Showing 1 - 20 of 63 Results for "scale up"

Results

National scale-up of cART in pregnancy improves maternal and infant outcomes.
Antenatal Care - Treatment
4 studies Gray IIIb Jamaica, pregnancy, scale up, treatment Malawi, South Africa, Ukraine
Interventions are needed to scale up CD4 count screening, especially for pregnant women. [See %{s:49}]
Structuring Health Services to Meet Women’s Needs
1 study
Scaling up PMTCT programs increases the number of women who know their serostatus and improves HIV knowledge.
Structuring Health Services to Meet Women’s Needs
3 studies Gray IV, V HIV testing, PMTCT, antenatal care, treatment Cameroon, Côte d’Ivoire
Successful efforts to increase educational attainment for girls, particularly to secondary school, must be scaled up. [See also %{s:73}] Studies and surveys found that in some regions girls lag behind boys in educational attainment.
Advancing Education
1 study
Monitoring for drug resistance in low- and middle-income countries is needed during Option B+ scale up. Studies are finding drug resistance among women who are initiating cART or who have initiated cART
Antenatal Care - Treatment
1 study
Interventions to increase the knowledge of people living with HIV — especially women — regarding their rights and provision of resources for them to access and claim these rights need to be scaled up. Studies found that women had insufficient knowledge of their legal rights and no resources to claim their legal rights.
Advancing Human Rights and Access to Justice for Women and Girls
1 study
Expansion and scaling up of interventions promoting economic opportunities for women are needed to increase their ability to refuse unsafe sex and reduce stigma for women living with HIV. Studies found that lack of income, food and jobs forced women to sell sex to survive, placing them at risk of HIV acquisition.
Promoting Women’s Employment, Income and Livelihood Opportunities
1 study
Interventions are needed to scale up and increase access to methadone and buprenorphine—effective agonist therapy for the treatment of drug dependence, as well as needle exchange/distribution programs. Studies found only tiny fractions of those who need maintenance medication had access. A study found that user fees for methadone maintenance programs presented a barrier to access to care. In places where no needle exchange programs are operating, high rates of borrowing of used syringes occur, placing IDUs at high risk of acquiring HIV.
Women Who Use Drugs and Female Partners of Men Who Use Drugs
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
Accurate testing techniques for infants may inform infant feeding. Studies note that rapid scale up of early infant diagnosis is needed in low-resource settings in order to access treatment and care as soon as possible. [For WHO guidance on HIV testing in infants see: www.who.int/hiv/topics/vct/toolkit/additional_resources/children/en/]
Postpartum
1 study
Interventions are needed to scale up CD4 count screening, especially for pregnant women. A study found that several barriers limited CD4 cell count screening in rural areas, including “availability of laboratories equipped to perform CD4 cell count enumeration, reagent stockouts, and lack of sample transport systems” (Carter et al., 2010: 408). For mothers with CD4 counts above 500, there may be a low risk of HIV transmission through breastfeeding, though further research is necessary.
Postpartum
1 study
Changing the gender norms that can lead to increased risks of HIV such as those dictating multiple sexual partners, the use of violence, or drinking heavily for men and sexual ignorance, submissiveness and dependency for women and girls is a current challenge. Further well-evaluated interventions are needed and existing interventions need to be scaled up. Studies found that women were aware of being at risk for HIV yet felt they had no power to negotiate the terms of sex or to demand condom use. Studies found that both men and women thought multiple sexual partners for men to be an accepted norm in many countries. Media reinforced these gender stereotypes.
Transforming Gender Norms
1 study
Increased employment opportunities, microfinance, or small-scale income-generating activities can reduce behavior that increases HIV risk, particularly among young people.*
Promoting Women’s Employment, Income and Livelihood Opportunities
4 studies Gray II, IIIb HIV testing, Republic of Congo, condoms, employment, microfinance, risk behavior, sex behavior, training programs, youth Haiti, South Africa
High ART coverage may reduce the number of new and recurrent TB cases.
Tuberculosis
2 studies Gray IIIb TB, treatment Malawi, Zimbabwe
Decentralization of health services may increase adherence and early access to ART.
Structuring Health Services to Meet Women’s Needs
3 studies Gray IIIb CD4 counts, adherence, health facilities, treatment Cameroon, Malawi, South Africa
Routine screening and treatment of TB and HIV patients in endemic countries can increase detection of co-infection and increase patient survival.
Tuberculosis
3 studies Gray II, IIIb TB, screening, treatment Brazil, Rwanda, Sub-Saharan Africa
Care and Support
Care and support generally includes both care of people living with HIV and AIDS and of families and children affected by HIV and AIDS. UNAIDS includes in its definition home- and community-based care (HCBC), palliative care, psychological support, carer support, and nutrition support. Among these, HCBC is meant to be the foundation on which national antiretroviral treatment programmes are buil...
Conditional cash transfers can enable girls to stay in school and may result in reduced incidence of HIV. [See also %{s:63}]
Advancing Education
1 study Gray II cash transfers, education, sexual behavior Malawi
Mass media interventions can increase the numbers of individuals and couples accessing HIV testing and counseling.
HIV Testing and Counseling for Women
3 studies Gray I, IIIb HIV testing, counseling, mass media Kenya, Tanzania
Microfinance programs can lead to reduction in gender-based violence when integrated with participatory training on HIV, gender, and violence.
Addressing Violence Against Women
1 study Gray II gender norms, microfinance, self-perception, violence South Africa