Lesotho - HIV Prevention Response and Modes of Transmission Analysis
The purpose of this modes of transmission (MoT) study is 'to contribute to the ongoing efforts to understand the epidemic and response in Lesotho and thus help the country improve the scope (doing the right kind of activities), relevance (with...
| Main Author: | |
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| Format: | Other Health Study |
| Language: | English |
| Published: |
World Bank
2012
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| Subjects: | |
| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20090525032303 http://hdl.handle.net/10986/3045 |
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okr-10986-3045 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESS TO TREATMENT ACQUIRED IMMUNODEFICIENCY SYNDROME ADOLESCENT HEALTH ADULT MORTALITY ADULT POPULATION AGE GROUPS AGED AIDS DEATHS AIDS RELIEF AIDS SPENDING ALTERNATIVE MEDICINE ANTENATAL CARE BABIES BASIC NEEDS BEHAVIOUR CHANGE BEHAVIOURAL FACTORS BIOLOGICAL MEASURES BLOOD PRODUCTS BLOOD SAFETY BLOOD TRANSFUSION BLOOD TRANSFUSIONS BOTH SEXES CAPACITY BUILDING CHILD-BEARING CIRCUMCISION CIVIL RIGHTS CLINICS COMMERCIAL SEX CONDOM CONDOM DISTRIBUTION CONDOM PROMOTION CONDOM USE CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE COUNSELLING CULTURAL PRACTICES CYCLE OF POVERTY DEPENDENCY RATIOS DIAGNOSIS DISCRIMINATION DISSEMINATION DOMESTIC VIOLENCE EARLY CHILDHOOD EARLY CHILDHOOD MORTALITY EMERGENCY PLAN ENFORCEMENT OF LAWS EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL DATA EPIDEMIOLOGICAL SITUATION EPIDEMIOLOGY ETHICAL CONSIDERATIONS ETHNIC GROUP ETHNIC GROUPS EXTERNAL MIGRATION FAMILY LIFE EDUCATION FAMILY PLANNING FEMALE CONDOMS FEMALES FERTILITY FERTILITY RATES FEWER PEOPLE FIRST INTERCOURSE FIRST MARRIAGE FOOD SECURITY FORCED SEX GENDER ROLES GLOBAL AIDS EPIDEMIC GLOBAL HIV/AIDS GROSS NATIONAL PRODUCT HEALTH CENTRES HEALTH SECTOR HEALTH SERVICES HEALTHY LIFE HEPATITIS HIV HIV INFECTION HIV INFECTIONS HIV POSITIVE HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HIV/AIDS HOSPITAL HOSPITALS HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS ILLNESS IMMUNODEFICIENCY INCOME INEQUALITY INFANT INFANT FEEDING INFECTIONS AMONG ADULTS INFORMATION ON PREVENTION LACK OF KNOWLEDGE LEGAL SUPPORT LIFE EXPECTANCY LIVE BIRTHS MALARIA MALE INVOLVEMENT MARITAL RAPE MARITAL STATUS MARRIED COUPLES MARRIED MEN MARRIED WOMEN MASS MEDIA MEDICAL EQUIPMENT MIGRANT MIGRATION MINISTRY OF EDUCATION MINISTRY OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION MULTIPLE PARTNERS NATIONAL AIDS NATIONAL AIDS COMMISSION NATIONAL CONSTITUTION NATIONAL LEVEL NATIONAL POLICIES NEONATAL MORTALITY NEW INFECTIONS NEWBORN NEWBORN INFANTS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE ORGAN TRANSPLANTS ORPHANS PARENTHOOD ASSOCIATION PARTNER REDUCTION PATHOGENS PATIENTS PLAN OF ACTION POLICY FRAMEWORK POLICY LEVEL POORER WOMEN POPULATION GROWTH POPULATION GROWTH RATE POST EXPOSURE PROPHYLAXIS POST-EXPOSURE PROPHYLAXIS POST-TEST COUNSELLING PREGNANT WOMEN PREVENTION ACTIVITIES PREVENTION COUNSELLING PREVENTION EFFORTS PREVENTION INTERVENTIONS PREVENTION STRATEGIES PROGRESS PSYCHOLOGICAL SUPPORT QUALITATIVE INFORMATION QUALITY SERVICES RECREATION REFERRAL SYSTEM REMITTANCES REPRODUCTIVE CHOICES REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE MOBILIZATION RISK FACTORS RISK OF EXPOSURE RISK OF INFECTION RISK OF TRANSMISSION RURAL AREAS RURAL RESIDENCE SAFER SEX SCHOOL YOUTH SEA LEVEL SELF-ESTEEM SERVICE DELIVERY SERVICE PROVIDERS SEX SEX EDUCATION SEX WITH MEN SEX WORK SEX WORKER SEX WORKERS SEXUAL BEHAVIOUR SEXUAL BEHAVIOURS SEXUAL INTERCOURSE SEXUAL PARTNER SEXUAL PARTNERS SEXUAL PRACTICES SEXUAL RELATIONSHIPS SEXUAL RISK SEXUAL VIOLENCE SEXUALLY ACTIVE SEXUALLY TRANSMITTED INFECTION SEXUALLY TRANSMITTED INFECTIONS SKILLS EDUCATION SOCIAL CHANGE SOCIAL MARKETING SOCIAL MOBILIZATION SOCIAL NORMS SOCIAL WELFARE SOIL EROSION SPOUSE STIS SYPHILIS SYRINGES THERAPY TRADITIONAL HEALERS TRANSMISSION RATES TREATMENT TREATMENT SERVICES TUBERCULOSIS UNAIDS UNFPA UNINTENDED PREGNANCIES UNITED NATIONS POPULATION FUND UNIVERSAL ACCESS UNPROTECTED SEX URBAN AREAS URBANIZATION VOLUNTARY COUNSELLING VULNERABILITY VULNERABLE GROUPS VULNERABLE POPULATIONS WOMEN WITH EDUCATION WORLD HEALTH ORGANIZATION YOUNG PEOPLE YOUNG WOMEN |
| spellingShingle |
ACCESS TO TREATMENT ACQUIRED IMMUNODEFICIENCY SYNDROME ADOLESCENT HEALTH ADULT MORTALITY ADULT POPULATION AGE GROUPS AGED AIDS DEATHS AIDS RELIEF AIDS SPENDING ALTERNATIVE MEDICINE ANTENATAL CARE BABIES BASIC NEEDS BEHAVIOUR CHANGE BEHAVIOURAL FACTORS BIOLOGICAL MEASURES BLOOD PRODUCTS BLOOD SAFETY BLOOD TRANSFUSION BLOOD TRANSFUSIONS BOTH SEXES CAPACITY BUILDING CHILD-BEARING CIRCUMCISION CIVIL RIGHTS CLINICS COMMERCIAL SEX CONDOM CONDOM DISTRIBUTION CONDOM PROMOTION CONDOM USE CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE COUNSELLING CULTURAL PRACTICES CYCLE OF POVERTY DEPENDENCY RATIOS DIAGNOSIS DISCRIMINATION DISSEMINATION DOMESTIC VIOLENCE EARLY CHILDHOOD EARLY CHILDHOOD MORTALITY EMERGENCY PLAN ENFORCEMENT OF LAWS EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL DATA EPIDEMIOLOGICAL SITUATION EPIDEMIOLOGY ETHICAL CONSIDERATIONS ETHNIC GROUP ETHNIC GROUPS EXTERNAL MIGRATION FAMILY LIFE EDUCATION FAMILY PLANNING FEMALE CONDOMS FEMALES FERTILITY FERTILITY RATES FEWER PEOPLE FIRST INTERCOURSE FIRST MARRIAGE FOOD SECURITY FORCED SEX GENDER ROLES GLOBAL AIDS EPIDEMIC GLOBAL HIV/AIDS GROSS NATIONAL PRODUCT HEALTH CENTRES HEALTH SECTOR HEALTH SERVICES HEALTHY LIFE HEPATITIS HIV HIV INFECTION HIV INFECTIONS HIV POSITIVE HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HIV/AIDS HOSPITAL HOSPITALS HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS ILLNESS IMMUNODEFICIENCY INCOME INEQUALITY INFANT INFANT FEEDING INFECTIONS AMONG ADULTS INFORMATION ON PREVENTION LACK OF KNOWLEDGE LEGAL SUPPORT LIFE EXPECTANCY LIVE BIRTHS MALARIA MALE INVOLVEMENT MARITAL RAPE MARITAL STATUS MARRIED COUPLES MARRIED MEN MARRIED WOMEN MASS MEDIA MEDICAL EQUIPMENT MIGRANT MIGRATION MINISTRY OF EDUCATION MINISTRY OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION MULTIPLE PARTNERS NATIONAL AIDS NATIONAL AIDS COMMISSION NATIONAL CONSTITUTION NATIONAL LEVEL NATIONAL POLICIES NEONATAL MORTALITY NEW INFECTIONS NEWBORN NEWBORN INFANTS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE ORGAN TRANSPLANTS ORPHANS PARENTHOOD ASSOCIATION PARTNER REDUCTION PATHOGENS PATIENTS PLAN OF ACTION POLICY FRAMEWORK POLICY LEVEL POORER WOMEN POPULATION GROWTH POPULATION GROWTH RATE POST EXPOSURE PROPHYLAXIS POST-EXPOSURE PROPHYLAXIS POST-TEST COUNSELLING PREGNANT WOMEN PREVENTION ACTIVITIES PREVENTION COUNSELLING PREVENTION EFFORTS PREVENTION INTERVENTIONS PREVENTION STRATEGIES PROGRESS PSYCHOLOGICAL SUPPORT QUALITATIVE INFORMATION QUALITY SERVICES RECREATION REFERRAL SYSTEM REMITTANCES REPRODUCTIVE CHOICES REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE MOBILIZATION RISK FACTORS RISK OF EXPOSURE RISK OF INFECTION RISK OF TRANSMISSION RURAL AREAS RURAL RESIDENCE SAFER SEX SCHOOL YOUTH SEA LEVEL SELF-ESTEEM SERVICE DELIVERY SERVICE PROVIDERS SEX SEX EDUCATION SEX WITH MEN SEX WORK SEX WORKER SEX WORKERS SEXUAL BEHAVIOUR SEXUAL BEHAVIOURS SEXUAL INTERCOURSE SEXUAL PARTNER SEXUAL PARTNERS SEXUAL PRACTICES SEXUAL RELATIONSHIPS SEXUAL RISK SEXUAL VIOLENCE SEXUALLY ACTIVE SEXUALLY TRANSMITTED INFECTION SEXUALLY TRANSMITTED INFECTIONS SKILLS EDUCATION SOCIAL CHANGE SOCIAL MARKETING SOCIAL MOBILIZATION SOCIAL NORMS SOCIAL WELFARE SOIL EROSION SPOUSE STIS SYPHILIS SYRINGES THERAPY TRADITIONAL HEALERS TRANSMISSION RATES TREATMENT TREATMENT SERVICES TUBERCULOSIS UNAIDS UNFPA UNINTENDED PREGNANCIES UNITED NATIONS POPULATION FUND UNIVERSAL ACCESS UNPROTECTED SEX URBAN AREAS URBANIZATION VOLUNTARY COUNSELLING VULNERABILITY VULNERABLE GROUPS VULNERABLE POPULATIONS WOMEN WITH EDUCATION WORLD HEALTH ORGANIZATION YOUNG PEOPLE YOUNG WOMEN World Bank Lesotho - HIV Prevention Response and Modes of Transmission Analysis |
| geographic_facet |
Africa Southern Africa |
| description |
The purpose of this modes of
transmission (MoT) study is 'to contribute to the
ongoing efforts to understand the epidemic and response in
Lesotho and thus help the country improve the scope (doing
the right kind of activities), relevance (with the right
populations), and comprehensiveness (reaching all members of
target populations) of Human Immunodeficiency Virus (HIV)
prevention efforts'. The process for the Know Your
Epidemic (KYE) was an in-depth review of available
epidemiological data from Lesotho and the sub-region, and
application of the UNAIDS incidence estimation model. The
aim was to determine the epidemiology of new (incident)
infections. For the Know Your Response (KYR) part, data were
collected on the policy context for prevention and on
implemented prevention activities and programs.
Prevention-specific data from the National AIDS Spending
Assessment (NASA) of 2008 and previous two years were
reviewed. In a final step, the KYE and KYR evidence was
linked to produce an epidemic, response and policy synthesis
with recommendations to improve HIV prevention in Lesotho
through aligning prevention activities with the evidence on
the sources of new infections. The study examined the
hypothesis that multiple longer-term partnerships between
single young people as well as between married or cohabiting
adults are the major driver of HIV transmission, happening
in a context of relaxed social norms regarding multiple
partners and low risk perception. The findings confirmed
this hypothesis -- sexual concurrency is exceptionally high
in Lesotho; multiple sexual relationships before and during
marriage, together with low levels of full male circumcision
are major risk factors in Lesotho's hyper endemic HIV situation. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Lesotho - HIV Prevention Response and Modes of Transmission Analysis |
| title_short |
Lesotho - HIV Prevention Response and Modes of Transmission Analysis |
| title_full |
Lesotho - HIV Prevention Response and Modes of Transmission Analysis |
| title_fullStr |
Lesotho - HIV Prevention Response and Modes of Transmission Analysis |
| title_full_unstemmed |
Lesotho - HIV Prevention Response and Modes of Transmission Analysis |
| title_sort |
lesotho - hiv prevention response and modes of transmission analysis |
| publisher |
World Bank |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20090525032303 http://hdl.handle.net/10986/3045 |
| _version_ |
1764386383771729920 |
| spelling |
okr-10986-30452021-04-23T14:02:06Z Lesotho - HIV Prevention Response and Modes of Transmission Analysis World Bank ACCESS TO TREATMENT ACQUIRED IMMUNODEFICIENCY SYNDROME ADOLESCENT HEALTH ADULT MORTALITY ADULT POPULATION AGE GROUPS AGED AIDS DEATHS AIDS RELIEF AIDS SPENDING ALTERNATIVE MEDICINE ANTENATAL CARE BABIES BASIC NEEDS BEHAVIOUR CHANGE BEHAVIOURAL FACTORS BIOLOGICAL MEASURES BLOOD PRODUCTS BLOOD SAFETY BLOOD TRANSFUSION BLOOD TRANSFUSIONS BOTH SEXES CAPACITY BUILDING CHILD-BEARING CIRCUMCISION CIVIL RIGHTS CLINICS COMMERCIAL SEX CONDOM CONDOM DISTRIBUTION CONDOM PROMOTION CONDOM USE CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE COUNSELLING CULTURAL PRACTICES CYCLE OF POVERTY DEPENDENCY RATIOS DIAGNOSIS DISCRIMINATION DISSEMINATION DOMESTIC VIOLENCE EARLY CHILDHOOD EARLY CHILDHOOD MORTALITY EMERGENCY PLAN ENFORCEMENT OF LAWS EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL DATA EPIDEMIOLOGICAL SITUATION EPIDEMIOLOGY ETHICAL CONSIDERATIONS ETHNIC GROUP ETHNIC GROUPS EXTERNAL MIGRATION FAMILY LIFE EDUCATION FAMILY PLANNING FEMALE CONDOMS FEMALES FERTILITY FERTILITY RATES FEWER PEOPLE FIRST INTERCOURSE FIRST MARRIAGE FOOD SECURITY FORCED SEX GENDER ROLES GLOBAL AIDS EPIDEMIC GLOBAL HIV/AIDS GROSS NATIONAL PRODUCT HEALTH CENTRES HEALTH SECTOR HEALTH SERVICES HEALTHY LIFE HEPATITIS HIV HIV INFECTION HIV INFECTIONS HIV POSITIVE HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HIV/AIDS HOSPITAL HOSPITALS HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS ILLNESS IMMUNODEFICIENCY INCOME INEQUALITY INFANT INFANT FEEDING INFECTIONS AMONG ADULTS INFORMATION ON PREVENTION LACK OF KNOWLEDGE LEGAL SUPPORT LIFE EXPECTANCY LIVE BIRTHS MALARIA MALE INVOLVEMENT MARITAL RAPE MARITAL STATUS MARRIED COUPLES MARRIED MEN MARRIED WOMEN MASS MEDIA MEDICAL EQUIPMENT MIGRANT MIGRATION MINISTRY OF EDUCATION MINISTRY OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION MULTIPLE PARTNERS NATIONAL AIDS NATIONAL AIDS COMMISSION NATIONAL CONSTITUTION NATIONAL LEVEL NATIONAL POLICIES NEONATAL MORTALITY NEW INFECTIONS NEWBORN NEWBORN INFANTS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE ORGAN TRANSPLANTS ORPHANS PARENTHOOD ASSOCIATION PARTNER REDUCTION PATHOGENS PATIENTS PLAN OF ACTION POLICY FRAMEWORK POLICY LEVEL POORER WOMEN POPULATION GROWTH POPULATION GROWTH RATE POST EXPOSURE PROPHYLAXIS POST-EXPOSURE PROPHYLAXIS POST-TEST COUNSELLING PREGNANT WOMEN PREVENTION ACTIVITIES PREVENTION COUNSELLING PREVENTION EFFORTS PREVENTION INTERVENTIONS PREVENTION STRATEGIES PROGRESS PSYCHOLOGICAL SUPPORT QUALITATIVE INFORMATION QUALITY SERVICES RECREATION REFERRAL SYSTEM REMITTANCES REPRODUCTIVE CHOICES REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE MOBILIZATION RISK FACTORS RISK OF EXPOSURE RISK OF INFECTION RISK OF TRANSMISSION RURAL AREAS RURAL RESIDENCE SAFER SEX SCHOOL YOUTH SEA LEVEL SELF-ESTEEM SERVICE DELIVERY SERVICE PROVIDERS SEX SEX EDUCATION SEX WITH MEN SEX WORK SEX WORKER SEX WORKERS SEXUAL BEHAVIOUR SEXUAL BEHAVIOURS SEXUAL INTERCOURSE SEXUAL PARTNER SEXUAL PARTNERS SEXUAL PRACTICES SEXUAL RELATIONSHIPS SEXUAL RISK SEXUAL VIOLENCE SEXUALLY ACTIVE SEXUALLY TRANSMITTED INFECTION SEXUALLY TRANSMITTED INFECTIONS SKILLS EDUCATION SOCIAL CHANGE SOCIAL MARKETING SOCIAL MOBILIZATION SOCIAL NORMS SOCIAL WELFARE SOIL EROSION SPOUSE STIS SYPHILIS SYRINGES THERAPY TRADITIONAL HEALERS TRANSMISSION RATES TREATMENT TREATMENT SERVICES TUBERCULOSIS UNAIDS UNFPA UNINTENDED PREGNANCIES UNITED NATIONS POPULATION FUND UNIVERSAL ACCESS UNPROTECTED SEX URBAN AREAS URBANIZATION VOLUNTARY COUNSELLING VULNERABILITY VULNERABLE GROUPS VULNERABLE POPULATIONS WOMEN WITH EDUCATION WORLD HEALTH ORGANIZATION YOUNG PEOPLE YOUNG WOMEN The purpose of this modes of transmission (MoT) study is 'to contribute to the ongoing efforts to understand the epidemic and response in Lesotho and thus help the country improve the scope (doing the right kind of activities), relevance (with the right populations), and comprehensiveness (reaching all members of target populations) of Human Immunodeficiency Virus (HIV) prevention efforts'. The process for the Know Your Epidemic (KYE) was an in-depth review of available epidemiological data from Lesotho and the sub-region, and application of the UNAIDS incidence estimation model. The aim was to determine the epidemiology of new (incident) infections. For the Know Your Response (KYR) part, data were collected on the policy context for prevention and on implemented prevention activities and programs. Prevention-specific data from the National AIDS Spending Assessment (NASA) of 2008 and previous two years were reviewed. In a final step, the KYE and KYR evidence was linked to produce an epidemic, response and policy synthesis with recommendations to improve HIV prevention in Lesotho through aligning prevention activities with the evidence on the sources of new infections. The study examined the hypothesis that multiple longer-term partnerships between single young people as well as between married or cohabiting adults are the major driver of HIV transmission, happening in a context of relaxed social norms regarding multiple partners and low risk perception. The findings confirmed this hypothesis -- sexual concurrency is exceptionally high in Lesotho; multiple sexual relationships before and during marriage, together with low levels of full male circumcision are major risk factors in Lesotho's hyper endemic HIV situation. 2012-03-19T17:23:09Z 2012-03-19T17:23:09Z 2009-03-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20090525032303 http://hdl.handle.net/10986/3045 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank Economic & Sector Work :: Other Health Study Africa Southern Africa |