high-burden settings

The global response and unmet actions for HIV and sex workers

Author
Kate Shannon, Anna-Louise Crago, Stefan D Baral, Linda-Gail Bekker, Deanna Kerrigan, Michele R Decker, Tonia Poteat, Andrea L Wirtz, Brian Weir, Marie-Claude Boily, Jenny Butler, Steffanie A Strathdee, Chris Beyrer

Female, male, and transgender sex workers continue to have disproportionately high burdens of HIV infection in low-income, middle-income, and high-income countries in 2018. 4 years since our Lancet Series on HIV and sex work, our updated analysis of the global HIV burden among female sex workers shows that HIV prevalence is unacceptably high at 10·4% (95% CI 9·5–11·5) and is largely unchanged. Comprehensive epidemiological data on HIV and antiretroviral therapy (ART) coverage are scarce, particularly among transgender women.

Include in home page features rotation
Off

Progress of UNAIDS 90-90-90 targets in a district in KwaZulu-Natal, South Africa, with high HIV burden, in the HIPSS study: a household-based complex multilevel community survey

Is the resource available on the Internet?
Yes
Author
Anneke Grobler, Cherie Cawood, David Khanyile, Adrian Puren, Ayesha B M Kharsany

With the goal of eliminating new HIV infections, UNAIDS set the ambitious 90-90-90 targets to be achieved by 2020. We assessed whether these targets are being met among participants of the HIV Incidence Provincial Surveillance System (HIPSS) in a high-burden district of South Africa.

Unfortunately, the study found that none of the 90-90-90 targets had been met in the study population. This reveals that major campaigns are needed to increase HIV testing, especially among men, and to ensure all HIV-positive patients are taking ART.

Include in home page features rotation
Off

Building from the HIV Response toward Universal Health Coverage

Is the resource available on the Internet?
Yes
Author
Jonathan Jay, Kent Buse, Marielle Hart, David Wilson, Robert Marten, Scott Kellerman, Morolake Odetoyinbo, Jonathan D. Quick, Timothy Evans, Peter Piot, Mark Dybul, Agnes Binagwaho

Universal health coverage (UHC) has gained prominence as a global health priority. The UHC movement aims to increase access to quality, needed health services while reducing financial hardship from health spending, particularly in low- and middle-income countries.

As a policy agenda, UHC has been identified primarily with prepayment and risk-pooling programs. While financing policies provide important benefits, increasing access to health services will require broader reforms.

Include in home page features rotation
Off

Botswana's progress toward achieving the 2020 UNAIDS 90-90-90 antiretroviral therapy and virological suppression goals: a population-based survey

Is the resource available on the Internet?
Yes
Author
Gaolathe, Tendani et al.

Background

HIV programmes face challenges achieving high rates of HIV testing and treatment needed to optimise health and to reduce transmission. We used data from the Botswana Combination Prevention Project study survey to assess Botswana's progress toward achieving UNAIDS targets for 2020: 90% of all people living with HIV knowing their status, 90% of these receiving sustained antiretroviral therapy (ART), and 90% of those having virological suppression (90-90-90).

Methods

Include in home page features rotation
Off

The transmission of Mycobacterium tuberculosis in high burden settings

Is the resource available on the Internet?
Yes
Author
Dr Tom A Yates, MSc, Palwasha Y Khan, MBBCh, Gwenan M Knight, PhD, Jonathon G Taylor, PhD, Prof Timothy D McHugh, PhD, Marc Lipman, MD, Richard G White, PhD, Ted Cohen, MD, Prof Frank G Cobelens, PhD, Prof Robin Wood, DSc [Med], Prof

Unacceptable levels of Mycobacterium tuberculosis transmission are noted in high burden settings and a renewed focus on reducing person-to-person transmission in these communities is needed. We review recent developments in the understanding of airborne transmission. We outline approaches to measure transmission in populations and trials and describe the Wells–Riley equation, which is used to estimate transmission risk in indoor spaces.

Include in home page features rotation
Off
Subscribe to high-burden settings