A World Free from Child Poverty: A guide to the tasks to achieve the vision

A World Free from Child Poverty: A guide to the tasks to achieve the vision

Child poverty is a universal problem with devastating impacts on children and societies. This guide, by UNICEF and the Coalition to End Global Poverty, seeks to share experiences from across the world to support countries building national pathways to end child poverty and to achieve Sustainable Development Goal (SDG 1) on Ending Poverty.

A Quarter for Prevention? Global Fund Investments in HIV Prevention Interventions in Generalized African Epidemics

June 2017 ICASO and EANNASO published a discussion paper suggesting that the Global Fund might not be investing enough money in HIV prevention in Africa to meet its targets.

The Global Fund Strategy 2017-2022 sets ambitious targets for HIV prevention aiming to achieve a 38% reduction in new infections over the 2015-2022 period, including a 58% reduction in HIV incidence in adolescent girls and young women aged 15-24. However, this discussion paper highlights how not all countries and populations are makings the same progress on prevention.

Key Findings include:

  • Among the sample, an average of 15% of HIV and TB/HIV Global Fund grants are dedicated to HIV prevention interventions. This is below the UNAIDS benchmark of 26% for prevention.
  • The Global Fund’s investments in HIV prevention are largely in line with disease burden. Countries with higher numbers of new infections request and receive more HIV prevention funding.
  • Advocacy from civil society and communities is absolutely vital, particularly on urging countries to request greater HIV prevention funding for key populations and adolescent girls and young women

This discussion paper frames resource needs for HIV prevention in terms of global estimates. The aim of this discussion paper is to contribute to civil society and community groups’ advocacy efforts to increase Global Fund investments in HIV prevention interventions during the 2017-2019 funding cycle.

Click here to download the Discussion Paper

Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa

Globally significant progress has been made in the fight to end HIV. However, rates of new infections continue to increase among 15-25 year old youth in sub-Saharan Africa. 

This study by Elona Toska, Marija Pantelic, Franziska Meinck, Katharina Keck, Roxanna Haghighat and Lucie Cluver synthesizes the extant research on prevalence, factors associated with, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa.

Click here to read the full study.

Early moments matter

This report by UNICEF presents data and outlines best practices and policies that can put governments on the path to providing every child with the best start in life. It outlines the neuroscience of early childhood development (ECD), including the importance of nutrition, protection and stimulation in the early years. And it makes the case for scaling up investment, evaluation and monitoring in ECD programmes. The report concludes with a six-point call to action for governments and their partners to help maximize the potential of the children who will build the future – by making the most of the unparalleled opportunities offered by the early moments in life.

Click here to download the report

Source: UNICEF

Integrating Mental Health and HIV Services in Zimbabwean Communities: A Nurse and Community-led Approach to Reach the Most Vulnerable

Provision of mental health services for people living with HIV is critical to provide appropriate, long-term care and support, and to improve HIV-related morbidity and mortality.

This Zimbabwe pilot study looks at the feasibility of integrating mental health and HIV stepped-care approach in nurses, community health workers, and traditional medicine practitioners. The study indicates that integration of mental health and HIV services can expand availability of mental health services for people living with HIV. 

Click here to download the study. 

Policy Brief Redefining childhood vulnerability to HIV

Childhood vulnerability cuts across all development programming and planning, including the sectors of HIV and AIDS, health, child protection and social protection. Understanding indicators of childhood vulnerability in general and to HIV in particular, could help practitioners identify vulnerable children more accurately and spend money accordingly.

This policy brief by UNICEF looks at the factors indicate vulnerability for children and adolescents to HIV.

Click here to download the Policy Brief 

Good Practice Guide: Adolescent HIV programming, READY – Here we come!

A greater understanding of HIV in high prevalence countries has increased awareness of the need to prioritise adolescents in HIV prevention, treatment, care and support.

This Good Practice Guide was developed by International HIV/AIDS Alliance to offer programme managers and service providers concrete implementation guidance and support as they seek to address adolescents’ needs more effectively. It is intended to shape a provider’s approach and work so that adolescents living with HIV and those from key populations can obtain the services they need and live healthy, productive lives.  

Click here to download the Good Practice Guide 

“Not Taking it Will Just be Like a Sin”: Young People Living with HIV and the Stigmatization of Less-Than-Perfect Adherence to Antiretroviral Therapy

Research by Sarah Bernays, Sara Paparini, Janet Seeley and Tim Rhodes explores young people’s perspectives and understanding on adherence to HIV antiretroviral therapy and the place of the clinics. 

Abstract

Global health priorities are being set to address questions on adherence to HIV antiretroviral therapy in adolescence. Few studies have explored young people’s perspectives on the complex host of social and relational challenges they face in dealing with their treatment in secret and their condition in silence. In redressing this, we present findings from a longitudinal qualitative study with young people living with HIV in the UK, Ireland, US, and Uganda, embedded within the BREATHER international clinical trial. Drawing from Goffman’s notion of stigma, we analyze relational dynamics in HIV clinics, as rare spaces where HIV is“known,” and how young people’s relationships may be threatened by non-adherence to treatment. Young people’s reflections on and strategies for maintaining their reputation as patients raise questions about particular forms of medicalization of HIV and the moralization of treatment adherence that affect them, and how these may restrict opportunities for care across the epidemic.

Click here to read the full article