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Introduction

Or are you new to this field? Menu HIV. GOV Search Search. The types of professionals who may be involved in your HIV care include: Health care providers Medical doctors MD or DO : Health care professionals who are licensed to practice medicine. Nurse practitioners NP : Registered nurses, with specialized graduate education, who can diagnose and treat illnesses independently, or as part of a health care team. Physician assistants PA : Health care professionals who are trained to examine patients, diagnose injuries and illnesses, and provide treatment to patients under the supervision of physicians and surgeons.

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Allied health care professionals: Nurses: Health care professionals who provide and coordinate patient care as part of a health care team. Mental health providers: Professionals, such as a counselor, psychologist, or psychiatrist, who provide mental health care in the form of counselling or other types of therapy. Pharmacists: Health care professionals who provide prescription medicines to patients and offer expertise in the safe use of prescriptions.

Pharmacists may also provide advice on how to lead a healthy life; conduct health and wellness screenings; provide immunizations; and oversee medicines given to patients.

HIV: A Primer

Dentists also provide advice and instruction on taking care of teeth and gums and on diet choices that affect oral health. Social service providers: Social workers: Professionals who help people solve and cope with problems in their everyday lives. Case managers: Professionals who help people find the support and services they need, develop a services plan, and follow up to make sure that services are provided. For most of the 35 years since HIV , the virus responsible for the disease, was first identified, doctors have viewed the notion of a cure as more fantasy than fact. Yet for the first time in the HIV epidemic that currently affects nearly 37 million people worldwide, some experts are starting to aim for a cure—cautiously—as they fashion the next generation of HIV treatments.

Scientific Aids in Hospital Diagnosis

Doctors today have no trouble keeping HIV under control in people who are infected, thanks to antiretroviral ARV drugs, which stop the virus from replicating once it finds its way inside healthy cells. If it is not making more copies of itself, HIV cannot spread to infect new cells.

That translates into healthier, longer lives for people who are HIV-positive. For self-preservation, some HIV does not actively pump out more copies of itself, but instead lies dormant inside certain immune cells.


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Robert Siliciano, professor of medicine at Johns Hopkins University School of Medicine, who first identified these sleeping virus reservoirs. But in the latest report presented this month at the Conference on Retroviruses and Opportunistic Infections in Boston, researchers revealed the strongest evidence yet that these latent viruses can be activated and eliminated, at least in animals. Scams such as informal fees are just part of the problem. Conducting large-scale HIV testing is also hard because the virus is dispersed unevenly across the country, with some states having a much lower prevalence than others.

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In Niger, a state in the central part of the country, it is just 1. But Benue, an east-central state that has been hardest hit, has an estimated adult prevalence of President Muhammadu Buhari, who appointed Sani Aliyu, authorized federal funds to pay for 60, new HIV-infected people to receive ARVs and vowed to add that same number to the treatment rolls each year.

Building TRUST in an LGBTQ-hostile country

The nationwide survey of HIV now underway, the largest ever done in the world, should be completed by the end of the year. Still, no one doubts that children are getting infected far too often. And some innovators are taking action. On a Sunday morning in mid-January, about parishioners fill the pews at the St. Today, Reverend Emmanuel Dagi is leading celebrations called Baby Shower and Baby Reception, programs tailor-made to steer around the obstacles that keep so many pregnant women here from seeking an HIV test and receiving care. Near the end of the church service, Dagi asks women who are pregnant or who have recently given birth to come forward for a blessing with their husbands.

More than 50 people cluster around the pulpit, some women with large pregnant bellies, others with swaddled babies in their arms. He walks from one end of the pulpit to the other, sprinkling the faithful with holy water. The priest then asks the expecting couples to attend Baby Shower, where they receive a gift bag and have blood drawn for tests for hepatitis B, sickle cell anemia, and HIV—casually lumped into the mix to sidestep stigma.

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People with newborns attend a separate celebration, Baby Reception, where they, too, receive gift bags. Those celebrations are part of the Healthy Beginning Initiative, funded by the U.

It has now expanded to more than churches, some of which also test for malaria, syphilis, and anemia. Ezeanolue resigned from the University of Nevada in Las Vegas in March after a prolonged dispute with the school about what it alleged were financial irregularities with the maternal HIV program he ran there. He insists he did nothing wrong. Sani Aliyu adds that Baby Shower has another advantage. A follow-up study is assessing the actual impact on HIV transmission rates to the babies. Ogidi says she at first had reservations because the idea of a baby shower is a U.

But the intervention has steadily grown in popularity, especially since the Baby Reception component was added. The Mama Metta Traditional Clinic and Maternity Home in the Iyana Ipaja neighborhood of Lagos also is introducing prevention of mother-to-child transmission into a familiar setting.

The clinic, set on a street wide enough only for foot traffic, resembles a small house. Feyami Temilade, who runs the clinic, is a traditional birth attendant, and she is known as Mama Metta because she becomes something of a second mother to every woman in her care. This Friday morning, 16 big-bellied women sit on wooden benches in the waiting room. The walls are cluttered with framed certificates from courses Temilade has completed over the past 35 years, awards, fading photos of herself in celebratory garb, calendars, and pregnancy infographics.


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A certificate next to it notes that she participated in a training workshop for traditional birth attendants run by the Society for Women and AIDS in Africa in—astonishingly— The women wait their turn for checkups and to fill bottles with two herb concoctions she has prepared. Birth attendants are unregulated in much of Nigeria.