This report highlights existing key evidence on the relationship between disability and HIV. It discusses the concrete steps needed for a person-centred, disability-inclusive HIV response that allows for increased participation of people with disabilities and integrates rehabilitation within the continuum of HIV care.
This article presents disability-inclusive good practices, policy and program related opportunities. It highlights a series of facts and figures related to people with disabilities and HIV infection and the interaction between HIV and disability. The article goes on to outline Handicap International’s proposal to “remove HIV-related barriers for persons with disabilities” in a two-track approach that includes decision makers, service providers, and service users. Finally, the article shares discussions of successful inclusive practices involving HIV and persons with disabilities in various communities around the world and the key challenges and opportunities to include disability into HIV and AIDS
The goal of this report is to provide the best possible data on the global AIDS epidemic, with a particular focus on information and analysis on the people left behind. The report highlights these gaps firstly in regional terms, providing “Regional Snapshots” and then explores issues faced by the following 12 populations that have been left behind by the AIDS response: people living with HIV, adolescent girls and young women, prisoners, migrants, people who inject drugs, sex workers, gay men and other men who have sex with men, transgender people, children and pregnant women living with HIV, displaced persons, people with disabilities and people aged 50 years and older
"South Africa has the largest burden of HIV/AIDS and is currently implementing the largest antiretroviral treatment (ART) programme in the world. It is therefore fitting that South Africa is the first in the world to conduct three repeated national HIV population-based surveys to help monitor our response as a nation to the HIV/AIDS epidemic. This report is the third in a time series of population-based HIV seroprevalence surveys which started in 2002 and were repeated in 2005 and again in 2008"
This report summarises current global action and country progress towards prevention of mother-to-child transmission of HIV (PMTCT), factors that support or hinder PMTCT scale-up, and issues that need to be addressed if scale-up is to be achieved
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
To mark World AIDS Day 2005, HAI Africa has prepared a simple, concise fact sheet on the pharmaceutical industry's role in access to HIV/AIDS treatment. The document, written in a question-and-answer format, addresses the impact of generic competition, compulsory licences and what the industry can do to increase access. It asks questions such as 'Are pharmaceutical companies involved in initiatives to increase access to ARVs?' and 'Do patents on medicines have an impact on access to ARVs?'
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
This factsheet summarises how children's bodies respond differently to HIV infection and treatment than adults; whre research on children and HIV is taking place; and treatment and adherence issues. Based on the context of the USA
This paper sets out DFID's Information and Communcation Directorate's understanding of the role of communication in HIV programming. It is intended primarily as a resource for DFID staff; but presents a holistic and engaging framework for HIV communication which will be useful beyond, as well as within, DFID. The paper encourages a shift away from often inappropriate programme targets of individual behaviour change, and toward community participation, access to education, information and dialogue -- processes which acknowledge and harness local community resources and capacities. It also promotes integrated communication around prevention, treatment and care
The timing of first union merits investigation not only because of the close temporal link between marriage and the onset of childbearing, but also because the age when men and women marry has implications for the organization of family life and for gender relations within society. This paper begins by reviewing the contributions of various social science disciplines to an understanding of the timing of marriage. Using current status data from 73 countries provided by the United Nations Population Division and retrospective data from 52 Demographic and Health Surveys conducted between 1990 and 2001, we then examine recent trends in the timing of first marriage or union for men and women in the developing world. With the exception of South America for both sexes and South and Southeast Asia for men, substantial declines have occurred in the proportion of young men and women who are married. Given the differentials in the timing of marriage by educational attainment and residence, we assess whether the decline in the proportion of young people who are married is related to increases in schooling and urbanization. Expansion of schooling for women has had some impact, but a considerable portion of the reduction in early marriage is not explained by changes in levels of education. We consider other factors that might account for the increase in age at marriage. Finally, we review what is known about the consequences of changing age at marriage with a particular focus on risk of HIV infection.
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
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
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
The faculty at Moi University in Kenya and Indiana University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed electronic medical record system (EMR) to support comprehensive outpatient HIV/AIDS care. The EMR contains more than 30,000 visit records for more than 4,000 patients, almost half taking antiretroviral drugs. This article describes the development and structure of this EMR and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform
This study attempts to estimate the impact of antiretroviral treatment on AIDS mortality over the next ten years, focusing on educators in South African public schools. Recently, African governments have scaled up ART initiatives, but the full potential of wider access to treatment is still unknown. The results of this study show that given that ART only delays death, AIDS mortality rate will increase over time among treated people. Further, as HIV-positive people will survive longer, an expansion of ART programmes will result on higher HIV prevalence. These findings have crucial implications for the education sector. The paper calls for new government policies aimed at increasing the number of students preparing to become teachers and raising the retirement age of educators
This publication aims to provide an outline of best practices in meeting HIV-related needs in the context of refugee situations. UNHCR and UNAIDS seek to inform and support key decision-makers on HIV-related issues facing refugees, other populations of concern to UNHCR, and the populations of host countries. The content of this document focuses on sub-Saharan Africa, but the concepts discussed are applicable to refugee situations outside this region
The first issue of the Link addresses the critical aspect of communication in the fight against the HIV/AIDS epidemic. It documents Healthlink Worldwide's approach to communication, which is achieved through partnership using grassroots experience. It includes brief outlines of some key projects in which Healthlink is involved
This booklet looks at some of the questions that you may have about treatment, where you can go and what you have to do to get treatment if you or someone you know needs it. If covers basic information about HIV and AIDS, such as the immune system, opportunistic infections, CD4 tests and viral load. It provides information on anti-retroviral drugs, what they do, side effects, etc and when treatment is needed. It then covers the importance of adhering to drugs and provides a set of tips on how to take your drugs effectively. There are also charts which can be filled in to assist adherence. The AIDS Law Unit also launched a treatment literacy campaign to raise awareness and understanding about HIV/AIDS treatment as a human right. This has taken the form of the production and distribution of T-shirts, posters and booklets on access to treatment as well as the production of a series of radio programmes on access to treatment that will be broadcast on NBC radio
This strategic framework aims to reduce HIV prevalence by 25 per cent, mitigate the effect of HIV/AIDS and coordinate the multisectoral response to the epidemic. It is intended as a common platform for all HIV/AIDS stakeholders and to form the basis of a well-coordinated national programme
Source e-bulletin on Disability and Inclusion