- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- HIV Research and Treatment
- HIV/AIDS Impact and Responses
- Smoking Behavior and Cessation
University of Maryland, Baltimore
2020-2023
University of Botswana
2021-2023
Adolescent girls and young women accounted for 25% of all new HIV infections despite representing only 10% the population in Sub Saharan Africa. PEPFAR has launched Determined, Resilient, Empowered, AIDS-free, Mentored, Safe (DREAMS) initiative, a comprehensive prevention program including PrEP services. Among adolescent women, adherence is currently sub-optimal. Tailored strategies to improve access use delivery are urgently needed maximise its potential. Recommended interventions include...
Abstract This brief report describes key periods in the history of national public health response to human immunodeficiency virus (HIV) epidemic Botswana. It reveals context leading development HIV policies presently place and current challenges that remain. The concludes with opportunities for future directions, initiatives, policy changes reduce high rates HIV.
Background: In 2019, the Botswana Ministry of Health and Wellness (MOHW) implemented an HIV national Reboot program, which was needed for refocusing intensifying efforts achieving epidemic control. The strategies deployed as part were reviewed evaluated their effect on same-day within-seven-days (fast-track initiation) antiretroviral therapy (ART) initiation among adults newly identified with HIV. Methods: We conducted a retrospective cohort analysis patients aged 18 years or older who...
Abstract Background With expanded and sustained availability of HIV treatment resulting in substantial improvements life expectancy, the need to address modifiable risk factors associated with leading causes death among people living HIV/AIDS (PLWH), such as tobacco smoking, has increased. Tobacco use is highly prevalent PLWH, especially southern Africa, where heavily concentrated, many who smoke would like quit but are unable do so without assistance. SBIRT (Screening, Brief Intervention...
The aim of this study was to identify community testing modalities associated with fast-track ART initiation in Botswana.We conducted a retrospective cohort that included all Botswana citizens 15 years or older who were newly identified as HIV-positive from 1 May 2017 31 January 2019, Mahalapye and Southern districts. We used Poisson regression robust error variance generalised linear mixed models control for cluster effects model risk within 7 30 days HIV diagnosis, modality factors.A total...