A5012034031- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Adolescent and Pediatric Healthcare
- Global Maternal and Child Health
- Parasites and Host Interactions
- Family Caregiving in Mental Illness
- Global Cancer Incidence and Screening
- Breast Cancer Treatment Studies
- HIV, Drug Use, Sexual Risk
- AI in cancer detection
- Parasite Biology and Host Interactions
- Parasitic Diseases Research and Treatment
- HIV/AIDS Impact and Responses
- Helminth infection and control
- Colorectal Cancer Screening and Detection
- Cervical Cancer and HPV Research
- HIV Research and Treatment
- Child Nutrition and Water Access
EsSALUD
2021-2023
Harvard University
2019-2022
Harvard Global Health Institute
2019-2022
Departamento de Salud
2021
Universidad Peruana Cayetano Heredia
2015-2019
Mitigating HIV-related stigma is critical to improving HIV outcomes and reaching global targets. We conducted formative community-engaged research identify key characteristics of a social media campaign address among youth in Lima, Peru. Focus groups in-depth interviews with young people living (men who have sex men, transgender women, workers, persons perinatally-acquired HIV, cisgender Venezuelan migrants), advocates, healthcare providers were carried out from November 2022 July 2023....
We piloted a community-based intervention to improve outcomes among adolescents living with HIV who were transitioning adult-oriented care in Lima, Peru. assessed feasibility and potential effectiveness, including within-person changes self-reported adherence, psychosocial metrics (NIH Toolbox), transition readiness ("Am I on TRAC" questionnaire, "Got Transition" checklist). From October 2019 January 2020, we enrolled 30 (15-21 years). The nine-month consisted of logistical, adherence social...
Children in the Peruvian Amazon Basin are at risk of soil-transmitted helminths (STH) infections. This study aimed to determine prevalence STH infection children from a rural Amazonian community Peru and elucidate epidemiological factors associated with its perpetuation while on school-based deworming program mebendazole. Stool samples aged 2-14 years their mothers were analyzed through direct smear analysis, Kato-Katz, spontaneous sedimentation tube, Baermann's method, agar plate culture. A...
In developing countries, education to health-care professionals is a cornerstone in the battle against neglected tropical diseases (NTD). Studies evaluating level of knowledge medical students clinical and socio-demographic aspects NTD are lacking. Therefore, cross-sectional study was conducted among from 7 year-curriculum school Peru assess their by using pilot survey comprised two blocks 10 short questions. Block I consisted epidemiological questions whereas block II included vignettes....
Los adolescentes que viven con el VIH (AVVIH) tienen tasas más bajas de supresión virológica y altas deterioro inmunológico en comparación sus contrapartes mayores, colocándolos potencialmente alto riesgo enfermedad severa por SARS-CoV-2. AVVIH están transicionando hacia cuidado adultos enfrentan dificultades adicionales para permanecer adherirse al tratamiento antirretroviral. En esta sección especial reportamos impacto observado servicio durante la pandemia primer lugar, acceso a atención...
Abstract Background Adolescents living with HIV (ALWH) are disproportionally impacted by depression, experiencing worse outcomes. Integrated depression and care may support antiretroviral adherence. This study pilot tested for proof of concept a basic pathway ALWH to inform integration services in Peru. Methods were screened the Patient Health Questionnaire-9 (PHQ-9). Participants PHQ-9 scores ⩾10 or suicidal ideation (SI) eligible Psychological First Aid (PFA) delivered non-mental health...
Abstract Introduction Adolescents living with HIV (ALWH) experience higher mortality rates compared to other age groups, exacerbated by the suboptimal transition from paediatric adult care, during which decreased adherence antiretroviral therapy (ART) and unsuppressed viremia are frequent. Care transition—a process lasting months or years—ideally prepares ALWH for care can be improved interventions that youth‐friendly address psychosocial issues affecting ART adherence; however, such...
Introduction Based on the hypothesis that HIV programs struggle to deliver health services harmonize necessities of treatment and prevention, we described outcomes routinely provided testing partners people living with (PLWH) through a secondary analysis routine data collected at public hospital in Lima, Peru. Methods Among PLWH enrolled study center’s program between 2005 2014, identified index cases (IC): who reported unique partner not previously enrolled. We grouped according their...
Objectives This mixed-method study aimed to understand the effectiveness of linkage biopsy and treatment in women with a high-risk mammography result (Breast Imaging Reporting Data System, BI-RADS 4 5) national telemammography programme explore women’s experiences during this process. Setting Quantitative component: we collected linked health data from reading centre, public insurance, centre for disease control referral cancer centre. Qualitative interviewed participants different regions...
Abstract Introduction Adolescents living with HIV (ALWH) face an elevated risk of poor health outcomes when transitioning into adult-oriented care; however, evidence-based interventions to support ALWH during this high-risk period are lacking, especially in Latin America. We conducted a pilot study community-based intervention designed improve among adult care Lima, Peru. Methods From October 2019 January 2020, we enrolled adolescents care, either due recent diagnosis or having aged out...
ABSTRACT Background Children in the Peruvian Amazon basin are at risk of soil-transmitted helminthiases (STH). The aim this study was to determine prevalence STH ( Ascaris lumbricoides, Trichuris trichiura , hookworm and Strongyloides stercoralis ) children from a rural community associated clinical, maternal, sanitation hygiene factors associated. had an active school-based deworming program with mebendazole. Methods A cross-sectional carried out aged 2–14 years Iquitos, Peru; by...
<p>Adolescents living with HIV (ALWH) are disproportionally impacted by depression and experience worse outcomes compared to other age groups. Integrating care for ALWH during transition adult care—an especially crucial time when adolescents frequently disengage from care—holds promise as a strategy supporting antiretroviral adherence among ALWH, particularly in low- middle-income countries where >90% of people live. </p> <p><br>In this brief article, we describe...
<p>Adolescents living with HIV (ALWH) are disproportionally impacted by depression and experience worse outcomes compared to other age groups. Integrating care for ALWH during transition adult care—an especially crucial time when adolescents frequently disengage from care—holds promise as a strategy supporting antiretroviral adherence among ALWH, particularly in low- middle-income countries where >90% of people live. </p> <p><br>In this brief article, we describe...
Abstract Introduction Adolescents living with HIV (ALWH) experience higher mortality rates compared to other age groups, exacerbated by suboptimal transition from pediatric adult care in which decreased adherence antiretroviral treatment (ART) and unsuppressed viremia are frequent. Care transition—a process lasting months or years—ideally prepares ALWH for can be improved interventions that youth-friendly address psychosocial issues affecting ART adherence; however, such infrequently...
Background: To date, most studies on the transition to adult HIV care have focused youth with perinatal infection; however, their needs and experiences may differ from who acquire later in life. We estimated frequency of sustained retention viral load suppression (i.e., successful transition) identified predictors among (14 21 years) behaviorally-acquired Lima, Peru.Methods: A retrospective cohort study was conducted 184 adolescents initiated antiretroviral therapy for first time an public...
Background: The effectiveness of mammography screening programs in reducing breast cancer (BC) mortality depends on successful linkage to follow-up testing and treatment for those who need it. Peru implemented a national tele-mammography program expand access mammograms women with government insurance reside outside the capital city. This study aimed understand biopsy this explore women’s experiences. Methods: Data from all underwent between July 2017 September 2018 had high-risk results...