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Civil society perspectives on TB/AIDS : highlights from a joint initiative to promote community-led advocacy

OPEN SOCIETY INSTITUTE
TREATMENT ACTION GROUP
2006

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This publication presents six case studies of community-led advocacy activities, aimed at enhancing the capacity of the community to participate in the design, implementation and evaluation of TB/HIV programmes. The HIV epidemic has significantly contributed to the rise of TB incidence, but disease control programmes and policies are generally designed to be implemented independently, with limited resources often allocated to TB projects. The case studies outline some success stories of an integrated approach to TB and HIV, the TB/HIV Advocacy Grants Project, and highlight examples of effective community mobilisation and inclusion of people with HIV. This is a valuable resource for policy makers, organisations and practitioners working in HIV and tuberculosis

Antiretroviral therapy in primary health care : experience of the Chiradzulu programme in Malawi. Case study

MEDECINS SANS FRONTIERES (MSF) MALAWI
July 2004

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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

Involvement of people living with HIV/AIDS in treatment preparedness in Thailand : case study

KUMPHITAK, Aree
KASI-SEDAPAN, Siriras
WILSON, David
et al
2004

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People living with HIV/AIDS (PLHA) in Thailand are increasingly encouraged to work in partnership with NGOs to improve access to disease prevention and treatment provision. This case study outlines the impact of this collaboration over a period of four years. PLHA have been directly involved in lobbying and advocacy, helping make ART more widely available, but also promoting prevention and treatment of opportunistic infections, focusing on the use of co-trimoxazole. Their involvement as co-providers in care has positively changed the attitude of health care staff towards HIV/AIDS patients. The study concludes that a coordinated collaboration between the public health system, NGOs and PLHA would have important spin-offs for both health care providers and PLHA themselves

Working positively : a guide for NGOs managing HIV/AIDS in the workplace

UK CONSORTIUM ON AIDS AND INTERNATIONAL DEVELOPMENT
December 2003

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With HIV prevalence rates of over 20% in many sub-Saharan African countries, and with infection rates rising rapidly in other parts of the world, NGOs are funding that HIV/AIDS is affecting not only programme work but also staff. If NGOs are to be credible in these communities, they need to be seen to be addressing HIV/AIDS internally in a way that is consistent with their external messages. However, developing a workable comprehensive solution that covers policy, education and prevention, and treatment and care is not easy. This guide looks at the key issues involved in developing a workplace strategy and how different NGOs and commercial organisations are approaching these issues through a series of case studies. It also provides a guide to the key components of a successful strategy and a list of useful reference documents

Working positively : a guide for NGOs managing HIV/AIDS in the workplace

UK CONSORTIUM ON AIDS AND INTERNATIONAL DEVELOPMENT
December 2003

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With HIV prevalence rates of over 20% in many sub-Saharan African countries, and with infection rates rising rapidly in other parts of the world, NGOs are funding that HIV/AIDS is affecting not only programme work but also staff. If NGOs are to be credible in these communities, they need to be seen to be addressing HIV/AIDS internally in a way that is consistent with their external messages. However, developing a workable comprehensive solution that covers policy, education and prevention, and treatment and care is not easy. In a series of documents in both PDF and MSWord formats, this guide looks at the key issues involved in developing a workplace strategy and how different NGOs and commercial organisations are approaching these issues through a series of case studies. It also provides a guide to the key components of a successful strategy

Improving access to antiretroviral treatment in Cambodia

KHMER HIV/AIDS NGO ALLIANCE (KHANA)
September 2003

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This report looks at how to increase access of people living with HIV to ARV treatment, building on the experience of KHANA and its partners. Its major recommendations include scaling up care and support, and developing new approaches for community preparedness. It recommends doing this by providing technical and financial support for ongoing information, skills and training, influencing policy, involving people living with HIV/AIDS and communities, encouraging dialogue and collaboration, and making better use of existing structures and services. It includes case studies and a range of useful resources

Handbook on access to HIV/AIDS-related treatment : a collection of information, tools and resources for NGOs, CBOs and PLWHA groups

GREEN, Carolyn
et al
2003

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This handbook provides NGOs, CBOs and groups of people living with HIV/AIDS with a practical resource for responding to issues of access to treatement for HIV/AIDS in developing countries. It is designed to build practical skills using participatory activities, to provide a training resource for NGO support programmes and individuals, and to facilitate ongoing learning. It is suitable for people with varying levels of experience. It contains practical exercises and examples on different aspects of treatment

Antiretroviral therapy in primary health care : experience of the Khayelitsha programme in South Africa. Case study

WORLD HEALTH ORGANIZATION (WHO)
2003

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This case study outlines and assesses the Khayelitha programme, which focused on ART provision and aimed to document the feasibility of low-cost treatment and primary health care provision in developing countries. The document details the clinical outcomes of the programmes, the strategy used to ensure adherence and the contribution made by Treatment Action Campaign (TAC) to raise awareness and pressurise the government to develop an adequate response to the epidemic. The provision of ART in Khayelitsha had also a positive impact on prevention, making more HIV-positive people aware of their status, reducing stigma, being the catalyst of educational initiatives, improving the morale of health workers and keeping families intact and less at risk. The case study concludes with a comprehensive list of lessons learned and with key recommendations for the future, which include consolidation of nurse-based care, more training activities, integration of HIV/AIDS and TB services, educational programmes aimed at improving adherence to ART and a greater focus on paediatric AIDS and ART provision in rural remote areas

Brazil's HIV/AIDS treatment programme

TREATMENT ACTION CAMPAIGN (TAC)
February 2001

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It is estimated that 540,000 Brazilians have HIV/AIDS, with the highest prevalence among the poor. However, Brazil treatment programmes have been comparatively successful and AIDS mortality rates have decreased significantly. This fact sheet attempts to explain the reasons for the success but also assesses weaknesses and unresolved issues of the Brazilian programme

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