- HIV/AIDS Research and Interventions
- HIV Research and Treatment
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Poverty, Education, and Child Welfare
- Adolescent and Pediatric Healthcare
- Global Maternal and Child Health
- Pneumocystis jirovecii pneumonia detection and treatment
Kenyatta National Hospital
2022
National Cancer Registration Service
2022
University of Nairobi
2016
Differentiated service delivery (DSD) models for HIV often exclude children and adolescents. Given that adolescents have lower rates of diagnosis, treatment viral load suppression, there is a need to use DSD meet the needs living with HIV. This commentary reviews concept DSD, examines application care HIV, describes national guidance on implementation in Elizabeth Glaser Pediatric AIDS Foundation (EGPAF)–supported programmes seven sub-Saharan countries between 2017 2019. Programme...
Adolescents and youth living with HIV (AYLHIV) are a uniquely vulnerable population facing challenges around adherence, disclosure of status stigma. Providing school-based support for AYLHIV offers an opportunity to optimize their health wellbeing. The purpose this study was evaluate the feasibility supportive interventions in Kenya. From 2016–2019, funding from ViiV Healthcare, Elizabeth Glaser Pediatric AIDS Foundation implemented innovative Red Carpet Program (RCP) participating public...
Viral suppression is suboptimal among children and adolescents on antiretroviral therapy (ART) in Kenya. We implemented evaluated a standardized enhanced adherence counseling (SEAC) package to improve viral with suspected treatment failure Homa Bay Turkana. The SEAC package, from February 2019 September 2020, included: standard procedures operationalizing the (EAC) process; provider training psychosocial support communication skills for living HIV their caregivers; mentorship providers peer...
People living with HIV (PLHIV) often face barriers in accessing quality and comprehensive care, including stigma discrimination, which results poor retention viral non-suppression. Peer-led interventions can help address these barriers. In Kenya, peer educators (PEs) are PLHIV who support other to adhere clinic schedules antiretroviral medication uptake. spite of their status as role models key supporting clients receiving care treatment, little is known about the characteristics treatment...
The success of antiretroviral therapy in resource-scarce settings is an illustration that complex healthcare interventions can be successfully delivered even fragile health systems. Documenting the factors scale-up HIV care and treatment resource constrained will enable systems to prepare for changing population needs. This study describes demographic clinical characteristics adult pre-ART cohorts, identifies predictors attrition at a large urban clinic Nairobi, Kenya.We conducted...