Rosa Pedro, uma mãe de duas crianças pequenas que vive em Angola, sabia que estava a morrer. Ela começou a ter problemas de saúde em 2002 e o médico que lhe fez a consulta aconselhou-a a fazer o teste VIH. Foi a primeira vez que a Rosa ouviu falar do VIH – um boato no bairro espalhava que as pessoas diagnosticadas como Sero-positivas eram levadas ao hospital e deixadas lá para morrer. Ela recusou o teste e foi para casa. Meses mais tarde, Rosa teve uma gravidez difícil: ela estava frequentemente doente e tinha infecções de transmissão sexual.
What do you associate with the word “agent”? It is a word used in the fields of philosophy, chemistry, economics, and law enforcement (think 007). While used in a wide variety of contexts, its meaning stays consistent and involves an element of action. In philosophy, “agent” refers to “an entity which is capable of action”; in chemistry, “any power, principle, or substance by which something is accomplished.” Angola uses this term to refer to those who work to improve health in communities, and these community health agents are an important part of the country’s healthcare provision.
Rosa Pedro, a mother of two young children living in Angola, knew she was going to die. She started having health problems in 2002, and the doctor she consulted advised her to take an HIV test. This was the first time Rosa had heard about HIV—one local rumor was that those diagnosed as HIV-positive were taken to the hospital, and left to die. She declined the test and went home. Months later, Rosa experienced a difficult pregnancy: she was frequently ill and had sexually transmitted infections. Her baby was sickly and malnourished, and died at 9 months old.
In Zambia’s Southern Province, the Community PMTCT Follow-up Register Project is improving access and adherence to HIV testing and treatment for pregnant women and their children. The program works through a specialized register and uses outreach and follow-up by trained lay counselors to enhance community understanding of HIV and increase the use of HIV services by women and their infants.
Matching Supply with Demand: Scaling Up Voluntary Medical Male Circumcision in Tanzania and Zimbabwe
In order to improve voluntary medical male circumcision (VMMC) service uptake and target demand creation activities more effectively, clients currently accessing and receiving VMMC services should be better characterized by their demographic, socioeconomic, and sexual risk behaviors. This case study of VMMC programs in the Iringa Region of Tanzania and Zimbabwe describes both the age distribution of clients accessing different VMMC services in both areas and the demand creation and supply side activities that country programs have implemented to increase service uptake by target clients.
Community-based early childhood development (ECD) centers can be an important focal point for delivering comprehensive services to young children while enhancing the capacity of caregivers, families, and communities to support young children's development. When done well, these programs can be sustainable because of their emphasis on fostering community ownership. This issue paper is intended to provide OVC program managers with examples of best practices in community-based ECD center programming to best meet the children they serve.