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Positive health, dignity and prevention (PHDP) engages people who know they are living with HIV in prevention. It involves supporting HIV-positive people to learn and practice how to live healthily and minimize the risks of spreading the virus to others.

This technical brief summarizes the latest evidence on PMTCT of HIV in the Southern African region. It presents the current WHO guidance on antiretroviral use in pregnant HIV-positive women: Options A, B and B+. Option B+ is a new development, emerging from experiences in Malawi, which was the focus of much attention at the recent International AIDS Conference.

This technical brief makes the case for understanding behavior change approaches as necessary but insufficient methods of HIV prevention. The document describes how behavior change interventions may be more effective when they are used as part of a  combination prevention approach that is shaped by a social-ecological perspective on HIV prevention.

In 2007, WHO/UNAIDS recommended that male circumcision be considered an important new intervention for HIV prevention, and that countries with a high HIV prevalence, low rates of male circumcision, and heterosexual epidemics should consider scaling up male circumcision as part of a comprehensive HIV prevention package.

There is growing awareness that well led and managed global health solutions are required to achieve effective and sustainable health programs, especially at the scale needed to attain Millennium Development Goals and other global targets. This compendium of case studies reviews the current evidence of the impact of leadership and management on health.

We need a dramatic change in thinking—and action from donors, policymakers, and program managers in the public, private, and nongovernmental (NGO) sectors—to focus on strengthening health systems in the countries most affected by HIV & AIDS. To meet the Millennium Development Goal of reversing the epidemic by 2015, we must change how we design and deliver services.

These guidelines provide standards for HIV prevention program implementation for non-governmental organizations and civil society organizations, against which services provided to the target populations can be monitored and evaluated to ensure quality and client satisfaction.

Management Sciences for Health’s Building Local Capacity for Delivery of HIV Services in Southern Africa Project (BLC) and the Southern African Development Community (SADC) have written a series of technical briefs on priority HIV prevention topics.

Prepared by the AIDSTAR-Two project, this report documents the main changes resulting from a regional prevention program designed to meet the sexual health and HIV prevention needs of men who have sex with men (MSM) in Algeria, Lebanon, Morocco and Tunisia. As part of this program, the “Most Significant Change” approach was used understand the changes generated by the program.

Prepared by the USAID-funded AIDSTAR-Two project, this situational overview provides a detailed analysis of the response to the epidemic by associations and support groups of people living with HIV in the Middle East and North Africa (MENA) region.

This technical brief developed by the AIDSTAR-Two project presents a framework that offers a simplified and systematic approach to organizational capacity building that most local implementers, especially those that provide HIV and AIDS services, can draw from to better fulfill or expand their mandates.

The NGO Communications Guide is designed to give those working in civil society organizations (CSOs) and other non-governmental organizations (NGOs) in the areas of HIV and AIDS practical knowledge and tools to help them do two very specific things: One, learn to better tell the story of the work that they do; and two, develop an organizational communications plan.

In April, 2013, MSH’s TB CARE I team held an international workshop in Indonesia to share experiences on sustainable financing for TB, HIV/AIDS, and malaria control programs. Facilitators and participants attended from China, Myanmar, Laos, Thailand, Malaysia, Vietnam, the Philippines, and Indonesia.

Africa is the fastest growing continent in the world— with a projected average economic growth rate of 6 percent from 2013-2015. Health is becoming increasingly important as economies grow. This brief explores the relationship between health, economic development and trade in Sub-Saharan Africa by reviewing available evidence taken from published research and data.

Updates and related resources and information from MSH's participation in the 3rd Global Conference in Kuala, Lampur, Malysia, May 28-30, 2013.

Because of the uncertainties and questions about health development in fragile and conflict-affected states, home to one-sixth of the world’s population, including whether and how it can advance state legitimacy or security, the United States Institute of Peace convened a two-day conference in June 2011—“Postconflict and Fragile States: Challenges for the Next Decade”&mdash

Summary Despite the global initiative to eliminate mother-to-child transmission of HIV, 210,000 new pediatric infections were added worldwide in 2012 to the existing pool of 3.4 million children living with the virus.

Lessons learned from treating patients with HIV infection can inform care systems for other chronic conditions. For antiretroviral treatment, attending appointments on time correlates with medication adherence; however, HIV clinics in East Africa, where attendance rates vary widely, rarely include systems to schedule appointments or to track missed appointments or patient follow-up.

Achieving high rates of adherence to antiretroviral therapy (ART) in resource-poor settings comprises serious, but different, challenges in both the first months of treatment and during the life-long maintenance phase. We measured the impact of a health system-oriented, facility-based intervention to improve clinic attendance and patient adherence. We conducted the study in 12 rural district hospitals (6 intervention, 6 control) in Kenya and randomly selected 1,894 adult patients over 18 years of age in two cohorts. Among experienced patients, the percentage attending the clinic on or before a scheduled appointment increased in both level and trend (increase per month) following the intervention, as did the level and trend of those keeping appointments within three days.

The aim of this study was to assess predictors of mortality among TB-HIV co-infected patients being treated for TB in Northwest Ethiopia. An institution-based retrospective cohort study was conducted between April, 2009 and January, 2012. Despite the availability of free ART from health institutions in Northwest Ethiopia, mortality was high among TB-HIV co-infected patients, and strongly associated with the absence of ART during TB treatment. In addition cotrimoxazole prophylactic therapy remained important factor in reduction of mortality during TB treatment. The study also noted importance of early ART even at higher CD4 counts.

Integrated community case management (iCCM) has proven to be an effective strategy for expanding the provision of diarrhea, pneumonia, and malaria services and has been accepted as a key approach to meet Millennium Development Goal 4 on reducing child mortality by international donors and developing countries.

Integrated community case management (iCCM) has proven to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in children under five years old. This report describes the results of the testing in Senegal.

This study, conducted in five rural districts in Afghanistan, used qualitative methods to explore traditional practices of women, families and communities related to maternal and newborn care, and sociocultural and health system issues that create access barriers. The traditional practices discussed include delayed bathing of mothers and delayed breastfeeding of infants, seclusion of women after childbirth, restricted maternal diet, and use of traditional home remedies and self-medication instead of care in health facilities to treat maternal and newborn conditions. This study also looked at community support structures, transportation and care-seeking behaviour for maternal and newborn problems which create access barriers. Sociocultural barriers to better maternal-newborn health include shame about utilisation of maternal and neonatal services, women's inability to seek care without being accompanied by a male relative, and care-seeking from mullahs for serious health concerns. This study also found a high level of post-partum depression. Targeted and more effective behaviour-change communication programmes are needed. This study presents a set of behaviour-change messages to reduce maternal and newborn mortality associated with births occurring at home in rural communities. This study recommends using religious leaders, trained health workers, family health action groups and radio to disseminate these messages.

On November 12, 2009, Uganda’s Honorable Minister of Health, Dr.

A guide to evaluate whether health information products and services meet the requirements needed to make them effective, used, and adapted by health care practitioners and policymakers in the field.

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