What impact could DMPA use have had in South Africa and how might its continued use affect the future of the HIV epidemic?

CONCLUSIONS: If there is a causal association between DMPA use and HIV risk, it could have substantially increased the scale of the HIV epidemic in South Africa, affecting not only the users of DMPA, but also their partners and the wider population. The magnitude of this potential effect demands careful data collection and a careful consideration of policy choices for contraception in settings with large HIV epidemics. PMID: 31729195 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research

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[WHO] Over the years, HIV control strategies and approaches in Zimbabwe have evolved to address the changes in the epidemic and according to new evidence. Due to this evolution, the country has ended up with many vertical sub-programs under the HIV program including Care and treatment, HIV Testing Services, Voluntary medical male circumcision (VMMC), Sexually transmitted infections (STIs) and Prevention of mother-to-child transmission (PMTCT) among others. Until now, each of these programs has had separate plann
Source: AllAfrica News: HIV-Aids and STDs - Category: Infectious Diseases Source Type: news
[WHO] The HIV epidemic in Zimbabwe has evolved over the years. The overall HIV prevalence for adults aged 15-49 has fallen to 14.0% in 2016, from 18.1% in 2005 (source: Zimbabwe Demographic and Health Survey). Over the years the Ministry of Health and Child Care (MOHCC) with the support of its partners has implemented multiple interventions including HIV Testing Services, Voluntary Medical Male Circumcision, Pre-Exposure prophylaxis for HIV, Sexually Transmitted Infections, Elimination of Mother to Child Transmi
Source: AllAfrica News: HIV-Aids and STDs - Category: Infectious Diseases Source Type: news
Publication date: Available online 15 September 2019Source: The Lancet HIVAuthor(s): Joseph Kagaayi, Larry W Chang, Victor Ssempijja, M Kate Grabowski, Robert Ssekubugu, Gertrude Nakigozi, Godfrey Kigozi, David M Serwadda, Ronald H Gray, Fred Nalugoda, Nelson K Sew.ambo, Lisa Nelson, Lisa A Mills, Donna Kabatesi, Stella Alamo, Caitlin E Kennedy, Aaron A R Tobian, John S Santelli, Anna Mia Ekström, Helena NordenstedtSummaryBackgroundTargeting combination HIV interventions to locations and populations with high HIV burden is a global priority, but the impact of these strategies on HIV incidence is unclear. We assessed t...
Source: The Lancet HIV - Category: Infectious Diseases Source Type: research
Purpose of review This review summarizes key HIV prevention strategies in the 2020 toolkit and discusses opportunities to maximize the public health impact of these prevention interventions at a population level. Recent findings HIV prevention has relied on counseling, HIV testing, and condom distribution for the past three decades. Recent exciting work has provided evidence on effective HIV prevention interventions, including antiretroviral therapy for HIV prevention, expanding preexposure prophylaxis modalities, and voluntary medical male circumcision which all reduce individual-level HIV risk. Efficient service-del...
Source: Current Opinion in HIV and AIDS - Category: Infectious Diseases Tags: CONCENTRATED EPIDEMICS: Edited by Sheena McCormack, Rachel Baggaley and Kevin M. DeCock Source Type: research
Authors: Phillips AN, Cambiano V, Nakagawa F, Bansi-Matharu L, Wilson D, Jani I, Apollo T, Sculpher M, Hallett T, Kerr C, van Oosterhout JJ, Eaton JW, Estill J, Williams B, Doi N, Cowan F, Keiser O, Ford D, Hatzold K, Barnabas R, Ayles H, Meyer-Rath G, Nelson L, Johnson C, Baggaley R, Fakoya A, Jahn A, Revill P Abstract INTRODUCTION: As prevalence of undiagnosed HIV declines, it is unclear whether testing programmes will be cost-effective. To guide their HIV testing programmes, countries require appropriate metrics that can be measured. The cost-per-diagnosis is potentially a useful metric. METHODS: We simulate...
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
This report comes as it is announced South Africa has attained the UN goal of 90-90-90 diagnosis-treatment-suppression of HIV ahead of the 2020 objective. Pakistan’s recent leap away from that target illustrates the profound disparity in treatment and prevention of HIV across the globe. On April 25th, a number of children from Larkana, a city in the north-west of the Sindh province of Pakistan, were referred for HIV testing after they exhibited a persistent fever. An initial HIV-positive diagnosis of 15 children aged between 2 and 8 years old prompted a large-scale screening programme beginning on April 28th. Larkana...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Asia-Pacific Development & Aid Editors' Choice Featured Global Headlines Health Population Poverty & SDGs TerraViva United Nations Women's Health Source Type: news
By Mary Goodluck Mndeme , Communications officer, IntraHealth InternationalApril 11, 2019They're the  bridge between their neighbors and the information and services that could help end the country's epidemic.Shaban Peter ’s father died when he was very young, leaving him—last born in a family of six children—and his mother behind.“I’m coming from a poor family,” says Shaban, who’s now 18 and lives in Ushetu District, Tanzania, in the same region where he grew up. “My mother couldn’t manage to send all of us to school. I can’t read or write, but that doesn&...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Tags: Tohara Plus HIV & AIDS Community Engagement Youth Community Health Workers Tanzania Source Type: news
CONCLUSIONS: The use of multiple safer conception strategies, primarily PrEP, ART, male circumcision and/or tracking fertility, was acceptable and feasible for African HIV-serodiscordant couples and significantly reduced HIV transmission risk. It is important to increase the availability of and counselling about safer conception services in regions with HIV epidemics involving heterosexual transmission and high fertility. PMID: 30957420 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
By Carol Bales , Advocacy and policy communications manager, IntraHealth InternationalMarch 05, 2019They're working to prevent HIV in two of the country ’s hardest-to-reach areas.They are wives. Mothers. Frontline health workers. As advocates, decision-makers, educators, and providers, women in Tanzania are working to end the epidemic in their country.SoIntraHealth International is working with women at all levels through itsToharaPlus project  to help end the spread of HIV and reach the UNAIDS 90/90/90 goals, including through voluntary medical male circumcision (VMMC).About1.4 million Tanzanians are liv...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Tags: Tohara Plus HIV & AIDS International Women ' s Day Gender Equality Youth Community Health Workers Nurses Tanzania Source Type: news
July 23, 2018A simple procedure is lowering the risk for thousands of couples in  Tanzania.Twenty-one-year-old Khadija Butemi was doing her morning chores when she heard an announcement through a loudspeaker passing by on the nearby country road.There was a campaign going on, it said, for men who wanted to undergo voluntary medical male circumcision (VMMC). She immediately thought of her husband, a 22-year-old fisherman, who was down by the lake fishing.The couple lives with their two-year-old daughter in Nansio, a remote village on the island of Ukerewe, Tanzania. VMMC isn ’t routinely offered in the area, and ...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Source Type: news
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