Results: 274

HIV status, Fertility Intentions, and Contraception in the Era of Expanded Access to Antiretroviral Therapy: A Case Study of Rural Mozambique

Glob. public health; 13 (5), 2016
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...

Socio-demographic, Behavioral and Health Characteristics of Underage Female Sex Workers in Mozambique: The Need to Protect a Generation from HIV Risk

AIDS behav; 19 (12), 2016
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...

Infecção oculta por vírus da hepatite B em doentes com anti-HBc isolado e coinfecção por vírus da imunodeficiência humana, Maputo, Moçambique
Occult hepatitis B virus infection in patients with isolated anti-HBc and human immunodeficiency virus co-infection, Maputo, Mozambique

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...

Validity of a Minimally Invasive Autopsy for Cause of Death Determination in Adults in Mozambique: An Observational Study

PloS med; 13 (11), 2016
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...

Scaling-up health information systems to improve HIV treatment: An assessment of initial patient monitoring systems in Mozambique

AIDS res. ther; 97 (322), 2016
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 (...

Performance Evaluation of the MyT4 Technology for Determining ART Eligibility

PLos ONE; 11 (10), 2016
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...

Engagement of Men in Antenatal Care Services: Increased HIV Testing and Treatment Uptake in a Community Participatory Action Program in Mozambique

AIDS behav; 20 (9), 2016
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...

Is selective prenatal iron prophylaxis better than routine prophylaxis: final results of a trial (PROFEG) in Maputo, Mozambique

BMJ Open; 6 (6), 2016
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, ...

HIV development assistance and adult mortality in Africa

JAMA; 16 (307), 2016
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...

A public health paradox: the women most vulnerable to malaria are the least protected

PloS med; 13 (5), 2016
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. ...