The first Population-based HIV Impact Assessment (PHIA) survey results, released in late 2016, demonstrate the remarkable progress that has been made confronting the HIV epidemic in Malawi, Zambia, and Zimbabwe. The survey results also provide some of the first national HIV incidence estimates based on household-level data collected in these countries. The importance of this type of data and the feasibility of conducting such studies was first demonstrated by an earlier project, the 2011 Swaziland HIV Incidence Measurement Survey (SHIMS), the results of which were recently published in The Lancet HIV.
This International Women’s Day, the world pledges to take bold action to accelerate gender parity. Globally, there are nearly 18 million women living with HIV, constituting 51 percent of all adults living with HIV. Far too often, women face disproportionate cultural, social, and economic barriers to accessing the HIV prevention, care, and treatment services they need.
Differentiated service delivery has the potential to improve both the quality and efficiency of HIV programs. Leading the charge toward a new future of high quality, high impact, and sustainable HIV programs, ICAP is looking at ways to measure the scale-up and spread of differentiated care, not presently captured by traditional monitoring and evaluation approaches.
Turning the Corner on the HIV Epidemic: New PHIA Survey Results Announced at CROI 2017 Show Progress in Zimbabwe, Malawi, and Zambia
Newly released findings from national HIV surveys in Zimbabwe, Malawi, and Zambia reveal extraordinary progress in confronting the HIV epidemic.
With patients now living longer and “treatment for all” approaches being adopted in many countries, demand for treatment has grown rapidly, and people living with HIV are accessing services in unprecedented numbers. Differentiated care, also known as differentiated service delivery, moves away from a “one size fits all” approach, enabling stable patients to access treatment closer to the community, and freeing up space at clinics and treatment centers. Global experts believe this approach is key to enhancing the quality and efficiency of health services, improving patient satisfaction, and reaching the United Nation’s ambitious 90–90–90 goals.
Accreditation of Three TEBA Clinics in Lesotho Enables Same-Day ART Initiation for Basotho Migrant Miners
Lesotho has the second highest HIV prevalence in the world and over 70 percent of tuberculosis (TB) patients are HIV-positive. Lesotho’s many migrant mine workers are at particularly high risk of acquiring TB and HIV due to working conditions in the mines and other common predisposing factors, such as multiple sex partners and alcohol abuse. In 2013, ICAP formed a partnership with Lesotho’s Ministry of Health and the Employment Bureau of Africa (TEBA) to reach migrant miners and their families with critical TB services. With support from PEPFAR through CDC and several other funders, ICAP helped establish clinics at three TEBA regional employment offices to provide TB screening, diagnosis, care, and treatment services during off-hours, when miners routinely visit TEBA offices to collect their pay.