Africa

A Poem to HIV & AIDS: "Thou hydra-headed restless monster | Killer of millions of my kind | Sower of discord in my nation | I shall fly in thy face until zero"

We know how to prevent mother-to-child transmission of HIV. But without intervention nearly 40 percent of mothers with HIV/AIDS in developing countries will transmit the virus to their newborns.

An estimated 400 people gathered in Asram, Togo, to watch a ceremony introducing 250 newly-trained community health workers -- part of the Action for West Africa Region II (AWARE II) project, supported by USAID and led by MSH.

The future is indeed bright for public health in Nigeria, judging from what Dr. Muhammad Ali Pate, the Honorable Minister of State for Health of the Federal Republic of Nigeria, said at the Africare House in Washington, D.C. on September 21. The event, Innovative Approaches to Expanding Health Care Services, was co-sponsored by Management Sciences for Health (MSH), fhi360, the Anadach Group, and hosted by Africare.

Fatima preparing bean cakes for her business, Nigeria

 

HIV-positive women in Nigeria are the primary caregivers for their own families and other people living with HIV. This disproportionately high burden of care has detrimental effects not only on their health but also on their economic well-being.

The MSH-led, USAID-funded, Prevention Organization Systems AIDS Care and Treatment (ProACT) project in Nigeria has helped establish HIV support groups whose participants are 80 percent women. These groups have started providing income-generating opportunities for participants through savings and loan associations, registered with the Nigerian State Ministry of Commerce and Cooperative Societies.

Mary Umoh, colleague and friend -- and one of the winners of an internal MSH abstract contest for staff -- traveled from Nigeria to Rome to present her poster at the 6th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention (IAS 2011).

The USAID-funded Strengthening Pharmaceutical Systems (SPS) program has been providing technical assistance to health facilities in the Northern Cape of South Africa, in partnership with the Provincial Department of Health, since 2005.

SPS addresses various areas, including: Pharmacy and Therapeutics Committees (PTCs), medicine supply management, patient adherence to antiretroviral treatment (ART), infection prevention and control, HIV/AIDS pharmaceutical management, pharmacovigilance, quantification, and compliance with the legislation relating to the supply of medicine.

About the Northern Cape, South Africa

Northern Cape

Northern Cape, South Africa

Northern Cape is the largest province in South Africa --- 372,889 square kilometers (km²) --- with a population of 1.15 million. It represents 30.5 percent of the total surface area of South Africa.

Earlier this year, USAID supported the launch of the Leading High-Performing Healthcare Organizations program (LeHHO) for senior health leaders in Kenya. Offered at Nairobi’s Strathmore Business School, the program is the result of a successful partnership between Strathmore and USAID’s Leadership, Management and Sustainability (LMS) project in Kenya.

Monday at the International AIDS Society conference in Rome, an expanded session featured information on the HPTN 052 study, the Partners PrEP Study, and the Centers for Disease Control’s TDF2 study presented in a joint session titled Treatment Is Prevention: The Proof Is Here, on Monday. The results of these trials will fundamentally change the way we think about HIV prevention and treatment, although implementation of these approaches will likely prove as challenging as ever.

HPTN 052, sponsored by the HIV Prevention Trials Network, was the first randomized clinical trial to definitively indicate that an HIV-infected individual can reduce sexual transmission of HIV to an uninfected partner by beginning antiretroviral therapy sooner. The study involved 1,763 HIV-serodiscordant couples at 13 sites across Africa, Asia, and the Americas. The trial results were initially released in May 2011 on the recommendation of an independent data and safety monitoring board (DSMB) and Monday’s session was the first full presentation of the trial data.

Orou Assoumanou describing the work within his community to Dr. Lola Gandaho, of BASICS Benin.

 

Living in the rural village of Kpagnaroung, Benin, Orou Assoumanou is a dedicated health worker who promoted vaccinations and distributed ivermectin (a medicine used to treat roundworm) within his community before receiving training by the MSH-led, USAID BASICS (Basic Support for Institutionalizing Child Survival) project in community-case management. The comprehensive BASICS training improved his ability to offer care and enabled him to treat children within his community.

With the arrival of a trained community health worker able to prescribe medications, members of his community no longer have to travel long distances to seek medical care for their children. In fact, Orou says that crowds would form at his door to receive care.

 

 

 

 

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