Provision of effective contraception to HIV-positive women of reproductive age is critical to effective management of HIV infection and prevention of both vertical and horizontal HIV transmission in developing countries. This exploratory retrospective study examines contraceptive use during the prolonged...
Characteristics, HIV risk, and program coverage for underage female sex workers (FSW) are rarely systematically described worldwide. We compared characteristics of underage (15-17 years old) and adult (≥18 years old) FSW in three main urban areas of Mozambique (Maputo, Beira and Nampula) using data fro...
Na África subsariana, a prevalência da infecção por vírus da hepatite B (VHB) varia entre 9-20% e da coinfecção VHB/vírus da imunodeficiência humana (VIH), entre 10-20%. VHB tem a patogénese centrada na resposta imunitária e VIH tem impacto na infecção por VHB por induzir maior risco de cron...
Castillo, Paola;
Martinez, Miguel J;
Ussene, Esperança;
Jordao, Dercio;
Lovane, Luciliao;
Ismail, Mamudo R;
Carrilho, Carla;
Lorenzoni, Cesaltina;
Fernandes, Fabiola;
Bene, Rosa;
Palhares, Antonio;
Ferreira, Luiz;
Mandomando, Inacio;
Vila, Jordi;
Hurtado, Juan Carlos;
Munguambe, Khátia;
Maixenchs, Maria;
Sanz, Ariadna;
Quinto, Llorenç;
Macete, Eusebio;
Alonso, Pedro;
Bassat, Quique;
Menendez, lara;
Ordi, Jaume.
There is an urgent need to identify tools able to provide reliable information on the cause of death in low-income regions, since current methods (verbal autopsy, clinical records, and complete autopsies) are either inaccurate, not feasible, or poorly accepted. We aimed to compare the performance of a st...
Introduction—The rapid scale-up of HIV care and treatment in resource-limited countries
requires concurrent, rapid development of health information systems to support quality service
delivery. Mozambique, a country with an 11.5% prevalence of HIV, has developed nation-wide
patient monitoring systems (...
Aptitude,
Delivery of Health Care,
d0062680,
Outcome Assessment, Health Care,
d0062950,
d0590120,
HIV-1/isolation & purification,
d0630050,
HIV Infections/therapy,
Monitoring, Physiologic/methods
Background In resource-limited countries, CD4 T-cell (CD4) testing continues to be used for determining antiretroviral therapy (ART) initiation eligibility and opportunistic infection monitoring. To support expanded access to CD4 testing, simple and robust technologies are necessary. We conducted this st...
Sensitivity and Specificity,
Reproducibility of Results,
Mozambique,
Middle Aged,
Men,
Humans,
HIV Seropositivity,
Allergy and Immunology,
Child, Preschool,
CD4 Lymphocyte Count/instrumentation,
HIV Infections/immunology
Audet, Carolyn M;
Blevins, Meridith;
Chire, Yazalde Manuel;
Aliyu, Muktar H;
Vaz, Lara M. E;
Antonio, Elisio;
Alvim, Fernanda;
Bechtel, Ruth;
Wester, C. William;
Vermund, Sten H.
Uptake of HIV testing and antiretroviral therapy (ART) services during antenatal care (ANC) in rural Mozambique is disappointing. To nurture supportive male engagement in ANC services, we partnered with traditional birth attendants and trained a new type of male-to-male community health agent, "Male Cham...
Community Health Workers,
Community-Based Participatory Research,
Counseling,
HIV Infections/diagnosis,
Infectious Disease Transmission, Vertical/prevention & control,
Mass Screening,
Midwifery,
Mozambique,
Pregnancy Complications, Infectious/diagnosis,
Pregnant Women/psychology,
Prenatal Care,
Sexual Partners,
Treatment Outcome
Hemminki, Elina;
Nwaru, Bright I;
Salomé, Graca;
Parkkali, Saara;
Abacassamo, Fatima;
Augusto, Orvalho;
Cliff, Julie;
Regushevskaya, Elena;
Dgedge, Martinho;
Sousa, Cesar;
Chilundo, Baltazar.
To compare routine versus selective (ie, screening and treatment for anaemia) prenatal iron prophylaxis in a malaria-endemic and HIV-prevalent setting, an extended analysis including previously missing data.
Design: A pragmatic randomised controlled clinical trial.
Setting: 2 health centres in Maputo, ...
Anemia/prevention & control,
Cesarean Section/statistics & numerical data,
Dietary Supplements,
Ferrous Compounds/administration & dosage,
Folic Acid/administration & dosage,
HIV Infections/complications,
Hemoglobins/analysis,
Iron/administration & dosage,
Malaria/complications,
Maternal Death/statistics & numerical data,
Mozambique,
Perinatal Death,
Premature Birth/epidemiology,
Prenatal Care/methods
Context: The effect of global health initiatives on population health is uncertain. Between 2003 and 2008, the US President's Emergency Plan for AIDS Relief (PEPFAR), the largest initiative ever devoted to a single disease, operated intensively in 12 African focus countries. The initiative's effect on al...
Africa/epidemiology,
Antiviral Agents/supply & distribution,
Antiviral Agents/therapeutic use,
Federal Government,
Capacity Building,
Africa South of the Sahara/epidemiology,
HIV Infections/drug therapy,
HIV Infections/mortality,
HIV Infections/prevention & control,
International Cooperation/legislation & jurisprudence,
Health Promotion/legislation & jurisprudence
Raquel Gonzalez and colleagues highlight an urgent need to evaluate antimalarials that can be safely administered to HIV-infected pregnant women on antiretroviral treatment and cotrimoxazole prophylaxis.
African HIV-infected pregnant women are the most vulnerable population group to
malaria infection.
...