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Journal Articles
Barriers and facilitators to 6 monthly multi-month dispensing of antiretroviral therapy in HIV clinics during the COVID-19 Era in Malawi
Published December 30, 2024
Following the COVID-19 pandemic, the Malawi Government released a policy that promoted the scale-up of six-monthly multi-month dispensing (6-MMD) of antiretroviral therapy (ART) to people living with HIV in order to decrease congestion at health facilities and transmission of COVID-19. We evaluated the barriers and facilitators to implementing the scale-up…
Topics:
Global Health Security
Countries:
Malawi
Journal Articles
An integrated, multidisciplinary management team intervention to improve patient‑centeredness, HIV, and maternal‑child outcomes in Lesotho
Published December 22, 2024
Background Reducing perinatal HIV transmission and optimizing maternal and child health (MCH) outcomes in high HIV prevalence settings is an urgent, but complex, priority. Extant interventions over-emphasize individual-level provider and patient behaviors, and neglect critical health systems-level changes. The ‘Integrated Management Team to Improve Maternal-Child Outcomes (IMPROVE)’ study implemented a…
Topics:
Maternal and Child Health
Countries:
Lesotho
Journal Articles
Implementing SARS-CoV-2 Testing during a Large-Scale Sporting Event in Africa
Published December 3, 2024
During the 33rd Africa Cup of Nations (AFCON) football tournament in Cameroon, organizers and health authorities required a negative SARS-CoV-2 test result <48 hours before entry and provided free SARS-CoV-2 testing and vaccination at stadium and fan zone entrances. We describe the outcomes and implementation of mandatory SARS-CoV-2 testing at…
Topics:
Global Health Security
Countries:
Cameroon
Journal Articles
A Longitudinal Assessment of Interruptions in HIV Clinic Visits and Virologic Failure among Pregnant and Postpartum Women in the Kabeho Study
Published October 30, 2024
Background: Antiretroviral therapy (ART) for women with HIV is recommended for life, yet most studies measure retention in HIV care and treatment as a binary outcome rather than patterns of intermittent clinic attendance. Pregnancy and the post-partum period are critical times to study interruptions in care, as retention among these women…
Topics:
Maternal and Child Health
Countries:
Rwanda
Journal Articles
Integrating SARS-CoV-2 rapid antigen testing in maternal, neonatal and child health, HIV, and TB clinics in Kenya and Cameroon
Published October 30, 2024
Introduction: Early diagnosis of SARS-CoV-2 infection is key to preventing severe disease and poor outcomes in vulnerable populations, such as pregnant women and people living with HIV or diagnosed with tuberculosis (TB). We assessed outcomes achieved with the integration of SARS-CoV-2 antigen-detecting rapid diagnostic testing (Ag-RDT) into maternal, neonatal and…
Topics:
Global Health Security,
Maternal and Child Health
Countries:
Cameroon,
Kenya
Journal Articles
Influence of the SARS-COV2 Pandemic on Access to Healthcare Services Among People Living with HIV and its Subsequent Effects on Antiretroviral Therapy Uptake in Malawi
Published September 4, 2024
The global disruption caused by the SARS-CoV-2 pandemic profoundly affected healthcare systems, particularly impacting People Living with Human Immunodeficiency Virus (PLHIV). This study investigated the repercussions of SARS-CoV-2 infection on access to human immunodeficiency virus (HIV) care and antiretroviral therapy (ARV) in Malawi, emphasizing the critical need to sustain uninterrupted…
Topics:
Global Health Security
Countries:
Malawi
Journal Articles
Effect of COVID-19 on Paediatric TB Service Delivery and Patients’ Comfort Receiving TB Services in Cameroon and Kenya During COVID
Published August 25, 2024
Background The outbreak of COVID-19 has caused a setback to the gains achieved in tuberculosis (TB) control by impairing TB diagnosis, delaying treatment initiation and aggravating TB deaths. This study explored the effect of COVID-19 on paediatric TB services provided through the Catalysing Paediatric TB Innovations (CaP-TB) project among caregivers…
Topics:
Global Health Security,
Tuberculosis (TB)
Countries:
Cameroon,
Kenya
Journal Articles
Improving COVID-19 Contact Tracing and Testing of Exposed Individuals in Cameroon using Digital Health Technology: a Cluster Randomised Trial
Published August 17, 2024
Background Contact tracing was described as a key strategy to contribute to controlling the spread of severe acute respiratory syndrome of Coronavirus 2 (SARS-CoV-2) but implementing it can be a challenge. Digitalisation of contact tracing is among the proposed solutions being explored in sub-Saharan African settings. We assessed the effectiveness…
Topics:
Global Health Security
Countries:
Cameroon
Journal Articles
Enhancing SARS-CoV- 2 surveillance in Malawi using telephone syndromic surveillance from July 2020 to April 2022
Published May 16, 2024
Introduction Monitoring the SARS-CoV-2 pandemic in low-resource countries such as Malawi requires cost-effective surveillance strategies. This study explored the potential utility of phone-based syndromic surveillance in terms of its reach, monitoring trends in reported SARS-CoV-2-like/influenza-like symptoms (CLS/ILS), SARS-CoV-2 testing and mortality. Methods Mobile phone-based interviews were conducted between 1 July…
Topics:
Global Health Security,
Research
Countries:
Malawi