Launched four years ago, the two clinical trials, known as ASPIRE and The Ring Study, set out to determine how safe and effective the ring was in prevention of HIV infection in women. The ring, which is used for a month at a time, contains an antiretroviral drug called dapivirine that acts by blocking HIV from multiplying.
The studies enrolled close to 4500 women aged 18 to 45 in South Africa, Uganda, Malawi and Zimbabwe. Each study found that the ring helps reduce the risk of HIV infection in women. In ASPIRE, the ring reduced the risk of HIV infection by 27% overall. In The Ring Study, infections were reduced by 31% overall.
The human immunodeficiency virus (HIV) continues to take a tremendous toll on human health, with 37 million people infected and 1.2 million deaths worldwide in 2014. In sub-Saharan Africa, where the HIV epidemic has been most devastating, more than 25 million people are HIV-infected, about 70 percent of the global total.
But as of 2014, only about 11 million people infected with the virus in Africa were receiving treatment with antiretroviral therapy (ART) medications, which can stop the progression of disease and reduce the risk of HIV transmission.
That leaves 14 million people with HIV in sub-Saharan Africa untreated. This is partly because, until recently, most countries have provided ART only for patients who reached a specific threshold in HIV disease progression. And starting ART can be a lengthy and complicated process, leading many patients to drop out of care before they even begin treatment.
Over the past decade there has been growing research that purports the long-held belief that Voluntary Medical Male Circumcision (VMMC) can drastically decrease the rates of HIV, sexually transmitted diseases, and urinary tract infections in low-and middle-income countries.
In Tanzania, for example, where these photos were taken at an IntraHealth International mobile clinic, HIV can be reduced by sixty percent leading to a AIDS-free generation. In December 2015, Africa celebrated 10 million VMMC procedures mostly concentrated in east and southern Africa.
One of the beautiful aspects of Africa is its beautiful, wide expanses. All over the continent you will be awed by how far-reaching your eyes can see especially when traveling through its spectacular countryside. But as much as it is beautiful, the size of Africa also poses a significant problem because without modern infrastructure, including the Internet, and transport to major cities, those who live in the deepest, far-reaching rural areas are not privy to the best medical care they can receive.
In Botswana, this is about to change.
In partnership with the University of Pennsylvania, Microsoft, the University of Botswana, and other global partners, the Botswana-University Hub (BUP) has launched a new project, “Project Kgolagano,” to bring telemedicine to rural areas in the country to help diagnose maternal health cases as well as HIV, cervical cancer, and TB cases.
Using TV white spaces (unused broadcasting frequencies in the wireless spectrum) Internet broadband is able to reach even the most remote villages in developing countries. In fact, it has been reported that Microsoft and Google are both chasing white spaces in Africa where only 16 percent of the continent’s population is online. This is where solar power can be game-changing to keep Africa online despite its energy shortcomings. Just look at Kenya where Microsoft helped provide broadband Internet in rural areas even when electricity was nonexistent or very scarce.