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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. Off Label: AIDS Review 2012

    In this Review – Off label – the experience of participants in a microcode trial is analysed, operating from the idea that “as condoms and gels are employed (or not employed) in people’s everyday lives, these technologies acquire their own unique signification. In some cases, these meanings could be quite different to those intended by health care professionals”. …

  3. Deadly Delay: South Africa's Efforts to Prevent HIV in Survivors of Sexual Violence

    This 73-page report documents how government inaction and misinformation from high-level officials have undermined the effectiveness of South Africa’s program to provide rape survivors with post-exposure prophylaxis (PEP) — antiretroviral drugs that can reduce the risk of contracting HIV from an HIV-positive attacker.

  4. 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. …

  5. Economics of AIDS and access to HIV/AIDS care in developing countries. Issues and challenges

    This book is a contribution to the debate on expanding access to HIV/AIDS treatment in developing countries. It presents an important and innovative aspect of the work of the ANRS (Agence Nationale de Recherches sur le Sida), one of the few agencies to have initiated research in this field.

  6. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  7. Magic: AIDS review 2009

    This year’s AIDS Review examines the uptake of antiretrovirals (ARVs) in two different South African rural locations, namely Bushbuckridge and Venda. As social anthropologists who have done intensive fieldwork in these respective areas since the onset of the HIV and AIDS epidemic, our aim is to examine how people who live with HIV use, or refrain from using, ARVs in everyday village contexts. …

  8. Adolescent HIV: cause for concern in Southern Africa

    There is a substantial burden of HIV infection in adolescents in southern Africa who acquired HIV perinatally. It is evident that they contribute substantially to hospital admissions and in-hospital deaths. There is an urgent need for services that will be able to provide accessible and appropriate HIV testing, counseling, and support, as well as facilitate access to ART and appropriate sexual risk-reduction interventions. …

  9. Feasibility, acceptability, effectiveness and cost of models integrating HIV prevention and counseling and testing for HIV within family planning services in North West Province, South Africa

    In South Africa, care and support and antiretroviral (ARV) treatment for individuals infected with HIV is available at a few selected hospitals as a first step in the national treatment roll out. However, counseling and testing for HIV (C&T) is currently limited to antenatal care (ANC) settings and a few stand-alone centers. Uptake is limited, even within the ANC setting where C&T is systematically offered to clients for the prevention of mother to child transmission of HIV (PMTCT). C&T services have yet to be integrated into other reproductive health services. …

  10. OVC Programmes in South Africa funded by the U.S. president's emergency plan for AIDS relief. Summary report for 32 case studies

    Despite the magnitude and dire consequences of the growing number of orphans and vulnerable children (OVC) in South Africa, and elsewhere in sub-Saharan Africa, there is insufficient documentation of the strategies deployed to improve the well-being of these children. In an attempt to fill these knowledge gaps, the U.S. President's Emergency Plan for AIDS Relief (emergency plan)/South Africa commissioned Khulisa Management Services to research and write 32 case studies of emergency plan-funded OVC programmes in South Africa. …

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