Africa

The study explores the impact of political instability in Cameroon's North and Southwest Regions on HIV/AIDS response efforts. Through interviews with frontline healthcare providers, six key challenges were identified: access to healthcare services, continuity of treatment, risk of new infections, socioeconomic impacts, effects on healthcare workers' well-being, and coping mechanisms. The findings highlight the need for coordinated efforts to strengthen the health sector, decentralize HIV care, improve supply chains, and protect healthcare workers to mitigate the crisis's impact on HIV/AIDS response and overall health services.

The retention in care of patients undergoing antiretroviral therapy (ART) is a cornerstone for preventing AIDS-associated morbidity and mortality, as well as further transmission of HIV. Adherence to ART poses particular challenges in conflict-affected settings like the Central African Republic (CAR). The study objective was to estimate the rate of lost-to-follow-up (LTFU) and determine factors associated with LTFU among patients living with HIV under ART in CAR.

Guide de Mise en oeuvre rendez-vous à six mois - Un Modèle différencié d’Accès au Traitement Antirétroviral avec espacement des visites pour les personnes vivant avec le VIH.

Brochure presenting the Yambio HIV test and treat pilot project implemented by MSF in South Sudanin view of bridging the gap between treatment and community.

Report to external partners describing the Yambio HIV community-based Test and Treat (T&T) pilot project meant to assess T&T feasibility and acceptability (‘Treat All’ as set out in WHO guidelines) through a community-based mobile HTC programme including same day antiretroviral (ARV) treatment initiation and the delegation of tasks to less specialised health staff. MSF wanted to document whether bringing HIV testing and treatment closer to patients’ homes, with simplified protocols and tools (‘Treat All’), would result in treatment outcomes similar to those of facility-based care.

Estimation of the impact of the CAR conflict on patient mortality and definition of patient-level risk factors for mortality

Article summarizing the MSF experience and results of providing ART and implementing contingency plans during acute instability in the Central African Republic (CAR) and Yemen.

Results from a descriptive analysis from CAR, DRC and South Sudan MSF's HIV care models integrated within the provision of general health care and highlighting best practices and challenges.

Household-based survey to measure the impact of the national HIV response among adults (aged 15 years and older) living in refugee settlements in Uganda, conducted from October 2021 through December 2021

This guidance is an update of the 2007 Clinical Guidelines for antiretroviral therapy management for displaced populations for Southern Africa. It provides clinical guidance to healthcare practitioners on ART provision to migrants and crisis-affected individuals. It offers guidance to ART program managers on addressing patient mobility and prioritization during crises and guidance to policymakers and civil society advocates to facilitate the development of high-quality HIV care for migrants and crisis-affected individuals.