Heard

Working to Advance Health Equity in Africa

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Political responsibility and global health

Poku, Nk and J, Sundewall

Globalising dynamics have had wide-ranging and pervasive impacts on nearly every form of human relatedness, which now include the bases upon which states calculate and express their political responsibilities. As the ‘reach’ of practical and normative pressures extends and their demands intensify, the compass of state responsibility is becoming a key pressure point for facing the challenges and mediating the tensions of our globalised and ...>>

Journal article | 2017 | Download full text

Measuring health system responsiveness at facility level in Ethiopia: performance, correlates and implications

Bereket, Y and Ncama, BP

Health system responsiveness measures (HSR) the non-health aspect of care relating to the environment and the way healthcare is provided to clients. The study measured the HSR performance and correlates of HIV/AIDS treatment and care services in the Wolaita Zone of Ethiopia.

Journal article | 2017 | Download full text

Offering Self-administered Oral HIV Testing as a Choice to Truck Drivers in Kenya: Predictors of Uptake and Need for Guidance While Self-testing

Kelvin, EA., George, G., Mwai, E., Nyaga, EN., Mantell, JE., Romo, ML., Odhiambo, JO., Govender, K

We assessed predictors of choosing self-administered oral HIV testing in the clinic with supervision versus the standard provider-administered blood test when offered the choice among 149 Kenyan truck drivers, described the types of guidance participants needed during self-testing and predictors of needing guidance.

Journal article | 2017 | Download full text

Designing human immunodeficiency virus counselling and testing services to maximize uptake among high school learners in South Africa: What matters?

Strauss M., George G and Rhodes B

Increasing human immunodeficiency virus (HIV) testing in South Africa is vital for the HIV response. Targeting young people is important as they become sexually active and because HIV risk rapidly increases as youth enter their 20s. This study aims to increase the understanding of high school learners’ preferences regarding the characteristics of HIV testing service delivery models and to inform policy makers and implementers regarding ...>>

Journal article | 2017 | Download full text

From exceptionalism to the challenge of ending AIDS by 2030

Poku, N

The fifteen-year span of the Millennium Development Goals (2000-2015) was also the era of AIDS exceptionalism—that is, the AIDS pandemic was understood as a uniquely urgent global health emergency which drew unprecedented levels of political commitment and financial support. The achievements have been astonishing. Millions of lives have been saved, countless human agonies and social dislocations have been averted and a 38 percent reduction ...>>

Opinion piece | 2016

Funding of community-based interventions for HIV prevention

Poku, NK & Bonnel, R

Since the start of the HIV epidemic, community responses have been at the forefront of the response. Following the extraordinary expansion of global resources, the funding of community responses rose to reach at least US$690 million per year in the period 2005–2009. Since then, many civil society organisations (CSOs) have reported a drop in funding. Yet, the need for strong community responses is even more urgent, as shown by their role in ...>>

Journal article | 2016 | Download full text

Cervical abnormalities in South African women living with HIV with high screening and referral rates

Katz, IT, Butler, LM, Crankshaw, TL, Wright, AA, Bramhill, K, Leone, DA, Giddy, J, Mould, S

Purpose: To determine the prevalence of screening, cervical dysplasia, and malignancy on the basis of histologic diagnoses from colposcopy and large loop excision of the transformation zone among women living with HIV (WLWH) who attended an urban antiretroviral treatment (ART) clinic in KwaZulu-Natal, South Africa. Materials and methods: We performed a retrospective cohort study to examine a random sample of 462 WLWH during a 5-year period ...>>

Journal article | 2016 | Download full text

Psychological functioning among vertically infected HIV-positive children and their primary caregivers

Lentoor AG, Asante K, Govender K, Petersen I

The current study sought to explore the association between primary caregiver depressive symptoms and the psychological functioning in children vertically infected with human immunodeficiency virus (HIV) living in Eastern Cape, South Africa. A cross-sectional data were collected using the Beck Depression Inventory and Strength and Difficulties Questionnaire in a sample of 152 caregiver/child dyads.

Journal article | 2016 | Download full text

Tackling gender inequalities and intimate partner violence in the response to HIV: moving towards effective interventions in Southern and Eastern Africa

Gibbs, A

Ending intimate partner violence (IPV) and reducing gender inequalities are recognised as critical to “‘ending AIDS” by 2030. Amongst women, experiencing IPV has been shown to increase HIV acquisition, reduce women’s ability to use HIV prevention strategies and reduce adherence to antiretroviral therapy (ART). In Southern and Eastern Africa there has recently been a significant push to strengthen programming around this through broad funding ...>>

Journal article | 2016 | Download full text

Determining preferences related to HIV counselling and testing services among high school learners in KwaZulu-Natal: A discrete choice experiment

Strauss, M., George, G and Rhodes, B.D

A key strategy of the South African national response to HIV is the scale-up of HIV counselling and testing (HCT) in the 15–49 years age group. The integrated school health policy aims to guide the roll out of youth-friendly health services including the provision of HCT in schools. Using a discrete choice experiment to examine preferences regarding the attributes of HCT service packages, this study identifies barriers to and facilitators of ...>>

Journal article | 2016 | Download full text

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