PHIA survey teams are conducting thousands of interviews and HIV tests as they travel throughout Zimbabwe, Malawi, and Zambia in 4×4 trucks loaded with supplies. Every single item the teams use, from butterfly needles and vacutainer tubes to clipboards and pens, has arrived in their hands through months of meticulously planned procurement, transport, and inventory management. As the project prepares to start new surveys in Uganda, Tanzania, Swaziland, and Lesotho, logistics are a central focus of activities.
The global response to the HIV epidemic offers lessons about ways to support continuous care for chronic health conditions during complex and protracted emergencies, such as the current refugee crisis, argue researchers Wafaa-El Sadr (professor of epidemiology and director, ICAP at Columbia University), Miriam Rabkin (associate professor of epidemiology and director of Health Systems Strategy at ICAP at Columbia University), and Fouad M. Fouad (assistant research professor, Department of Epidemiology and Population Health, American University of Beirut), in the latest issue of Global Public Health. The article explores key lessons from HIV programs such as evidence-based approaches, intensive patient education, and the use of outreach workers and peer educators as possible blueprints for redesigning refugee health services.
The Nursing Education Partnership Initiative (NEPI) has made important contributions towards PEPFAR’s goal of controlling the HIV epidemic by increasing the number, quality, and capacity of nurses and midwives in the Democratic Republic of the Congo, Ethiopia, Lesotho, Malawi, South Africa, and Zambia. Through NEPI, ICAP has worked with ministries of health in these countries to enroll over 23,000 students in nursing and midwifery programs. More than 10,000 students have already graduated and joined the health workforce, each bringing much needed HIV skills to clinics and communities.
In 2011, a global plan was launched to reduce new HIV infections among children. That same year, Cameroon was identified as one of the priority countries with a high rate of maternal transmission of HIV. It was estimated that only 53 percent of pregnant women living with HIV in Cameroon were receiving antiretrovirals to prevent mother-to-child transmission (PMTCT) of HIV.
A successful malaria prevention and control program depends on high quality diagnostic services. Laboratories must be properly equipped, staff must be adequately trained, and results need to be accurate. Microscopy is the gold standard method to diagnose malaria, and a skilled microscopist is essential to ensure reliable malaria diagnosis.
Expanding TB and HIV care at medication-assisted treatment sites for people who inject drugs in Central Asia
Despite efforts by health authorities to advance HIV prevention through needle exchange programs and medication-assisted treatment (MAT) for people who inject drugs (PWID), longstanding stigma about drug use continues to slow efforts to provide critical health services to this community.