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#InTheSpotlight | HIV prevention injections exist, but hardly anyone can get them

Posted in: #InTheSpotlight, Access to Medicines, Healthcare system, Latest, Special Investigations, Spotlight

HIV prevention injections have been registered for use in South Africa, but their high price and limited supply means that for the next few years, while awaiting more affordable generics, very few people will be able to get the jabs. In this Spotlight special briefing, Catherine Tomlinson looks at the difficult choices facing the country if we want to offer the injection to more people more quickly. The calls we make could have global implications.

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OPINION: A new African HIV Control Working Group to propel African voices in the global HIV response

Posted in: HIV/AIDS, Latest, TB

It is estimated that over 65% of the global HIV burden is in sub-Saharan Africa. Now, in an attempt to propel African voices and perspectives in the next phase of the HIV response in Africa, a group of Africans established an African-led HIV control working group (HCWG). They are all experts from the continent who have come together to develop consensus perspectives on the long-term sustained control of HIV and prioritise the systems and capabilities to achieve it. Drs Yogan Pillay and Izukanji Sikazwe explain the thinking behind the new working group and set out their objectives.

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Climate change can set back maternal health, says researcher

Posted in: Healthcare system, Latest, Reproductive Health

Researchers around the world are drawing an ever-more distinct line between rising global temperatures and negative effects on maternal, foetal, and infant health. One of these researchers is Professor Matthew Chersich of the Wits Reproductive Health and HIV Research Institute. Ufrieda Ho chatted to Chersich after he delivered his inaugural lecture at the end of August.

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Opinion: Engaging communities and young people in the HIV response

Posted in: HIV/AIDS, Latest

The AIDS2022 conference held recently in Montreal, Canada highlighted yet again the need for community activism and the importance of involving young people, writes Dr Yogan Pillay. He argues that the youth and communities must be engaged in the conceptualisation and writing of South Africa’s new AIDS plan, and young people and community-based organisations must have a central role in key aspects of its implementation.

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In-depth: Landmark survey of key populations confirms scale of problems

Posted in: Access to Medicines, Edition 8: NSP in general, Edition 9: State of HIV, Healthcare system, Healthcare Workers, HIV/AIDS, Latest, LGBTI, NSP and SANAC, Sex Work, SRHR

People who belong to key populations, such as men who have sex with men, often report that it is difficult for them to access health services – for example, due to negative healthcare worker attitudes. Now, a large survey published last week by community healthcare monitoring group Ritshidze provides important statistics that not only confirm that such experiences are widespread but also help in pinning down some specific issues. Tiyese Jeranji reports.

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Opinion: Funding must be allocated to treat drivers of HIV

Posted in: Healthcare system, HIV/AIDS, Latest

If South Africa wants to strengthen the prevention arm of its HIV programme, which it definitely should, providing comprehensive sex education in schools and training teachers to deliver this curriculum will be vital. It is important that the HIV/AIDS Life Skills Grant, as one of the key pieces of a broader HIV prevention strategy, be supported and strengthened, argue Mbali Baduza and Julia Chaskalson.

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Circumcision reducing HIV infections but COVID-19 caused setbacks

Posted in: COVID-19, Edition 9: State of HIV, Healthcare system, Latest, Men's Health, Provinces

A UNAIDS report published earlier this year estimates that just under 4.5 million men and boys accessed voluntary male medical circumcision (VMMC) services in South Africa by the end of 2019 with 47% of these having been performed from 2016 to 2019. Thabo Molelekwa reports on the impact COVID-19 has had on VMMCs and the challenges related to resuming this service in the country.

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Opinion: Six ways clinics can help turn the tide on TB infection

Posted in: Edition 10: Drug-resistant TB, Latest, TB

Six simple interventions are at the heart of how clinics can be part of turning the tide on TB infection. By following a checklist of good practice, clinics can be safer for patients and staff. However, most clinics are failing to implement enough of these measures, putting people at risk of getting TB while waiting at the clinic, argues representatives from the community clinic monitoring group Ritshidze.

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