Health monitoring in resource-limited settings

Health monitoring in resource-limited settings features

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  Strengthening labs and introducing new tools for increased case detection and earlier diagnosis of TB

  This edition looks at the relationship between strengthening of laboratory diagnostic capacity and intensified case finding for TB in people living with HIV...

  From:HIV & AIDS treatment in practice

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  South Africa is moving towards an AIDS-free generation, and improving survival in children living with HIV

  Reductions in vertical HIV transmission to infants and improvement in paediatric survival attributable to the scale of and quality improvement of prevention of parent-to-child transmission (PPTCT) and antiretroviral...

  From:HIV & AIDS treatment in practice

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  Cervical cancer in women with HIV

  Cervical cancer is one of the major causes of death and illness in women globally.Cervical cancer is...

  From:HIV & AIDS treatment in practice

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  Kidney disease in people with HIV: a clinical review (part one)

  First in a series on kidney disease in resource-limited settings. This edition covers the scale of the problem, diagnosing kidney disease and monitoring kidney function....

  From:HIV & AIDS treatment in practice

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  Monitoring

  Potential for use of dried blood spots for monitoring....

  From:HIV & AIDS treatment in practice

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  Clinical monitoring as effective as CD4 count and viral load for deciding when to switch to second-line ART in poor countries

  This issue reviews monitoring options for switching to second-line in resource-poor settings. ...

  From:HIV & AIDS treatment in practice

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  Cheap viral load test is urgently needed for resource-poor settings, say treatment advocates

  Review of evidence on the need for viral load testing to guide antiretroviral treatment switching in resource-limited settings....

  From:HIV & AIDS treatment in practice

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  Laboratory requirements for scaling up HIV treatment

  Review of how laboratory systems in resource-poor settings are scaling up to monitor HIV disease and antiretroviral treatment....

  From:HIV & AIDS treatment in practice

Health monitoring in resource-limited settings news from aidsmap

• Rapid ‘combination’ test fails to detect many cases of acute HIV infection

  A rapid, point-of-care test, which aims to reduce the ‘window period’ through the detection of both antibodies and p24 antigen has poor performance in a clinical setting, researchers report in an article published online ahead of print by the ...

  06 January 2012 | Roger Pebody

• Treatment switches after CD4 count decline reduce risk of death by 75% in Zambia, Malawi

  Mortality was reduced by about 75% among adults experiencing immunological failure according to the World Health Organization (WHO) criteria who switched to a second-line regimen compared to those who remained on a failing regimen in two public sector ART programmes ...

  09 December 2011 | Carole Leach-Lemens

• Point-of-care CD4 test improves retention and treatment initiation in Mozambique

  The use of a point-of-care CD4 cell count test dramatically reduced the rate of loss to follow-up among patients diagnosed with HIV at clinics in Mozambique and doubled the number of patients who started treatment, according to findings from ...

  28 September 2011 | Keith Alcorn

• How best to deploy point-of-care CD4 cell testing in resource-limited settings?

  Widespread introduction of point-of-care (POC) CD4 cell tests that don’t require a laboratory technician but can be performed onsite by a nurse, providing results in less than an hour – while the patient waits) is expected in the ...

  19 July 2011 | Theo Smart

• Viral load monitoring of ART patients linked to lower death rate on treatment in southern Africa

  After three years on ART patients enrolled in four scale-up programmes with routine viral load monitoring in South Africa had a fifty percent lower death rate than patients in two public sector programmes in Malawi and Zambia where monitoring is ...

  14 July 2011 | Carole Leach-Lemens

• Treatment monitoring: no clear benefit to adding viral load to CD4 or clinical symptoms in Thailand and Africa

  Viral load is probably not essential for determining when to switch to second-line treatment in low- and middle-income settings, two large randomised trials conducted in Thailand and Cameroon have reported. Clinical monitoring alone, without any laboratory tests, did not ...

  01 March 2011 | Keith Alcorn

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Health monitoring in resource-limited settings news selected from other sources

• SWAZILAND: No money, no CD4 tests

  Swaziland is still short of lab reagents needed for CD4 count testing, which is used to initiate and monitor patients on antiretroviral treatment, and HIV-positive people are growing increasingly frustrated as the country enters its fourth month without a way to establish the strength of their immune system. 

  23 January 2012 | IRIN Plus News

• Uganda - Boost for people living with HIV in western Ugandan district

  People in Kabarole, western Uganda look set to see an improvement in HIV diagnosis, care and treatment due to the arrival of a new CD4 count machine.

  20 January 2012 | Key Correspondents

• Alere Pima CD4 test receives prequalification from the World Health Organization

  The World Health Organization (WHO) has prequalified the Alere Pima™ CD4 Test as part of an effort to increase access to rapid and accurate HIV/AIDS monitoring tools.  The Alere Pima™ CD4 Test is the first and only point-of-care diagnostic designed for the measurement of absolute CD4 counts to receive such recognition from the WHO.

  15 December 2011 | The Medical News

• Canadian team's portable device could ease HIV/AIDS monitoring

  Canadian researchers have invented a device that could make it easier, faster and cheaper to track the progression of HIV in patients living in the developing world.

  12 December 2011 | Vancouver Sun

• Diagnostics: Crucial role hampered by high cost and poor access

  The key to effective treatment is access to robust diagnostics systems, but in developing countries such access is often unavailable.

  01 December 2011 | Financial Times

• Towards Lab-Free Tuberculosis Diagnosis

  A report by TAG, the TB/HIV Working Group of the Stop TB Partnership, Imperial College and the MSF Access Campaign on the current state of reserach in TB diagnostics and key roadblocks to the development of a simple point-of-care test for TB suitable for peripheral health centres.

  23 August 2011 | MSF

• Rapid, cheap HIV test finds success as first of its kind tested in the field

  The first field trial for a “lab on a chip” accurately detected both HIV and syphilis among a Rwandan population, researchers reported Sunday.

  03 August 2011 | Washington Post

• Tanzania: Crisis as HIV testing services halted

  Thousands of HIV/Aids patients in various hospitals in the country have gone without HIV tests for months now following lack of re-agents.

  17 June 2011 | IPP Media

• UNITAID Landmark Report on HIV Diagnostics Hails a New Decade of Innovation and Access for Developing World

  UNITAID today releases a landmark report revealing that innovative technologies to test and monitor HIV/AIDS could soon be within reach of the world’s poorest regions.

  01 June 2011 | UNITAID

• Zimbabwe: Aids Council Donates to Army

  The National Aids Council has donated diagnostic equipment worth over US$500 000 to the Zimbabwe Defence Forces, in a development aimed at making HIV services accessible to vulnerable groups.

  25 May 2011 | AllAfrica

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