HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential
Background: The burden of HIV is especially concerning for Eastern and Southern Africa (ESA), as despite expansion of test-and-treat programmes, this region continues to experience significant challenges resulting from high rates of morbidity, mortality and new infections. Hard-won lessons from prog...
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| Format: | Article |
| Language: | English |
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AOSIS
2021-05-01
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| Series: | Southern African Journal of HIV Medicine |
| Subjects: | |
| Online Access: | https://sajhivmed.org.za/index.php/hivmed/article/view/1237 |
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| author | Erica Parker Melinda A. Judge Eusebio Macete Tacilta Nhampossa Jienchi Dorward Denise C. Langa Caroline De Schacht Aleny Couto Paula Vaz Marco Vitoria Lucas Molfino Rachel T. Idowu Nilesh Bhatt Denise Naniche Peter N. Le Souëf |
| author_facet | Erica Parker Melinda A. Judge Eusebio Macete Tacilta Nhampossa Jienchi Dorward Denise C. Langa Caroline De Schacht Aleny Couto Paula Vaz Marco Vitoria Lucas Molfino Rachel T. Idowu Nilesh Bhatt Denise Naniche Peter N. Le Souëf |
| author_sort | Erica Parker |
| collection | DOAJ |
| description | Background: The burden of HIV is especially concerning for Eastern and Southern Africa (ESA), as despite expansion of test-and-treat programmes, this region continues to experience significant challenges resulting from high rates of morbidity, mortality and new infections. Hard-won lessons from programmes on the ground in ESA should be shared.
Objectives: This report summarises relevant evidence and regional experts’ recommendations regarding challenges specific to ESA.
Method: This commentary includes an in-depth review of relevant literature, progress against global goals and consensus opinion from experts.
Results: Recommendations include priorities for essential research (surveillance data collection, key and vulnerable population education and testing, in-country testing trials and evidence-based support services to improve retention in care) as well as research that can accelerate progress towards the prevention of new infections and achieving ambitious global goals in ESA.
Conclusion: The elimination of HIV in ESA will require continued investment, commitment to evidence-based programmes and persistence. Local research is critical to ensuring that responses in ESA are targeted, efficient and evaluated. |
| first_indexed | 2024-04-12T10:41:58Z |
| format | Article |
| id | doaj.art-c8a18ab86488470caecb5959d4e58037 |
| institution | Directory Open Access Journal |
| issn | 1608-9693 2078-6751 |
| language | English |
| last_indexed | 2024-04-12T10:41:58Z |
| publishDate | 2021-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Southern African Journal of HIV Medicine |
| spelling | doaj.art-c8a18ab86488470caecb5959d4e580372022-12-22T03:36:35ZengAOSISSouthern African Journal of HIV Medicine1608-96932078-67512021-05-01221e1e810.4102/sajhivmed.v22i1.1237752HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potentialErica Parker0Melinda A. Judge1Eusebio Macete2Tacilta Nhampossa3Jienchi Dorward4Denise C. Langa5Caroline De Schacht6Aleny Couto7Paula Vaz8Marco Vitoria9Lucas Molfino10Rachel T. Idowu11Nilesh Bhatt12Denise Naniche13Peter N. Le Souëf14Faculty of Health and Medical Sciences, The University of Western Australia, PerthFaculty of Health and Medical Sciences, The University of Western Australia, PerthManhiça Health Research Centre, ManhiçaManhiça Health Research Centre, ManhiçaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom; and, Centre for the AIDS Programme of Research in South Africa (CAPRISA), University of KwaZulu-Natal, Durban, South AfricaDepartment of Surveillance, Instituto Nacional de Saúde, MaputoFriends in Global Health, MaputoNational STI, HIV/AIDS Programme, Ministry of Health, MaputoFundaçao Ariel Glaser contra o SIDA pediátrico, MaputoDepartment of HIV/AIDS, World Health Organization, GenevaMédecins Sans Frontières, MaputoCenter for Global Health, Centers for Disease Control and Prevention, MaputoElizabeth Glaser Pediatric AIDS Foundation, MaputoManhiça Health Research Centre, Manhiça, Mozambique; and, Barcelona Institute for Global Health (ISGlobal), SpainFaculty of Health and Medical Sciences, The University of Western Australia, PerthBackground: The burden of HIV is especially concerning for Eastern and Southern Africa (ESA), as despite expansion of test-and-treat programmes, this region continues to experience significant challenges resulting from high rates of morbidity, mortality and new infections. Hard-won lessons from programmes on the ground in ESA should be shared. Objectives: This report summarises relevant evidence and regional experts’ recommendations regarding challenges specific to ESA. Method: This commentary includes an in-depth review of relevant literature, progress against global goals and consensus opinion from experts. Results: Recommendations include priorities for essential research (surveillance data collection, key and vulnerable population education and testing, in-country testing trials and evidence-based support services to improve retention in care) as well as research that can accelerate progress towards the prevention of new infections and achieving ambitious global goals in ESA. Conclusion: The elimination of HIV in ESA will require continued investment, commitment to evidence-based programmes and persistence. Local research is critical to ensuring that responses in ESA are targeted, efficient and evaluated.https://sajhivmed.org.za/index.php/hivmed/article/view/1237hiv epidemiologypublic healthrisk factorsvulnerable populationsprevention and controlearly diagnosis |
| spellingShingle | Erica Parker Melinda A. Judge Eusebio Macete Tacilta Nhampossa Jienchi Dorward Denise C. Langa Caroline De Schacht Aleny Couto Paula Vaz Marco Vitoria Lucas Molfino Rachel T. Idowu Nilesh Bhatt Denise Naniche Peter N. Le Souëf HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential Southern African Journal of HIV Medicine hiv epidemiology public health risk factors vulnerable populations prevention and control early diagnosis |
| title | HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential |
| title_full | HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential |
| title_fullStr | HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential |
| title_full_unstemmed | HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential |
| title_short | HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential |
| title_sort | hiv infection in eastern and southern africa highest burden largest challenges greatest potential |
| topic | hiv epidemiology public health risk factors vulnerable populations prevention and control early diagnosis |
| url | https://sajhivmed.org.za/index.php/hivmed/article/view/1237 |
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