scholarly journals The Taming Wicked Problems Framework: A plausible biosocial contribution to ‘ending AIDS by 2030’

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Christopher J. Burman
Keyword(s):  
Wicked Problems ◽  
Hiv And Aids ◽  
Rural South ◽  
Transdisciplinary Approach ◽  
Aids Epidemic ◽  
Descriptive Account ◽  
Nations Programme ◽  
United Nations Programme ◽  
Management Techniques ◽  
Rural South Africa

In 2014, the Joint United Nations Programme on HIV/AIDS (UNAIDS) published the Gap Report, which states that a new biosocial response to the HIV and AIDS epidemic is required to reinforce the biomedical strategy – Vision 90:90:90 – which is designed to end AIDS by 2030. This article provides a descriptive account of how a community–university partnership developed and piloted an innovative, transdisciplinary approach to HIV and AIDS management that could represent a nascent biosocial candidate to reinforce the biomedical strategy. The biosocial strategy has been labelled as the Taming Wicked Problems Framework that is influenced by ontological perspectives associated with complexity theory. The article focuses on how the Taming Wicked Problems Framework was developed by co-opting and repurposing management techniques associated with complexity into an action-oriented HIV and AIDS combination intervention. Three years after the pilot began, the Taming Wicked Problems Framework continues to provision the partnership with opportunities to ‘tame’ non-linear, biosocial aspects of the HIV and AIDS epidemic in rural South Africa. However, with the benefit of hindsight, there are some improvements and caveats that are highlighted so that future applications will be more robust. It is suggested that the Taming Wicked Problems Framework could represent one localised biosocial response that could contribute to ending AIDS by 2030.

scholarly journals A Phenomenological Account of HIV Disclosure Experiences of Children and Adolescents from Northern and Southern Ghana

2019 ◽  
Vol 16 (4) ◽  
pp. 595 ◽  
Author(s):  
Seth Appiah ◽  
Inge Kroidl ◽  
Michael Hoelscher ◽  
Olena Ivanova ◽  
Jonathan Dapaah
Keyword(s):  
Children And Adolescents ◽  
Social Protection ◽  
Hiv Transmission ◽  
Hiv And Aids ◽  
Hiv Disclosure ◽  
Hiv Positive ◽  
Hiv Status ◽  
Nations Programme ◽  
United Nations Programme ◽  
Southern Ghana

Disclosure of HIV status to infected children, though challenged by caregiver dilemma, remains central in achieving the United Nations Programme on HIV and AIDS (UNAIDS) global goal of 90/90/90. This study explores children’s HIV disclosure experiences across Northern and Southern Ghana. A qualitative interpretative phenomenological design facilitated the recruitment of 30 HIV positive disclosed children and adolescents aged 9–19 years in 12 antiretroviral treatment (ART) centers in Northern and Southern Ghana between January 2017 and June 2018. Data was collected via in-depth interviews. We used phenomenological analysis applying concepts and categories identification, patterns and interconnections searching, mapping, theme building and constant comparative technique to draw conclusions. Disclosure of HIV status to children occurred with little or no preparation. Caregivers intentionally or out of dilemma often prolonged or postponed disclosure to when children aged older. Illness severity and disease progression principally defined the need for disclosure. Children preference for early status disclosure averaged at age 10 was demonstrated despite the initial disclosure experience of shock and disappointment. There was improved medication adherence despite the challenge of limited knowledge about HIV transmission, financial difficulty and food insecurity. Context and culturally adapted pre- and post- disclosure guideline laced with social protection package is needed to support HIV positive children.

scholarly journals Literasi Penyakit HIV-AIDS pada Siswa Madrasah Tsanawiah Negeri 1 Garut

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Dadang Purnama ◽  
Witdiawati W
Keyword(s):  
United Nations ◽  
Hiv And Aids ◽  
World Health ◽  
Nations Programme ◽  
United Nations Programme ◽  
Post Test ◽  
Acquired Immunodeficiency ◽  
Health Organization ◽  
Immunodeficiency Syndrome ◽  
Hiv Aids

Abstrak Penyakit AIDS (Acquired Immunodeficiency Syndrome) merupakan salah satu penyakit yang mengakibatkan kematian di dunia. Menurut UNAIDS (United Nations Programme on HIV and AIDS) dan WHO (World Health Organization), AIDS telah mengakibatkan kematian lebih dari 25 juta jiwa sejak pertama kali diakui tahun 1981, (Kent.et.al, 2010). Saat ini penularan HIV/AIDS di Kabupaten Garut telah mengalami pergeseran yang sebelumnya penyakit ini ditularkan melalui pengguna narkoba suntik sekarang berubah penularan melalui pasangan suami istri khususnya pada istri. Mengingat untuk HIV dan AIDS merupakan fenomena “gunung es” bahwa kasus yang terdata hanya cerminan sedikit kasus yang sebenarnya ada di masyarakat. Secara teori adanya 1 kasus HIV dan AIDS yang ada terdeteksi, kasus yang sebenarnya ada di masyarakat adalah 100 kasus. Metode yang digunakan dalam Kegiatan ini tujuannya adalah, memberikan informasi mengapa HIV-AIDS perlu mendapat perhatian khusus, serta bagaimana gejala-gejalanya karena HIV-AIDS adalah penyakit yang sampai saat ini belum ada obat untuk menanggulanginya dan hanya dapat dilakukan pencegahan.Tahapan selanjutnya Pelaksanaan Pre Test, Kegiatan ini dilakukan untuk menggali sejauh mana pengetahuan dan pemahaman para siswa mengenai penyakit HIV/AIDS dengan memberikan pertanyaan secara tertulis yang berhubungan dengan penyakit HIV/AIDS (soal pertanyaan pre test terlampir). Hasil yang didapat pada pre test menunjukan secara keseluruhan pertanyaan yang diajukan, para siswa hanya bisa menjawab dan memahami tentang materi penyakit HIV/AIDS sebesar 24%. Post test dilakukan setelah penyuluhan berakhir untuk mengetahui tingkat pengetahuan dan pemahaman siswa terhadap materi yang sudah diberikan. Adapun hasil post test menunjukan adanya peningkatan pemahaman tentang penyakit HIV/AIDS yang dibandingkan dengan hasil pre test yaitu sebesar 80% dari soal yang ditanyakan kepada para siswa.Penguatan keterampilan individu (Personnal Skill), dalam mewujudkan kesehatan secara keseluruhan, ketrampilan individu mutlak diperlukan, dalam hal ini siswa Madrasah Tsanawiah Negeri 1 Kabupaten Garut, untuk belajar melalui kehidupan dalam menyiapkan diri mereka untuk semua tingkatannya dan untuk menangani penyakit dan kecelakaan sangatlah penting.

scholarly journals Revealing the full extent of households’ experiences of HIV and AIDS in rural South Africa

2007 ◽  
Vol 65 (6) ◽  
pp. 1249-1259 ◽  
Author(s):  
Victoria Hosegood ◽  
Eleanor Preston-Whyte ◽  
Joanna Busza ◽  
Sindile Moitse ◽  
Ian M. Timaeus
Keyword(s):  
South Africa ◽  
Hiv And Aids ◽  
Rural South ◽  
Full Extent ◽  
Rural South Africa

scholarly journals HIV/AIDS continues to spread rapidly worldwide despite increasing commitment

2002 ◽  
Vol 6 (27) ◽  
Author(s):  
T Chadborn
Keyword(s):  
United Nations ◽  
Hiv Prevalence ◽  
Joint United Nations Programme ◽  
Aids Epidemic ◽  
Nations Programme ◽  
United Nations Programme ◽  
Living With Hiv ◽  
Hiv Aids

Forty million people are now estimated to be living with HIV/AIDS, according to the report on the global HIV/AIDS epidemic prepared by the Joint United Nations Programme on HIV/AIDS (UNAIDS) (1). The report highlights the fact that HIV prevalence in the worst affected countries is surpassing what was previously believed to be a natural peak, and that it is now increasing rapidly in many countries that previously had a low burden of infection.

Data, Principles and Strategies: How Do Global Control Mechanisms on the HIV Epidemic Work?

2021 ◽  
Vol 31 (1) ◽  
pp. 143-176
Keyword(s):  
United Nations ◽  
World Health ◽  
Control Mechanisms ◽  
Global Epidemic ◽  
Aids Epidemic ◽  
Nations Programme ◽  
United Nations Programme ◽  
Health Organization ◽  
National Governments ◽  
Hiv Aids

The article discusses the activities of two United Nations bodies - the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS(UNAIDS) - which are engaged in developing measures to counteract the global HIV/AIDS epidemic. An important component of this activity is gathering information and producing strategic documents. Their almost unclassifiable diversity, however, can be managed by a rigorous algorithm that incorporates data collection, formulation of principles and development of strategies. An analysis of materials such as “reports,” “fact sheets,” and “global strategies” reveals how the main global mechanisms work as they coordinate the efforts of national governments and attempt to control the epidemic globally; analysis also indicates what kind of language is used and what goals are set. In 2020 the ambitious goal of eliminating the HIV/AIDS epidemic by 2030 that is declared in WHO and UNAIDS documents unexpectedly became problematic once more due to the spread of another global epidemic - COVID-19. The publication of new materials on how to continue the fight against HIV/AIDS in the context of the coronavirus pandemic suggests that WHO and UNAIDS are already losing faith in the effectiveness of the measures so far developed in order to eliminate HIV/AIDS. The ongoing crisis caused by the COVID pandemic has also revealed a new trend by converting these UN bodies mostly into tools for producing global information while making other aspects of their activities less visible.

scholarly journals Eastern Europe and Central Asia still home to world's fastest-growing HIV/AIDS epidemic

2002 ◽  
Vol 6 (48) ◽  
Author(s):  
L Pritchard
Keyword(s):  
United Nations ◽  
Eastern Europe ◽  
Central Asia ◽  
World Health ◽  
Aids Epidemic ◽  
Nations Programme ◽  
United Nations Programme ◽  
The World ◽  
Health Organization ◽  
Hiv Aids

The unfortunate distinction of having the world's fastest-growing HIV/AIDS epidemic still belongs to eastern Europe and Central Asia, according to the report, AIDS epidemic update 2002, released this week (1). In southern Africa, the HIV/AIDS epidemic has greatly decreased the capacity of farm communities to survive famine (2). The update on the global HIV/AIDS epidemic was issued by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization, in advance of World AIDS day on 1 December.

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