HIV This Month - July 2013

Welcome to the 7th issue of HIV this month!  In this issue, we cover the following topics:

Reduce sexual transmission

• Home-based HIV counselling & testing by lay counsellors reduces risky sexual behaviour and increases uptake of testing in rural South Africa
• Home-based HIV counselling & testing increases uptake of testing in Zambia
• Low levels of HIV testing among health care workers in Burkina Faso
• Interventions among sex workers associated with reduced risk of syphilis, but not HIV, in pregnant women in India

15 million accessing treatment

• Disclosure to children of their HIV status: a model from Thailand
• Delays in starting ART among eligible patients in Uganda
• Huge pre-ART losses to care in Mozambique
• Disengagement from ART care in South Africa associated with higher baseline CD4 counts
• NRTI-sparing second-line ART non-inferior to WHO-recommended regimen
• Resistance mutations on stavudine: programmatic implications
• Decentralised HIV treatment is no worse than hospital based care, and in some cases better

Avoid TB deaths

• Outcomes among people investigated for TB with point-of-care Xpert MTB/RIF assay

Close the resource gap

• Modelling combination prevention: the importance of joint effectiveness assumptions

Eliminate gender inequalities

• Disproportionately high HIV risk and gender disparity in prevalence among urban poor in Sub-Saharan Africa

Eliminate stigma and discrimination

• HIV prevention laws based on moralistic judgements of lawmakers may increase stigma

Eliminate travel restrictions

• Towards the elimination of travel restrictions for people living with HIV

Strengthen HIV integration

• Health system barriers to achieving the potential of integrated service delivery

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