Showing 41 - 60 of 63
Results for "scale up"
Results
Community-based antiretroviral therapy programs may be as effective for adherence as facility-based programs, with lower costs for both patients and services.
Adherence and Support
7 studies
Gray
I, II, IIIb
adherence, community-based care, community-based programs, treatment
Botswana, Brazil, Ethiopia, Guyana, Haiti, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, Peru, Rwanda, South Africa, Tanzania, Uganda, Zambia
Prevention for Women
In this era of great strides forward in treatment, it is important not to lose sight of the continued need to undertake a range of interventions to prevent HIV transmission. An estimated 2.7 million people newly acquired HIV infection in 2010, as they did for each of the years 2009, 2008 and 2007, down from 3.1 million people in 2002 (WHO et al., 2011b). However, even with all this encouraging ...
Community-based interventions (including media) that provide accurate information about HIV transmission can significantly reduce HIV stigma and discrimination.
Reducing Stigma and Discrimination
7 studies
Gray
IIIa, IIIb, IV
HIV testing, discrimination, education, knowledge, mass media, microfinance, stigma
China, Ghana, Malawi, Nigeria, Thailand, Vietnam
Home testing, consented to by household members, can increase the number of people who learn their serostatus.
HIV Testing and Counseling for Women
9 studies
Gray
I, IIIa, IIIb
HIV testing, condoms, counseling, disclosure, health facilities, home-based testing
Kenya, South Africa, Uganda, Zambia
Integrating HIV services with family planning, maternal health care or within primary care facilities can increase uptake of HIV testing and treatment and other reproductive health services. [See also %{s:45}]
Structuring Health Services to Meet Women’s Needs
9 studies
Gray
IIIa, IIIb, IV
CD4 counts, HAART, HIV testing, TB, abortion, condom use, contraception, family planning, health facilities, pregnancy, testing, treatment
Cambodia, Kenya, Mozambique, Nigeria, South Africa, Tanzania, Zambia
Orphans and Vulnerable Children
In some countries, three generations have been affected by HIV (Oladokun et al., 2010a). Even as incidence declines, there is a clear need to continue meeting the needs of children orphaned and made vulnerable due to HIV and AIDS.
"Nowadays there is a deadly disease called AIDS. This disease is only treated but not cured. Anyone can be infected -- male, female, young, old, rich, poor, educated...
Prevention for Key Affected Populations
Some women are particularly at risk of HIV acquisition due to their occupational exposures, their behavior or that of their sexual partner(s), their sexual identity and/or their sexual orientation. These women live in particularly challenging situations and have high vulnerability to HIV infection and low access to HIV services (Beyrer et al., 2011). UNAIDS defines key populations as those most...
Preventing unintended pregnancies can reduce perinatal transmission.* [See also %{c:15}]
Preventing Unintended Pregnancies
4 studies
Gray
V
PMTCT, contraception, family planning, pregnancy, treatment
Botswana, Cameroon, Côte d’Ivoire, Democratic Republic of Congo, Ethiopia, Guyana, Haiti and Vietnam, India, Kenya, Malawi, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Zambia, Zimbabwe
Community health workers and community-based support can increase uptake of safe motherhood interventions for women living with HIV and reduce vertical transmission
Antenatal Care - Treatment
9 studies
Gray
II, IIIa, IIIb
community-based outreach, community-based support, infants, pregnancy, treatment
Africa, Kenya, Malawi, Rwanda, South Africa
Women Who Use Drugs and Female Partners of Men Who Use Drugs
Despite injecting drug use being a main driver of the HIV epidemic in many parts of the world, evaluated tailored responses for women who use drugs or for female sexual partners of men who use drugs have not matched the needs of this population. Injecting drug use is globally widespread and the main driver of the HIV epidemic in some parts of the world. Approximately 16 million people in 148 co...
Partner Reduction
Multiple sexual partnerships have long been a concern in HIV prevention programming, which has focused on partner reduction. Multiple partnerships bring increased risk of HIV acquisition: A meta-analysis of 68 epidemiological studies from 1986 to 2006 with 17,000 HIV-positive people and 73,000 HIV-negative people found that women who reported three or more sex partners had three times as much l...
Female Sex Workers
Sex workers, whose work involves sexual relations with multiple partners, are a key group of women who need access to comprehensive sexual health services, including HIV prevention, treatment and care. Programs that enhance sex workers' ability to use condoms are also vitally important (Lafort et al., 2010; Pisani, 2008). Unprotected sex with multiple partners puts sex workers at risk of HIV ac...
Pre-Conception
Although many women do not learn their HIV status until they become pregnant, for those women who know they are HIV-positive prior to choosing to become pregnant, pre-conception assessments may inform both her and her partner of the safest way to become pregnant without HIV transmission to the infant or HIV transmission between serodiscordant couples. Therefore, throughout their reproductive ye...
Tuberculosis
Tuberculosis is the leading cause of death among people with HIV globally, accounting for almost 25% of all HIV deaths in 2008 (WHO, 2009i). The risk of acquiring TB is 21-34 times greater among people living with HIV than in the general population. In 2010, of 8.8 million incident TB cases worldwide, 1.1 million were among people living with HIV, with an estimated 350,000 deaths (WHO, 2011f). ...
Community outreach and mobilization can increase uptake of HIV testing and counseling by reaching clients who may not present at a hospital or clinic.
HIV Testing and Counseling for Women
8 studies
Gray
II, IIIa, IIIb, IV
HIV testing, adolescents, community, community outreach, community-based testing, counseling, couples, health facilities, malaria, support groups, tuberculosis
Indonesia, Kenya, South Africa, Tanzania, Thailand, Uganda, Zambia, Zimbabwe
Initiating cART as early as possible to achieve low viral load is optimal, improves maternal health, and reduces risk of vertical transmission. [See also %{s:39}] Note: Risk of vertical transmission rises after 28 weeks of pregnancy (7 months), so initiating ART at least by month 6 of pregnancy reduces risk (Luzuriaga and Mofenson, 2016)
Antenatal Care - Treatment
18 studies
Gray
II, IIIa, IIIb
ART, CD4 cell count, CD4 counts, HAART, Ireland, Mozambiqu, infants, pregnancy, treatement, treatment, viral load
Argentina, Benin, Brazil, Cameroon, Canada, Côte d’Ivoire, Ethiopia, France, Kenya, Malawi, Mozambique, Rwanda, South Africa, Swaziland, Thailand, Uganda, Ukraine, United States, Zambia
Antenatal Care - Testing and Counseling
In 2007, only an estimated 18% of pregnant women were offered HIV tests (ITPC, 2009). "The purpose of antenatal VCT should be to help a woman prepare for a possible positive HIV diagnosis [and] to provide her with information about PMTCT options" (De Bruyn and Paxton, 2005: 145). In developing country settings, between eight and ten percent of women report having received PMTCT interventions (P...
Advancing Human Rights and Access to Justice for Women and Girls
*Respecting, protecting and fulfilling womens rights, particularly the rights of the most marginalized women, is increasingly understood as fundamental to an effective HIV response. Laws reflecting unequal gender norms that discriminate against women may limit their ability to protect themselves from HIV infection. In many countries where women are most at risk for acquiring HIV, laws to protec...
Antenatal Care - Treatment
Antiretroviral treatment (ART) for women living with HIV is vital to ensuring safe motherhood and reducing vertical transmission. But not all pregnant women access treatment. For women in high-income countries where access to triple therapy during pregnancy has been the standard of care and is near universal, rates of vertical HIV transmission are as low as 0.4%, for example, in Canada (Forbes ...
