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UNAIDS estimates that about 2.6 million children (aged 0-14) were living with HIV/AIDS in sub-Saharan Africa at the end of the year 2001, and most of these HIV infections were a result of mother-to-child transmission (MTCT) of HIV. In the same year, about 11 million children aged 0-14 were orphans as a result of their parent or parents' AIDSrelated death.

The Need for Change Management

Apegnon Akpene is a 20 year-old mother of three: four year-old Joseph, two year-old Romance and one month-old Akou Jacqueline.

In most countries, tuberculosis (TB) services are decentralized up to the most peripheral health facilities and often into the community. On the other hand, HIV/AIDS services are generally much more centralized because scale-up of services, especially of antiretroviral therapy (ART), started only quite recently.

Changing Malaria Treatment Policy to Artemisinin-Based Combinations: An Implementation Guide This document provides guidance to countries on implementing national policy changes to ACT for first-line malaria treatment consistent with the World Health Organization's (WHO) policy recommendations.

Adoption of the new WHO guidelines would increase the total number of patients on ART in 19 high-patient-load health centers in Addis Ababa and four regions of Ethiopia by about 30%. The shift in the CD4+ threshold for ART initiation will substantially increase the demand for ART in Ethiopia. Since under the current systems only 60% of Ethiopia’s patients in need of ART are receiving the medications, scaling up ART programs to accommodate the increased demand for drugs will not be possible unless government funding and support increase concurrently.

Treatment as Prevention (TasP) describes HIV prevention methods that use antiretroviral therapy (ART) in both HIV-positive and HIV-negative persons to decrease the risk of HIV transmission.

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.

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.

Mobile health (mHealth) is the provision of health services and information via mobile and wireless technologies. The mobile phone has become ubiquitous in Africa, making mHealth an important tool with which to impact the health of Africans. When applied correctly, mHealth can make real contributions to improved health outcomes. 

In recent years, there has been a shift in how the international community is addressing the HIV epidemic. As more people are receiving antiretroviral therapy, we are seeing the benefits of reduced viral load on a population level. Fewer babies are being born HIV positive and prevalence rates are dropping in most countries with the highest HIV burdens.

Background In Ethiopia, over 60% of all people who are eligible for antiretroviral therapy (ART) receive it. However, coverage is only 12% among children under 15 years of age. Due to scarcity of data and limited awareness of possible HIV infection, especially in older children, the AIDS epidemic among Ethiopian children appears neglected in national programs. Methods

This publication shares stories from the Strengthening TB and HIV & AIDS Responses in Eastern Uganda (STAR-E) project. STAR-E is a key partner with the government of Uganda in scaling up HIV and TB services. When the project began in 2009, STAR-E supported just 16 health facilities, with only one that provided antiretroviral therapy (ART).

MSH Nigeria published this newsletter in July 2016. Newsletter Contents MSH Nigeria Presents 7 Posters at Intl. AIDS Conference MSH Pays Courtesy Call on the Minister of Health From the Country Rep  MSH Celebrates 10 Years of Health Impact in Nigeria CBHI Saves Baby Rosemary’s Life MSH Nigeria Receives Award of Excellence MSH Trains TBAs in Akwa Ibom State

En la intimidad del buen vivir es la sistematización del estudio sobre conocimientos, actitudes y prácticas (CAP) sobre VIH y pueblos indígenas realizado en Ecuador por FCI/Ecuador, ECUARUNARI, Interarts y FLACSO, con el apoyo de la AECID y el aval técnico del Ministerio de Salud Pública del Ecuador.

The strides made in Malawi's Chiradzulu District demonstrate improved data use at the facility level and that using performance charts can go a long way in improving program performance. As a result of the success in Chiradzulu, the initiative has been scaled up in all of the DHSS program areas.

The patient tracing system improved the delivery of HIV services in MSH-supported facilities in Malawi's Blantyre District. More than 50% of patients who had missed an appointment were brought back to care. Some patients who had self- transferred out to other facilities were identi ed and their outcomes recorded in the register.

Challenge TB was implemented in Ethiopia as part of Management Sciences for Health’s (MSH’s) Innovation Challenge Fund (INCH)2 initiative designed to encourage innovative interventions across MSH supported projects. MSH used the ExpandNet Framework3 to scale up the innovation.

Unique identification is essential to progress toward meeting PEPFAR’s 95-95-95 goal. For people living with HIV, better program management means more timely testing and promotes continuity of service for lifesaving sustained ART. Providers can assess treatment regimens and their effectiveness toward achieving viral suppression.

Despite making good progress toward digitizing client level data, the Government of Tanzania is still working to meet the latest global guidelines for HIV/AIDS programs. One major reason is that the country’s data collection and HIS do not efficiently deliver the quality information required for effective monitoring and planning.

The Technical Support Services Project (TSSP) worked with the Tanzania Ministry of Health, Community Development, Gender, the Elderly, and Children (MoHCDGEC) to support and strengthen the Star Rating Assessment (SRA) Tool system. The project integrated HIV/AIDS indicators into the tool to create more comprehensive assessments of the country’s health care facilities. 

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