We evaluated the therapeutic role of digital storytelling for adolescents with HIV. Abstract The global commitment to universal access for people in need of antiretroviral therapy has transformed the lives of adolescents with HIV. In contrast, there has been limited commitment at policy or service level to the need for effective therapeutic interventions which can help them to cope with their life experiences. It is imperative that the scale up of antiretroviral therapy programmes is accompanied by evidence-based therapeutic approaches if we are to assist adolescents to make informed treatment and secondary prevention decisions and to enjoy happy, fulfilled lives. This pilot study sought to evaluate the digital storytelling process as a therapeutic intervention for 12 HIV positive adolescents and young people within Africaid’s Zvandiri programme in Harare, Zimbabwe. Drawing on narrative therapy, each storyteller created a digital film in which they narrated their life experiences and dominant themes in their lives.

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Clearly, people of color are inordinately affected by this disease. The Centers for Disease Control and Prevention provide the following graphs of the number of virions per milliliter as a function of time for each of the three groups. For more about these graphs, see the next section.

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However, is it worth the risk? If it looks “decent human being” or “healthy enough”, it also makes no guarantees about their HIV status and the lack of STIs. Probably many people would like to hear what kind of sex is safe. We assume that you already know about transmission of the virus, and offer you this knowledge to think again about possible dangers and means of protection when engaging in oral sex. But can you always say with certainty that you have no bleeding gums not inflamed mucous membranes of the mouth and throat?

How regularly do you visit the dentist? If you have bleeding gums, the inflamed mucous membrane of the oral cavity, a sore throat or you feel cold, it better to avoid unprotected oral sex. The same applies to the healing period of the gums after tooth extraction, filling, cleaning teeth from plaque and other procedures at the dentist.

It is not recommended to brush your teeth 2 hours before and after oral sex as a toothbrush can damage the gums, thereby creating an entrance gate for infections. Not everyone uses a condom for oral sex, but it is a voluntary choice. It is important to remember that in addition to HIV, there is another infection.

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As I know it has for many diagnosed with HIV.

Twenty-four years ago, in an act of ghastly malice, a Missouri father plunged a needle filled with HIV-positive blood into his son’s vein. No one at the time could’ve imagined anything worse.

The degree of protection they offer against HIV and STIs is significantly better than any other single prevention method, taken in isolation, other than sexual abstinence or complete mutual monogamy between two people who have tested negative for HIV. Despite this, the use and promotion of condoms continue to be targets for controversy and criticism, and sexual abstinence and monogamy are often promoted as superior alternatives.

While condoms offer useful and vital protection, they have also become associated with promiscuity and infidelity. Museveni later complained of being misunderstood and signed an article in The Lancet saying that condoms formed a valuable part of HIV prevention. Therefore questions of condom efficacy have to be addressed and misapprehensions corrected.

The spermatozoon can easily pass through the ‘net’ that is formed by the condom. These margins of uncertainty Knowing how well they protect against other STIs is important for sexual health in general and may be particularly important for people with HIV, who may be more vulnerable to the effects of certain STIs. The main findings of studies we look at in more detail below are as follows: In other words, for every cases of HIV infection that would happen without condom use, about 15 range: Condoms offer a similar degree of protection against gonorrhoea.

The best estimate we have is that using condoms more than three-quarters of the time halves the chance of acquiring HSV-2, and may reduce the chances of genital infection with the cold sore virus HSV-1 too. Another has found that condom use helps to prevent HPV infection progressing to cervical or penile cancer in both women and men.

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Immigration regulation Each of these strategies has widely differing levels of efficacy, social acceptance, and acceptance in the medical and scientific communities. Over 60 countries impose some form of travel restriction, either for short- or long-term stays, for people infected with HIV. These persuasive messages have successfully increased people’s knowledge about HIV. More importantly, information sent out through advertising and social marketing also proves to be effective in promoting more favorable attitudes and intentions toward future condom use, though they did not bring significant change in actual behaviors except those were targeting at specific behavioral skills.

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The HIV epidemic in this region is generalised but young women, men who have sex with men, transgender people, sex workers, prisoners and people who inject drugs are at an increased vulnerability to infection. Improved availability of provider-initiated and community-based HIV testing services now means three out of four people living with HIV are aware of their status. The number of people living with HIV in East and Southern Africa continues to increase, but access to antiretroviral treatment is increasing as well.

Although laws and cultural traditions vary between Eastern and Southern African countries, there are a number of ingrained cultural, structural and legal barriers that act as barriers to HIV prevention. It is home to 6. Declines were greatest in Mozambique, Uganda and Zimbabwe. While in Ethiopia and Madagascar, the annual number of new infections increased.

However, East and Southern Africa also has high levels of underage, child and forced marriage. They are also more likely to describe their first sexual experience as forced.

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Many species are infected by lentiviruses, which are characteristically responsible for long-duration illnesses with a long incubation period. Upon entry into the target cell, the viral RNA genome is converted reverse transcribed into double-stranded DNA by a virally encoded enzyme, reverse transcriptase , that is transported along with the viral genome in the virus particle. The resulting viral DNA is then imported into the cell nucleus and integrated into the cellular DNA by a virally encoded enzyme, integrase , and host co-factors.

Alternatively, the integrated viral DNA may be transcribed , producing new RNA genomes and viral proteins, using host cell resources, that are packaged and released from the cell as new virus particles that will begin the replication cycle anew.

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Many species are infected by lentiviruses, which are characteristically responsible for long-duration illnesses with a long incubation period. Upon entry into the target cell, the viral RNA genome is converted reverse transcribed into double-stranded DNA by a virally encoded enzyme, reverse transcriptase , that is transported along with the viral genome in the virus particle. The resulting viral DNA is then imported into the cell nucleus and integrated into the cellular DNA by a virally encoded enzyme, integrase , and host co-factors.

Alternatively, the integrated viral DNA may be transcribed , producing new RNA genomes and viral proteins, using host cell resources, that are packaged and released from the cell as new virus particles that will begin the replication cycle anew. Two types of HIV have been characterized: A matrix composed of the viral protein p17 surrounds the capsid ensuring the integrity of the virion particle.

The viral envelope contains proteins from the host cell and relatively few copies of the HIV Envelope protein, [21] which consists of a cap made of three molecules known as glycoprotein gp , and a stem consisting of three gp41 molecules that anchor the structure into the viral envelope. The density is high as the glycans shield the underlying viral protein from neutralisation by antibodies. This is one of the most densely glycosylated molecules known and the density is sufficiently high to prevent the normal maturation process of glycans during biogenesis in the endoplasmic and Golgi apparatus.

Three of these genes, gag, pol, and env, contain information needed to make the structural proteins for new virus particles. The six remaining genes, tat, rev, nef, vif, vpr, and vpu or vpx in the case of HIV-2 , are regulatory genes for proteins that control the ability of HIV to infect cells, produce new copies of virus replicate , or cause disease. The Vpu protein p16 influences the release of new virus particles from infected cells.

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This section does not cite any sources. Please help improve this section by adding citations to reliable sources. Unsourced material may be challenged and removed. Germany inconsistently tested plasma products between and , as did Japan in and There were criminal investigations and prosecutions of those persons found to be responsible for these delays see Weinberg et al.

At least 20 countries now have plans in place to compensate some classes of individuals, e. Legal situation[ edit ] In many English-speaking countries and in most of the states who have signed the European Convention of Human Rights , [2] knowingly infecting others with HIV can lead to criminal prosecution.

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This study ascertained the level of knowledge about HIV infection and prevention, particularly prevention of mother to child transmission PMTCT amongst South African women from a low income community. It also established the challenges in delivering HIV education from the perspectives of health care volunteers. In-depth semi-structured interviews were conducted with 12 health care volunteers who were either health care workers or residents who provided some form of social support in the community.

Results The majority of respondents indicated that a mother could transmit HIV to her child but were unable to specify how. They were supportive of routine testing procedures and child bearing amongst HIV positive women. Health care volunteers indicated a need for a community clinic in the area.

Prevention of HIV/AIDS

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HIV prevalence is high among the general population at Men who have sex with men, transgender women, sex workers and people who inject drugs experience even higher HIV prevalence rates. South Africa was the first country in sub-Saharan Africa to fully approve PrEP, which is now being made available to people at high risk of infection South Africa has the biggest and most high-profile HIV epidemic in the world, with an estimated 7. In Durban it was reported that only 4.

This could be because sex workers in South Africa face high levels of stigma and discrimination and are restricted by the laws under which they work. Although South Africa is moving towards decriminalising sex work, carrying condoms can still be considered an offence. In , the South African government launched a progressive new National Sex Worker HIV Plan, outlining a new peer-led approach to providing HIV services that had been tailored to meet the specific needs of sex workers.

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