Infectious Diseases
- Sustainability of Funding for HIV Treatment Services: A Cross-Sectional Survey of Patients' Willingness to Pay for Treatment Services in Nigeria
Many Nigerian patients are willing to pay for HIV treatment, but several socioeconomic factors play significant roles in willingness and capacity to pay for treatment and the maximum amounts patients are willing to pay.
- Casting a Wide Net: HIV Drug Resistance Monitoring in Pre-Exposure Prophylaxis Seroconverters in the Global Evaluation of Microbicide Sensitivity Project
Global Evaluation of Microbicide Sensitivity projects in 4 countries demonstrated the feasibility of establishing an HIV drug resistance monitoring program for pre-exposure prophylaxis (PrEP). These projects will provide valuable information on seroconversions in the context of PrEP use and will serve to inform Ministries of Health and policy makers on the need for long-term surveillance approaches.
- Human-Centered Design for Public Health Innovation: Codesigning a Multicomponent Intervention to Support Youth Across the HIV Care Continuum in Mozambique
Using a human-centered design approach, we codesigned CombinADO, an intervention to improve antiretroviral therapy adherence and retention in care among adolescents and young people living with HIV (AYAHIV) in Nampula, Mozambique. CombinADO aims to foster peer connectedness and belonging, provide accessible medical knowledge, demystify and destigmatize HIV, and cultivate a sense of hope among AYAHIV.
- HIV Care Continuum Services for People Who Inject Drugs in Kazakhstan During COVID-19: A Qualitative Study of Service Provider Perspectives
Needle and syringe programs (NSPs) in Kazakhstan have been crucial in providing care for people who inject drugs (PWID) during the COVID-19 pandemic. Additional supports and investments are needed to ensure that NSPs can continue to reach these marginalized populations while traditional medical systems are under strain.
- Strategies to Promote Health System Strengthening and Global Health Security at the Subnational Level in a World Changed by COVID-19
Structural weaknesses in national health systems have led to huge variations in responses to COVID-19. This calls for a unified approach to health security and essential health services as public health threats and the expectation for health care systems to provide improved access and services at affordable cost increases.
- Uptake and Short-Term Retention in HIV Treatment Among Men in South Africa: The Coach Mpilo Pilot Project
In this pilot project, providing peer support to men living with HIV retained a high proportion of men living with HIV in the early stages of HIV treatment and successfully supported men in returning to care after a treatment interruption.
- COVID-19 Vaccine Hesitancy
Improving access to accurate information on vaccines and vaccination, increasing trust in reliable information sources, and counteracting misinformation can go a long way toward improving vaccination decision making.
- Implementation of HIV Retesting During Pregnancy and Postpartum in Kenya: A Cross-Sectional Study
Strategies are needed to prevent missed opportunities to detect women with incident HIV infection during pregnancy or postpartum and maximize prevention of mother-to-child HIV transmission efforts.
- The Salience of Trust to the Client-Provider Relationship in Post-Ebola Guinea: Findings From a Qualitative Study
This qualitative study in post-Ebola Guinea showed that trust was a salient construct for clients making health care-seeking decisions in a postemergency setting. This analysis argues for global health programs to build trust between clients and the health system by addressing underlying domains of trust as defined by the clients themselves.
- Findings and Implications From an Evaluation of the Gold Star Campaign in Post-Ebola Guinea: The Role of Gender and Education
During public health crises, such as an Ebola epidemic, people may lose trust in local health facilities. Short-duration mass media campaigns can improve attitudes about the quality of health facilities for men and women and can play an important role in encouraging future health service utilization.