Publication:
Lesotho - HIV Prevention Response and Modes of Transmission Analysis

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dc.contributor.authorWorld Bank
dc.date.accessioned2012-03-19T17:23:09Z
dc.date.available2012-03-19T17:23:09Z
dc.date.issued2009-03-01
dc.description.abstractThe 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.en
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20090525032303
dc.identifier.doi10.1596/3045
dc.identifier.urihttps://hdl.handle.net/10986/3045
dc.languageEnglish
dc.publisherWorld Bank
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO TREATMENT
dc.subjectACQUIRED IMMUNODEFICIENCY SYNDROME
dc.subjectADOLESCENT HEALTH
dc.subjectADULT MORTALITY
dc.subjectADULT POPULATION
dc.subjectAGE GROUPS
dc.subjectAGED
dc.subjectAIDS DEATHS
dc.subjectAIDS RELIEF
dc.subjectAIDS SPENDING
dc.subjectALTERNATIVE MEDICINE
dc.subjectANTENATAL CARE
dc.subjectBABIES
dc.subjectBASIC NEEDS
dc.subjectBEHAVIOUR CHANGE
dc.subjectBEHAVIOURAL FACTORS
dc.subjectBIOLOGICAL MEASURES
dc.subjectBLOOD PRODUCTS
dc.subjectBLOOD SAFETY
dc.subjectBLOOD TRANSFUSION
dc.subjectBLOOD TRANSFUSIONS
dc.subjectBOTH SEXES
dc.subjectCAPACITY BUILDING
dc.subjectCHILD-BEARING
dc.subjectCIRCUMCISION
dc.subjectCIVIL RIGHTS
dc.subjectCLINICS
dc.subjectCOMMERCIAL SEX
dc.subjectCONDOM
dc.subjectCONDOM DISTRIBUTION
dc.subjectCONDOM PROMOTION
dc.subjectCONDOM USE
dc.subjectCONTRACEPTIVE PREVALENCE
dc.subjectCONTRACEPTIVE USE
dc.subjectCOUNSELLING
dc.subjectCULTURAL PRACTICES
dc.subjectCYCLE OF POVERTY
dc.subjectDEPENDENCY RATIOS
dc.subjectDIAGNOSIS
dc.subjectDISCRIMINATION
dc.subjectDISSEMINATION
dc.subjectDOMESTIC VIOLENCE
dc.subjectEARLY CHILDHOOD
dc.subjectEARLY CHILDHOOD MORTALITY
dc.subjectEMERGENCY PLAN
dc.subjectENFORCEMENT OF LAWS
dc.subjectEPIDEMIC
dc.subjectEPIDEMICS
dc.subjectEPIDEMIOLOGICAL DATA
dc.subjectEPIDEMIOLOGICAL SITUATION
dc.subjectEPIDEMIOLOGY
dc.subjectETHICAL CONSIDERATIONS
dc.subjectETHNIC GROUP
dc.subjectETHNIC GROUPS
dc.subjectEXTERNAL MIGRATION
dc.subjectFAMILY LIFE EDUCATION
dc.subjectFAMILY PLANNING
dc.subjectFEMALE CONDOMS
dc.subjectFEMALES
dc.subjectFERTILITY
dc.subjectFERTILITY RATES
dc.subjectFEWER PEOPLE
dc.subjectFIRST INTERCOURSE
dc.subjectFIRST MARRIAGE
dc.subjectFOOD SECURITY
dc.subjectFORCED SEX
dc.subjectGENDER ROLES
dc.subjectGLOBAL AIDS EPIDEMIC
dc.subjectGLOBAL HIV/AIDS
dc.subjectGROSS NATIONAL PRODUCT
dc.subjectHEALTH CENTRES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTHY LIFE
dc.subjectHEPATITIS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV INFECTIONS
dc.subjectHIV POSITIVE
dc.subjectHIV PREVENTION
dc.subjectHIV PREVENTION INTERVENTIONS
dc.subjectHIV TESTING
dc.subjectHIV TRANSMISSION
dc.subjectHIV/AIDS
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN RIGHTS
dc.subjectILLNESS
dc.subjectIMMUNODEFICIENCY
dc.subjectINCOME INEQUALITY
dc.subjectINFANT
dc.subjectINFANT FEEDING
dc.subjectINFECTIONS AMONG ADULTS
dc.subjectINFORMATION ON PREVENTION
dc.subjectLACK OF KNOWLEDGE
dc.subjectLEGAL SUPPORT
dc.subjectLIFE EXPECTANCY
dc.subjectLIVE BIRTHS
dc.subjectMALARIA
dc.subjectMALE INVOLVEMENT
dc.subjectMARITAL RAPE
dc.subjectMARITAL STATUS
dc.subjectMARRIED COUPLES
dc.subjectMARRIED MEN
dc.subjectMARRIED WOMEN
dc.subjectMASS MEDIA
dc.subjectMEDICAL EQUIPMENT
dc.subjectMIGRANT
dc.subjectMIGRATION
dc.subjectMINISTRY OF EDUCATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMINORITY
dc.subjectMORTALITY
dc.subjectMORTALITY RATE
dc.subjectMOTHER
dc.subjectMOTHER-TO-CHILD
dc.subjectMOTHER-TO-CHILD TRANSMISSION
dc.subjectMULTIPLE PARTNERS
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL AIDS COMMISSION
dc.subjectNATIONAL CONSTITUTION
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL POLICIES
dc.subjectNEONATAL MORTALITY
dc.subjectNEW INFECTIONS
dc.subjectNEWBORN
dc.subjectNEWBORN INFANTS
dc.subjectNUMBER OF NEW INFECTIONS
dc.subjectNUMBER OF PEOPLE
dc.subjectORGAN TRANSPLANTS
dc.subjectORPHANS
dc.subjectPARENTHOOD ASSOCIATION
dc.subjectPARTNER REDUCTION
dc.subjectPATHOGENS
dc.subjectPATIENTS
dc.subjectPLAN OF ACTION
dc.subjectPOLICY FRAMEWORK
dc.subjectPOLICY LEVEL
dc.subjectPOORER WOMEN
dc.subjectPOPULATION GROWTH
dc.subjectPOPULATION GROWTH RATE
dc.subjectPOST EXPOSURE PROPHYLAXIS
dc.subjectPOST-EXPOSURE PROPHYLAXIS
dc.subjectPOST-TEST COUNSELLING
dc.subjectPREGNANT WOMEN
dc.subjectPREVENTION ACTIVITIES
dc.subjectPREVENTION COUNSELLING
dc.subjectPREVENTION EFFORTS
dc.subjectPREVENTION INTERVENTIONS
dc.subjectPREVENTION STRATEGIES
dc.subjectPROGRESS
dc.subjectPSYCHOLOGICAL SUPPORT
dc.subjectQUALITATIVE INFORMATION
dc.subjectQUALITY SERVICES
dc.subjectRECREATION
dc.subjectREFERRAL SYSTEM
dc.subjectREMITTANCES
dc.subjectREPRODUCTIVE CHOICES
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE MOBILIZATION
dc.subjectRISK FACTORS
dc.subjectRISK OF EXPOSURE
dc.subjectRISK OF INFECTION
dc.subjectRISK OF TRANSMISSION
dc.subjectRURAL AREAS
dc.subjectRURAL RESIDENCE
dc.subjectSAFER SEX
dc.subjectSCHOOL YOUTH
dc.subjectSEA LEVEL
dc.subjectSELF-ESTEEM
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVIDERS
dc.subjectSEX
dc.subjectSEX EDUCATION
dc.subjectSEX WITH MEN
dc.subjectSEX WORK
dc.subjectSEX WORKER
dc.subjectSEX WORKERS
dc.subjectSEXUAL BEHAVIOUR
dc.subjectSEXUAL BEHAVIOURS
dc.subjectSEXUAL INTERCOURSE
dc.subjectSEXUAL PARTNER
dc.subjectSEXUAL PARTNERS
dc.subjectSEXUAL PRACTICES
dc.subjectSEXUAL RELATIONSHIPS
dc.subjectSEXUAL RISK
dc.subjectSEXUAL VIOLENCE
dc.subjectSEXUALLY ACTIVE
dc.subjectSEXUALLY TRANSMITTED INFECTION
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSKILLS EDUCATION
dc.subjectSOCIAL CHANGE
dc.subjectSOCIAL MARKETING
dc.subjectSOCIAL MOBILIZATION
dc.subjectSOCIAL NORMS
dc.subjectSOCIAL WELFARE
dc.subjectSOIL EROSION
dc.subjectSPOUSE
dc.subjectSTIS
dc.subjectSYPHILIS
dc.subjectSYRINGES
dc.subjectTHERAPY
dc.subjectTRADITIONAL HEALERS
dc.subjectTRANSMISSION RATES
dc.subjectTREATMENT
dc.subjectTREATMENT SERVICES
dc.subjectTUBERCULOSIS
dc.subjectUNAIDS
dc.subjectUNFPA
dc.subjectUNINTENDED PREGNANCIES
dc.subjectUNITED NATIONS POPULATION FUND
dc.subjectUNIVERSAL ACCESS
dc.subjectUNPROTECTED SEX
dc.subjectURBAN AREAS
dc.subjectURBANIZATION
dc.subjectVOLUNTARY COUNSELLING
dc.subjectVULNERABILITY
dc.subjectVULNERABLE GROUPS
dc.subjectVULNERABLE POPULATIONS
dc.subjectWOMEN WITH EDUCATION
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG PEOPLE
dc.subjectYOUNG WOMEN
dc.titleLesotho - HIV Prevention Response and Modes of Transmission Analysisen
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.date.doiregistration2025-05-07T09:36:20.656231Z
okr.doctypeEconomic & Sector Work::Other Health Study
okr.docurlhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20090525032303
okr.globalpracticeHealth, Nutrition, and Population
okr.guid802971468331880614
okr.identifier.externaldocumentum000333038_20090525032303
okr.identifier.internaldocumentum10592758
okr.identifier.report48357
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2009/05/25/000333038_20090525032303/Rendered/PDF/483570SR0P1113101same0box101PUBLIC1.pdfen
okr.region.administrativeAfrica
okr.region.geographicalSouthern Africa
okr.sectorHealth and other social services :: Health
okr.themeHuman development :: HIV/AIDS
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicGender::Gender and Health
okr.topicHealth, Nutrition and Population
okr.unitHealth Sector (LCSHH)
okr.unitGlobal HIV/AIDS Program (HDNGA)
okr.volume1 of 1
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