The challenges to antiretroviral adherence among MSM and LGBTI living with HIV in east and southern Africa
“What are the challenges to antiretroviral therapy (ART) adherence among Men who have Sex with Men (MSM) and Lesbian, Gay, Bisexual, Transsexual, and Intersex (LGBTI) living with HIV in east and southern Africa?” This embodies the question formed by MSM and LGBTI community activists who attended an amfAR-organised one and a half day meeting to develop an LGBTI research agenda in 2014. This question, asked by the communities it concerns, is particularly topical given that ‘treatment as prevention’ has become the cornerstone of UNAIDS’s post-2015 global strategy to end AIDS by 2030. As the expansion of treatment provision continues, and access improves, adherence becomes a determining factor in the impact of ART for both treatment and prevention.
In response, HEARD conducted a systematic literature review (August 2015) revealing a knowledge gap around the research question, and is subsequently undertaking exploratory research in the form of a pilot study. A HEARD researcher has already met with a wide range of key informants in Kenya, with perceptions suggesting that although the majority of challenges to ART adherence for HIV positive members of the MSM and LGBTI communities are also found among the general population, they may be more acute and more prevalent given overlapping vulnerabilities and double stigma experienced by MSM and LGBTI communities and explored in the report (October 2015). A HEARD researcher is currently on a country visit in Uganda to augment the findings of the country visit to Kenya. The pilot study will be used to inform any decision to undertake further, regional research on the issue.
Unsafe abortion is a major cause of mortality and morbidity and has been identified as one of the key health crises on the global health agenda. Ninety-eight percent of unsafe abortions take place in middle- and low-income countries with the most deaths occurring in countries with restrictive ...>>
HEARD in partnership with the University of Birmingham will conduct a methodological workshop to structured around a series of presentations and discussions aiming to address these questions and to result in the development of new methodological tools for research on SGBV which is both locally ...>>
Public talk: Intimate partner violence among pregnant women in low-income countries – A case study of Rwanda
Intimate partner violence during pregnancy is associated with maternal mortality, adverse pregnancy outcomes and childhood growth impairment. Its effects may be exacerbated in resource-limited settings. Nevertheless, it has not been thoroughly investigated. In this talk, Dr Akashi Andrew ...>>
December 1 marked World AIDS Day. A brief moment reflection our recent achievements in the fight against HIV and AIDS point to some significant victories. Globally, we have more scientific knowledge on how the virus is transmitted with prevention and treatment options being tailored to suit ...>>
Media release: HEARD embarks on an extensive research project on young key populations in SADC countries
HEARD embarks on an extensive research project on young key populations in SADC countries, in collaboration with the United Nations Development Programme and African Men for Sexual Health and Rights Durban, South Africa | 1 December 2016 HEARD has successfully obtained a large research grant to ...>>
ARV treatment on the rise, but UN urges urgent action as thousands of young women continue to be infected with HIV. The number of HIV-infected people taking anti-retroviral (ARV) medicine has doubled in just five years, the United Nations said while highlighting high infection rates among young ...>>
HEARD’s Scholarship Programme aims to emphasise the mastery of quantitative and qualitative methods for understanding policy problems and for devising, evaluating and/or implementing policy solutions. The aim of providing PhD scholarships is to produce expertly qualified graduates to advise or ...>>
In the era of Sustainable Development Goals, the importance of linking sexual and reproductive health and rights (SRHR) with HIV is rightly recognised. In Africa, most HIV infections are sexually transmitted or are associated with pregnancy, childbirth, and breastfeeding; moreover, sexual and ...>>
HEARD’s gender equality and health expert Andrew Gibbs and Nwabisa Jama Shai from the gender and health unit of the South African Medical Research Council on strengthening government, civil society and academic relationships for evidenced-based policy and programming to prevent VAWG. ...>>
Baseline data collection has begun for cluster randomised control trial to assess whether the Stepping Stones and Creating Futures intervention can reduce men’s perpetration and women’s experience of intimate partner violence (IPV) in urban informal settlements in Durban. Baseline data ...>>