of people who use drugs in Abidjan are HIV positive.
of girls and 13.8% of boys between 15 and 24 years old had sexual intercourse for the first time before the age of 15.
teenagers between 15 and 19 years old have already been pregnant.
Young people and teenager's sexuality
There continue to be many obstacles in the way of access to good quality healthcare in Côte d’Ivoire, in particular the absence of a legislative framework for SRH (the current law dates back to1920), the lack of funding for contraceptive products and stock outs.
Therefore, only 14% of young people and teenagers use any method of contraception. Consequently many pregnancies are recorded every year in primary and secondary school pupils. However the law on abortion in Côte d’Ivoire remains very restrictive and the medical staff are not trained in the treatment of unwanted pregnancies. This encourages unsafe abortions.
Aids, hepatitis and tuberculosis
Moreover, in 2014 Doctors of the World conducted a study in Abidjan with 450 regular users of cocaine, heroin and crack cocaine. The rate of people with HIV is particularly high amongst this population, especially amongst sex workers. In addition to HIV/Aids, these people very often have symptoms of tuberculosis and more than 10 % of them are hepatitis B carriers. This is due to high-risk behaviour linked to unsafe sexual practices, to drug consumption but also to their extremely precarious living conditions. They are stigmatised, and often live in run-down areas without access to water or sanitation.
Sexual and reproductive health in young people and teenagers
The study carried out by Doctors of the World in 2016, on the question of socio-cultural determinants of unwanted pregnancies, brought to light that the sexual and reproductive health services offered to teenagers are not in tune with their needs. Owing to a lack of knowledge of their rights, because they do not have the means and because the values and beliefs of their social environment are against them, they do not use these services
CARING FOR people who use drugs
Since January 2015, Doctors of the World and their local partner associations have been conducting prevention and harm reduction activities with drug users in Abidjan in order to improve the support they receive from the health system.
Doctors of the World works to strengthen the capacity of these people to take action, to develop a suitable response and to combat stigmatisation, exclusion and criminalisation, which constitute obstacles to access to care.
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