Increased HIV screening may help identify more people with the disease, but there may not be enough resources to provide them with the care they need. The Institute of Medicine's Committee on HIV Screening and Access to Care concludes that more practitioners must be trained in HIV/AIDS care and treatment and their hospitals, clinics, and health departments must receive sufficient funding to meet a growing demand for care.
This manual is designed for health professionals working in high HIV and TB prevalence countries. It summarises the characteristics of both diseases and their interactions. It concentrates particularly on the problems of diagnosis and management both in adults and children and summarises the other HIV related illnesses the clinician might encounter.
Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
The United States has spent two productive decades implementing a variety of prevention programs. While these efforts have slowed the rate of infection, challenges remain. The United States must refocus its efforts to contain the spread of HIV and AIDS in a way that would prevent as many new HIV infections as possible. No Time to Lose presents the Institute of Medicine's framework for a national prevention strategy.
Create effective community-based programs for substance abusers with HIV/AIDS! Substance abusers are the fastest-growing population of people with HIV/AIDS in the US--and one of the hardest to reach and treat. Evaluating HIV/AIDS Treatment Programs offers new strategies for providing care for this vulnerable population. The programs evaluated and discussed in this volume were funded as part of the DHHS Health Resources and Services Administration through its Special Projects of National Significance Program. Collectively known as the SPNS Cooperative Agreement, these 27 projects represent a diverse group of organizations with a common goal: to improve the health, quality of life, and access to health care for traditionally underserved populations living with HIV/AIDS. Evaluating HIV/AIDS Treatment Programs reports in detail the efforts of several community-based HIV/AIDS organizations in the SPNS program. You will learn how these organizations provide high-quality care for persons with HIV who are unlikely to obtain it in the traditional hospital-based service system. This volume offers specific, proven strategies designed to overcome the linguistic, cultural, racial, and economic barriers that make it difficult for some sick people to get the health care they need. It also offers specialized medical care models that work within the context of a continuum of services in a medical clinic. Evaluating HIV/AIDS Treatment Programs also highlights other aspects of the Cooperative Agreement projects, including: a study of end-stage AIDS care an overview of the HRSA HIV/AIDS Bureau SPNS Cooperative Agreement grant initiative a study of conceptual issues in implementing program evaluation in real-world community organizations discussion of the online Knowledge Base that summarizes and disseminates information from the Cooperative Agreement projects studies of ways to reach and care for specific populations with HIV/AIDS, including women, Latinos, Haitians, adolescents, and rural people This valuable volume offers solid data on treating people who are all too often neglected by the medical community even before they contract HIV/AIDS. The programs and ideas presented in Evaluating HIV/AIDS Treatment Programs can be applied to other community-based health initiatives and clinics offering medical care to underserved and vulnerable populations. This essential resource deserves a permanent place on their bookshelf of any physician, administrator, or policymaker working in the fields of HIBV/AIDS, epidemiology, public health, or substance abuse. Visit the book's website at http://www.TheMeasurementGroup.com/drugs_and_society.htm
Perhaps no other population exposes the clinician to more moral and legal dilemmas than clients with an HIV-positive diagnosis. What does the therapist do about the HIV positive patient who is having sex with unnamed partners and refuses to stop? What should be said in end-of-life decisions? What of the adolescent who is HIV positive but whose guardian does not wish the youth to be informed of his status?
