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This manual is designed for health professionals working in high HIV and TB prevalence countries. It summarises the characteristics of both diseases and their interactions. It concentrates particularly on the problems of diagnosis and management both in adults and children and summarises the other HIV related illnesses the clinician might encounter.
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
' Awarded the Annual Award for Distinguished Scholarly Book in Applied Communication, by the National Communication Association, USA? `This gripping narrative not only documents the history of humankind's interaction with a clever virus, it brings to the forefront the much and understated and underused role of communication in HIV and AIDS prevention, care and treatment. Singhal and Rogers remind us that our global environment is shaped by powerful communication means and methods that, if properly harnessed, can help defeat the plague of the 21st century' - Neil McKee, Senior Technical Advisor for HIV/AIDS and Adolescent Health, Johns Hopkins University `This book is an important contribution to AIDS education globally. The rich and diverse cases analyze, humanize and contextualize the continuum of HIV/AIDS prevention, care and support. Researchers and practitioners will find this book most useful' - Collins Airhihenbuwa, Professor of Bio-Behavioural Health, Penn State University `Educating people about AIDS is one of the biggest communication challenges that we face today. This remarkable book is a must-read for anyone who wants to understand the challenges and ways to overcome it. Thorough and hopeful, this is one of those books that can actually make a difference in this world' - Emanuel Rosen, author of 'The Anatomy of Buzz' `A thoroughly readable and inspiring book by two of the world's foremost health communication experts. Accessible and personalised, it is a "must-read" for all those interested in AIDS prevention, care and support' - Shereen Usdin, Co-Founder of the Soul City Institute of Health and Development Communication, South Africa `This book provides a comprehensive analysis of the strategies related to HIV/AIDS communications. It is published at a critical moment as the world increasingly realizes the role of communication in the fight against HIV/AIDS' - Rafael Obregon, Social Communication Advisor, Pan American Health Organization `Combating AIDS is slickly written using commicators' theories, taking the reader step-by-step through various arguments, and using repitition to ingrain them in the reader's mind' - Ritu Priya, Nature HIV/AIDS is a matter of global concern. The world is now more than 20 years into the HIV/AIDS crisis with no vaccine in sight, and relatively few effective and sustainable prevention programs. Although the rate of HIV infection and AIDS deaths has declined in the richer nations of the developed world, infection rates are soaring in developing countries. AIDS is now the leading cause of death in Africa, and the fourth leading cause of death globally. The purpose of this book is to synthesize critical lessons about effective HIV/AIDS prevention programmes, with a major emphasis on communication strategies. The authors feel that despite the growing AIDS crisis, the world is making poor use of behaviour change and communication strategies for HIV/AIDS prevention. To begin with, the role of communication strategies in HIV prevention, care and support has been grossly underestimated. Prevention is shortchanged, despite the fact that no cure for AIDS has been found, and the cost of anti-retroviral therapy is out of reach for most who need it. Many communication strategies are culturally inappropriate, so they may offend public sensitivities, which is easy to do when dealing with a sensitive topic that involves sex, stigma and death. Combating AIDS: Communicaton Strategies in Action focuses on communication strategies that could mobilize political action, target high-risk groups, and overcome stigma. The authors have also described and analyzed the value of entertainment-education strategy in HIV prevention
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
This book is a practical guide in understanding how to prevent HIV transmission, to recognize risk behaviors, and to add something else to their repertoires. It aims to empower clinicians and provide a sense of security and competence with the recognition and understanding of some of the psychiatric illnesses that complicate and perpetuate the HIV pandemic that continue to persist throughout every area of the world despite the magnitude of the progress that has transformed the illness from a rapidly fatal to chronic illness that is no longer life-limiting. Missing in most of the literature on HIV is the subtle, and sometimes not so subtle, contribution of psychiatric symptoms, psychiatric illness, and risk behaviors that drive the pandemic and serve as catalysts for new infections. This practical guide provides state-of-the-art understanding of not only prevention but also a way to recognize risk behaviors, psychiatric symptoms, and psychiatric illnesses that will demystify and decode the sometimes enigmatic and frustrating reasons for nonadherence with diagnostic procedures and life-saving treatments and care. All behaviors and pathology are covered as well as the resources and treatments available. The goal of this text is to refresh knowledge on the current state of psychiatric illness management among people living with HIV, to provide a concise volume on the psychiatric aspects of HIV prevention and treatment that substantially impact the overall care of the patient, and to help understand the psychiatric catalysts of the pandemic Written by experts in the field, HIV Psychiatry: A Practical Guide for Clinicians provides enduring guidance to medical and other professionals caring for complicated clinical patients as they face ongoing challenges in working with persons with HIV and AIDS.
This book examines the discourse of a "post-AIDS" culture, and the medical-discursive shift from crisis and death to survival and living. Contributions from a diverse group of international scholars interrogate and engage with the cultural, social, political, scientific, historical, global, and local consumptions of the term "post-AIDS" from the perspective of meaning-making on health, illness, and well-being. The chapters critique and connect meanings of "post-AIDS" to topics such as neoliberalism; race, gender, and advocacy; disclosure; relationships and intimacy; stigma and structural violence; family and community; migration; work; survival; normativity; NGOs, transnational organizations; aging and end-of-life care; the politics of ART and PrEP; mental illness; campaigns; social media; and religion. Using a range of methodological tools, the scholarship herein asks how "post-AIDS" or the "End of the Epidemic" is communicated and made sense of in everyday discourse, what current meanings are circulated and consumed on and around HIV and AIDS, and provides thorough commentary and critique of a "post-AIDS" time. This book will be an essential read for scholars and students of health communication, sociology of health and illness, medical humanities, political science, and medical anthropology, as well as for policy makers and activists.
During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease. During this period of great uncertainty, decision-making regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system. The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was doneâ€"and recommends what should be done to produce better outcomes in the face of future threats to blood safety. The committee frames its analysis around four critical area: Product treatmentâ€"Could effective methods for inactivating HIV in blood have been introduced sooner? Donor screening and referralâ€"including a review of screening to exlude high-risk individuals. Regulations and recall of contaminated bloodâ€"analyzing decisions by federal agencies and the private sector. Risk communicationâ€"examining whether infections could have been averted by better communication of the risks.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.