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This book is a contribution to the debate on expanding access to HIV/AIDS treatment in developing countries. It presents an important and innovative aspect of the work of the ANRS (Agence Nationale de Recherches sur le Sida), one of the few agencies to have initiated research in this field.
Background: We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access. …
In June 2011, world leaders unanimously adopted the UN General Assembly Political Declaration on AIDS that laid out ambitious targets for the global HIV response. While the International Organisation of La Francophonie (IOF) has made considerable progress towards these targets, its member countries are characterized by marked variations in access to treatment and prevention services as well as inadequate funding from both international and domestic sources. …
Early diagnosis of children living with HIV is a prerequisite for accessing timely paediatric HIV care and treatment services and for optimizing treatment outcomes. Testing of HIV-exposed infants at 6 weeks and later is part of the national prevention of mother to child transmission (PMTCT) of HIV programme in Zimbabwe, but many opportunities to test infants and children are being missed. …
As the number of adolescents living with HIV (ALHIV) continues to grow, the need to improve services, policies, and programs intensifies. This technical brief provides guidance for program managers and policymakers in order to develop services for ALHIV and their families/caregivers as they transition toward HIV self-management and adult clinical care. Focusing more specifically on the transitional needs of adolescents vertically infected with HIV, the contents have relevance for those adolescents infected via behavioral routes. …
Substantial changes are needed to achieve a more targeted and strategic approach to investment in the response to the HIV/AIDS epidemic that will yield long-term dividends. Until now, advocacy for resources has been done on the basis of a commodity approach that encouraged scaling up of numerous strategies in parallel, irrespective of their relative effects. We propose a strategic investment framework that is intended to support better management of national and international HIV/AIDS responses than exists with the present system. …
In line with the National Strategic Plan on HIV 2011-2015, the goal of the Prevention Strategy is to: Provide strategic guidance for implementing the HIV prevention and behaviour change programmes and to increase the effectiveness, coordination and comprehensiveness of HIV prevention and behaviour change interventions in Sierra Leone by 2015. The key objectives of the Strategy are to: i. Reduce the sexual transmission of HIV; ii. Increase the number of people accessing HCT services; iii. …
Advances in antiretroviral therapy (ART) and improved health services mean that increasing numbers of children infected with HIV perinatally will survive into adulthood. …
This report contains the latest data on numbers of new HIV infections, numbers of people receiving antiretroviral therapy, AIDS-related deaths and HIV among children. It highlights new scientific opportunities and social progress which are bringing the world closer to UNAIDS vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. This publication also gives an overview of international and domestic HIV investments and the need for greater value for money and sustainability.
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 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. …
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.
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.
This year’s AIDS Review examines the uptake of antiretrovirals (ARVs) in two different South African rural locations, namely Bushbuckridge and Venda. As social anthropologists who have done intensive fieldwork in these respective areas since the onset of the HIV and AIDS epidemic, our aim is to examine how people who live with HIV use, or refrain from using, ARVs in everyday village contexts. …
