Welcome to On the Horizon (OTH), an electronic news capsule from the Horizons Program, which features brief descriptions of Horizons publications and events along with links for more information.  

In this issue of OTH, recent publications on treatment, care, and support studies in Africa and Asia are highlighted. 
	
> -------------------------------------------------------------------------------------------------------------------------------------------------------------------------
> Recent Horizons Publications Focused on Treatment, Care, and Support
> 
> 1. Acceptability of a Modified Directly Observed Therapy Approach to Improve Adherence to Antiretroviral Therapy
> 2. Maximizing Resources to Meet Client Needs: Evaluation of a Comprehensive HIV/AIDS Care and Support Model in India
> 3. Expanding Care and Support in South India: Scaling Up YRG CARE> '> s Patient-centered Approach
> 4. Succession Planning in Uganda: Early Outreach for AIDS-affected Children and Their Families
> 5. Expanding the Care Continuum for HIV/AIDS: Bringing Carers into Focus
> 6. Improving AIDS Treatment Programs 
> ---------------------------------------------------------------------------------------------------------------------------------------
> 
> 1. Acceptability of a Modified Directly Observed Therapy Approach to Improve Adherence to Antiretroviral Therapy
> A pilot program to introduce highly active antiretroviral therapy (HAART) in public sector facilities for the management of HIV-infected persons has been introduced in Mombasa, Kenya. To develop a strategy to increase adherence acceptable to patients and health workers, Horizons and the International Centre for Reproductive Health (ICRH) conducted a qualitative study to determine the acceptability of a clinic-based approach versus a home-based approach, the potential role of family members and support groups in fostering adherence, and clients> '>  willingness to pay for drugs and monitoring tests.
> Summary: http://www.popcouncil.org/pdfs/horizons/mombasaform.pdf
> 
> 2. Maximizing Resources to Meet Client Needs: Evaluation of a Comprehensive HIV/AIDS Care and Support Model in India
> In response to the need for comprehensive services, YRG CARE, a Chennai-based NGO, instituted an integrated continuum of care and support services for PLHA and their families. To examine the benefits and feasibility of service delivery, the Horizons Program, the International HIV/AIDS Alliance, and YRG CARE undertook a multifaceted operations research study. This report describes findings from an assessment of the current YRG CARE model, estimates the economic impact of HIV/AIDS on clients and households receiving care and treatment, and examines the sustainability of the YRG CARE model by analyzing costs of providing services and its revenue-generating capacity.
> Report: http://www.popcouncil.org/pdfs/horizons/xpndngcrcntnm.pdf
> 
> 3. Expanding Care and Support in South India: Scaling Up YRG CARE> '> s Patient-centered Approach
> In this report, the authors examine the process of scaling up YRG CARE> '> s patient-centered approach and how this had led to the enhanced provision of care and support services at four selected sites in South India.
> Report: http://www.popcouncil.org/pdfs/horizons/yrgcrsclngup.pdf
> 
> 4. Succession Planning in Uganda: Early Outreach for AIDS-affected Children and Their Families
> This intervention study, implemented by Plan/Uganda, Grasslands (Tororo), and the National Community of Women Living with AIDS (Luwero), with research carried out by the Department of Sociology at Makerere University (Kampala) and the Horizons Program, evaluated the effectiveness of a succession planning program in Uganda. Unlike most other programs for AIDS-affected children, succession planning reaches children and their families while their HIV-positive parents are still living and in a position to plan for their children> '> s long-term well-being. The report presents findings on the impact of the program and discusses the program and policy implications of the research.
> Report: http://www.popcouncil.org/pdfs/horizons/orphnsfnl.pdf
> 
> 5. Expanding the Care Continuum for HIV/AIDS: Bringing Carers into Focus
> A review of existing literature on the role unpaid caregivers play in mitigating the impacts of HIV/AIDS at the household level. This publication explores the specific issues that cluster around the provision of > "> care> ">  in the context of the global HIV/AIDS pandemic. It applies the care economy lens to two key sectors, health and social protection, and finds that while important strides are being made, much more needs to be known and done to enable individuals, families, and households to survive in a world shaken by AIDS.
> Report: http://www.popcouncil.org/pdfs/horizons/xpndngcrcntnm.pdf
> 
> 6. Improving AIDS Treatment Programs 
> June 2004 Horizons Report
> 
> This newsletter describes operations research in Thailand-which has an established HAART program-and Kenya, where treatment programs are still in their infancy. Critical treatment issues-adherence, protective behavior, monitoring and follow-up, and more-are a focus, as well as the research approaches needed to better understand how to solve treatment-related problems.
> 
> In this issue:
> Expanding Access to AIDS Treatment
> Situation analysis of Thailand> '> s ATC Program
> Introducing HAART in Africa
> Kenyan study tests adaptation of TB treatment strategy
> Study in Brief 
> "Health on the Road": Designing HIV/AIDS Programs for Truck Drivers
> Intervention study tries to provide effective prevention and care to a mobile population
> Newsletter: http://www.popcouncil.org/horizons/newsletter/horizons(8).html
> 
> 
> For more Horizons publications on treatment, care, and support, please go to http://www.popcouncil.org/horizons/pubsarea/pubstcs.html
> 
> Horizons is a global operations research initiative designed to: 1) identify and test strategies to improve HIV/AIDS prevention, treatment, and care programs; and 2) disseminate research findings and promote their utilization with the aim of replicating and scaling up successful interventions.
> 
> Horizons is implemented by the Population Council in partnership with the International Center for Research on Women, the International HIV/AIDS Alliance, the Program for Appropriate Technology in Health, Tulane University, Family Health International, and Johns Hopkins University. Horizons is funded by the President> '> s Emergency Plan for AIDS Relief through the U.S. Agency for International Development (USAID).  
> 
> If you need to change your e-mail address or no longer wish to receive these announcements, please contact [log in to unmask] <mailto:[log in to unmask]>.
> 

To unsubscribe from CANCHID send: unsubscribe CANCHID to: [log in to unmask]  -  for help see http://listserv.yorku.ca