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Although the provision of life-saving antiretroviral (ARV) treatment is central to the medical and policy response to the HIV pandemic, relatively little research in the SADC region and in Namibia particularly, attends to HIV-positive people's experiences and the social effects of taking ARV treatment, with children being least focused on. The study from which the paper is drawn contributes to this dearth by examining the experiences of HIV-positive high school learners on ARV treatment in Khomas Region, Namibia. …
The National HIV and AIDS Stigma and Discrimination Study, was a cross-sectional survey which collected data from the 47 counties, grouped into 30 clusters selected based on observed regional variations in HIV prevalence, socio-cultural and economic characteristics. The stigma study, targeted the general population, key populations as well as PLHIV is a compilation of the thoughts and attitudes regarding HIV, and, far too frequently, painful experiences of people living with HIV.
Various studies have reported a huge increase in the numbers of orphaned adolescents in Sub-Saharan Africa and its effects on their psychological, emotional and behavioural development. Yet, their needs are seldom recognised or adequately addressed in policy and programmes.This article uses a qualitative study to report the experiences of 11 orphaned adolescents (5 boys and 6 girls aged between 15 and 18 years) affected by HIV and AIDS in a secondary school (in Atteridgeville, Pretoria, South Africa) and the school support provided by them. …
Objective: To compare national human immunodeficiency virus (HIV) policies influencing access to HIV testing and treatment services in six sub-Saharan African countries. Methods: We reviewed HIV policies as part of a multi-country study on adult mortality in sub-Saharan Africa. A policy extraction tool was developed and used to review national HIV policy documents and guidelines published in Kenya, Malawi, South Africa, Uganda, the United Republic of Tanzania and Zimbabwe between 2003 and 2013. Key informant interviews helped to fill gaps in findings. …
Households experience HIV and AIDS in a complex and changing set of environments. These include health and welfare treatment and support services, HIV-related stigma and discrimination, and individual and household social and economic circumstances. This paper documents the experiences of 12 households directly affected by HIV and AIDS in rural KwaZulu Natal, South Africa, between 2002 and 2004. The households were observed during repeated visits over a period of more than a year by ethnographically trained researchers. …
L’Enquête de Surveillance Comportementale (ESC 2012) auprès des Jeunes de 15 à 24 ans a été exécutée par l’Institut National de la Statistique. Il s’agit de la quatrième enquête par sondage du genre qui a été réalisée au niveau de 38 sites sentinelles répartis à travers les 22 régions administratives du pays. Cette étude s’inscrit dans le cadre du dispositif mis en place à Madagascar pour la surveillance des comportements à risque vis-à-vis de l’infection à VIH. …
Violence against women and girls is an unacceptable violation of basic human rights. It also is so widespread that ending it must be a global public health priority. An estimated one in three women is beaten, coerced into sex or otherwise abused by an intimate partner during her lifetime. Intimate partner violence has been shown to increase the risk of HIV infection by around 50%, and violence (and the fear of violence) deters women and girls from seeking services for HIV prevention, treatment, care and support.
Africa’s young people aged 15–24 are disproportionately affected by HIV and AIDS. The impact of the epidemic on young people calls for close attention to the youth dimensions of the epidemic. To inform the development of more effective policies for targeting youth and meeting their needs, the Population Council and partners conducted a study of HIV risk-taking and health-seeking behaviors among young people in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. …
From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …
(June 2014) Around 270,000 people were living with HIV in the Middle East and North Africa (MENA) as of the end of 2012, according to the Joint United Nations Programme on AIDS (UNAIDS). This translates to an overall HIV prevalence of 0.1 percent among adults ages 15 to 49, one of the lowest rates in the world. But other statistics tell a different story. Between 2001 and 2012, the number of new infections in MENA grew by 52 percent—the most rapid increase in HIV among world regions. …
Decades of research from around the world has demonstrated that gender inequality negatively affects a range of health outcomes for adults, and gender inequality has been recognized as a key driver of the worldwide HIV epidemic. Managers at the national and subnational levels need information on the intersection of gender and HIV to address gender in the planning and implementing of HIV programs. Policy makers need information on interventions that are effective in accounting for gender inequities for decision making on national and global levels. …
In the Asia-Pacific Region, young people bear a large proportion of new HIV infections, and there is a need to consult them about how best to tailor prevention initiatives to meet their needs. In 2010, Youth LEAD, an organization representing young HIV advocates from across the Asia-Pacific region highlighted the need to engage young people more effectively in advocacy and programming initiatives. …
With the global AIDS response becoming increasingly hampered by the criminalization of key populations, this study aims to encourage and assist parliamentary scrutiny of legislation that impedes effective HIV interventions. It highlights the various processes in selected parliaments that led to the adoption of laws with a positive impact on the AIDS response. Although such outcomes were not always easy to achieve, they were mainly the result of inspired leadership by parliamentarians able to overcome the moral obstacles that had stifled socially sensitive issues in political debate.
This document provides the findings of a country assessment carried out in Uganda in the first phase of the UNESCO/UNAIDS joint project "A Cultural Approach to HIV/AIDS: Prevention and Care". The purpose of this exercise was threefold: (i) to assess the evolution of the epidemic (HIV infection and PWA) and its cultural and societal impact in the context and perspective of sustainable development. (ii) to determine how and to which extent culture, features and resources of the population are being taken into consideration in the design, implementation and evaluation of HIV/AIDS interventions. …
Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …
