The New York Times examines the Cuban network of sanitariums created to house and treat people living with HIV, “to keep the infected from having sex with anyone uninfected and to help them die comfortably.” Inside the facilities, patients received food, their former salaries, and care, but they could only leave with escorts, the newspaper notes. According to the New York Times, the sanitariums “were harshly criticized — Dr. Jonathan Mann, the first AIDS director at the World Health Organization, called them ‘pretty prisons’ — but they had a huge damping effect on the early epidemic. Fewer than 150 new cases were detected in the country each year through 1990.”
Access to Health Services
“Despite many gains in the fight against AIDS, children still lag far behind adults in access to important medical services, including HIV prevention, care, and treatment,” Jen Pollakusky, communications analyst at USAID’s Bureau of Global Health Office of HIV/AIDS, writes in USAID’s “IMPACTblog,” noting that Monday marked the 10th anniversary of World AIDS Orphan Day. “By partnering with national governments, communities, and other organizations, USAID is committed to improving the lives of children orphaned and made vulnerable by AIDS — a critical step in the path to achieving an AIDS-free generation,” she writes, adding “we need to step-up our early intervention efforts for children under five years old” and “work with families to help them become more economically stable so they can access essential services and better provide for their children” (5/7).
“If we don’t leverage the power of innovation to transform how health services are provided and utilized, efforts to stop new HIV infections and AIDS-related deaths can reach a stalemate,” UNAIDS Executive Director Michel Sidibe writes in this opinion piece in the Huffington Post’s “Healthy Living” blog. “Many of the advances in HIV prevention and treatment have come through innovation and applying knowledge in new ways,” he continues, highlighting the protective benefits of male circumcision and the introduction of antiretroviral therapy (ART) for people living with HIV.
The Center for Global Health Policy’s “Science Speaks” blog notes that PEPFAR recently released its 8th annual report (.pdf) to Congress. “The five-page document outlines the program’s progress as of the end of fiscal year 2011 in various areas,” including the provision of antiretroviral treatment, care, and support; HIV testing and counseling for pregnant women; and prevention of mother-to-child transmission services, the blog notes. The report includes sections on “leading with science,” “smart investments,” “country ownership,” and “shared responsibility,” according to the blog (Mazzotta, 5/4).
VOA News features a five-part series on South Africa’s rural public health sector, which the news service writes is “plagued by a high burden of infectious diseases, severe doctor and nurse shortages, lack of medicines and essential medical equipment and incompetent management,” resulting in high patient death rates. “Eighty percent of South Africa’s population of about 50 million people depends on public health care,” the news service notes. In the first part of the series, VOA writes that “international health care monitoring groups … consistently rate South Africa’s public health sector among the worst in the world,” “despite the fact that the government gives more than 100 billion rand ($13.3 billion) every year to state health — one of the biggest expenditures on such services in the developing world.”
This RH Reality Check post by the International Planned Parenthood Federation Western Hemisphere Region (IPPFWHR) examines a “resolution in support of young people’s sexual and reproductive health and human rights” adopted recently by member states at the 45th Session of the United Nations Commission on Population and Development (CPD). According to the post, “[k]ey points of the final resolution include: The right of young people to decide on all matters related to their sexuality; Access to sexual and reproductive health services â€¦ that respect confidentiality and do not discriminate; The right of youth to comprehensive sexuality education; Protection and promotion of young people’s right to control their sexuality free from violence, discrimination and coercion” (5/3).
“Just two years ago, our country had one of the worst maternal and infant death rates in the world,” Sierra Leone President Ernest Bai Koroma writes in a Huffington Post U.K. “Impact” blog post, adding, “We knew something had to be done.” So in September 2009, the government announced “that all health user fees would be removed for pregnant and lactating women and children under the age of five” and “introduced the Free Health Care Initiative [FHCI] in April 2010, which would give around 460,000 women and a million children a much better chance of having a longer and happier life,” Koroma writes. In one year, the FHCI facilitated a “214 percent increase in the number of children attending outpatient units” and a 61 percent reduction in “the number of women dying from pregnancy complications at facilities,” and “increased the number of health workers and ensured they were given big salary rises to reflect the importance of their positions,” he notes.
India “has to actively and aggressively address the issue of family planning” in order to improve human development indicators, including health, education and living standards, UNFPA Executive Director Babatunde Osotimehin said Wednesday, Reuters reports. “India, Asia’s third-largest economy, is set to overtake China as the world’s most populous nation by 2030,” but, “despite its impressive economic growth over the last two decades, it has failed to substantially reduce hunger as well as child and maternal mortality rates,” the news service writes, noting that “[a]bout 60 percent of Indian women have no access to family planning services.”
Fifteen million infants, or nearly one in 10 worldwide, “are born premature every year, and 1.1 million of those infants die, according to a U.N.-sponsored report released Wednesday,” Agence France-Presse reports. “Premature birth is the leading cause of death for newborn infants and is on the rise globally, said the report led by the March of Dimes, the Partnership for Maternal, Newborn & Child Health, Save the Children and the World Health Organization,” the news service writes (5/2). “For the report, preterm was defined as 37 weeks of completed gestation or less, the standard World Health Organization definition,” USA Today notes (Healy, 5/3). According to the report, “[p]reterm births account for 11.1 percent of the world’s live births, 60 percent of them in South Asia and sub-Saharan Africa,” and, “[i]n the poorest countries, on average, 12 percent of babies are born too soon, compared to nine percent in higher-income countries,” the U.N. News Centre writes (5/2).
The Center for Global Health Policy’s “Science Speaks” blog rounds up results presented at a late breaker session at last week’s 2nd International Treatment as Prevention Workshop in Vancouver. The blog notes the session “offered some interesting insights relevant to HIV treatment scale up” (Lubinski, 4/30).