Sexually transmitted diseases and infections

Why do HIV positive TB patients fail to complete treatment more frequently than HIV negative TB patients?

Published by: 
Medical Research Council
The aim of the study was to describe the health seeking behaviour of HIV positive patients with TB. the research question was: Why do HIV + TB patients fail to complete treatment more frequently than HIV-TB patients?

Lack of medical workers plagues developing countries

When her baby turned blue, Nivetha Biju rushed the child to the emergency room of an Indian hospital and watched helplessly as the baby lost consciousness because the nurses on duty had no idea what to do. Eventually a doctor saved the baby's life, but many patients are not so lucky in India and in other developing countries where a scarcity of doctors and trained nurses means there is often no helping hand in times of need. Health systems [in developing countries] are on the brink of collapse due to the lack of skilled personnel, said Ezekiel Nukuro, an official with the World Health Organization. In some countries, deaths from preventable diseases are rising and life expectancy is dropping, he said.

US relaxes visa rules for HIV positive travellers

United States immigration officials on Monday announced moves to ease and speed up visa-processing for HIV-positive visitors to the United States, months after a 21-year entry ban on people with the virus was lifted. Under the new rules, US consular offices overseas will have the authority to grant temporary, non-immigrant visas to HIV-positive applicants who meet all of the other normal criteria for the granting of a US visa, the Department of Homeland Security (DHS) said in a statement.

Zimbabwe: New government gives HIV-positive people hope

AIDS activists are hoping that the country's new administration will make good on promises to urgently improve access to affordable HIV/AIDS treatment and services at state hospitals. The country's three political parties - ZANU-PF and the two factions of the majority Movement for Democratic Change (MDC) - signed a power-sharing deal on 15 September, ending one of the worst periods of inter-party political violence since Zimbabwe gained independence in 1980. Despite scepticism that the three parties will be able to work together, the deal has brought hope to many ordinary Zimbabweans, particularly those living with HIV, who have been battling to cope in the current harsh economic and political environment. Of the estimated 320,000 people in need of antiretroviral (ARV) treatment, only about 100,000 are accessing the medication at public health facilities. Besides the treatment gap, government hospitals are struggling to deliver services in the face of shortages of drugs, medical staff and foreign currency.

TB breakthrough a challenge to government

South African researchers have shown that deaths among people co-infected with HIV and TB could be more than halved by starting antiretroviral therapy earlier, adding further pressure on government to improve treatment for both diseases. If the government adapts its treatment guidelines in line with the findings -- which were so dramatic that the clinical trial was stopped early on ethical grounds -- it will mean starting 150 000 people living with TB on anti-HIV medicine much earlier than has been planned, and budgeted, for. Professor Salim Abdool Karim, who headed the study, said the research indicated that up to 10 000 lives a year could be saved if people with TB were given antiretrovirals at the beginning of the TB treatment if they had a CD4 count of less than 500. Currently the guidelines are for HIV-positive people to start ARVs when their CD4 count drops to 200, or when this is clinically indicated.

New health minister has work cut out for her

South Africa's newly appointed health minister, Barbara Hogan, has inherited an unenviable to-do list from outgoing minister Manto Tshabalala-Msimang, but AIDS activists are optimistic that she is up to the job.Hogan has no background in health, but has been a member of the ruling African National Congress (ANC) since 1977 and a member of parliament since 1994. She is known for being outspoken on sensitive issues, including HIV and AIDS. According to Zackie Achmat, a prominent AIDS activist and former chairperson of AIDS lobby group, the Treatment Action Campaign (TAC), Hogan was one of the few members of parliament to speak out against AIDS denialism - the controversial view that HIV is not the cause of AIDS, allegedly held by former President Thabo Mbeki.

The Faces of AIDS project: a retrospective implementation evaluation

Published by: 
Health Systems Trust

The Faces of AIDS project implemented by the Directorate for HIV/AIDS in the Department of Health was part of a national mass media strategy aimed at providing a face for the epidemic. It was expected that endorsement of HIV/AIDS information on prevention, de-stigmatitaion and acceptance of peaople with AIDS (PWA's) by credible role models and PWA's themselves would challenge attitudes people have about AIDS.

UGANDA: Using mobile phones to fight HIV

Uganda's rising HIV prevalence is forcing policy makers to look for inventive ways of educating people about the virus. Their latest tool is mobile phone technology, whose rapid growth has provided an avenue that could potentially reach millions with messages.