A5027650377- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV Research and Treatment
- HIV/AIDS Impact and Responses
- LGBTQ Health, Identity, and Policy
- Cancer survivorship and care
- Prostate Cancer Diagnosis and Treatment
- HIV/AIDS drug development and treatment
- Poverty, Education, and Child Welfare
- Endometrial and Cervical Cancer Treatments
- Cancer Risks and Factors
- Global Cancer Incidence and Screening
- Toxoplasma gondii Research Studies
- Pediatric Urology and Nephrology Studies
- Body Image and Dysmorphia Studies
- Healthcare Systems and Practices
- Infective Endocarditis Diagnosis and Management
- Pneumocystis jirovecii pneumonia detection and treatment
- Sexual function and dysfunction studies
- Adolescent and Pediatric Healthcare
- Ovarian cancer diagnosis and treatment
- Menopause: Health Impacts and Treatments
- Intimate Partner and Family Violence
- Empathy and Medical Education
United States Agency for International Development
2014-2025
AIDS United
2011-2023
Westchester Medical Center
2021
New York Medical College
2021
Johns Hopkins University
2021
Atkins (United States)
2021
Center for Surveillance, Epidemiology, and Laboratory Services
2020
Northwestern University
2017-2019
University of Pennsylvania
2017
World Health Organization - Pakistan
2006
BackgroundHIV self-testing increases testing uptake in sub-Saharan Africa but scale-up is challenging because of resource constraints. We evaluated an HIV intervention integrated into high-burden outpatient departments Malawi.MethodsIn this cluster-randomised trial, we recruited participants aged 15 years or older from at health facilities (including centres, mission hospitals, and district hospitals) central southern Malawi. The trial was clustered the facility level. used constrained...
To meet UNAIDS' 90–90–90 treatment goals, effective approaches to HIV testing services (HTSs) are urgently needed. In 2015, a cross-sectional study was conducted evaluate effectiveness and feasibility of partner notification for HTS in Tanzania. Men women newly diagnosed with were enrolled as index clients, listed sexual partners, given options notify link their partners HTS. Of 653 individuals, 390 clients enrolled, 438 whom 249 (56.8%) successfully referred. reaching the facilities, 96%...
Scale-up of HIV testing services (HTS), primarily through routine offer in health services, has led to an increase the proportion people with who know their status and are accessing treatment.• In eastern southern Africa (ESA), home more than half living globally, many countries close reaching global targets for treatment viral suppression, slower progress towards target that 95% should status.Given this, it is critical update approach reflect changes epidemic, response it, acknowledge...
A growing evidence base supports expansion of partner notification in HIV testing services (HTS) sub-Saharan Africa. In 2015, a cross-sectional study was conducted Njombe region, Tanzania, to evaluate within facility-based HTS. Men and women newly diagnosed with were enrolled as index clients asked list current or past sexual partners for referral Successful 2.5 times more likely among married compared unmarried 2.2 male female clients. qualitative analysis, well mentioned difficulties...
HIV Self-Testing (HIVST) aims to increase testing coverage and can facilitate reaching the UNAIDS 90-90-90 targets. In Senegal, key populations bear a disproportionate burden of report limited uptake given pervasive stigma criminalization. these contexts, HIVST may represent complementary approach reach reporting barriers engagement with existing routine services. this study, 1839 kits were distributed in 1149 individuals participating pre-test questionnaire 817 post-test questionnaire....
Abstract Background In 2015, the World Health Organization (WHO) launched Test and Treat policy which supports antiretroviral treatment for all people with HIV, irrespective of CD4 count or clinical stage. This was adopted in 2016 Nigeria. resulted scaleup HIV testing strategies differentiated models care including community-based ART. study evaluated algorithm assessed rates misclassification status among newly diagnosed clients. Methods Between February August 2018, whole blood samples...
Globally, HIV testing services (HTS) have been scaled up resulting in 79% of all people with aware their status 2018 [1]. However, 8.1 million remain undiagnosed [1], many whom are hard to reach through traditional HTS approaches. In 2016, the World Health Organization (WHO) strongly recommended self-testing (HIVST) as an approach, followed by update 2019 [2, 3]. Since number countries supportive HIVST policies has grown rapidly 77 38 implementing July proved effective reaching and those at...
Despite progress toward controlling the human immunodeficiency virus (HIV) epidemic, testing gaps remain, particularly among men and young persons in sub-Saharan Africa (1).This observational study used routinely collected programmatic data from 20 African countries reported to U.S. President's Emergency Plan for AIDS Relief (PEPFAR) October 2018 September 2019 assess HIV coverage case finding adults (defined as aged ≥15 years).Indicators included number of tests conducted, HIV-positive test...
Social network strategy (SNS) testing uses connections to refer individuals at high risk HIV services (HTS). In Tanzania, SNS is offered in communities and health facilities. communities, targets key vulnerable populations (KVP), while facilities it complements index by reaching unelicited contacts. Routine data were used assess performance trends over time PEPFAR-supported sites between October 2021 March 2023. Key indicators included social contacts tested, new HIV-positives identified....
Abstract Background Many southern African countries are nearing the global goal of diagnosing 90% people with HIV by 2020. In 2016, 84 and 86% knew their status in Malawi Zimbabwe, respectively. However, gaps remain, particularly among men. We investigated awareness use of, willingness to self-test for explored sociodemographic associations before large-scale implementation. Methods pooled responses from two first cross-sectional Demographic Health Surveys include self-testing (HIVST)...
HIV testing among the sexual partners of HIV-positive clients is critical for case identification and reduced transmission in southern eastern Africa. self-testing (HIVST) may improve uptake services antiretroviral therapy (ART) clients, but impact HIVST on partner subsequent ART initiation remains unclear.We conducted an individually randomized, unblinded trial to assess if index intervention targeting improves treatment Malawi. The was at 3 high-burden facilities central attending clinics...
Effectiveness of the rapid expansion antiretroviral therapy (ART) throughout sub-Saharan Africa is highly dependent on adequate enrolment and retention in HIV care. However, measurement both has been challenging these settings. This study aimed to assess care (pre-ART ART) among HIV-positive adults Central Mozambique, including identification barriers facilitators.We assessed linkages using a mixed quantitative qualitative approach six districts Manica Sofala provinces. We analyzed routine...