Tanzania

Prevention of mother-to-child transmission of HIV Option B+ cascade in rural Tanzania: The One Stop Clinic model

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Yes
Author
Anna Gamell, Lameck Bonaventure Luwanda, Aneth Vedastus Kalinjuma, Leila Samson, Alex John Ntamatungiro, Maja Weisser, Winfrid Gingo, Marcel Tanner, Christoph Hatz, Emilio Letang, Manuel Battegay

Background

Strategies to improve the uptake of Prevention of Mother-To-Child Transmission of HIV (PMTCT) are needed. We integrated HIV and maternal, newborn and child health services in a One Stop Clinic to improve the PMTCT cascade in a rural Tanzanian setting.

Methods

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PEPFAR Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020)

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Yes
Author
PEPFAR

On the sidelines of the 2017 United Nations General Assembly, U.S. Secretary of State Rex Tillerson announced the new PEPFAR Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020). New data show that the HIV epidemic is coming under control in five African countries (Lesotho, Malawi, Swaziland, Zambia, and Zimbabwe).

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Voluntary medical male circumcision among adolescents: a missed opportunity for HIV behavioral interventions

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Yes
Author
Kaufman, Michelle R.; Dam, Kim H.; Van Lith, Lynn M. et al.

Objective: Voluntary medical male circumcision (VMMC) is one of the first opportunities for adolescent males in African countries to interact with the healthcare system. This study explored the approaches used during adolescent VMMC counseling and whether these strategies maximize broader HIV prevention opportunities.

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HIV testing experiences and their implications for patient engagement with HIV care and treatment on the eve of 'test and treat': findings from a multicountry qualitative study

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Yes
Author
Wringe, A., Moshabela, M., Nyamukapa, C., et al.

In view of expanding 'test and treat' initiatives, we sought to elicit how the experience of HIV testing influenced subsequent engagement in HIV care among people diagnosed with HIV.

We conducted in-depth interviews in Uganda, South Africa, Tanzania, Kenya, Malawi and Zimbabwe with 5-10 health workers and 28-59 people living with HIV, per country. Topic guides covered patient and provider experiences of HIV testing and treatment services. Themes were derived through deductive and inductive coding.

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Multi-month prescription of antiretroviral therapy and its feasibility: experiences from the Baylor International Pediatric AIDS initiative (BIPAI) in six southern African countries

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Yes
Author
M. Kim, R.S. Wanless, S. Ahmed, J. Mhango, D. Damba, A. Kayabu, M. Chodota, S. Dlamini, N. Chidah, M. Mokhali, N. Calles, A. Amzel, R. Golin, E.J. Abrams

To improve antiretroviral coverage (ART) and help reach the 90-90-90 treatment targets, differentiated approaches to care are necessary, including reduced frequency of clinic visits for stable patients. Given the paucity of data regarding the impact of differentiated care models on pediatric outcomes, BIPAI conducted a retrospective analysis of clinical outcomes, comparing monthly (MS) with multi-monthly (MMS) ART prescription schedules for children and adolescents in Botswana, Lesotho, Swaziland, Malawi, Uganda and Tanzania.

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Socio-demographic inequalities in HIV testing behaviour and HIV prevalence among older adults in rural Tanzania, 2013

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Yes
Author
Mtowa, A., Gerritsen, A.A.M., Mtenga, S, et al.

Most HIV research in Sub-Saharan Africa (SSA) ignores persons aged 50 years and above, though a few studies have reported a high HIV prevalence among older people. This study aimed to estimate socio-demographic inequalities in HIV testing behaviour and HIV prevalence among adults aged 50+ years, living in Ifakara town, Tanzania. This cross-sectional study used data from the baseline measurement of the Ifakara MZIMA cohort study in 2012/13. Consenting participants were interviewed and tested for HIV.

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Lessons Learned From Option B+ in the Evolution toward "Test and Start" from Malawi, Cameroon, and the United Republic of Tanzania

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Yes
Author
Kalua, T., Tippett Barr, B.A., van Oosterhout, J.J., et al.

Option B+ for prevention of mother-to-child transmission (PMTCT) specifies treating all HIV-positive women with antiretroviral therapy (ART) regardless of CD4 count. This simplified approach enhances countries' capacity to reach national HIV targets and contribute to the global 90-90-90 goals. This article reviewed the progress of Malawi's adoption of Option B+ for PMTCT and briefly described its implementation in Cameroon and Tanzania. Option B+ was developed in Malawi in response to numerous systemic barriers to the rapid scale-up of ART and PMTCT services.

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Webinar: Meeting adolescents’ needs: Findings from a three-country VMMC assessment

Venue
Webinar

Please join the Health Communication Capacity Collaborative (HC3) to learn about the findings from a three-country Adolescent VMMC Assessment. The goal of the study was to gain a better understanding of whether VMMC programs are adequately meeting adolescent needs in age-appropriate ways by exploring counseling, communication and client-provider interaction. Cross-country comparisons will be shared from Tanzania, Zimbabwe and South Africa. The findings have implications for all countries working in the VMMC arena as well as in adolescent sexual and reproductive health programming.

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HIV and STIs among men who have sex with men in Dodoma municipality, Tanzania: a cross-sectional study

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Yes
Author
Mmbaga, E.J., Moen, K., Makyao, N., Mpembeni, R., and Leshabari, M.T.

This cross-sectional study examined the prevalence of HIV, sexually transmitted infections (STIs), and related risks among men who have sex with men (MSM) in Dodoma Municipality, Tanzania. They used respondent-driven sampling to recruit 409 MSM aged 18 years and over. Participants completed a survey on sociodemographics, knowledge of HIV and STIs, and sexual practices and were tested for HIV and selected STIs. The findings showed an HIV prevalence of 17.4 percent; STIs were also present, particularly herpes simplex virus 2 (HSV-2) (present in 38.5% of participating MSM).

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