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UNESCO HIV and Health Education Clearinghouse

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  1. Life Doesn’t Wait. Romania’s Failure to Protect and Support Children and Youth Living with HIV

    More than 7,200 Romanian children and youth age fifteen to nineteen are living with HIV—the largest such group in any European country. The vast majority were infected with HIV between 1986 and 1991 as a direct result of government policies that exposed them to contaminated needles and “microtransfusions” of unscreened blood. Despite Romania’s progressive expansion of access to antiretroviral drugs, these children and youth face pervasive stigma and discrimination that often impedes their enjoyment of basic rights and services. …

  2. La situación de los niños, niñas y adolescentes con VIH en Argentina: Un diagnóstico colectivo del estado de la respuesta en los servicios de salud

    Con el objetivo de mejorar el conocimiento sobre la situación epidemiológica de los niños, niñas y adolescentes con VIH en Argentina y ampliar el saber sobre el estado de la respuesta que se ofrece desde los servicios de salud, la Dirección de SIDA y ETS del Ministerio de Salud de la Nación (DS y ETS) y la Sociedad Argentina de Pediatría (SAP) organizaron un encuentro con los referentes de los servicios donde se atiende a la mayor parte de esa población, incluyendo a los principales laboratorios que participan del proceso de diagnóstico pediátrico. …

  3. Teen talk : a guide for positive living

    This question and answer guide for HIV-positive adolescents covers a variety of topics, including ARVs, adherence, friendship, nutrition, exercise, reproductive health, positive prevention, multiple concurrent partnerships, safe male circumcision, prevention of mother-to-child transmission, emotions, and disclosure.

  4. Social and economic determinants of unequal HIV care access among people living with HIV in Peru

    Equity in access to health care among people living with HIV has not been extensively studied in Peru. This research aims to assess the extent to which health care provision for persons living with HIV was equitable and where there was lower access, and the factors associated with lower access. The study was conducted among adult PLHA in four cities in Peru. Between September 2008 and January 2009, 863 individuals from four cities in Peru were enrolled. The study found that transgender identity and age younger than 35 years old, were associated with lower access to health care. …

  5. Scaling up prevention of mother-to-child HIV transmission programs in sub-Saharan African countries: a multilevel assessment of site-,program- and country-level determinants of performance

    This study seeks to look at the influence of program-level and contextual determinants that pose a challenge to the uptake of prevention of mother-to-child HIV transmission programs in sub-Saharan Africa. This study explore thes multilevel factors associated with "coverage in single dose nevirapine PMTCT programs." The study found that heterogeneity of nevirapine coverage between sites and programs was high- meaning that in these programs there was a high HIV prevalance, a higher proportion of persons with knowledge of PMTCT, and a lower percentage of rural population. …

  6. Methadone maintenance treatment and mortality in HIV-positive people who inject opiods in China

    The objective of the study was to examine the effect of methadone maintenance treatement on mortality in people who inject opiods and who also recieve ART for the treatment of HIV in China. The study took place between December 3, 2002 and December 31, 2011. Mortality, disease and treatment characteristics were compared in patients who received either ART and MMT or only ART. Overall, mortaliy 6 months after starting ART was lwer with ART and MMT than with only ART. …

  7. Knowledge of antiretrovirals in preventing parent-to-child-transmission of HIV: a cross-sectional study among women living with HIV in Tamil Nadu, India

    India is amongst the top 10 countries in the world currently with the highest burden of pregnant women living with HIV and nearly 80% of these women do not recieve antiretroviral treatement drugs to prevent parent-to-child transmission. This was a descriptive, cross-sectional study in which women were interviewed in Tamil Nadu to estimate HIV-infected women's awarness of PTCT and knowledge of ARVs as a measure to prevent PTCT. The results of the study are that 18.8% of the women with HIV interviewed had not heard of PTCT and 40% did not know that ARVs could prevent PTCT. …

  8. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  9. Eliminating mother-to-child HIV transmission in South Africa

    This article discusses the effect that the WHO guidelines for the prevention of mother-to-child transmission of HIV has had on South Africa. South Africa initiated its PMTCT programme in 2002, however political support for it has increased since 2008. Since then the proportion of HIV-exposed infants who underwent PCR tests to detected early HIV transmission has increased, and the estimated HIV transmission rate has decreased. …

  10. Economic impact of HIV and antiretroviral therapy on education supply in high prevalence regions

    Background: We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access. …

  11. Decision Point La Francophonie: No New HIV Infections, No one Denied Treatement

    In June 2011, world leaders unanimously adopted the UN General Assembly Political Declaration on AIDS that laid out ambitious targets for the global HIV response. While the International Organisation of La Francophonie (IOF) has made considerable progress towards these targets, its member countries are characterized by marked variations in access to treatment and prevention services as well as inadequate funding from both international and domestic sources. …

  12. Transitioning of Care and other Services for Adolescents Living with HIV in Sub-Saharan Africa

    As the number of adolescents living with HIV (ALHIV) continues to grow, the need to improve services, policies, and programs intensifies. This technical brief provides guidance for program managers and policymakers in order to develop services for ALHIV and their families/caregivers as they transition toward HIV self-management and adult clinical care. Focusing more specifically on the transitional needs of adolescents vertically infected with HIV, the contents have relevance for those adolescents infected via behavioral routes. …

  13. Transitioning care, support, and treatment services for adolescents living with HIV: Regional Technical Consultation Report, February 7–10, 2012, Gaborone, Botswana

    Advances in antiretroviral therapy (ART) and improved health services mean that increasing numbers of children infected with HIV perinatally will survive into adulthood. …

  14. Safety and tolerability of antiretroviral therapy among HIV-infected children and adolescents in Uganda

    The objective of this study was to determine the frequency and outcome of ART-related adverse events among patients ages 6 weeks to 18 years. The authors followed up a cohort of 378 HIV-infected children and adolescents who started ART at the Baylor-Uganda Clinic during the period of July 2004 to July 2009. Patients were started on zidovudine or stavudine, plus lamivudine, and efavirenz or nevirapine. Adverse events were recorded as they occurred. Descriptive analyses and Kaplan-Meier survival analysis were carried out. …

  15. HIV Status Disclosure and Retention in Care in HIV-Infected Adolescents on Antiretroviral Therapy (ART) in West Africa

    The authors assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children ages 10 years or more in Cote d'Ivoire, Mali and Senegal. They conducted a multi-center cohort study within five pediatric clinics participating in the IeDEA West Africa collaboration. …

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