An International Research Consortium to Maximise Benefits & Equity of HIV Treatment & Care Systems

Key Messages from five years of research in Africa and Asia
Evidence for Action have realeased a report summarising key messages from five years of research on HIV treatment and care systems (pdf, 2MB). The report draws together some of the main findings from the research programme, which has included over 70 projects. The report covers:
  • What 'package' of HIV treatment and care services should be provided in different settings? This includes the needs of specific subgroups of the population; mental health; and monitoring and evaluation.
  • How should HIV treatment and care services be delivered? This includes ways of decentralising HIV treatment and care; and groups involved in providing care.
  • How should HIV treatment and care be integrated into existing health and social systems? This includes integration of HIV services into the wider health system; and HIV and TB integration.
  • How best can new evidence from research be rapidly translated into new policies and actions? This includes research on how evidence about cotrimoxazole has influenced policy in three African countries, and the sources of information policymakers in Africa and Asia use.
Rights-based services for adolescents living with HIV

The journal Reproductive Health Matters has just published a paper examining rights-based services for adolescents living with HIV in Zambia. This issue is increasingly pressing, with more children with HIV surviving into adolescence thanks to antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services. The paper is based on a qualitative study in 2010 among 111 adolescents living with HIV, 21 parents and 38 health providers in three districts in Zambia.

Adolescents in the study expressed a range of information and support needs and wanted locally relevant interventions to meet those needs. They wanted greater access to HIV, sexual and reproductive health information, information on how to protect themselves, privacy and confidentiality in service sites, skills training so as to be able to earn money, and better control over disclosure of their HIV status to others. Both health workers and parents acknowledged that information and services needed to be improved to meet those needs far better. This paper provides examples of successful programmes in Zimbabwe, Uganda, Tanzania, Botswana and South Africa and calls for adolescent services to be linked to both paediatric and adult services, peer networks to be established to increase adolescents' ability to collectively voice their concerns and support each other, interventions supporting adolescents' control over self-disclosure, and lastly that adolescent health should become a training specialty in sub-Saharan Africa.

The paper is available to Reproductive Health Matters subscribers online, and there is a blog about the issue by Gitau Mburu that is freely available.

Evidence for Action Final Report

Evidence for Action has now been going for five years, thanks for funding from the Department for International Development. In this time we have carried out research on 76 research projects in Africa and Asia. We have produced more than 300 publications on major questions relating to HIV treatment and care systems. Our work has contributed to improving policies and practices at local, national and international levels. Funding for the programme finishes on 30th June. The Final Report (pdf, 1,183kb)  of the programme gives details of the work we have been doing, and what impact this has had so far. This report is quite lengthy and detailed, so if you want more concise information on our main findings, the Key Messages Report (pdf, 2MB) may be a better place to start.

The partners will continue working on outputs and publications from the programme, which will be added to the website as they become available, but the News section of the website will not be updated regularly.