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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
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
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
Breastfeeding, Antiretroviral Therapy, HIV Transmission, and the HIV Reservoir
Published October 8, 2024
Recommendations on breastfeeding by persons living with HIV (PLWH) have shifted globally over time. Because the absolute risk for HIV transmission through breast milk in the absence of antiretroviral therapy (ART) is as high as 16% to 20%, recommendations for low-resource settings in the early 1990s initially emphasized replacement feeding…
Topics:
Prevention of Mother-to-Child Transmission (PMTCT),
Research
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
The Rollout of Paediatric Dolutegravir and Virological Outcomes Among Children Living with HIV in Mozambique
Published July 30, 2024
Background In 2022, Mozambique introduced Dolutegravir 10mg (pDTG), as part of paediatric antiretroviral therapy for children weighing < 20 kg. Understanding real-world challenges during national rollout can strengthen health systems in resource-limited settings. Objectives We described the transition rate to, and new initiation of, pDTG, viral load suppression (VLS)…
Topics:
Pediatric HIV,
Research
Countries:
Mozambique
Journal Articles
Lessons from a Decade of Adult Vaccine Rollout in Low- and Middle-income Countries
Published June 27, 2024
Introduction The historical focus of vaccines on child health coupled with the advent of novel vaccines targeting adult populations necessitates exploring strategies for adult vaccine implementation. Areas covered This scoping review extracts insights from the past decade’s experiences introducing adult vaccines in low- and middle-income countries. Among 25 papers reviewed,…
Topics:
Research