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Vulnerabilities, Impacts, and Responses to HIV/AIDS in Sub-Saharan Africa pp 143–173Cite as

Palgrave Macmillan

Access to Treatment, Care, Support, and Prevention Services

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Abstract

In 2006, all UN member states made a commitment at the United Nations General Assembly Special Session on HIV/AIDS to sharply scale up their HIV/AIDS responses and provide universal access to HIV prevention, treatment, care, and support services by 2010 (WHO 2007). Largely due to the subsequent massive rollout of antiretroviral treatment (ART), the total number of deaths from AIDS declined from 2.2 million in 2005 to 1.8 million in 2010, and 2.5 million deaths were averted between 1995 and 2010. By the end of 2010, an estimated 6.6 million of the 14.2 million people (47%) eligible for treatment in low- and middle-income countries received ART (UNAIDS 2011a, pp. 6, 19). In Sub-Saharan Africa, 56% of people needing treatment in 2011 were receiving it, 19% more than in 2010 — more than in any other region (UNAIDS 2012, p. 19); the total number of new infections decreased from 2.6 million in 1997, when the epidemic peaked, to 1.8 million in 2010, and in 22 countries HIV incidence fell more than 25% between 2001 and 2009 (UNAIDS 2011a, p. 7). A recent study in Uganda estimated that life expectancy of people living with HIV/AIDS (PLWHA) taking ART increased to nearly normal levels (Mills et al. 2012).

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References

  • Afoakwa, E.O., Owusu, W.B. and Adjei, M.R. 2004. Nutritional management, care and support for people living with HIV/AIDS in sub-Saharan Africa. Abstracts, 15th International AIDS Conference, Bangkok. Abstract D10071.

    Google Scholar 

  • Aghokeng, A.F., Kouanfack, C., Laurent, C. et al. 2011. Scale-up of antiretroviral treatment in sub-Saharan Africa is accompanied by increasing HIV-1 drug resistance mutations in drug-naïve patients. AIDS 13:2183–2188.

    Article  Google Scholar 

  • Akintola, O. 2008. Unpaid HIV/AIDS care in Southern Africa: Forms, context, and implications. Feminist Economics 14:117–147.

    Article  Google Scholar 

  • Amuron, B., Coutinho, A. and Grosskurth, H. 2007. A cluster-randomised trial to compare home-based with health facility-based antiretroviral treatment in Uganda: Study design and baseline findings. Open AIDS Journal 1:21–27.

    Article  Google Scholar 

  • Andersson, N. and Cockcroft, A. 2012. Male circumcision, attitudes to HIV prevention and HIV status: A cross-sectional study in Botswana, Namibia and Swaziland. AIDS Care 24:301–309.

    Article  Google Scholar 

  • Anema, A., Vogelthaler, N., Frongilo, F.A. et al. 2009. Food insecurity and HIV/AIDS: Current knowledge, gaps, and research priorities. Current HIV/AIDS Reports 6:224–231.

    Article  Google Scholar 

  • Assefa, Y., Kiflie, A., Tesfaye, D. et al. 2011. Outcomes of antiretroviral treatment program in Ethiopia: Retention of patients in care is a major challenge and varies across health facilities. BMC Health Services Research 11:81. doi: 101186/1472–6963-11–81

    Article  Google Scholar 

  • Assefa, Y., Van Damme, W., Haile Mariam, D. and Kloos, H. 2010. Toward universal access to HIV counselling and testing and antiviral treatment in Ethiopia: Looking beyond HIV testing and ART initiation. AIDS Patient Care and STDs 24: 521–525.

    Article  Google Scholar 

  • Baird, S., Chirwa, E., McIntosh, C. and Ötzler, B. 2009. The Short-Term Impacts of a Schooling Conditional Cash Transfer Programme on the Sexual Behaviour of Young Women. Policy Research Working Paper. Washington, DC: World Bank.

    Book  Google Scholar 

  • Barnighausen, T., Tanser, F., Dabis, F. and Newell, M.L. 2012. Interventions to improve the performance of HIV systems for treatment-as-prevention in sub-Saharan Africa: The experimental evidence. Current Opinions in HIV and AIDS 7:140–150.

    Article  Google Scholar 

  • Bassett I.V., Regan S., Chetty S. et al. 2010. Who starts antiretroviral therapy in Durban, South Africa?… Not everyone who should. AIDS 24(Suppl.)1:S37–S44.

    Article  Google Scholar 

  • Beckerleg, S., Telfer, M. and Hundt, G.L. 2005. The rise of injecting drug use in East Africa: A case study from Kenya. Harm Reduction Journal 2:12.

    Article  Google Scholar 

  • Bemelmans, M., Lynch, S., Woods, S. et al. 2011a. Countries forced to phased or partial implementation of WHO guidelines due to funding shortfalls. Abstracts of the International Conference of AIDS and STDs in Africa, Addis Ababa. Abstract WEA0405.

    Google Scholar 

  • Bemelmans, M., van der Akker, T., Pasulani, O. et al. 2011b. Keeping health staff healthy: Evaluation of a workplace initiative to reduce morbidity and mortality from HIV/AIDS in Malawi. Journal of the International AIDS Society 14:1.

    Article  Google Scholar 

  • Benefour, S., Duodu, J., Nana Fosua, C. et al. 2011. Engaging traditional health practitioners to improve access to antiretroviral therapy in Ghana. Abstracts of the International Conference on AIDS and Sexually Transmitted Diseases, Addis Ababa. Abstract WEPE147.

    Google Scholar 

  • Berhanu, Z. 2010. Holy water as an intervention for HIV/AIDS in Ethiopia. Journal of HIV/AIDS & Social Services 9:240–260.

    Article  Google Scholar 

  • Bezabih, E. 2007. Antiretroviral treatment— its social and religious challenges: The experience of 32 members from two associations— Tesfa Setechign Mariam and Mekdim Ethiopia. Master’s thesis, Addis Ababa University, Graduate School of Social Work.

    Google Scholar 

  • Callaghan, M., Ford, N. and Schneider, H. 2010. A systematic review of task-shifting for HIV treatment and care in Africa. Human Resources for Health 8:8. http://www.human-resources-health.com/content/8/1/8

  • Campbell, C. 2003. Why HIV prevention programs fail. British Medical Journal 11:437–480.

    Google Scholar 

  • CDC. 2011. CDC trial and another major study find PrEP can reduce risk of HIV infection among heterosexuals. Press release. Atlanta: Centers for Disease Control and Prevention. http://www.cdc.gov/nchhstp/newsroom/PrePHeterosexuals.html

    Google Scholar 

  • Celletti, F., Wright, A., Palen, J. et al. 2010. Can the deployment of community health workers for the delivery of HIV services represent an effective and sustainable response to health workforce shortages? Results of a multicountry study. AIDS 24 (Suppl. 1): S45–S57.

    Article  Google Scholar 

  • Chege, J., Meassick, E., Afework, S. et al. 2011. Can communities be agents of their own change through addressing social norms that increase girls’ and womens’ vulnerability to HIV infection risk behavior? Abstracts of the International Conference on AIDS and STI in Africa, Addis Ababa. Abstract MOPE144.

    Google Scholar 

  • Chen, S.C., Yu, J.K., Harries, A.D. et al. 2008. Increased mortality of male adults with AIDS related to poor compliance to antiretroviral therapy in Malawi. Tropical Medicine and International Health 13:513–519.

    Article  Google Scholar 

  • Cohen, M. 2010. HIV treatment as prevention: To be or not to be? Journal of Aquired Immune Deficinecy Syndromes 55:137–138.

    Article  Google Scholar 

  • Cornell, M., McIntyre, J. and Myer, L. 2011. Men and antiretroviral therapy in Africa: Our blind spot. Tropical Medicine and International Health 21:828–829.

    Article  Google Scholar 

  • Cornell, M., Myer, L., Kaplan, R., et al. 2009. The impact of gender and income on survival and retention in a South African antiretroviral therapy programme. Tropical Medicine and International Health 14:722–731.

    Article  Google Scholar 

  • Dilger, H. 2010. Morality, hope and grief: Anthropologies of AIDS in Africa. In Dilger, H. and Ute Luig, U. (eds.), Morality, Hope and Grief Anthropologies of AIDS in Africa, pp. 102–126. New York: Berghahn Books.

    Google Scholar 

  • Dilger, H., Burchard, M. and van Dijk, R. 2010. Introduction: The redemptive moment, HIV treatment and the production of new religious spaces. African Journal of AIDS Research 9:373–383.

    Article  Google Scholar 

  • ECA. 2007. Relevance of African Traditional Institutions of Governance. Addis Ababa: Economic Commission for Africa.

    Google Scholar 

  • Elemo, I.A. 2005. HIV/AIDS, gender and reproductive health promotion: The role of traditional institutions among Borana Oromo, southern Ethiopia. Unpublished.

    Google Scholar 

  • Erulkar, A.S. and Muthengi, E. 2009. Evaluation of Berhane Hewan: A program to delay child marriage in rural Ethiopia. International Perspectives on Sexual and Reproductive Health 35:6–10.

    Article  Google Scholar 

  • Farorsey, C.K. and Amolo, R.K. n.d. Empowering Queeen Mothers and Magajias in the Fight against HIV/AIDS. Washington, DC: CEDPLA.

    Google Scholar 

  • FDRE (Federal Democratic Republic of Ethiopia). 2010. Report on Progress towards Implementation of the UN Declaration of Commitment on HIV/AIDS2010. Addis Ababa: Federal HIV/AIDS Prevention and Control Office.

    Google Scholar 

  • Feucht, U.D., Kinzer, M. and Kruger, M. 2007. Reasons for delay in initiation of antiretroviral therapy in a population of HIV-infected South African children. Journal of Tropical Pediatrics 53:398–402.

    Article  Google Scholar 

  • Fox, A.M., Goldberg, A.B., Gore, R.J. and Bärninghausen, T. 2011. Conceptual and methodological challenges to measuring political commitment to respond to HIV. Journal of the International AIDS Society 14(Suppl. 2):S5.

    Article  Google Scholar 

  • Gedefaw, M., Endawoke, Y., Mekonnen, D. et al. 2011. Outcome and challenges of community conversations on HIV/AIDS prevention and control in Amhara National Regional State, Ethiopia. Abstracts of the 16th International Conference on AIDS and STIs in Africa, Addis Ababa. Abstract TUAD0804.

    Google Scholar 

  • Gilks, C. F., Crowley, S. and Ekpini, R. 2006. The WHO Public-health Approach to Antiretroviral Treatment Against HIV in Resource-limited Settings. Geneva: WHO.

    Google Scholar 

  • Government of Uganda. 2010. UNGASS Country Progress Report Uganda, January 2008–December 2009. http//:data.unaids.org/pub/Report/2010/Uganda_2010_country_progress-report-en.pdf

    Google Scholar 

  • Greeff, M., Phetlhu, R., Makoae, L. N. et al. 2008. Disclosure of HIV status: Experiences and perceptions of persons living with HIV/AIDS and nurses involved in their care in Africa. Qualitative Health Research 18:311–324.

    Article  Google Scholar 

  • Gupta, N. and Mahy, M. 2003. Sexual initiation among adolescent girls and boys: Trends and differentials in sub-Saharan Africa. Archives of Sexual Behavior 32:41–53.

    Article  Google Scholar 

  • Gupta, G.R., Parkhurst, J.O., Ogden, J.A. et al. 2008. Structural approaches to HIV prevention. Lancet 372:764–775.

    Article  Google Scholar 

  • Hanass-Hancock, J., Strode, A. and Grant, C. 2011. Inclusion of disability within national strategic responses to HIV and AIDS in Eastern and Southern Africa. Disability and Rehabilitation 33:2389–2396.

    Article  Google Scholar 

  • Hermann, K., Van Damme, W., Pariyo, G.W. et al. 2009. Community health workers for ART in sub-Saharan Africa: Learning from experience— capitalizing on new opportunities. Human Resources for Health 7:31.

    Article  Google Scholar 

  • Holmes, K., Winskell, K., Hennink, M. and Chidiac, S. 2011. Microfinance and HIV mitigation among people living with HIV in the era of anti-retroviral therapy: Emerging lessons from Côte d’Ivoire. Global Public Health 6:447–461.

    Article  Google Scholar 

  • Howard, A.A. and El-Sadr, W.W. 2010. Integration of tuberculosis and HIV services in sub-Saharan Africa: Lessons learned. Clinical Infectious Diseases 50(Suppl.): S238–S244.

    Article  Google Scholar 

  • IAS (International AIDS Society). 2009. Reaffirming the G8 commitment to universal access: Gleneagles + five. 19 November.

    Google Scholar 

  • Improper. 2012. Improper condom use a public health issue worldwide. Medical News Today, 23 February. http://www.medicalnewstoday.com/release/241999.php

  • International Group (International Group on Analysis of Trends in HIV Prevalence and Behaviours in Young People in Countries Most Affected by HIV). 2010. Trends in HIV prevalence and sexual behaviour among young people aged 15–24 years in countries most affected by HIV. Sexually Transmitted Infections 96(Suppl. 2):ii72–ii83.

    Google Scholar 

  • ITPC (International Preparedness Coalition). 2006. Missing the Target, Off Target for 2010: How to Avoid Breaking the Promise of Universal Access. http://www.hivpolicy.org/Library/HPP001360.pdf

    Google Scholar 

  • Johnson, L.F., Hallett, T.B., Rehle, T.M. and Dorrrington, R.E. 2012. The effect of changes in condom usage and antiretroviral treatment coverage on human immunodeficiency virus incidence in South Africa: A model-based analysis. Journal of the Royal Society Interface January 18:1444–1554. doi: 10.1098/rsif.2011.0826

    Google Scholar 

  • Kagee, A., Remien, R.H., Berkman, A. et al. 2011. Structural barriers to ART adherence in Southern Africa: Challenges and potential ways forward. Global Public Health 6:83–97.

    Article  Google Scholar 

  • Kalibala, S. and Littlefield, A. 2010. The role of ARVs in HIV prevention: Microbicides and PrEP. GMHC Treatment Issues. http://www.gmhc.org/files/editor/file/r_ti_1210.pdf2

  • Katz, I., Komatsu, R., Low-Beer, D. and Atun, R. 2010. Scaling up towards international targets for AIDS, tuberculosis, and malaria: Contribution of Global Fund-supported programs in 2011–2015. PLoS ONE 6(2):e17166.

    Article  Google Scholar 

  • Kesby M. 2004. Participatory diagraming and the ethical and practical challenges of helping Africans themselves to move HIV work ‘beyond epidemiology’. In Kalipeni E, Craddock S, Oppong J, Gosh J (eds.), HIV & AIDS in Africa: Beyond Epidemiology, pp. 217–239. Oxford: Blackwell.

    Google Scholar 

  • Kim, J., Pronyk, P., Barnett, T. and Watts, C. 2008. Exploring the role of economic empowerment in HIV prevention. AIDS (Suppl. 4):S57–S71.

    Google Scholar 

  • Kloos, H. and Haile Mariam, D. 2008. Some neglected and emerging factors in HIV transmission in Ethiopia. Ethiopian Medical Journal 45:103–108.

    Google Scholar 

  • Komatsu, R., Korenromp, E.L., Watt, C. et al. 2010. Lives saved by Global Fundsupported HIV/AIDS, tuberculosis and malaria programs: Estimation approach and results between 2003 and end-2007. BMC Infectious Diseases 10:109.

    Article  Google Scholar 

  • Kwena, Z., Manyasa, E., and Mwanzo, I. 2011. The care provider’s perspectives on effect of witchcraft beliefs on the management of AIDS patients. Abstracts of the International Conference on AIDS and Sexually Transmitted Disease, Addis Ababa. Abstract CD172.

    Google Scholar 

  • Leclerc-Madlala, S. 2008. Intergenerational/age-disparate sex: Policy and programme action brief. Technical Meeting on Young Women in HIV Hyper-endemic Countries in Southern Africa. Sunninghill, South Africa: UNAIDS Regional Support Team for West and Central Africa. http://www.unaidsrstesa.org/usefiles/file/womenGirls_AgeDisparate.pdf

  • Lehmann, U., Dieleman, M. and Martineau, T. 2008. Staffing remote rural areas in middle- and low-income countries: A literature review of attraction and retention. BMC Health Services Research 23(8):19.

    Article  Google Scholar 

  • Lehmann, U., Van Damme, W., Barten, F. and Sanders, D. 2009. Task shifting: The answer to the human resources crisis in Africa? Human Resources for Health 7:49.

    Article  Google Scholar 

  • Lindtjørn, B. 2001. Letter in response to ‘Words that are not spoken: An inside look at the African AIDS crisis.’ MedGenMed 29 January:E8–E9.

    Google Scholar 

  • MacQueen, K. 2011. Global HIV prevention research: biomedical, social and ethical crossroads. Unpublished paper. www.youtube.com/watch?v=hUAQJ5Dky00

  • Maher, D. and Harries, A.D. 2010. Quality care: A link between clinical and public health approaches to HIV infection in developing countries. Tropical Medicine and International Health 15:391–395.

    Google Scholar 

  • Mathers, B.M., Degenhardt, L., Ali, H. et al. 2010. HIV prevention, treatment, and care services for people who inject drugs: A systematic review of global, regional, and national coverage. Lancet 22(375):961–963.

    Google Scholar 

  • Maughan-Brown, B. 2010. Stigma rises despite antiretroviral rollout: A longitudinal analysis in South Africa. Social Science and Medicine 70:368–374.

    Article  Google Scholar 

  • May, M.T. and Ingle, S.M. 2011. Life expectancy of HIV-positive adults: A review. Sexual Health 8:526–533.

    Article  Google Scholar 

  • Mayer, K.H. and Krakower, D. 2012. Antiretroviral medication and HIV prevention: New steps foward and new questions. Annals of Internal Medicine January 156:312–314.

    Article  Google Scholar 

  • Mbonu, N.C., van den Borne, B. and De Vries, N.K. 2009. Stigma of people with HIV/AIDS in Sub-Saharan Africa: A literature review. Journal of Tropical Medicine epub 16 Aug, doi: 10.55/2009/145891.

    Google Scholar 

  • Merson, M.H., O’Malley, J., Serwadda, D. and Apisuk, C. 2008. The history and challenge of HIV prevention. Lancet 372(9637):475–488.

    Article  Google Scholar 

  • Mills, E.J., Bakanda, C., Birungi, J. et al. 2012. Life expectancy of persons receiving combination antiretroviral theraphy in low-income countries: A cohort analysis from Uganda. Annals of Internal Medicine 155:209–216.

    Article  Google Scholar 

  • MSF (Médecins Sans Frontières). 2010. No Time to Quit: HIV/AIDS Treatment Gap Widening in Africa. Special Report, 26 May. http://www.doctorswithoutborders.org/publications/article.cfm?cat=special-report&id=4492

    Google Scholar 

  • Mpufo, D., Shilagu, T. and Adoons, D. 2011. Engaging traditional health practitioners in HIV treatment, care and support in South Africa. Abstracts of the International Conference on AIDS and Sexually Transmitted Diseases, Addis Ababa. Abstract WEPE146.

    Google Scholar 

  • Muula, A.S., Ngulube, T.J., Siziya, S. et al. 2007. Gender distribution of adult patients on highly active antiretroviral therapy (HAART) in Southern Africa: A systematic review. BMC Public Health 7:63. http://www.biomedcentral.com/1471–2458/7/63

    Article  Google Scholar 

  • Nassali, M., Nakanjako, D., Kyabayinze, D. et al. 2009. Access to HIV/AIDS care for mothers and children in sub-Saharan Africa: Adherence to the postnatal PMTCT program. AIDS Care 21:1121–1131.

    Article  Google Scholar 

  • Ncama, B. P., McInerney, P.A., Bhengu, B.R. et al. 2008. Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. International Journal of Nursing Studies 45:1757–1763.

    Article  Google Scholar 

  • Negassa, A., Wold, Michael K. and Negassa, A. 2001. Knowledge, attitude and practices of traditional birth attendants on HIV/AIDS in Jimma town, southwest Ethiopia. Ethiopian Journal of Health Science 1:123–129.

    Google Scholar 

  • Norris, J. 2011. Global UNAIDS Report: All the Good Done Can Be Undone. Washington, DC: Center for Global Prosperity, Hudson Institute.

    Google Scholar 

  • Okwundu, C.I., Uthman, O.A. and Okoramah, C.A.N. 2012. Antiretroviral preexposure prophylaxis (PrEP) for preventing HIV in high-risk individuals. Cochrane Database of Systematic Reviews 7. doi: 10.1002/14651858.CD007189.pub3

    Google Scholar 

  • O’Laughlin, K.N., Wyatt, M.A., Kaaya, S. et al. 2012. How treatment partners help: Social analysis of an African adherence support initiation. AIDS and Behavior 16:1308–1315.

    Article  Google Scholar 

  • Onyango, D. 2008. Great challenges to PMTCT in the South: The role of the developed nations in supporting strategies that work. Retrovirology 5(Suppl. 1):1–2.

    Article  Google Scholar 

  • Orner, P., Cooper, D., Myer, L. et al. 2008. Clients’ perspectives on HIV/AIDS care and treatment and reproductive health services in South Africa. AIDS Care 20: 1217–1223.

    Article  Google Scholar 

  • Ouma, A.J. and van der Kwaak, A. 2009. Promotion of Sexual Health for Young People in Kenya. Amsterdam: KIT.

    Google Scholar 

  • Over, M. 2010. A refreshingly open debate on the values of universal access to AIDS treatment for U.S. foreign policy. Center for Global Development. http://cgdev.org/globalhealth/2010/08/a-refreshingly-open-debate-on-the-value-of-universal-accessto-aids-treatment-on-u-s-foreignpolicy.php/

  • Padian, N.S., McCoy, S.I., Mania, S. et al. 2011. Evaluation of large-scale combination HIV prevention programs essential issues. Journal of Acquired Immune Deficiency Syndromes 58(2):e23–e28.

    Article  Google Scholar 

  • Pawinski, R.A. and Lalloo, U.G. 2006. Multisectoral responses to HIV/AIDS: Applying research to policy and practice. American Journal of Public Health 96: 1189–1191.

    Article  Google Scholar 

  • Pfeiffer, J., Montaya, P., Baptista, A.J. et al. 2010. Integration of HIV/AIDS services into African primary health care: Lessons learned for health system strengthening in Mozambique—a case study. Journal of the International AIDS Society 13:3.

    Article  Google Scholar 

  • Phillips, M., Benazeh, C., Camara, M. et al. 2011. Rationing HIV treatment in real life: Funding shortfall causes a widening, deadly treatment gap in Democratic Republic of the Congo (DRC). Abstracts of the International Conference on AIDS and STDs in Africa. Addis Ababa. Abstract MOPE294.

    Google Scholar 

  • Pronyk, P.M., Hargreaves, J.R., Kim, J.C. et al. 2006. Effect of a structural intervention for the prevention of intimate partner violence and HIV in rural South Africa: Results of a cluster randomized trial. Lancet 368:1973–1983.

    Article  Google Scholar 

  • Pronyk, P.M., Kim, J.C., Abramsky, T. et al. 2008. A combined microfinance and training intervention can reduce HIV risk behaviour in young female participants. AIDS 22:1659–1665.

    Article  Google Scholar 

  • Rasschaert, E, Pirard, M., Philips, M.P. et al. 2011. Positive spill-over effect of ART scale up on wider health systems development: Evidence from Ethiopia and Malawi. Journal of the International AIDS Society 14(Suppl. 1):53.

    Article  Google Scholar 

  • Republic of South Africa. 2010. Country Progress Report on the Declaration of Commitment on HIV/AIDS 2010. Final Report. Submitted to UNAIDS, Geneva.

    Google Scholar 

  • Richter, K., Phillips, S.C., McInnis, A.M. and Rice, D.A. 2011. Effectiveness of a multicountry workplace intervention in sub-Saharan Africa. AIDS Care 13(Suppl. 2):S1.

    Article  Google Scholar 

  • Rohleder, P. Braathen, S.H., Swartz, L. and Eide, A.H. 2009. HIV/AIDS and disability in Southern Africa: A review of relevant literature. Disability & Rehabilitation 31: 51–59.

    Article  Google Scholar 

  • Rosen, S. and Fox, M.P. 2012. Retention in HIV care between testing and treatment in sub-Saharan Africa: A systematic review. Public Library of Science Medicine S:e 1001056.

    Google Scholar 

  • Schwartländer, B., Stover, J., Hallet, T. et al. 2011. Towards an improved investment approach for an effective response to HIV/AIDS. Lancet 377(9782): 2031–2041.

    Article  Google Scholar 

  • Shacham, E., Reece, M., Ong’or, W.O. et al. 2008. Characteristics of psychosocial support seeking during HIV-related treatment in western Kenya. AIDS Patient Care 22:595–601.

    Article  Google Scholar 

  • Sherr, L. 2008. Strengthening families through HIV/AIDS prevention, treatment, care and support-a review of the literature. Paper prepared for the Joint Learning Initiative on Children and HIV/AIDS (JLICA), Royal Free and University College Medical School, London.

    Google Scholar 

  • Simon, S., Chu, K., Frieden, M. et al. 2009. An integrated approach of community health worker support for HIV/AIDS and TB care in Angonia district, Mozambique. BMC International Health and Human Rights 9:13.

    Article  Google Scholar 

  • Skovdal, M., Campbell, C., Madanhire, C. et al. 2011a. Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Globalization and Health 7:13.

    Article  Google Scholar 

  • Skovdal, M., Campbell, C., Nhongo, K. et al. 2011b. Contextual and psychosocial influences on antiretroviral therapy adherence in rural Zimbabwe: Towards a systematic framework for programme planners. International Journal of Health Panning and Management 26:296–316.

    Google Scholar 

  • Smith, K., Bryant-Davis, T., Tillman, S. and Marks, A. 2010. Stifled voices: Barriers to help-seeking behavior for South African childhood sexual assault survivors. Journal of Child Sexual Abuse 19:255–274.

    Article  Google Scholar 

  • Stringer, J.S.A., Zulu, I. and Levy, J. 2006. Rapid scale-up of antiretroviral therapy at primary care sites in Zambia: Feasibility and early outcomes. Journal of the American Medical Association 296:782–793.

    Article  Google Scholar 

  • Tadele, G. 2012. Gender-related barriers to services to prevent vertical transmission of HIV in high-burden countries: The case of Ethiopia. Report submitted to UNAIDS Ethiopia. Unpublished.

    Google Scholar 

  • Tadele, G., Loevinsohn, M., Ayalew, A. and Fleming, V. 2011. Strengthening livelihoods in communities confronting HIV: An exploratory study in Ethiopia: Report submitted to STOP AIDS NOW, Amsterdam. Unpublished.

    Google Scholar 

  • Tsai, A.C., Chopra, M., Pronyk, P.M. and Martinson, N.A. 2009. Socioeconomic disparities in access to HIV/AIDS treatment programs in resource-limited settings. AIDS Care 21:59–63.

    Article  Google Scholar 

  • Uebel, K.E., Nash, J. and Avalos, A. 2007. Caring for the caregivers: Models of HIV/AIDS care and treatment provision for health care workers in Southern Africa. Journal of Infectious Diseases 196(Special Issue 3):5500–S504.

    Google Scholar 

  • UNAIDS. 2005. Resource Needs for an Expanded Response to AIDS in Low- and Middle-Income Countries. Geneva. http://data.unaids.org/pub/Report/2005/jc1255_resource_needs_en.pdf

    Google Scholar 

  • UNAIDS. 2007. Reducing HIV Stigma and Discrimination: A Critical Part of National AIDS Programmes. Geneva: UNAIDS. http://data.unaids.org/pub/Report/2008/jc1521_stigmatisation_en.pdf

    Google Scholar 

  • UNAIDS. 2008. AIDS Epidemic Update, 2008. Geneva. http://data.unaids.org/pub/EPIslides/2007/2007_epiupdate_en.pdf

    Google Scholar 

  • UNAIDS. 2009a. AIDS Epidemic Update. http://data.unaids.org/pub/Report/2009/jc1700_epi_update_2009_en.pdf

    Google Scholar 

  • UNAIDS. 2009b. Annual Report 2009. http://data.unaids.org/pub/Report/2010/2009_annual_report_en.pdf

    Google Scholar 

  • UNAIDS. 2009c. AIDS responses and action in rural Ethiopia. Feature Story 22 April. http://www.unaids.org/en/resources/presscentre/featurstories/2009/april/20090422ruralethiopia/

  • UNAIDS. 2010a. Report of the Global AIDS Epidemic2010. Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS. 2010b. Combination HIV Prevention: Tailoring and Coordinating Biomedical, Behavioural and Structural Strategies to Reduce New HIV Infections. Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS. 2011a. World AIDS Day Report2011. Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS. 2011b. Universal Access to HIV Prevention, Treatment, Care and support: From Countries to Regions to the High Level Meeting on AIDS and Beyond, 2011 Road Map. Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS. 2012. Together We Will End AIDS. Geneva: UNAIDS.

    Google Scholar 

  • UNDP. 2005. Community Capacity Enhancement Handbook. www.undp.og/hiv/docs/progr_guides/cce_handbook.pdf

    Google Scholar 

  • UNDP. 2011. Community conversations’ success celebrated in Leribe. News release, 17 December. http://www.undp.org.ls/newsCCLE_2011

  • USAID. 2010. HIV Profile: East Africa. Nairobi: USAID.

    Google Scholar 

  • USAID. 2011a. The Female Condom. http://www.usaid.gov/our_work/global_health/aids/TechAreas/prevention/femalecondom.hlml

  • USAID. 2011b. Structural Interventions: An Overview of Structural Approaches to HIV Prevention. Washington, DC: USAID. http://www.aidstar-one.com/focus_areas/prevention/pkb/structural_interventions/overview_structural_approaches_hiv_prevention

    Google Scholar 

  • Uthman, O.A., Popoola, T.A., Yahaya, I. et al. 2011. The cost-utility analysis of adult male circumcision for prevention of heterosexual acquisition of HIV in men in subSaharan Africa: A probabilistic decision model. Value Health 14:70–79.

    Article  Google Scholar 

  • Van Dyk, A. 2008. Caring and Counselling: A Multidisciplinary Approach. Sandton, Gautend, South Africa: Pearson South Africa.

    Google Scholar 

  • Wabwire-Mangen, F., Odiit, M., Kirungi W. et al. 2008. Analysis of HIV Prevention Response and Modes of HIV Transmission: The Uganda Country Synthesis Report. Kampala: UGANDA AIDS Commission and UNAIDS.

    Google Scholar 

  • Walensky, R.P. and Bassett, I.V. 2011. HIV self-testing and the missing linkage. PLoS Medicine 8(10):e1001101.

    Google Scholar 

  • Wambe, M., Gregson, S., Nyamupapa, C.A. et al. 2005. HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in eastern Zimbabwe. Abstracts of the 15th International AIDS Conference, Bangkok. Abstract TUORCI153.

    Google Scholar 

  • Weiss, H.A., Dickson, K.E., Agot, K. and Hankins, C.A. 2010. Male circumcision for HIV prevention: Current research and programmatic issues. AIDS 24(Suppl. 4):S61–S69.

    Article  Google Scholar 

  • Weisser, S.D., Tuller, D.M., Frongillo, F.A. et al. 2010. Food insecurity as a barrier to sustainable antiretroviral therapy adherence in Uganda. PLoS One 5(4):e10340.

    Article  Google Scholar 

  • WHO. 2006. The World Health Report 2006: Working together for Health. Geneva: WHO.

    Google Scholar 

  • WHO. 2007. Task Shifting to Tackle Health Worker Shortage. Geneva: World Health Organization.

    Google Scholar 

  • Wilhelm-Solomon, M. 2010. Stigmatization, Disclosure and the Social Space of the Camp: Reflections on ART Provision to the Displaced in Northern Uganda. Center for Social Science Research, Working Paper No. 267. Cape Town: Center for Social Science Research.

    Google Scholar 

  • World Bank. 2010a. A Cash Transfer Program Reduces HIV Infections among Adolescent Girls. Washington, DC: World Bank.

    Google Scholar 

  • World Bank. 2010b. Southern Africa: HIV/AIDS and Tuberculosis Plan of Action, 2010– 2011 for Botswana, Lesotho, South Africa and Swaziland. Washington, DC: World Bank.

    Google Scholar 

  • Wube, M., Home, C.J. and Stuer, F. 2010. Building a palliative care program in Ethiopia: The impact on HIV and AIDS patients and their families. Journal of Pain and Symptom Management 40:6–8.

    Article  Google Scholar 

  • Zachariah, R., Ford, N., Philips, M. et al. 2009. Task shifting in HIV/AIDS: Opportunities, challenges and proposed actions for sub-Saharan Africa. Transactions of the Royal Society of Tropical Medicine and Hygiene 103(6):549–558.

    Article  Google Scholar 

Books, papers, websites, and other resources for further reading

  • Bello, G., Ndhlovu, T. and Hallett, T.B. Evidence for changes in behaviour leading to reductions in HIV prevalence in urban Malawi. Sexually Transmitted Infections 87:296–300.

    Google Scholar 

  • Braitstein, P., Boulle, A., Nash, D., et al. 2008. Gender and the use of antiretroviral treatment in resource-constrained settings: Findings from a multicenter collaboration. Journal of Women’s Health (Larchmt) 17:47–55.

    Article  Google Scholar 

  • Lomborg, B. (ed.). 2012. Rethinking HIV/AIDS Priorities in Africa: A Cost-Benefit Analysis. Cambridge: Cambridge University Press.

    Google Scholar 

  • Lule, E. and Haaker, M. 2012. The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda. Washington, DC: World Bank.

    Google Scholar 

  • Poku, N.K. n.d. HIV/AIDS and Governance in Africa. ECSP Population, Health, Environment, and Conflict Report, issue 12. http://www.wilsoncenter.org/topics/pubs/Poku12.pdf

  • Poku, N.K. and Sandkjaer, B. 2007. Meeting the challenges to scaling up HIV/AIDS treatment in Africa. Development in Practice 17:279–290.

    Article  Google Scholar 

  • Website of UNIFAB: http://www.unfap.org/aids/index.htm

  • Website of the United Nations Office on Drugs and Crime Prevention: http://www1.unodc.org/odccp/drug_demand_hiv_aids.html

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Authors
  1. Getnet Tadele
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  2. Woldekidan Amde
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  3. Helmut Kloos
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© 2013 Getnet Tadele, Woldekidan Amde, and Helmut Kloos

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Tadele, G., Amde, W., Kloos, H. (2013). Access to Treatment, Care, Support, and Prevention Services. In: Vulnerabilities, Impacts, and Responses to HIV/AIDS in Sub-Saharan Africa. Palgrave Macmillan, London. https://doi.org/10.1057/9781137009951_8

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