This book provides health care workers and mangers with information and practical guidance relating to antiretroviral therapies (ART). It also considers wider care and treatment issues such as; opportunistic infections, the integration of ART with antenatal and midwifery services, the particular needs of children and young people, support relating to nutrition, spiritual needs, psycho-social and economic issues. In addition, the need for community level support to help with adherence to treatment and address stigma and discrimination are also considered, as is end-of-life care for people whose disease does not respond to treatment
A summary of focus group discussions and exit interviews conducted in a variety of VCT service delivery points, which were held to document whether there is an unmet need for alcohol counselling among VCT clients in Kenya. This research is part of a larger study
These practical guidelines are designed to help policy makers and planners to create an effective national response to HIV prevention, by ensuring that their response matches the epidemic dynamics and social context within their country and the populations who remain most vulnerable to and at risk of HIV infection. The guidelines encourage countries to know the national and local epidemiological scenarios and their current response; to match and prioritise their response; to set ambitious, realistic and measurable prevention targets; to tailor prevention plans to local epidemic scenarios and to use and analyse strategic information
This is a toolkit to help NGOs and community-based organisations working to mobilise communities to improve their awareness of HIV counselling and testing and to improve the up-take of HIV counselling and testing; advocating for increased access to quality HIV counselling, testing, care, treatment and prevention; or interested in providing HIV counselling and testing services. It is divided into eight sections: What is HIV and what is AIDS?; what is involved in HIV counselling and testing; who is providing these services in the community and who they are for; the advantages and barriers of counselling and testing; stigma, discrimination and confidentiality; the needs of people after being tested and ideas for community activities. Each section has an accompanying information sheet
This paper explores the contribution of information and communication strategies to universal access to anti-retroviral treatment. It suggests that people taking antiretroviral drugs and their supporters need to understand new and complex ideas around drugs, side effects, nutrition and positive living. Treatment literacy aims to help individuals and communities understand why ARV treatment is needed, and what it can and cannot do. Effective treatment literacy, developed by or with people living with HIV and AIDS and those taking ART, can lead to improved health outcomes, better adherence to drug regimes and higher uptake of voluntary counselling and testing. Current resources and community capacity to understand and support antiretroviral therapy are not sufficient
[Publisher's abstract]: An output of a series of workshops on psychosocial support held in 2004-2005 by the Bernard van Leer Foundation and the Coalition on Children Affected by AIDS. Authors Linda Richter, Geoff Foster and Lorraine Sherr discuss the issues surrounding psychosocial care and support for children made vulnerable by the HIV/AIDS pandemic and make recommendations for future priorities and programming directions. Includes the "Call To Action" for Toronto 2006
The expansion of access to ART is significantly improving the lives of people living with HIV and the wellbeing of communities affected by the epidemic. However, stigmatization and discrimination and poor adherence threaten to weaken the full potential of drug treatment and medical care. This paper looks at the contribution that treatment education can make to maximise the impact of greater ART accessibility and improved care provision. It takes a wide-ranging approach to education, which should include treatment literacy, advocacy and community mobilisation. It takes the view that treatment preparedness can only be achieved through the full involvement of people living with HIV/AIDS. An effective strategy will also rely on inter-sectoral collaboration between governments, the education sector, civil society and development organizations. It argues that the success of interventions will depend on their gender-responsiveness, and in their ability to adopt participatory and interactive methods, targeting different groups and settings in a culturally sensitive manner
This publication contains an overview of the common themes and funding resulting from five country reports, and the five reports themselves. The World Health Organization has designated all five as TB-high burden countries. The research findings show a low level of awareness about TB, and TB and HIV co-infection; about how TB is transmitted and how it can be cured; and about the link between poverty and TB; as well as low media coverage of TB and a lack of strong communication strategies for national TB programmes. It also contains country-specific recommendations
This annual report takes an overall look at the global AIDS epidemic. Provides an impact analysis of AIDS on populations at risk and civil society. Looks at effective ways to prevent, control and treat the disease. Indicates how to improve allocation and use of financial resources, design and implement effective national policies and approach the response from a strategic perspective rather than in terms of crisis management. Annexes include country profiles, essential statistics and country progress indicators
To mark World AIDS Day 2005, HAI Africa has prepared a simple, concise fact sheet on the pharmaceutical industry's role in access to HIV/AIDS treatment. The document, written in a question-and-answer format, addresses the impact of generic competition, compulsory licences and what the industry can do to increase access. It asks questions such as 'Are pharmaceutical companies involved in initiatives to increase access to ARVs?' and 'Do patents on medicines have an impact on access to ARVs?'
This UNAIDS Best Practice Collection document aims to highlight and advocate for the work of civil society, community based organisations in particular, in responding to the AIDS epidemic in Africa. The paper describes a ground breaking survey by Sidaction, a Paris based treatment rights group, which supports community responses to AIDS in low and middle income countries. In 2004, Sidaction, in cooperation with the UNAIDS secretariat and WHO mapped treatment and care efforts by community based organisations in Africa. Many community based organisations are already dispensing ARVs on a significant scale. The survey confirmed that community efforts to provide treatment represent an important opportunity to enrol more people in antiretroviral therapy. To seize this opportunity, national governments and the international community need to quickly provide support to expand the coverage and impact of community based treatment. The aim is for CBOs to work closely with the public sector so that each reinforces the efforts of the other
WHO and UNAIDS launched a strategy for ensuring treatment for 3 million people living with HIV and AIDS in low and middle income countries by the end of 2005 - the "3 x 5" target. Since late 2003, coverage of antiretroviral therapy (ART) has more than doubled from 400,000 to approximately 1 million receiving treatment by the end of June 2005. 14 of these countries are providing ART to at least 50% of those who need it, consistent with the 3 x 5 target. This interim report highlights progress made to date and the major obstacles that remain to the rapid scale up of HIV treatment. It looks primarily at the reasons for the successes and failures of scaling up HIV/AIDS interventions in different settings. The report also makes recommendations concerning the approaches needed to overcome bottlenecks as well as the need for sustainable financing mechanisms and greater harmonisation of effort by technical and financing partners at country level
These guidelines for delivering anti-retroviral therapy in communities describe a set of principles, based on the Salvation Army's belief that an effective response to HIV relies on a combination of drug treatment administration and human capacity development. A number of agents can be involved in the successful delivery of antiretroviral treatment, and these include patients, families, neighbourhood, religious congregations and clinics. An integrated approach, engaging with all members of the community and committed to the development of human capacity, would ensure equitable access to treatment, support for all people affected by the disease and higher levels of adherence
This "chapter" of the HIV InSite website provides a technical overview of key issues concerning adherence to ARV treatment including global rates of ARV adherence, implications of adherence, predictors and measuring adherence and interventions to promote adherence. While the emphasis is not on developing countries, one section on adherence in resource poor countries is of interest. It says that recent data suggests that even without dedicated adherence programmes, patients in resource poor settings have levels of adherence and virological suppression that are equivalent to, or possibly better than those seen in resource-rich settings. According to their data, financial barriers have been the only consistent predictor of incomplete adherence in resource limited settings
This summarises a mapping project undertaking from January to April 2004 to determine what community based organisations (CBOs) are doing to promote access to anti-retroviral (ARV) treatment. It highlights the opportunities and potential benefits of scaling up ARV access through CBOs
The Chiradzulu programme is one of MSF's largest. MSF currently provides HAART to more than 13,000 patients in 56 projects spread across 25 countries. These programmes provide a continuum of care, including prevention efforts (health education, prevention of mother-to-child transmission of HIV), voluntary counselling and testing, prevention and treatment of opportunistic infections, HAART and nutritional and psychosocial support. Although the Chiradzulu project is still evolving, and treatment systems and point of care continue to be modified, the project has already shown that when treatment is adapted to local conditions and is supported by human and financial resources, rural health systems can effectively provide comprehensive HIV/AIDS care
This report is a review of statistical data on aid to HIV/AIDS control. It was compiled by the Development Assistance Committee (DAC) Secretariat in collaboration with the members of the DAC Working Party on Statistics (WP-STAT) and UNAIDS between February and May 2004. The key findings are presented concerning total official development assistance commitments for HIV/AIDS control, and bilateral aid. It also includes contributions to the Global Fund to fight AIDS, Tuberculosis and Malaria. The report notes that larger donors especially multilaterals are the main funders of treatment programmes, which require substantial funding and long term commitments. Smaller donors tend to concentrate on HIV prevention, but also support home-based care and social mitigation activities
This very thorough analysis of the Senegalese Antiretroviral Drug Access Initiative (ISAARV) presents preliminary results from the initiative's first three years. The analysis explores four aspects of the programme: treatment access, adherence, therapeutic efficacy, and the impact of this treatment programme on the Senegalese health care system
"This book is designed for those with some training in reconstructive surgery for peripheral neuropathies, but who have not been exposed to all of the procedures presently available...In this field it is absolutely essential that the surgeon works closely with a therapist able to educate the patient following reconstructive surgical procedures. As such the book is also designed for therapists, with chapters covering the principles and techniques of pre- and postoperative therapy for neuropathic limbs. The book also contains sections on orthopaedic appliances and prosthesis, but only in sufficient detail to allow the surgeon to have a reasonable understanding of how to choose an appropriate orthosis/ prosthesis and what can be expected of the same"
This book was written primarily for parents and other caregivers of young children. It provides a wealth of well-illustrated practical information. The book gives a thorough overview of the different ways to communicate with hearing impaired children. It is written in an easy-to-read style with lots of illustrations and examples from Southern countries.
Source e-bulletin on Disability and Inclusion