Enhancing an HIV index case testing passive referral model through a behavioural skills-building training for healthcare providers: A pre-/post-assessment in Mangochi District, Malawi
INTRODUCTION: Although knowledge of HIV positivity is a necessary step towards engagement in HIV care, more than one quarter of HIV-positive Malawians remain unaware of their HIV status. Testing the sexual partners, guardians and children of HIV-positive persons (index case finding or ICF) is a promising way of identifying HIV-positive persons unaware of their HIV status.
Qualitative assessment of South African healthcare worker perspectives on an instrument-free rapid CD4 test
BACKGROUND: Accurate measurement of CD4 cell counts remains an important tenet of clinical care for people living with HIV. We assessed an instrument-free point-of-care CD4 test (VISITECT(R) CD4) based on a lateral flow principle, which gives visual results after 40 min. The test involves five steps and categorises CD4 counts as above or below 350 cells/muL. As one component of a performance evaluation of the test, this qualitative study explored the views of healthcare workers in a large women and children's hospital on the acceptability and feasibility of the test.
It was estimated that 1.2 million people live with HIV/AIDS in Zambia by 2015. Zambia has developed and implemented diverse programs to reduce the prevalence in the country. HIV-testing is a critical step in HIV treatment and prevention, especially among all the key populations. However, there is no systematic review so far to demonstrate the trend of HIV-testing studies in Zambia since 1990s or synthesis the key factors that associated with HIV-testing practices in the country.
Malawi’s National Guidelines on Nutrition Care, Support, and Treatment for Adolescents and Adults, Second Edition
Integrating high-quality nutrition care, support, and treatment (NCST) services into service delivery platforms for HIV and tuberculosis (TB) requires providing healthcare workers with guidelines, job aids, and monitoring tools to facilitate effective prevention and treatment of malnutrition. To meet this need, the Food and Nutrition Technical Assistance III Project (FANTA) and partners have updated Malawi’s national NCST guidelines to include the latest international guidance on nutrition.
The quality of voluntary medical male circumcision done by mid-level workers in Tshwane District, South Africa: A retrospective analysis
Voluntary medical male circumcision (VMMC) reduces the acquisition of human immunodeficiency virus (HIV) in heterosexual men by up to 60%. One HIV infection is averted for every 5 to 15 VMMCs. To conduct VMMCs in large populations, large numbers of trained healthcare professionals are needed. Countries in Sub-Saharan Africa have a high burden of HIV and a shortage of healthcare professionals, creating a healthcare conundrum. To bridge this gap, South Africa launched a new cadre of mid-level medical worker called Clinical Associates (CA).
Working closely with International Center for AIDS Care and Treatment Programs (ICAP) in Sub-Saharan African country TBD, the Key Populations Advisor will support the CDC–funded project Behavioral and Biological Surveillance of HIV among Key Populations to Improve HIV-related Services and Utilization in Sub-Saharan African country TBD AIDS Relief (PEPFAR) – CDC-RFA-GH17-1736.
Extent of disclosure: what perinatally HIV-infected children have been told about their own HIV status
How and when to disclose a positive HIV diagnosis to an infected child is a complex challenge for caregivers and healthcare workers. With the introduction of antiretroviral therapy, pediatric HIV infection has transitioned from a fatal disease to a lifelong chronic illness, thus increasing the need to address the disclosure process. As HIV-infected children mature, begin to take part in management of their own health care, and potentially initiate HIV-risk behaviors, understanding the nature of their infection becomes essential.
A latent trait approach to measuring HIV/AIDS related stigma in healthcare professionals: application of mokken scaling technique
The attitudes of healthcare professionals towards HIV positive patients and high risk groups are central to the quality of care and therefore to the management of HIV/AIDS related stigma in health settings. Extant HIV/AIDS stigma scales that measure stigmatising attitudes towards people living with HIV/AIDS have been developed using scaling techniques such as principal component analysis. This approach has resulted in instruments that are often long.