S. Africa Project Improves Treatment for Poor HIV-Positive P

In a former township outside of Cape¹ Town, South Africa, there's a high rate of HIV infection among pregnant women. Many are unable to get the treatment they need to save their lives and the lives of their children. But that's about to change with the launch of a new project that aims to break down barriers to antiretroviral therapy.
The man in charge of the new project is Dr. Landon Myer, an associate professor based at the School of Public Health and the Desmond Tutu HIV Center at the University of Cape Town. His work centers on the community of Gugulethu.
"It's a community of about 300,000 people of predominantly low socio-economic status, who live in a context of extreme poverty and with a very high prevalence of HIV infections. So the prevalence of HIV in this setting is about 28 percent and so HIV presents an incredible problem to the community and to HIV infected women, who are pregnant, in particular," he says.
Complicated health care
Dr. Myer is the recipient² of the International Leadership Award from the Elizabeth Glaser Pediatric AIDS Foundation. A $300,000 grant will fund his project. The aim to find the best strategies to allow HIV positive pregnant women to receive antiretroviral therapy.
"The underlying³ issue," he says, "is that lifelong antiretroviral therapy is the best form of prophylaxis or prevention of mother-to-child transmission [PMTCT] of HIV. At the same time, it's a critical intervention⁴ for the health of HIV infected mothers."
He says many HIV positive pregnant women in Gugulethu fall between the cracks of a dual⁵ health care system. A system fraught⁶ with complications and uncoordinated medical appointments.
"The existing antenatal health service, midwife obstetric units they're called, are very good at providing simple, short course antiretroviral regimens to pregnant women, who are HIV infected, but don't have advanced disease. And an entirely⁷ separate health service is focused on starting antiretroviral therapy in eligible⁸ adults, regardless of whether or not their men or women or pregnant or not pregnant. And we find that these pregnant women tend to fall between the cracks between these two very different services," he says.
That lack of coordination⁹ makes it difficult for a woman to arrange transportation, child care and time off from work. Then there are the psychological concerns of starting antiretroviral therapy during pregnancy¹⁰.
Myer says, "The issues are complicated and often complicated issues require sort of holistic¹¹ and multifaceted interventions¹²."
Continental¹³ benefits
Success in Gugulethu, he says, could have wide ranging effects throughout the continent.
"If this project is really the success that I think we're all hoping it will be, we'll identify interventions, be able to identify interventions that can be generalized to other communities. Both other communities in South Africa, but other communities across sub-Saharan Africa because this is, I believe, one of the real key issues facing PMTCT and HIV care and treatment globally," he says.
Since 2002, the Elizabeth Glaser Pediatric AIDS Foundation has awarded more than $5 million in grants to 13 recipients¹⁴ in 9 countries as part of its International Leadership Award.

1 cape   

n.海角，岬；披肩，短披风

参考例句：

• I long for a trip to the Cape of Good Hope.我渴望到好望角去旅行。
• She was wearing a cape over her dress.她在外套上披着一件披肩。

2 recipient   

a.接受的,感受性强的 n.接受者,感受者,容器

参考例句：

• Please check that you have a valid email certificate for each recipient. 请检查是否对每个接收者都有有效的电子邮件证书。
• Colombia is the biggest U . S aid recipient in Latin America. 哥伦比亚是美国在拉丁美洲最大的援助对象。

3 underlying   

adj.在下面的，含蓄的，潜在的

参考例句：

• The underlying theme of the novel is very serious.小说隐含的主题是十分严肃的。
• This word has its underlying meaning.这个单词有它潜在的含义。

4 intervention   

n.介入，干涉，干预

参考例句：

• The government's intervention in this dispute will not help.政府对这场争论的干预不会起作用。
• Many people felt he would be hostile to the idea of foreign intervention.许多人觉得他会反对外来干预。

5 dual   

adj.双的；二重的，二元的

参考例句：

• The people's Republic of China does not recognize dual nationality for any Chinese national.中华人民共和国不承认中国公民具有双重国籍。
• He has dual role as composer and conductor.他兼作曲家及指挥的双重身分。

6 fraught   

adj.充满…的，伴有(危险等)的；忧虑的

参考例句：

• The coming months will be fraught with fateful decisions.未来数月将充满重大的决定。
• There's no need to look so fraught!用不着那么愁眉苦脸的！

7 entirely   

ad.全部地，完整地；完全地，彻底地

参考例句：

• The fire was entirely caused by their neglect of duty. 那场火灾完全是由于他们失职而引起的。
• His life was entirely given up to the educational work. 他的一生统统献给了教育工作。

8 eligible   

adj.有条件被选中的；(尤指婚姻等)合适(意)的

参考例句：

• He is an eligible young man.他是一个合格的年轻人。
• Helen married an eligible bachelor.海伦嫁给了一个中意的单身汉。

9 coordination   

n.协调，协作

参考例句：

• Gymnastics is a sport that requires a considerable level of coordination.体操是一项需要高协调性的运动。
• The perfect coordination of the dancers and singers added a rhythmic charm to the performance.舞蹈演员和歌手们配合得很好，使演出更具魅力。

10 pregnancy   

n.怀孕，怀孕期

参考例句：

• Early pregnancy is often accompanied by nausea.怀孕早期常有恶心的现象。
• Smoking during pregnancy increases the risk of miscarriage.怀孕期吸烟会增加流产的危险。

11 holistic   

adj.从整体着眼的，全面的

参考例句：

• There is a fundamental ambiguity in the use of word "whole" in recent holistic literature.在近代的整体主义著作中，“整体”这个词的用法极其含混。
• In so far as historicism is technological,its approach is not piecemeal,but "holistic".仅就历史决定论是一种技术而论，它的方法不是渐进的，而是“整体主义的”。

12 interventions   

n.介入，干涉，干预( intervention的名词复数 )

参考例句：

• Economic analysis of government interventions deserves detailed discussion. 政府对经济的干预应该给予充分的论述。 来自辞典例句
• The judge's frequent interventions made a mockery of justice. 法官的屡屡干预是对正义的践踏。 来自互联网

13 continental   

adj.大陆的，大陆性的，欧洲大陆的

参考例句：

• A continental climate is different from an insular one.大陆性气候不同于岛屿气候。
• The most ancient parts of the continental crust are 4000 million years old.大陆地壳最古老的部分有40亿年历史。

14 recipients   

adj.接受的；受领的；容纳的；愿意接受的n.收件人；接受者；受领者；接受器

参考例句：

• The recipients of the prizes had their names printed in the paper. 获奖者的姓名登在报上。 来自《简明英汉词典》
• The recipients of prizes had their names printed in the paper. 获奖者名单登在报上。 来自《现代英汉综合大词典》