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Results for "treatment"
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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...
Hepatitis
Hepatitis is an inflammation of the liver, most often caused by a virus. The most common types of viruses are hepatitis A, hepatitis B, hepatitis C, hepatitis D and hepatitis E. "Hepatitis A and E are typically caused by ingestion of contaminated food or water and are not known to cause chronic liver disease" (WHO, 2010c). A vaccine exists for hepatitis A and a meta-analysis of eight studies fr...
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...
Treating Sexually Transmitted Infections (STIs)
Worldwide, the burden of sexually transmitted infections in women is more than five times that in men (Sciarra, 2009). Multiple observational studies have found an association between STIs and HIV (Venkatesh et al., 2011b; Cohen and Eron, 2011; Mavedzenge et al., 2010b; Weber et al., 2010). A recent study found that the odds of acquiring HIV were 2.4 times higher in women with prior cervical HP...
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...
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...
Transgender Women and Men
Transgender women and men are at significant risk for HIV as a result of greater risk of violence and discrimination in health services. No evaluated interventions were found that provided services for transgender women and transgender men. Very little information has been published on HIV and transgender women and men in developing countries. No data was found concerning what percent of transg...
Care and Support
Care and support generally includes both care of people living with HIV and AIDS and of families and children affected by HIV and AIDS. UNAIDS includes in its definition home- and community-based care (HCBC), palliative care, psychological support, carer support, and nutrition support. Among these, HCBC is meant to be the foundation on which national antiretroviral treatment programmes are buil...
Preventing, Detecting and Treating Critical Co-Infections
Certain infections can be significantly more severe and lead to early death for people living with HIV. Tuberculosis (TB) has become the leading cause of death for those living with HIV. Malaria can have serious impacts on pregnant women. Co-infection with hepatitis B virus (HBV) and/or hepatitis C virus (HCV), if untreated, increases the risk of non-liver and liver-related illness and death in...
Decriminalization of drug possession and drug use and legalized comprehensive harm reduction services can significantly reduce HIV infections among people who use drugs, compared with persistent or growing rates in countries where such services are restricted or blocked by law. (Global Commission on HIV and the Law, 2012: 29). [See also %{s:11}]
Advancing Human Rights and Access to Justice for Women and Girls
6 studies
Gray
IIIb, V
Czech Republic, Portugal, criminalization, drug use, methadone, needles, opiate substitution therapy
Canada, China, Estonia, Switzerland
Providing routine, high quality, voluntary and confidential STI clinical services that include condom promotion can be successful in reducing HIV risk among sex workers.
Female Sex Workers
3 studies
Gray
IIIa, V
HIV testing, STIs, community outreach, condom use, counseling, sex workers
China, Kenya, South Africa
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 ...
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). ...
Malaria
Malaria and HIV co-infection is a critical public health problem that may fuel the spread of both diseases in countries where both diseases are endemic. Malaria seems to be more common for people living with HIV and in areas of unstable malaria transmission, people living with HIV face increased risk of death (Mermin et al., 2006). Men and women living with HIV with CD4 counts below 300 cells p...
Women Prisoners and Female Partners of Male Prisoners
"... Prisons have been largely neglected in the global response to the HIV pandemic" (Angora et al., 2011: 1244). Comprehensive HIV prevention, voluntary testing, care and treatment are often not provided in pretrial detention, even where these services exist in the community (Csete, 2011). "Many prison systems limit access to antiretroviral therapy, according to country reports to UNAIDS" (UNA...
Delivery
For women with HIV, there is little evaluated evidence available regarding delivery options, though research has shown that by substantially lowering viral load, HAART can diminish the advantage of a cesarean section in reducing perinatal transmission (Sharma and Spearman, 2008; Rongkavilit and Asmar, 2011; Coovadia and Newell, 2012). Cesarean sections are not always available or safe in many d...
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...
