Narrow Your Results

Strategy

Sections

Keywords

Places

Gray Ratings

Showing 81 - 100 of 236 Results for "treatment"

Results

In addition to the use of antiretroviral drug regimens for either treatment of the mother’s health or prophylaxis to prevent mother-to-child transmission of HIV, elective cesareans (if safely available) may further reduce the risk of vertical transmission.
Delivery
2 studies Gray IIIb, V HAART, PMTCT, cesarean section, delivery Brazil
Conducting HIV testing and counseling for women who bring their children for immunization can increase the number of women accessing testing and treatment services. [See also %{c:11} and %{c:25}]
Postpartum
4 studies Gray II, IIIb, V HAART, HIV testing, PMTCT, breastfeeding, health facilities, immunization, testing, treatment Botswana, Malawi, South Africa, Tanzania, Uganda
Information systems need better data on distribution of services, effectiveness of services, and how well services are matched to populations and subpopulations in need of HIV treatment and care. A review of PEPFAR data plus site visits to 13 PEPFAR partner countries plus 400 interviews found a lack of data on distribution of services and effectiveness of services for treatment of people living with HIV.
Provision and Access
1 study
HIV surveillance systems do not count those over age fifty, particularly women, and treatment guidelines are missing for this age group. Currently, 4.2 million people live with HIV globally with increasing numbers of people over the age of 50 living with HIV. Few studies assess prevalence among women above age 50. Integration of treatments for common chronic diseases of old age will need to be integrated into HIV services.
Provision and Access
1 study
Scale up of testing is needed with competent staff and labs in order to assess CD4 counts and link those who test HIV-positive to treatment. Studies are finding that in some countries, those who test HIV-positive are presenting with AIDS and that patients do not initiate ART despite eligibility. Those who test HIV-positive yet not eligible to receive antiretroviral therapy according to their national guidelines often did not remain in care until they were eligible for treatment.
Provision and Access
1 study
Further operations research is needed on the optimal collaboration between HIV treatment facilities and community-based organizations, including cost-effectiveness data. A review of the global evidence found that more information is needed on which interventions are most effectively provided in communities as compared to HIV treatment facilities, and how a patient's integrated needs can be best met as a continuum of care.
Adherence and Support
1 study
Efforts are needed to eliminate compulsory drug detention and instead, provide PWID with HIV prevention and testing services and effective drug dependency treatment by medical professionals. Detention centers are administered by police, military or other national government public security authorities and operate outside the form criminal justice system with detainees held without trial or right of appeal and those detained do not allow people to leave voluntarily (Wolfe, 2012). Studies found that women who use drugs were not given reproductive health services, including PMTCT services in compulsory detention and/or prison settings. Detoxification programs were substandard and ineffective. Despite high rates of HIV, antiretroviral treatment is largely unavailable in compulsory drug detention centers. One study found high rates of injecting drug use within prison and high rates of syringe sharing within prisons plus incarceration was not associated with reduction in drug use, with over a quarter of these female drug users. PWID in and out of prison who have started antiretroviral treatment should be able to continue treatment with access to medical supervision. Treatment in compulsory drug detention takes the form of sanction rather than therapy, with high relapse rates.
Women Who Use Drugs and Female Partners of Men Who Use Drugs
1 study
A combination of infection control strategies may significantly reduce the rate of TB transmission, including drug-resistant TB, in high-risk, low-resourced health care settings. A mathematical model was created to simulate TB transmission in high TB/HIV prevalent settings. The model showed that masks alone would prevent 10% of new transmission in an overall epidemic, but could prevent a large proportion of XDR-TB cases among hospital staff. The combination of mask and reduced hospitalization with a shift to outpatient treatment could prevent nearly one-third of XDR-TB cases. Approximately 48% of XDR-TB cases could be averted by the end of 2012, if a combination of mask, reduced hospitalization with shift to outpatient treatment, improved ventilation, rapid drug resistance testing, HIV treatment and TB isolation facilities for highly infectious patients were implemented.
Structuring Health Services to Meet Women’s Needs
1 study
Repealing laws, policies and practices that criminalize same-sex sexual activity and exacerbate stigma and discrimination against LGBT communities can promote greater access to HIV prevention, treatment and care among MSM and, more broadly, LGBT communities.
Advancing Human Rights and Access to Justice for Women and Girls
2 studies Gray IV, V MSM, criminal law, stigma and discrimination
Efforts are needed to reform laws that criminalize drug use and/or drug possession for personal use and to eliminate compulsory drug detention and instead, provide people who use drugs with access to HIV and health services, including harm reduction, and voluntary, effective evidence-based drug dependency treatment. Detention centers are administered by police, military or other national government public security authorities and operate outside the formal criminal justice system with detainees held without trial or right of appeal; those detained are not allowed to leave voluntarily (Wolfe, 2012). Studies found that female IDU were not given reproductive health services, including PMTCT services in compulsory detention and/or prison settings. Detoxification programs were substandard and ineffective. Despite high rates of HIV, antiretroviral treatment is largely unavailable in compulsory drug detention centers. IDUs who have started antiretroviral treatment should be able to continue treatment in prison with access to medical supervision. [See also %{s:11}]
Advancing Human Rights and Access to Justice for Women and Girls
1 study
Interventions are needed to improve quality of HIV treatment and care within health services. Studies found that guidelines for counseling were missing from facilities and that clients were referred for HIV testing and counseling in geographically distant locations based on donor preference.
Structuring Health Services to Meet Women’s Needs
1 study
Prevention and treatment information and services are needed for women and young people in crises-affected settings, particularly at the end of an armed conflict. Studies found low levels of HIV knowledge and condom use among IDPs. End of war may increase HIV transmission. Issues concerning HIV should be included in resettlement plans.
Women and Girls in Complex Emergencies
1 study
HIV prevention interventions and treatment programs are needed for transgender people. Studies found that despite high rates of HIV, few prevention interventions are for transgender people. Studies showed that providers refused transgender people any services.
Transgender Women and Men
1 study
HIV prevention programs are needed for WSW. Studies found that no training programs addressed the HIV-related needs of WSW, health providers discriminated against WSW and were refused treatment. WSW did not tell providers their sexual orientation and/or their relationships with men due to a need for non-judgmental services.
Women Who Have Sex With Women (WSW)
1 study
While mobile phones have been shown to be effective in increasing adherence for adults on antiretroviral therapy, more implementation science research is needed on how to effectively employ mobile phones and websites for adolescent HIV prevention, treatment and care and whether adolescents have adequate access via mobile phones.
Mitigating Risk
1 study
Treatment programs that meet the needs of key populations such as sex workers and trans populations are needed. Recent WHO guidelines (WHO, 2014b) have noted that key populations living with HIV should have the same access to ART and ART management as other populations.
Provision and Access
1 study
Legislation and enforcement of legislation that prohibits employment discrimination against people living with HIV is needed so that accessing HIV care is not seen as jeopardizing one's livelihood. Studies found that those who feared that they would lose their employment if found to be taking ARVs discontinued treatment.
Adherence and Support
1 study
Additional efforts are needed in implementing viral load monitoring to increase adherence. A study found that viral load failure was identified a median of 10.4 months earlier through viral load testing as compared to CD4 testing. CD4 testing did not identify almost half of the patients in a large cohort experiencing treatment failure.
Adherence and Support
1 study
Increased detection of acute infection, along with immediate, effective counseling and support is needed. A trial is underway in Botswana to identify those with high viral loads to initiate treatment (Novitsky et al., 2010 cited in Delva and Abdool Karim, 2014).
Staying Healthy and Reducing Transmission
1 study
Policy guidelines, including service delivery guidelines, need to specify how contraception should be addressed in HIV prevention, treatment and care. Studies found that many guidelines did not explicitly address family planning in VCT and PMTCT guidelines and that providers and policymakers felt they had insufficient knowledge.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study