New Health Worker Cadre Expands HIV Services in Migori County, Kenya

February 26, 2019Government officials in Migori County, Kenya, have officially recognized 188 HIV testing service (HTS) counselors as a distinct cadre of health worker, meaning that they warrant a dedicated scheme of service like those for other health workers who are engaged in the fight to end the AIDS epidemic. Their decision was prompted by data from the IntraHealth International-developed iHRIS Manage software.Migori County is situated in a region with one of the highest HIV prevalence rates in Kenya and Africa —13.3%, according to the National Aids Control Council 2018. The county has stepped up its efforts to address the pandemic and, as a result, has registered a 32% drop in the total number of new infections over the past two years.HTS counsellors in Migori offer critical services in HIV care and treatment, including testing, partner notification, and linking clients to  medical services. And they contribute to Kenya’s efforts to achieve the UNAIDS 90-90- 90 goals: By 2020, 90% of HIV-positive people will know their status, 90% of people diagnosed with HIV will receive antiretroviral therapy (ART), and 90% of clients on ART will have viral suppression.Migori County has already surpassed the first 90 target by 1% for the adult population.IntraHealth ’sHuman Resources for Health Kenya Programuses the Integrated Human Resources Information Systems (iHRIS) software —including bothiHRIS ManageandiHRIS Train—to help Kenyan counties make d...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Tags: Kenya Human Resources for Health (HRH) Kenya Program HRIS Human Resources Management Source Type: news

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CONCLUSIONS: Understanding an intervention context, and how its features work together to amplify young women's risk in hyper-endemic settings can contribute to sustained momentum in reducing HIV incidence among young women and help to limit the reach of the HIV pandemic into new generations of Africans. PMID: 31328409 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
In this study, we reconstruct the dynamics of dissemination of early divergent non-pandemic subtype B lineages (designated BCAR) in Hispaniola. To this end, we analyzed 127 HIV-1 subtype B pol sequences collected in Haiti between 2009 and 2014, combined with BCAR pol sequences from Haiti (n = 12) and the Dominican Republic (n = 123) previously described. Phylogenetic analyses supported that BCAR strains account for most (>70%) of HIV-1 subtype B infections in Haiti. The BCAR strains from Haiti and the Dominican Republic were highly intermixed among each other, although the null hypothesis of completely random mixing was...
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
Conclusions Apart West Nile virus (78), thousands of congenital microcephaly cases, fetal brain tissue damage and neurological syndromes have been associated with ZIKV infection. Unfortunately, the epidemics of this mosquito born, and a relative stable virus is on a rise. Although congenital microcephaly is a rare disorder however, due to lack of standardized diagnostic test facilities, the incidence in the geographically widespread ZIKV epidemic regions is higher. Animals studies showed that ZIKV is a neurotropic virus. It directly targets the developing embryonic brain cells by inducing apoptosis, cell-cycle arrest, and...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
In this study, we included data previously published by our group from patients followed-up at HFI and all HIV-1 sequences obtained by NGS publicly available. A detailed description of the studied populations can be found in their respective articles (Pessoa et al., 2015, 2016; Alves et al., 2017). We focused on the HIV-1 subtype classification, identification of HIV recombinants and multiple infection investigation for our novel patients. As previous published, the patients from HFI were mostly males (75%) with a median age of 38 years at the time of sample collection. Regarding our new cohort, we also found a prevalence ...
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
(CNN) — From climate change to superbugs, the World Health Organization has laid out 10 big threats to our global health in 2019. And unless these threats get addressed, millions of lives will be in jeopardy. Here’s a snapshot of 10 urgent health issues, according to the United Nations’ public health agency: Not vaccinating when you can One of the most controversial recent health topics in the US is now an international concern. “Vaccine hesitancy — the reluctance or refusal to vaccinate despite the availability of vaccines — threatens to reverse progress made in tackling vaccine-prevent...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health News CNN Local TV Source Type: news
[Swenga] It has been said that Mandela was proud of the progress the international community had made against AIDS when he passed away in 2013. But he also knew from his long political struggle to never celebrate a job before it is finished. The United Nations believes it is possible to end the AIDS epidemic by 2030. This, however, requires un-wavering r commitment from world leaders and other stakeholders in mustering the necessary resources. "The HIV pandemic is not on track to end," a team of doctors warned in t
Source: AllAfrica News: HIV-Aids and STDs - Category: Infectious Diseases Source Type: news
The AIDS and Cancer Specimen Resource (ACSR) has four regional biorepositories (RBRs) in the United States and one in South Africa. The ACSR is funded by the National Cancer Institute (NCI) of the National Institutes of Health (United States) to support investigators studying HIV/AIDS and HIV/AIDS-associated malignancies. The ACSR inventory includes more than 450,000 annotated HIV-positive biospecimens from over 10,000 individuals and 100,000 HIV-negative controls from approximately 4,250 individuals, reflecting the pre-highly active antiretroviral therapy (HAART) and post-HAART era of the HIV epidemic, as well as selected...
Source: Open Journal of Bioresources - Category: Biotechnology Source Type: research
CONCLUSIONS: HIV-related consequences at the individual, household, and community levels have adversely affected how Mfangano communities respond to the HIV/AIDS epidemic. Community-based strategies are needed to address interrelated inequities at multiple levels. Changing community perception may overcome HIV stigma to enable individual readiness to seek care. Access to care and treatment enhances productivity and hence social capital in HIV-affected households. Addressing socioeconomic inequities at the community level increases access to social and instrumental support and, thus, may decrease risk and vulnerability for ...
Source: Progress in Community Health Partnerships - Category: International Medicine & Public Health Tags: Prog Community Health Partnersh Source Type: research
ConclusionHIV/AIDS prevalence, new infection and AIDS-related death are by far higher among adult women than men. While the coverage of treatment and HIV care is equal among both genders. Vulnerable age groups (adolescent females and young women) take the lion ’s share of the new infections and prevalent cases. Therefore due attention is needed to avert gender disparity with a particular emphasis for adolescents and young women.
Source: Archives of Public Health - Category: International Medicine & Public Health Source Type: research
ConclusionsNigeria has made some progress towards achieving CO and sustainability. The country however needs to address financial and human resource gaps through innovative resource mobilization and effective workforce planning. As other countries plan for CO and sustainability, it is important to secure political buy-in and adopt a working definition for CO and sustainability while resource mobilization and workforce planning should be prioritized.
Source: Journal of Pharmaceutical Policy and Practice - Category: Pharmaceuticals Source Type: research
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