Barriers to HIV prevention and health access in Haitian and other migrant communities in Quebec: Could a dedicated cohort help eradicate HIV? From psychosocial challenges to systemic barriers.

Several contexts (psychosocial, accessibility, systemic and structural) prevent Haitian, Black and other migrant communities from fully engaging in HIV prevention and eradication as it would be needed to do in Quebec and Canada. A significant number of those infected with HIV every year in Montreal, in Quebec and in Canada are from the Haitian community (the largest of these migrant communities in Quebec), and from other Black or migrant communities related to endemic countries. Montreal was a first place to install a psychosocial and epidemiologic cohort, community based, that contributed to explain why (and the infection level for) Men having sex with Men community was “highly infected” with HIV. We examine arguments to implement such a cohort with the Haitian and other Black communities of Montreal.