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In Ethiopia, A Focus on Multi-Month ART Scripting at Scale Pays Off

As ministries of health and their partners move to scale up differentiated service delivery (DSD) for HIV treatment, one approach is taking the spotlight. Multi-month scripting (MMS) is a facility-based, individual-focused DSD model, in which recipients of care who are doing well on antiretroviral therapy (ART) receive larger amounts of ART at each visit, enabling their appointments to be spaced at longer intervals. In many countries, MMS is combined with appointment spacing and fast-track approaches to minimize the amount of time that people living with HIV need to spend at health facilities.

Published
26 April 2019
From
ICAP
South Africa: Cutting U.S. funding will harm people with HIV most

Arguably the biggest challenge facing South Africa’s HIV response today is how to support many more people living with HIV to start and, importantly, stay on treatment. Doing this in the context of a dysfunctional healthcare system will not be easy, but cannot be shied away from. Yet instead of receiving commitment to do what it will take to make this happen, South Africa is facing the threat of dramatic cuts in U.S. government funding that risk derailing future progress, gambling with people’s health and lives.

Published
25 April 2019
From
Health GAP
Transgender Immigration detainee died of AIDS complications, autopsy shows

The official autopsy for Honduran migrant Roxsana Hernandez found she had "untreated HIV." Advocates say she was detained after requesting asylum. “I think this person was denied the minimum standard required by U.S. law for prisoners and detainees,” Dr. Chris Beyrer, a public health professor at Johns Hopkins University, told NBC News after reviewing the official autopsy report.

Published
24 April 2019
From
CBS News
'Stigma does not go away': Mumbai’s dedicated LGBT health clinic

After reports of transgender people being refused treatment, a new centre offers specialised services – and respite from discrimination

Published
24 April 2019
From
The Guardian
A Promising Anti-HIV Drug Poses A Dilemma

The anti-HIV drug dolutegravir is effective — but may carry a risk for pregnant women. While women in wealthy countries are given choices about their medical care, for women in poor countries the situation is different. There aren't enough doctors and nurses to explain the risks and benefits of the new drug to every patient. The country may not have the resources to keep supplies of two different drugs on the shelves. And there is no consistent access to effective birth control.

Published
23 April 2019
From
NPR
Long-Acting HIV Treatment Is Coming. Our Health Care System Needs to Prepare

New conversations are starting in HIV care as phase III trials have shown that monthly injections of cabotegravir and rilpivirine (Edurant) are non-inferior to a three-drug pill regimen. In 2018, TheBody asked a range of people living with HIV about their willingness to switch to an injectible, and most had mixed feelings. But even if there's widespread interest in this new way of taking antiretroviral therapy (and most likely also prevention, not too far away), it's important to consider not just the willingness of people to move to this new form of treatment, but whether health care systems and providers in the U.S. are ready to support this innovation.

Published
16 April 2019
From
The Body Pro
The HSJ Awards: A digital programme tailored for a high risk group for HIV

Dean Street PRIME, a sexual health clinic that is part of Chelsea and Westminster Foundation Trust, commissioned an online series that explores the complexities of modern gay sex lives, and won the 2018 HSJ Awards for Patient Digital Participation

Published
26 March 2019
From
Health Service Journal
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
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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.