A5003947122- HIV, Drug Use, Sexual Risk
- Opioid Use Disorder Treatment
- HIV/AIDS Research and Interventions
- Substance Abuse Treatment and Outcomes
- Health Policy Implementation Science
- Forensic Toxicology and Drug Analysis
- HIV Research and Treatment
- Sex work and related issues
- Homelessness and Social Issues
- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Impact and Responses
- Primary Care and Health Outcomes
- Criminal Justice and Corrections Analysis
- Health Systems, Economic Evaluations, Quality of Life
- Prenatal Substance Exposure Effects
- Mosquito-borne diseases and control
- Food Security and Health in Diverse Populations
- Dengue and Mosquito Control Research
- Poverty, Education, and Child Welfare
- Crime, Illicit Activities, and Governance
- Tuberculosis Research and Epidemiology
- Malaria Research and Control
- COVID-19 and Mental Health
- Hepatitis C virus research
RTI International
2016-2025
University of California, San Francisco
2015-2025
University of Washington
2015-2025
University of Southern California
2024
San Francisco General Hospital
2022
Center for Global Health
2019
University of California System
2018
Seattle University
2017
Pangaea Global AIDS Foundation
2011-2016
Creative Commons
2015
BackgroundMost HIV-1 transmission in Africa occurs among HIV-1-discordant couples (one partner infected and one uninfected) who are unaware of their discordant serostatus. Given the high incidence to assess efficacy interventions for reducing transmission, represent a critical target population prevention trials. Substantial regional differences exist prevalence Africa, but discordance African couples, has not previously been reported.Methodology/Principal FindingsThe Partners Prevention...
In 2004, Mozambique, supported by large increases in international disease-specific funding, initiated a national rapid scale-up of antiretroviral treatment (ART) and HIV care through vertical "Day Hospital" approach. Though this model showed substantial people receiving treatment, it diverted scarce resources away from the primary health (PHC) system. 2005, Ministry Health (MOH) began an effort to use HIV/AIDS as means strengthen their PHC The MOH worked closely with number NGOs integrate...
Adolescent females in Zimbabwe are at high risk for HIV acquisition. Shaping the Health of Adolescents (SHAZ!) was a randomized controlled trial combined intervention package including life-skills and health education, vocational training, micro-grants social supports compared to education alone. SHAZ! originally envisioned as larger effectiveness trial, however, scaled back due contextual economic conditions country time. enrolled 315 participants randomly assigned study arm within blocks...
Syringe service programs (SSPs), which provide access to sterile syringes and other injection equipment their safe disposal after use,* represent a highly successful human immunodeficiency virus (HIV) prevention intervention. SSPs are associated with 58% reduction in the incidence of HIV infection among persons who inject drugs (1). In addition, have led efforts prevent opioid overdose deaths by integrating evidence-based education naloxone distribution (OEND) (2-4). OEND train laypersons...
To describe the current financial health of syringe services programs (SSPs) in United States and to assess predictors SSP budget levels associations with delivery public interventions.
Importance With the implementation of Measure 110 (M110) in 2021, Oregon became first US state to decriminalize small amounts any drug for personal use. To date, no analysis association this law with overdose mortality has fully accounted introduction fentanyl—a substance that is known drive fatal overdose—to Oregon’s unregulated market. Objective evaluate whether decriminalization possession was associated changes rates after accounting rapid spread fentanyl Design, Setting, and...
Importance Opioid-involved overdose mortality has been on the rise for 2 decades in US, exacerbated by an unregulated drug supply that is unpredictable and increasingly contained highly potent fentanyl analogs starting a decade ago. Objective To determine whether there geospatial association between law enforcement seizures opioid-involved San Francisco. Design, Setting, Participants This cross-sectional study used location- time-stamped data from Office of Chief Medical Examiner publicly...
Primary health care is recognized as a main driver of equitable service delivery. For it to function optimally, routine information systems (HIS) are necessary ensure adequate provision and the development appropriate policies. Concerns about quality administrative data have undermined their use in resource-limited settings. This evaluation was designed describe availability, reliability, validity sample primary HIS from nine facilities across three districts Sofala Province, Mozambique....
As COVID-19 accelerated throughout 2020, syringe service programs (SSPs) faced challenges necessitating programmatic adaptations to prevent overdose deaths while simultaneously keeping workers and participants safe from COVID-19. We used qualitative methods gain an understanding of the social context within which SSPs are operating during pandemic. conducted 36 in-depth interviews with program representatives 18 Exploration, Preparation, Implementation, Sustainment (EPIS) implementation...
Opioid overdose fatalities are preventable with timely administration of naloxone, an opioid antagonist, during event. Syringe service programs have pioneered naloxone distribution for potential bystanders overdose. The objective this study was to pilot test a multi-component implementation strategy-the systems analysis and improvement approach (SAIA-Naloxone)-with the goal improving by syringe programs.Two participated in 6-month SAIA-Naloxone, which included (1) analyzing program data...
Introduction Current estimates suggest an HIV prevalence of 42% among people who inject drugs (PWIDs) in Dar es Salaam, while is estimated to be 8.8% the general population city. To address epidemic this population, government Tanzania began establishing prevention, treatment and care services including outreach medication assisted (MAT) for PWIDs 2010. We assessed gender inequities utilization MAT evaluated differences risk behaviors between female male PWIDs. Materials Methods Routine data...
Evaluate a computerized intervention supporting antiretroviral therapy (ART) adherence and HIV transmission prevention.