- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Global Maternal and Child Health
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Reproductive tract infections research
- Poverty, Education, and Child Welfare
- HIV/AIDS Impact and Responses
- Mobile Health and mHealth Applications
- HIV Research and Treatment
- COVID-19 and Mental Health
- Reproductive Health and Contraception
- COVID-19 Pandemic Impacts
- HIV/AIDS drug development and treatment
- Pregnancy and Medication Impact
- Urinary Tract Infections Management
- SARS-CoV-2 detection and testing
- Genital Health and Disease
- COVID-19 Clinical Research Studies
- COVID-19 epidemiological studies
- Health Policy Implementation Science
- COVID-19 Impact on Reproduction
- Gender, Security, and Conflict
- Pharmaceutical industry and healthcare
- Medication Adherence and Compliance
University of California, Berkeley
2006-2024
Institute on Aging
2024
University of California, San Francisco
2006-2024
Berkeley Public Health Division
2020-2024
Berkeley College
2024
University of North Carolina at Chapel Hill
2023
University of California System
2023
Executive Office of the President
2013-2018
University of California Office of the President
2013-2017
Authorised Association Consortium
2012
Objective The authors evaluated the use of conditional cash transfers as an HIV and sexually transmitted infection prevention strategy to incentivise safe sex. Design An unblinded, individually randomised controlled trial. Setting 10 villages within Kilombero/Ulanga districts Ifakara Health Demographic Surveillance System in rural south-west Tanzania. Participants enrolled 2399 participants, aged 18–30 years, including adult spouses. Interventions were randomly assigned either a control arm...
Background Depression is a leading contributor to the burden of disease worldwide, critical barrier HIV prevention and common serious co-morbidity. However, depression screening treatment are limited in sub-Saharan Africa, there few population-level studies examining prevalence gender-specific factors associated with depression. Methods We conducted cross-sectional population-based study 18–49 year-old adults from five districts Botswana highest HIV-infection. examined depressive symptoms,...
<sec> <title>BACKGROUND</title> Sex workers (SW) are at risk of acquiring HIV infections. Despite this, SW have low uptake relevant preventive measures such as pre-exposure prophylaxis (PrEP). Community-based programs that make PrEP convenient and accessible potential to drive continuation reduce risk. </sec> <title>OBJECTIVE</title> This paper describes the co-development piloting TOPAZ study – which encompasses an intervention providing with opportunity access refills through pharmacies in...
Currently, azithromycin is not considered a first-line treatment for Chlamydia trachomatis in pregnant women. We evaluated the use, efficacy, and safety of compared with erythromycin amoxicillin genital chlamydial infection during pregnancy.This was retrospective cohort study women infection. Data on antibiotics prescribed, test-of-cure (TOC) results, maternal infant complications were collected from medical records.Of 277 sample, 69% initially prescribed azithromycin, 9% amoxicillin, 19%...
Citizen groups, though celebrated during their sudden arrival on the lobbying scene, are vastly outnumbered by groups representing elite, occupationally based interests. Sensitive to odds that nonoccupational face, this study asks what factors have allowed patient form and become active in federal politics. Using three distinct data sets--a survey of content analysis group websites, in-depth interviews with representatives policy makers Washington, DC--this assesses activities United States...
Rwandan adolescents have limited access to high-quality family planning and reproductive health (FP/RH) information care prevent unplanned pregnancy HIV/STIs. In addition the immediate implications for well-being, teenage is a significant cause of school drop-out, limiting girls' future potential employment opportunities. This study introduces direct-to-consumer digital education program that uses storytelling deliver age-appropriate FP/RH economic empowerment training adolescents. It also...
BackgroundOptimizing retention in human immunodeficiency virus (HIV) treatment may require sequential behavioral interventions based on patients' response.MethodsIn a multiple assignment randomized trial Kenya, we randomly assigned adults initiating HIV to standard of care (SOC), Short Message Service (SMS) messages, or conditional cash transfers (CCT). Those with lapse (missed clinic visit by ≥14 days) were again standard-of-care outreach (SOC-Outreach), SMS+CCT, peer navigation. SMS CCT...
In Brief Background: Urine-based chlamydia tests enable screening in non-clinical settings. Goal: The goal of this study was to determine the prevalence infection among high-risk youth and young adults Design: County sexually transmitted disease (STD) programs implemented projects settings using nucleic acid amplification tests. Demographic access care data were collected. Results: Overall, 16,279 female male screened for 24 counties throughout California. 158 venues included 32 educational,...
PurposeCyberRwanda is a digital health intervention designed to increase knowledge of family planning and reproductive (FP/RH) access youth-friendly services in Rwanda.MethodsSixty schools eight districts were randomized 1:1:1 one two CyberRwanda implementation models—self-service (tablet-only) or facilitated (tablet, activity booklet, peer facilitators)—or control. Students aged 12–19 years randomly selected participate. Baseline 12-month midline surveys assessed intermediate (secondary)...
Abstract Background Many persons with active SARS-CoV-2 infection experience mild or no symptoms, presenting barriers to COVID-19 prevention. Regular temperature screening is nonetheless used in some settings, including university campuses, reduce transmission potential. We evaluated the potential impact of this strategy using a prospective university-affiliated cohort. Methods Between June and August 2020, 2912 participants were enrolled tested for by PCR at least once (median: 3, range:...
Adolescents experience significant barriers, including stigma and discrimination, to accessing voluntary family planning reproductive health (FP/RH) services in Rwanda. Self-care interventions have been shown reduce social barriers FP/RH care, but little is known about the effectiveness of digital self-care for adolescents, particularly low-resource settings. This paper presents findings from a pilot study CyberRwanda, intervention providing comprehensive sexuality education confidential...
Concerns about the interconnected relationship between HIV and mental health were heightened during COVID-19 pandemic. This study assessed whether there temporal changes in status of people living with presenting for care Shinyanga region, Tanzania. Specifically, we compared prevalence depression anxiety before COVID-19, goal describing changing needs, if any, to person-centered services.
Abstract Background Pharmacies are a promising setting through which to expand access human immunodeficiency virus (HIV) prevention, including pre-exposure and post-exposure prophylaxis (PrEP PEP, respectively). We aimed evaluate inform the implementation of California's Senate Bill 159 (2019), allowing pharmacists independently prescribe PrEP PEP. Methods From October December 2022, we conducted cross-sectional study 919 California pharmacy students, primarily recruited via email listservs...
Background Behavior change communication (BCC) interventions, while still a necessary component of HIV prevention, have not on their own been shown to be sufficient stem the tide epidemic. The shortcomings BCC interventions are partly due barriers arising from structural or economic constraints. Arguments being made for combination prevention packages that include behavior change, biomedical, and address complex set risk factors may lead infection. Methods In 2009/2010 we conducted 216...
Human herpesvirus 8 (HHV-8) is endemic in Uganda and transmissible by blood. We evaluated mortality following transfusion of HHV-8 antibody-positive blood.In a hospital-based, observational, prospective cohort study with 6-month follow-up, we examined the effect blood on recipients surviving at least 7 days.Of 1092 recipients, 471 (43.1%) were transfused Median age was 1.8 years (range, 0.1-78); 111 (10.2%) died during follow-up. After adjusting for confounders (increasing age, human...
The objective of this study was to examine California clinicians' use and attitudes toward patient-delivered partner therapy (PDPT) treat sexual partners patients infected with chlamydia.In 2002, a stratified random sample primary care physicians nurse practitioners completed mailed, self-administered survey. Weighted frequencies were calculated assess management practices, including PDPT, PDPT. Multivariate models constructed determine independent predictors PDPT use.Of 708 895...
Background: Ambitious targets have been set to end the HIV epidemic by 2030. Such assume that tools exist and are successfully being deployed across populations, albeit unequally. Implementation science approaches needed understand drivers of disparities how bring effective interventions those most in need. We describe a hybrid implementation approach, adapting strategy facilitate retention viral suppression (VS) among people living with HIV/AIDS Tanzania. Methods/Design: used Proctor...