A5007279002- HIV/AIDS Research and Interventions
- Adolescent and Pediatric Healthcare
- Adolescent Sexual and Reproductive Health
- Tuberculosis Research and Epidemiology
- Pneumocystis jirovecii pneumonia detection and treatment
- Pneumonia and Respiratory Infections
EsSALUD
2021-2025
Objective To identify the barriers and facilitators of adolescent-friendly tuberculosis (TB) services among adolescents with drug-susceptible TB (DS-TB), as defined by WHO’s Adolescent-Friendly Services (AFS) framework, in Lima, Peru. Design We conducted in-depth interviews using semistructured interview guides. Data were analysed framework method, which themes mapped onto four five dimensions care AFS framework: accessibility, acceptability, appropriateness effectiveness. Setting 32 public...
Abstract Background Long COVID (LC), also referred to as post-COVID condition, refers new or worsening symptoms lasting more than three months after SARS-CoV-2 infection. The prevalence of LC, and the impact co-infection with prevalent pathogens such Mycobacterium tuberculosis ( Mtb ), in low- middle-income countries remain unclear. We aimed address these gaps two -exposed populations. Methods recruited HIV-uninfected pulmonary (TB) patients (n=36) their household contacts (n=63) Peru,...
To understand the perspectives of adolescents (10-19 years old), their caregivers and healthcare providers regarding factors that impact adherence to tuberculosis (TB) treatment among adolescents. We conducted in-depth interviews using semistructured interview guides based on World Health Organization (WHO)'s Five Dimensions Adherence framework, which conceptualises as being related health system, socioeconomic factors, patient, condition. applied framework thematic analysis. Between August...
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...
Patients with tuberculosis (TB) generally are instructed to isolate at the beginning of treatment in order prevent disease transmission. The duration isolation varies and may be prolonged (ie, lasting 1 month or more). Few studies have examined impact during TB on adolescents, who more vulnerable its negative effects. This study took place from 2018 through 2019 Lima, Peru, where Ministry Health mandates exclusion patients educational institutions for least 2 months. Using semi-structured...
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 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...
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 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...