Resultados: 11

Incidência de falência terapêutica aos regimes de tratamento antirretroviral (tarv) de primeira escolha em crianças menores de 15 anos em moçambique, ano de 2019

Moçambique tem uma das maiores epidemias de HIV em crianças no continente africano. Estimava-se que 150 mil crianças entre 0 a 14 anos viviam com HIV em 20191 . Embora o acesso ao Tratamento Antirretroviral (TARV) ainda constitua um desafio, com apenas 63% das crianças vivendo com HIV em TARV em 2019...

HIV-exposed infant follow-up in Mozambique: formative research findings for the design of a cluster randomized controlled trial to improve testing and ART initiation

Background: Early infant diagnosis (EID) of HIV-exposed and initiation of HIV-positive infants on anti-retroviral therapy (ART) requires a well-coordinated cascade of care. Loss-to-follow-up (LTFU) can occur at multiple steps and effective EID is impeded by human resource constraints, difficulty with pat...

Impacts on knowledge and testing on HIV in waves of Mozambique surveys with Bayes estimates

PLos ONE; 15 (12), 2020
It is well known that it is more reliable to investigate the effects of several covariates simultaneously rather than one at time. Similarly, it is more informative to model responses simultaneously, as more often than not, the multiple responses from the same subject are correlated. This is particularly...

Performance of point-of-care birth HIV testing in primary health care clinics: An observational cohort study

PLOS ONE; 13 (6), 2018
Worldwide only 43% of infants infected with HIV have access to antiretroviral treatment (ART). Despite significant global efforts to expand access to paediatric treatment, coverage lags behind adult ART and may not reach the 90-90-90 goals by 2020 as set by UNAIDS [2]. Resolving this paediatric ART gap i...

Early diagnosis of preeclampsia using placental growth factor: An operational pilot study in Maputo, Mozambique

n well-resourced settings, reduced circulating maternal free placental growth factor (PlGF) aids in either predicting or confirming the diagnosis of preeclampsia, fetal growth restriction, stillbirth, preterm birth, and delivery within 14 days of testing when pre-eclampsia is suspected. This operational ...

Avaliação do cumprimento do algoritmo para o diagnóstico precoce infantil do HIV e conduta clínica dos casos pós diagnóstico nas Unidades Sanitárias da cidade de Maputo em 2015

A transmissão vertical é a principal via de infecção pelo Virus de Imunodeficiência Adquirida (HIV) em crianças e pode ocorrer durante a gestação (10-25%), durante o parto (35-50%), ou depois do parto através do aleitamento materno (20-25%). Na ausência de Tratamen...

Scaling up HIV viral load - lessons from the large-scale implementation of HIV early infant diagnosis and CD4 testing

J. int. aids soc; 7 (7), 2017
Introduction: The scale-up of effective HIV viral load (VL) testing is an urgent public health priority. Implementation of testing is supported by the availability of accurate, nucleic acid based laboratory and point-of-care (POC) VL technologies and strong WHO guidance recommending routine testing to id...

Point-of-care p24 infant testing for HIV may increase patient identification despite low sensitivity

PLos ONE; 12 (1), 2017
The long delay in returning test results during early infant diagnosis of HIV (EID) often causes loss-to-follow-up prior to antiretroviral treatment (ART) initiation in resource-limited settings. A point-of-care (POC) test may help overcome these challenges. We evaluated the performance of the LYNX p24 A...

Reducing mortality in HIV-infected infants and achieving the 90-90-90 target through innovative diagnosis approaches

J. int. aids soc; 18 (6), 2015
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...

High Rates of HIV Seroconversion in Pregnant Women and Low Reported Levels of HIV Testing among Male Partners in Southern Mozambique: Results from a Mixed Methods Study
High rates of HIV seroconversion in pregnant women and low reported levels of HIV testing among male partners in Southern Mozambique: results from a mixed methods study

PLos ONE; 9 (12), 2014
Introduction: Prevention of acute HIV infections in pregnancy is required to achieve elimination of pediatric HIV. Identification and support for HIV negative pregnant women and their partners, particularly serodiscordant couples, are critical. A mixed method study done in Southern Mozambique estimated H...