Targeted interventions for sex workers to reduce HIV

This review has found a number of peer reviewed studies and grey literature on interventions targeted at sex workers for HIV prevention. Several were systematic reviews, some comprehensive reviews and policy papers. A number of individual studies focused on cost effectiveness are presented. Two interventions in India are considered particularly effective and scalable interventions. A… Read more




Cost-effectiveness of male circumcision in reducing HIV

Evaluation of the evidence on the effectiveness of male circumcision (MC) suggests that implementation should be accelerated in sub-Saharan Africa. Experts reviewing six simulation models agree that programmes that focus on subpopulations with a high HIV prevalence and incidence would have substantial impact on HIV incidence. The review of the six simulation models found estimates… Read more




Effective behaviour change interventions

This helpdesk provides a rapid analysis on the existing evidence related to effective behaviour change interventions. It has a particular focus on where interventions are related to hygiene and sanitation, nutrition, gender based violence, indoor air pollution, family planning adoption, unsafe sex, motor vehicle driving. The geographic focus is Malawi, but where necessary it draws… Read more




South Africa’s private sector investment in training and its erosion as a result of HIV and AIDS

The South African economy is dependent on the productivity of its labour. To maximise productivity, the labour force must possess the appropriate skills. The private sector invests more funds than the government on training. However, the HIV and AIDS epidemic is eroding this investment. Based on an estimate of the HIV and AIDS death rate… Read more




Identifying structural barriers to an effective HIV response: using the national composite policy index data to evaluate the human rights, legal and policy environment

Attention to the negative effects of structural barriers on HIV efforts is increasing. Reviewing national legal and policy environments with attention to the international human rights commitments of states is a means of assessing and providing focus for addressing these barriers to effective HIV responses. Recognition of the harms inherent in laws that constitute structural… Read more




Funding for HIV and Non-Communicable Diseases: Implications for Priority Setting in the Pacific Region

There has been increasing global interest in documenting funding flows for health, but none of that work has focused on the Pacific region. This paper outlines external funding for two specific areas of overseas development assistance (ODA) for health in the region—HIV/AIDS and non-communicable diseases (NCDs)— during 2002-09. These are compared to the comparative disease… Read more




Increasing the provision of essential health care services through support of health workers in Sierra Leone

DFID committed 12 million GBP to uplift frontline health workers’ salaries in Sierra Leone from 2010 to 2015 to support the implementation of the Free Healthcare Initiative (FHCI), launched in April 2010, which made health services free for pregnant women, children under five years of age and nursing mothers. Increasing the availability of frontline health… Read more




Gender Equity Analysis: A necessary prerequisite for addressing gender-related outcomes

In this blog post Ireen Namakhoma discusses the importance of gender equity analysis within health research. In March 2015, the Global Health Action produced a special issue on Gender and Health. One of the articles which I co-authored together with colleagues from Liverpool School of Tropical Medicine, Eleanor MacPherson, Sally Theobald and Esther Richards, highlights… Read more




Neurodevelopmental trajectory of HIV-infected children accessing care in Kinshasa, Democratic Republic of Congo

Objective—To assess the effect of HIV care (including HAART if eligible) on neurodevelopment. Design—Prospective cohort study Methods—Motor and mental development of 35 HIV-infected children (age 18-71 months) was assessed at entry into care, and after 6 and 12 months using age-appropriate tools. Developmental trajectory was compared to 35 HIV-uninfected, affected and 90 control children using… Read more




Never the twain shall meet? HIV and health systems approaches to community

In the field of health systems research there have been some promising moves towards acknowledging and celebrating the role of people and communities. Most recently the Cape Town Statement from the Global Symposium on Health Systems Research provides a political agenda for future work in which it is acknowledged that: “The drive towards universal health… Read more




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