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In every region of the world, impoverished, poorly educated and rural girls are more likely to become pregnant than their wealthier, urban, educated counterparts. Girls who are from an ethnic minority or marginalized group, who lack choices and opportunities in life, or who have limited or no access to sexual and reproductive health, including contraceptive information and services, are also more likely to become pregnant.
The 2013 Report on Tuberculosis Research Funding Trends: 2005–2012 presents eight years of funding data to characterize annual investments by the world’s leading donors to TB R&D. The report compares current spending in six areas of research with the corresponding R&D funding targets outlined in the Stop TB Partnership’s Global Plan to Stop TB 2011–2015 and shows how these levels of investment have changed over time since 2005, the baseline year. The analysis reveals that in all six research categories, actual spending falls far short of the investments required to develop and introduce new tools to fight TB.
This is the eighteenth global report on tuberculosis (TB) published by WHO in a series that started in 1997. It provides a comprehensive and up-to-date assessment of the TB epidemic and progress in implementing and ﬁnancing TB prevention, care and control at global, regional and country levels using data reported by 197 countries and territories that account for over 99% of the world’s TB cases.
Over 400 key legal and policy documents from 32 Asia-Pacific countries were analyzed for the report, making it the first systemic review of its kind in the region on this issue. Focus group discussions with young people were also undertaken to elicit their views and experiences in accessing SRH and HIV services, including on issues such as age of consent, age and marriage requirements for services, and attitudes of service providers.
John Godwin, the report’s author, said: “Our research found that restrictive laws can be a significant barrier to access to sexual and reproductive health services for young people – in terms of enjoyment of their health rights, the law has got a lot to do with it.”
“We found that very few countries have taken legal steps to clarify the health rights of young people, and this creates particular problems in the sensitive areas of HIV, sexual health and reproductive health.”
The report offers recommendations on steps that can be taken to address challenges keeping young people from accessing essential health and information services. These cover legal reforms, changes in law enforcement practices and the greater inclusion of young people’s voices in drafting policy related to SRH and HIV services.
BANGKOK, Thailand, 21 November 2013—United Nations entities, civil society networks and development partners in Asia and the Pacific are joining to urge for a rapid increase of voluntary confidential community-based HIV testing and counseling for key populations at higher risk—including men who have sex with men, transgender people, sex workers and people who use drugs— in the region, to help ensure more people in need are able to access life-saving antiretroviral treatment.
This report provides an overview of the epidemic and the response in Asia and the Pacific as well as focus on critical progress and challenges in the achievement of the 10 targets, towards getting Asia and the Pacific to zero new infections, zero discrimination and zero AIDS deaths. The report draws primarily on sources listed at the first page of this publication.
In September 2013, there were 427 new HIV Ab sero-positive individuals confirmed by the STD/AIDS Cooperative Central Laboratory (SACCL) and reported to the HIV and AIDS Registry (Table 1). This is 35% higher compared to the same period last year (n=316 in 2012).
“The Time Has Come” is a training package for health providers to reduce stigma in health care settings, as well as to enhance HIV, STI and other sexual health services for men who have sex with men (MSM) and transgender people in Asia and the Pacific. The package offers a dynamic, interactive training programme designed by expert peer trainers. It aims to impart practical, sustainable knowledge and skills to programme managers, frontline service managers and health policy professionals that can enhance their leadership capacity and improve programming and service delivery. The training package is designed to be particularly relevant for health care workers, as well as selected staff from national and provincial HIV programmes, Global Fund project managers, policy-makers, frontline managers and advocates. It is hoped that the training package will play an important role in responding to the need to address sexual orientation and gender identity in the region’s response to HIV.
This resource tool provides definitions of key concepts and highlights successful interventions, but is not meant to be exhaustive or prescriptive. The underlying concepts and framework described here, and the basic process for implementing a structural approach, are designed to be relevant in any setting. As indicated in the PEPFAR guidance calling for countries to “know your epidemic” (PEPFAR 2011a), each country will have different socioeconomic, political, and cultural contexts, and the relative importance of structural and other drivers for prevention will need to be identified based on a range of country data sources. This tool is intended to complement the PEPFAR guidance, with a particular focus on structural prevention programming.
This tool is the product of collaboration among sex workers, service providers, researchers, government officials and nongovernmental organizations (NGOs) from around the world, as well as United Nations agencies, and development partners from the United States. The tool is aligned with the 2012 Recommendations. It also refers to a global consultation conducted with sex workers by NSWP as part of the process of developing the 2012 Recommendations. This consultation document is referred to in this tool as the “values and preferences survey”.