Provider and Administrator Experiences With Providing HIV Treatment and Prevention Services in Rural Areas

2017 ◽  
Vol 29 (1) ◽  
pp. 77-91 ◽  
Author(s):  
Heather R. Rodriguez ◽  
Aram Dobalian
Keyword(s):  
Rural Areas ◽  
Hiv Treatment ◽  
Prevention Services ◽  
Treatment And Prevention

scholarly journals SWTICH DE ESQUEMAS ANTIRRETROVIRAIS DURANTE A PANDEMIA DE COVID-19 EM UM CENTRO DE REFERÊNCIA DA AMÉRICA LATINA

RAHIS ◽  
2021 ◽  
Vol 18 (4) ◽  
pp. 168-169
Author(s):  
Dirce Inês Silva ◽  
Isabela Estrela Santos ◽  
Jaqueline Xavier Oliveira
Keyword(s):  
Research Society ◽  
Hiv Treatment ◽  
Services Research ◽  
Prevention Services ◽  
Treatment And Prevention ◽  
The Social ◽  
America Latina ◽  
Terapia Antirretroviral ◽  
The Impact ◽  
Brazilian Journal

INTRODUÇÃO : O tratamento da infecção pelo vírus da imunodeficiência humana (HIV) é realizado por meio da terapia antirretroviral (TARV) e vem apresentando avanços importantes no decorrer dos anos. Ocorreu a introdução de novas drogas e classes que ampliaram de modo significativo as opções para o tratamento da infecção pelo HIV-1. Existem razões para a troca (Swtich) da TARV, são eles : manutenção da supressão viral, resistência, probabilidade de maior adesão ao tratamento, eventos adversos, interações medicamentosas (1). Durante a pandemia de Covid-19 que vivenciamos desde março de 2020 no Brasil muitas dificuldades ocorreram nos serviços de saúde, principalmente para as pessoas que vivem com HIV como : acesso aos serviços, diagnóstico, tratamento e acompanhamento (2.3). OBJETIVO: Avaliar a prevalência de trocas de esquemas em um centro de referência da América Latina no período de Janeiro de 2020 a 31 de Julho de 2021.METODOLOGIA : Realizamos um estudo transversal no período de 2020 a 2021 , utilizando o sistema de informação : Sistema de Controle Logístico de Medicamentos (SICLOM) do Ministério da Saúde . Os dados foram analisados no Statistical Package for the Social Science(SPSS® ) 22.RESULTADOS : No período do estudo foram detectadas 473 trocas. Em 2020 ocorreram 283 trocas, 83 em mulheres e 200 em homens. E 2021 até o dia 31/07/2021 foram detectadas 190 trocas, 76 ocorreram em mulheres e 114 em homens. As trocas ocorreram devido : resistência, reações adversas, gestação , tratamento concomitante da tuberculose e simplificação do tratamento ( Figura 1 e 2)).   Figura 1 – Ocorências de Swtich de esquemas antirretroviraisFigura 2- Razões de Trocas de Esquemas Antiretrovirais CONCLUSÃO : Swtich dos esquemas antirretrovirais em utilização pode ser uma estratégia de simplificação da TARV, melhoria da adesão, e em muitos casos a redução de eventos adversos. O arsenal terapêutico no contexto brasileiro é diversificado permitindo uma troca com segurança e sem risco de perda da eficácia virológica. Sendo uma estratégia para enfrentamento da infecção pelo HIV mesmo em tempos de pandemia do COVID19. REFERÊNCIAS:1-Brites, Carlos. Terapia antirretroviral atual: tendências e desafios. Estratégias de troca (switch) naterapia antirretroviral atual. Brazilian Journal of Infectious DiseaseVol 2 . Nº 1 . Fevereiro 20162- Moura, Maria Lucia Costa de. (2020). Coronavírus e COVID-19. Revista Saúde Coletiva, 53, 10.3- Parente, J. da S.; Azevedo, S. L. de .; Moreira, L. da F. A.; Abreu, L. M. .; Souza, L. V. de. The impact of social isolation on the COVID-19 pandemic on access to HIV treatment and prevention services. Research, Society and Development, [S. l.], v. 10, n. 1, p. e28110111692, 2021.  

Training in HIV Psychiatry

2017 ◽  
Author(s):  
David M. Stoff ◽  
Mary Ann Cohen ◽  
Marshall Forstein ◽  
Anna L. Dickerman ◽  
Daena L. Petersen
Keyword(s):  
Diversity Training ◽  
Research Training ◽  
Hiv Treatment ◽  
Aids Education ◽  
Hiv Education ◽  
Prevention Services ◽  
Treatment And Prevention ◽  
Research Workforce ◽  
Living With Hiv ◽  
Hiv Aids

HIV education and training can improve HIV treatment and prevention services, improve HIV-related education, and increase the number of clinicians and investigators working with persons at risk for and living with HIV/AIDS. This chapter presents a biopsychosocial, integrated model of HIV/AIDS education for psychiatry trainees, relevant curriculum and content areas of HIV/AIDS education, and related areas, such as teaching treatment approaches and implementation of training curricula. HIV education is enriched through a balanced approach that emphasizes the importance of diversity training as well as research training. National Institutes of Health (NIH) research training and career development opportunities are highlighted, as are diversity issues in HIV psychiatry for the training of a diverse research workforce.

scholarly journals “But I Gathered My Courage”: HIV Self-Testing as a Pathway of Empowerment Among Ugandan Female Sex Workers

2021 ◽  
Vol 31 (3) ◽  
pp. 443-457
Author(s):  
Jonas Wachinger ◽  
Daniel Kibuuka Musoke ◽  
Catherine E. Oldenburg ◽  
Till Bärnighausen ◽  
Katrina F. Ortblad ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Sense Of Self ◽  
Qualitative Interviews ◽  
Hiv Treatment ◽  
Prevention Services ◽  
Female Sex ◽  
Treatment And Prevention ◽  
Self Testing ◽  
Framework Approach

HIV self-testing (HIVST) increases HIV testing in diverse populations, but little is known about the experiences of individuals who self-test. We used a five-step framework approach to analyze 62 qualitative interviews with 33 female sex workers (FSWs) participating in an HIVST trial in urban Uganda. Notions of empowerment emerged from the data, and findings were interpreted based on Kabeer’s empowerment framework of resources, agency, and achievements. We found that access to HIVST bolstered empowerment because it increased participant’s time and money (resources), control of testing circumstances and status disclosure (agency), and sense of competency (achievements). In addition, we found that knowledge of HIV status empowered participants to better control HIV-related behaviors (agency) and recognize a new sense of self (achievements). This suggests that the availability of HIVST can facilitate feelings of empowerment, meriting a higher awareness for benefits outside of linkage to HIV treatment and prevention services.

scholarly journals When to start ART in adults? The results of HPTN 052 move us closer to a test-and-treat policy

2011 ◽  
Vol 12 (3) ◽  
pp. 9 ◽  
Author(s):  
Nathan Geffen
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Treatment ◽  
Cd4 Count ◽  
World Health ◽  
Hiv Positive ◽  
Who Guidelines ◽  
Test And Treat ◽  
Prevention Services ◽  
Treatment And Prevention ◽  
Health Organization

When is the best time to initiate antiretroviral therapy (ART) in adults? This is a vital question in HIV treatment and prevention services. More specifically, is the 350 cells/µl CD4 count threshold recommended by current World Health Organization (WHO) guidelines sufficient, or should we move to a ‘test-and-treat’ approach in which anyone who tests HIV-positive is offered ART, irrespective of their CD4 count? The recently announced results of the HPTN 052 trial take us closer, but not all the way, to a test-and-treat approach.

Progress countering HIV/AIDS in Africa may be at risk

2017 ◽  
Keyword(s):  
At Risk ◽  
Hiv Treatment ◽  
Hiv And Aids ◽  
Sub Saharan Africa ◽  
Content Type ◽  
Prevention Services ◽  
Treatment And Prevention ◽  
Budget Support ◽  
Sub Saharan ◽  
Hiv Aids

Significance HIV and AIDS have slipped from the public radar in recent years but nonetheless remains a serious health challenge across sub-Saharan Africa (SSA). Efforts to control the epidemic may well be put at risk following recent US policy announcements that are likely to undermine prevention efforts. Impacts The US Mexico City Policy will damage HIV/AIDS programming through its effects on critical sexual and reproductive health (SRH) services. Growing drug resistance to HIV treatment will impair both treatment and prevention services, leading to increased deaths and new infections. Weak health systems and lack of domestic support jeopardises the sustainability of HIV services. Emerging health crises may divert donor attention and budget support from HIV/AIDS organisations at a time when momentum is needed.

scholarly journals The Promise of Improved Adherence With Long-Acting Antiretroviral Therapy: What Are the Data?

2021 ◽  
Vol 20 ◽  
pp. 232595822110090
Author(s):  
Kimberly K. Scarsi ◽  
Susan Swindells
Keyword(s):  
Medication Adherence ◽  
Antiretroviral Therapy ◽  
Hiv Treatment ◽  
Virologic Suppression ◽  
Social Barriers ◽  
Treatment And Prevention ◽  
Undetectable Viremia ◽  
Long Acting ◽  
Available Information ◽  
Living With Hiv

As with other chronic conditions, adherence to daily medications remains a challenge for many individuals living with HIV due to structural, behavioral, and social barriers. Unfortunately, high levels of adherence to antiretroviral therapy are required to maintain virologic suppression. Alternative approaches are being explored to decrease the burden of daily pill administration, including long-acting injectable, oral, and implantable products. Phase 3 data support the efficacy of nanoformulated injectable cabotegravir and rilpivirine for HIV treatment in patients with undetectable viremia, but we have yet to learn how this strategy may benefit those with medication adherence challenges. Despite this, the affected community and HIV providers are very interested in exploring the role of long-acting therapies to address some types of barriers to medication adherence. This review summarizes available information about the potential for long-acting therapy to improve adherence for some patients and outlines associated opportunities and challenges with the implementation of long-acting therapy for the treatment and prevention of HIV.

scholarly journals SimpactCyan 1.0: An Open-source Simulator for Individual-Based Models in HIV Epidemiology with R and Python Interfaces

2018 ◽  
Author(s):  
Jori Liesenborgs ◽  
Diana M Hendrickx ◽  
Elise Kuylen ◽  
David Niyukuri ◽  
Niel Hens ◽  
...  
Keyword(s):  
Open Source ◽  
Hiv Infections ◽  
Hiv Treatment ◽  
Model Parameters ◽  
Eligibility Criteria ◽  
Hiv Epidemiology ◽  
Treatment And Prevention ◽  
Individual Based Models ◽  
Prevention Programmes ◽  
The Impact

ABSTRACTSimpactCyan is an open-source simulator for individual-based models in HIV epidemiology. Its core algorithm is written in C++ for computational efficiency, while the R and Python interfaces aim to make the tool accessible to the fast-growing community of R and Python users. Transmission, treatment and prevention of HIV infections in dynamic sexual networks are simulated by discrete events. A generic “intervention” event allows model parameters to be changed over time, and can be used to model medical and behavioural HIV prevention programmes. First, we describe a more efficient variant of the modified Next Reaction Method that drives our continuous-time simulator. Next, we outline key built-in features and assumptions of individual-based models formulated in SimpactCyan, and provide code snippets for how to formulate, execute and analyse models in SimpactCyan through its R and Python interfaces. Lastly, we give two examples of applications in HIV epidemiology: the first demonstrates how the software can be used to estimate the impact of progressive changes to the eligibility criteria for HIV treatment on HIV incidence. The second example illustrates the use of SimpactCyan as a data-generating tool for assessing the performance of a phylodynamic inference framework.

scholarly journals Pengeluaran out of pocket rumah tangga untuk upaya pencegahan kesehatan anak: analisis berbasis two part model dan Tobit

2019 ◽  
Vol 35 (1) ◽  
pp. 1
Author(s):  
Marlinda Marlinda ◽  
Vetty Yulianty Permanasari
Keyword(s):  
Child Health ◽  
Rural Areas ◽  
Health Expenditures ◽  
Preventive Health ◽  
Vulnerable Groups ◽  
Household Expenditure ◽  
Health Prevention ◽  
Economic Determinants ◽  
Prevention Services ◽  
Part Model

Out-of-pocket household expenditure for child health prevention services: two-part and tobit modelPurposeTo find out socio-economic determinants and the amount of out-of-pocket (OOP) for household expenditure in health prevention for children.MethodsThis study compared two approaches from several alternative assumptions including the two-part model and Tobit, which can be used when variable analysis has a problem selection. The dependent variable was household expenditure for children health prevention services in Indonesia, where the probability of dependent variable was affected by latent variables.ResultsThe two-part model and Tobit estimate that rural areas in NTT province can reduce out-of-pocket preventive health expenditures for children three times lower than the rural provinces of Papua. The higher the education of the head of the household, the greater of the possibility of preventive out-of-pocket child health is. Distribution of poverty rates based on quintiles provides a regressive picture of the poorest households based on expenditure per capita.  ConclusionThis study is expected to be a comprehensive policy recommendation to suppress out-of-pocket preventive health expenditures for children. Thus, the distribution of health services is a priority for vulnerable groups (children) and the poor.

scholarly journals Revised guidelines for HIV testing, counselling, and screening in the United States

2002 ◽  
Vol 6 (1) ◽  
Author(s):  
K. A. Fenton ◽  
C McGarrigle
Keyword(s):  
United States ◽  
Pregnant Women ◽  
Service Providers ◽  
The United States ◽  
Hiv Treatment ◽  
Hiv Screening ◽  
Policy Makers ◽  
Treatment And Prevention ◽  
Perinatally Acquired ◽  
Clinical Advances

The Centers for Disease Control (CDC) in the United States has published a report containing revised guidelines for HIV counselling, testing, and referral (CTR), and revised recommendations for HIV screening of pregnant women (1). The CTR guidelines replace the existing 1994 guidelines (2) and contain recommendations for policy-makers and service providers of HIV CTR. The revised recommendations for HIV screening for pregnant women replace the 1995 guidelines (3). The revision was prompted by recent advances in both HIV CTR and HIV treatment and prevention and clinical advances in preventing perinatally acquired HIV.

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