Resource Library

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: 

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.

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…

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…

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…

Recent developments in health practices that were once in the full control of healthcare professionals and can now be safely self-administered have created a shift in thinking about how individuals engage in self-care. New commodities and drug regimens for self-management and self-testing,…

In 2016, the United Nations General Assembly’s Political Declaration on Ending AIDS committed countries to the 90–90–90 targets, which aim to bring HIV testing and treatment to the vast majority of people living with HIV by the end of 2020 and to reduce the amount of HIV in their bodies to…

September 22, 2020

What is an Ideal Clinic?

An Ideal Clinic is defined as a clinic with good infrastructure, adequate staff, adequate medicine and supplies, good administrative processes, and sufficient adequate bulk supplies. It uses applicable clinical policies, protocols and guidelines…

Global action to combat HIV/AIDS has had an immense impact in the African Region. By the end of 2017, 15.3 million people living with HIV (PLHIV) in the African Region were accessing life-saving antiretroviral drugs (ARVs), representing 70% of the 21.7 million people accessing antiretrovirals (…

Background: 

Undetermined attrition prohibits full understanding of the coverage and effectiveness of HIV programs. Outcomes following loss to follow-up (LTFU) among antiretroviral therapy (ART) patients may differ according to their reasons for ART initiation.

Background

HIV-1 risk scoring tools could help target provision of prevention modalities such as pre-exposure prophylaxis. Recent research suggests that risk scores for women aged 18–45 may not predict risk well among young women aged 18–24. We evaluated the predictive…

Introduction

There is a growing interest in adolescent motherhood and HIV among policymakers and programme implementers. To better shape services and health outcomes, we need evidence on reproductive aspirations and contraception use in this high‐risk…

The COVID-19 pandemic has exposed the inadequacy of investments in public health, the persistence of profound economic and social inequalities and the fragility of many key global systems and approaches.

Given the epic dimensions of the emergency, the world needs unity and solidarity—led…

 

To mark International Self-Care Day, Population Services International and partners under the Self-Care Trailblazers Working Group are sharing a new Quality of Care Framework for Self-Care to help health systems monitor and support clients accessing health care on their own—without…

Tuberculosis (TB) is the leading infectious cause of death among people living with HIV, causing one third of AIDS-related deaths globally. The concerning number of missing TB cases, ongoing high TB mortality, slow reduction in TB incidence, and limited uptake of TB preventive treatment among…