The revolving door of HIV care: Revising the service delivery cascade to achieve the UNAIDS 95-95-95 goals.
Peter Ehrenkranz,Sydney Rosen,Andrew Boulle,Jeffrey W. Eaton,Nathan Ford,Matthew P. Fox,Matthew P. Fox,Anna Grimsrud,Brian Rice,Izukanji Sikazwe,Charles B. Holmes +10 more
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In this article, a cyclical cascade of care for people with HIV infection is presented, aiming to facilitate assessment of outcomes, and the authors present a cycle-based approach to the treatment of HIV infection.Abstract:
Peter Ehrenkranz and co-authors present a cyclical cascade of care for people with HIV infection, aiming to facilitate assessment of outcomes.read more
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Patterns of retention in care during clients first 12 months after HIV treatment initiation in South Africa: a retrospective cohort analysis using routinely collected data
TL;DR: In this article , the authors describe patterns of engagement in HIV care during the first and second 6-month periods after initiation and describe the needs of continuous and cyclical engagers and disengagers.
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HIV treatment, antiretroviral adherence and AIDS mortality in people who inject drugs: a scoping review
TL;DR: In this article , a systematic review of the engagement of people who inject drugs (PWID) into antiretroviral therapy (ART) was conducted and the results indicated very low engagement in ART.
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Barriers, Facilitators, and Strategies to Improve Participation of a Couple-Based Intervention to Address Women’s Antiretroviral Therapy Adherence in KwaZulu-Natal, South Africa
Jennifer M. Belus,Lindani I Msimango,Alastair van Heerden,Jessica F. Magidson,Valerie D. Bradley,Yvonne Mdakane,Heidi van Rooyen,Ruanne V. Barnabas +7 more
TL;DR: In this paper , the authors examined barriers and facilitators to participation in a cognitive behavioral couple therapy for women's ART adherence in KwaZulu-Natal, South Africa, and found that relationship context and the male partner's HIV status need to be addressed during recruitment, enrolment and during the intervention to promote uptake.
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Acceptability and uptake of oral HIV self-testing among rural community members in Tanzania: a pilot study
Abdallah Mkopi,Jeffrey E. Korte,Virginia W. Lesslie,Fedelis Mutiso,Donaldson F. Conserve,Omar Abdallah Juma +5 more
TL;DR: In this article , a prospective community-randomized pilot study was conducted to investigate if HIV oral self-testing would increase HIV testing uptake in Tanzanian rural community homes, and they found that availability of HIV self testing was associated with an enormous increase in HIV testing in a rural population.
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Whole person HIV services: a social science approach
TL;DR: In this paper , the authors highlight current thinking in the social sciences, emphasizing how understanding human behaviour can be leveraged to improve HIV service delivery and highlight how factors synergize to influence human behaviour and decision-making.
References
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Journal ArticleDOI
Human Immunodeficiency Virus Transmission at Each Step of the Care Continuum in the United States
Jacek Skarbinski,Eli S. Rosenberg,Gabriela Paz-Bailey,H. Irene Hall,Charles E. Rose,Abigail H. Viall,Jennifer L. Fagan,Amy Lansky,Jonathan Mermin +8 more
TL;DR: In this paper, a multistep, static, deterministic model was used to estimate the rate and number of HIV transmissions attributable to persons at each of the following 5 HIV care continuum steps: HIV infected but undiagnosed, HIV diagnosed but not retained in medical care, retained in care but not prescribed antiretroviral therapy, prescribed antirrhoehrgical therapy but not virally suppressed, and virally suppressing.
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Toward an understanding of disengagement from HIV treatment and care in sub-Saharan Africa: a qualitative study.
Norma C. Ware,Monique A. Wyatt,Elvin Geng,Sylvia Kaaya,Oche Agbaji,Winnie Muyindike,Guerino Chalamilla,Patricia A. Agaba +7 more
TL;DR: A large qualitative study among patients in HIV treatment programs in sub-Saharan Africa to investigate reasons for missed visits and provide an explanation for disengagement from care finds no cause for concern.
Journal ArticleDOI
What Is Required to End the AIDS Epidemic as a Public Health Threat by 2030? The Cost and Impact of the Fast-Track Approach
TL;DR: It is indicated that it is possible to achieve these goals with a significant push to achieve rapid scale-up of key interventions between now and 2020 with the estimated resources needed to achieve them in low- and middle-income countries.
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Retention in Care and Patient-Reported Reasons for Undocumented Transfer or Stopping Care Among HIV-Infected Patients on Antiretroviral Therapy in Eastern Africa: Application of a Sampling-Based Approach.
Elvin Geng,Thomas A. Odeny,Rita Lyamuya,Alice Nakiwogga-Muwanga,Lameck Diero,Mwebesa Bwana,Paula Braitstein,Geoffrey Somi,Andrew Kambugu,Elizabeth A. Bukusi,Megan Wenger,Torsten B. Neilands,David V. Glidden,Kara Wools-Kaloustian,Constantin T. Yiannoutsos,Jeffrey N. Martin +15 more
TL;DR: Accounting for outcomes among those lost to follow-up yields a more informative assessment of retention, and structural barriers contribute most to silent transfers, whereas psychological and social barriers tend to result in longer-term care discontinuation.
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A side door into care cascade for HIV-infected patients?
TL;DR: It is hypothesize that supplementing the traditional linear cascade model with patient health-seeking behaviors that allow patients who are not in pre-ART care to be initiated on ART, is essential to fully characterizing the current functioning of ART programs.