HIV & AIDS

Three women gather outside a Tanzanian health center. {Photo credit: M. Paydos/MSH.}Photo credit: M. Paydos/MSH.

The 65th World Health Assembly is convening this week in Geneva, beginning May 21. For six days, the Assembly will focus the world’s attention on chronic non-communicable diseases (NCDs), universal health coverage, mental disorders, nutrition and adolescent pregnancy, among other health issues.

This is the second time in less than a year that chronic NCDs --- such as cancer, cardiovascular disease, diabetes and lung diseases --- are in the international spotlight. Last fall, the High Level Summit on Non-Communicable Diseases convened in New York, when, for only the second time in the history of the United Nations, a high level summit focused on a global health concern.

Originally known as SITE-TB, Sistema TMBR is the official platform for drug resistant TB monitoring and treatment in Brazil.Originally known as SITE-TB, Sistema TMBR is the official platform for drug resistant TB monitoring and treatment in Brazil.

In the 1990s many Brazilian patients infected with tuberculosis (TB) were not being cured, despite starting treatment. Some patients stopped taking their medication, which led to the reemergence of TB. In 1993, the World Health Organization declared that TB was a global emergency. Eventually, a multi-resistant strain of TB surfaced, making it even more difficult to fight the disease.

These occurrences --- referred to as “chronic cases” --- became apparent in some Brazilian states, but health units lacked standardized management systems to treat these cases of TB.

Centro de Referência Professor Hélio Fraga (CRPHF), which is Brazil's National Tuberculosis Reference Laboratory, took control of TB surveillance in 1994. CRPHF defined a more effective treatment scheme and a national network to register and monitor the chronic cases in 1999. CRPHF builds human capacity through training and carries out operational and epidemiological studies. They also evaluate TB and other lung disease control activities and function as a Macro Regional Reference Lab.

Dr. Sima Samar speaking on 'How to advance women's rights in developing countries.' {Photo from World Bank webcast, March 5, 2012.}Photo from World Bank webcast, March 5, 2012.

On Monday, March 5, 2012, everyone from policymakers to students gathered at the World Bank for a Special Event on the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW) and Women’s Rights.

CEDAW is a treaty that has been ratified worldwide by all but six countries --- the United States, Iran, Sudan, Somalia, and two small Pacific Island nations (Palau and Tonga).

The event was hosted by Caroline Anstey, Managing Director of the World Bank, in conjunction with the Nordic Trust Fund, The Leadership Conference Education Fund, and the United Nations Foundation.

Inside Story: The Science of HIV/AIDSInside Story: The Science of HIV/AIDS

Kalu, a young man from Kenya, dreamed of becoming a star footballer (soccer player). Little did he know when he traveled to South Africa to pursue his dream that he carried in him a hidden passenger: the HIV virus. And little did he know that his forbidden romance with Ify, the coach’s daughter, would spread the virus, infecting her with HIV.

Presented by Discovery Channel Global Education Partnerships (DCGEP) and produced by Curious Pictures, Inside Story: The Science of HIV/AIDS is a modern tale of young love with false accusations, heartbreak and ultimately reconciliation. Inside Story is an African sports drama, with team rivalries, individual jealousies and xenophobia. In its most creative dimension, Inside Story is a masterful and pioneering AIDS education vehicle with sophisticated animated clips that show the science of HIV including the virus infecting cells.

Yambayoh Magaji (right), a student laboratory technician, works with Garkida General Hospital's HIV Laboratory Focal Person Dahiru Sabo. {Photo credit: MSH.}Photo credit: MSH.

The USAID-supported Prevention Organizational Systems AIDS Care and Treatment (ProACT) project provides HIV & AIDS services to five sites in Adamawa State, Nigeria.

The greatest challenge for ProACT Adamawa has been the fragile health system, particularly in terms of human resources for health (HRH), one of the six building blocks of the health system. The inadequate health workforce in the laboratory affects other components of the health systems, such as: 1) medicines, vaccines and technology, 2) information, 3) governance and leadership, 4) health financing, and 5) service delivery.

The situation in Adamawa was such that one or two laboratory staff members did all the work in the laboratory, including phlebotomy, chemistry, hematology, immunology, malaria and tuberculosis (TB) microscopy. On average, there was a patient/staff ratio of 40:1 on clinic days. This situation applied to all the sites with regard to health workforce in the laboratories.

Mildred Akinyi sitting by a family planning unit in Masafu sub-county, Uganda. Photo: MSH.

 

Post updated February 2, 2012.

Mildred Akinyi had abdominal pain for some time before she attended a reproductive health workshop for HIV positive couples at Masafu Hospital in Uganda in July 2011.

“I always felt pain in my abdomen, and would take a lot of panadols to ease the pain. I did not know what was wrong with me," Akinyi said. "When I heard from the case manager at Masafu hospital that STAR-E had organized for women living with HIV and their partners to be screened for cervical cancer and sexually transmitted infections (STIs), I could not wait to use that chance to get checked.”

Blog post updated Dec. 28, 2011.

Aynalem with community outreach worker, Woineshet, in Ethiopia. (MSH)

 

Twenty six year-old Aynalem Bekele has spent her entire life struggling to survive. Left in poverty after her father’s death, Aynalem and her mother baked injera (bread) and washed clothes to afford the rent on their small, dilapidated house in Hawassa, Ethiopia.

In late 2008, Aynalem’s health began to deteriorate leaving her bedridden, unable to work or care for her elderly mother, and struggling to survive yet again.

Yvonise is a good-natured 40-year-old woman with an easy smile. She is mother to four children: two boys and two girls. Her youngest, a little girl, is six years old.

Today, Yvonise sits patiently at the pharmacy of Hôpital Immaculée Conception de Port-de-Paix (HIC Port-de-Paix) in Haiti, waiting for Miss Sevrine, her caregiver, to provide her with a month’s supply of life-saving medicine.

Yvonise is one of 2,200 patients enrolled in the HIV/AIDS program at HIC Port-de-Paix. She was infected years ago with the AIDS virus, but her family does not know. Keeping her secret is a constant burden.

“I tell my kids that I have an infection for which I am being treated,” she said. This is how she justifies her monthly trips to the hospital.

Yvonise knows first hand how important it is for her to keep her appointments. “Since I’ve been coming to the clinic and taking my medication, I’ve been feeling more energetic,” she said, grinning from ear to ear.

Members of the Heteka Support group with the BLC-NANASO team after the CSO mapping and capacity assessment interview was completed. Photo credit: MSH

Namibia, with just 2.2 million people, has one of the highest AIDS prevalence rates in the world, at roughly 13.1 percent. The country’s small population is spread over a large geographic area, making the delivery of AIDS services a challenge especially in remote villages. Civil society organizations (CSOs) play a large role in the AIDS response here, but often have few staff, limited resources, and are not formally recognized by the Namibian government, which makes it harder for them to advocate for resources.

InsideStoryTheMovie.org

Inside Story: The Science of HIV/AIDS, a new feature-length docudrama in which USAID plays a supporting role, premiered to a packed theater in Johannesburg, South Africa, on World AIDS Day, December 1, 2011.

Inside Story is a unique mixture of science and fiction and includes cast members and characters from Nigeria, Kenya and South Africa.

Pages

Subscribe to RSS - HIV & AIDS