United Nations Secretary-General Ban Ki-moon today appointed Elizabeth Mataka, a national of Botswana and a resident of Zambia, as his Special Envoy for AIDS in Africa. Ms. Mataka, a social worker by training, has been working in the field of HIV/AIDS for the past 16 years. She has been involved in many different aspects of responding to the AIDS epidemic, including programmes on HIV prevention, clinical treatment for opportunistic infections, care and support at community and national levels.
Equity and HIV/AIDS
WHO and UNAIDS have issued new guidance on informed, voluntary HIV testing and counselling in the world's health facilities, with a view to significantly increasing access to HIV treatment, care, support and prevention services. The new guidance focuses on provider-initiated HIV testing and counselling (recommended by health care providers in health facilities), essential to promoting earlier diagnosis of HIV infection, which in turn can maximize the potential benefits of life-extending treatment and care, and allow people with HIV to receive information and tools to prevent HIV transmission to others.
Expanding access to HIV testing is critical in the fight against AIDS, but new WHO/UNAIDS guidelines pay only lip service to the conditions that will make testing successful, Human Rights Watch said today. Human Rights Watch was responding to the release of new WHO/UNAIDS guidelines on provider-initiated HIV testing and counseling. The guidelines appropriately rule out mandatory or coercive testing and call for expanded, health facility-based testing in countries with an “enabling environment” in place and with “adequate resources” available for HIV prevention, treatment and care. But Human Rights Watch warned that few of the most affected countries have such resources and environments in place.
2006 marks the tenth anniversary of the development of the International Guidelines on HIV/AIDS and Human Rights. To celebrate this occasion, the AIDS and Rights Alliance for Southern Africa (ARASA) has conducted research to evaluate the extent to which the International Guidelines have been used and implemented in the Southern African Development Community (SADC) region. This report details the findings of that research. It focuses on the guidelines dealing with: • Structures and partnerships to support a multi-sectoral response; • A protective legal and policy framework; • Access to treatment; and • Access to legal services.
It has been hoped that antiretroviral therapy (ART) could be used to combat AIDS on a wide-scale in developing countries. However as treatment allows patients to live longer, healthier lives, they are likely to be sexually active for longer. This could allow the disease to spread more rapidly unless communities receive counselling and practise safe sex. ART has been very effective treatment in the developed world. The drugs not only improve health and prolong the life, but patients are also less likely to infect other people because the drugs decrease their viral load. If ART can prevent the transmission of AIDS it could be a useful tool for fighting the AIDS epidemic in Africa. Imperial College London, UK, carried out a study, using mathematical modelling, to determine the effect widespread ART could have in Africa.
A Gender Baseline Study has revealed that gender is not well integrated into HIV/AIDS coverage. Speaking at the launch of the HIV/AIDS and Gender Baseline Study findings and Media Action Plan (MAP) at the Maharaja Conference Centre in Gaborone last week, Communications, Science and Technology minister, Pelonomi Venson-Moitoi, noted that cross generational sex, gender- based violence and gender power relations, which are significant drivers of the epidemic, received less than six percent each of the total coverage while cultural practices received no coverage during the study's monitoring period.
For years, there has been a battle over the best way to protect babies born to HIV positive mothers living in poor areas from getting the virus which has essentially boiled down to a battle between those who advocate breast feeding and those who advocate bottle-feeding with milk formula. As breastmilk can transmit HIV, global policy was weighted in favour of bottle feeding and HIV positive mothers were discouraged from breastfeeding. But a big study from KwaZulu-Natal led by Professors Jerry Coovadia and Nigel Rollins and published on Friday (30 March) seems to have finally settled the debate in favour of the breast. They found that babies who were exclusively breastfed by their HIV positive mothers were at substantially less risk of becoming infected than babies given both breastmilk and formula milk or solids.
Oxfam and Médecins Sans Frontières (MSF) welcome Abbott’s decision to offer developing countries a further 55% reduction of its price for Kaletra/Aluvia, a key HIV medicine. However, Oxfam and MSF will continue to support the Thailand government in maintaining its compulsory licenses as an alternative channel for accessing affordable life-saving medicines. As a next step Abbott should publish a comprehensive list of all countries eligible for the price cut.
This letter adresses the World Health Organisation's Director General's meeting with representatives of the International Treatment Preparedness Coalition (ITPC) in March 2007. The letter, written by various representatives of the ITPC, expresses their concern that the world has lost the momentum of the 3 by 5 campaign and that WHO is on the brink of squandering its legacy of leadership role in the battle to bring universal treatment access to people living with HIV/AIDS. In this letter they outline five reasons for concern, make six specific demands to be met before the end of 2007 and give four commitments that ITPC will fulfill to do their part in this most critical global effort.
Food parcels are finally being offered to HIV positive mothers in KwaZulu Natal who want to exclusively breastfeed their babies as part of a new government policy. In the past, positive mothers were advised to either exclusively formula feed or, in cases where there was no supply of clean water, to exclusively breastfeed to protect their babies from getting HIV. But while free formula milk was dished out, no practical support was offered to those who wanted to breastfeed. The mothers, particularly those who were poor, tended to see the formula milk as an incentive. They then tended to opt to get the formula milk and feed their babies both breast and formula milk – the most risky feeding choice for passing on HIV. An exuberant Professor Nigel Rollins, head of the Centre for Maternal and Child Health at the University of KwaZulu-Natal, said he was “delighted” that government had chosen to help HIV positive breastfeeding women meet their increased nutritional needs (of breastfeeding) by offering six months’ worth of food parcels.