ABSTRACT :The HIV/AIDS health emergency has been rebuiltsocially in Abidjan as a social problemwith regard to the difficulties of family support in the process of caring for the suffering. However, facedwith the insidiouschronicdevelopment of HIV/AIDS, this socio-healthtaskrequires the contribution of all key players (patients, families, peer groups, non-governmentalorganizations). This textanalyzes the evolution of the effectiveness of familysolidarity in the long-term management of HIV/AIDS in Abidjan. This studyproceedsfromtheoretical documentation (books, articles, etc.) consulted in libraries, on the Internet, etc. The empirical phase carried out in the city of Abidjan requiredvarious semi-directed interviews, direct observations, etc. As part of a qualitative approach, the participant selectionprocedure is based on probabilitysnowballsampling, the empirical saturation principle. This process made it possible, in a negotiated report, to question fiftysufferers, fortycollaterals, thirty NGO managers and twentycaregivers. The data collected is examinedaccording to content analysis and the theory of social representationsrelating to the paradigm of "familysolidarity". It followsthat: the factorsthat guide the production and quality of the differentiated intrafamilyrelationship system are determined by confidentiality and the detection of post-diagnosisserologicalstatus. The dynamics of familysolidarityduring the management of HIV/AIDS containsvarioussocio-economic and medicalinsufficienciesamong the patients. NGOs and peer groups contribute (medical, financial assistance, etc.) to meettheirneeds in the management of thischronicdisease. KEYWORDS:Chronicillness, Familysolidarity, Long-term management, Confidentiality, Detection, Serologicalstatus.