A Global Fund minimum, monitoring antiretroviral treatment, expanding HIV care capacities and confidence . . . We’re reading about doing more, with more

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NewWWRGlobal Fund Communities and NGO Delegations three calls – The delegations representing communities and on-the-ground organizations at the launch of the 5th replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria reminds donors who have not yet pledged their contribution to the next three years of responses that $13 billion is not a ceiling, but a minimum to protect progress made against the three diseases. Aiming higher is the first of three calls from the delegation, which also calls on countries where programs are implemented to increase their own investments in their health systems, and for all involved in responses to ensure resources and services reach those most in need, and most neglected. In turn the delegation pledges to hold donors, planners, and programmers accountable for delivering resources and results.

Progress and Challenges in Scaling UP Laboratory Monitoring of HIV Treatment – This PLOS Medicine perspective piece sums up findings from global surveys (described in the PLOS Availability and Use of HIV Monitoring and Early Infant Diagnosis Technologies in WHO Member States 2011-2013) indicating a surplus of equipment to test CD4, or immune cell, counts of people living with HIV  to check the progress of their illness, a shortfall of viral load tests to monitor the success of treatment, and insufficient use of the existing supplies of both. Lack of trained personnel to run and maintain the equipment, as well as of necessary supplies, are among the reasons for the machines standing idle. Among the implications, the piece points out, is that funders should plan for all the pieces needed to provide an appropriate standard of healthcare.

Impact of a Telehealth Program That Delivers Remote Consultation and Longitudinal Mentorship to Community HIV Providers – This program used technology not to link doctors with long-distance patients but to link them with other HIV service providers in remote settings who needed guidance and support to provide optimum care. The evaluation described here showed the program added knowledge, built a sense of community, and laid a foundation for networks of community health providers.

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