Global health
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Effect of pregnancy gestation on food insecurity in HIV-positive women from Kisumu and Migori Counties in Western Kenya
Background: Food insecurity has been associated with adverse health outcomes among vulnerable populations including women, children, and persons infected with HIV. Little is known about the relationship between pregnancy ... -
Comparative Analysis of HIV Estimation Methods and Results in Locations with Case Reports and High-Quality Vital Registration Data
This thesis provides an overview of HIV burden estimation methods and results in high-income locations with high-quality vital registration data and case reports. In addition, it presents an investigation of the sensitivity ... -
HPV vaccine introduction in Mozambique: Generating knowledge from the demonstration project for national roll-out decision making and planning
Abstract HPV vaccine introduction in Mozambique: Generating knowledge from the demonstration project for national roll-out decision making and planning The studies in this dissertation describe an evaluation of the ... -
Prevalence and Correlates of Intimate Partner Violence in HIV-Seropositive Women in Serodiscordant Relationships
Intimate partner violence (IPV), is behavior within an intimate relationship that causes physical, sexual, or emotional harm. It is the most common form of gender based violence (GBV) and is a major public health problem, ... -
ASSOCIATION OF FAMILY PLANNING INTEGRATION WITH CONTRACEPTIVE UPTAKE IN KENYAN HIV TREATMENT CENTERS
Objective: To assess facility-level integration of family planning (FP) into HIV care and contraceptive use among HIV-infected women on antiretroviral therapy (ART). Study design: We conducted a national cross-sectional ... -
ART adherence information, motivation, and behaviors and provider-patient relationships among new ART patients in Haiti
Background: Previous research suggests that communication between provider and patient is associated with adherence to antiretroviral therapy (ART) among patients with HIV. Haiti has scaled up the use of ART, but studies ... -
Qualitative mid-term evaluation of a maternal and child health training and research capacity building program in Kenya
Kenya has made gains to reduce their maternal mortality ratio of 400 per 100,000 live births and under 5 mortality rate of 71 per 1,000 live births. Human resources continue to be a challenge for the Kenyan Health System. ... -
Ecological and socio-economic predictors of transmission assessment survey failure
Since 2011, the Transmission Assessment Survey (TAS) has been recommended to determine whether cessation of mass drug administration (MDA) for lymphatic filariasis (LF) is warranted. Ministries of health typically implement ... -
Assessing the cost-effectiveness of national Kenyan repeat maternal HIV testing guidelines
Kenya has aims to achieve the 95-95-95 goals for prevention of mother-to-child HIV transmission (PMTCT) by 2030; yet, each year there are 13,000 new infant HIV infections. Repeat testing in the third trimester and in the ... -
Assessment of interactive effects of temperature and air pollution on mortality in Mexico City
Environmental conditions such as air pollution and ambient temperature, can pose increased risk of premature mortality. In Mexico City, despite recent improvements in reducing air pollution, ozone and particulate matter ... -
Performance assessment of point-of-dispensing practices of donated oncology medicines: The Max Foundation
Background Cancer is one of the leading causes of morbidity and mortality worldwide, yet financial barriers limit access to life-saving oncology drugs in low- and middle-income countries (LMICs). For the past 15 years, the ... -
Psychosocial Factor Influence on Disclosure Behaviors in Those Newly-Diagnosed with HIV Under “Treatment for All” in Namibia
Background: Namibia has one of the world’s highest HIV prevalence rates. As of 2016, Namibia adopted the World Health Organization (WHO) recommendation that all newly diagnosed HIV-positive individuals begin ART, regardless ... -
Understanding the role of the health workforce in driving health spending: trends across OECD countries and implications for the US
Given its high levels of health spending but lacking proportionately better health outcomes, the US has focused much policy attention on improving health spending efficiency and reducing health spending overall. One factor ... -
Utilization of hospital-based second-trimester abortion in Mexico, 2007-2015
Data on the incidence of in-facility second trimester abortions are sparse. We used 2007-2015 hospital discharge data from Mexico’s Automated Hospital Discharge System (SAEH) to assess the frequency of second-trimester ... -
Assessment of capacity for vascular disease care in Argentina following consensus recommendations.
Background: Cardiovascular disease is the first cause of death in Argentina, accounting for more than 30% of deaths. Despite this significant healthcare burden, capacity assessment for vascular care has not been previously ... -
Perceptions of Pre-Exposure Prophylaxis (PrEP) and Acceptability of Peer Navigation Among HIV-Negative Latinx and Black Men Who Have Sex with Men (MSM) in Western Washington
HIV PrEP (pre-exposure prophylaxis) is an effective biomedical approach for HIV prevention. However, PrEP is an underutilized resource among Latinx and Black men who have sex with men (MSM) in the United States. Peer ... -
Description and Impact of Continuous Quality Improvement of PMTCT Services in Sub-Saharan Africa
The prevention of mother to child transmission of HIV (PMTCT) is a major global health problem and continuous quality improvement (CQI) has demonstrated a way to address this problem. A lot of work on CQI has demonstrated ... -
Perceptions of Mental Health in the Somali Community in King County, WA: A Community- Based Participatory Research Project
Seattle’s metropolitan area is home to the third-largest Somali community in the United States. Many refugees experience mental health repercussions as a result of fleeing war, famine, other violence in their home countries, ... -
THE USE OF VIRAL LOAD TESTING AND SECOND LINE SWITCHING OF ART TREATMENT IN HAITI
Objective: To describe time trends in Viral Load (VL) tests and results and time trends in use of second-line antiretroviral regimens for treatment of HIV/AIDS, and eventually to explore the association between VL test and ... -
Social harms and benefits reported by HIV Vaccine Trial Network(HVTN) participants across different countries.
HIV vaccine trials bring to the limelight socio-behavioral issues that extend beyond the borders of traditional vaccine trials but, there is a dearth of knowledge on these issues. This study employed a cross-protocol ...
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