Is HIV control in sub-Saharan Africa losing focus?: The need for simplified,prioritized prevention strategies

Abstract

Keywords

HIV/AIDS sub-Saharan Africa low-income countries priority setting country-specific local context cost-effective

References

WHO Treat 3 million by 2005 Initiative . World Health Organization, 2003.

Ainsworth M. , Teokul W. Breaking the silence: setting realistic priorities for AIDS control in less developed countries. Lancet 2000;356:55—60.

Kumaranayake L. , Watts C. Resource allocation and priority setting of HIV/AIDS interventions: address the generalized epidemic in sub-Saharan Africa . J Int Dev 2001;13:451—66.

Caldwell JC Reasons for limited sexual behaviour change in the sub-Saharan AIDS epidemic, and possible future intervention strategies. In: Resistance to Behaviour Change to Reduce HIV/AIDS Infection, 1999:241—56.

De Cock K. , Mbori-Ngacha D. , Marum E. Shadow on the continent: public health and HIV/AIDS in Africa in the 21st century. Lancet 2002;360:67—72.

Warren S. , Kaye S. , Corrah T. Anti-retroviral therapy in Africa. Br Med J 2004;328:280—2.

Halperin DT , Epstein H. Concurrent sexual partnerships help to explain Africa's high HIV prevalence: implications for prevention . Lancet 2004;364:4—6.

Kelly RJ , Gray RH , Sewamkambo NK , Serwadda D. , Wabire-Mangen F. , Lutalo T. , et al. Age difference in sexual Partners and risk of HIV-1 infection in Rural Uganda. J Acquir Immune Defic Syndr 2003;32:446—51.

Gray RH , Wawer MJ , Gray RH , Wawer MJ , Brookmeyer R. , Sewankambo NK , et al. Rakai Project Team. Probability of HIV-1 transmission per coital act in monogamous, heterosexual, HIV-1-discordant couples in Rakai, Uganda. Lancet 2001;357:1149—53.

10.

De Cock K. , Marum E. , Mbori-Ngacha D. A serostatusbased approach to HIV/AIDS prevention and care in Africa. Lancet 2003;362:1847—49.

11.

Stoneburner RL , Low-Beer D. Analyses of HIV trend and behavioural data in Uganda, Kenya, and Zambia: prevalence declines in Uganda relate more to reduction in sex partners than condom use. Abstract ThOrC734. Int AIDS Conf, Durban, 2000.

12.

Lugalla J. , Emmelin M. , Mutembei A. , et al. Social, cultural and sexual behavioural determinants of observed decline in HIV infection trends: lessons from the Kagera Region, Tanzania. Soc Sci Med 2004;59:185—98.