A5017855875- Genital Health and Disease
- HIV/AIDS Research and Interventions
- Urologic and reproductive health conditions
- Female Genital Mutilation/Cutting Issues
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- Ethics and Legal Issues in Pediatric Healthcare
- Urological Disorders and Treatments
- Global Maternal and Child Health
- Mechanical Circulatory Support Devices
- Sex work and related issues
- Cardiac Arrest and Resuscitation
- Pharmaceutical Practices and Patient Outcomes
- Medical Malpractice and Liability Issues
- Workplace Violence and Bullying
- HIV/AIDS Impact and Responses
- Acute Myocardial Infarction Research
- Blood Pressure and Hypertension Studies
- Reproductive Health and Contraception
- Food Security and Health in Diverse Populations
- Mobile Health and mHealth Applications
- Medication Adherence and Compliance
- Maternal Mental Health During Pregnancy and Postpartum
- Reproductive Health and Technologies
- Infection Control in Healthcare
Columbia University
2021
ICAP Global Health
2021
President's Emergency Plan for AIDS Relief
2021
University of Oklahoma Health Sciences Center
2020
Henry Ford Hospital
2020
Johns Hopkins University
2011-2019
Saint Thomas Midtown Hospital
2017
Baptist Hospital
2017
St. John Fisher College
2015
Washington University in St. Louis
2015
To meet UNAIDS' 90–90–90 treatment goals, effective approaches to HIV testing services (HTSs) are urgently needed. In 2015, a cross-sectional study was conducted evaluate effectiveness and feasibility of partner notification for HTS in Tanzania. Men women newly diagnosed with were enrolled as index clients, listed sexual partners, given options notify link their partners HTS. Of 653 individuals, 390 clients enrolled, 438 whom 249 (56.8%) successfully referred. reaching the facilities, 96%...
<h3>ABSTRACT</h3> <h3>Background:</h3> In 2009, the Government of Tanzania embarked on scaling up voluntary medical male circumcision (VMMC) services for HIV prevention in 8 priority regions, with aim serving 2.8 million boys and men ages 10–34 years by 2013. By mid-2012, more than 110,000 Iringa Njombe regions had received VMMC. The majority (85%) these VMMC clients were under 19 old (average age, 16 years). This study aimed to identify potential barriers facilitators among older men....
A growing evidence base supports expansion of partner notification in HIV testing services (HTS) sub-Saharan Africa. In 2015, a cross-sectional study was conducted Njombe region, Tanzania, to evaluate within facility-based HTS. Men and women newly diagnosed with were enrolled as index clients asked list current or past sexual partners for referral Successful 2.5 times more likely among married compared unmarried 2.2 male female clients. qualitative analysis, well mentioned difficulties...
Transcatheter pulmonary valve replacement (TPVR) is a mainstay of therapy for right ventricular outflow tract dysfunction, especially in adult congenital heart disease. This study aimed to assess the prevalence, characteristics, and clinical implications hypoattenuating leaflet thickening (HALT) hypoattenuation affecting motion (HAM) after TPVR. was retrospective cohort TPVR performed from 2018 2024. Computed tomography angiography (CTA) assessed HALT/HAM echocardiography gradients. Random...
Background: In Kenya, as in many African countries, private pharmacies are ubiquitous, frequently accessed, and underutilized for the delivery of HIV prevention services. Whether enabling to initiate manage clients on pre- post-exposure prophylaxis (PrEP PEP) leads greater uptake continuation than current standard-pharmacy referral clinic-based PrEP/PEP-is unknown. To address this gap inform how might partner with public sector, we testing several models pharmacy-delivered PrEP/PEP...
Background Scaling up voluntary medical male circumcision (VMMC) to 80% of men aged 15–49 within five years could avert 3.4 million new HIV infections in Eastern and Southern Africa by 2025. Since 2009, Tanzania Zimbabwe have rapidly expanded VMMC services through different delivery (fixed, outreach or mobile) intensity (routine services, campaign) models. This review describes the modality its influence on number age clients. Methods Findings Program reviews were conducted using data from...
Adverse events (AEs) rates in voluntary medical male circumcision (VMMC) are critical measures of service quality and safety. While these indicators key, monitoring AEs large-scale VMMC programmes is not without challenges. This study presents findings on that occurred eight years providing services three regions Tanzania, to provide discussion both the structural issues around maintaining safety scaled-up services.We look at trends over time, demographic characteristics, model type timing...
Abstract Introduction Evidence indicates HIV oral pre‐exposure prophylaxis (PrEP) is highly efficacious and effective. Substantial early discontinuation rates are reported by many programs, which may be misconstrued as program failure. However, PrEP use non‐continuous still effective, since risk fluctuates. Real‐world phenomena, like restarting cyclical use, the temporal characteristics of these patterns not well described. The objective our study was to characterize identify predictors...
<ns4:p>Oral pre-exposure prophylaxis (PrEP) is an efficacious way to lower the risk of HIV acquisition among high-risk individuals. Despite World Health Organization’s 2015 recommendation that all persons at substantial infection be provided with access oral PrEP, rollout has been slow in many low- and middle-income countries. Initiatives for national are few, subtle skepticism persists several countries about feasibility PrEP implementation. We describe conceptual design...
No AccessJournal of UrologyAdult Urology1 Aug 2013Penile Measurements in Tanzanian Males: Guiding Circumcision Device Design and Supply Forecasting Kristin Chrouser, Eva Bazant, Linda Jin, Baldwin Kileo, Marya Plotkin, Tigistu Adamu, Kelly Curran, Sifuni Koshuma ChrouserKristin Chrouser Department Urology, University Minnesota, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota Jhpiego Baltimore, Maryland International Health Department, Johns Hopkins Bloomberg School Public...
Voluntary medical male circumcision (VMMC) reduces HIV acquisition among heterosexual men by approximately 60%. VMMC is a surgical procedure and some adverse events (AEs) are expected. Swaziland’s Ministry of Health established toll-free hotline to provide general information about manage post-operative clinical AEs through telephone triage. We retrospectively analyzed dataset calls logged the during campaign. The objectives were determine reasons clients called ascertain accuracy...
Abstract The World Health Organization identified men as an essential group to target with HIV testing and treatment strategies;: who have sex (MSM) male clients of female workers (CFSW) account for 35% new infections globally. Using a cross-sectional design from community-based prevention project in Tanzania (October 2015–September 2018) multivariable logistic regression, we predictors seropositivity among men. Of 1,041,343 on their initial visit the project, 36,905 (3.5%) were MSM; 567,005...
Malawi, like other countries with a generalized HIV epidemic, is striving to reach the ambitious targets set by UNAIDS known as three 90's for testing, provision of antiretroviral therapy and viral suppression. Assisted Malawi's progressive policies on HIV/AIDS, it appears possible that Malawi will attain these targets, but only employing innovative program approaches service delivery which help fill policy gaps. This article describes how dedicated cadre layperson testers HIV-positive peers...
<h3>ABSTRACT</h3> <h3>Background:</h3> The government of the Kingdom Swaziland recognizes that it must urgently scale up HIV prevention interventions, such as voluntary medical male circumcision (VMMC). has adopted a 2-phase approach to scale-up. catch-up phase prioritizes VMMC services for adolescents and adults, while sustainability involves establishment early infant (EIMC). does not have modern-day tradition circumcision, program met with client demand challenges. However, since launch...
Adolescent girls and young women (AGYW) aged 15 to 24 years face disproportionately high risks of acquiring HIV other sexually transmitted infections (STIs). A sexual health risk stratification tool can support the development implementation tailored STI prevention services for sub-groups at-risk AGYW. Data were collected among active AGYW in Tanzania between April 2015 March 2017. Exploratory confirmatory factor analyses conducted construct assess latent structure a ten-item scale rapid...
Introduction Adolescent girls and young women (AGYW) continue to experience a high incidence of HIV in southern eastern Africa, even the context large-scale prevention interventions. In Tanzania, AGYW account for largest proportion new infections have higher risk acquisition than males comparable age. Methods We used routinely collected data from PEPFAR/USAID-funded Sauti Project, large combination program, examine relationship between transactional sex with older partners among Tanzania...