Sudeshni naidoo



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SUDESHNI NAIDOO
Professor and Principal Specialist

Department of Community Oral Health

University of Western Cape, Faculty of Dentistry

Telephone: +27 21 937-3148

Facsimile: +27 21 931-2287

E-mail: suenaidoo@uwc.ac.za


Sudeshni Naidoo have previously held the posts of Principal Dentist and Dental Researcher at the Medical Research Council and Senior Registrar in Community Dentistry. She attended Primary School in South Africa and High School at Charters Towers in England where she was head girl and attained her “A” levels. She received her BDS (Lon) and LDS.RCS (Eng) in 1985 and Masters in Dental Public Health (MDPH) at the University of London and the Diploma in Dental Public Health (DDPH) in 1994 from the Royal College of Surgeons of England, followed by her specialist MChD degree in Community Dentistry in 1999. Her doctorate documented the cranio-facial, oral and dental manifestations of children with the fetal alcohol syndrome. She is involved mainly with post-graduate education and training and her main focus of research is on Infectious Diseases and Infection Control, with particular reference to HIV/AIDS, Hepatitis and TB, and a specific focus on the disadvantaged with regard to provision of Oral Health Care, Oral Health Quality of Life, Trauma and Child Abuse. She has written HIV/AIDS policies, Hepatitis B vaccination policy for the Provincial Administration of the Western Cape, published and presented on Child Abuse, Cross infection, Hepatitis and HIV/AIDS. Professor Naidoo has presented numerous scientific papers of her research findings at national and international conferences and has been an invited speaker, nationally and internationally on several occasions. She has developed educational material and organized innovative training programmes, especially with regard to the diagnosis and management of the oral manifestations of HIV. She has responded creatively to challenges at an administrative level through her participation in the organization, planning and execution of various workshops and seminars. Her leadership and management skills have been well demonstrated at an executive level in national and international professional and scientific organizations. She is currently member of the Medical and Dental Professional Board of the Health Professions Council of South Africa and chairperson of its Postgraduate Education Committee; secretary of the SA Division of the IADR; consultant on Noma for the WHO Southern African Region and past National Vice- President of the South African Dental Association.

Dental Education: 1980 - 1985: King's College Medical & Dental School,

London


1993 - 1994: University College, London

1996 - 1999: Dept. of Community Dentistry, UWC

2000 - 2003: Dept. of Community Dentistry, US

Qualifications: 1985: BDS (University of London) and LDS RCS (Eng)

1994: MDPH (University of London) and DDPH RCS

1999: MChD (Comm Dent)

2003: PhD (University of Stellenbosch)



Publications: 60 peer reviewed papers (1999-2007); 10 in press for 2007, 9 chapters in books, 5 policy guidelines, 20 research reports, 15 other publications, 45 conference abstracts (1993-2007), Reviewer for 3 scientific journals (1999-present)

Presentations: 75 presentations to professional groups, radio, press…

Research interests: Infectious Diseases (HIV/AIDS, Hepatitis, Tuberculosis)

Infection Control

Trauma, dental Trauma and Public Health impact

Ethics, Bioethics and Ethics in Research

Postgraduate Education and Training

Oral Health Related Quality of Life



Management Experience: Established 2 dental clinics on the South Coast of Natal; A fluoride rinsing & tooth brushing programmes; 3 dental clinics dedicated to people with HIV; Consultancy services to DOH; Oral Health Directorate; Calibration of examiners for oral health research

Teaching Activities: Course coordinator MSc in Dental Public Health.

Undergraduate, post-graduate & continuing education

Supervision of 2 PhD, 15 Masters, 3 Diploma students

Examiner: Hygienists, Therapists, Dental under-& post

graduate

Professional Activities: Past Vice President, South African Dental Association; Past President, South African Dental Association (Western Cape Branch); Executive Member, South African Dental Association; Associate, The Colleges of Medicine of South Africa; Member, Medical and Dental Professions Board, Health Professions Council of South Africa; Chairperson, Postgraduate Dental Education Committee, Health Professions Council of South Africa; Secretary, SA Division of IADR; Consultant on Noma for the WHO Southern Africa Region.

An Update of the Global AIDS Epidemic and its Prevention and Control
Professor NAIDOO Sudeshni*.

Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa.


Following the United Nations Declaration of Commitment of HIV/AIDS in 2001, important progress has been made globally in the delivery of effective HIV prevention, treatment, care and support to reverse the epidemic, however, there remains much diversity in these responses between countries and regions globally. While a few countries have reached key targets and milestones for 2005, many countries have failed the pledges specified in the Declaration. Some countries have made great strides in expanding access and treatment, but have made little progress in bringing HIV prevention programmes to scale, while other countries that are now experiencing decreasing national HIV prevalence are making only slow progress to ensure that treatment is available for those who need it.
In most countries, a strong foundation now exists on which to build an effective HIV response, with increasing political commitment and partner coordination at country level. Domestic public expenditure from governments has significantly increased in low-income sub-Saharan African countries, and more moderately in middle-income countries. Treatment access has also dramatically increased. From 240 000 people in 2001, 1.3 million people in low- and middle-income countries were receiving antiretroviral medication in 2005. The number of people using HIV testing and counseling services quadrupled in the past five years in more than 70 countries. More HIV and AIDS education is provided in primary and secondary schools and six out of 11 African countries report a decline of 25% or more in HIV prevalence among 15-24 year olds in capital cities. Furthermore, some countries have reached nearly 60% coverage of HIV positive pregnant women receiving antiretroviral prophylaxis to prevent mother-to-child transmission. Blood for use in transfusions is now routinely screened for HIV in most countries. However, there are still significant weaknesses in the response to HIV. HIV prevention programmes are failing to reach those at greatest risk. Efforts to increase the knowledge among young people remain inadequate. Services to prevent HIV infections in infants have not scaled up as rapidly as programmes provide antiretroviral therapy. Civil society reports from over thirty countries indicate that stigma and discrimination against people living with HIV remains pervasive.

The HIV response is insufficiently grounded in the promotion, protection and fulfillment of human rights. Many countries report that policies tend to interfere with the accessibility and effectiveness of HIV-related measures fro prevention and care. National governments, international partners and communities are failing to provide adequate care and support for the 15 million children orphaned by AIDS, and the millions of children made vulnerable by the epidemic.


A quarter century into the epidemic, the global AIDS response stands at a crossroads. The AIDS response must become substantially stronger, more strategic and better coordinated if the world is to achieve the 2010 Declaration of Commitment targets. The countries most affected by HIV and AIDS will fail to achieve the Millennium goals to reduce poverty, hunger and childhood mortality and countries whose development is already flagging because of HIV and AIDS will continue to weaken, potentially threatening social stability and national security, if the response does not increase significantly.
This presentation will provide and overview of the global epidemic today and will focus on the Declaration of Commitment of HIV/AIDS since 2001 and how we have fared. It will include issues of leadership; HIV prevention; care, support and treatment; human rights; reducing vulnerability; research and development and resources.
In conclusion, some suggestions will be put forward regarding the road ahead: from crisis management to strategic response including increasing commitment and leadership; sustaining and increasing funding; aggressively address AIDS-related stigma and discrimination; strengthen AIDS prevention; build treatment access; strengthen human resources and health systems; ensure available and affordable HIV prevention and treatment and investment in research and development for drugs.


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