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Missing the target : a report on HIV/AIDS treatment access from the frontlines

INTERNATIONAL TREATMENT PREPAREDNESS COALITION (ITPC)
November 2005

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The ITPC is a global alliance of over 600 treatment activists that include people living with HIV and AIDS and their advocates. This report is the first systematic assessment of treatment scale up based on the research of people living in communities in six countries where the epidemic has hit the hardest - the Dominican Republic, India, Kenya, Nigeria, Russia and South Africa. The report is based on their experiences and first-hand knowledge of the situation on the ground. Each country used a case study methodology, emphasising interviews with key informants. The report identifies barriers that could prevent efforts to make treatment more widely available and makes concrete recommendations for governments and international institutions

Delivering antiretroviral therapy in resource-constrained settings : lessons from Ghana, Kenya and Rwanda

RITZENTHALER, Robert
July 2005

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This publication is aimed at governments, development partners, and public and private health facilities seeking to provide ART as part of comprehensive care and support for people living with HIV and AIDS. It describes valuable lessons learned from several ART learning sites throughout Ghana, Kenya and Rwanda. By the end of April 2005, more than 5,800 new patients had initiated ART through this treatment and care initiative. Strategies, challenges and key recommendations are presented and comments by national and community leaders, providers and patients appear throughout the text to give readers a sense of the programs as they progressed. The lessons may not have direct relevance to all health facilities providing or planning to provide ART; it should be used or adapted depending on the epidemiological, political, social, cultural and economic context of each setting

Expanding access to HIV treatment through community-based organisations

SIDACTION
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
WORLD HEALTH ORGANIZATION (WHO)
July 2005

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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

Engaging local non-governmental organisations (NGOs) in the response to HIV/AIDS : Community REACH Programme

PRIVATE AGENCIES COLLABORATING TOGETHER (PACT)
CORNMAN, Helen
et al
July 2005

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This paper draws on an extensive literature review of local NGO engagement, the direct experience of Pact's rapid response HIV/AIDS grants programme known as Community REACH and formal and informal interviews with the grantees highlighted in the paper. It considers the lessons learned from the programme and the authors hope that these will assist other organisations to successfully engage local partners and provide guidance to donors and national decision-making bodies. The paper is divided into four sections: the first outlines some successful strategies of local NGO engagement; the second examines local NGO strengths and weaknesses; the third provides advice to donors on effective and sustainable partnerships; and the fourth describes four funding models that harness the strengths of local NGOs to effectively respond to HIV/AIDS

Report of PLACE assessments in Tashkent, Uzbekistan, Central Asia : 2002 and 2003

ABDULLAEV, Shukharat
et al
July 2004

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This is a report on two PLACE assessments conducted in Tashkent in 2002 and 2003. The aim was to investigate whether there was an overlap in drug use and sexual networks, and to identify the implications for HIV prevention. The findings suggest that there is a significant overlap among youth, drug users and sex workers, and that the rate of new partnership formation remains high, while condom availability has decreased. It suggests that interventions need to focus on the sites where youth and drug users socialise and where sex workers solicit clients

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