Adults

More women are accessing antiretroviral therapy than men, transferring the benefits of their good health to their families and economies. When young women are empowered and have their rights fulfilled, HIV prevalence falls, there are fewer unintended pregnancies, fewer maternal deaths and fewer dropouts from school and more women join the workforce.

This progress report presents highlights of the first year of implementation (through December 2016) of the Start Free, Stay Free, AIDS Free initiative, which focuses on accelerating country-level progress toward ending new HIV infections among children, identifying children and adolescents living with HIV, ensuring their right to access life-saving treatment and quality care, and stopping the cycle of new infections among adolescents and young women. See the 2016 Framework to read more about the Three Frees. 

This qualitative rapid appraisal study from researchers at the South African Medical Research Council and partners explores how community cadres provide links to health facilities and supports HIV client support. The study maps the roles taken by the community cadres as well as challenges and opportunities.

This poster presented at ICASA 2017 highlights a promising intervention to improve client retention in HIV programmes. Beginning in 2015 in Malawi, a collaboration between the Ministry of Health, UNICEF, and UNC-Project Malawi introduced a community-based Expert Client (EC) intervention with a particular focus on HIV-exposed infants and mothers enrolled in the national PMTCT programme.

This promising practice reviews the rationalization process and a coordination and planning workshop conducted by OHTA and Ministry of Health representatives for partners working on HIV prevention and PMTCT within certain health zones in the Democratic Republic of the Congo (DRC). Outcomes of the programme, key lessons learned and considerations for scale up are included in this report. 

The 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.

Adolescents living with HIV have unique needs, and retention in care can be especially challenging for this population. Adolescent “teen clubs” can provide a source of social support that helps improve retention and adherence. HIV prevention among adolescents also remains challenging because there are multiple factors that can place adolescents at risk. Risk perception, especially among adolescent girls and young women (AGYW),remains low despite high levels of general knowledge about HIV. Further efforts are needed to support adolescents, especially AGYW, to understand and appreciate their own risk and to identify the most appropriate prevention strategies to protect themselves from acquiring HIV.

The current state of the AIDS response is not sufficient to end AIDS in children and adolescents.