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Results for "health care providers"
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Provision and Access
Antiretroviral therapy has been successfully administered in a range of situations with adherence, retention, and clinical outcomes similar to those achieved in resource-rich countries. Increasing provision and access, grounded in human rights based approaches, across all populations is critical to continuing that success.
"I cook scones for my children and do not get tired. I do chores, pound...
Clinic-based interventions with outreach workers can be effective in increasing condom use and HIV testing among sex workers.
Female Sex Workers
5 studies
Gray
IIIa, IIIb, V
HIV testing, STIs, community outreach, condom use, contraception, sex behavior, sex workers, sexually transmitted infections
Brazil, China, Guatemala, Mexico, Mozambique
Creating a sense of community, empowerment and leadership among sex workers can help support effective HIV prevention.
Female Sex Workers
6 studies
Gray
II, IIIb, V
Armenia, HIV testing, community organizing, condoms, empowerment, peer education, prevention, sex workers, violence
India, Kenya
Treatment support sessions can increase adherence among adolescents.
Increasing Access to Services
5 studies
Gray
II, IIIb, V
adherence, adolescents, parents, reatment, support, testing, treatment, ttesting
South Africa, Thailand, Zambia, Zimbabwe
Strengthening the Enabling Environment
In order for HIV and/or AIDS interventions for women and girls to succeed, factors beyond the health services need to be addressed through multisectoral interventions. These environmental factors include gender norms that guide how girls and boys grow to be women and men, legal norms that confer or withhold rights for women and girls, access to education, income, levels of tolerance for violenc...
HIV Testing and Counseling for Women
Knowing ones HIV serostatus is the first step in getting the appropriate treatment and care. According to UNAIDS, fewer than 40% of those living with HIV are aware of their serostatus (UNAIDS, 2010c). In parts of sub-Saharan Africa, more than 80% of people living with HIV do not know their positive serostatus (Anand et al., 2009). Global consensus exists that greater knowledge of HIV status is ...
Treatment
Antiretroviral therapy has transformed HIV to a chronic - though still incurable - virus requiring ongoing therapy and strict adherence to treatment. For the most part, virally suppressed people living with HIV today have no difference in life expectancy than demographically similar HIV-negative individuals (Sabin, 2013 cited in Justice and Falutz, 2014; Maman et al. 2012a).
This section does ...
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...
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
Adherence and Support
"I'm 18 years, you are telling me drugs for life?" --Woman living with HIV in Uganda (Hsieh, 2013: 11)Treatment adherence is necessary to continually suppress the virus. Adherence to ART leads to better virological outcomes, prevents disease progression and improves survival (Nachega et al., 2010a; Nachega et al., 2010c). Conversely, inadequate adherence leads to drug resistance, which can then...
Treatment as Prevention
Antiretroviral medication has been successfully used in a number of ways: first and foremost to treat those with high viral load and diminishing CD4 counts; secondly to prevent vertical transmission of HIV from pregnant and breastfeeding women to their infants; third, as a prophylactic for those who have been exposed to HIV occupationally or through sexual assault (post-exposure prophylaxis, PE...
Comprehensive harm reduction programs, including needle exchange programs, condom distribution, agonist therapy and outreach, and nonjudgmental risk reduction counseling can reduce HIV risk behaviors and prevalence among PWID.
Women Who Use Drugs and Female Partners of Men Who Use Drugs
10 studies
Gray
I, II, IIIa, IIIb
HIV testing, PWID, PWID drug treatment, condom use, counseling, drug treatment, drug use, harm reduction, health education, needle distribution, needle exchange, needles
Australia, Bangladesh, Brazil, Canada, China, Europe, India, Nepal, Russia, United States
Antiretroviral therapy has been successfully administered with good adherence, good patient retention, and good clinical outcomes in resource-poor settings, including humanitarian settings, with increased patient survival; results have been similar to those achieved in resource-rich countries.
Provision and Access
15 studies
Gray
I, IIIa, IIIb
CD4 counts, HAART, Jamaica, Mali, South America, conflict, displaced persons, life expectancy, treatment
Africa, Angola, Asia, Botswana, Burkina Faso, Cameroon, Chile, Côte d'Ivoire, Democratic Republic of Congo, Ethiopia, Europe, Ghana, Haiti, India, Kenya, Malawi, Mozambique, Myanmar, Nigeria, North America, Rwanda, Senegal, South Africa, Sudan, Tanzania, Thailand, Uganda, Zambia, Zimbabwe
Staying Healthy and Reducing Transmission
"Me, I try to tell the man that, 'In this house we have been found with this problem. We should accept it. I should not point a finger at you. You, too, should not point a finger at me. Just buy your protection.' And so, little by little what he does now is different from what he did in the past." --Malawi woman living with HIV (Mkandawire-Valhmu and Stephens, 2010: 691)Successfully treated peo...
Adults in resource-poor settings, including key populations such as sex workers, have achieved good adherence to antiretroviral therapy with results similar to those achieved in resource-rich countries.
Adherence and Support
6 studies
Gray
II, IIIa, IIIb
El Salvador, adherence, treatment
Argentina, Benin, Botswana, Brazil, Burkina Faso, Canada, Dominican Republic, Ethiopia, India, Kenya, Russia, Rwanda, Sub-Saharan Africa, Thailand, United States, Vietnam, Zimbabwe
Promoting Women’s Leadership
Strengthening womens rights and health NGOs and supporting women leaders who can mobilize in-country efforts in the interests of women and girls affected by HIV is critical. "...It is not enough for programmes and strategies to be designed on behalf of those living with AIDS; we have much to learn from their experiences, and how they struggle to negotiate being positive and maintaining sex live...