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Enhancing Psychosocial Support for HIV Positive Adolescents in Harare, Zimbabwe

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Republish our articles for free, online or in print, under Creative Commons licence. Panashe is a year-old Zimbabwean woman living with HIV. She works in a restaurant on the western peripheries of Johannesburg. This is where she started her antiretroviral treatment. She takes her antiretrovirals religiously and without problems. But this was not always the case. When Panashe moved from Zimbabwe to South Africa in as an asylum seeker, she encountered problems with her treatment.

When Panashe moved from Zimbabwe to South Africa in as an asylum seeker, she encountered problems with her treatment. Continuing treatment in the new country was a challenging and disorienting affair. Antiretroviral treatment has been freely available in South Africa since and asylum seekers and refugees are eligible for treatment.

But when Panashe arrived in South Africa, she was forced to change her treatment regimen. Antiretroviral regimens are the drug combinations people living with HIV are put on.

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The specific regimen depends on the antiretrovirals that the country makes available. The forced regimen change meant that she had severe side effects which made her sick and nearly made her stop taking medication — a move which would have compromised her health. After a few weeks she adapted to the change, but her challenges reveal a wider problem.

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The change happened because there are no regionally implemented and adopted treatment guidelines or referral systems for cross-border migrants who need antiretrovirals. South Africa and Zimbabwe have made significant strides rolling out antiretroviral programmes. This requires the regional harmonisation of treatment regimens and protocols and for regional referral systems to be developed.

July 26, —Zimbabwe's first dating service for men and women with just two months in business amid one of the world's highest HIV rates. A dating service for HIV-positive people in Zimbabwe makes a BBC, Harare Being HIV-positive does not mean being celibate, says Luta. She has known she is HIV positive since she was 20 years old living in Harare, Zimbabwe. This is where she started her antiretroviral treatment.

These systems should provide information about the possibilities of HIV treatment across borders at a clinic level and inclusion of foreign nationals into local support groups. Our ongoing research has been looking at the links between health and migration across borders in the southern Africa region.

Zimbabwe has a high HIV prevalence, with unprotected heterosexual sex continuing to be the main route transmission route for new infections. 'The most popular Zimbabwe Dating & Friends classifieds by far. Handsome guy in Harare seeking, hiv positive, tall, romantic and adventurous. HIV + singles Connections in Capetown and Zim, Harare, Zimbabwe. likes · 8 talking about this. Dont be lonely you deserve love,find your your life.

As part of our research we have spoken to government officials, researchers, funders and non-governmental organisations. We found that despite the economic and political challenges in Zimbabwe over the past two decades, it has a relatively well functioning and expansive antiretroviral programme. There are some challenges, in particular delays in starting treatment.

But more than sites offer antiretrovirals and treatment for the prevention of mother to child transmission of HIV. There are about 1.

The most concentrated levels of people living with HIV were found in HIV ' hotspots', urban settings such as Harare, Norton, Chitungwiza, Ruwa.

There is no reliable data on migrants accessing or needing antiretrovirals in South Africa or the countries in the Southern African Development Community.

But there are both Zimbabweans going to South Africa and Zimbabweans returning home.

These migrants encounter three main challenges with cross border treatment. Firstly, there is no standardised referral system. This means that cross-border migrants are sometimes unable to continue with the same treatment and are forced to change treatment regimes.

They may risk missing treatment while registering in a new system.

Missed treatment or poor adherence and management of treatment can lead to the development of drug resistant strains of HIV which contributes to treatment failure. Regimen changes are possible but can be daunting for people living with HIV on treatment.

Treatment regimens in the region are very similar and changes can be managed effectively. But regimen changes can produce changes in side effects, and ordinarily require intensive monitoring.

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Ordinarily, treatment regimen change is made in cases where there is viral resistance to a particular regimen, or when side effects are particularly severe. Sections of this page.

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