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
This is the first integrated biological and behavioral surveillance survey among long-distance truck drivers (LDTD) in Mozambique. Using modified time-location sampling in 2012 at a key transportation junction (Inchope), we enrolled 327 male LDTD. HIV prevalence was 15.4 % (95 % confidence interval : 11....
Condoms/statistics & numerical data,
Mozambique,
HIV Infections/diagnosis,
HIV Infections/epidemiology,
HIV Infections/transmission,
Motor Vehicles,
Occupations,
Prevalence,
Risk Factors,
Risk-Taking,
Safe Sex/psychology,
Safe Sex/statistics & numerical data,
Sexual Behavior/statistics & numerical data,
Sexual Partners,
Surveys and Questionnaires,
Transportation,
Unsafe Sex/psychology,
Unsafe Sex/statistics & numerical data
Introduction: Despite significant gains in access to early infant diagnosis (EID) over the past decade, most HIV-exposed infants still do not get tested for HIV in the first two months of life. For those who are tested, the long turnaround time between when the sample is drawn and when the results are re...
The objective of this study was to quantify the impact of a new technology to communicate the results of an infant HIV diagnostic test on test turnaround time and to quantify the association between late delivery of test results and patient loss to follow-up. We used data collected during a pilot impleme...
Elul, batya;
Lahuerta, maria;
Abacassamo, Fatima;
Lamb, matthew, r;
Ahoua, laurence;
McNairy, margaret, l;
Tomo, Maria;
Horowitz, deborah;
Sutton, roberta;
Mussa, antonio;
Gurr, danielle;
Jani, ilesh, v.
Background: Despite the extraordinary scale up of HIV prevention, care and treatment services in sub-Saharan Africa (SSA) over the past decade, the overall effectiveness of HIV programs has been significantly hindered by high levels of attrition across the HIV care continuum. Data from “real-life” se...
Anti-HIV Agents/therapeutic use,
HIV Infections/diagnosis,
CD4 Lymphocyte Count,
Mozambique,
Clinical Protocols,
Anti-HIV Agents,
HIV Infections/therapy,
HIV Infections/immunology,
Patient Compliance,
Catchment Area, Health
Baltazar, cynthia semá;
Raposo, cristina;
Jani, ilesh, v;
Shodell, daniel;
Correia, della;
Silva, cristiane gonçalves da;
Kalou, mireille;
Patel, hetal;
Parekh, bharat.
Simplified HIV testing based on oral fluid (OF) may allow the expansion of HIV infection counseling and testing (CT) while reducing the risk due to exposure to needles and blood collection. This study evaluated the performance and acceptability of two OF tests (the OraQuick Advance Rapid HIV-1/2 and the ...
González, Raquel;
Desai, Meghna;
Macete 3, Eusebio;
Ouma, Peter;
Kakolwa, Mwaka A;
Abdulla, Salim;
Aponte, John J;
Bulo, Helder;
Kabanywanyi, Abdunoor M;
Katana, Abraham;
Maculuve, Sonia;
Mayor, Alfredo;
Nhacolo, Arsenio;
Otieno, Kephas;
Pahlavan, Golbahar;
Rupérez, María;
Sevene, Esperança;
Slutsker, Laurence;
Vala, Anifa;
Williamsom, John;
Menéndez, Clara.
Background: Intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) is recommended for malaria prevention in HIV-negative pregnant women, but it is contraindicated in HIV-infected women taking daily cotrimoxazole prophylaxis (CTXp) because of potential added risk of adve...
Antimalarials/administration & dosage,
Double-Blind Method,
Follow-Up Studies,
HIV Infections/diagnosis,
HIV Infections/drug therapy,
HIV Infections/epidemiology,
Infectious Disease Transmission, Vertical/prevention & control,
Malaria/diagnosis,
Malaria/epidemiology,
Malaria/prevention & control,
Mefloquine/administration & dosage,
Pregnancy Complications, Infectious/diagnosis,
Pregnancy Complications, Infectious/epidemiology,
Pregnancy Complications, Infectious/prevention & control,
Pregnancy Complications, Parasitic/diagnosis,
Pregnancy Complications, Parasitic/epidemiology,
Pregnancy Complications, Parasitic/prevention & control,
Pregnancy Outcome,
Mozambique/epidemiology,
Tanzania/epidemiology,
Kenya/epidemiology,
Trimethoprim, Sulfamethoxazole Drug Combination/administration & dosage
Hyle, emily, p;
Jani, ilesh, v;
Lehe, jonathan;
Su, amanda, e;
Wood, robin;
Quevedo, jorge;
Losina, elena;
Bassett, ingrid, v;
Pei, pamela, p;
Paltiel, a, david;
Resch, stephen;
Freedberg, kenneth, a;
Peter, trevor;
Walensky, rochelle, p.
Background: Point-of-care CD4 tests at HIV diagnosis could improve linkage to care in resource-limited settings. Our objective is to evaluate the clinical and economic impact of point-of-care CD4 tests compared to laboratory-based tests in Mozambique.
Methods and findings: We use a validated model of HIV...
CD4 Lymphocyte Count/economics,
CD4 Lymphocyte Count/methods,
Cost-Benefit Analysis/economics,
Cost-Benefit Analysis/methods,
HIV Infections/diagnosis,
HIV Infections/epidemiology,
HIV Infections/economics,
Health Care Costs,
Health Resources/economics,
Mozambique/epidemiology,
Point-of-Care Systems/economics
Background: The prevalence and determinants of HIV and late diagnosis of HIV in young women in Beira, Mozambique, were estimated in preparation for HIV prevention trials.
Methods: An HIV prevalence survey was conducted between December 2009 and October 2012 among 1,018 women aged 18-35 with two or more ...
Background: Opt-out HIV testing is offered at 70% of antenatal care (ANC) clinics in Mozambique through the
prevention of mother-to-child transmission (PMTCT) program. If routine data from this program were of sufficient
quality, their heightened coverage and continuous availability could complement or e...
HIV Infections/diagnosis,
HIV Infections/epidemiology,
HIV Infections/prevention & control,
Infectious Disease Transmission, Vertical/prevention & control,
Infectious Disease Transmission, Vertical/statistics & numerical data,
Mozambique/epidemiology,
Pregnancy Complications, Infectious/diagnosis,
Pregnancy Complications, Infectious/epidemiology,
Pregnancy Complications, Infectious/prevention & control,
Pregnancy Complications, Infectious/virology,
Prevalence,
Sentinel Surveillance
