Making Data Count in the HIV Response: Thailand AIDS Zero Portal. Datar A and Vazzano A. (2014)

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Thailand’s AIDS Zero Portal (AZP) offers an exciting example of how one country has addressed these challenges and is “using the data it has” to ask better questions about its HIV epidemic. Using an online, open-access platform, AZP places data on key, agreed-on HIV indicators in everyone’s hands—from national- and subnational-level decisionmakers to civil society leaders and organizers across the country. Though recently launched in June 2014, Thailand is already witnessing how timely access to data can help the country more effectively address its national and subnational HIV epidemic.

Through this case study, the Health Policy Project (HPP) seeks to share Thailand’s experience implementing AZP and its initial impact at the national and provincial levels. The AZP offers a potential model for other countries looking to institutionalize and leverage information systems as part of their routine monitoring and evaluation, strategic planning, and resource allocation efforts.


Keywords: HIV, AIDS, Thailand, data, treatment, surveillance, portal

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The Availability and Use of Diagnostics for HIV: A 2012/2013 WHO Survey of Low- and Middle-income Countries. WHO. (2014)

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The WHO consolidated guidelines on the use of ART for treating and preventing HIV infection, and the March 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection (1,2) were developed with the aim of supporting countries in updating their national treatment policies and diagnostic approach, focusing on the implementation of a tiered laboratory network at various levels of a country’s health care system. This includes increasing access to cluster differential 4 (CD4) testing for initiating ART and viral load (VL) testing for monitoring ART and early detection of virological failure, strengthening and expanding laboratory and diagnostic services, improving specimen referral systems, and ensuring the rational use of point-of-care (POC) technology.

 

Keywords: HIV, infections, diagnosis, health surveys, data collection, developing countries, CD4 testing, viral load testing

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Surveillance of HIV Drug Resistance in Populations Initiating Antiretroviral Therapy (Pre-treatment HIV Drug Resistance). WHO. (2014)

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Nationally representative surveillance of HIVDR in populations initiating a standard triple-drug ART combination is critical to inform the selection of effective first-line ART combinations, as well as adequate pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) regimens. Detected HIVDR in populations initiating triple-drug ART regimens may have been transmitted at the time of initial infection or acquired due to previous exposure to antiretroviral (ARV) drugs (in the context of prevention of mother-to-child transmission (PMTCT) programmes, PrEP, PEP or previous disclosed or undisclosed ART).

 

Keywords: HIV, drug resistance, infections, epidemiology, therapy, surveillance

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Surveillance of HIV Drug Resistance in Adults Receiving ART (Acquired HIV Drug Resistance). WHO. (2014)

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HIV Drug Resistance emerges when HIV replicates in the presence of antiretroviral drugs. If HIV drug resistance becomes widespread, the drugs currently used to treat HIV infection may become ineffective. To date, levels of HIV Drug Resistance in countries scaling up ART remain manageable. However, resistance is slowly increasing: in East Africa, resistance rates of 10% to non-nucleoside drugs (such as nevirapine and efavirenz) have been recently described.

To maximize the long-term effectiveness of first-line ART regimens, and ensure the sustainability of ART programmes, it is essential to minimize the further spread of HIV drug resistance. Even in settings with optimal ART programme management, some degree of HIVDR is expected to emerge in populations on ART and some HIVDR is expected to be transmitted to previously uninfected individuals. Therefore, WHO recommends that HIV treatment scale-up should always be accompanied by a robust assessment of drug resistance emergence and transmission.


Keywords: HIV, ART, treatment, prevalence, clinics, adults

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Service Delivery Approaches to HIV Testing and Counselling (HTC): A Strategic HTC Policy Framework. WHO. (2014)

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The overall goal for HTC for a national programme should be to identify as many people as possible with HIV early in their infection and link them successfully to prevention, care, and treatment services, and to link those who test negative to prevention services. This framework has been developed to support countries to select the best combination of approaches to achieve this, identifying the models of HTC delivery that are most acceptable, most cost-effective, and best reach the communities most vulnerable to HIV. Countries should set targets for HTC to assure its role in the overall response to HIV, and they should monitor the uptake and coverage of testing for the populations they seek to serve so that they can adjust ongoing programmes appropriately.

 

Keywords: HIV, AIDS, infections, diagnosis, counseling, health services

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ASEAN Good Practices and New Initiatives in HIV and AIDS. The ASEAN Secretariat Jakarta. (2014)

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According to the First ASEAN Regional Report on HIV and AIDS in 2011, “Addressing AIDS in ASEAN Region”, there are 1.5 million people estimated to be living with HIV distributed amongst the ASEAN Member States (AMS). The national HIV prevalence rates in the region range from 0.1 per cent to 0.7 per cent. Although prevalence rates are decreasing, current estimates indicate that there are some AMS that are showing an increasing trend.
The key risk behaviours that drive the HIV epidemic in the region are unprotected sex with multiple partners and needle sharing in injecting drug use. Seventy-five per cent of all HIV infections in ASEAN are reported among key populations (KPs) of sex workers, men who have sex with men, transgender, and people who inject drugs. Other vulnerable populations include the intimate partners of KPs, youths, and mobile populations.


Keywords: HIV, PMTCT, testing, STI, prevention, FSW, transgender people, MSM, prison setting, PWID, migrant workers

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Scan of Law and Policies Affecting Human Rights, Discrimination and Access to HIV and Health Services by Key Populations in Pakistan. UNDP. (2014).

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The Scan of Laws and Policies Affecting Human Rights, Discrimination and Access to HIV and Health Services by Key Populations in Pakistan identifies the current status of legislation, policies, institutional frameworks in Pakistan that safeguard the universal human rights of the key affected populations with regard to the HIV prevention, care and treatment. The scan establishes a baseline on the current enabling environment (law, policies and institutions) in relation to safeguarding the human rights of the key populations and second, and it provides a set of recommendations to input into any reforms to promote an enabling environment where the human rights of the key populations are protected.

 

Keywords: HIV, Pakistan, PLHIV, MSM, MSW, FSW, transgender people, laws, human rights, discrimination, women, enabling environment 

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Review and Consultation on the Policy and Legal Environments Related to HIV Services in Malaysia. UN. (2014)

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The report on the Review and Consultation on the Policy and Legal Environments Related to HIV Services in Malaysia seeks to identify the current status of the policy and legal environment in Malaysia that safeguard the universal human rights of key affected populations with regard to HIV prevention, care and treatment. The review and consultation establishes a baseline and it provides a set of concrete recommendations to contribute to reforms that will promote an enabling environment where the human rights of the key populations are adequately protected.

 

Keywords: HIV, Malaysia, laws, stigma, discrimination, key population

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Pacific Sexual Health and Well-Being: Shared Agenda 2015-2019. Secretariat of the Pacific Community Suva (Fiji). (2014)

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The Pacific Sexual Health and Well-Being Shared Agenda 2015–2019 (the Shared Agenda) is a visionary document that provides guidance and strategic direction to strengthen the sexual health response in the Pacific region by shifting the focus from a single disease to a rights-based comprehensive approach to sexual health.

 

Keywords: HIV, Pacific, STI, civil society, violence, young people, LGBT, MSM, sex workers, PLHIV, women

 

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School-related Gender-based Violence (SRGBV) in Asia-Pacific. UNGEI and UNITE. (2014)

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Gender-related violence in schools is a violation of human rights that also raises additional barriers to learning and can adversely affect the health of young people. In extreme cases it can even drive young people to suicide. Studies also show that violence begets violence, perpetuating a vicious cycle that can last generations.

 

Keywords: girls, transgender students, schools, bullying, abuse

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Highlighted publications
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_HIV_drug_resistance_report_2017.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Guidelines_on_public_health_response_to_pretreatment_HIV_drug_resistance_2017.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Guidelines_for_Managing_Advanced_HIV_Disease_and_Rapid_Initiation_of_ART_2017.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_What_New_in_Treatment_Monitoring_Viral_Load_and_CD4_Testing_2017.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Pakistan_IBBS_2016-17.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Pakistan_Mapping_Key_Populations_2015-16.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Global_AIDS_Update_2017.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Global_AIDS_Update_2017_Data_2017_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Myanmar_National_Strategic_Plan_on_HIV_and_AIDS_2016-2020.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_2017_Global_AIDS_Monitoring_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Nepal-IBBS-FIDU-Kathmandu-valley-RI-2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/NEC_HIV_May-AIDSreg2017.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_methods_for_deriving_estimates_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/2015_Size_Estimation_of_Key_Affected_Populations_in_Philippines.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Assessment_of_Decentralization_of_ART_in_MMR_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS-2016-prevention-gap-report_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Biomedical_AIDS_research_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Implementing_comprehensive_HIV_and_STI_programmes_with_transgender_people_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_cities_ending_the_aids_epidemic_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Philippines_2015_IHBSS_Factsheets.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Integrating_collaborative_TB_and_HIV_services_within_a_comprehensive_package_of_care_for_PWID_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/India_IBBS_report_2014-15.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/India_HSS_report_2014-15.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/2015_young_people_drugs_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Transforming_our_world_2015_UN.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Consolidated_on_the_use_of_antiretroviral_drugs_for_treating_and_preventing_HIV_infection_2016.pdf
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