Delivery of care

Delivery of care features

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  Strengthening TB laboratory capacity to support active case finding

  The role of new diagnostic tests for tuberculosis (TB) in supporting active case finding for TB....

  From:HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses: integration and decentralisation

  The drive towards decentralisation and integration of HIV services from the point of view of those delivering those services, nurses and community health workers....

  From:HIV & AIDS treatment in practice

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  TB, HIV, mothers and children: time for action

  This year’s World TB Day edition of HATIP focusses on the needs of pregnant women and children with TB....

  From:HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses

  This is the first of a special monthly edition of HATiP for nurses and other health care workers involved in task-shifting in sub-Saharan Africa....

  From:HIV & AIDS treatment in practice

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  HIV and TB in Practice: Going beyond the clinic to eliminate TB and TB/HIV

  Thanks to the following for their advice: Dr Liz Corbett,  Professor Helen Ayles and Professor Peter Godfrey-Faussett of the London School of Hygiene and Tropical...

  From:HIV & AIDS treatment in practice

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  An intensive household counselling intervention reduces the burden of TB in ZAMSTAR study

  The intervention phase of the trial lasted three years (2006 to 2009) carried out by field staff and trained community members – with rigorous monitoring and evaluation...

  From:HIV & AIDS treatment in practice

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  ART and TB prevention

  This edition explores what is known about the potential benefits and limits of antiretroviral therapy (ART) for TB prevention and control....

  From:HIV & AIDS treatment in practice

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  Help when you're troubled: getting the right psychological support

  Bob is diagnosed with HIV by his GP. He is a balanced and well-resourced person and the diagnosis was not entirely unexpected. He doesn’t want to be...

  From:HIV treatment update

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  Barriers to care: immigration removal centres and HIV

  Immigrants who find themselves detained by the Home Office prior to being removed or deported from the UK are sometimes described as the most vulnerable people in...

  From:HIV treatment update

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  Operational research: diagnostics and task-shifting

  “A nurse-led service can deliver ART care as effectively as a doctor-driven one, and even improves quality of care, but this pragmatic trial did not...

  From:HIV & AIDS treatment in practice

Delivery of care in your own words

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  Going into hospital

  My experiences of hospitalisation are mixed. I’ve been admitted twice in the last six months, both times for a minor operation. However, following the excellent...

  From:In your own words

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  Surving non-Hodgkin's lymphoma

  I was diagnosed with HIV in July 1997, aged 36 and was told I would not need HIV treatment for some years and that I...

  From:In your own words

Delivery of care news from aidsmap

• Improved health, wish for normal life, main reason for loss to follow-up in Ugandan HIV patients

  Wanting to return to a ‘normal’ life after having experienced an improvement in health on HIV treatment was the key reason for loss to follow-up of three-quarters of patients who didn't return to a Kampala HIV clinic, according to ...

  17 April 2012 | Carole Leach-Lemens

• 30% decline in deaths after expansion of ART access in rural Kenya

  Expansion of HIV programme services over a five year period in a high HIV prevalence area of rural Kenya resulted in close to a third of HIV-positive adults getting care and over 60% starting ART, coinciding with a 30% ...

  12 April 2012 | Carole Leach-Lemens

• Investing in national TB programmes has a real impact on burden of the disease

  Akachi Y et al. Investing in improved performance of national tuberculosis programs reduces the tuberculosis burden: analysis of 22 high-burden countries, 2002-2009. J Infect Dis, online edition. DOI: 10.1093/infdis/jis189, 2012.   ...

  05 April 2012 | Michael Carter

• Thibela TB: Community-wide IPT did not improve TB control in South Africa’s mines at the population level

  The study collected data in a number of ways: there were baseline and post-study surveys, all cases of TB were of course recorded. But the primary outcome measure was for the 12-month period after IPT was given to the ...

  15 March 2012 | Theo Smart

• Controversy regarding strategic treatment interruptions in young children who start ART during infancy

  But that such a discussion could be had is testament to how far the management of children living with HIV in resource-limited settings has come. HIV infection in infants and children poses several major challenges, as Dr Prendergast pointed out ...

  09 March 2012 | Theo Smart

• Keeping mothers in care: the real-world challenge for PMTCT programmes

  Chi B et al. Field effectiveness of universal ART for PMTCT: rural Zambia. 19th Conference on Retroviruses and Opportunistic Infections, Seattle, abstract 23LB, 2012. The abstract is available on the official conference website. Myer L et al. Loss to follow-up and ...

  07 March 2012 | Keith Alcorn

• Lopinavir/ritonavir cuts malaria risk in children with HIV

  HIV-infected children in Tororo, Uganda, an area of high malaria transmission, on a lopinavir/ritonavir (LPV/r, or Kaletra)-based antiretroviral (ART) regimen had a significantly lower risk of getting malaria, compared to those on a non-nucleoside reverse transcriptase (NNRTI)-based regimen, researchers reported ...

  07 March 2012 | Carole Leach-Lemens

• World Health Organization issues new policy to step up TB/HIV efforts

  Download the new policy here. ...

  02 March 2012 | Keith Alcorn

• Cotrimoxazole prophylaxis is cost-effective for people starting ART in sub-Saharan Africa

  Achieving full coverage of cotrimoxazole prophylaxis during the first six months of antiretroviral therapy would be a highly cost-effective way of reducing early death among those with advanced HIV infection in sub-Saharan Africa, researchers report in the advance online edition ...

  10 February 2012 | Carole Leach-Lemens

• HIV care providers in US struggling to cope with rising patient numbers

  HIV Healthcare The state of HIV primary care: a shifting landscape, 2012 (click here to download the report). ...

  01 February 2012 | Michael Carter

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Delivery of care news selected from other sources

• Zimbabwe may ask some HIV patients to begin paying for treatment amid funding gaps

  The National Aids Council is worried about the growing gap in funding anti-retroviral drugs for people living with HIV.

  17 May 2012 | Manual Items

• South Africa: Demand for Enquiry Into Drug Stockouts

  HIV activists and health workers are demanding an enquiry into continuing drug shortages, specifically a number of critical antiretrovirals that are central to government's treatment programme.

  11 May 2012 | AllAfrica

• Study finds HIV/AIDS funding does not undermine health care services for other diseases

  A six-year investigation of health clinics in Rwanda by researchers at Brandeis University infuses fresh evidence into a long-standing debate about whether the intensive focus on HIV/AIDS, which in 2010 alone killed 1.8 million people, is undermining other health services, particularly in African countries that are at the epicenter of the pandemic.

  03 May 2012 | EurekAlert (press release)

• UGANDA: Inadequate healthcare and rising HIV prevalence in Karamoja

  The nomadic Karimojong ethnic group, once regarded as a low-risk HIV population because regional instability in northeastern Uganda and strong adherence to their culture kept them relatively isolated, have not been a priority on the country's HIV agenda, but recent statistics show prevalence among this community is now 5.8 percent, up from 3.5 percent five years ago.

  30 April 2012 | IRIN Plus News

• UGANDA: HIV services in western refugee camps overwhelmed

  Health workers manning five health centres in two refugee camps in the southwestern Ugandan district of Isingiro say they are overwhelmed by the high number of refugees and local residents in need of HIV services.

  27 April 2012 | IRIN Plus News

• DRC: End of mother-to-child HIV transmission still a long way off

  Poorly integrated maternal health services, a lack of human resources and a serious shortage of money for treatment mean the Democratic Republic of Congo is unlikely to meet the global plan of eliminating mother-to-child transmission by 2015.

  25 April 2012 | IRIN Plus News

• Nepal: Treatment illiteracy puts HIV benchmarks in peril

  Poor understanding of antiretroviral therapy (ART) amongst health officials, clinicians and patients in Nepal could undermine gains in the country’s HIV/AIDS prevention efforts and threaten future progress in lowering the number of new infections.

  17 April 2012 | PlusNews

• Anya Sarang and Tim Rhodes: “The last way” clinic: why tuberculosis remains an incurable disease in Russia

  From patients’ accounts of Kamskaya Clinic, you would not think that tuberculosis is a curable disease: “Our hospital is called ‘the last way.’ People come here only to die.”

  12 April 2012 | BMJ blogs

• Communications Engineers Join Fight Against AIDS In Africa Through Wireless Printer Program

  The Huffington Post reports on how communications engineers have developed a project in Mozambique that brings wireless printers equipped with cell phone technology to remote villages, in order to deliver HIV test results fast.

  11 April 2012 | Kaiser Daily Global Health Policy Report

• Fighting TB/HIV coinfection: realising commitments through integrated programming

  To coincide with World TB Day the UK Consortium on AIDS and International Development has today released a policy briefing “Fighting TB/HIV Co-Infection: Realising Commitments Through Integrated Programming”. The briefing seeks to highlight the rationale for integration, and also explore the opportunities and challenges to promoting greater integration.

  21 March 2012 | UK Consortium on AIDS and International Development

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