HIV

RECENT POSTS

Global Health at the Oscars | 

The talk the day after the Academy Awards is about Argo’s win, Jennifer Lawrence’s fall and whether or not host Seth McFarlane was funny. The show ended with a song saluting the losers of the night. Two of those losers were documentary films that covered stories of health.

Open Heart was nominated in the short form category. It tells the story of eight Rwandan children who suffer from rheumatic heart disease. They must travel to Sudan’s Salam Center in order to undergo lifesaving open-heart surgery. It includes the dual story of Rwandan cardiologist Dr. Emmanuel Rusingiza, illustrating the challenges he faces, and Italian surgeon Dr. Gino Strada, the head surgeon at the Salam Center. Continue reading

WHO says to use a condom if you use injectable contraception | 

Flickr, Jaume d'Urgell

Last fall, Seattle scientists issued some problematic findings indicating higher risk for HIV among women using the contraceptive Depo-Provera, a hormone delivered by injection popular in poor countries for its ease of use and reliability.

Today, experts at the World Health Organization, which contends the evidence for this hormone-HIV risk is equivocal, said women should continue to use the hormonal contraceptive method but also use condoms to prevent against HIV.

As a result of this apparently mixed message, we are getting news stories with equivocal headlines or reports heading in quite different directions:

The Guardian HIV warning to women using injectable contraception

PSI WHO upholds guidance on hormonal contraceptives and HIV

IRIN WHO clarifies guidance on hormonal contraception and HIV

So, is that clear? Not really.

Still, one of the Seattle scientists involved in the original study, Jared Baeten at the University of Washington, told IRIN news that he felt the WHO statement struck the right balance:

“I think the [WHO] statement really reflects what was an extremely thoughtful deliberation and detailed evaluation of the evidence,” Baeten said.

“They made a clear statement by issuing a strong clarification and I think that what’s important in the context of delivering family planning service is that we strongly remind women at high risk of HIV that contraception does not protect against HIV and that condoms are the HIV preventative measure.”

Quandary for women: Contraceptive use vs HIV risk in Africa | 

Flickr, subcomandanta

Mother and child, Ethiopia

Researchers at the University of Washington have reported some highly problematic findings regarding a common method of birth control in eastern and southern Africa.

They are problematic in that they indicate a popular injectable hormone, Depo-Provera, used by perhaps 140 million women worldwide (and often in poor settings) signficantly raises a woman’s risk of HIV infection.

But they were also problematic in that the evidence for this alarming claim is somewhat weak and inconclusive, meaning it could be wrong.

That’s science. But the net effect right now could be that women will choose to give up one form of known health protection — contraception — to protect against a still hypothetical threat. Continue reading