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Results for "ART"
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Staying Healthy and Reducing Transmission
"Me, I try to tell the man that, 'In this house we have been found with this problem. We should accept it. I should not point a finger at you. You, too, should not point a finger at me. Just buy your protection.' And so, little by little what he does now is different from what he did in the past." --Malawi woman living with HIV (Mkandawire-Valhmu and Stephens, 2010: 691)Successfully treated peo...
Providing clinic services that are youth-friendly, conveniently located, affordable, confidential and non-judgmental, can increase use of clinic reproductive health services, including HIV testing and counseling and treatment services
Increasing Access to Services
7 studies
Gray
IIIb, IV
HIV testing, STIs, South Africa and Swaziland, Zimbabw, adolescents, health services, mass media, providers, support, treatment, youth
Botswana, Kenya, Madagascar, Malawi, Mozambique, Rwanda, Tanzania, Uganda, Zimbabwe
Providing peer support, information and skills-building support to people living with HIV can reduce unprotected sex.
Staying Healthy and Reducing Transmission
7 studies
Gray
I, II, IIIa, IIIb, V
condom use, counseling, sex behavior, sexual partners, support, support groups, treatment, violence
Ethiopia, Nigeria, Rwanda, South Africa, Uganda, United States, Zambia
PMTCT-Plus (family-focused) HIV care can increase the numbers of women and their partners who access treatment and remain adherent. Note: This should not be implemented in any way that prejudices women who do not want to disclose to partners (see overview).
Antenatal Care - Treatment
4 studies
Gray
IIIa, IIIb
PMTCT Plus, PMTCT-Plus, pregnancy, treatment
Africa, Botswana, Côte d’Ivoire, South Africa, Tanzania, Uganda, Zambia
Antenatal Care - Treatment
Antiretroviral treatment (ART) for women living with HIV is vital to ensuring safe motherhood and reducing vertical transmission. But not all pregnant women access treatment. For women in high-income countries where access to triple therapy during pregnancy has been the standard of care and is near universal, rates of vertical HIV transmission are as low as 0.4%, for example, in Canada (Forbes ...
Preventing, Detecting and Treating Critical Co-Infections
Certain infections can be significantly more severe and lead to early death for people living with HIV. Tuberculosis (TB) has become the leading cause of death for those living with HIV. Malaria can have serious impacts on pregnant women. Co-infection with hepatitis B virus (HBV) and/or hepatitis C virus (HCV), if untreated, increases the risk of non-liver and liver-related illness and death in...
Peer counseling by mother mentors may improve treatment adherence among pregnant women living with HIV.
Antenatal Care - Treatment
6 studies
Gray
II, IIIa, IIIb, IV, V
adherence, peer support, pregnancy, treatment
Ethiopia, Kenya, Malawi, Namibia, Nigeria, South Africa, Uganda
Adherence and Support
"I'm 18 years, you are telling me drugs for life?" --Woman living with HIV in Uganda (Hsieh, 2013: 11)Treatment adherence is necessary to continually suppress the virus. Adherence to ART leads to better virological outcomes, prevents disease progression and improves survival (Nachega et al., 2010a; Nachega et al., 2010c). Conversely, inadequate adherence leads to drug resistance, which can then...
Preventing unintended pregnancies can reduce perinatal transmission.* [See also %{c:15}]
Preventing Unintended Pregnancies
4 studies
Gray
V
PMTCT, contraception, family planning, pregnancy, treatment
Botswana, Cameroon, Côte d’Ivoire, Democratic Republic of Congo, Ethiopia, Guyana, Haiti and Vietnam, India, Kenya, Malawi, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Zambia, Zimbabwe
Treatment support sessions can increase adherence among adolescents.
Increasing Access to Services
5 studies
Gray
II, IIIb, V
adherence, adolescents, parents, reatment, support, testing, treatment, ttesting
South Africa, Thailand, Zambia, Zimbabwe
Women Who Use Drugs and Female Partners of Men Who Use Drugs
Despite injecting drug use being a main driver of the HIV epidemic in many parts of the world, evaluated tailored responses for women who use drugs or for female sexual partners of men who use drugs have not matched the needs of this population. Injecting drug use is globally widespread and the main driver of the HIV epidemic in some parts of the world. Approximately 16 million people in 148 co...
Women and Girls
By all estimates, most care and support is provided in the home and women provide two-thirds or more of that care and support (Ogden et al., 2006; Homan et al., 2005b; Akintola, 2006; UN, 2008b; Nyangara et al., 2009b; Surkan et al., 2010). However, this means that one-third of care and support is provided by men, and some have argued that making this more visible can shift gender norms and inc...
Increasing Access to Services
While the literature on access to HIV services by adolescents is limited, the literature on access to sexual and reproductive health services more broadly demonstrates that youth-friendly approaches can increase use of reproductive health care services by female adolescents (Gay et al., 2015). Young peoples service needs are frequently overlooked in HIV programming that is not specifically for ...
Treatment as Prevention
Antiretroviral medication has been successfully used in a number of ways: first and foremost to treat those with high viral load and diminishing CD4 counts; secondly to prevent vertical transmission of HIV from pregnant and breastfeeding women to their infants; third, as a prophylactic for those who have been exposed to HIV occupationally or through sexual assault (post-exposure prophylaxis, PE...
Frequent viral load monitoring can result in better health outcomes, including improved adherence and early identification of drug resistance.
Adherence and Support
3 studies
Gray
IIIb
Europe and Canada, Mali, adherence, and France, the United States, treatment, viral load monitoring
Burkina Faso, Cameroon, Haiti, India, Malawi, South Africa, Swaziland, Thailand, Uganda, Zimbabwe
Integrating HIV services with family planning, maternal health care or within primary care facilities can increase uptake of HIV testing and treatment and other reproductive health services. [See also %{s:45}]
Structuring Health Services to Meet Women’s Needs
9 studies
Gray
IIIa, IIIb, IV
CD4 counts, HAART, HIV testing, TB, abortion, condom use, contraception, family planning, health facilities, pregnancy, testing, treatment
Cambodia, Kenya, Mozambique, Nigeria, South Africa, Tanzania, Zambia
