Question 11437 — associations and foundations

Summary

Ms. Danielle Simonnet alerts the Minister of Health, Families, Autonomy and People with Disabilities to the alarming situation of associations fighting the human immunodeficiency virus (HIV). A recent study by the Federation of Solidarity Actors (FAS) reveals that 30% of associations risk disappearing by the end of 2025, 24% have less than two months of liquidity and 58% have no visibility beyond twelve months. This harmful uncertainty prevents the construction of sustainable projects, compromises support for the most vulnerable and weakens the prevention of HIV transmission. The Sidaction association, responsible for collecting funds and transferring them to associations carrying out screening actions for HIV and other sexually transmitted infections (STIs) among populations furthest from care, alerted Ms. MP on the devastating effects of such a situation. In a context of increasing social inequalities (increase in medical deductibles, increase in out-of-pocket costs), STI prevention associations are facing increasing demand while experiencing a drastic drop in their resources. The implementation of the Ségur bonus, without compensation from the State, weighed heavily on their budget. Among the thirty associations supported by Sidaction, 52% are unable to pay this bonus. The lack of support from regional health agencies (ARS), which ignore or reject requests for help, has led many of them to a dilemma: to dismiss and pay the bonus, or not to pay it. On a financial level, these associations find themselves forced to allocate an increasing part of their human resources to the search for financing, to the detriment of time devoted to supporting the public. This situation further accentuates the fragility of their actions and reduces their capacity to intervene effectively on the ground. Prevention, which constitutes the heart of their mission, should however be considered as an essential investment, including in times of tension on public finances: preventing infections and medical complications makes it possible, in the long term, to reduce health expenses and avoid cumbersome and costly care pathways. The mission of these associations is nevertheless fundamental in the fight against HIV and STIs, particularly among the most vulnerable people who are far from care. The 2019 report from the General Inspectorate of Social Affairs (IGAS) already highlighted that 51% of people eligible for state medical aid (AME) did not use it. Non-recourse to this care has direct consequences: a delay in diagnosis which can, without treatment, lead to a weakening of the immune system and progression to acquired immunodeficiency syndrome (AIDS). The associations point out that medical, scientific and therapeutic tools exist today to put an end to the HIV epidemic in France. The possible resurgence of HIV, even AIDS, directly calls into question responsibility public authorities. The lack of communication around the AME system, the stigmatization of its beneficiaries, the complexity of administrative procedures and the discrimination observed in certain administrations dissuade eligible people from using it. The vulnerability of these populations is thus aggravated by the lack of reception policy and access to rights. A significant portion of the people followed by these associations are contaminated on the national territory, due to degraded living conditions and restricted access to care and prevention. The loss of a residence permit or an obligation to leave French territory (OQTF) further aggravates this precariousness. Thus, the MP asks the Minister what she plans to guarantee dedicated, stable and long-term funding for associations fighting against HIV. Also, she would like to know the measures planned to help associations, particularly with regard to compensation for the Ségur bonus or even the reestablishment of subsidized jobs or adult bridging contracts which were an essential asset for small community associations. Finally, she asks her if she plans to ask, by means of a circular, regional health agencies to support projects providing comprehensive support for these audiences.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.