A5046472836- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Global Maternal and Child Health
- HIV Research and Treatment
- Poverty, Education, and Child Welfare
- HIV/AIDS Impact and Responses
- Sex work and related issues
- Pneumocystis jirovecii pneumonia detection and treatment
- Tuberculosis Research and Epidemiology
- Food Security and Health in Diverse Populations
- LGBTQ Health, Identity, and Policy
- COVID-19 Impact on Reproduction
- COVID-19 Clinical Research Studies
- Advanced Causal Inference Techniques
- Statistical Methods and Bayesian Inference
- COVID-19 and healthcare impacts
- HIV/AIDS oral health manifestations
- Adolescent and Pediatric Healthcare
- Workplace Health and Well-being
Centers for Disease Control and Prevention
2014-2025
Center for Global Health
2013-2024
President's Emergency Plan for AIDS Relief
2022
Center for Surveillance, Epidemiology, and Laboratory Services
2020
Centers for Disease Control and Prevention
2014
United States Department of Health and Human Services
2013
Johns Hopkins University
2004-2012
An HIV diagnosis is a life-changing event. Disclosure of test results might be related to developing effective coping strategies. We conducted qualitative, in-depth interviews with 30 HIV-infected women in Uganda explore links between disclosure and Many experienced an evolution their ability cope from initial shame eventual acceptance. Factors that facilitated adaptive included being healthy, feeling responsible for children, support group participation, forming supportive relationships,...
We describe the frequency of and factors associated with disclosure, knowledge partner's HIV status, consistent condom use among 3538 HIV-positive patients attending eighteen care treatment clinics in Kenya, Namibia, Tanzania. Overall, 42% were male, 64% on antiretroviral treatment. The majority (80%) had disclosed their status to partners, knew 77% reported use. Of those who 18% partner was negative. Compared men, women significantly less likely report disclosing sex partner(s), knowing...
Background In Uganda, adolescent girls’, and young women’s (AGYW-15-24 years) current HIV prevalence is fourfold compared with their male counterparts due to compounded social, economic, environmental factors. Using the Protective Motivation Theory (PMT), we explored HIV-acquisition risk sources perceived protective factors from AGYW caregivers’ perspective. Materials methods During 2018, conducted a qualitative study guided by PMT explore influencing acquisition among AGYW. We purposively...
In 2017, the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated that worldwide, 36.9 million persons were living with human immunodeficiency virus (HIV) infection, infection causes acquired syndrome (AIDS). Among HIV approximately 75% aware of their status, leaving 9.4 undiagnosed (1). Index testing, also known as partner notification or contact tracing, is an effective case-finding strategy targets exposed contacts HIV-positive for testing services. This report summarizes data...
This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores association between use, medication adherence, sexual risk behavior. Data from 3538 an HIV clinic Kenya, Tanzania, or Namibia were captured through interview medical record abstraction. Participants categorized into three drinking categories: nondrinkers, nonharmful drinkers, harmful/likely dependent drinkers. A proportional odds model was used to...
Aim To describe factors associated with pregnancy desire and dual method use among people living HIV in clinical care sub-Saharan Africa. Design Sexually active HIV-positive adults were enrolled 18 clinics Kenya, Namibia Tanzania. Demographic, reproductive health data captured by interview medical record abstraction. Correlates of desiring a within the next 6 months, [defined as consistent condom together highly effective contraception (hormonal, intrauterine device (IUD), permanent)], those...
Despite efforts to increase access HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own status or the of sex partner(s). Recent evidence, however, indicates that as half HIV-positive individuals ongoing sexual relationships have an HIV-negative partner significant proportion new infections generalized epidemics occur within serodiscordant couples. Integrating couples (CHTC) into routine clinic-...
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....
While provider-initiated HIV testing and counseling (PITC) programs are being increasingly implemented in antenatal care settings, there is scant information about the specific challenges providers face when offering these services. Through qualitative interviews with 30 from 10 clinics central Uganda, we sought to understand Ugandan implementing PITC programs, including how impact prevention of mother-to-child transmission programs. Counseling-specific included discordant couples,...
HIV care and treatment settings provide an opportunity to reach people living with HIV/AIDS (PLHIV) prevention messages services. Population-based surveys in sub-Saharan Africa have identified risk behaviors among PLHIV, yet data are limited regarding of PLHIV clinical care. This paper describes the baseline sociodemographic, transmission behaviors, a study evaluating intervention package for clinics Africa. The was longitudinal group-randomized trial 9 comparison Kenya, Namibia, Tanzania (N...
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) supports country programs in identifying persons living with HIV infection (PLHIV), providing life-saving treatment, and reducing the spread of countries around world (1,2). CDC used Monitoring, Evaluation, Reporting (MER) data* to assess extent which COVID-19 mitigation strategies affected service delivery across care continuum† globally during first year pandemic. Indicators included number reported HIV-positive test results,...
In 2015, Namibia implemented an Acceleration Plan to address the high burden of HIV (13.0% adult prevalence and 216 311 people living with [PLHIV]) achieve UNAIDS 90-90-90 targets by 2020. We provide update on Namibia's overall progress toward achieving these estimate percent reduction in incidence since 2010.Data sources include 2013 Demographic Health Survey (2013 NDHS), national electronic patient monitoring system, laboratory data from Namibian Institute Pathology. These were used (1)...