Abstract EN:

As Mali is a country with no access to the sea and mainly muslin, the exposure to AIDS could seem slight, but its proximity to the Ivory Coast, the major West African Crossroad, represents a real danger. With a seroprevalence of 1,7% in 2001, Mali is ranked amongst the countries which are slightly affected by the virus, even if certain factors (poligamy, the important mobility of the Malian population, the sexual behaviour of the young people. . . ) favour the progression of the epidemic. Since 2004, in Mali, the ARV have been free. However, the problem of their geographical accessibility still remains. Until the late nineties, the centralization in the capital of centers specialized in the reception and the welfare of infected people and antiretrovirus treatment, as lead to a great imbalance concerning the dealing of the illeness on a national scale. Since the early 2000's, several PVVIH welfare centers have been created in different regional capitals thus indicating the State's to decentralize the welfare care and favour the access of specific treatments to the whole population. Nevertheless, these structures remain completely out of reach for the majority of village populations, all too often uninformed about the HIV/AIDS problrm