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AFRICA: 6 answers to 6 challenges to delivering treatment as prevention

A response to IRIN/PlusNews list of six potholes in the road to significantly increasing HIV treatment coverage in Africa.
1. Cost:
The Joint UN Programme on HIV/AIDS (UNAIDS) has estimated that US$ 28 billion to US$ 50 billion would be needed globally every year from 2010 to 2015 in order to progressively reach universal access targets for HIV/AIDS by 2015. One-third of this will contribute towards the cost of the drugs.
The figure may sound “staggering” but it needs to be put in perspective with a few other figures such as:

The cost of …

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Culture, Economics, Public Health »

Buying Behaviour Change: A New HIV Prevention Technology?

Can we, and should we, pay people to change their behaviour to stop the spread of the HIV virus which causes AIDS? When it comes to HIV prevention, there is nowadays no limit to the “we need more options” motto and that’s what two World Bank studies conducted in Malawi and Tanzania showed.
In an experiment conducted in Malawi, girls aged 13 to 22 and their parents received as much as $15 each month if the girls attended school regularly, HIV Prevalence was 60% lower among girls receiving cash payments.Though this …

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Intermezzo, Politics, Public Health, Society »

INTERMEZZO: Sex, HIV and the politics of clean needles

Watch this provocative TED talk and read the accompanying article at CNN.

The Compassionate Conundrum by Elizabeth Pisani

 

Rating 3.00 out of 5

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Public Health, Science, Society »

Pre-exposure Prophylaxis (PrEP): not such a good idea?

Just before “Treatment as Prevention” hit the headlines with some controversy, PrEP or Pre Exposure Prophylaxis, was on everybody’s lips.

PrEP is an experimental approach that would use antiretroviral medications (ARVs, which are normally used to treat people living with HIV) to reduce the risk of HIV infection in HIV-negative people. In this intervention, HIV-negative people would take a single drug or a combination of drugs with the hope that it would lower their risk of infection if exposed to HIV. PrEP trials are ongoing around the world. (Source: AVAC)

Whilst some …

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Public Health, Society »

Eljibiti Mon Amour

Lost Decade Gays

It used to be simple: there were the Gay ones and the Rest (though the Rest would have said that “there was us and the Gay guy next door”). But starting at the end of the “sleepy 50s” to climax by the end of the “Glorious 30s” (1945-1975), a sexual revolution had happened and had revealed a world of sexualities.
It was no coincidence that the “Lost Decade” (1980-1990) inaugurated by the abandon of state-led development policies in favour of Neo-liberalism was also the starting point of the tragic …

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