National consolidated guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) and the management of HIV in children, adolescents and adults
The Joint United Nations Programme on HIV/AIDS (UNAIDS) has launched a new framework to accelerate action in reaching 15 million people with antiretroviral treatment by 2015––the goal set by United Nations Member States in 2011.
The framework, entitled Treatment 2015, offers countries and partners both practical and innovative ways to increase the number of people accessing antiretroviral medicines. These medicines will not only enable people living with HIV to live longer and healthier lives, they will also help prevent new HIV infections.
Timely linkage to care and treatment by HIV-positive individuals can lead to significant decreases in morbidity and mortality as well as increases in life expectancy and quality of life. Further, there are significant prevention benefits as early initiation on antiretroviral treatment (ART) can significantly reduce HIV transmission to uninfected partners. Modeling exercises also suggest that universal HIV testing coupled with immediate treatment could decrease HIV incidence and virtually eliminate the HIV/AIDS pandemic. To achieve this, the rate of linkage to care must be 100%. This underscores the importance of understanding and addressing barriers to linkage.
NIMART rollout to primary healthcare facilities increases access to antiretrovirals in Johannesburg: An interrupted time series analysis
Introduction. South Africa has made remarkable progress in rolling out antiretroviral therapy (ART), with the largest number of people (more than 1.4 million) enrolled on antiretrovirals in the world. Decentralisation of services to primary health centres (PHCs) has strengthened retention of patients on ART and reduced the burden of managing uncomplicated cases at referral hospitals.
This new UNAIDS report contains the latest data on numbers of new HIV infections, numbers of people receiving antiretroviral treatment, AIDS-related deaths and HIV among children. It highlights new scientific opportunities and social progress which are bringing the world closer to UNAIDS vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths.
The report also gives an overview of international and domestic HIV investments and the need for greater value for money and sustainability.
Calling for global solidarity and shared responsibility, the UNAIDS report contains commentaries from global and community leaders as well as people living with and affected by HIV.
An Economic Evaluation of the Impact of Widespread Antiretroviral Treatment on Secondary Hospitals in South Africa: Case Study of the GF Jooste Hospital Antiretroviral Referral Unit
This research presents a partial economic evaluation of the current and anticipated impact of widespread antiretroviral treatment on the secondary hospital system in South Africa. The evaluation encompasses the treatment and care of HIV-positive inpatients and outpatients on or preparing for highly active antiretroviral therapy (HAART) at the secondary level. This study was conducted based on analysis of the Antiretroviral Referral Unit at GF Jooste Hospital during March 2005, and utilises a combination of current and retrospective data sets.
Monitoring and Evaluation of the Operational Plan for Comprehensive HIV and AIDS Care, Management and Treatment for South Africa - TRAINING MANUAL FOR PARTICIPANTS
Monitoring and Evaluation of the Operational Plan for Comprehensive HIV and AIDS Care, Management and Treatment for South Africa - TRAINING MANUAL FOR FACILITATORS
This report outlines experience with ART in a number of sub-Saharan countries. ART is provided through a number of different avenues, which include the public sector, the non-profit sector, the corporate sector and the private sector. ART programmes may involve collaboration between two or more sectors with such partnerships being encouraged in recognition that the magnitude of the task may exceed the capacity of any one sector. Particular attention is paid to Botswana, the first sub-Saharan country to provide ART on a wide-scale through the public sector.