A5056603283- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Impact and Responses
- Global Maternal and Child Health
- HIV Research and Treatment
- Poverty, Education, and Child Welfare
- Sex work and related issues
- Homelessness and Social Issues
Aurum Institute
2018-2022
University of the Witwatersrand
2021-2022
South Africa (SA) has the world's highest burden of HIV infection (approximately 7.2 million), yet it is estimated that 23.5% women and 31.5% men are unaware they living with HIV. The 2015 national African testing guidelines mandate universal offer services (HTS) in all healthcare facilities.A multi-prong approach was used from January 2017 to June evaluate current implementation HTS ten facilities Ekurhuleni District SA. First, we conducted patient exit interviews quantify engagement...
Abstract Background We sought to describe linkage care, ART continuity, and factors associated with care among people HIV following release from incarceration in South Africa. Methods conducted a study of African correctional service community reentrants who were receiving at the time release. The was implemented three 46 management areas. Participants enrolled prior corrections followed up 90 days post-release obtain self-reported status number provided Clinic electronic paper charts...
Same-day initiation (SDI) of antiretroviral therapy (ART) has been advocated as an approach to increase linkage care and overall ART initiation. Clinical trials have demonstrated impressive benefits. However, questions regarding patient preparedness retention in remain for routine implementation this approach.In study, we sought describe SDI during delivery compare time on longitudinal outcomes.We performed a retrospective chart review 100 consecutive individuals, newly diagnosed with HIV,...
HIV testing is the first step for linkage to prevention or treatment services. Facility-based most utilised method, but faces challenges such as limited work space and human resources. Digitally supported self-testing (HIVST) provided in clinics shifts client, potentially empowering addresses constraints.The study primary objective was determine feasibility of integrating digitally HIVST into clinic. Secondary objectives were describe volume, populations reached, antiretroviral (ART)...
HIV testing is the entry point into care continuum and critical for epidemic control. Facility-based services (HTS) reach individuals who are already seeking clinical engaging with medical system. For this reason, diagnosed during facility-based more likely to continue care. To increase number of PLHIV initiated on ART, in 2015, South African Department Health instituted Provider-Initiated Counselling Testing (PICT) policy-encouraging healthcare providers recommend testing, but strategy...
While interventions to improve HIV linkage and retention in care exist, none have demonstrated results sufficient reach UNAIDS 90-90-90 goals. We explored values costs of seeking clinical through testing three strategies care: Point CD4 alone (POC-CD4), POC-CD4 combined with transportation support facilitation. conducted in-depth interviews participants transcribed audio-recordings facilitation sessions. Participants described enhanced or addressed by the interventions. Psychosocial provided...
In an effort to reduce learners’ pregnancies, the government introduced various interventions in schools such as life skills and HIV/AIDS programmes. addition there are also clinics, television, radio internet that provide information about teenage pregnancy. However, despite these HIV/AIDS, pregnancies among female learners have continued increase. The purpose of this study was attain understanding knowledge, attitudes use contraception attending a high school Mdantsane. A quantitative,...
Background: Provider-initiated testing and counseling remains highly underused in many South African health facilities. We implemented a systems analysis to investigate whether simple adjustments HIV services (HTS) delivery can increase HTS provision. Setting: Ten primary care facilities the Ekurhuleni District Africa. Methods: Following baseline assessment that showed limited offering of by clinicians, clinic staff had option adopt several change approaches using existing human resources....
Mobile HIV testing approaches are a key to reaching the global targets of halting epidemic by 2030. Importantly, number clients reached through mobile approaches, need remain high maintain cost-effectiveness these approaches. Advances in rapid in-vitro tests such as INSTI® HIV-1/HIV-2 (INSTI) which uses flow-through technologies, offer opportunities reduce time about one minute. Using data from routine HTS programme piloted use INSTI point-of-care (POC) test, we sought estimate effect using...
Abstract Background HIV testing is the entry point into care continuum, and critical for epidemic control. Facility-based services (HTS) reach individuals who are already seeking clinical engaging with medical system. For this reason, diagnosed during facility-based more likely to continue care. Efforts have been increasingly made increase (HTS), including introducing provider-initiated counselling & (PICT), but strategy remains under-utilized. We aimed identify key constraints...
Abstract Background HIV testing is the entry point into care continuum, and critical for epidemic control. Facility-based services (HTS) reach individuals who are already seeking clinical engaging with medical system. For this reason, diagnosed during facility-based more likely to continue care. Efforts have been increasingly made increase (HTS), including introducing provider-initiated counselling & (PICT), but strategy remains under-utilized. We aimed identify key constraints...