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Saturday, 24 March 2012
Treatment

When should HIV treatment start?

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Scientific evidence is mounting for ART to be started at an earlier stage than currently recommended by WHO/NACO. But for healthcare systems in the developing world already struggling to meet existing demands, is this a viable option, asks Ajithkumar K

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The hidden costs of treatment

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Free anti-retroviral therapy at government-run centres has improved things for people living with HIV/AIDS. But there are hidden costs, very few centres, and poor quality of service, which state governments must take note of, says Ranjita Biswas

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Access to ART in a rural setting

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The government provides free anti-retroviral treatment, but when government run services are so poor and inadequate, people have difficulty accessing it. Sandhya Srinivasan travels to Chhattisgarh which has just one ARV centre, and to Sewagram in Maharashtra, where patients prefer to pay for treatment rather than avail of free treatment at a government hospital

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HIV/AIDS in India: The wider picture

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Increasingly, voices across the world are questioning the narrow approach to a single disease, especially the huge financing for AIDS over all else in basic healthcare. Though welcome and long overdue, this debate must now move further, to examine sustainable solutions that promote health and prevent AIDS, writes Rupa Chinai

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TB and HIV: A deadly combination

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Though TB is a preventable and curable disease, more than 40% of adults in India are infected and 364,000 people die of it every year. Hemlata Jiwnani explains how this frightening scenario is complicated by drug resistant strains and HIV

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Nepali sex workers have limited access to HIV care

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Some 61.4% of sex workers are still out of reach of HIV prevention programmes in Nepal, according to the latest UN report. Organisations working with sex workers face many constraints from funding to lack of continuity in programmes, social stigma and insensitive health workers, as Sangeeta Rijal finds out

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Half-baked treatment for HIV-positive children

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Government treatment for HIV-positive children lacks essential support services and gives counselling a complete miss even though NACO guidelines on paediatric treatment give detailed information on counselling by healthcare providers. Sandhya Srinivasan enumerates some of the problems NGOs and health workers face

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Drug resistance the new challenge in India

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India’s announcement that it will roll out 'second line' drugs meant to treat those who have started showing resistance to 'first line' treatment is welcome, but, argue experts, policymakers should also urgently look at problems plaguing the first line roll-out. T K Rajalakshmi reports

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Three by Five sparks 'paradigm shift' in India...Or does it?

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In December 2003, the Indian government declared a strong policy-cum-programme commitment to provide free ARV treatment to 100,000 AIDS patients. But important issues related to the creation of a conducive atmosphere for AIDS patients, confidentiality and the creation of a health infrastructure within the public health system have still to be addressed, says T K Rajalakshmi

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Waiting at Room No 60, Sassoon General Hospital

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Suresh Sawant is the 600th-odd HIV-positive patient listed in the register of those applying for free anti-retroviral therapy at Pune's largest public hospital. He has been camping on the footpath outside the hospital with his family. But, as of now, only 86 of the hundreds applying are receiving the free therapy, as Durga Chandran observed

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