scholarly journals The impact of health programmes to prevent vertical transmission of HIV. Advances, emerging health challenges and research priorities for children exposed to or living with HIV: Perspectives from South Africa

2019 ◽  
Vol 109 (11b) ◽  
pp. 77
Author(s):  
A Goga ◽  
A Slogrove ◽  
C J Wedderburn ◽  
U Feucht ◽  
J Wessels ◽  
...  
Author(s):  
Clarence Itumeleng Tshoose

The purpose of the article is to examine the right to social assistance for households living with HIV/AIDS in South Africa. In particular, the article focuses on the impact of this pandemic on households' access to social assistance benefits in the wake of the HIV/AIDS pandemic, which has wrought untold sorrow and suffering to the overwhelming majority of households in South Africa. The article analyses the consequences of HIV/AIDS in relation to households' support systems, care and dependency burdens, and the extent to which the household members either acknowledge the illness (enabling them to better engage with treatment options) or alternatively, deny its existence. The article commences by reviewing the literature concerning the effects and social impact of HIV/AIDS on the livelihoods of households and their families. The social reciprocity that underpins households' livelihoods is briefly recapitulated. The article concludes that, while recent policy developments are to be welcomed, the current South African legal system of social security does not provide adequate cover for both people living with HIV/AIDS and their families. More remains to be done in order to provide a more comprehensive social security system for the excluded and marginalised people who are living with HIV/AIDS and their families.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 343-344
Author(s):  
Peter Maguire ◽  
Alan Goldsobel

These results provide a basis for estimating medical and other resource needs for HIV-infected women and their children and for measuring the impact of interventions to reduce vertical transmission of HIV.


BMJ ◽  
1999 ◽  
Vol 318 (7199) ◽  
pp. 1650-1656 ◽  
Author(s):  
N. Soderlund ◽  
K. Zwi ◽  
A. Kinghorn ◽  
G. Gray

Water SA ◽  
2020 ◽  
Vol 46 (2 April) ◽  
Author(s):  
Mary Galvin ◽  
Linah N Masombuka

Researchers, activists, practitioners and policy-makers have grappled with the challenge of providing people living with HIV (PLHIV) with an adequate amount of safe water. Comprising 13% of the overall population of South Africa in 2018, 7.52 million PLHIV need water for drinking and taking medication; preparing food; and personal hygiene and cleaning to minimise infections. This article examines the responses of the different stakeholders to this challenge and their impact on the water and health policy process. It finds that activists were able to emphasise the dimensions of the challenge; practitioners worked to implement provision more effectively within existing policy frameworks; and a range of stakeholders made a thoughtful and promising policy proposal for direct action, which the Department of Water and Sanitation ultimately failed to embrace. This article is based on an extensive review of academic research and publications by development agencies on HIV and water as well as engagement with policies and documents in the South African water sector related to water services delivery for PLHIV. While the widespread provision of antiretrovirals from 2004 has changed the context, the above findings are significant in understanding and reviewing the impact of various stakeholders on the water and health policy process. They raise questions regarding the effectiveness of NGO advocacy, the means of delivering improved services to specific populations, and the ability of a range of stakeholders to inform the policy approaches of government departments.


2014 ◽  
Vol 19 (2) ◽  
pp. 214-226 ◽  
Author(s):  
Caroline Masquillier ◽  
Edwin Wouters ◽  
Dimitri Mortelmans ◽  
Frederik le Roux Booysen

2020 ◽  
pp. jech-2019-213453
Author(s):  
Ameena Ebrahim Goga ◽  
Carl Lombard ◽  
Debra Jackson ◽  
Vundli Ramokolo ◽  
Nobubelo Kwanele Ngandu ◽  
...  

BackgroundWe analysed the impact of breastfeeding, antiretroviral drugs and health service factors on cumulative (6 weeks to 18 months) vertical transmission of HIV (MTCT) and ‘MTCT-or-death’, in South Africa, and compared estimates with global impact criteria to validate MTCT elimination: (1) <5% final MTCT and (2) case rate ≤50 (new paediatric HIV infections/100 000 live births).Methods9120 infants aged 6 weeks were enrolled in a nationally representative survey. Of 2811 HIV-exposed uninfected infants (HEU), 2644 enrolled into follow-up (at 3, 6, 9, 12, 15 and 18 months). Using Kaplan-Meier analysis and weighted survey domain-based Cox proportional hazards models, we estimated cumulative risk of MTCT and ‘MTCT or death’ and risk factors for time-to-event outcomes, adjusting for study design and loss-to-follow-up.ResultsCumulative (final) MTCT was 4.3% (95% CI 3.7% to 5.0%); case rate was 1290. Postnatal MTCT (>6 weeks to 18 months) was 1.7% (95% CI 1.2% to 2.4%). Cumulative ‘MTCT-or-death’ was 6.3% (95% CI 5.5% to 7.3%); 81% and 62% of cumulative MTCT and ‘MTCT-or-death’, respectively, occurred by 6 months. Postnatal MTCT increased with unknown maternal CD4-cell-count (adjusted HR (aHR 2.66 (1.5–5.6)), undocumented maternal HIV status (aHR 2.21 (1.0–4.7)) and exclusive (aHR 2.3 (1.0–5.2)) or mixed (aHR 3.7 (1.2–11.4)) breastfeeding. Cumulative ‘MTCT-or death’ increased in households with ‘no refrigerator’ (aHR 1.7 (1.1–2.9)) and decreased if infants used nevirapine at 6 weeks (aHR 0.4 (0.2–0.9)).ConclusionsWhile the <5% final MTCT target was met, the case rate was 25-times above target. Systems are needed in the first 6 months post-delivery to optimise HEU health and fast-track ART initiation in newly diagnosed mothers.


2020 ◽  
Vol 8 ◽  
Author(s):  
Melanie A. Bisnauth ◽  
Ashraf Coovadia ◽  
Lawrence Mbuagbaw ◽  
Michael G. Wilson ◽  
Stephen Birch

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