5M Still Waiting for Treatment

posted: 01/10/2009

Although four million people are now receiving antiretroviral treatment in low and middle-income countries, another five million adults and children lack access to treatment, according to figures released today by United Nations agencies.

The report Towards universal access: scaling up priority HIV/AIDS interventions in the health sector is published by the World Health Organization, UNAIDS and UNICEF, and is the third annual review of international progress towards the goal of universal access to treatment and prevention by 2010.

Although more than a million people are estimated to have been enrolled into treatment programmes during 2008 alone, the biggest annual increase since treatment scale-up began, only 42% of those in need of treatment in low and middle-income countries are currently being reached.

Mothers and babies

The report also reveals major gaps in two priority areas, the prevention of mother to child transmission and treatment of children.

The report estimates that 21% of pregnant women received an HIV test in 2008, and 45% received drugs to prevent mother to child transmission, of whom around one-third received only single-dose nevirapine, the least effective form of preventive treatment. Only one-third of those who tested positive were assessed for eligibility for antiretroviral treatment for their own health.

Although 38% of children with HIV in low- and middle-income countries in need of treatment received it, infant diagnosis continues to lag behind. In 41 reporting low- and middle-income countries only 15% of children born to HIV-infected mothers were tested for HIV within the first two months of life.

Background to universal access
In 2001 the convening of The United Nations Special Session on HIV/AIDS marked an historic beginning. For the first time a global set of targets was agreed in response to the crisis. In 2006 at the second United Nations General Assembly High Level Meeting on HIV/AIDS, countries agreed to work towards the goal of “universal access to comprehensive prevention programmes, treatment, care and support” by 2010. The G8 Final declaration in L’Aquila, Italy in July 2009 claimed “We will implement further efforts towards universal access to HIV/AIDS prevention, treatment, care and support by 2010”

WHO, UNICEF and UNAIDS in collaboration with other international monitoring and reporting mechanisms have been monitoring progress, nationally, regionally and globally, of the health sector’s response to HIV. The report presented today is the third in a series of annual progress reports towards universal access that includes HIV services for women and children.

Reports standardised

WHO together with UNICEF developed a joint reporting tool to request information from national programmes to collect data on the scale-up of health sector interventions in response to HIV. The goal of this process is to facilitate the collection of a standardised set of information.

By the end of 2008 between 3.7 and 4.3 million people were on antiretroviral treatment including an estimated 275,700 children (38% of those in need) under the age of 15 years.

Progress varies by country and region. In sub-Saharan Africa, for example, where two-thirds of all global infections occur, an estimated 2.9 million people were on treatment by the end of 2008, with an approximate increase of 800,000 people during 2008.

edited from aidsmap

Reference
WHO, UNICEF, UNAIDS. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector. September 2009.

Our 25th Anniversary Conference

posted: 01/10/2009

As part of our 25th anniversary celebrations, George House Trust will be holding a one day National HIV Social Care conference Still Living With HIV: Building Together for Tomorrow. 

It will be on Tuesday 20th April 2010 and put on in association with the BHIVA / BASHH Conference that is being held here on the following few days - 21 – 23 April.

The conference will be held at Manchester Central Conference Centre in the heart of Manchester.

What's On?

The conference will focus on planning for the future and the changing needs of people living with HIV. It will consider the impact of the recession, the general election, the ageing population; the ongoing effect of HIV related stigma, and positive prevention strategies.

Who's talking?

Speakers include Titise Kode, Chief Executive Officer of the African HIV Policy Network; Baroness Gould, Chair of the Independent Advisory Group on Sexual Health; Ford Hickson of Sigma Research; Dr Ed Wilkins, Clinicial Director of Infectious Diseases at North Manchester General Hospital; and Michael Carter, Patient Information Editor at NAM.
 

The formal publicity will be available at the end of this month, October and we will be sending out the programme and booking form mid-November. Meanwhile you can put the date in your diary - Tuesday 20 April, with BHIVA/BASHH following on the 21-23rd.