The South African Government has outlined detailed plans for antiretroviral (ART) rollout in KwaZulu-Natal Province, but has not created a plan to address treatment accessibility in rural areas in KwaZulu-Natal. This paper calculates the distance that People Living With HIV/AIDS (PLWHA) in rural areas in KwaZulu-Natal would have to travel to receive ART in rural KwaZulu-Natal. The results show that many PLWHA in rural KwaZulu-Natal are unlikely to have access to ART, and that the impact of an additional 37 HCFs on treatment accessibility in rural areas would be less substantial than might be expected. There is a great length to go to reach many PLWHA in rural areas in South Africa, and specifically in KwaZulu-Natal.
Equity and HIV/AIDS
How far will we need to go to reach HIV-infected people in rural South Africa?
Wilson DC, Blower SM: BMC Medicine 5:16, 19 June 2007
Infant feeding counselling for HIV-infected and uninfected women: Appropriateness of choice and practice
Bland RM, Rollins RC, Coovadia HM: Bulletin of the World Health Organization 85: 289-296 , April 2007
This article examines infant feeding intentions of HIV-infected and uninfected women in South Africa, and the appropriateness of their choices according to their home resources. The paper concludes that most HIV infected women did not have the resources for safe replacement feeding, and appropriately chose instead to exclusively breastfeed. Significantly more intending to exclusively breastfeed, rather than replacement feed, adhered to their intention in week one.
Multi-Country AIDS Program 2000–2006: Results of the World Bank’s response to a development crisis
World Bank, 14 June 2007
A new World Bank report on HIV/AIDS launched in June says the mobilisation of empowered 'grassroots' communities, along with delivering condoms and life-saving treatments, are beginning to slow the pace of the continent's epidemic. According to the new report ultimate success in defeating HIV/AIDS will depend on marshalling effective prevention, care, and treatment, measures to boost 'social immune systems' in African countries - changing beliefs, perceptions, and social and individual behaviors around the disease to reverse the advance of HIV and stop the damage done by AIDS.
Progress in the first year of 'Unite for Children, Unite against AIDS'
UNAIDS: Joint United Nations Programme on HIV/AIDS , 2007
This briefing paper provides an overview of the achievements of the 'Unite for Children, Unite against AIDS initiative' in improving prevention of and treatment for HIV and AIDS among children. The report concludes that, while some progress has been made, many children and mothers are not receiving the services and treatments they require. To redress this, significantly more resources are needed, together with policy changes in affected countries. Appendices to the report provide data on all countries’ HIV infection rates and access to services and medicines.
Substance Abuse and HIV/AIDS in Sub-Saharan Africa
African Journal of Drug and Alcohol Studies 5 (2), 2006
The African Journal of Drug and Alcohol Studies has posted online a issue, providing a compilation of the peer-reviewed literature documenting the existence of injection and non-injection drug use, and the misuse and abuse of alcohol, and their links to HIV transmission in the region. The papers report and review the findings of research from seven countries — Kenya , Mauritius , Nigeria , Rwanda , South Africa , Tanzania , and Zambia — and document the proceedings of two meetings on alcohol and HIV risk behaviors recently held in the region.
Gender distribution of adult patients on highly active antiretroviral therapy (HAART) in Southern Africa: a systematic review
Muula AS, Ngulube TJ, Siziya S, Makupe CM, Umar E, Prozesky HW, Wiysonge CS, Mataya RH: BMC Public Health 7:63, 25 April 2007
HIV and AIDS are significant and growing public health concerns in southern Africa. The majority of countries in the region have national adult HIV prevalence estimates exceeding 10 percent. The increasing availability of highly active antiretroviral therapy (HAART) has potential to mitigate the situation. There is however concern that women may experience more barriers in accessing treatment programs than men.
Health worker shortage limits access to HIV/AIDS treatment in Southern Africa
Medecins Sans Frontiers, 24 May 2007
Severe shortages of health staff are compromising the quality and availability of HIV/AIDS care across southern Africa. There is wide acknowledgement of the human resource crisis, but little action on the ground. MSF is urging governments to develop and implement emergency plans to retain and recruit health care workers that include measures to raise pay and improve working conditions.
Knowledge about safe motherhood and HIV/AIDS among school pupils in a rural area in Tanzania
Mushi DL, Mpembeni RM, Jahn A: BMC Pregnancy and Childbirth 7:5, 24 April 2007
The majority of adolescents in Africa experience pregnancy, childbirth and enter motherhood without adequate information about maternal health issues. Information about these issues could help them reduce their pregnancy related health risks. Existing studies have concentrated on adolescents' knowledge of other areas of reproductive health, but little is known about their awareness and knowledge of safe motherhood issues. We sought to bridge this gap by assessing the knowledge of school pupils regarding safe motherhood in Mtwara Region, Tanzania.
New $30 Billion US AIDS money will mean life for millions Worldwide
PRNewswire, 30 May 2007
AIDS Healthcare Foundation endorsed President Bush's efforts to support cost-effective and sustainable programs that provide life-saving Anti-retroviral HIV and AIDS treatment and care globally. The Presidential Emergency Plan for AIDS Relief (PEPFAR) is a $15 billion dollar, five-year global AIDS treatment plan the President first proposed in 2003.
Swaziland: New HIV and AIDS support programme unveiled for truckers
Integrated Regional Information Network (IRIN), 1 June 2007
Swaziland's truck drivers are twice as likely to be HIV-positive than other citizens and are finally to get the programmes required to provide them with treatment and support, a conference was told this week. At the Federation of Swaziland Employers (FSE) conference held in Manzini, 35km east of the capital, Mbabane, it was announced that a comprehensive set of initiatives were to be put in place to test, counsel and treat HIV-positive transportation workers after studies showed "truckers as a group have an HIV infection rate double that of the general population," Khosi Hlatshwayo, coordinator of the FSE’s Business Council HIV/AIDS initiative, said.