HIV epidemiology, prevention, treatment, and implementation strategies for public health

A Mody, AH Sohn, C Iwuji, RKJ Tan, F Venter, EH Geng - The Lancet, 2024 - thelancet.com
The global HIV response has made tremendous progress but is entering a new phase with
additional challenges. Scientific innovations have led to multiple safe, effective, and durable …

Prior exposure to antiretroviral therapy among adult patients presenting for HIV treatment initiation or reinitiation in sub-Saharan Africa: a systematic review

M Benade, M Maskew, A Juntunen, DB Flynn… - BMJ open, 2023 - bmjopen.bmj.com
Objectives As countries have scaled up access to antiretroviral therapy (ART) for HIV,
attrition rates of up to 30% annually have created a large pool of individuals who initiate …

Effects of implementing universal and rapid HIV treatment on initiation of antiretroviral therapy and retention in care in Zambia: a natural experiment using regression …

A Mody, I Sikazwe, AS Namwase, MW Mwanza… - The Lancet …, 2021 - thelancet.com
Background Universal testing and treatment (UTT) for all people living with HIV has only
been assessed under experimental conditions in cluster-randomised trials. The public …

The importance of the “how”: the case for differentiated service delivery of long‐acting and extended delivery regimens for HIV prevention and treatment

A Grimsrud, L Wilkinson… - Journal of the …, 2023 - Wiley Online Library
Introduction Long‐acting and extended delivery (LAED) regimens for HIV treatment and
prevention offer unique benefits to expand uptake, effective use and adherence. To date …

Identifying longitudinal patterns of HIV treatment (dis) engagement and re-engagement from oral histories of virologically unsuppressed persons in Uganda: A …

JG Rosen, N Nakyanjo, WG Ddaaki, T Zhao… - Social Science & …, 2023 - Elsevier
Background There is limited study of persons deemed “harder to reach” by HIV treatment
services, including those discontinuing or never initiating antiretroviral therapy (ART). We …

Effect of a multicomponent, person-centred care intervention on client experience and HIV treatment outcomes in Zambia: a stepped-wedge, cluster-randomised trial

K Sikombe, A Mody, CW Goss, S Simbeza… - The Lancet …, 2024 - thelancet.com
Background Recipients of health services value not only convenience but also respectful,
kind, and helpful providers. To date, research to improve person-centred HIV treatment has …

Patterns of person‐centred communications in public HIV clinics: a latent class analysis using the Roter interaction analysis system

N Mukamba, C Mwamba, S Redkar… - Journal of the …, 2023 - Wiley Online Library
Introduction Poor client− provider communication is a critical barrier to long‐term retention in
care among people living with HIV. However, standardized assessments of this key metric …

Comparison of patient exit interviews with unannounced standardised patients for assessing HIV service delivery in Zambia: a study nested within a cluster …

K Sikombe, JM Pry, A Mody, B Rice, C Bukankala… - BMJ open, 2023 - bmjopen.bmj.com
Objectives To compare unannounced standardised patient approach (eg, mystery clients)
with typical exit interviews for assessing patient experiences in HIV care (eg, unfriendly …

Socio-cognitive facilitators of ART-adherence among predominantly black sexual and gender minoritized persons living with HIV in Atlanta, Georgia: a latent profile …

JM Wiginton, LA Eaton, VA Earnshaw… - Journal of Behavioral …, 2024 - Springer
Abstract The Integrated Change Model describes several social and cognitive factors (eg,
health attitudes, social support, self-efficacy) that can affect medication adherence. Guided …

Incidence and predictors of attrition from HIV treatment among adults living with HIV in high‐caseload facilities following implementation of universal test and treat …

A Bekele, I Ahmed, F Tefera, JA Yimam… - HIV …, 2024 - Wiley Online Library
Background The introduction of universal test and treat (UTT) strategy has demonstrated a
reduction in attrition in some low‐resource settings. UTT was introduced in Ethiopia in 2016 …