Care and support for people living with HIV/AIDS
Care and support for people living with HIV/AIDS
Care and support for people living with HIV/AIDS
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Report on the global <strong>HIV</strong>/<strong>AIDS</strong> epidemic – June 200078 Opening new doors <strong>with</strong> counselling <strong>and</strong> testing79 The challenge of prevention <strong>for</strong> couples81 Preventing mother-to-child transmission of <strong>HIV</strong>85 <strong>Care</strong> <strong>and</strong> <strong>support</strong> <strong>for</strong> <strong>people</strong> <strong>living</strong> <strong>with</strong> <strong>HIV</strong>/<strong>AIDS</strong>85 Meeting the needs: challenges <strong>and</strong> achievements87 The interlocking benefits of care <strong>and</strong> prevention87 The community is key88 Greater involvement of <strong>people</strong> <strong>living</strong> <strong>with</strong> <strong>HIV</strong>/<strong>AIDS</strong> – the GIPA principle88 Community st<strong>and</strong>ards <strong>for</strong> care <strong>and</strong> <strong>support</strong>89 Health care: where are the gaps?91 Comprehensive care <strong>and</strong> <strong>support</strong> strategy needed93 Psychological <strong>and</strong> social <strong>support</strong> <strong>and</strong> other measures to alleviate the impact of <strong>HIV</strong>/<strong>AIDS</strong>94 Alleviating economic impact96 Improve health service delivery97 <strong>Care</strong> <strong>and</strong> <strong>support</strong> packages99 Improve access to drugs100 Strategies <strong>for</strong> cost <strong>and</strong> price reduction105 Better prospects <strong>for</strong> preventing infections in those <strong>with</strong> <strong>HIV</strong>106 A new incentive <strong>for</strong> testing?107 National responses to the epidemic: factors that make a difference108 Common features of effective national responses115 Conclusion116 Annex 1. How reliable are estimates of <strong>HIV</strong> infection <strong>and</strong> <strong>AIDS</strong> deaths?119 Annex 2. <strong>HIV</strong>/<strong>AIDS</strong> estimates <strong>and</strong> data, end 1999119 Notes on specific indicators listed in the table123 Table of country-specific <strong>HIV</strong>/<strong>AIDS</strong> estimates <strong>and</strong> data, end 1999Boxes10 Box 1. A measure of success: reduced <strong>HIV</strong> rates in young Zambian women13 Box 2. A measure of success: changing behaviour in Tamil Nadu16 Box 3. A measure of success: young Brazilians increasingly reject unprotected sex27 Box 4. The orphans left behind34 Box 5. <strong>HIV</strong> in the workplace: the business response38 Box 6. Breaking the silence in Africa41 Box 7. <strong>AIDS</strong> hotline: reducing vulnerability in Egypt49 Box 8. Working <strong>with</strong> vulnerable girls in Nepal50 Box 9. Rape in war53 Box 10. Child-friendly courts in Zimbabwe59 Box 11. How well do condoms work?63 Box 12. The female condom64 Box 13. Making the safe choice easier68 Box 14. Needed: an <strong>AIDS</strong> vaccine70 Box 15. Male circumcision <strong>and</strong> <strong>HIV</strong> infection91 Box 16. Strengthening “horizontal” collaboration on <strong>HIV</strong> <strong>and</strong> sexuallytransmitted infections in Latin America <strong>and</strong> the Caribbean92 Box 17. Health re<strong>for</strong>ms <strong>and</strong> <strong>HIV</strong>: experience from Phayao Province, northern Thail<strong>and</strong>101 Box 18. Experience in Brazil <strong>with</strong> generic alternatives to proprietary antiretrovirals103 Box 19. Lessons from the UN<strong>AIDS</strong> Drug Access Initiative106 Box 20. Use of cotrimoxazole prophylaxis in <strong>people</strong> <strong>with</strong> <strong>HIV</strong>/<strong>AIDS</strong> in Africa112 Box 21. International <strong>support</strong> <strong>for</strong> national responses114 Box 22. Debt relief4