The Impact of Alcohol Use and Related Disorders on the HIV Continuum of Care: a Systematic Review

, ; Alcohol and the HIV Continuum of Care

Alcohol use is prevalent globally with numerous negative consequences to human health, including HIV progression, in people living with HIV (PLH).

The HIV continuum of care, or treatment cascade, represents a sequence of targets for intervention that can result in viral suppression, which ultimately benefits individuals and society. The extent to which alcohol impacts each step in the cascade, however, has not been systematically examined.

International targets for HIV treatment as prevention aim for:

Friendship networks and HIV risk among young women in South Africa - Elizabeth Fearon

Friends could be an important influence on young women’s risk of acquiring HIV; they serve as a channel for dominant norms about gender and sexuality and are the social contacts through which young women form sexual partnerships. Research from other populations has found that the characteristics of adolescents’ friends can affect a range of health-related behaviours, including sexual behaviour.

Research tools for measuring social norms

At a meeting on social norms around partner violence, researchers compared tools for social norms change and measurement.

At a meeting on social norms around partner violence, researchers compared tools for social norms change and measurement.

Transactional Sex in Sub-Saharan Africa: Meaning, Measurements and Implications for HIV Prevention - Kirsten Stoebenau and Joyce Wamoyi

In sub-Saharan Africa (SSA), adolescent girls and young women (AGYW) ages 15 - 24 are at high risk of HIV. Within SSA, AGYW have at least twice the risk of infection as their male counterparts and account for over forty percent of new infections among all women. Transactional sex (TS) is cited among the main factors driving AGYW’s increased HIV risk.

Norms Learning Report 1: Measuring Social Norms

The Learning Group on Social Norms and Gender-based Violence hosted a meeting in Baltimore, Maryland on the 14-15 June 2016. 

The group was launched by the Gender, Violence and Health Centre at the London School of Hygiene & Tropical Medicine (LSHTM). As part of the learning initiative, LSHTM convened an expert group meeting on the measurement of social norms sustaining GBV. The meeting focused on identifying best-practice strategies to diagnose and measure social norms.

The key learnings from the meeting were:

Adherence and the Lie in a HIV Prevention Clinical Trial

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The lie has been presented as a performance that protects identities against moral judgement in the context of power imbalances. Within doctor-patient interactions, lies can reinforce but also challenge power relations:

By not fully disclosing diagnoses or side effects, medical practitioners exert their authority, but there is scope, too, for the patient’s resistance: the patient can remain silent or lie.

Tanzania National Action Plan to End Violence against Women and Children

A new national platform to share STRIVE evidence on reducing intimate partner violence.

A new national platform to share STRIVE evidence on reducing intimate partner violence.

STRIVE presents on stigma at the White House

Six years of STRIVE work on stigma has achieved considerable impact. The White House Meeting on HIV Stigma: Research for a Robust Response (3 and 4 March) was a high point in 2016. Anne Stangl facilitated a panel on interventions to reduce HIV-related stigma and discrimination globally, while James Hargreaves participated in another panel on stigma measurement. The second day of the meeting focused on research and developing recommendations for stigma reduction research moving forward.

Cost-Effectiveness Thresholds in Global Health: Taking a Multisectoral Perspective

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Good health is a function of a range of biological, environmental, behavioral, and social factors. The consumption of quality health care services is only a part of how good health is produced. Although few would argue with this, the economic framework used to allocate resources to optimise population health is applied in a way that constrains the analyst and the decision maker to health care services. As a result, lives and quality of life may be lost.

Age-disparate sex and HIV risk for young women from 2002 to 2012 in South Africa

Age-disparate sex has long been considered a factor that increases HIV risk for young women in South Africa. However, recent studies from specific regions in South Africa have found conflicting evidence. Few studies have assessed the association between age-disparate partnerships (those involving an age gap of 5 years or more) and HIV risk at the national level.