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HIV/AIDS originated in Africa in the early 20th century and is a major public health concern and cause of death in many African countries. AIDS rates vary dramatically although the majority of cases are concentrated in Southern Africa. Although the continent is home to about 15.2 percent of the world's population, more than two-thirds of the total infected worldwide – some 35 million people – were Africans, of whom 15 million have already died. Sub-Saharan Africa alone accounted for an estimated 69 percent of all people living with HIV and 70 percent of all AIDS deaths in 2011. In the countries of sub-Saharan Africa most affected, AIDS has raised death rates and lowered life expectancy among adults between the ages of 20 and 49 by about twenty years. Furthermore, the life expectancy in many parts of Africa is declining, largely as a result of the HIV/AIDS epidemic with life-expectancy in some countries reaching as low as thirty-nine years.
The United States President's Emergency Plan For AIDS Relief (PEPFAR) is a United States governmental initiative to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic. PEPFAR is implemented by a combination of U.S. government agencies in over 50 countries and overseen by the Global AIDS Coordinator at the U.S. Department of State. As of 2021, PEPFAR has saved over 20 million lives, primarily in Sub-Saharan Africa.
The very high rate of HIV infection experienced in Uganda during the 1980s and early 1990s created an urgent need for people to know their HIV status. The only option available to them was offered by the National Blood Transfusion Service, which carries out routine HIV tests on all the blood that is donated for transfusion purposes. The great need for testing and counseling resulted in a group of local non-governmental organizations such as The AIDS Support Organisation (TASO), Uganda Red Cross, Nsambya Home Care, the National Blood Bank, the Uganda Virus Research Institute together with the Ministry of Health establishing the AIDS Information Centre in 1990. This organization worked to provide HIV testing and counseling services with the knowledge and consent of the client involved.
Mozambique is a country particularly hard-hit by the HIV/AIDS epidemic. According to 2008 UNAIDS estimates, this southeast African nation has the 8th highest HIV rate in the world. With 1,600,000 Mozambicans living with HIV, 990,000 of which are women and children, Mozambique's government realizes that much work must be done to eradicate this infectious disease. To reduce HIV/AIDS within the country, Mozambique has partnered with numerous global organizations to provide its citizens with augmented access to antiretroviral therapy and prevention techniques, such as condom use. A surge toward the treatment and prevention of HIV/AIDS in women and children has additionally aided in Mozambique's aim to fulfill its Millennium Development Goals (MDGs). Nevertheless, HIV/AIDS has made a drastic impact on Mozambique; individual risk behaviors are still greatly influenced by social norms, and much still needs to be done to address the epidemic and provide care and treatment to those in need.
Rwanda faces a generalized epidemic, with an HIV prevalence rate of 3.1 percent among adults ages 15 to 49. The prevalence rate has remained relatively stable, with an overall decline since the late 1990s, partly due to improved HIV surveillance methodology. In general, HIV prevalence is higher in urban areas than in rural areas, and women are at higher risk of HIV infection than men. Young women ages 15 to 24 are twice as likely to be infected with HIV as young men in the same age group. Populations at higher risk of HIV infection include people in prostitution and men attending clinics for sexually transmitted infections.
The first HIV/AIDS cases in Nepal were reported in 1988. The HIV epidemic is largely attributed to sexual transmissions and account for more than 85% of the total new HIV infections. Coinciding with the outbreak of civil unrest, there was a drastic increase in the new cases in 1996. The infection rate of HIV/AIDS in Nepal among the adult population is estimated to be below the 1 percent threshold which is considered "generalized and severe". However, the prevalence rate masks a concentrated epidemic among at-risk populations such as female sex workers (FSWs), male sex workers (MSWs), injecting drug users (IDUs), men who have sex with men (MSM), Transgender Groups (TG), migrants and Male Labor Migrants (MLMs) as well as their spouses. Socio-Cultural taboos and stigmas that pose an issue for open discussion concerning sex education and sex habits to practice has manifest crucial role in spread of HIV/AIDS in Nepal. With this, factors such as poverty, illiteracy, political instability combined with gender inequality make the tasks challenging.
Since HIV/AIDS was first reported in Thailand in 1984, 1,115,415 adults had been infected as of 2008, with 585,830 having died since 1984. 532,522 Thais were living with HIV/AIDS in 2008. In 2009 the adult prevalence of HIV was 1.3%. As of 2016, Thailand had the highest prevalence of HIV in Southeast Asia at 1.1 percent, the 40th highest prevalence of 109 nations.
Cases of HIV/AIDS in Peru are considered to have reached the level of a concentrated epidemic. According to a population-based survey conducted in Peru’s 24 largest cities in 2002, adult HIV prevalence was estimated to be less than 1 percent. The survey demonstrated that cases are unevenly distributed in the country, affecting mostly young people between the ages of 25 and 34. As of July 2010, the cumulative reported number of persons infected with HIV was 41,638, and there were 26,566 cases of AIDS, according to the Ministry of Health (MOH), and the male/female ratio for AIDS diagnoses in 2009 was 3.02 to 1. The Joint United Nations Program on HIV/AIDS (UNAIDS) estimates 76,000 Peruvians are HIV-positive, meaning that many people at risk do not know their status. There were 3,300 deaths due to AIDS in Peru in 2007, down from 5,600 deaths in 2005.
In 2016, the prevalence rate of HIV/AIDS in adults aged 15–49 was 0.3%, relatively low for a developing country. This low prevalence has been maintained, as in 2006, the HIV prevalence in Mexico was estimated at around 0.3% as well. The infected population is remains mainly concentrated among high risk populations, men who have sex with other men, intravenous drug users, and commercial sex workers. This low national prevalence is not reflected in the high-risk populations. The prison population in Mexico, faces a fairly similar low rate of around 0.7%. Among the population of prisoners, around 2% are known to be infected with HIV. Sex workers, male and female, face an HIV prevalence of around 7%. Identifying gay men and men who have sex with other men have a prevalence of 17.4%. The highest risk-factor group is identifying transgender people; about 17.4% of this population is known to be infected with HIV. Around 90% of new infections occur by sex-related methods of transmission.. Of these known infected populations, around 60% of living infected people are known to be on anti-retroviral therapy (ART).
With 1.28 percent of the adult population estimated by UNAIDS to be HIV-positive in 2006, Papua New Guinea has one of the most serious HIV/AIDS epidemics in the Asia-Pacific subregion. Although this new prevalence rate is significantly lower than the 2005 UNAIDS estimate of 1.8 percent, it is considered to reflect improvements in surveillance rather than a shrinking epidemic. Papua New Guinea accounts for 70 percent of the subregion's HIV cases and is the fourth country to be classified as having a generalized HIV epidemic.
The relationship between religion and HIV/AIDS has been an ongoing one, since the advent of the pandemic. Many faith communities have participated in raising awareness about HIV/AIDS, offering free treatment, as well as promoting HIV/AIDS testing and preventative measures. Christian denominations, such as Lutheranism and Methodism, have advocated for the observance of World AIDS Day to educate their congregations about the disease. Some Churches run voluntary blood testing camps and counselling centers to diagnose and help those affected by HIV/AIDS.
The affected community is composed of people who are living with HIV and AIDS, plus individuals whose lives are directly influenced by HIV infection. This originally was defined as young to middle aged adults who associate with being gay or bisexual men, and or injection drug users. HIV-affected community is a community that is affected directly or indirectly affected by HIV. These communities are usually influenced by HIV and undertake risky behaviours that lead to a higher chance of HIV infection. To date HIV infection is still one of the leading cause of deaths around the world with an estimate of 36.8 million people diagnosed with HIV by the end of 2017, but there can particular communities that are more vulnerable to HIV infection, these communities include certain races, gender, minorities, and disadvantaged communities. One of the most common communities at risk is the gay community as it is commonly transmitted through unsafe sex. The main factor that contributes to HIV infection within the gay/bisexual community is that gay men do not use protection when performing anal sex or other sexual activities which can lead to a higher risk of HIV infections. Another community will be people diagnosed with mental health issues, such as depression is one of the most common related mental illnesses associated with HIV infection. HIV testing is an essential role in reducing HIV infection within communities as it can lead to prevention and treatment of HIV infections but also helps with early diagnosis of HIV. Educating young people in a community with the knowledge of HIV prevention will be able to help decrease the prevalence within the community. As education is an important source for development in many areas. Research has shown that people more at risk for HIV are part of disenfranchised and inner city populations as drug use and sexually transmitted diseases(STDs) are more prevalent. People with mental illnesses that inhibit making decisions or overlook sexual tendencies are especially at risk for contracting HIV.
AIDS Services of Austin (ASA) is a non-profit AIDS service organization that addresses HIV and AIDS in Central Texas. Founded in 1987, ASA is the region's oldest and largest community-based organization addressing the local AIDS crisis. Annually, they provide direct care services to over 1,500 people and HIV prevention education to over 10,000 people.
The Burnett Foundation Aotearoa is New Zealand’s national HIV prevention and healthcare organisation. Its funding is derived from grants, donations and the Ministry of Health.
Humanitarian Action is a non-governmental charitable organization based in St. Petersburg, Russia. Humanitarian Action carries out programs and outreach for HIV/AIDS prevention, and aiding street children, intravenous drug users, and sex workers. The program, founded in June 2001, grew out of the French NGO Doctors of the World, which created medical-social programs in Russia starting in 1995.
The Academic Model Providing Access to Healthcare (AMPATH) is an academic medical partnership between North American academic health centers led by the Indiana University School of Medicine in Indianapolis, Indiana and the Moi University School of Medicine, centered in Eldoret, Kenya. It is the first food-and-drug treatment model to be established in Africa. The program seeks to provide comprehensive HIV care services through its three-way mission: care, research, and training; It currently serves 3.5 million people, with over 60 urban and rural clinics in Western Kenya.
The UCSF Alliance Health Project (AHP), formerly the AIDS Health Project, is a 501(c)(3) nonprofit organization that provides mental health and wellness services for the HIV/AIDS and LGBTQ communities in San Francisco. It is part of the University of California, San Francisco Department of Psychiatry. In addition to direct service to individuals, it also undertakes HIV prevention and LGBTQ mental health research and educates mental health and health care providers about best practices.
The AIDS Support Organization (TASO) is an indigenous HIV and AIDS service initiative, registered in Uganda as a non-governmental organisation. It is a pioneer non-public actor in the HIV and AIDS response in Uganda. TASO is a membership organisation with over 4,000 subscriber members.
56 Dean Street, based in Dean Street in London's Soho district, is the city's largest sexual health clinic. Part of the Chelsea and Westminster Hospital NHS Foundation Trust, it also has a second branch, Dean Street Express, at 34 Dean Street, which offers a fast-turnaround testing service. As of 2017, the clinic was the largest HIV clinic in Europe. In addition to its specialism in HIV infection and other sexually transmitted diseases, it also offers general sexual health care services, including contraception. The clinic also runs TransPlus - the UK’s first integrated NHS gender dysphoria, sexual health and HIV service.
References
- ↑ http://data.unaids.org/Publications/IRC-pub02/JC680-KnowledgePower_en.pdf Knowledge is Power: Voluntary HIV Counseling and Testing in Uganda
- ↑ "AIDS Information Centre". Archived from the original on 3 February 2019. Retrieved 6 June 2020.
- ↑ Menzies N, Abang B, Wanyenze R, Nuwaha F, Mugisha B, Coutinho A, Bunnell R, Mermin J, Blandford JM (2009). "The costs and effectiveness of four HIV counseling and testing strategies in Uganda". AIDS. 23 (3): 395–401. doi:10.1097/QAD.0b013e328321e40b. PMID 19114865. S2CID 19754536.
- ↑ Mugisha B, Bock N, Mermin J (2006). "Tuberculosis case finding and preventive therapy in an HIV voluntary counseling and testing center in Uganda". The International Journal of Tuberculosis and Lung Disease. 10 (7): 761–767. PMID 16848338.
- ↑ "HIV Voluntary Counseling and Testing Among Youth Ages 14 to 21" (PDF). Archived from the original (PDF) on 20 November 2008. Retrieved 12 November 2009.
- ↑ "Uganda Demographic and Health Survey 2006" (PDF). Uganda Bureau of Statistics Kampala, Uganda and Macro International Inc. Calverton, Maryland, USA. Retrieved 25 March 2011.
- ↑ Bunnell RE, Nassozi J, Marum E, Mubangizi J, Malamba S, Dillon B, Kalule J, Bahizi J, Musoke N, Mermin JH (2005). "Living with discordance: knowledge, challenges, and prevention strategies of HIV-discordant couples in Uganda". AIDS Care. 17 (8): 999–1012. doi:10.1080/09540120500100718. PMID 16176896. S2CID 36367242.
