"><section class=\"fusion-columns columns fusion-columns-1 columns-1\"><article class=\"post fusion-column column col col-lg-12 col-md-12 col-sm-12\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/sandbox.fondationpierrefabre.org\/en\/current-initiatives\/central-african-republic-a-new-programme-for-victims-of-sexual-violence\/\" aria-label=\"Central African Republic: a New Programme for Victims of Sexual Violence\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2019\/11\/20191128171636__DR_0700-700x441.jpg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%274073%27%20height%3D%272715%27%20viewBox%3D%270%200%204073%202715%27%3E%3Crect%20width%3D%274073%27%20height%3D%272715%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2019\/11\/20191128171636__DR_0700-700x441.jpg\" data-srcset=\"https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2019\/11\/20191128171636__DR_0700-320x202.jpg 320w, https:\/\/sandbox.fondationpierrefabre.org\/wp-content\/uploads\/sites\/9\/2019\/11\/20191128171636__DR_0700-700x441.jpg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/sandbox.fondationpierrefabre.org\/en\/author\/tma25pf\/\" title=\"Posts by tma25pf\" rel=\"author\">tma25pf<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2020-04-22T15:08:15+02:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/sandbox.fondationpierrefabre.org\/en\/current-initiatives\/central-african-republic-a-new-programme-for-victims-of-sexual-violence\/\">Central African Republic: a New Programme for Victims of Sexual Violence<\/a><\/h4><p>Despite its wealth of natural resources, the Central African Republic is among the poorest nations on earth, ranking 188th out of 189 countries, according to the Human Development Index. In this land racked by conflict for nearly twenty years, there are tens of thousands of women and girls that have been victims of sexual violence.\r\nOn November 28, the Fondation Pierre Fabre and the Agence Francaise de D\u00e9veloppement signed a partnership agreement in the presence of Dr. Mukwege, 2018 Nobel Peace Prize winner, for a centre for the care of victims of sexual violence in Bangui.<\/p><\/div><\/article><\/section><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:50px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-aligncenter\"><a class=\"fusion-button button-flat button-small button-custom fusion-button-default button-1 fusion-button-span-no \" style=\"--button_accent_color:#717171;--button_accent_hover_color:#717171;--button_border_hover_color:#717171;--button_border_width-top:1px;--button_border_width-right:1px;--button_border_width-bottom:1px;--button_border_width-left:1px;--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;--button_gradient_top_color:#f2f2f2;--button_gradient_bottom_color:#f2f2f2;--button_gradient_top_color_hover:#ffffff;--button_gradient_bottom_color_hover:#ffffff;--button_text_transform:none;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"http:\/\/sandbox.fondationpierrefabre.org\/en\/our-programmes\/access-quality-healthcare\"><i class=\"fa-angle-double-right fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">All programmes <\/span><\/a><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":2535,"parent":2697,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2849","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Impact study of telephone follow-up in onco-haematological treatment<\/title>\n<meta name=\"description\" content=\"Discover how the &quot;AMA&quot; Project allowed to assess the effectiveness of telephone follow-up in improving onco-haematology patients\u2019 compliance with dose intensity.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta 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