Zimbabwe

Do female sex workers have lower uptake of HIV treatment services than non-sex workers? A cross-sectional study from east Zimbabwe

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Yes
Author
Rebecca Rhead, Jocelyn Elmes, Eloghene Otobo, Kundai Nhongo, Albert Takaruza, Peter J White, Constance Anesu Nyamukapa, Simon Gregson

Globally, HIV disproportionately affects female sex workers (FSWs) yet HIV treatment coverage is suboptimal. To improve uptake of HIV services by FSWs, it is important to identify potential inequalities in access and use of care and their determinants. Our aim is to investigate HIV treatment cascades for FSWs and non-sex workers (NSWs) in Manicaland province, Zimbabwe, and to examine the socio-demographic characteristics and intermediate determinants that might explain differences in service uptake.

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Scaling Up Voluntary Medical Male Circumcision for Human Immunodeficiency Virus Prevention for Adolescents and Young Adult Men: A Modeling Analysis of Implementation and Impact in Selected Countries

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Yes
Author
Emmanuel Njeuhmeli, Marjorie Opuni, Melissa Schnure, Michel Tchuenche, Peter Stegman, Elizabeth Gold, Valerian Kiggundu, Nida Parks, Kim Seifert Ahanda, Maria Carrasco, Katharine Kripke

Background

The new World Health Organization and Joint United Nations Programme on HIV/AIDS strategic framework for voluntary medical male circumcision (VMMC) aims to increase VMMC coverage among males aged 10–29 years in priority settings to 90% by 2021. We use mathematical modeling to assess the likelihood that selected countries will achieve this objective, given their historical VMMC progress and current implementation options.

Methods

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A systems-based assessment of the PrePex device adverse events active surveillance system in Zimbabwe

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Yes
Author
Paul C. Adamson, Taurayi A. Tafuma, Stephanie M. Davis, Sinokuthemba Xaba, Amy Herman-Roloff

Voluntary Medical Male Circumcision (VMMC) is an effective method for HIV prevention and the World Health Organization (WHO) has recommended its expansion in 14 African countries with a high prevalence of HIV and low prevalence of male circumcision. The WHO has recently pre-qualified the PrePex device, a non-surgical male circumcision device, which reduces procedure time, can increase acceptability of VMMC, and can expand the set of potential provider cadres. The PrePex device was introduced in Zimbabwe as a way to scale-up VMMC services in the country.

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Status of HIV Epidemic Control Among Adolescent Girls and Young Women Aged 15-24 Years - Seven African Countries, 2015-2017

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Yes
Author
Kristin Brown et al.

In 2016, an estimated 1.5 million females aged 15-24 years were living with human immunodeficiency virus (HIV) infection in Eastern and Southern Africa, where the prevalence of HIV infection among adolescent girls and young women (3.4%) is more than double that for males in the same age range (1.6%) (1).

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Economic incentives for HIV testing by adolescents in Zimbabwe: a randomised controlled trial

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Yes
Author
Katharina Kranzer, Victoria Simms, Tsitsi Bandason, Ethel Dauya, Grace McHugh, Shungu Munyati, Prosper Chonzi, Suba Dakshina, Hilda Mujuru, Helen A Weiss, Rashida A Ferrand

HIV testing is the important entry point for HIV care and prevention service, but uptake of HIV testing and thus coverage of antiretroviral therapy are much lower in older children and adolescents than in adults. We investigated the effect of economic incentives provided to caregivers of children aged 8–17 years on uptake of HIV testing and counselling in Harare, Zimbabwe.

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Scaling Up Pediatric HIV Testing by Incorporating Provider-Initiated HIV Testing into All Child Health Services in Hurungwe District, Zimbabwe

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Yes
Author
Price, J.T., Rosenberg, N.E., Vanisa, D. et al.

This study examined the effectiveness of integrating provider-initiated HIV testing services into pediatric care at 33 facilities in Zimbabwe. The intervention included community awareness raising using village health workers to increase referrals for HIV testing at health facilities. Nurses were also trained to test all children under five years old who had never received HIV testing services, and all children below two years old who had a negative HIV test more than three months prior. All results were recorded in child health booklets.

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