A5031091783- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
- HIV Research and Treatment
- Vaccine Coverage and Hesitancy
- Electronic Health Records Systems
- COVID-19 epidemiological studies
- Sex work and related issues
- Cervical Cancer and HPV Research
- Reproductive Health and Contraception
- Primary Care and Health Outcomes
- Ethics in Clinical Research
- Global Public Health Policies and Epidemiology
- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- HIV/AIDS Impact and Responses
- Emergency and Acute Care Studies
- HIV/AIDS drug development and treatment
- COVID-19 and Mental Health
- Maternal and fetal healthcare
- Hepatitis B Virus Studies
- Genital Health and Disease
- Data Quality and Management
- Reproductive tract infections research
University of Washington
2014-2024
Program for Appropriate Technology in Health
2021-2023
Seattle University
2023
Start Treatment & Recovery Centers
2020
Objectives: Mental health conditions can erode quality of life and interfere with health-related behaviours such as medication adherence. We aimed to determine the prevalence correlates depression other psychosocial factors among self-identified men who have sex (MSM) in coastal Kenya. Design: A cross-sectional survey. Methods: Psychosocial mental characteristics were assessed an audio computer-assisted self-interview (ACASI) survey 112 MSM participating two ongoing HIV-positive HIV-negative...
Gay, bisexual, and other men who have sex with (GBMSM) are highly stigmatized male–male is often criminalized in sub-Saharan Africa, impeding access to quality care for sexual health, HIV prevention, treatment. To better understand engagement antiretroviral therapy (ART) adherence among GBMSM this context, a conceptual model incorporating sociocultural factors needed. We conducted qualitative study of barriers facilitators ART Kenyan GBMSM, informed by based on an access, information,...
HIV-positive Kenyan men who have sex with (MSM) are a highly stigmatized group facing barriers to care engagement and antiretroviral therapy (ART) adherence. Because providers' views important in improving outcomes, we sought the perspective of those serving MSM patients on how optimize ART adherence setting where same-sex behavior is criminalized. We conducted 4 focus discussions total 29 healthcare workers (HCWs) experienced providing HIV MSM. The semistructured, open-ended topic guide...
Objectives To describe the prevalence and correlates of depression anxiety among adult Ebola virus disease (EVD) survivors in Liberia, Sierra Leone Guinea. Design Cross-sectional. Setting One-on-one surveys were conducted EVD-affected communities Guinea early 2018. Participants 1495 EVD (726 male, 769 female). Primary secondary outcome measures Patient Health Questionnaire-9 (PHQ-9) scores Generalised Anxiety Disorder-7 (GAD-7) scores. Results Prevalence severity varied across three...
We used qualitative and quantitative data to evaluate the differing experiences of adolescents adult women in contraceptive self-injection program primary care settings Uganda. From these results, we assessed barriers adolescent DMPA-SC access continuation provide recommendations address them.The Self-Injection Best Practices (2017-2019) project four districts trained clinic-based providers Village Health Teams training clinics, community settings, small group meetings for girls young women....
There is growing interest and investment in electronic immunization registries (EIRs) low- middle-income countries. EIRs provide ready access to patient- aggregate-level service delivery data that can be used improve patient care, identify spatiotemporal trends vaccination coverage dropout, inform resource allocation program operations, target quality improvement measures. The Government of Tanzania introduced the Immunization Registry (TImR) 2017, system has since been rolled out 3736...
Objectives Use of intrauterine balloon tamponades for refractory postpartum haemorrhage (PPH) management has triggered recent debate since effectiveness studies have yielded conflicting results. Implementation research is needed to identify factors influencing successful integration into maternal healthcare packages. The Ellavi uterine tamponade (UBT) (Ellavi) a new low-cost, preassembled device treating PPH. Design A mixed-methods, prospective, implementation study examining the adoption,...
Abstract Background Children (aged 0-14 years) living with HIV often experience lower rates of diagnosis, treatment, and viral load suppression. In Haiti, only 63% children know their status (compared to 85% overall), are on treatment 48% virally suppressed 73% overall). Electronic medical records (EMRs) can improve care patient outcomes, but these benefits largely dependent providers having access quality nonmissing data. Objective We sought understand the associations between EMR data...
Abstract Background Approximately one-third of people living with HIV in Ukraine are unaware their status. Index testing (IT) is an evidence-based strategy that supports voluntary notification partners risk, so they can receive testing, prevention, and treatment services. Methods scaled up IT services 2019. This observational study Ukraine’s program covered 39 health facilities located 11 regions high burden. The used routine data from January—December 2020 to describe the profile named...
Abstract Background Over one-third of people living with HIV (PLH) in Ukraine are not on treatment. Index testing services, which link potentially exposed partners (named partners) known PLH (index patients) and treatment being scaled could close this gap. Methods This retrospective study included patient data from 14,554 adult who initiated antiretroviral (ART) between October 2018 May 2021 at one 35 facilities participating an intervention to strengthen index services. Mixed effects...
<sec> <title>BACKGROUND</title> Children (aged 0-14 years) living with HIV (CLH) often have lower rates of diagnosis, treatment, and viral load suppression. In Haiti only 63% CLH know their status (compared to 85% overall), are on treatment 48% virally suppressed 73% overall). Electronic medical records (EMRs) can improve care patients, but these benefits largely predicated providers having access high quality data. </sec> <title>OBJECTIVE</title> We hypothesize that data missingness will be...
Background: Clinical decision support (CDS) tools informed by electronic medical records (EMRs) can HIV care, including through case tracking, treatment and medication monitoring, promoting provider compliance with care guidelines. There has been limited research into the technical, organizational, behavioral factors that impact perceptions of willingness to use EMR-informed CDS at scale in resource-limited settings, Haiti.Methods: Our sample included fifteen purposively chosen Haitian...
<sec> <title>BACKGROUND</title> There is growing interest and investment in electronic immunization registries (EIRs) low- middle-income countries. EIRs provide ready access to patient- aggregate-level service delivery data that can be used improve patient care, identify spatiotemporal trends vaccination coverage dropout, inform resource allocation program operations, target quality improvement measures. The Government of Tanzania introduced the Immunization Registry (TImR) 2017, system has...