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Articles 1 - 30 of 382
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Reducing Hiv Risk For Men And Male Partners Of Adolescent Girls And Young Women In Eswatini: Learnings From The Dreams Partnership, Ann Gottert
HIV and AIDS
No abstract provided.
Hearing From Men In Uganda: Experiences With Hiv Services And Prevention Programming, And Perceptions Of Dreams—Findings From Dreams Implementation Science Research, Population Council
Hearing From Men In Uganda: Experiences With Hiv Services And Prevention Programming, And Perceptions Of Dreams—Findings From Dreams Implementation Science Research, Population Council
HIV and AIDS
HIV prevention efforts across sub-Saharan Africa are increasingly focused on engaging men, for their own health and that of their partners and families. We examined experiences with HIV services and prevention programing among men in Uganda whose partners were enrolled in DREAMS, a large-scale initiative to reduce new HIV infections among adolescent girls and young women (AGYW). The study is part of the Population Council’s implementation science research portfolio on the DREAMS Partnership.
Hearing From Men In Eswatini: Shifts In Hiv Risk And Service Uptake—Findings From Dreams Implementation Science Research, Population Council
Hearing From Men In Eswatini: Shifts In Hiv Risk And Service Uptake—Findings From Dreams Implementation Science Research, Population Council
HIV and AIDS
HIV prevention efforts across sub-Saharan Africa are increasingly focused on engaging men, for their own health and that of their partners and families. We examined whether and how HIV risk and protective factors are changing among men in Eswatini (formerly Swaziland)—a country with a substantial HIV burden. The study is part of the Population Council’s implementation science research portfolio on the DREAMS Partnership1, a large-scale initiative to reduce new HIV infections among adolescent girls and young women (AGYW) and their partners.
Hearing From Men In South Africa: Shifts In Hiv Risk And Service Uptake—Findings From Dreams Implementation Science Research, Population Council
Hearing From Men In South Africa: Shifts In Hiv Risk And Service Uptake—Findings From Dreams Implementation Science Research, Population Council
HIV and AIDS
HIV prevention efforts across sub-Saharan Africa are increasingly focused on engaging men, for their own health and that of their partners and families. We examined whether and how HIV risk and protective factors are changing among men in Durban, South Africa—a country with a substantial HIV burden. The study is part of the Population Council’s implementation science research portfolio on the DREAMS Partnership, a large-scale initiative to reduce new HIV infections among adolescent girls and young women and their partners.
Advancing Integrated Family Planning (Fp)/Hiv Counseling With Evidence (Advice): Review Of Fp Decision Support Tools And Hiv Vulnerability Assessment Tools, Eileen Yam, Tracy Mcclair
Advancing Integrated Family Planning (Fp)/Hiv Counseling With Evidence (Advice): Review Of Fp Decision Support Tools And Hiv Vulnerability Assessment Tools, Eileen Yam, Tracy Mcclair
HIV and AIDS
This review identified innovative approaches to broadening both the platforms through which FP decision support is offered (digital or otherwise), as well as the timing of lending that support (i.e., during pre-consultation time). In addition, by focusing on the HIV vulnerability domains that are particularly relevant to FP clients, developers of future FP decision support tools can incorporate questions and lines of inquiry that explore whether and how clients’ behaviors and characteristics may place them at increased risk of HIV acquisition and inform their contraceptive choices to optimize dual protection.
Reducing Hiv Risk For Adolescent Girls And Young Women And Their Male Partners: Learnings From The Dreams Partnership, Julie Pulerwitz, Ann Gottert, Jerry Okal, Sanyukta Mathur
Reducing Hiv Risk For Adolescent Girls And Young Women And Their Male Partners: Learnings From The Dreams Partnership, Julie Pulerwitz, Ann Gottert, Jerry Okal, Sanyukta Mathur
HIV and AIDS
No abstract provided.
Helping Family Planning Clients Self-Assess Hiv Vulnerability: User Testing A Waiting Area Chatbot In Zambia, Population Council
Helping Family Planning Clients Self-Assess Hiv Vulnerability: User Testing A Waiting Area Chatbot In Zambia, Population Council
HIV and AIDS
As part of the Advancing Integrated HIV/Family Planning Counseling with Evidence (ADVICE) project supported by the Bill & Melinda Gates Foundation, the Population Council developed a web-based digital chatbot designed to engage FP clients to self-assess HIV vulnerability as it relates to contraceptive choices, while in facility “waiting areas” prior to their provider consultations. ADVICE tested the chatbot in health facilities in Lusaka, Zambia, to achieve proof of concept for its use to “prime” clients to contemplate HIV during their pre-consultation time in FP services and this brief summarizes those findings.
Optimizing Delivery Of Hiv Testing Services To Strengthen The Continuum Of Care, Project Soar
Optimizing Delivery Of Hiv Testing Services To Strengthen The Continuum Of Care, Project Soar
HIV and AIDS
HIV testing is a critical entry point to life-saving antiretroviral therapy (ART) for those diagnosed with HIV and to prevention services for those at high risk of acquiring HIV. Despite advances in testing, there remain a variety of social and programmatic challenges that prevent access to HIV testing services, particularly for men and key populations. HIV program managers and policymakers are increasingly invested in understanding how best to deliver HIV testing services to different populations and to maximize health system resources at facility and community levels. Project SOAR has contributed to the evidence base and catalyzed research use by examining …
Advances In Conceptualizing And Measuring Stigma Among People Living With Hiv, Project Soar
Advances In Conceptualizing And Measuring Stigma Among People Living With Hiv, Project Soar
HIV and AIDS
Stigma, defined as the co-occurrence of labeling, stereotyping, separation, status loss, and discrimination in a context in which power is exercised, has a negative impact on the health of people living with HIV (PLHIV), contributing to psychosocial stress, coercion and violence, job loss, and social exclusion. Widely recognized as a barrier to accessing HIV care, it is paramount that programs and policies are designed to mitigate HIV-related stigma to achieve the UNAIDS’ 90-90-90 goals. Project SOAR recognizes the importance of addressing stigma to control the HIV epidemic through testing, treatment, and viral suppression. Project SOAR has contributed to the evidence …
Approaches To Research Utilization And Capacity Strengthening, Project Soar
Approaches To Research Utilization And Capacity Strengthening, Project Soar
HIV and AIDS
Research plays a critical role in strengthening programming and policymaking. Donors and other stakeholders are increasingly focused on ensuring that their research investments yield positive health and development outcomes. Yet, there are many challenges in ensuring study findings are used by relevant decisionmakers to inform policies and programs. Recognizing the need to invest in research uptake efforts beyond dissemination of final findings, Project SOAR utilized an active approach to facilitating research utilization (RU) to fulfil the commitment of implementation science to promote the systematic uptake of research finding into routine practice. Project SOAR assembled and implemented a systematic and proactive …
Improving Patient Outcomes Through Innovative, Community-Based Hiv Treatment Strategies, Project Soar
Improving Patient Outcomes Through Innovative, Community-Based Hiv Treatment Strategies, Project Soar
HIV and AIDS
Despite the availability of life-saving treatment for HIV, several barriers prevent patient access to high-quality services. HIV program managers and policymakers have shown increasing interest in understanding how best to deliver HIV treatment to different populations and maximize health-system resources at facility and community levels. Project SOAR recognizes the key role that treatment services play in achieving UNAIDS’ 90-90-90 goals for controlling the HIV epidemic through testing, treatment, and viral suppression by 2020. Project SOAR has contributed to the evidence base and catalyzed research use by assessing innovative strategies for antiretroviral treatment (ART) delivery that support different populations in remaining …
Improving Data Access And Use For Hiv Biomedical Prevention Interventions, Project Soar
Improving Data Access And Use For Hiv Biomedical Prevention Interventions, Project Soar
HIV and AIDS
Over the past decade, biomedical prevention interventions—including voluntary medical male circumcision (VMMC) and oral pre-exposure prophylaxis (PrEP)—have resulted in substantial gains in controlling the global HIV epidemic. Despite the inclusion of these highly effective interventions in multinational strategies and global prevention toolkits, their effective implementation rests upon context-specific, data-driven delivery to priority populations and geographies. Project SOAR has contributed to the evidence base by increasing access to and use of data through user-friendly interfaces and dissemination strategies, advancing VMMC and PrEP as vital prevention interventions in the global discourse. SOAR’s biomedical prevention portfolio has supported data-driven planning, implementation, and monitoring …
Lessons From Implementation Science: Key To Curbing The Global Hiv Epidemic, Julie Pulerwitz
Lessons From Implementation Science: Key To Curbing The Global Hiv Epidemic, Julie Pulerwitz
HIV and AIDS
No abstract provided.
Exploring The Regulatory Context For Hiv Self-Testing And Prep Market Authorisation And Use In Nigeria, Osasuyi Dirisu, Oluwafunke Ilesanmi, Akinwumi Akinola, Mayokun Adediran, Waimar Tun, Rex Mpazanje
Exploring The Regulatory Context For Hiv Self-Testing And Prep Market Authorisation And Use In Nigeria, Osasuyi Dirisu, Oluwafunke Ilesanmi, Akinwumi Akinola, Mayokun Adediran, Waimar Tun, Rex Mpazanje
HIV and AIDS
Funded by the World Health Organization, this study aimed to assess HIVST/PrEP availability and market authorisation; determine the facilitators and barriers to access; and identify existing systems that support the availability, appropriate use, affordability, and accessibility in the private sector in Nigeria.
Project Yes! Youth Engaging For Success: A Randomized Controlled Trial Testing A Peer Mentoring Approach Among Hiv-Positive Adolescents And Young Adults In Ndola, Zambia, Julie Denison, Virginia M. Burke, Sam Miti, Bareng A.S. Nonyane, Christiana Frimpong, Katherine G. Merrill, Elizabeth A. Abrams, Jonathan Kaunda Mwansa
Project Yes! Youth Engaging For Success: A Randomized Controlled Trial Testing A Peer Mentoring Approach Among Hiv-Positive Adolescents And Young Adults In Ndola, Zambia, Julie Denison, Virginia M. Burke, Sam Miti, Bareng A.S. Nonyane, Christiana Frimpong, Katherine G. Merrill, Elizabeth A. Abrams, Jonathan Kaunda Mwansa
HIV and AIDS
This research addresses the gaps in knowledge about how to best support adolescents and young adults transitioning to HIV self-management in the context of both child-focused and adult-focused HIV care settings. Johns Hopkins University, in partnership with the Arthur Davison Children’s Hospital, implemented this study through the USAID-funded Project SOAR (led by the Population Council).
Integrating Depression Management Into Hiv Care In Lilongwe, Malawi: Feasibility And Impact, Brian Wells Pence, Michael Udedi, Kazione Kulisewa, Mina C. Hosseinipour, Steven M. Mphonda, Melissa A. Stockton, Bradley N. Gaynes
Integrating Depression Management Into Hiv Care In Lilongwe, Malawi: Feasibility And Impact, Brian Wells Pence, Michael Udedi, Kazione Kulisewa, Mina C. Hosseinipour, Steven M. Mphonda, Melissa A. Stockton, Bradley N. Gaynes
HIV and AIDS
In Malawi, as in other sub-Saharan countries, mental health care infrastructure and resources are limited. Accordingly, there is a clear need to shift the provision of mental health treatment to the primary care level. The Malawi Ministry of Health, in partnership with UNC Project-Malawi, designed a program that would integrate depression screening and management into HIV care at two public HIV clinics in Lilongwe, Malawi. The purpose of this study, conducted under Project SOAR, was to evaluate the implementation of this program and its impact on HIV and mental health outcomes.
Impulsiveness, Depression, Sexual Behavior, And Sexually Transmitted Infections And Hiv-Related Outcomes Among Out-Of-School Adolescent Girls And Young Women In Rural Southern Malawi, Project Soar
HIV and AIDS
Under Project SOAR, the Population Council in collaboration with the University of Malawi College of Medicine monitored key HIV prevention, care, and treatment outcomes among populations who are targeted by the One-C program. Under that study, the Population Council investigated associations between impulsiveness, depression, sexual behavior, sexually transmitted infections, and HIV among out-of-school adolescent girls and young women. Impulsivity is a personality trait that has been associated with risky sexual behavior among young people in different settings in the developed world.
Leveraging Adaptive Implementation Strategies To Achieve Universal Coverage Of Antiretroviral Therapy In Senegal, Gnilane Turpin, Carrie E. Lyons, Sidy Mokhtar Ndiaye, Nuria Gallego Marquez, Nika Elmi, Nguissali Turpin, Penda Dieng, Daouda Diouf, Stefan Baral
Leveraging Adaptive Implementation Strategies To Achieve Universal Coverage Of Antiretroviral Therapy In Senegal, Gnilane Turpin, Carrie E. Lyons, Sidy Mokhtar Ndiaye, Nuria Gallego Marquez, Nika Elmi, Nguissali Turpin, Penda Dieng, Daouda Diouf, Stefan Baral
HIV and AIDS
This report summarizes findings from a study Project SOAR conducted to develop and assess the feasibility, fidelity, and cost-effectiveness of a universal coverage of antiretroviral treatment intervention among people living with HIV who are not virally suppressed in Dakar and Ziguinchor, Senegal.
Optimizing Maternal And Child Health Outcomes Through Use Of Multidisciplinary 'Improve' Teams In Lesotho, Appolinaire Tiam, Vincent Tukei, Lauren Greenberg, Shannon Viana, Heather Hoffman, Laura Guay, Ramatlapeng Thabelo, Tsietso Mots'oane, Matsepeli Nchephe
Optimizing Maternal And Child Health Outcomes Through Use Of Multidisciplinary 'Improve' Teams In Lesotho, Appolinaire Tiam, Vincent Tukei, Lauren Greenberg, Shannon Viana, Heather Hoffman, Laura Guay, Ramatlapeng Thabelo, Tsietso Mots'oane, Matsepeli Nchephe
HIV and AIDS
The “Integrated Management Team to Improve Maternal-Child Outcomes” (IMPROVE) intervention is a comprehensive, evidence-based strategy to improve maternal and child health (MCH) outcomes through patient-centered, participatory service delivery and multidisciplinary management teams (MDT). The intervention includes three key approaches: (1) multidisciplinary, integrated management teams of facility- and community-based health care and lay workers; (2) Joint Positive Health Dignity, and Prevention (PHDP)-focused counseling for patients and skills-building training and job aids for health workers; and (3) increased early community-based counseling and support for patients. This report summarizes the key findings from the implementation of this intervention in Lesotho (under Project SOAR), …
Hiv Testing And Treatment Among Adults Working In The Fishing Sector, Agricultural Estates, And As Market Vendors In Rural Southern Malawi, Project Soar
HIV and AIDS
This brief focuses on the findings from Project SOAR’s monitoring of the One Community (One-C) project in areas where it is operating in Malawi. The brief describes the characteristics of male and female adults working in the fishing sector, in agricultural estates, and as market vendors. It also describes the prevalence of HIV testing and treatment among these populations and explores whether participation in One-C activities is associated with higher uptake of HIV services.
Optimizing Maternal, Newborn, And Child Health Outcomes Through Use Of Multidisciplinary 'Improve' Teams In Lesotho: Costing Component, Adebiyi Adesina, Rachael Linder, Lori Bollinger
Optimizing Maternal, Newborn, And Child Health Outcomes Through Use Of Multidisciplinary 'Improve' Teams In Lesotho: Costing Component, Adebiyi Adesina, Rachael Linder, Lori Bollinger
HIV and AIDS
This study builds on the USAID-funded prevention of mother-to-child transmission service delivery program (IMPROVE) already being implemented by Elizabeth Glaser Pediatric AIDS Foundation in Lesotho. Rather than designing a suite of entirely new services and delivery platforms, the intervention (conducted under Project SOAR) focused on improving existing services and strengthening the connection between facility- and community-based care. This brief describes the approach and key quantitative findings of the costing component of the IMPROVE intervention from the service provider perspective.
Characteristics And Relationship Dynamics Of Male Partners Of Adolescent Girls And Young Women In Malawi, Project Soar
Characteristics And Relationship Dynamics Of Male Partners Of Adolescent Girls And Young Women In Malawi, Project Soar
HIV and AIDS
Project SOAR, in collaboration with the Center of Reproductive Health at the University of Malawi College of Medicine, conducted qualitative research in the Zomba and Machinga districts to understand how programs can better engage men living with HIV in care, treatment, and support services. This brief summarizes findings on men’s characteristics, the types and dynamics of their sexual relationships, and their vulnerabilities and environmental stressors.
The Power And Process Of Shifting Gender Norms: Insights From A Randomized Controlled Trial In South Africa, Nicole Haberland, Julie Pulerwitz, Ann Gottert, Audrey Pettifor, Sheri A. Lippman, Dean Peacock, Lumbwe Chola, Ryan Wagner, Anna M. Leddy, Rebecca West, Mi-Suk Kang Dufour, Jennifer Hove, Rhian Twine, Rhandzekile Mathebula, Dumisani Rebombo, Angelica Pino, F. Xavier Gómez-Olivé, Chodziwadziwa Whiteson Kabudula, Nkosinathi Masilela, Aimée Julien, Kathryn Spielman, Kathleen Kahn
The Power And Process Of Shifting Gender Norms: Insights From A Randomized Controlled Trial In South Africa, Nicole Haberland, Julie Pulerwitz, Ann Gottert, Audrey Pettifor, Sheri A. Lippman, Dean Peacock, Lumbwe Chola, Ryan Wagner, Anna M. Leddy, Rebecca West, Mi-Suk Kang Dufour, Jennifer Hove, Rhian Twine, Rhandzekile Mathebula, Dumisani Rebombo, Angelica Pino, F. Xavier Gómez-Olivé, Chodziwadziwa Whiteson Kabudula, Nkosinathi Masilela, Aimée Julien, Kathryn Spielman, Kathleen Kahn
HIV and AIDS
This Project SOAR report summarizes findings from a randomized controlled trial of Tsima ra rihanyu (“working together for health”), a three-year community mobilization program for treatment as prevention that aimed to address the social barriers to HIV testing and treatment in Mpumalanga Province, South Africa. In this report, the authors explore the types of gender norms that are salient for women and men, how these relate to HIV testing and treatment, and the pathways through which gender norms operate to affect women’s and men’s HIV service use and experience and perpetration of intimate partner violence.
Factors Influencing Hiv Care Outcomes Among Adolescents Living With Hiv In Rural South Africa, Lindsey M. Filiatreau, Audrey Pettifor, Jess Edwards, Nkosinathi Masilela, Rhian Twine, F. Xavier Gómez-Olivé, Nicole Haberland, Chodziwadziwa Whiteson Kabudula, Sheri A. Lippman, Kathleen Kahn
Factors Influencing Hiv Care Outcomes Among Adolescents Living With Hiv In Rural South Africa, Lindsey M. Filiatreau, Audrey Pettifor, Jess Edwards, Nkosinathi Masilela, Rhian Twine, F. Xavier Gómez-Olivé, Nicole Haberland, Chodziwadziwa Whiteson Kabudula, Sheri A. Lippman, Kathleen Kahn
HIV and AIDS
In the Agincourt Health and Socio-Demographic Surveillance System (HDSS) site in rural Mpumalanga Province, South Africa the Project SOAR team hypothesized that HIV status disclosure, individuals’ prior healthcare seeking experiences, history of depression and overall emotional well-being, experiences with domestic and intimate partner violence, and substance use could contribute to poor levels of treatment adherence among adolescents living with HIV. The overall objective of this study was to better understand HIV care outcomes among HIV-positive adolescents in the Agincourt HDSS in the era of universal test and treat so we can better inform HIV care programs targeting this vulnerable population.
Overview: Literature Review Of Linkage, Adherence, And Retention Interventions For Seropositive Children And Young People In Africa, Project Soar
HIV and AIDS
Various strategies have been implemented in countries around the world to reduce barriers to engagement in care and adherence to antiretroviral therapy among children and young people living with HIV. Despite these diverse programmatic strategies, a comprehensive understanding of what works best for children and adolescents in sub-Saharan Africa is lacking. To address this gap, Project SOAR conducted a systematic review of the peer-reviewed literature to: 1) document interventions that support engagement in care and ART adherence for infants, children, adolescents, and youth living with HIV in sub-Saharan Africa (SSA), including orphans and other vulnerable children; and 2) inform future …
Hiv Knowledge, Service Utilization, And Exposure To Dreams Among Male Partners Of Adolescent Girls And Young Women In Malawi, Project Soar
Hiv Knowledge, Service Utilization, And Exposure To Dreams Among Male Partners Of Adolescent Girls And Young Women In Malawi, Project Soar
HIV and AIDS
Project SOAR, in collaboration with the Center of Reproductive Health at the University of Malawi College of Medicine, conducted qualitative research in the Zomba and Machinga districts to understand how programs can better engage men living with HIV in care, treatment, and support services. This brief summarizes findings on men’s knowledge of HIV, use of HIV services, stigma, and exposure to PEPFAR’s DREAMS (Determined Resilient Empowered AIDS-free Mentored and Safe) program which took a multi-sectoral approach to reduce HIV risk among adolescent girls and young women and their male partners.
Improving Pmtct Outcomes For Mother-Infant Pairs Through Community-Facility Linkage: Results From A Mixed Methods Study In Malawi, Michael Herce, Jess Edwards, Stephanie M. Topp, Michael Eliya, Nicole Carbone, Lauren Zalla, Jennifer Tseka, Maga Chagomerana, Mina C. Hosseinipour, Innocent Mofolo
Improving Pmtct Outcomes For Mother-Infant Pairs Through Community-Facility Linkage: Results From A Mixed Methods Study In Malawi, Michael Herce, Jess Edwards, Stephanie M. Topp, Michael Eliya, Nicole Carbone, Lauren Zalla, Jennifer Tseka, Maga Chagomerana, Mina C. Hosseinipour, Innocent Mofolo
HIV and AIDS
To improve MIP care retention in Malawi, several prevention of mother-to-child transmission of HIV (PMTCT) care delivery models have emerged to strengthen community-facility linkage (CFL), a concept defined as any “formalized connection between a health facility and the communities it serves to support improved health outcomes.” Similar to other settings in sub-Saharan Africa, three models have been widely implemented to complement Malawi’s National PMTCT Programme: 1) mentor mothers; 2) expert clients; and 3) community health workers. While the rationale underpinning these models has been substantiated by evidence generated from general antiretroviral therapy and PMTCT programs across SSA, a clear and …
Assessment Of Community-Based Art Service Model Linking Female Sex Workers To Hiv Care And Treatment In Blantyre And Mangochi, Malawi, Lung Vu, Brady Zieman, Adamson Muula, Vincent Samuel, Lyson Tenthani, David Chilongozi, Simon Sikwese, Grace Kumwenda, Scott Geibel
Assessment Of Community-Based Art Service Model Linking Female Sex Workers To Hiv Care And Treatment In Blantyre And Mangochi, Malawi, Lung Vu, Brady Zieman, Adamson Muula, Vincent Samuel, Lyson Tenthani, David Chilongozi, Simon Sikwese, Grace Kumwenda, Scott Geibel
HIV and AIDS
The Population Council and partners (through Project SOAR) conducted this study to assess whether acquiring antiretroviral treatment medication through community-based drop-in centers would appeal to female sex workers in this context, to describe any observed effects on treatment outcomes, and to identify opportunities for improvement should this model be selected for future scale-up.
Implementing A Multi-Sectoral Hiv Prevention Program: Insights From The Dreams Implementation Science Research Portfolio, Sanyukta Mathur, Jerry Okal, Julie Pulerwitz
Implementing A Multi-Sectoral Hiv Prevention Program: Insights From The Dreams Implementation Science Research Portfolio, Sanyukta Mathur, Jerry Okal, Julie Pulerwitz
HIV and AIDS
No abstract provided.
Program Effects Of Dreams Among Adolescent Girls And Young Women In Kisumu County, Kenya: Findings From Dreams Implementation Science Research, Population Council
Program Effects Of Dreams Among Adolescent Girls And Young Women In Kisumu County, Kenya: Findings From Dreams Implementation Science Research, Population Council
HIV and AIDS
As part of the DREAMS Initiative, the Population Council is conducting implementation research in Kenya to build needed evidence to inform decision-making around effective implementation of community-based, girl-centred interventions and to assess their effectiveness in reducing HIV vulnerability among adolescent girls and young women (AGYW)—a population in which AIDS is the leading cause of death in the region. This brief summarizes key findings from a prospective cohort study conducted with AGYW participating in DREAMS programming in an urban and peri-urban site in Kisumu County.