A5073220850- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- HIV Research and Treatment
- Child Nutrition and Water Access
- HIV/AIDS drug development and treatment
- HIV, Drug Use, Sexual Risk
- Global Public Health Policies and Epidemiology
- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Poverty, Education, and Child Welfare
- Historical Gender and Feminism Studies
- Australian History and Society
- HIV/AIDS Impact and Responses
- Canadian Identity and History
- Data-Driven Disease Surveillance
- Health disparities and outcomes
- Child Nutrition and Feeding Issues
Centers for Disease Control and Prevention
2020-2021
Gheskio Centers
2020
Brigham and Women's Hospital
2018
PIVOT
2017-2018
Pivot
2017
University of Utah
2016
The Sustainable Development Goals framed an unprecedented commitment to achieve global convergence in child and maternal mortality rates through 2030. To meet those targets, essential health services must be scaled via integration with strengthened systems. This is especially urgent Madagascar, the country lowest level of financing for world. Here, we present interim evaluation first 2 years a district-level system strengthening (HSS) initiative rural using estimates intervention coverage...
A model health district was initiated through a program of system strengthening (HSS) in Ifanadiana District southeastern Madagascar 2014. We report population indicators prior to initiation the program. representative household survey based on Demographic Health Survey conducted using two-stage cluster sampling design two strata - initial catchment area and future area. Chi-squared t-tests were used compare data by stratum, appropriate weights. for comparison taken from 2013 national study....
Background: Child malnutrition, a leading cause of death and disability worldwide, is particularly severe in Madagascar, where 47% children under 5 years are stunted (low height-for-age) 8% wasted weight-for-height). Widespread poverty weak health system have hindered attempts to implement life-saving malnutrition interventions Madagascar during critical periods for growth faltering.Objective: This study aimed shed light on the most important factors associated with child both acute chronic,...
The World Health Organization (WHO) recommends universal antiretroviral therapy (ART) for persons living with HIV (PLWH), but evidence about effects of expanded ART access on retention in low-resource settings is limited.Haiti's Ministry endorsed pregnant women March 2013 (Option B+) and all PLWH July 2016. This study included 51,579 patients from 2011 to 2017 at 94 hospitals clinics Haiti.This observational, retrospective cohort described time trends 6-month using secondary data, compared...
Abstract Objective We demonstrate a replicable model health district for Madagascar. The governments of many low-income countries have adopted policies that follow international standards, and yet there are four hundred million people without basic access to primary care. Closing this global delivery gap is typically framed as an issue scale-up, accomplished primarily through integrating donor funds with broad-based system strengthening (HSS) efforts. However, no established process by which...
Haiti initiated the scale-up of HIV viral load (VL) testing in 2015-2016, with plans to achieve 100% coverage for all patients on antiretroviral therapy (ART) treatment HIV/AIDS. In absence drug susceptibility testing, VL is a key tool monitoring response ART and optimizing results. This study describes trends expanded use results, second-line regimens, explores association between regimen switching from 2010 2017.We conducted retrospective cohort 66,042 drawn 88 Haiti's 160 national...
<bold>Objective.</bold>To describe trends in timing of ART initiation for newly diagnosed people living with HIV before and after Haiti adopted its Test Start policy universal antiretroviral therapy (ART) July 2016, to explore predictors timely both previously following adoption. <bold>Methods.</bold>This retrospective cohort study explored among 147 900 patients at 94 clinics 2004–2018 using secondary electronic medical record data. The used survival analysis methods assess time risk...
system data from registries, qualitative interviews, focus groups and flow mapping between post-partum (CPP), high-risk child clinic (CCR), HIV (TARV).Findings: Poor linkage CPP CCR (55%), slow turnaround time of PCR results (6-8 weeks), low rates ART initiation in HIV+ infants (24%) were crucial shortcomings identified the system.Obstacles to optimal care, as elucidated by interviews groups, included long wait times, stigma, acceptability, poor male involvement.Going Forward/Interpretation:...