The African Journal of Drug and Alcohol Studies has posted online a issue, providing a compilation of the peer-reviewed literature documenting the existence of injection and non-injection drug use, and the misuse and abuse of alcohol, and their links to HIV transmission in the region. The papers report and review the findings of research from seven countries — Kenya , Mauritius , Nigeria , Rwanda , South Africa , Tanzania , and Zambia — and document the proceedings of two meetings on alcohol and HIV risk behaviors recently held in the region.
Equity and HIV/AIDS
HIV and AIDS are significant and growing public health concerns in southern Africa. The majority of countries in the region have national adult HIV prevalence estimates exceeding 10 percent. The increasing availability of highly active antiretroviral therapy (HAART) has potential to mitigate the situation. There is however concern that women may experience more barriers in accessing treatment programs than men.
Severe shortages of health staff are compromising the quality and availability of HIV/AIDS care across southern Africa. There is wide acknowledgement of the human resource crisis, but little action on the ground. MSF is urging governments to develop and implement emergency plans to retain and recruit health care workers that include measures to raise pay and improve working conditions.
The majority of adolescents in Africa experience pregnancy, childbirth and enter motherhood without adequate information about maternal health issues. Information about these issues could help them reduce their pregnancy related health risks. Existing studies have concentrated on adolescents' knowledge of other areas of reproductive health, but little is known about their awareness and knowledge of safe motherhood issues. We sought to bridge this gap by assessing the knowledge of school pupils regarding safe motherhood in Mtwara Region, Tanzania.
AIDS Healthcare Foundation endorsed President Bush's efforts to support cost-effective and sustainable programs that provide life-saving Anti-retroviral HIV and AIDS treatment and care globally. The Presidential Emergency Plan for AIDS Relief (PEPFAR) is a $15 billion dollar, five-year global AIDS treatment plan the President first proposed in 2003.
Swaziland's truck drivers are twice as likely to be HIV-positive than other citizens and are finally to get the programmes required to provide them with treatment and support, a conference was told this week. At the Federation of Swaziland Employers (FSE) conference held in Manzini, 35km east of the capital, Mbabane, it was announced that a comprehensive set of initiatives were to be put in place to test, counsel and treat HIV-positive transportation workers after studies showed "truckers as a group have an HIV infection rate double that of the general population," Khosi Hlatshwayo, coordinator of the FSE’s Business Council HIV/AIDS initiative, said.
United Nations Secretary-General Ban Ki-moon today appointed Elizabeth Mataka, a national of Botswana and a resident of Zambia, as his Special Envoy for AIDS in Africa. Ms. Mataka, a social worker by training, has been working in the field of HIV/AIDS for the past 16 years. She has been involved in many different aspects of responding to the AIDS epidemic, including programmes on HIV prevention, clinical treatment for opportunistic infections, care and support at community and national levels.
WHO and UNAIDS have issued new guidance on informed, voluntary HIV testing and counselling in the world's health facilities, with a view to significantly increasing access to HIV treatment, care, support and prevention services. The new guidance focuses on provider-initiated HIV testing and counselling (recommended by health care providers in health facilities), essential to promoting earlier diagnosis of HIV infection, which in turn can maximize the potential benefits of life-extending treatment and care, and allow people with HIV to receive information and tools to prevent HIV transmission to others.
Expanding access to HIV testing is critical in the fight against AIDS, but new WHO/UNAIDS guidelines pay only lip service to the conditions that will make testing successful, Human Rights Watch said today. Human Rights Watch was responding to the release of new WHO/UNAIDS guidelines on provider-initiated HIV testing and counseling. The guidelines appropriately rule out mandatory or coercive testing and call for expanded, health facility-based testing in countries with an “enabling environment” in place and with “adequate resources” available for HIV prevention, treatment and care. But Human Rights Watch warned that few of the most affected countries have such resources and environments in place.
2006 marks the tenth anniversary of the development of the International Guidelines on HIV/AIDS and Human Rights. To celebrate this occasion, the AIDS and Rights Alliance for Southern Africa (ARASA) has conducted research to evaluate the extent to which the International Guidelines have been used and implemented in the Southern African Development Community (SADC) region. This report details the findings of that research. It focuses on the guidelines dealing with: • Structures and partnerships to support a multi-sectoral response; • A protective legal and policy framework; • Access to treatment; and • Access to legal services.