HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential

Southern African Journal of HIV Medicine

Field Value
Title HIV infection in Eastern and Southern Africa: Highest burden, largest challenges, greatest potential
Creator Parker, Erica Judge, Melinda A. Macete, Eusebio Nhampossa, Tacilta Dorward, Jienchi Langa, Denise C. De Schacht, Caroline Couto, Aleny Vaz, Paula Vitoria, Marco Molfino, Lucas Idowu, Rachel T. Bhatt, Nilesh Naniche, Denise Le Souëf, Peter N.
Subject Health; Infectious Disease; Immunology HIV epidemiology; public health; risk factors; vulnerable populations; prevention and control; early diagnosis
Description Background: The burden of HIV is especially concerning for Eastern and Southern Africa (ESA), as despite expansion of test-and-treat programmes, this region continues to experience significant challenges resulting from high rates of morbidity, mortality and new infections. Hard-won lessons from programmes on the ground in ESA should be shared.Objectives: This report summarises relevant evidence and regional experts’ recommendations regarding challenges specific to ESA.Method: This commentary includes an in-depth review of relevant literature, progress against global goals and consensus opinion from experts.Results: Recommendations include priorities for essential research (surveillance data collection, key and vulnerable population education and testing, in-country testing trials and evidence-based support services to improve retention in care) as well as research that can accelerate progress towards the prevention of new infections and achieving ambitious global goals in ESA.Conclusion: The elimination of HIV in ESA will require continued investment, commitment to evidence-based programmes and persistence. Local research is critical to ensuring that responses in ESA are targeted, efficient and evaluated.
Publisher AOSIS
Contributor Manhiça Foundation, Mozambique University of Western Australia Research Impact Grant RA/1/2799/40
Date 2021-05-28
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Opinion paper
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v22i1.1237
Source Southern African Journal of HIV Medicine; Vol 22, No 1 (2021); 8 pages 2078-6751 1608-9693
Language eng
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Coverage Southern and Eastern Africa — —
Rights Copyright (c) 2021 Erica Parker, Melinda A Judge, Eusebio Macete, Tacilta Nhampossa, Jienchi Dorward, Denise Chitsondzo Langa, Caroline De Schacht, Aleny Couto, Paula Vaz, Marco Vitoria, Lucas Molfino, Rachel T Idowu, Nilesh Bhatt, Denise Naniche, Peter N Le Souëf