This report documents how the mobilisation around AIDS is driving health systems advancement in China, Dominican Republic, Zimbabwe, Russia, Kenya, India, Cameroon, Zambia and Cambodia, and it highlights the need for improvements in broader systems of care and services to meet the needs of people living with HIV & AIDS and the communities in which they live. It also considers ARV procurement, registration and stock-outs in Argentina, Belize, Cambodia, China, Dominican Republic, India, Malawi, Morocco, Nigeria, Philippines, Russia, Uganda, Zambia, Zimbabwe
This paper presents the results of a rapid situational analysis of the antiretroviral (ARV) rollout in South Africa which found that several ARV programmes are treating children successfully. However, all the institutions surveyed identified a large number of concerns and challenges that need to be overcome in order to improve care for children living with HIV. Key actions required include early identification of HIV-infected children, effective referral, standardised training in pediatric HIV management for health professionals, and increased community awareness and support
This report by the Global HIV Prevention Working Group emphasises the need for a simultaneous and integrated expansion of both antiretroviral therapy (ART) and prevention programmes. Unless effective prevention programmes reduce the incidence of HIV, treatment will not be available to all who need it. It includes recommendations on treatment, prevention both for HIV-positive and HIV-negative people and funding priorities
The International Federation of Red Cross and Red Crescent Societies has developed a service model for the provision of ART in collaboration with governments and other potential partners. The model presented in this publication is based on the findings from seven African countries and from a review of the literature. The core issues determining the design of the approach include: holistic intervention; continuum of care; use of existing medical care structure; partnership (concerted efforts); phased approach; sustainability; advocacy; National Society entry point; focus on vulnerable groups; capacity building; and effective mechanism for mobilizing resources. The model reflects the IFRC belief that ART can be administered effectively only when it is part of a comprehensive intervention, and that some interventions like voluntary counselling and testing (VCT), community mobilization, treatment literacy and affordability of drugs are preconditions for beginning ART. In addition, nutritional and psychosocial support is vital. Information, education and communication (IEC), patient management with ART, prevention of mother-to-child transmission (PMTCT), post-exposure prophylaxis, and procurement and distribution of essential drugs in a sustainable manner are the other critical components of a holistic intervention. Continuing to build the capacity of the implementing institutions and a sound management structure that promotes administrative efficiency are also important.
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