Author Archives: Antigone Barton

PEPFAR/Elton John AIDS Foundation partner to expand services to men who have sex with men, transgender people in southern Africa

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For years the gap has been noted in reports, national strategic plans, and donor plans: How can an effective response to HIV and AIDS in southern Africa address the epidemic among some of those most at risk, and with the least access to services, when discrimination against them is encoded in laws, policies, and even […]

In Dar es Salaam, a former patient’s group reaches clients where they live

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Joseph Samwel Mapunda was 46 when he was diagnosed with TB. He was cured in eight months, but by the time the disease was through with his family, his wife and daughter were sick too, and his brother-in-law was dead. “From that day, I felt very strongly about this,” he told us last week. He […]

Dar es Salaam: In a fragile health system, a national referral hospital prepares for Ebola

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Emergency medicine is new here in Dar es Salaam, although the need for it is not. Trauma patients — predominately from motorcycle crashes in this congested city — make up the bulk of the emergency room cases, although illnesses stemming from HIV, other infectious diseases, and, at a growing rate psychiatric disorders, give a program […]

Dar es Salaam: From 100 patients to 65,000 in ten years

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“We used to take care of our patients so they could die with dignity,” Professor Ferdinand Mugusi, MD of Muhimbili Hospital in Dar es Salaam told us last week. “Now our patients live. So thank you.” Americans visiting medical settings in Tanzania, particularly when they are with United States Congressional staffers, get used to being […]

Zanzibar: An island that has seen success offers a cautionary tale

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Come to Zanzibar, the archipelago off the coast of Tanzania that is both tourist destination and home to about 1 million people, and you’ll hear about success. The place has nearly eradicated malaria — more than once — and controlled HIV to the point that fewer than 1 percent of the people on the island live […]

At Tanzania sober house: “We shine and they want what we have”

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“In the beginning,” Suleiman Mauly told us on Saturday, “the government didn’t want to know we exist. They came to recognize us, though. They pay half the rent for every house now.” We were a group from the United States — Center for Global Health Policy staff and five congressional staffers — on a study […]

Ebola: “This is what it was like to respond to HIV,” doctor home from Guinea says

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At the end of last May, Dr. William Fischer was immersed in his work as a physician, researcher, and instructor at the University of North Carolina in Chapel Hill when he answered a call from the World Health Organization. He had been recognized the year before with the Infectious Diseases Society of America’s Young Investigator […]

Heading to Tanzania . . . We’ll send postcards, and bring back stories

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The Center for Global Health Policy staff is on its way to Tanzania. Hosting five congressional staffers, we’re heading to one of the countries hit hardest by HIV and tuberculosis. We will visit screening, treatment and prevention programs in Dar es Salaam, Mbeya and Zanzibar, talking to people providing and receiving services to address the […]

90 – 90 – 90: Chris Collins of UNAIDS breaks down the math, and the meaning

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Remember “3 by 5,” the World Health Organization articulated goal of getting life-saving antiretroviral treatment to three million people in low-and-middle income countries by 2005? It became “3 by 7″ — 2007 before treatment available in wealthy countries since the mid-1990s fell within the reach of those three million less fortunate people. But the goal, […]

As Ebola gained ground, CDC report on healthcare resources in Liberia’s remote counties highlights vulnerabilities

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Nearly five months after Ebola came to Liberia, three doctors served four counties on Eastern border, hospital hand-washing relied on water jugs, training, surveillance, means to safely bury the dead remained nonexistent Nestled between Guinea and Sierra Leone, the Liberian county of Lofa was, along with the coastal county of Montserrado, an epicenter of the […]