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.
As Angola lays the groundwork for implementing WHO’s test and start guidelines, the Government of Angola and its partners are working to streamline processes so that already overburdened health facilities can accommodate the increased numbers of patients on ART. Ensuring that the Ministry of Health has accurate and timely data that can be used to monitor and evaluate progress at a national level is a key priority.
New Findings Show Significant Progress against HIV Epidemic in Africa, Bringing the 90-90-90 Goals within Reach
In Zimbabwe, Malawi, and Zambia, new infections are falling; the percent of the population infected with HIV is stabilizing; and over half of all people living with HIV are virally suppressed
The HIV Medicine Association (HIVMA) is honoring Dr. Elaine J. Abrams, senior research director of ICAP and professor of Epidemiology at the Mailman School of Public Health, for her significant contributions to the field of HIV medicine. As the recipient of the 2016 HIVMA Clinical Educator Award, Dr. Abrams is being recognized for her achievements in clinical care, provider education and her contributions that have changed practice and impacted pediatric and maternal HIV care worldwide.
In Myanmar, only one-half of all people living with HIV have access to life-saving antiretroviral treatment (ART). One of the factors impacting access is that publicly-funded HIV services are provided at central hospitals located in larger states, requiring patients to travel long distances and receive care in an unfamiliar setting. To address this barrier to care and treatment, Myanmar’s National AIDS Programme had prioritized decentralization of ART services, and in 2013 Hlaing Tharyar Township Hospital in the outskirts of Yangon, was equipped to provide HIV care and dispense ART to patients.