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As a result of the AIDS epidemic, many nations around the world have faced the demands of caring for a particularly vulnerable population of children, the orphans of parents who have died of AIDS or whose caregivers are terminally ill from the disease. Overcoming AIDS: Lessons Learned from Uganda offers an in-depth exploration of this global issue and provides a broad focus on evolving a constructive response to the HIV/AIDS epidemic. This collaborative resource is the fourth in the Research in Global Child Advocacy book series, and it offers readers a glimpse into the experience of HIV/AIDS infected and affected people from the perspective of researchers, policy makers, and professionals who diligently work toward crafting a framework for action that is integrated across disciplines. Despite the enormity and intensity of the problem, chapter authors share a commitment to advocate for a better world in which social and economic disparities do not preclude children from experiencing a future that is bright with potential opportunities and hope.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
This is not another book about how AIDS is out of control in Africa and Third World nations, or one complaining about the inadequacy of secured funds to fight the pandemic. The author looks objectively at countries that have succeeded in reducing HIV infection rates...along with a worrisome flip side to the progress. The largely medical solutions funded by major donors have had little impact in Africa, the continent hardest hit by AIDS. Instead, relatively simple, low-cost behavioral change programs—stressing increased monogamy and delayed sexual activity for young people—have made the greatest headway in fighting or preventing the disease's spread. Ugandans pioneered these simple, sustainable interventions and achieved significant results. As National Review journalist Rod Dreher put it, Rather than pay for clinics, gadgets and medical procedures—especially in the important earlier years of its response to the epidemic—Uganda mobilized human resources. In a New York Times interview, Green cited evidence that partner reduction, promoted as mutual faithfulness, is the single most effective way of reducing the spread of AIDS. That deceptively simple solution is not merely about medical advances or condom use. It is about the ABC model: Abstain, Be faithful, and use Condoms if A and B are impossible. Yet deeply rooted Western biases have obstructed the effectiveness of AIDS prevention. Many Western scientists have attacked the ABC approach as impossible and moralistic. Some Western activists and HIV carriers have been outraged, thinking the approach passes moral judgment on their behaviors. But there is also a troubling suspicion among a growing number of scientists who support the ABC model that certain opponents may simply be AIDS profiteers, more interested in protecting their incomes than battling the disease. This book is a bellwether in the escalating controversy, offering persuasive evidence in support of the ABC approach and exposing the fallacies and motivations of its opponents.
The true-life story of how three men helped save the lives and families of thousands living with HIV/AIDS in East Africa. ​Written by three co-founders of CARE for AIDS—a nonprofit providing support for men and women living with HIV/AIDS in East Africa—Beyond Blood is the true-life account of how three men from drastically different backgrounds came together to form a grassroots nonprofit that has empowered thousands of HIV-positive people in East Africa to live lives beyond AIDS. This is the story of how Justin T. Miller, an American Vanderbilt undergraduate student, met Duncan Kimani Kamau and Cornel Onyango Nyaywera, two men who had grown up witnessing firsthand the devastating effects of HIV/AIDS in their own communities in Kenya. Though Kamau and Nyaywera grew up in opposite ends of the country and came from opposing tribes, they overcame prejudice and cultural expectations to bring healing to their communities. With Miller’s help, their dream of empowering people to live a life beyond AIDS became a reality. Once Kamau, Miller, and Nyaywera realized their common purpose, CARE for AIDS was born. But it was only the beginning of their fight against AIDS, as they quickly discovered the fear and stigma that blanketed the disease. If their fledgling nonprofit was going to empower anyone, they would need help—and they found it, one local church at a time. As they slowly but steadily grew their network of friends and allies, Kamau, Miller, and Nyaywera discovered that the most complex problems can be solved through intentional, redemptive relationships.
The book begins by illuminating the various challenges posed by the HIV/AIDS epidemic, from the medical and public health dimensions to the pervasive social stigma that continues to hinder prevention and treatment efforts. It acknowledges the evolving nature of the virus and the impact it has on individuals and communities worldwide. As the narrative unfolds, the focus shifts towards proactive and evidence-based strategies. The book advocates for comprehensive education and awareness campaigns to destigmatize HIV/AIDS, fostering a more informed and supportive societal environment. It emphasizes the importance of accessible healthcare, not only in terms of treatment but also in prevention efforts, including widespread access to testing and counseling services.
What if you were told that you might possibly spend the rest of your life in a wheelchair? Oh, and you are HIV positive too! And, only a few seemed to care? More Than a Wheelchair; More than HIV is a story, my story, of survival of AIDS in the years after 2000 and having to cope with the challenges it presented me. It is so disturbing and disheartening to see the growing indifference toward HIV and to have a younger generation oblivious and unconcerned by its possible resurgence as a life-altering moment in their carefree lives. I was told that I was going to die numerous times in November 1999, but I astounded them first by recovering and then with my determination and use of imagination in my therapies and exercises hoping to regain what I had lost at the beginning of my bout with PML (Progressive Multifocal Leucoencephalopathy). I usually explain PML as like having a stroke. It is the simplest explanation. The PML had taken so much from me which left me to re-build my shattered life piece by piece and this book highlights the various obstacles I had to overcome to attain my goals. Every barrier presented to me brought a new round of flashbacks of my childhood, my career and my happy-go-lucky gay life. As I improved, every hurdle inspired me to write my thoughts. Many things have changed since I first faced the onset of AIDS - new forms of treatments, new drugs and new hope, as well as indifference and attitudes. This story can be used for any physical challenge but gives a more human feel to the HIV/ AIDS crisis which seems to be almost forgotten which should be a source of concern to everyone
The essential work in HIV for providers and pharmacists -- updated with everything they need to know in 2019! Assembled by the leading educational organization in HIV medicine, AAHIVM's Fundamentals of HIV Medicine 2019 is an end-to-end clinical resource for the treatment of individuals with HIV/AIDS. It offers state-of-the-art practical advice for physicians, pharmacists, nurse practitioners, and other professionals working in the care of HIV patients. Along with updates to the classic domains of HIV medicine, this new edition features expanded coverage of emerging topics, including: behavioral and therapeutic interventions to HIV prevention; updates on the pursuit of a cure; new DHHS and IAS guidelines and their clinical implications; and the myriad issues around aging with HIV. Embodying the American Academy of HIV Medicine's commitment to excellence in the care of seropositive patients, Fundamentals of HIV Medicine 2019 is must-have for health professionals across HIV care, treatment, and prevention.
In this groundbreaking narrative, longtime Washington Post reporter Craig Timberg and award-winning AIDS researcher Daniel Halperin tell the surprising story of how Western colonial powers unwittingly sparked the AIDS epidemic and then fanned its rise. Drawing on remarkable new science, Tinderbox overturns the conventional wisdom on the origins of this deadly pandemic and the best ways to fight it today. Recent genetic studies have traced the birth of HIV to the forbidding equatorial forests of Cameroon, where chimpanzees carried the virus for millennia without causing a major outbreak in humans. During the Scramble for Africa, colonial companies blazed new routes through the jungle in search of rubber and other riches, sending African porters into remote regions rarely traveled before. It was here that humans first contracted the strain of HIV that would eventually cause 99 percent of AIDS deaths around the world. Western powers were key actors in turning a localized outbreak into a sprawling epidemic as bustling new trade routes, modern colonial cities, and the rise of prostitution sped the virus across Africa. Christian missionaries campaigned to suppress polygamy, but left in its place fractured sexual cultures that proved uncommonly vulnerable to HIV. Equally devastating was the gradual loss of the African ritual of male circumcision, which recent studies have shown offers significant protection against infection. Timberg and Halperin argue that the same Western hubris that marked the colonial era has hamstrung the effort to fight HIV. From the United Nations AIDS program to the Bush administration's historic relief campaign, global health officials have favored well-meaning Western approaches--abstinence campaigns, condom promotion, HIV testing--that have proven ineffective in slowing the epidemic in Africa. Meanwhile they have overlooked homegrown African initiatives aimed squarely at the behaviors spreading the virus. In a riveting narrative that stretches from colonial Leopoldville to 1980s San Francisco to South Africa today, Tinderbox reveals how human hands unleashed this epidemic and can now overcome it, if only we learn the lessons of the past.
Create effective community-based programs for substance abusers with HIV/AIDS! Substance abusers are the fastest-growing population of people with HIV/AIDS in the US--and one of the hardest to reach and treat. Evaluating HIV/AIDS Treatment Programs offers new strategies for providing care for this vulnerable population. The programs evaluated and discussed in this volume were funded as part of the DHHS Health Resources and Services Administration through its Special Projects of National Significance Program. Collectively known as the SPNS Cooperative Agreement, these 27 projects represent a diverse group of organizations with a common goal: to improve the health, quality of life, and access to health care for traditionally underserved populations living with HIV/AIDS. Evaluating HIV/AIDS Treatment Programs reports in detail the efforts of several community-based HIV/AIDS organizations in the SPNS program. You will learn how these organizations provide high-quality care for persons with HIV who are unlikely to obtain it in the traditional hospital-based service system. This volume offers specific, proven strategies designed to overcome the linguistic, cultural, racial, and economic barriers that make it difficult for some sick people to get the health care they need. It also offers specialized medical care models that work within the context of a continuum of services in a medical clinic. Evaluating HIV/AIDS Treatment Programs also highlights other aspects of the Cooperative Agreement projects, including: a study of end-stage AIDS care an overview of the HRSA HIV/AIDS Bureau SPNS Cooperative Agreement grant initiative a study of conceptual issues in implementing program evaluation in real-world community organizations discussion of the online Knowledge Base that summarizes and disseminates information from the Cooperative Agreement projects studies of ways to reach and care for specific populations with HIV/AIDS, including women, Latinos, Haitians, adolescents, and rural people This valuable volume offers solid data on treating people who are all too often neglected by the medical community even before they contract HIV/AIDS. The programs and ideas presented in Evaluating HIV/AIDS Treatment Programs can be applied to other community-based health initiatives and clinics offering medical care to underserved and vulnerable populations. This essential resource deserves a permanent place on their bookshelf of any physician, administrator, or policymaker working in the fields of HIBV/AIDS, epidemiology, public health, or substance abuse. Visit the book's website at http://www.TheMeasurementGroup.com/drugs_and_society.htm
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.