HIV & AIDS

 {Photo by DCGEP via Facebook.com/InsideStory}Watching "Inside Story".Photo by DCGEP via Facebook.com/InsideStory

Great news for US-based viewers: The Discovery Channel Global Education Partnership (DCGEP) released the award-winning Pan-African feature film, Inside Story, on September 17 for digital download on platforms such as iTunes, Google Play, Comcast, and Amazon. Inside Story premiered in South Africa on World AIDS Day, December 1, 2011.

"Inside Story is making a huge impact on audiences across Africa and we are thrilled to bring this film and its unique approach to the US and the rest of the world," says DCGEP President and Executive Producer Aric Noboa. "Inside Story reveals HIV/AIDS in a way that’s personal, practical and memorable through a lens that is both entertaining and educational. Audiences stand up and cheer in the theater because it’s a great story, and at the same time everyone walks away with a fresh perspective on HIV.”

 {Photo credit: MSH}Kenyan youth holds AIDS education pamphlet.Photo credit: MSH

The Kenya National AIDS and STI Control program (NASCOP) under the Ministry of Health (MOH) disseminated preliminary results of the Kenya AIDS Indicator Survey (KAIS) 2012 on September 10, 2013. The dissemination conference was attended by all major stakeholders in the HIV and AIDS response in Kenya, including Management Sciences for Health (MSH).

The second such report, the KAIS 2012 (PDF) provides national data in comparison with the first survey in 2007.  Overall, huge improvements have been made, despite the remaining challenges and the gender, age group and geographical disparities that have persisted.  Adult HIV prevalence dropped from 7.2 percent in 2007 to 5.6 percent in 2012. The total number of people living with HIV is now estimated at 1.2 million, down from 1.4 million in 2007. Among children 18 months to 15 years, the prevalence was estimated at less than one percent (0.9 percent), which translates into about 104,000 children living with HIV in 2012. 

MSH Global Technical Lead on HIV & AIDS, Scott Kellerman, MD, MPH, has a new article published today in the PLOS Medicine magazine.

Scott Kellerman and colleagues argue that the scope of the current HIV elimination agenda must be broadened in order to ensure access to care and treatment for all children living with HIV.

In 2011, despite the global initiative to eliminate mother-to-child transmission of HIV, 330,000 new pediatric infections were added worldwide to the existing pool of 3.4 million children living with the virus. Children are more vulnerable to HIV infection and have higher morbidity and mortality. Without treatment, half of those children infected will die before the age of 2 years, yet only one third of those eligible for treatment are currently receiving antiretroviral therapy.

{Photo credit: Todd Shapera, Rwanda}Photo credit: Todd Shapera, Rwanda

OVCsupport.net, a global knowledge sharing website, is announcing its second annual writing contest, open to all those who have a story to tell about working with children affected by HIV and AIDS. The annual competition is one component of OVCsupport.net’s efforts to facilitate the exchange of ideas and experiences between people who are working in the field of orphans and vulnerable children (OVC). The top three submissions will be featured on the site and in the August edition of the site’s electronic newsletter.

According to UNAIDS, more than 14 million children worldwide have lost one or both parents to HIV. The thousands of organizations that provide services to these children often do not have the mechanism to share experiences or receive information on best practices from one another. OVCsupport.net provides a way for these organizations to connect with one another and have access to cutting edge information. The annual writing contest is an opportunity for local organizations and writers to make their voice heard in the global forum.

{Photo credit: Genaye Eshetu/MSH}Photo credit: Genaye Eshetu/MSH

Strengthening health systems at all levels is the core of MSH’s response to the HIV epidemic. We build organizational capacity to implement innovative HIV, prevention, care, and treatment interventions in over 35 countries---from Côte d'Ivoire to Ethiopia to Vietnam.

So, how will high-burden, low-resource countries respond to the new World Health Organization (WHO) guidelines that recommend starting HIV treatment earlier? Will the global AIDS movement join forces with those calling for universal health coverage (UHC) targets post-2015? How are civil society organizations working with countries on the HIV & AIDS response---and how can we strengthen their capacity?

The July/August edition of MSH's Global Health Impact Newsletter (subscribe) answers these questions and more, combining thought-provoking editorials and first-hand accounts from MSH countries around the world.

{Photo credit: LMS Haiti/MSH}Photo credit: LMS Haiti/MSH

Today, as we celebrate International Youth Day and the theme of “Youth Migration: Moving Development Forward,” we are reminded of difficult situations millions of young people experience every day—and of the power young people have to create change in their lives when they connect with their peers.

Adolescents and young men and women need access to quality, affordable reproductive health services. In the developing world, 52 million never-married women, aged 15-24, are sexually active and in need of reproductive health and HIV prevention services and information. Yet, adolescent girls often face greater barriers than adult women in accessing them. In the sub-Saharan Africa region, only 21 percent of married adolescents are using a modern contraceptive method; and the adolescent birth rate in the region is four times the rate in Europe and Central Asia. In the Latin America region, teenagers have doubled their proportion of the fertility rate from 8.5 percent in 1955 to 14.3 percent in 2005, despite a steady decline in overall fertility numbers.

 {Photo credit: Charles Fred via flickr}HIV poster in Vietnam.Photo credit: Charles Fred via flickr

This post includes portions of the introduction, questions, and answers from the English edition of "Transition Forward, Issue 1, June 2013" (PDF). 

Vietnam has made significant progress in re­cent years responding to the country’s HIV & AIDS epidemic. Under the ongoing leadership of the Government of Vietnam (also known as Viet Nam), the interna­tional community has provided significant technical and financial support to the HIV & AIDS program. As country leadership and ca­pacity to address the HIV epidemic has been strengthened, and as Vietnam’s economy grows stronger, increasing emphasis is being placed on transitioning to a sustained country-led response.

This includes strengthening the health system and civil society, particularly to reach those most at risk.

{Photo credit: Reavis/MSH, Malawi}Photo credit: Reavis/MSH, Malawi

The World Health Organization (WHO) made waves at the International AIDS Society conference in Kuala Lumpur when it issued revised guidelines for HIV treatment. The new guidelines—WHO’s first major update since 2010—recommend an earlier start to treatment, from a CD4 threshold of 350 cells/mm3 to 500 cells/mm3. While most patients don’t show symptoms of disease at these higher CD4 counts (a measure of immune system strength), the new guidelines responded to evidence that an earlier start improves long-term clinical outcomes and that ARV treatment dramatically reduces patients’ likelihood of transmitting the virus to sexual partners.

{Photo credit: Warren Zelman}Photo credit: Warren Zelman

Originally posted on Devex.

“If you want to go fast, go alone,” says an African proverb. “If you want to go far, go together.”

It’s been thirteen years since the international community adopted the Millennium Development Goals, an ambitious, self-imposed “report card” for global development that helped focus attention and resources on issues like HIV and AIDS. Since then, the global HIV response has gone fast. In 2002, just 300,000 people with HIV were receiving antiretroviral therapy in developing countries; today, UNAIDS reports, treatment reaches nearly 10 million.

{Photo credit: C. Urdaneta/MSH, South Africa.}Photo credit: C. Urdaneta/MSH, South Africa.

Cross-posted from Southern Africa HIV and AIDS Regional Exchange (SHARE).

As I sat through the official opening at the 6th South African AIDS Conference (SAAIDS), I found myself wondering what the focus of the first conference post 2015 will be. Will there be a national conference after the countries are supposed to have achieved the Millennium Development Goals?

"We have fought a good fight. At last the glass is half full," declared Professor Koleka Mlisana, the conference chair, the first of many plenary speakers to outline the successes achieved in the national AIDS response. The figures from South Africa certainly are encouraging:

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