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On World AIDS Day 2018, HIV testing is being brought into the spotlight. And for good reason. Around the world, 37 million people are living with HIV, the highest number ever, yet a quarter do not know that they have the virus.
This regional report for Asia and the Pacific, provides an overview of the sexual and reproductive health and rights (SRHR) needs, issues, and priorities of young key populations (YKP), i.e. young men who have sex with men, young transgender people, young people injecting drugs, young people who sell sex, and young people living with HIV. The report addresses the gaps in knowledge on the SRHR needs of YKP in the region, offers recommendations based on a regional study, and contributes essential information for policy and advocacy efforts.
This publication is a collection of stories about young people living with HIV written by citizen journalists from the Key Correspondents network. The authors hope that they bring the experiences, thoughts and reflections of young people to the growing global debates on adolescent health and HIV. Key Correspondents is a network of citizen journalists around the world writing on HIV, health and human rights, helping get the voices of those most affected into global debates.
Violence against women and girls is an unacceptable violation of basic human rights. It also is so widespread that ending it must be a global public health priority. An estimated one in three women is beaten, coerced into sex or otherwise abused by an intimate partner during her lifetime. Intimate partner violence has been shown to increase the risk of HIV infection by around 50%, and violence (and the fear of violence) deters women and girls from seeking services for HIV prevention, treatment, care and support.
In the Asia-Pacific Region, young people bear a large proportion of new HIV infections, and there is a need to consult them about how best to tailor prevention initiatives to meet their needs. In 2010, Youth LEAD, an organization representing young HIV advocates from across the Asia-Pacific region highlighted the need to engage young people more effectively in advocacy and programming initiatives. …
The Continuum of Care (CoC) Toolkit offers guidance based on experiences with the CoC in diverse settings across the Asia-Pacific Region that will assist planners and managers to establish or strengthen their own CoCs. This Toolkit, which is structured in seven sections, provides ideas, strategies, procedures and tools for CoC managers to create networks that link care, treatment and support services for HIV in their own localities according to their own unique needs. …
Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …
This guidance was developed based on experience sharing and problem solving from an expert meeting on Methodologies for Obtaining Strategic Information on Young People at Higher Risk of HIV Exposure, held in Bangkok, Thailand, from 3rd to 5th of September, 2012. This meeting facilitated the sharing of knowledge, and exchange of ideas and experiences in the collection, analysis and utilization of strategic information on young key populations. …
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. …
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. …
While developed countries in Asia are experiencing a low-level HIV epidemic prevalence is much higher in specific populations such as men who have sex with men, sex workers, and people who use drugs. Many MSM and transgender people report discrimination which limits their access to health services and many other areas such as education, employment and legal services. …
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. …
This booklet provides statements on specific topics to facilitate discussion among stakeholders in Asia and the Pacific on issues affecting key populations vulnerable to HIV infection. These are: 1. Injecting drug users; 2. Sex workers and their clients; 3. Men who have sex with men; 4. Young people and children; 5. Mobile populations; 6. People living with HIV; 7. Children orphaned and affected by AIDS; 8. Women.
This course has been developed to provide guidance around youth-specific HIV programming and support staff working across the Asia Pacific region to meet the specific needs and rights of young people from key affected populations. …
This review of socio-economic empowerment initiatives for women living with HIV in Asia complements the assessment of the Women and Wealth Project (WWP), supported by the United Nations Development Programme Asia-Pacific Regional Centre and implemented by the Population and Community Development Association of Thailand. The purpose of this review is to compare the approach used in the WWP with those employed in other ten similar initiatives in Cambodia, China, India, Myanmar, Thailand and Vietnam and make recommendations based upon the findings of the WWP assessment and the review.