HIV/AIDS
- Bottlenecks and Solutions During Implementation of the DREAMS Program for Adolescent Girls and Young Women in Namibia
We analyze implementation bottlenecks experienced in the DREAMS program in Namibia that can provide valuable insights and suggest ways to anticipate and overcome these challenges when managing HIV and gender-based violence prevention programs for adolescent girls and young women.
- Willingness to Pay for HIV Prevention Commodities Among Key Population Groups in Nigeria
Exploring the willingness of certain population segments to pay for HIV commodities is the first step in developing strategies to maximize the use of free or subsidized products, increase access to products for key segments of the population, and ensure efficiency and sustainability of HIV prevention programming.
- Developing and Testing a Chatbot to Integrate HIV Education Into Family Planning Clinic Waiting Areas in Lusaka, Zambia
In response to the need to integrate HIV prevention content with FP counseling, a chatbot was developed and tested for use among FP clients in clinic waiting areas to leverage the time while they wait to see providers and guide them through a digital conversation on preventing both pregnancy and HIV.
- Multisectoral, Combination HIV Prevention for Adolescent Girls and Young Women: A Qualitative Study of the DREAMS Implementation Trajectory in Zambia
Our study of DREAMS implementation in Zambia identified key implementation successes and challenges experienced by implementing partners and program participants, from program rollout and throughout its evolution.
- Community Health Workers Improve HIV Disclosure Among HIV-Affected Sexual Partners in Rural Uganda: A Quasi-Experimental Study
HIV disclosure is critical to achieve positive HIV treatment and management outcomes. Community health worker–led mechanisms may be used to support disclosure among adults living with HIV in heterosexual relationships in rural settings.
- Costs and Cost-Effectiveness of mCME Version 2.0: An SMS-Based Continuing Medical Education Program for HIV Clinicians in Vietnam
This cost analysis found that a mobile phone-based continuing medical education (mCME) intervention, involving daily text messages with links to relevant materials, for HIV clinicians in northern Vietnam was relatively low-cost and cost-effective, particularly for future nationwide models. Such mobile approaches to CME are worthy of attention in resource-constrained settings.
- Infant Circumcision for Sexually Transmitted Infection Risk Reduction Globally
Population-based studies in high-income countries have failed to find that male circumcision protects against sexually transmitted infections. Using evidence from several sources, we show that male circumcision does protect against HIV during insertive intercourse for men who have sex with men.
- “Testing Can Be Done Anywhere”: A Qualitative Assessment of Targeted Community-Based Point-of-Care Early Infant Diagnosis of HIV in Lusaka, Zambia
Community-based point-of-care testing is an acceptable, appropriate, and feasible strategy for improving access to HIV diagnostic services for high-risk HIV-exposed infants.
- “Nothing for Us Without Us”: An Evaluation of Patient Engagement in an HIV Care Improvement Collaborative in the Caribbean
This evaluation suggests that it is both possible and valuable to include patients as partners in quality improvement efforts, especially when resources must be prioritized for the highest impact efforts. Patient engagement in the improvement process is particularly powerful when addressing illnesses that may be stigmatized such as HIV.
- A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia
Offering HIV self-testing services to key populations in Cambodia expanded HIV testing access to a large proportion of individuals with no prior testing history and resulted in high rates of new HIV case detection and subsequent linkages to HIV treatment.