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HIV, disability and rehabilitation : considerations for policy and practise

HEALTH ECONOMICS AND HIV/AIDS RESEARCH DIVISION (HEARD)
January 2010

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This issue brief considers the links between HIV and disability - that people with disabilities are among the key populations at high risk to exposure to HIV, and that people living with HIV may develop impairments and disabilities as a result of the disease. It anticipates an increased demand for rehabilitation services in Eastern and Southern Africa, given the improved access to HIV treatments and high prevalence of people living with HIV in the region, and warns that many in areas services are already stretched and resource-poor, so may struggle to cope with greater demand. The brief focuses on: issues regarding the definition of disability; implications for rehabilitation services; and considerations for disability grants

Disability and HIV policy brief

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
WORLD HEALTH ORGANIZATION (WHO)
OFFICE OF THE HIGH COMMISSIONER FOR HUMAN RIGHTS (OHCHR)
April 2009

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This policy brief discusses the actions needed to increase the participation of persons with disabilities in the response to HIV and to ensure that they have access to HIV services which are both tailored to their diverse needs and equal to the services available to others in the community. Recommendations of actions for governments, civil society and aid agencies are provided, having been defined in consultation with a broad range of stakeholders including people living with HIV and persons with disabilities. An example from South Africa is highlighted. This document is beneficial for anyone working in disability and development with HIV and AIDS

Teachers living with HIV

UNAIDS Inter-Agency Task Team (IATT) for Education
2008

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This briefing note considers teachers living with HIV and their role in HIV education and in countering stigma and discrimination, as well as the need for governments to introduce measures to support them and thus mitigate the impact of HIV on the education system

Supporting HIV-positive teachers in East and Southern Africa

MALLOURIS, Chrstoforos
BOLER, Tania
September 2007

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This report provides an overview of the impact of HIV on teachers and the specific issues HIV-positive teachers face. It also summarises support mechanisms for teachers with HIV and presents key conclusions and recommendations from the consultation regarding how the education sector can support HIV-positive teachers. The report is the result of a consultation involving a range of different stakeholders including representatives of Ministries of Education, teachers' unions and HIV-positive teachers' networks from six countries in East and Southern Africa

Minimum standards for civil society participation in the universal access initiative

THE COALITION OF ASIA PACIFIC REGIONAL NETWORKS ON HIV/AIDS (SEVEN SISTERS)
August 2007

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This document, developed with input from civil society participants and organisations from the Asia-Pacific region, proposes a process and framework to encourage minimum standards for civil society participation in universal access processes. It is for use by both civil society representatives as a tool to assess and promote their greater involvement in national universal access processes, and by national government representatives as a guide for ensuring civil society participation in national scaling up to reach universal access targets. The main body of the document is divided into three parts: a description of the preparation needed to implement a set of minimum standards for participation; a proposed matrix that uses a scoring system based on definitions of levels of participation and sets of indicators which are used to examine the different aspects and stages of universal access; and monitoring and evaluation methods for assessing civil society participation. It also considers how the proposal can be developed and disseminated

UNAIDS practical guidelines for intensifying HIV prevention : towards universal access

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2007

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These practical guidelines are designed to help policy makers and planners to create an effective national response to HIV prevention, by ensuring that their response matches the epidemic dynamics and social context within their country and the populations who remain most vulnerable to and at risk of HIV infection. The guidelines encourage countries to know the national and local epidemiological scenarios and their current response; to match and prioritise their response; to set ambitious, realistic and measurable prevention targets; to tailor prevention plans to local epidemic scenarios and to use and analyse strategic information

Scaling up access to HIV prevention, treatment, care and support: the next steps

Joint United Nations Programme on HIV/AIDS (UNAIDS)
2006

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This is a review of country and regional consultations undertaken by UNAIDS, following the United Nations' Political Declaration on HIV and AIDS in June 2006. It explores barriers to UNAIDS' commitment to ensure universal access to comprehensive HIV prevention programmes, treatment, care and support by 2010; and it identifies the next steps that need to be taken for this to become a reality. The key messages are the need for: supportive and protective legislation and programmes to ensure the rights of people living with HIV, women and most-at-risk populations; predictable and sustainable funding for all credible AIDS plans; more trained health care professionals and improved health care systems; and affordable medication, testing and prevention programmes. The review also examines the role of civil society and of faith-based organisations in supporting people with HIV through treatment compliance, prevention, support, care and reducing stigma. It recommends that the high level of response should continue, that targets need to be set and accountability mechanisms improved

Addressing violence against women in HIV testing and counselling

WORLD HEALTH ORGANIZATION (WHO)
2006

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This is a summary and recommendations from an international consultation co-convened by the WHO departments of Gender, Women and Health (GWH) and of HIV & AIDS to identify and review promising strategies or good practices to support women who may fear or experience violence as a consequence of HIV testing and/or HIV status disclosure; and develop recommendations to guide programmes and policies related to HIV testing and counselling, in light of current strategies to expand access to these and related services

Bottlenecks and drip-feeds : channelling resources to communities responding to orphans and vulnerable children in southern Africa

FOSTER, Geoff
2005

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"This report summarises findings from recent research by Save the Children UK in southern Africa. The research was undertaken in order to identify policy and advocacy issues that, once addressed, would increase the flow of resources to community-based organisations in ways that ensure that vulnerable children benefit. This report considers what the most efficient and effective mechanisms are that can be implemented at a scale to provide such support"

More than words? action for orphans and vulnerable children in Africa : Monitoring progress towards the UN Declaration of Commitment on HIV/AIDS

YOUNG, Helen
Ed
2005

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This qualitative research looks at how far the rights and needs of orphans and vulnerable children are being met in four of the worst-affected countries in sub-Saharan Africa. Based on surveys and focus group discussions with children, parents, caregivers and officials in Ethiopia, Mozambique, Uganda and Zambia, this report offers an insight into how far commitments are being met and provides practical recommendations for action at both a national and an international level

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

A family is for a lifetime

WILLIAMSON, Jan
December 2003

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A discussion on the need for family care for children living in HIV/AIDS affected communities followed by an annotated bibliography. This pulls together the best research and experience from practice to provide important guidance to responses at family levels. Community based responses are difficult to define and this identifies the need to find a consensus so as to provide a way forward for action. The discussion in the paper is a review of 80 documents about the provision of care for children lacking family care in countries affected by HIV/AIDS

Policies for orphans and vulnerable children : a framework for moving forward

SMART, Rose
July 2003

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This paper presents a summary of the global orphans and vulnerable children (OVC) situation, and current policy responses. It is meant for individuals with strategic decision making responsibilties for HIV/AIDS programmes. It firstly defines what is meant by OVC and points out that sub-Saharan Africa has the most OVCs in the world and is therefore the focus of the paper. It outlines existing policy frameworks in responding to OVC including international and national instruments. It identifies policy gaps in national responses to the OVC crisis, and proposes a country-level OVC policy package based on current thinking. The focus is on children under 18 in general, and there is no response to specific age groups

Human immunodeficiency virus and quarantine in Cuba

HANSEN, Helen
GROCE, Nora
2003

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This article examines Cuba's policy for HIV prevention. Widespread HIV testing was introduced as an early response to HIV and those who tested positive to the virus were confined to living in sanatoriums. While enforced quarantine no longer exists, Cuba still relies on a quarantine system for transitional counselling and care facilities

The Africa campaign on disability and HIV & AIDS

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The Africa Campaign is a unifying umbrella under which disabled people's organisations, organisations of people living with HIV & AIDS, non-governmental organisations, AIDS services organisations, researchers, activists, and other citizens work collectively to achieve two main objectives: a coordinated response involving persons with disabilities in African countries to achieve inclusive national HIV & AIDS policies and programmes; and equal access for persons with disabilities in Africa to information and services on HIV & AIDS. This website contains information about the campaign and key documents

The European coalition of positive people (ECPP)

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This is the website of a self-help organisation of, by and for people living with HIV and AIDS and hepatitis C, working in Europe, Malawi, Mozambique and Uganda to promote patient involvement in the development of public policy, delivery and monitoring of services

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