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A handbook for network support agents and other community workers supporting HIV prevention, care, support and treatment

March 2009

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This manual is intended to help network support agents and other community workers be more effective in disseminating standardised information about HIV and AIDS. It "...emphasises the importance of the acquisition of knowledge, skills and the right attitude needed to identify the psychosocial needs of people of people infected and affected by HIV/AIDS and address these needs by giving information, counselling and appropriate referrals. Knowledge of counselling and psychosocial care, is combined as much as possible with prevention activities such as adopting HIV basic care positive prevention and adherence to treatment"

Seizing the opportunity on AIDS and health systems

OOMMAN, Nandini
BERNSTEIN, Michael
ROSENZWEIG, Steven
August 2008

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This is a comparison of donor interactions with national health systems in Mozambique, Uganda, and Zambia - specifically: the health information systems, the supply chain systems for essential medicines, and human resources for health. It focuses on the US President’s Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank’s Africa Multi-Country AIDS Program

Missing the target #5 : improving AIDS drug access and advancing health care for all

INTERNATIONAL TREATMENT PREPAREDNESS COALITION (ITPC)
December 2007

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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

Early infant diagnosis of HIV through dried blood spot testing

PATHFINDER INTERNATIONAL / KENYA
October 2007

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Until recently the test used to diagnose HIV in babies under one-year has required sophisticated and expensive equipment. A new test has now been developed - dried blood spot testing which can be used to diagnose HIV as early as six weeks after a baby is born and has the advantage of being easy to prepare in a resource-limited setting and shipped to testing facilities without refrigeration. If a baby is given prophylactic antibiotics, such as cotrimoxazole, soon after birth and Antiretroviral Therapy (ART) as soon as is medically indicated, it has a good chance of surviving childhood and living a long, healthy life

Expanding pediatric access to antiretroviral therapy in South Africa

MICHAELS, Desireé
et al
August 2006

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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

Guidance for United States Government in-country staff and implementing partners for a preventive care package for adults - #1

President’s Emergency Plan for AIDS Relief Office of the U.S. Global AIDS Coordinator (PEPFAR)
April 2006

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This report suggests that focus-countries under PEPFAR's Emergency Plan should adopt a standard "preventative care package" as part of their palliative care programmes. It acknowledges that components of the care package are likely to vary within regions and even within countries. The report provides the scientific basis for the interventions that could be included in a preventive care package. Although most of the interventions included are pertinent to both adults and children, HIV-infected/exposed children require additional consideration and a separate document focusing on a preventive care package for such children has been developed

[Treatment literacy materials]

TREATMENT ACCESS CAMPAIGN (TAC)
2006

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The Treatment Action Campaign (TAC) campaigns for greater access to HIV treatment for all South Africans, by raising public awareness and understanding about issues surrounding the availability, affordability and use of HIV treatments. It recognises the importance of treatment literacy and has produced a series of booklets, posters and factsheets on treatment aiming to encourage treatment literacy in the general population. A TAC publication "HIV in our lives" is a book of information sheets for clinics. There are opportunistic infections posters available in five different languages, nutrition fact sheets and short guides on a range of treatment issues such as treating opportunistic infections, pregnancy and HIV/AIDS, mother to child transmission of HIV/AIDS, and TB and HIV/AIDS. They can be found on the treatment literacy section of their website

Anti-retroviral therapy (ART) information kit

AIDS RESOURCE CENTRE
2005

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This infopack includes five inserts, which provide background information on antiretroviral therapy (what it is, challenges to implementing safe and effective antiretroviral programmes); antiretroviral therapy (ART) in Ethiopia, including details of where ART is available and eligibility for treatment; general health indicators for Ethiopia, including demography and health service statistics; a statement on the impact of HIV and AIDS in Ethiopia, from societal to community and individual level; and a glossary of words related to HIV and AIDS treatment

Paediatric ARV roll-out in South Africa

HORIZONS PROGRAM
CAPE TOWN UNIVERSITY
2005

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The Horizons Program of the Population Council and the University of Cape Town are conducting a study to identify successful programme strategies in paediatric HIV treatment in South Africa and to determine priority knowledge gaps to be addressed by operations research. This report summarises key findings from the initial consultative workshop of expert practitioners and stake-holders, focusing on the status of providing antiretroviral therapy to children in South Africa and strategies to expand and improve services. It includes providing services to under six year olds

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

Health South Africa : efforts to ARV for kids are still in their infancy

NDURU, Moyiga
May 2004

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An interesting article noting the challenges of supplying the medicines to HIV positive children who have received little attention. Early in 2004 the South African national programme to provide anti-retrovirals (ARVs) became operational. There is now hope that this will bring opportunities for under 14 year olds including very young children to gain more access to the drugs. The government is seeking to treat over 50,000 people per year under the ARV programme. In private clinics it costs almost US$93 to put a child on ARV for one month although this has halved since two years ago. Doctors and health officials are debating about what age is right for a child to start ARV treatment although theoretically it can start as soon as it is born. Doctors Without Borders advises that treatment should start as soon as a child is discovered to be HIV positive so that the immune system is bolstered

The Senegalese antiretroviral drug access initiative : an economic, social, behavioural and biomedical analysis

DESCLAUX, Alice
et al
April 2004

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This very thorough analysis of the Senegalese Antiretroviral Drug Access Initiative (ISAARV) presents preliminary results from the initiative's first three years. The analysis explores four aspects of the programme: treatment access, adherence, therapeutic efficacy, and the impact of this treatment programme on the Senegalese health care system

Breaking the cycle : ensuring equitable access to HIV treatment for women and girls

FLEISCHMAN, Janet
February 2004

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Outlines the situation of women and girls with regard to vulnerability to HIV and access to treatment. Makes recommendations for US policy reflecting the links between abuses against women and girls, and HIV/AIDS. Describes treatment programmes in Botswana and South Africa, and work around community mobilization and the involvement of civil society in ensuring access to ARV treatment

Assessing the costs of a rural PMTCT pilot site in the Eastern Cape

DESMOND, Chris
BOYCE, Gerard
Eds
2004

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Mother to child transmission is by far the largest source of HIV infection in children below the age of 15. Prevention of mother to child transmission (PMTCT) programmes have been implemented nationally in South Africa since 2000. This report presents the results of research conducted at a pilot site in the Eastern Cape into the use of resources associated with the implementation of a PMTCT programme. It is part of a larger research project that seeks to examine and compare the costs of providing nevirapine and AZT in both urban and rural contexts. It is hoped that this study will contribute to the national programme of monitoring and evaluating the costs and effectiveness of PMTCT interventions in South Africa

Stepping back from the edge : the pursuit of antiretroviral therapy in Botswana, South Africa and Uganda

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2004

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This report looks at what is being done to challenge the pace of progress on access to antiretroviral medicines in three very different African countries - Botswana, South Africa and Uganda. It describes who is driving these initiatives at grass-roots level and how. It offers insights and draws on lessons from firsthand experiences that can help those already working towards better access to antiretrovirals, and encourages others to embark on similar initiatives. It is intended for all those with an interest in this issue, from policy- and decision-makers with the power to create a favourable environment for antiretroviral treatment, to those working on the front line in health services, NGOs and AIDS service organizations, as well as those living with HIV, whose role in the battle for wider access is vital

Access to care : challenges [whole issue]

HEALTH AND DEVELOPMENT NETWORKS (HDN)
2004

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This report is intended as a tangible record of the 13th ICASA (International Conference on AIDS and STDs in Africa) conference: what was said, by whom and when. The report summarizes the highlights, beginning with the conference's history and moves on to themes and objectives. It presents the main issues emerging from the conference through the eyes of the rapporteur teams, key correspondents and selected participants. The focus then shifts to a brief description of the on-site newspaper Pamoja News and the skills building sessions, and finally, the rapporteurs' presentations. By documenting the proceedings of the 13th ICASA it is hoped that the momentum in collective struggle against HIV/AIDS will be maintained, through ongoing strategies of partnership, stakeholder collaboration, and cross and multi-sectoral approaches

Empowering communities to respond to HIV/AIDS|Ndola demonstration project on maternal and child health : operations research final report

HORIZONS
August 2003

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This is the report of an evaluation study into the feasibility, acceptability and implications of improving infant feeding counselling and introducing voluntary counselling and testing into a low-resource ante-natal care/mother and child health clinic setting, where women did not at the time have access to short-course antiretrovirals to reduce vertical transmission

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