Rates of HIV testing and diagnosis in South Africa, 2002–2012: successes and challenges
Background: UNAIDS aims for 90% of HIV-positive individuals to be diagnosed by 2020, but few attempts have been made in developing countries to estimate the fraction of the HIV-positive population that has been diagnosed. Methods: To estimate the rate of HIV diagnosis in South Africa, reported numbers of HIV tests performed in the South African […]
Modelling the demographic impact of HIV/AIDS in South Africa and the likely impact of interventions
This paper describes an approach to incorporating the impact of HIV/AIDS and the effects of HIV/AIDS prevention and treatment programmes into a cohort component projection model of the South African population. The modelled HIV-positive population is divided into clinical and treatment stages, and it is demonstrated that the age profile and morbidity profile of the […]
Home visits during pregnancy enhance male partner HIV counselling and testing in Kenya: a randomized clinical trial
Background HIV testing male partners of pregnant women may decrease HIV transmission to women and promote uptake of prevention of mother-to-child HIV transmission (PMTCT) interventions. However, it has been difficult to access male partners in antenatal care (ANC) clinics. We hypothesized that home visits to offer HIV testing to partners of women attending ANC would […]
The HIV Blind Spot: Men and HIV Testing, Treatment and Care in Sub-Saharan Africa
Evidence shows that men are significantly underrepresented in HIV and AIDS testing and treatment services – both in sub-Saharan Africa and globally. HIV policies within sub-Saharan Africa also have insufficient focus on ensuring national HIV responses encourage men to test, access anti-retroviral treatment and support the disproportionate burden of HIV care on women. Addressing these […]
Expanding HIV care in Africa: making men matter
By contrast with many public health programmes, the drive to scale up combination antiretroviral therapy (cART) in the developing world has been constantly appraised for equity. Strong advocacy eff orts have brought to the attention of policy makers groups who are often overlooked in service provision, such as men who have sex with men, sex […]
Estimated age and gender profile of individuals missed by a home-based HIV testing and counselling campaign in a Botswana community
AbstractIntroduction: It would be useful to understand which populations are not reached by home-based HIV-1 testing and counselling (HTC) to improve strategies aimed at linking these individuals to care and reducing rates of onward HIV transmission.Methods: We present the results of a baseline home-based HTC (HBHTC) campaign aimed at counselling and testing residents aged 16 […]
Men’s heightened risk of AIDS-related death: the legacy of gendered HIV testing and treatment strategies
Women are frequently depicted as the face of AIDS in sub-Saharan Africa (SAA), where they comprise nearly 58% of all reported HIV infections. Donor dollars, policies and HIV programmes have followed suit, resulting in a near-exclusive focus on women. Although African women are represented as particularly vulnerable to HIV infection, it is men, not women, […]
Do not forget the boys – gender differences in children living in high HIV-affected communities in South Africa and Malawi in a longitudinal, community-based study
Gender is an important factor in child development. Especially in sub-Saharan Africa, girls have often been shown to be less likely to access education compared to boys. The consequence of this has been that that programmes addressing child development are often aimed at girls in order to redress gender imbalances. This study examines the effect […]
Contrasting Gender Differentials in HIV-1 Prevalence and Associated Mortality Increase in Eastern and Southern Africa: Artefact of Data or Natural Course of Epidemics?
Surveillance of the HIV-1 pandemic in sub-Saharan Africa and assessment of its demographic impact have relied overwhelmingly upon data collected from women attending antenatal clinics. Levels of HIV-1 prevalence among these women are thought to be close to those prevailing within the adult female population, and, since heterosexual sex is the predominant form of transmission […]
Development of a National Campaign Addressing South African Men’s Fears About HIV Counseling and Testing and Antiretroviral Treatment
South African men are less likely to get tested for HIV than women and are more likely to commence antiretroviral treatment (ART) at later stages of disease, default on treatment, and to die from AIDS compared with women. The purpose of this study was to conduct formative research into the ideational and behavioral factors that […]
