Resource Library

The USAID- and PEPFAR-supported EpiC project was pleased to host a webinar series on how to deliver HIV services using online and virtual platforms. This series offers practical skills building for various approaches outlined in FHI 360’s Vision for …

Introduction

South Africa’s National Department of Health launched the National Adherence Guidelines for Chronic Diseases in 2015. These guidelines include adherence clubs (AC) and decentralized medication delivery (DMD) as two differentiated models of care for stable…

The State of the World’s Nursing 2020 report provides the latest, most up-to-date evidence on and policy options for the global nursing workforce. It also presents a compelling case for considerable – yet feasible – investment in nursing education, jobs, and leadership.

The…

Background: 

With countries moving toward the World Health Organization's “Treat All” recommendation, there is a need to initiate more HIV-infected persons into antiretroviral therapy (ART). In resource-limited settings, task shifting is 1 approach that can address …

Background: 

Dynamic movement of patients in and out of HIV care is prevalent, but there is limited information on patterns of patient re-engagement or predictors of return to guide HIV programs to better support patient engagement.

Methods: 

PEPFAR's annual report, addressing progress toward achievement of HIV epidemic control, using data to drive impact and address key gaps, and delivering on the program's mission. Sections include:

  • increasing the impact and cost-effectiveness of every dollar invested

Background: 

HIV differentiated service delivery (DSD) models are scaling up in resource-limited settings for stable patients; less is known about DSD outcomes for patients with viremia. We evaluated the effect on viral suppression (VS) of a streamlined care DSD model…

Background: 

The impact of HIV stigma on viral suppression among people living with HIV (PLHIV) is not well characterized.

Setting: 

Twenty-one communities in Zambia and South Africa, nested within the HPTN 071 (PopART) trial.

Guidance from the World Health Organization (WHO) supports provision of PrEP to pregnant and breastfeeding women (PBFW) who are at continuing substantial risk of HIV infection. Evidence has shown that women are at increased risk of HIV acquisition during pregnancy and breastfeeding, and that…

Introduction

Women in sub‐Saharan Africa spend a substantial portion of their reproductive lives pregnant and/or breastfeeding (P/BF), yet they have limited options to prevent HIV during these maternal stages. In preparation for phase 3b prevention trials in P/BF women,…

In 2017, the President’s Emergency Plan for AIDS Relief (PEPFAR) in Malawi received funding for the recruitment and deployment of health workers to 63 selected PEPFAR priority sites located in areas with the highest HIV…

Objective 

We used screening data and routine clinic records for intervention arm patients in the Simplified Algorithm for Treatment Eligibility (SLATE) trials to describe the prevalence of tuberculosis (TB) symptoms, diagnosis and treatment among people living with HIV…

Introduction

Home‐based HIV testing fails to reach high coverage among adolescents and young adults (AYA), mainly because they are often absent during the day of home‐based testing. ADORE (ADolescent ORal tEsting) is a mixed‐method nested study among AYA in rural Lesotho…

Recognizing the urgent need to advance the COVID-19 pandemic response, the IAS COVID-19 Conference: Prevention will feature the latest in prevention related science, policy and practice. The conference will take place virtually on Tuesday, 2 February 2021 – and will include…

Introduction: Multimonth dispensing (MMD) of antiretroviral treatment (ART) aims to reduce patient-related barriers to access long-term treatment and improve health system efficiency. However, randomized evidence of its clinical effectiveness is lacking. We compared MMD within…

Background: Differentiated antiretroviral therapy (ART) delivery models, in which patients are provided with care relevant to their current status (e.g., newly initiating, stable on treatment, or unstable on treatment) has become an essential part of patient-centered health…

Background: 

A strategy of pre-exposure prophylaxis (PrEP) transitioning to treatment as prevention is highly efficacious and cost effective for prevention of HIV transmission within HIV serodiscordant couples. We assessed whether couples in Kenya and Uganda who adopted…

Introduction: 

HIV self-testing (HIVST) is an alternative strategy for reaching population subgroups underserved by available HIV testing services. We assessed individual factors associated with ever HIVST within a community-based program in Malawi.

Several countries in sub-Saharan Africa are implementing decentralized drug distribution (DDD) models to make HIV treatment services more convenient for patients while reducing the burden on health systems. To support these efforts, the USAID- and PEPFAR-supported Meeting Targets and Maintaining…

As the gap to reaching targets of controlling and eliminating the HIV pandemic closes, the difficulty to achieve them increases. Achieving aggressive treatment targets will require continued innovation of personalized and differentiated care models, and the proliferation data-driven approaches…

Adolescents are developmentally at a difficult crossroads, which makes it challenging to attract and sustain adolescents’ focus on maintaining their health. Every effort must be made to engage and retain adolescents in care so they can improve and maintain their health for the long term.

Introduction

Young women in Southern Africa have extremely high HIV incidence rates necessitating the availability of female‐controlled prevention methods. Understanding adolescent preference for seeking contraception would improve our understanding of…

October 8, 2020

The DREAMS initiative is a PEPFAR-funded programme that uses a multi-sectoral approach to prevent HIV/AIDS among adolescent girls and young women (AGYW) and their male sex partners (MSPs).

In South Africa, HIV rates among AGYW ages 15-19 years old are eight times higher than among their…

Introduction

Men who have sex with men (MSM) and transgender women (TGW) are at increased risk for acquiring HIV, but there are limited HIV incidence data for these key populations in Africa. Understanding HIV prevalence and incidence provides important…

Introduction

Some observational data suggest that the progestogen injectable contraceptive depot medroxyprogesterone acetate (DMPA) may increase a woman’s risk of HIV acquisition but a randomized clinical trial did not find a statistically significant…

Background: 

Epidemiological data are needed to characterize the age-specific HIV burden and engagement in HIV services among young, marginalized women in sub-Saharan Africa.

Setting: 

Women aged ≥18 years who reported selling sex were…

In this webinar, Bhekisisa editor, Mia Malan, is in conversation with an Eastern Cape COVID doctor, HIV physician and a psychiatrist about the mental health challenges epidemics pose to health workers.

***This webinar was presented in partnership with the Healthcare Workers Care…

South Africa is committed to attaining the UNAIDS 909090 targets to control the HIV epidemic through quality comprehensive health services and use of highly effective antiretroviral treatment (ART). The principal goal of ART is to attain and maintain viral suppression, which will decrease…