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Psychosocial dysfunction in older children and adolescents is common and may lead to nonadherence to HIV treatments. Poor adherence leads to HIV treatment failure and the development of resistant virus. In resource-limited settings where treatment options are typically limited to only one or two available lines of therapy, identification of individuals at highest risk of failure before failure occurs is of critical importance. …
Most studies on HIV serostatus disclosure and adolescents focus on whether, how and when to disclose to adolescents their HIV diagnosis. Fewer studies have examined HIV serostatus disclosure by adolescents who know they are infected with HIV. This study presents qualitative data examining HIV serostatus and treatment disclosure practices and concerns of young people living with HIV in Uganda and the extent to which they are satisfied with current norms around HIV serostatus and treatment disclosure. …
The objective of this study was to determine the frequency and outcome of ART-related adverse events among patients ages 6 weeks to 18 years. The authors followed up a cohort of 378 HIV-infected children and adolescents who started ART at the Baylor-Uganda Clinic during the period of July 2004 to July 2009. Patients were started on zidovudine or stavudine, plus lamivudine, and efavirenz or nevirapine. Adverse events were recorded as they occurred. Descriptive analyses and Kaplan-Meier survival analysis were carried out. …
The article examines the factors associated with HIV status among adolescents aged 15–19 years in 13 African countries. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. …
Between a quarter and a third of young women in sub-Saharan Africa are infected with HIV by the time they reach their early 20s. Structural factors such as poor education, poverty, and gender and power inequalities are important determinants of young women’s vulnerability to HIV infection. In The Lancet, Sarah Baird and colleagues report the results of a randomised controlled trial done with adolescent girls in rural Malawi, examining the effects of a cash transfer programme on risk of HIV infection. …
In a newly-released report, Advocates for Youth examines the youth HIV prevention policies being implemented by the Office of the Global AIDS Coordinator (OGAC) and outlines a series of policy recommendations to help the agency and other policymakers make improvements. This first-of-its-kind, in-depth analysis assesses youth policies within the President's Emergency Plan for AIDS Relief (PEPFAR), including its legislative authority, its most recent five-year strategy, relevant guidance documents and all twenty-one PEPFAR country Partnership Frameworks currently available.
The authors assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children ages 10 years or more in Cote d'Ivoire, Mali and Senegal. They conducted a multi-center cohort study within five pediatric clinics participating in the IeDEA West Africa collaboration. …
This publication is the result of a partnership between UNESCO and the Global Network of People Living with HIV (GNP+). It builds upon the respective work of these organisations in relation to supporting the ideals of Education for All and the role of the education sector in the global response to HIV (UNESCO) and the Positive Health, Dignity and Prevention framework (GNP+). The overall purpose is to better define the role and responsibilities of the education sector in supporting young people who are living with HIV (YPLHIV) to realise their personal, social and educational potential. …
Around the world, 5 million young people are living with HIV. Most live in the Global South in countries that lack the resources to meet their needs. They face widespread stigma in a world that still often misunderstands HIV and fears or blames those who have it – and the majority of HIV-positive youth are women, placing them at an even greater societal disadvantage in many countries. This brief provides an overview of HIV-positive youth: who is infected, treatment options and challenges, needs of positive youth, stigma and programs.
As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …
122,000 teachers in sub-Saharan Africa are estimated to be living with HIV, most of who do not know their status. Stigma remains their greatest challenge. In 2007, a network of African journalists compiled a book entitled “Courage and Hope” telling the first-hand stories of African teachers who are HIV positive and living healthy, active lives as teachers. This film shows some of the stories those journalists discovered. The teachers went through stigma and discrimination and each used their experience to teach a new generation of teachers, what it means to live positively.
Maisha+ focuses on sharing experiences and lessons in reaching out to the hard-to-reach community populations in Sub Saharan African with HIV and AIDS interventions. In this issue: -Towards zero HIV infections, discrimination and AIDS deaths for hard to reach communities -Violence against women contributing to spread of HIV -Supporting Associations of people living with HIV in Uganda -Challenges in addressing traditional beliefs and practices in HIV and AIDS among the Maasai -Working with sexual minorities in Rwanda -Stop the discrimination! -testimony from a victim of assault
Remaides est une revue trimestrielle destinée aux personnes vivant avec le VIH et leurs proches. Elle apporte une information claire et précise sur les traitements au VIH et les hépatites comme sur toutes les difficultés auxquelles chacun peut se retrouver confronté dans sa vie quotidienne. A travers les témoignages de ses lecteurs, Remaides est attaché à rendre visible la réalité intime de l'épidémie et à enrichir chacun de l'expérience des autres. Ce numéro propose un dossier spécialement consacré aux IST, aux traitements et aux différentes techniques de dépistage.
The number of people, including children, living with HIV keeps growing in the Russian Federation and other countries in Eastern Europe and Central Asia, which is the only region where HIV prevalence remains on the rise. The Practical Recommendations provide the management and the staff of educational institutions with a policy framework and practical tips for supporting and protecting from discrimination students and educators living with or affected by HIV. …
This document provides guidance on how The Joint United Nations Programme on HIV/AIDS (UNAIDS), its Cosponsors and Secretariat (working at national, regional and global levels) should strengthen and operationalize meaningful and respectful partnership work with civil society. It should enable the UN to deliver the targets and elimination commitments agreed in the 2011 Political Declaration on HIV/AIDS. …