Posts Tagged ‘integration of health services’

In honor of World Health Day, I wrote a post for the Global Network for Neglected Tropical Diseases blog, End the Neglect. The post looks at the relationship between these two historically neglected global health issues–and calls for more integration.

End the Neglect

“The theme of this year’s World Health Day is “Urbanization and Health.” Maternal mortality and morbidity, and neglected tropical diseases have a hugely debilitating impact on urban slum populations—who often lack access to health services. I would like to take this day to celebrate the increased attention to the connected issues of neglected tropical diseases and maternal health and to highlight the importance of a comprehensive, integrated approach to maternal health. This sort of approach not only includes universal access to reproductive health services but also addresses neglected tropical diseases—and their impact on maternal morbidity and mortality…”

Read the full post, Women and NTDs: Shared History, Shared Hope.

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Can integrating family planning services into HIV/AIDS treatment and care increase contraceptive use and decrease unintended pregnancy among HIV-positive women? UCSF is partnering with the Kenya Medical Research Institute and Ibis Reproductive Health to find out.

University of California, San Francisco

“’Two-thirds of the world’s HIV-infected population lives in sub-Saharan Africa and 60 percent are estimated to be women. Recent evidence suggests high rates of unintended pregnancy among HIV-infected women. Family planning is the cornerstone for preventing mother-to-child transmission of HIV and can also reduce maternal mortality, but family planning services are not always accessible at many of the public health clinics providing HIV care and treatment,’ said the study’s primary investigator, Craig R. Cohen, MD, MPH, professor of obstetrics, gynecology and reproductive sciences at UCSF.

The research will be conducted at 18 HIV care and treatment clinics in Nyanza Province, Kenya. With 15.3 percent of its population HIV-infected, Nyanza Province has the highest seroprevalence rate amongst provinces in Kenya. These clinics are supported by the Family AIDS Care and Education Services (FACES) Program, a collaboration between UCSF and the Kenya Medical Research Institute (KEMRI). At 12 randomly selected clinics, HIV-infected clients will receive the intervention package of integrated family planning and HIV care. At each of the six clinic control sites, HIV-infected clients will receive standard HIV care and a referral to a separate family planning clinic within the same facility for contraceptive services.

The study’s first objective is to improve family planning clinical and counseling skills of clinicians and community health workers at all the FACES-supported HIV care and treatment clinics. A training curriculum on family planning counseling and method provision will be developed and implemented…”

Read the full news release here.

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The past few days have been full of news and blogs about the need to integrate maternal health services with HIV/AIDS, infant and child health programs and other allied fields. This buzz comes in the wake of the UNAIDS report released last week that presented data showing that HIV/AIDS is having a significant impact on maternal mortality in many parts of the world.  

Click here to see the Population Reference Bureau’s, “Five Good Reasons to Integrate Family Planning/Reproductive Health and HIV Services.”

Check out this Boston Globe editorial, “A changing fight against AIDS,” that explains why HIV/AIDS prevention programs must coordinate with measures to reduce maternal mortality and children’s infectious diseases.

This piece on RH Reality Check, “Getting Health Priorities Right: Towards a Sustainable Global AIDS Response,” paints the picture of an HIV positive woman in Botswana who must travel 30 kilometers by foot for HIV/AIDS services—and another 50 kilometers to find a clinic with contraceptives.

In this article also from RH Reality Check, “Bridging An Inexplicable Divide: Integrating Reproductive Health Services and the Global HIV/AIDS Response,” Jeffrey Sturchio makes the case for integrating family planning and HIV/AIDS services and provides four specific recommendations for integrating the care and increasing access.

Finally, click here to see comments from Ann Blanc, Director of the Maternal Health Task Force, about the first in a series of maternal health policy discussions at the Woodrow Wilson Center in Washington, DC. The topic of the discussion was Integrating HIV/AIDS and Maternal Health Services. Click here to see the archived webcast of the event.

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UNAIDS Releases 2009 Report

HIV/AIDS out of isolation: A new call for integration

One of the significant findings of the report is that the impact of the AIDS response is high where HIV prevention and treatment programmes have been integrated with other health and social welfare services. Early evidence shows that HIV may be a significant factor in maternal mortality. Research models using South African data estimate that about 50,000 maternal deaths were associated with HIV in 2008.

“AIDS isolation must end,” said Mr. Sidibé. “Already research models are showing that HIV may have a significant impact on maternal mortality. Half of all maternal deaths in Botswana and South Africa are due to HIV. This tells us that we must work for a unified health approach bringing maternal and child health and HIV programmes as well as tuberculosis programmes together to work to achieve their common goal.”

Download the full report here.

Also, check out UNAIDS Outlook 2010

UNAIDS Outlook 2010, a new publication launched November 24th, explores new ideas and ways to use the data collected in the AIDS Epidemic Update companion report.

Outlook gives an overview of the epidemic with global and regional statistics, but also contains analysis offering the UNAIDS interpretation and eyes the data available in the more detailed AIDS Epidemic Update report from different angles.

The cover of Outlook features Prudence Mabele, the first black woman in South Africa to disclose her HIV status publicly in 1992 because she was “tired of the silence and stigma surrounding HIV,” as she puts it. Seventeen years down the road, Prudence is the executive director of the Positive Women’s Network she created in 1996.

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