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Development studies and int'l cooperation
News from developing countries, int'l organizations, ONGs, development studies and related research.
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Chinese Groups Slowly Carve Out Space in Work Against H.I.V./AIDS

Chinese Groups Slowly Carve Out Space in Work Against H.I.V./AIDS | Development studies and int'l cooperation | Scoop.it
Community organizations are slowly facing less resistance from government officials as they offer services to H.I.V.-infected people, many of them gay, a population that is often stigmatized.
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Africa faces spike in older people living with HIV

Africa faces spike in older people living with HIV | Development studies and int'l cooperation | Scoop.it

Sub-Saharan Africa is likely to see a more than 200 percent increase in the number of older people living with HIV in the next 30 years, thanks to improvements in lifesaving treatment, experts said Thursday.
"The proportion of people living with HIV aged 50 and over is going to increase a lot," Robert Cumming of the school of public health at the University of Sydney said at a conference on ageing in Africa.
Three million people aged 50 or older currently live with HIV in sub-Saharan Africa and that figure is expected to rise to 9.1 million by 2040.

"HIV positive elderly would need special attention because they seem to start ARV treatment very late," said Liotta.

 

Anti-AIDS data and policy efforts in Africa have overwhelmingly focused on the 15- to 49-year-old grouping. Older people know less about the disease and are less likely to be tested, and face difficulties with access to care, said Cumming.

 

An analysis by HelpAge International found only 68 of 119 country progress reports submitted to United Nations agency UNAIDS had some data or reference to older people. Only four had details on prevalence for those living with HIV. "The lack of data just means we don't have a clear picture of what's happening in relation to HIV and ageing and that means that we can't respond appropriately," said the NGO's Rachel Albone.



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2012 U.S. Conference on AIDS Begins This Weekend

2012 U.S. Conference on AIDS Begins This Weekend | Development studies and int'l cooperation | Scoop.it

The annual U.S. Conference on AIDS (USCA) began this weekend. You can follow us on Twitter (#usca2012). Beginning Monday, we’ll share brief daily highlights from the conference focusing particularly on issues related to the National HIV/AIDS Strategy (NHAS).

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Ethiopia’s AIDS Spending Cliff

Ethiopia’s AIDS Spending Cliff | Development studies and int'l cooperation | Scoop.it

There’s an AIDS spending cliff in Ethiopia and the government is already in free fall. Next year, Ethiopia will experience a 79% reduction in US HIV financing from PEPFAR. The announcement of these cuts came with an explanation that PEPFAR was “free(ing) up resources by reducing programs in lower HIV prevalence countries”...

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Adult circumcision campaign fails in AIDS-plagued Swaziland

Adult circumcision campaign fails in AIDS-plagued Swaziland | Development studies and int'l cooperation | Scoop.it

In an ambitious goal – some would say audacious – the United States wants to accelerate the pace of male circumcisions to support 4.7 million procedures in the developing world by the end of next year, up from 1 million at the beginning of this year. But its failures in Swaziland have given everyone – even the US global AIDS Ambassador Eric Goosby – great pause whether that goal announced by President Obama can be reached.

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Vaginal ring may help reduce HIV infections

Vaginal ring may help reduce HIV infections | Development studies and int'l cooperation | Scoop.it

A vaginal ring containing an antiviral drug is being tested in Africa and, if successful, could provide women with an easy-to-use alternative to vaginal microbicides to help reduce their risk of HIV infection.

 

The ring, which slowly releases the antiretroviral drug dapivirine over a period of time — removing the need for application each time a woman has sexual intercourse — has entered phase III efficacy trials in South Africa.

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Interactive map on AIDS in the USA| AIDSVu.org

Interactive map on AIDS in the USA| AIDSVu.org | Development studies and int'l cooperation | Scoop.it
AIDSVu is an interactive online map depicting the HIV epidemic in the U.S.
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Hiv Medicines Alliance - If You Can’t Join ‘Em, Beat ‘Em: New Industry Effort A Jab At Patent Pool?

The HIV Medicines Alliance, a new pharmaceutical industry initiative aimed at improving access to HIV treatments in least-developed countries is raising questions as to how it will fit with the Medicines Patent Pool, an existing group with a similar mandate.

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Brazil’s AIDS success story faces uncertain new chapter

Brazil’s AIDS success story faces uncertain new chapter | Development studies and int'l cooperation | Scoop.it

An AIDS diagnosis is no longer a death sentence in Rio de Janeiro, as the variety and quality of treatments continue to improve, thanks largely to a national treatment and prevention program that calls for near-universal distribution of medication. But the controversial program – the government broke international patent laws to mass-produce the drugs at a lower cost and recruited sex workers to help distribute condoms – may not survive for long, experts say.

 

AIDS activists fear that costs will rise for the Brazilian government as patients on the life-saving treatment live longer than they did in the past, according to the U.S. Agency for International Development and the Joint United Nations Program on HIV/AIDS. Richard Parker, an American medical anthropologist and the president of the Brazilian Interdisciplinary AIDS Association, also says there’s less support from the government under President Dilma Rousseff than there was under her predecessor, Luiz Inacio Lula da Silva, better known as Lula.

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Bangladesh Braces for HIV Epidemic

Bangladesh Braces for HIV Epidemic | Development studies and int'l cooperation | Scoop.it

Bangladesh has shown low HIV prevalence rates so far but may be silently moving towards an epidemic, say experts pointing to underreporting and poor monitoring for the virus in the general population.

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MADAGASCAR: Low HIV prevalence has its own challenges

MADAGASCAR: Low HIV prevalence has its own challenges | Development studies and int'l cooperation | Scoop.it

Madagascar has a low level of HIV prevalence, and managing its AIDS programme should present no major difficulties. But the apparent advantage of a low infection rate, combined with the ongoing political crisis, has brought its own challenges. 

The UNAIDS Inter-Country Coordinator, Dr Mamoudou Diallo, says the low prevalence makes it a challenge to carry out a concerted national programme. "In the Indian Ocean islands, HIV and AIDS is a condition very few people have seen. It's not like the African mainland, where everyone knows someone who has it. As a result, many people here are not convinced of the danger of AIDS. This includes the leaders." 

Getting antiretroviral (ARV) drugs to the 472 patients who need them is not easy, and recent stock-outs have sometimes left patients without treatment for months, exposing them to the risk of developing drug-resistance...

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NEPAL: HIV widows on the edge

NEPAL: HIV widows on the edge | Development studies and int'l cooperation | Scoop.it
Widows living with HIV in Nepal’s remote hill districts in some of the country’s poorest and vulnerable communities face a particularly bleak future.

 

According to the National Centre for AIDS and STD [sexually transmitted disease] Control in the Ministry of Health and Population (NCASC), there are more than 50,000 adults and children living with HIV, and an estimated overall prevalence of 0.30 percent in the adult population (15-49 years old).

 

With an estimated 29.4 percent of all HIV infections occurring amongst labour migrants - although many believe the real number to be higher - the significance of this group, and the affected women, cannot be ignored.

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US commits $224m to fight HIV in Nigeria

US commits $224m to fight HIV in Nigeria | Development studies and int'l cooperation | Scoop.it

The United States of America (USA) has budgeted about $224,000,000 to tackle the scourge of HIV/AIDS in Nigeria.

 

The US Ambassador to Nigeria, Terence McCulley made this known while speaking at the launching of ‘Strengthening Integrated Delivery of HIV/AIDS Services’ (SIDHAS) in Abuja on Tuesday.

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AIDS in Latin America: Epidemic stable, but still deadly

AIDS in Latin America: Epidemic stable, but still deadly | Development studies and int'l cooperation | Scoop.it

Progress in containing HIV/AIDS masks a threat to the region’s most vulnerable populations, experts say.

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CMAJ: Making sense of the world’s highest HIV rate

CMAJ: Making sense of the world’s highest HIV rate | Development studies and int'l cooperation | Scoop.it

"I've been in Darfur, in Burma, and I couldn't believe this. It's the biggest disaster I've seen," says Elias Pavlopoulos, the head of mission for Médecins sans Frontières (MSF).

 

Startling words, but perhaps not surprising of a sub-Saharan African nation whose very existence, the United Nations Development Program once said, could be threatened by the incidence of HIV within its borders.

 

Such is the state of affairs in the Kingdom of Swaziland, which now has the dubious distinction of having the world's highest rate of both HIV and tuberculosis (TB). About 26% of adults aged 15–49, or about 202 000 of all the citizens of Africa's last absolute monarchy, are HIV positive, according to the Swaziland government. That number is expected to rise to 219 393 within three years. HIV, of course, also leaves people open to opportunistic infections, particularly TB, so it's not altogether unexpected that the TB prevalence rate is 1275 per 100 000 population. Some 83% of those are HIV-positive. To add to the misery, 7.3% of new TB cases, and 15% of retreatment cases, in 2010–11 were drug resistant ones.

 

Why are the 1.2 million people of this landlocked kingdom — just 200 km by 130 km, or roughly the size of Wales — in such dire straits?

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Should UNITAID Rethink its Raison d’Être?

Should UNITAID Rethink its Raison d’Être? | Development studies and int'l cooperation | Scoop.it

UNITAID: maybe you’ve heard of it, or maybe not. Launched in 2006, UNITAID has lived in the shadow of its older and bigger global-health siblings (the Global Fund, GAVI, and PEPFAR, to name a few).

 

Perhaps due to its relative obscurity and late entry to a crowded global-health field, UNITAID has proactively worked to differentiate itself through a focus on commodities, market shaping, novel funding sources, and innovation. To wit, UNITAID’s stated mission is “to contribute to scale up access to treatment for HIV/AIDS, malaria and tuberculosis for the people in developing countries by leveraging price reductions of quality drugs and diagnostics, which currently are unaffordable for most developing countries, and to accelerate the pace at which they are made available.”

 

But today, as UNITAID celebrates its sixth birthday (happy birthday UNITAID!), it stands at a potential crossroads....

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Kenyan study shows that cash-transfer payments reduce sexual risk

Kenyan study shows that cash-transfer payments reduce sexual risk | Development studies and int'l cooperation | Scoop.it

Cash-transfer programmes not only improve nutrition, education and health benefits for orphans and vulnerable children, but new research now suggests that these programmes can also significantly reduce risky sexual behaviour and HIV infection.

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Treating HIV: From Impossible To Halfway There : NPR

In his 2003 State of the Union message, President Bush announced a $15 billion emergency program to treat and prevent AIDS in poor countries. It's called PEPFAR, the President's Emergency Program for AIDS Relief.

 

PEPFAR changed everything. Around 7 million people around the world now take antiviral drugs that suppress HIV to undetectable blood levels. That's about half of those who need it, based on the state of their declining immune systems.

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Ukraine: Corruption blamed for AIDS non-treatment

Ukraine: Corruption blamed for AIDS non-treatment | Development studies and int'l cooperation | Scoop.it

Advocacy groups are accusing the government of embezzling millions of dollars in corrupt drug tenders and thus depriving patients of vital treatment. 

 

Ukraine has one of Europe's biggest AIDS epidemics with about 1 percent of the adult population infected with HIV.

Ukraine is a leading recipient of aid from The Global Fund to Fight AIDS, Tuberculosis and Malaria, which covers about 10 percent of the country's needs, the rest coming from state coffers.

 

Of the estimated 450,000 Ukrainians who are HIV-positive, 70,000 require urgent treatment today. But only 28,000 are receiving it, leaving over 40,000 of patients without anti-retroviral therapy, which could greatly prolong their lives, according to WHO.

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First LGBTI clinic opens in Uganda

First LGBTI clinic opens in Uganda | Development studies and int'l cooperation | Scoop.it
Gay rights activists have opened the first ever clinic for lesbian, gay, bisexual, transgender, and intersex people in Uganda’s capital Kampala.

 

The clinic will specifically focus on HIV/AIDs and other sexually transmitted diseases.

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New hope for women who need protection from HIV

New hope for women who need protection from HIV | Development studies and int'l cooperation | Scoop.it

A major trial is being launched in Africa of a vaginal ring which releases antiretroviral drugs to allow women to protect themselves from the Aids virus. If successful, it could also be combined with hormonal contraception

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India to host alternative International AIDS Conference

When stakeholders from across the world converge at Washington next month to participate in the International AIDS Conference (IAC) to share their experience and evaluations and to influence both popular and official perceptions and practices for curbing HIV/AIDS, India will host a parallel event for those who cannot make it there.

 

The event will be organised inKolkata by Durbar Mahila Samanway Samiti (DMSS) — an umbrella organisation of over 65,000 sex workers of West Bengal in collaboration with the Global Network of Sex Work Project (NSWP).

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UGANDA: Rising ARV resistance threatens HIV fight

UGANDA: Rising ARV resistance threatens HIV fight | Development studies and int'l cooperation | Scoop.it
The prevalence of drug-resistant HIV strains in Uganda has risen from 8.6 percent to 12 percent in the last five years, one of the highest rates in Sub-Saharan Africa, according to a recent study.
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Rwanda Study: Community-Based HIV Program Yields High Success Rates | Partners In Health

Rwanda Study: Community-Based HIV Program Yields High Success Rates | Partners In Health | Development studies and int'l cooperation | Scoop.it

According to a new study by Partners In Health, patients living with HIV in rural Rwanda who receive community health worker accompaniment and social support in addition to facility-based care live longer, healthier lives than patients who only received facility-based care.

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Burma's Aids crisis: 'For a doctor, it's a horrible situation' – video

Doctors in Burma describe the 'devastating gap' between people's need and their access to HIV and Aids treatment. In 2010, only 30,000 of the 120,000 Burmese Aids sufferers received the lifesaving antiretroviral treatment they needed....

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