Kenya

HIV incidence among women using intramuscular depot medroxyprogesterone acetate, a copper intrauterine device, or a levonorgestrel implant for contraception: a randomised, multicentre, open-label trial

Injectable, intrauterine, and implantable contraceptives have been prioritised for programmatic delivery because of high contraceptive efficacy and safety. Robust evidence on the relative risks, particularly HIV susceptibility, and benefits of these contraceptive methods is important to inform women's decision making, provider counselling, and policy maker and regulatory decisions. Our primary objective was to compare HIV incidence among women using DMPA-IM, a copper IUD, or a levonorgestrel (LNG) implant.
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Drug susceptibility testing and mortality in patients treated for tuberculosis in high-burden countries: a multicentre cohort study

Author
Kathrin Zürcher, Marie Ballif, Prof Lukas Fenner, Sonia Borrell, Peter M Keller, Joachim Gnokoro et al.
Drug resistance is a challenge for the global control of tuberculosis. We examined mortality in patients with tuberculosis from high-burden countries, according to concordance or discordance of results from drug susceptibility testing done locally and in a reference laboratory.
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Plan 4 PrEP: Toolkit for oral PrEP implementation

The OPTIONS Consortium, with work led by FSG, recently created the Plan 4 PrEP tool to support national planning for oral PrEP rollout. The tool was developed based on experiences in South Africa, Kenya and Zimbabwe, where OPTIONS supported the Ministries of Health and technical working groups (TWGs) in each country to develop a strategy for oral PrEP introduction. For example, Kenya recently launched oral PrEP at a national level utilized these tools in supporting the planning.

Legacy Evaluation of the Partnership for HIV-Free Survival: Kenya, Lesotho, Mozambique, South Africa, Tanzania, and Uganda

Author
David K. Hales, Heather B. Davis, Alexandra J. Munson, Emily A. Bobrow

The Partnership for HIV-Free Survival (PHFS) was designed to use basic quality improvement practices to reduce mother-to-child transmission of HIV and increase child survival through improvements in (1) antiretroviral therapy uptake and retention among HIV-positive pregnant women and mothers, (2) breastfeeding practices, and (3) overall mother-baby care. PHFS was implemented between 2012–2016 in six countries in Eastern and Southern Africa: Kenya, Lesotho, Mozambique, South Africa, Tanzania, and Uganda.

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Willingness to Pay for Condoms in Five Countries

Author
Ganesan, Ramakrishnan, Jordan Tuchman, and Lauren Hartel

Though condom use is now higher than ever before, key gaps remain in countries and in certain populations, where use has stagnated or even decreased. To address these gaps, UNFPA in 2016 spearheaded the creation of the “20 by 20 Initiative,” a multisectoral effort to increase the number of condoms in low-and middle-income countries to 20 billion by 2020. To support this initiative, AIDSFree conducted surveys to assess consumers’ willingness to pay for male condoms in five sub-Saharan countries—Kenya, Nigeria, South Africa, Zambia, and Zimbabwe.

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Improving men’s uptake of HIV testing services: Findings from a health facility assessment in Nairobi, Kenya

Author
Population Council

The 2018 International AIDS Conference called attention to men’s low uptake of HIV testing services (HTS) and the need for greater efforts to ensure men know their status and link to treatment if they test positive for HIV. As a first step to better understanding the barriers to and facilitators of HIV testing among men, we conducted an assessment of 124 health facilities offering HTS, examining the differences between high-male-volume and low-male-volume sites.

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Lay health worker experiences administering a multi-level combination intervention to improve PMTCT retention

Author
DiCarlo A, Fayorsey R, Syengo M, Chege D, Sirengo M, Reidy W, Otieno J, Omoto J, Hawken MP, Abrams EJ

Background: The recent scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has rapidly accelerated antiretroviral therapy (ART) uptake among pregnant and postpartum women in sub-Saharan Africa. The Mother and Infant Retention for Health (MIR4Health) study evaluates the impact of a combination intervention administered by trained lay health workers to decrease attrition among HIV-positive women initiating PMTCT services and their infants through 6 months postpartum.

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