scholarly journals Ending AIDS in the Asia–Pacific region by 2030: are we on track? Policy, epidemiological and intervention insights

Sexual Health ◽  
2021 ◽  
Vol 18 (1) ◽  
pp. 1
Author(s):  
Kimberly Green ◽  
Heather-Marie A. Schmidt ◽  
Andrew J. Vallely ◽  
Lei Zhang ◽  
Angela Kelly-Hanku ◽  
...  

The Asia–Pacific region is home to nearly 6 million people living with HIV. Across the region, key populations – men who have sex with men, transgender women, people who inject drugs, sex workers, prisoners – and their sexual partners make up the majority of those living with HIV. While significant progress has been made in the past 5 years towards UNAIDS’s 90–90–90 goals (90% of people with HIV diagnosed, 90% on antiretroviral therapy, 90% virologically suppressed), significant gaps remain. The papers in this Special Issue address important questions: are we on track to end the AIDS epidemic in the Asia–Pacific region? And can countries in this region reach the new UNAIDS targets for 2030?

2019 ◽  
Vol 22 (1) ◽  
pp. e25236 ◽  
Author(s):  
Win M Han ◽  
Awachana Jiamsakul ◽  
Sasisopin Kiertiburanakul ◽  
Oon T Ng ◽  
Benedict LH Sim ◽  
...  

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Djè Jean Sylvestre Kouakou ◽  
Ousmane Bocoum

Background: Faced with the global challenge of the AIDS epidemic, the United Nations has set a "90-90-90" target to stop the epidemic by 2030. To do this, three objectives will have to be achieved: to have detected 90% of People Living with HIV (PLHIV) by 2020, to have put 90% of them on treatment and to have 90% of PHAs on treatment who have an undetectable viral load. Achieving the target of 90% of PLHIV detected requires rethinking and diversifying the existing screening offer, especially since screening is the entry point into the health care system and can be one of the main obstacles to achieving the objectives set.Purpose: To identify the contexts in which projects on salivary HIV self-testing have been developed among sex workers (TS) and men who have sex with men (MSM).Results: A review was conducted from several PUBMED databases, GOOGLE SCHOLAR, JSTOR RECHERCHE4LIFE (HINARI),COCHRANE, Institutional Sites and International Organizations (WHO, COQCANADA, MINISTERES, UNAIDS) over the past ten years to better understand their goals and impacts in the fight against the AIDS epidemic The different research equations submitted to the bibliographic databases, combined with additional manual research, have identified 76 documents composed of articles , books, reports, guides and recommendations of which Twenty-six (26) documents were selected for their relevance: 19 articles, 1 Report, 3 Recommendations, 1 Press Release and 2 Guidelines .Conclusion: In short, this literature journey has made it possible to highlight more specifically the wide variety of screening strategies, the contexts in which salivary self-testing could be complementary to the traditional screening offer.


2017 ◽  
Vol 94 (3) ◽  
pp. 200-205 ◽  
Author(s):  
Keshab Deuba ◽  
Verena Kohlbrenner ◽  
Sushil Koirala ◽  
Anna Mia Ekström

ObjectivesWe examined the prevalence of inconsistent condom use and its correlates among people living with HIV (PLHIV) in the Asia-Pacific region.MethodsBetween 1 October 2012 and 31 May 2013, a total of 7843 PLHIV aged 18–50 years were recruited using targeted and venue-based sampling in Bangladesh, Indonesia, Lao People’s Democratic Republic (PDR), Nepal, Pakistan, Philippines and Vietnam. Logistic regression was used to explore the association between condom use behaviour and demographics, social support, stigma and discrimination and various health-related variables.ResultsOverall, 43% of 3827 PLHIV practised inconsistent condom use at sexual intercourse with their regular partner. An even higher proportion, 46% of 2044 PLHIV admitted that they practised unprotected sex with a casual partner. Participants from Lao PDR reported the lowest prevalence of inconsistent condom use for both regular and casual partners, while participants from the Philippines had the highest risk behaviour. Inconsistent condom use was significantly associated with belonging to a key population (drug user, sex worker or refugee subpopulation), not knowing that condoms are still needed if both partners are HIV positive, having a regular partner whose HIV status was either positive or unknown, having experienced physical assault and not receiving antiretroviral treatment.ConclusionsThis large seven-country study highlights a high prevalence of inconsistent condom use among PLHIV in the Asia-Pacific region. In addition to knowledge-imparting interventions, the adoption and expansion of the ‘Test and Treat’ strategy could help to maximise the prevention benefits of antiretroviral treatment.


Sexual Health ◽  
2021 ◽  
Vol 18 (1) ◽  
pp. 41 ◽  
Author(s):  
Eamonn Murphy ◽  
Ye Yu Shwe ◽  
Reeta Bhatia ◽  
Taoufik Bakkali ◽  
Ravipa Vannakit

The 2016 global commitments towards ending the AIDS epidemic by 2030 require the Asia–Pacific region to reach the Fast-Track targets by 2020. Despite early successes, the region is well short of meeting these targets. The overall stalled progress in the HIV response has been further undermined by rising new infections among young key populations and the unprecedented COVID-19 pandemic. This paper examines the HIV situation, assesses the gaps, and analyses what it would take the region to end AIDS by 2030. Political will and commitments for ending AIDS must be reaffirmed and reinforced. Focused regional strategic direction that answers the specific regional context and guides countries to respond to their specific needs must be put in place. The region must harness the power of innovative tools and technology in both prevention and treatment. Community activism and meaningful community engagement across the spectrum of HIV response must be ensured. Punitive laws, stigma, and discrimination that deter key populations and people living with HIV from accessing health services must be effectively tackled. The people-centred public health approach must be fully integrated into national universal health coverage while ensuring domestic resources are available for community-led service delivery. The region must utilise its full potential and draw upon lessons that have been learnt to address common challenges of the HIV and COVID-19 pandemics and achieve the goal of ending AIDS by 2030, in fulfillment of the United Nations’ Sustainable Development Goals.


Author(s):  
Feng Zhang ◽  
Richard Ned Lebow

This chapter examines the policy mistakes that the Obama administration made in managing the Sino-American relationship. The Obama administration developed no distinct China strategy and was in fact averse to developing such a strategy. It chose to embed largely reactive China policies within a regional strategy of the so-called “pivot” or “rebalance” to the Asia-Pacific region. While China was relegated to a management issue, the rebalance strategy damaged the US-China relationship by deepening strategic mistrust between the two countries and agitating China to seek strategic adventures in Asia. The rebalance did not cause Chinese assertiveness by itself, but the geopolitical setting it created served to exacerbate China’s already fermenting assertive inclinations and prompted its strategic adventurism.


2018 ◽  
Vol 30 (3) ◽  
pp. 208-212
Author(s):  
Derrick D. Matthews

This year marks the 30th anniversary of AIDS Education and Prevention. As we approach the United Nations goal of ending the AIDS epidemic by 2030, it is a useful time to reflect on and learn from history. In the United States, no such endeavor can be successful without addressing the specific context of Black men who have sex with men. In this commentary I highlight factors that led us to a state in which Black MSM represent approximately a quarter of all people living with HIV in the United States. I also look back at the power of activism during the beginning of the HIV epidemic. Using Black Lives Matter as a contemporary framework, I highlight natural linkages between activism 30 years ago, its incarnation and relationship to public health today, and its promise as the way forward in achieving the elimination of AIDS for Black MSM by 2030.


Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 166 ◽  
Author(s):  
Martin Holt

This review assesses acceptability research for HIV pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) among men who have sex with men (MSM) in the Asia-Pacific region and the Americas, evaluating awareness and attitudes. There has been limited research on the acceptability of PrEP outside the United States and no research to date evaluating the acceptability of TasP since the findings of the HIV Prevention Trials Network 052 trial were released. Existing research suggests that PrEP is reasonably acceptable to MSM, but few men are likely to perceive the need for it. Studies of HIV treatment optimism suggest that MSM are likely to be sceptical of TasP.


2016 ◽  
Vol 22 (2) ◽  
pp. 64
Author(s):  
David Robie

Media convergence within the news and current affairs landscape over the past two decades has opened opportunities for competing newspapers, television stations and online publishers to form alliances to approach digital and editorial challenges with innovative strategies. The partnerships have often enabled journalists to embrace multimedia platforms with flexibility and initiative. This has fostered a trend in ‘gatewatching’ and a citizen responsive and involved grassroots media rather than legacy mainstream gatekeeping, top-down models. Such committed media attempts in search of investigative journalism accompanied by ‘public’ and ‘civic’ journalism engagement initiatives have also been emulated by some journalism schools in the Asia-Pacific region. This has paralleled the evolution of journalism as a research methodology with academic application over the past decade. Selecting two New Zealand-based complementary and pioneering Pacific digital news and analysis publications, Pacific Scoop (founded 2009) and Asia-Pacific Report (2016), produced by a journalism school programme in partnership with established independent media as a combined case study, this article will demonstrate how academia-based gatewatching media can effectively challenge mainstream gatekeeping media. Pacific Scoop was established by an Auckland university in partnership with New Zealand’s largest independent publisher, Scoop Media Limited, and launched at the Māori Expo in 2009. The article also explores the transition of Pacific Scoop into Asia-Pacific Report, launched in partnership with an innovative web-based partner, Evening Report. The study analyses the strategic and innovation efforts in the context of continuing disruptions to New Zealand’s legacy media practices related to the Asia-Pacific region.


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