Synergies in the fights against HIV/AIDS and against noncommunicable diseases in Africa

2018 ◽  
Vol 28 (4) ◽  
pp. 341-342
Author(s):  
J.-M. Milleliri
Keyword(s):  
Noncommunicable Diseases ◽  
Hiv Aids

scholarly journals Pandemics and Burden of Stroke and Epilepsy in Sub-Saharan Africa: Experience from a Longstanding Health Programme

2021 ◽  
Vol 18 (5) ◽  
pp. 2766
Author(s):  
Massimo Leone ◽  
Fausto Ciccacci ◽  
Stefano Orlando ◽  
Sandro Petrolati ◽  
Giovanni Guidotti ◽  
...  
Keyword(s):  
Neurological Disorders ◽  
Combined Treatment ◽  
Cerebrovascular Disorders ◽  
Sub Saharan Africa ◽  
Noncommunicable Diseases ◽  
People Living With Hiv ◽  
Sub Saharan ◽  
Health Programme ◽  
Excess Deaths ◽  
Hiv Aids

Eighty percent of people with stroke live in low- to middle-income nations, particularly in sub-Saharan Africa (SSA) where stroke has increased by more than 100% in the last decades. More than one-third of all epilepsy−related deaths occur in SSA. HIV infection is a risk factor for neurological disorders, including stroke and epilepsy. The vast majority of the 38 million people living with HIV/AIDS are in SSA, and the burden of neurological disorders in SSA parallels that of HIV/AIDS. Local healthcare systems are weak. Many standalone HIV health centres have become a platform with combined treatment for both HIV and noncommunicable diseases (NCDs), as advised by the United Nations. The COVID-19 pandemic is overwhelming the fragile health systems in SSA, and it is feared it will provoke an upsurge of excess deaths due to the disruption of care for chronic diseases such as HIV, TB, hypertension, diabetes, and cerebrovascular disorders. Disease Relief through Excellent and Advanced Means (DREAM) is a health programme active since 2002 to prevent and treat HIV/AIDS and related disorders in 10 SSA countries. DREAM is scaling up management of NCDs, including neurologic disorders such as stroke and epilepsy. We described challenges and solutions to address disruption and excess deaths from these diseases during the ongoing COVID-19 pandemic.

scholarly journals Advances in Screening and Early Detection

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 147s-147s ◽  
Author(s):  
N. Kotschan
Keyword(s):  
South Africa ◽  
Early Detection ◽  
Pap Smear ◽  
Healthcare Services ◽  
Medical Professional ◽  
Noncommunicable Diseases ◽  
Sufficient Information ◽  
Remote Areas ◽  
Pap Smear Screening ◽  
Hiv Aids

Background and context: Although breast, cervical and prostate cancer screening are provided to communities in support of the Early Detection Saves Lives campaign in South Africa, it is crucial to collaborate with other health partners for services such as HIV/AIDS, tuberculosis, social services and screening for noncommunicable diseases. This is due to the high prevalence of HIV/AIDS, tuberculosis and noncommunicable diseases in the country. HIV/AIDS-related cancers are rising with other diseases and this impacts on the patient's treatment, care and quality of life. Aim: The primary objective of the introduction of these health partners and other sectors (education, women in presidency, commission for gender equality, transport and home affairs) are to ensure that the patient receives holistic care and postscreening runs effectively where both patient and medical professional hold updated records. Strategy/Tactics: 1. We worked closely with respective Community-Based Primary Healthcare Centres (PHC) on corporate funded outreaches scheduled in five provinces of SA, using our mobile units for screening purposes. 2. Remote areas with reduced access to specialized healthcare services were specifically targeted. 3. Captured patient histories, identification, and treatment (pre- and postscreening) provided PinkDrive/MBTM with sufficient information to run streamlined screening processes. 4. Patients were first screened for HIV-AIDS, tuberculosis and thereafter screened for noncommunicable diseases, e.g., gender-related cancers and obesity. Outcomes: 1. In a collaborative structure, we have found that the patient is privy to understanding the level, importance and stage of cancer with other related illnesses. 2. Results are more controlled and the patient's health record is captured at the relevant health institutions. 3. Holistic healthcare services and medical treatments are monitored, measured and managed appropriately at the relevant healthcare institution. 4. A relatively high demand for Pap smear screening was noted at many PHCs as many were still utilizing outdated Pap smear kits. What was learned: Collaborative initiatives are good success stories incorporating best practices and also benefitting the patients and medical professional. We are living in a digital age and yet our equipment and machinery is not state of the art. The mobile truck, in many instances, has to travel to the most remote areas with poor road infrastructure. New technology will make a remarkable difference, especially if it is systemised to the relevant institution, upgraded, built-in with latest developments so that the mobile truck is able to travel on all road types. For South Africa, PinkDrive/MBTM have grown tremendously and are continuously building public private partnerships.

Global Noncommunicable Diseases — Lessons from the HIV–AIDS Experience

2011 ◽  
Vol 365 (10) ◽  
pp. 876-878 ◽  
Author(s):  
K.M. Venkat Narayan ◽  
Mohammed K. Ali ◽  
Carlos del Rio ◽  
Jeffrey P. Koplan ◽  
James Curran
Keyword(s):  
Noncommunicable Diseases ◽  
Hiv Aids

scholarly journals Case Study: A Wellness Workplace Policy and HIV/AIDS Policy for Zambia’s Ministry of Tourism and Arts

10.28945/4657 ◽  
2020 ◽  
Vol 4 ◽  
pp. 201-220
Author(s):  
Denise A Breckon ◽  
Deanna L. Ammons ◽  
Frank Badi ◽  
Chelsea Barker Walsh
Keyword(s):  
Police Officers ◽  
Tourism Industry ◽  
Noncommunicable Diseases ◽  
Cultural Resources ◽  
Workplace Wellness ◽  
Aids Policy ◽  
Essential Components ◽  
Mental Health Support ◽  
Hiv Aids

The Ministry of Tourism and Arts (2018) identified an overall goal of utilizing Zambia’s natural and cultural resources as a tourism driver to increase economic growth for the country. However, the industry has experienced problems with attrition, productivity, and high mortality rates of wildlife police officers (WPOs) which negatively affects the ability to protect the wildlife and natural resources that drive the tourism industry. A systematic review of the evidence was conducted in support of the Ministry of Tourism and Arts (MOTA) to identify the key components of a workplace wellness and HIV/AIDS program to reduce the attrition and mortality of the WPOs. The findings from the review indicate the essential components of a wellness workplace and HIV/AIDS policy can be bucketed into four categories: (a) program design; (b) program growth; (c) disease management and prevention; and (d) program evaluation. Findings also indicate that wellness programs have a positive correlation with absenteeism, job satisfaction, job performance/productivity, employee turnover, and return on investment (ROI). However, management involvement and support to resource a program and reduce the stigma associated with it are necessary for its success. This case study presents evidence-based recommendations to assist the MOTA with the development and implementation of an effective Wellness Workplace Policy focusing on HIV/AIDS, other communicable and noncommunicable diseases, addiction, and mental health support. Recommendations included the formation of a workplace wellness committee, development and communication of the wellness program, engagement through employee forums, increased training for leadership, and the involvement of stakeholders as program advisors.

scholarly journals National and sub-national HIV/AIDS-related mortality in Iran, 1990–2015: a population-based modeling study

2019 ◽  
Vol 30 (14) ◽  
pp. 1362-1372
Author(s):  
Babak Moazen ◽  
Andreas Deckert ◽  
Sahar Saeedi Moghaddam ◽  
Priscilla N Owusu ◽  
Parinaz Mehdipour ◽  
...  
Keyword(s):  
National Level ◽  
Population Based ◽  
Hiv And Aids ◽  
Noncommunicable Diseases ◽  
Annual Percent Change ◽  
Access To Treatment ◽  
Uncertainty Interval ◽  
Data Set ◽  
Related Mortality ◽  
Hiv Aids

Surveillance of HIV/AIDS mortality is crucial to evaluate a country’s response to the disease. With a modified estimation approach, this study aimed to provide more accurate estimates on deaths due to HIV/AIDS in Iran from 1990 to 2015 at national and sub-national levels. Using a comprehensive data set, death registration incompleteness and misclassification were addressed by demographical and statistical methods. Trends of mortality due to HIV/AIDS at national and sub-national levels were estimated by applying a set of models. A total of 474 men (95% uncertainty interval [UI]: 175–1332) and 256 women (95% UI: 36–1871) died due to HIV/AIDS in 2015 in Iran. Peaked in 1995, HIV/AIDS-related mortality has steadily declined among both genders. Mortality rates were remarkably higher among men than women during the period studied. At the sub-national level, the highest and the lowest annual percent change were found at 10.97 and −1.36% for women, and 4.04 and −3.47% for men, respectively. The findings of our study (731 deaths) were remarkably lower than the Joint United Nations Programme on HIV and AIDS (4000) but higher than Global Burden of Disease (339) estimates in 2015. The overall decrease in mortality due to HIV/AIDS may be attributed to the increasing burden of noncommunicable diseases; however, the role of the national and international organizations to fight HIV/AIDS should not be overlooked. To decrease HIV/AIDS mortality and to achieve international goals, evidence-based action is required. To fast-track targets, the priority must be to prevent infection, promote early diagnosis, provide access to treatment, and to ensure treatment adherence among patients.

HIV-AIDS and noncommunicable diseases: a shared vision

2018 ◽  
Vol 28 (4) ◽  
pp. 343-344
Author(s):  
Stéphanie Tchiombiano ◽  
Jean-François Delfraissy
Keyword(s):  
Shared Vision ◽  
Noncommunicable Diseases ◽  
Hiv Aids
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