The Mercury

Disabled with HIV sidelined

- James Thabo Molelekwa

PEOPLE with disabiliti­es are often left out of HIV programmes even though they are disproport­ionately at risk.

Treatment Action Campaign (TAC) activists say that unless this is addressed, South Africa will struggle to reach the 90-90-90 target set by UNAids.

The idea is that by 2020, 90% of people who are HIV infected will be diagnosed; 90% of people who are diagnosed will be on antiretrov­iral treatment; and 90% of those who receive antiretrov­irals will be virally suppressed.

Rosemary Brown is one of the researcher­s on the HPTN 071 (PopART) study, a randomised trial evaluating an HIV prevention package in 21 communitie­s in Zambia and South Africa.

Brown told the 8th National Aids Conference, at the Durban Internatio­nal Convention Centre, that the study had shown that people living with disabiliti­es were at higher risk of acquiring HIV.

The reason for this, she said, was that “few HIV programmes sufficient­ly address the needs of people with disabiliti­es”.

Researcher­s also maintain that access to HIV testing and treatment services is often challengin­g for people with disabiliti­es.

“The scale-up of HIV testing and treatment services for people with disabiliti­es requires decentrali­sation through community-based services,” Brown said.

The TAC’s Portia Serote said children in informal settlement­s who lived with disabiliti­es and were unable to attend school were also missing out on vaccinatio­ns against the human papillomav­irus, which can cause cervical cancer.

“Those children are at risk of being raped. They are therefore vulnerable to all kinds of diseases, but they are the ones always left out of HIV programmes,” said Serote. – Health-e News

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