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Resource | Guidelines,
Sri Lanka remains as a very low prevalent country for HIV since the first Sri Lankan was diagnosed with HIV in 1987. Current estimate (2015) for people living with HIV (PLHIV) is 4200 including estimated 100 children. By end 2015, a cumulative total of 2309 HIV positive persons were reported to National STD/AIDS Control Programme (NSACP) with a continued upward trend over years.
Antiretroviral therapy (ART) for prevention of mother to child transmission (PMTCT) was introduced and available free of charge for pregnant mothers diagnosed with HIV in Sri Lanka in 2002. All diagnosed PLHIV were linked to care at NSACP HIV clinics and ART was available and provided free of charge from 2004. At present, HIV care services are available in all provinces of Sri Lanka under direct supervision of consultant venereologists. Eligibility criteria for ART were changed over years and at present the country adhere to “Test and Treat” policy where everyone diagnosed with HIV are eligible for treatment irrespective of CD4 count, viral load or HIV clinical stage.
Resource | Reviews and Snapshots,
This paper reviews the latest global and local situation of hepatitis A and examines the prevention and control measures of hepatitis A in Hong Kong.
Hepatitis A is inflammation of the liver caused by the hepatitis A virus (HAV). It is one of the most frequent causes of foodborne infection. It occurs sporadically and in epidemics worldwide. Every year there are an estimated 1.4 million cases of hepatitis A worldwide. Regions with high HAV endemicity include parts of Africa and Asia. The disease is closely associated with unsafe water, inadequate sanitation and poor personal hygiene.
Resource | Publications,
There were an estimated 36.7 million (34.0–39.8) people living with HIV (PLHIV) globally as of December 2015. Annually, there are an estimated 2.1 million (1.8-2.4) new infections 1.1 million (0.94-1.3) AIDS-related deaths. Nearly 17 million people living with HIV (PLHIV) are receiving ART with 46% coverage of those in need of ART.1 Although significant progress in the control of the epidemic has been made, countries must accelerate the prevention of new infections, implement a Treat All strategy, reduce AIDS deaths and eliminate HIV-related stigma and discrimination.
This progress report presents the state of the epidemic and response at regional and country levels with challenges and opportunities that will help Member States, WHO and other key stakeholders identify areas for prioritization and focus to fast-track the HIV response at national and subnational levels to reach 90-90-90 targets of 2020 and pave the way for achieving the SDG target of ending AIDS as a public health threat by 2030.
Resource | Publications,
The world now has the ability to end AIDS as a public health threat by 2030. Doing so, however, will require a Fast-Track approach over the next five years, followed by sustained action until 2030. Leadership by governments can make ending the AIDS epidemic their legacy, but important decisions must be made soon.
This report is intended as a guide to governments, in particular ministers of health and finance, in making decisions on the integration of community responses to HIV in national AIDS plans, including budget allocations. Resilient systems for health that integrate community responses will be key to ending the AIDS epidemic by 2030.
Resource | Publications,
Among the most closely watched indicators of the global AIDS response is the number of people on antiretroviral therapy. Antiretroviral medicines allow people living with HIV to live long and healthy lives. The medicines can also reduce the amount of HIV in the bloodstream to undetectable levels. Having such a low viral load greatly reduces the chance that a person living with HIV will transmit the virus to someone else.
The current global target, agreed by the United Nations General Assembly in June 2016, is for 30 million people living with HIV to access treatment by 2020. UNAIDS is mandated by the United Nations General Assembly to track global progress against this and other global targets. A majority of countries regularly report treatment numbers and other data against a standard set of indicators to UNAIDS through the Global AIDS Response Progress Reporting (GARPR) system. UNAIDS works in collaboration with the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) and other partners to validate these reports ahead of publication. For the minority of countries that do not provide reports, UNAIDS estimates their treatment numbers using a variety of data sources.
Resource | Publications,
Many men who have sex with men and many transgender people avoid HIV testing services even when such services are available. They do so mainly because of (actual or perceived) stigma by health care providers and inconvenient locations or opening hours. This typically means they are unaware of their HIV status, cannot access life-saving antiretroviral treatment (ART) and may be spreading the disease to their partners, thus perpetuating the HIV epidemic.
Outreach workers have for many years had a critical role in disseminating HIV prevention information and commodities (condoms and lubricant), identifying undiagnosed HIV infection among men who have sex with men and among transgender people and in facilitating access to HIV counselling and testing services.
One critical role of outreach workers is to identify people who have not been reached by HIV services. There are numerous models for achieving this reach, including (but not necessarily limited to) targeted face-to-face outreach in locations where men who have sex with men and transgender people gather, so-called “cyber outreach” via internet and social media platforms and peer-driven recruitment models wherein our clients help us recruit additional members of our targeted audiences.
Resource | Guidelines,
The objective of this guideline is to provide a framework for the treatment of Filipino HIV patients using an evidence-based approach, with emphasis on locally available treatment. The target audience is not only the infectious diseases subspecialist who treats HIV but also internists, family physicians, pulmonary specialists and other subspecialists who are taking care of or who wish to care for persons living with HIV.
Resource | Publications,
The bold and visionary leadership by President George W. Bush and the United States (U.S.) Congress that created the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)—a legacy that President Barack Obama has embraced and on which he has significantly expanded—has fundamentally transformed the global HIV/AIDS response. Since 2003, with Congress’s extraordinary investment, PEPFAR has helped to halt the relentless escalation of new HIV infections and mortality rates across the globe. PEPFAR has saved millions of lives and prevented millions more HIV infections by providing core HIV prevention and treatment services, changing the very course of the HIV pandemic. Our investments have resulted in more than 1.5 million babies who would have otherwise been infected being born HIV-free, and have provided compassionate care and support for millions of AIDS orphans and vulnerable children (OVC).
Resource | Publications,
Children living with HIV (aged 0–4) face the highest risk of AIDS-related death compared to all other age groups. The AIDS-response must focus on solutions for this extremely vulnerable population. Preventing new infections, but also testing and starting treatment early are the best ways to end AIDS among the youngest children. In an age when the tools and knowledge are at hand to prevent and treat HIV in children, new infections and deaths among this age group reflect a collective failure to prioritise children.
Resource | Publications,
The Asia Pacific Inter Agency Task Team on Young Key Populations was established in 2009 to promote coordinated support from UN agencies and civil society partners to meet the HIV prevention, treatment, care and support needs of YKPs including: young men who have sex with men, young transgender people, young people who inject drugs, young people living with HIV, and young people selling sex.
The Task Team is an informal working group that includes as its members a wide range of UN and civil society partners. Membership is open to any organization interested in working collaboratively to support the HIV prevention, treatment, care, and support needs of YKP. 2016 has provided an opportunity for the IATT on YKP to demonstrate its joint work for the region on young key populations issues.