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Community based HIV testing and HIV treatment as prevention

FREEMAN, Nell
June 2009

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"This Update explores community based HIV testing and counselling and the issues of using antiretroviral (ARV) treatment as prevention. "A ...WHO paper published in the Lancet [in 2009] explored, using mathematical modelling on the possible effects of wide uptake of HIV testing and immediate treatment for all those identified as HIV positive. This in some circles is called the ‘test and treat approach’ - that is population coverage of HIV testing and immediate treatment in order to reduce the incidence of HIV at a population level. "This update highlights two main areas: models of community based HIV testing exploring the evidence of what can work at large scale, and the mathematical modelling of treatment as prevention. "This update is informed by recent WHO discussions on these two areas"

Life-saving HIV treatment : three problems, one solution

UNITAID
2009

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This animation gives a clear explanation of the benefits of creating a patent pool for HIV medicines. Such a pool would enable drug licence holders to receive a fee while also enabling patents to be accessed by researchers, working on the development of new medicines, and generic manufacturers, which could potentially make newer medicines more affordable to people living in developing countries

The global economic crisis and HIV prevention and treatment programmes : vulnerabilities and impact

BONNEL, Rene
DE BEYER, Joy
BENNETT, Dianne
2009

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This report summarises responses gathered, in late March 2009, from respondents in 71 countries. It asked whether antiretroviral treatment had been affected, or might be affected in future, by the global economic crisis. It identifies regions that appear to be more vulnerable than others and highlights the causes and negative effects of disruption to antiretroviral treatment programmes or services. The report suggests ways to maintain and expand access to HIV treatment in a difficult economic climate

Towards universal access : scaling up priority HIV/AIDS interventions in the health sector : progress report 2008

WORLD HEALTH ORGNAIZATION (WHO)
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
UNITED NATIONS CHILDREN'S FUND (UNICEF)
2008

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This report provides in-depth information on: treatment and care for people living with HIV; HIV testing and counselling; health sector interventions for HIV prevention; scaling up HIV services for women and children; strengthening health systems and health information; and towards universal access as the way forward

Treatment literacy : empowering communities to access AIDS treatment

DUNN, Alison
October 2006

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This paper explores the contribution of information and communication strategies to universal access to anti-retroviral treatment. It suggests that people taking antiretroviral drugs and their supporters need to understand new and complex ideas around drugs, side effects, nutrition and positive living. Treatment literacy aims to help individuals and communities understand why ARV treatment is needed, and what it can and cannot do. Effective treatment literacy, developed by or with people living with HIV and AIDS and those taking ART, can lead to improved health outcomes, better adherence to drug regimes and higher uptake of voluntary counselling and testing. Current resources and community capacity to understand and support antiretroviral therapy are not sufficient

[Treatment literacy guides]

I-BASE
2006

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i-Base produce a range of materials relating to HIV/AIDS and treatment literacy. One example is a small handbook based on the i-Based Introduction to Combination Therapy that focuses on the four main recommendations in the latest WHO treatment guidelines. It also comments on how HIV is treated in different countries and is designed to be adapted for different settings. Several countries such as Uganda, Slovakia and Russia have already produced their own adapted versions. Titles include:
Introduction to combination therapy
Avoiding & managing side effects
Changing treatment
HIV, pregnancy & women's health
Generic treatment booklet

Women's treatment literacy toolkit

SAFAIDS
2005

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A collection of information and communication materials on women and HIV/AIDS treatment. With a special focus on ARV treatment, it aims to help women adhere to treatment. Contains information sheets, posters, stickers and articles

[ARV treatment fact sheets]

INTERNATIONAL HIV/AIDS ALLIANCE
2005

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The Alliance is developing a set of fact sheets and participatory tools to support community engagement for antiretroviral (ARV) treatment. The aim is to provide NGO/CBO staff with tools and information to support people living with HIV and AIDS and their communities on ARV treatment. They are based on experience in supporting treatment programmes in several countries. Titles include
Fact sheet 01: HIV/AIDS and treatment
Fact sheet 02: ARV treatment
Fact Sheet 03: Counselling and testing
Fact sheet 04: Adherence
Fact sheet 05: Side effects
Fact sheet 06: Side effects detailed
Fact sheet 08: Food for people on treatment
Fact sheet 12: Stigma
Fact sheet 13: Living with a chronic condition
Fact sheet 18: Symptom control

Adherence

NATIONAL AIDS MANUAL (NAM)
2005

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Adherence is the most important factor in the success of your anti-HIV treatments. This booklet explains why adherence is important and provides some hints on actions you could take to improve your adherence

Ensuring equitable access to antiretroviral treatment for women : WHO/UNAIDS policy statement

WORLD HEALTH ORGANIZATION (WHO)
2005

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This policy brief identifies actions needed to address the gender dimensions of equity in access to ART. It identifies four key areas: development of a supportive policy environment; strengthening health systems to make them more responsive to the specific needs of women and men; promotion of programmes that overcome obstacles to equitable access; development of benchmarks and indicators to measure progress. This brief addresses each area in turn

[ARV treatment fact sheets]

FAMILY HEALTH INTERNATIONAL (FHI)
2005

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Family Health International has a series of comprehensive factsheets which offer information on many aspects of HIV/AIDS prevention, care and treatment and mitigation. In relation to care and treatment, titles include:
Care and support for HIV/AIDS: Building capacity
Safe and effective introduction of antiretroviral (ARV) drugs
Nutrition in comprehensive HIV care, treatment and support programmes
Treatment and Care Initiative

Treatment, care and support for young children affected by HIV and AIDS

SOURCE INTERNATIONAL INFORMATION SUPPORT CENTRE
2005

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This is a key list of essential information resources on treatment for children living with HIV and AIDS. Infants who are HIV positive have little or no access to anti-retroviral drugs (ARVs) and around half die before the age of one. Most of the rest die before the age of five. ARV treatment programmes do not appear to be targeting this age group. Under conditions of poverty, ill-health and stress, parents and other caregivers struggle to meet nutritional, health and psychosocial needs of children at a critical and formative stage. Most very young children born to HIV positive parents spend their first few years with ill and tired caregivers. Where a child loses one or both parents to AIDS, they are usually absorbed into extended families in which primary caregivers are grandmothers whose situation is also often overlooked. This Key list includes a range of case studies, toolkits and analysis that can be used to help strengthen community responses and take action to help young children

Access to medicines in under-served markets : what are the implications of changes in intellectual property rights, trade and drug registration policy?

DFID HEALTH SYSTEMS RESOURCE CENTRE (HSRC)
September 2004

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This overview draws on seven studies commissioned by the UK's Department for International Development. After providing some background, it considers the implications of stronger intellectual property protection for access to medicines; the prospects for supply in emerging and under-served markets; and makes recommendations for increasing access

HIV prevention in the era of expanded treatment access

GLOBAL PREVENTION WORKING GROUP
June 2004

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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

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