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How South Africa can improve community-based HIV services

South Africa introduced a community-based primary health care programme in 2012. The aim of the programme, which includes a large HIV component, is to improve access to health care. Under the programme, community health workers provide a wide range of services such as health education and referrals to clinics for HIV testing and treatment. Community health workers also support people on antiretroviral therapy and trace those who default on treatment. We did a study that examined the factors impacting on the success of the community-based HIV programme in a district in Limpopo, one of South Africa’s rural provinces.

Published
18 March 2019
From
The Conversation
Sex clinics show how competition can improve England’s NHS

Patients can walk into clinics without a referral, so providers have to compete for their business.

Published
15 March 2019
From
The Economist (requires free registration)
Up to 95% virologic response rate with rapid ART in safety-net clinic

Up to 95% of people with newly diagnosed HIV and beginning antiretroviral therapy (ART) within a week of diagnosis reached a viral load below 50 copies in the first year of therapy. High proportions of people in this San Francisco safety-net clinic had a substance use disorder, a major mental health diagnosis, or unstable housing.

Published
14 March 2019
From
NATAP
What are the treatment challenges for the over 50s in Africa?

Although older adults in Uganda showed a high regard for the importance of anti-retroviral treatment, structural factors such as wait times and ageism still provide barriers to adherence.

Published
28 February 2019
From
AVERT
Trump Plan To Beat HIV Hits Rough Road In Rural America

Health officials and doctors treating patients with HIV in predominantly rural states say any extra funding would be welcome. But they say strategies that work in progressive cities like Seattle won’t necessarily work in rural areas of Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma and South Carolina.

Published
24 February 2019
From
Kaiser Health News
Viral load monitoring motivates HIV treatment adherence in eSwatini

The treat-all policy will only succeed if people keep taking their HIV treatment. It is important to motivate people who started treatment while they were still feeling well. 

Published
24 February 2019
From
AVERT
For Women Living With HIV, A Trauma-Informed Approach To Care

At a San Francisco primary care clinic, trauma is recognized as a root cause of many health challenges.

Published
05 February 2019
From
Health Affairs
HIV care is threatened by proposed changes to Medicare Part D

Optimal HIV care includes early and uninterrupted access to effective antiretroviral medications. Proposed changes to Medicare Part D threatens that.

Published
25 January 2019
From
STAT
‘RAPID’ HIV treatment initiation a success in San Francisco

Populations considered hard to treat or engage in care can benefit from same-day antiretroviral treatment as part of a clinic offering social safety-net interventions.

Published
08 January 2019
From
AVERT
Sub-Saharan Africa leads the way in medical drones

By improving access to vital medicines in parts of Africa, medical drones promise to deliver on universal health coverage. The developed world is slowly catching up. Becky McCall reports.

Published
04 January 2019
From
The Lancet (requires free registration)
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Community Consensus Statement on Access to HIV Treatment and its Use for Prevention

Together, we can make it happen

We can end HIV soon if people have equal access to HIV drugs as treatment and as PrEP, and have free choice over whether to take them.

Launched today, the Community Consensus Statement is a basic set of principles aimed at making sure that happens.

The Community Consensus Statement is a joint initiative of AVAC, EATG, MSMGF, GNP+, HIV i-Base, the International HIV/AIDS Alliance, ITPC and NAM/aidsmap
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This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.

NAM’s information is intended to support, rather than replace, consultation with a healthcare professional. Talk to your doctor or another member of your healthcare team for advice tailored to your situation.