in a recent article, gorik ooms has drawn attention to the normative underpinnings of the politics of global health. we claim that ooms is indirectly submitting to a liberal conception of politics by framing the politics of global health as a question of individual morality. drawing on the theoretical works of chantal mouffe, we introduce a conflictual concept of the political as an alternative...

BACKGROUND HIV treatment programs in Africa typically approach all enrolling patients uniformly. Growing numbers of patients are antiretroviral experienced. Defining patients on the basis of antiretroviral experience may inform enrollment practices, particularly if medical outcomes differ. METHODS Baseline and follow-up measures (CD4, weight change, and survival) were compared in a retrospect...

Adherence to antiretroviral medication in the treatment of HIV is critical, both to maximize efficacy and to minimize the emergence of drug resistance. The aim of this prospective study in three public hospitals in KwaZulu-Natal, South Africa, is to assess the use of Traditional Complementary and Alternative Medicine (TCAM) by HIV patients and its effect on antiretroviral (ARV) adherence 6 mont...

Previous studies have reported that majority of antiretroviral (ARV) treatment-naïve patients use traditional medicine (TM). Given that TM use is ubiquitous in South Africa especially for chronic conditions, there is a potential for ARV non-adherence and serious drug interactions among patients with HIV/AIDs who use TM. The motivating factors for TM use in HIV/AIDS patients on ARV and prophylax...

OBJECTIVE To evaluate genotyping and subtyping in antiretroviral (ARV) naïve and experienced children, as well as drug resistance profiles through genotyping in these children. METHODS This retrospective study assessed ARV-naïve HIV children and HIV children failing highly active antiretroviral treatment (HAART) followed up at Santa Casa de São Paulo. Genotyping was performed using purified p...

The protease and reverse transcriptase (RT) genes were studied in antiretroviral (ARV)-experienced and drug-naive HIV-1-infected individuals in Libreville, Gabon. We have shown, although on a limited number of samples that in 58% (11/19) of the patients, with a mean of 17.7 months of ARV drug experience, major mutations inevitably inducing resistances to ARV drugs were present. Resistance was m...

Abstract Background Little is known about HIV-1 integrase inhibitor resistance in the CNS. Objectives This study aimed to evaluate CSF, as a marker of CNS, and compare it with plasma. Methods HIV was sequenced both plasma CSF for 59 patients. The clinical biological data were collected from routine care. Results Among patients, 32 (54.2%) under antiretroviral (ARV) treatment. median (IQR) RNA v...

Antiretroviral therapy success is highly dependent on the ability of the patient to fully adhere to the prescribed treatment regimen. We present the results of a cross-sectional study that evaluates the predictive value of a self-administered questionnaire of adherence to antiretroviral (ARV) therapy. Study participants were interviewed using a 36-item Patient Medication Adherence Questionnaire...

BACKGROUND Financial incentives have been shown to improve antiretroviral (ARV) adherence for people living with HIV, but scholars argued that this commodifies treatment and debated the ethics of doing so. This article summarizes research on ethical processes factors involved in an intervention successfully improved ARV among socially vulnerable HIV. METHODS Thirty qualitative interviews were c...

Scaling up of antiretroviral treatment (ART) for children in countries like Thailand will require decentralization and management by non-specialist doctors. We describe (a) the formulation of a standardized drug dosage table to facilitate antiretroviral drug (ARV) prescriptions for children, (b) the acceptability of such a table among doctors and (c) the safety and efficacy of drug doses in the...