Journal of the International Association of Providers of AIDS Care最新文献

{"title":"Exploring the HIV Epidemic in the Philippines: Initiatives and Challenges.","authors":"Dalmacito A Cordero","doi":"10.1177/23259582241312294","DOIUrl":"10.1177/23259582241312294","url":null,"abstract":"","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582241312294"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Mother-to-Child HIV Transmission Program in Cameroon: A Three-Year Study Using Statistical Models.","authors":"Misonge Kapnang Ivan, Fokam Joseph, Esoh Rene Tanwieh, Charles Kouanfack, Donatien Gatsing","doi":"10.1177/23259582251382267","DOIUrl":"https://doi.org/10.1177/23259582251382267","url":null,"abstract":"<p><p>BackgroundIn Cameroon, Prevention of Mother-to-Child Transmission (PMTCT) program has been implemented for over two decades, yet persistent challenges hinder their effectiveness. This study evaluates the effectiveness of PMTCT program between 2021 and 2023 throughout the national territory.MethodsThis was a retrospective analysis of data from Cameroon's PMTCT program with data sourced from the national health records and analyzed using advance statistic technics.ResultsThe findings indicate a slight upward trend in transmission prevalence from 0.98% in 2021 to 1.06% in 2023. Maternal human immunodeficiency virus (HIV) status during pregnancy emerged as a major driver of transmission, highlighting gaps in repeated HIV testing. We note a national wide decline of first antenatal attendances and HIV testing coverage. Male partner involvement remained low and retention in care varied overtime inline to specific indicators.ConclusionWhile Cameroon's PMTCT program has made progress, challenges persist with mother-to-child transmission-related program indicators.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251382267"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Even Though He Had Expressed Willingness to Take PrEP, He Declined When He Noticed the Drugs Were Packed in a Container Like That of ARVs\": Exploring Barriers to HIV/AIDS Risk Reduction Among Long-Distance Truckers in Kenya.","authors":"Cyrus Mutie, Kawira Kithuci, John Gachohi, Grace Mbuthia","doi":"10.1177/23259582251328814","DOIUrl":"10.1177/23259582251328814","url":null,"abstract":"<p><p>BackgroundDue to high-risk sexual networks along their transit routes, Long-distance truckers' (LDTs) risk of HIV is known to be high, as evidenced by prevalence rates of 14.34% in the region. Besides, the spaces in which LDTs operate are often marred with a multitude of barriers to HIV/AIDS risk reduction. However, there is limited evidence on the barriers encountered by LDTs in Kenya, hence the need for the current study.Methods and MethodologyWe used nine key informants and 18 in-depth interviews from purposively sampled participants, such as nurses and LDT peer educators at Kenya's Busia and Namanga international border points. We used semi-structured interview guides to collect data through audio records. Interviews were transcribed, coded, and thematically analysed using the QDA-Miner software to generate themes and sub-themes around barriers to HIV/AIDS risk reduction among LDTs.FindingsOverall, three themes, namely, health system, individual-level, and trucking career-related barriers emerged. The sub-themes under health system barriers included the location of healthcare facilities far from transit routes, long durations of hospital waiting time, and lack of targeted health facilities for LDTs, among several others. Under trucking career-related barriers, the sub-themes comprised tight work schedules, unfavourable trucking career policies, and insecurity along transit routes. For individual barriers, some of the sub-themes were language barriers and lack of awareness of current HIV/AIDS risk reduction services.ConclusionAlongside health system factors, individual level and trucking career-related factors were highlighted as the barriers to HIV/AIDS risk reduction among LDTs in Kenya. The existence of these barriers may complicate the fight against the pandemic in this hard-to-reach population, given their already known vulnerability to HIV infections.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251328814"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a National Telephone Consultation Service for Clinicians in Mozambique.","authors":"Maria Ruano, Adelina Maiela, Margarida Khapesse, Célia Cumbi, Rosa Bene, Restano Uamir, Erin Branigan, Jeff Lane, Edy Nacarapa, Ferruccio Vio, Florindo Mudender","doi":"10.1177/23259582251320394","DOIUrl":"10.1177/23259582251320394","url":null,"abstract":"<p><p>The manuscript outlines the establishment of a remote consultation service for clinicians in Mozambique, highlighting best practices and lessons learned. It discusses the transition to full management by the Ministry of Health and the challenges of sustaining the service post-transition within the MoH Telehealth Program. The program evaluation results focus on the national telephone consultation service for HIV/AIDS care and treatment, which, between 2013 and 2019, received calls from a wide range of health facilities and cadres, including nonmedical prescribers, doctors, clinical assistants, and nurses. A 2017 clinician satisfaction survey indicated high satisfaction rates. Key implementation lessons emphasized the necessity of staffing the consultation line with highly trained clinicians, leveraging training to enhance service awareness and trust, supporting the public health system, maintaining operational flexibility, and strengthening pre-service clinical training.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251320394"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hardships and Perceived Barriers to Medical Care Among Newly Diagnosed People With HIV During the COVID-19 Pandemic.","authors":"Ethan Moitra, Julia Scheinbach, Michael Thompson","doi":"10.1177/23259582251331275","DOIUrl":"10.1177/23259582251331275","url":null,"abstract":"<p><p>Purpose of the researchA major consequence of the COVID-19 pandemic was a disruption of medical care in the United States. Using cross-sectional data from an ongoing randomized clinical trial, we examined severity of COVID-related hardships and other factors that might have influenced newly diagnosed people with HIV's (PWH's) receipt of care during the initial years of the pandemic (2020-22).Major findingsIn a sample of 29 newly diagnosed PWH presenting for care at three geographically diverse medical clinics in the United States, results showed that most patients (72.4%) reported that obtaining an HIV medical appointment during the pandemic was \"easy.\" Correlational analyses found that COVID-related hardships were significantly related to overall health and functioning, as well as experiences of discrimination.ConclusionsTaken together, these findings align with previous results to show that already vulnerable populations were particularly affected by service disruptions, but that many patients were able to access care despite the pandemic.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251331275"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus.","authors":"Gaukhar Mergenova, Alissa Davis, Susan L Rosenthal, Assel Terlikbayeva, Sholpan Primbetova, Meruyert Darisheva, Assel Bukharbayeva, Alfiya Y Denebayeva, Jack DeHovitz","doi":"10.1177/23259582251328861","DOIUrl":"10.1177/23259582251328861","url":null,"abstract":"<p><p>BackgroundHuman immunodeficiency virus (HIV) cases are rising in Central Asia and Kazakhstan. People living with HIV (PLWH) in Kazakhstan are at heightened risk of severe COVID-19. We conducted a study to evaluate determinants of COVID-19 vaccine uptake among PLWH in Kazakhstan.MethodsIn this cross-sectional study, 196 PLWH were recruited from the Almaty City AIDS Center (July 2022-January 2023). We used logistic regression to evaluate how multilevel factors are associated with COVID-19 vaccine uptake among PLWH in Kazakhstan.ResultsCOVID-19 vaccine non-uptake was associated with higher HIV stigma scores (AOR = 1.08, 95%CI:1.02,1.16, P = 0.017), a lower level of education (AOR = 2.53, 95%CI: 1.04,6.17, P = 0.0412), and never receiving the flu vaccine (AOR = 15.64, 95%CI:3.66,66.89, P = 0.0002). Participants with at least mild anxiety symptoms (AOR = 0.15, 95%CI:0.03,0.64, P = 0.0107) and a positive attitude towards vaccination (AOR = 0.79, 95%CI: 0.73,0.86, P < 0.0001) were less likely to remain unvaccinated against COVID-19.ConclusionsCOVID-19 vaccination campaigns should be tailored for PLWH and incorporate stigma reduction interventions within healthcare settings.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251328861"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing HIV With Compassion: Insights on Empowering Women, Children, and Communities in the Philippines.","authors":"Rowalt Alibudbud","doi":"10.1177/23259582251358124","DOIUrl":"10.1177/23259582251358124","url":null,"abstract":"","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251358124"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing SRHR for Women Living With HIV: The Role of Meaningful Engagement in Canada and Beyond.","authors":"John Patrick C Toledo","doi":"10.1177/23259582251359438","DOIUrl":"10.1177/23259582251359438","url":null,"abstract":"","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251359438"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Hyperglycemia in Adult People Living With HIV Taking Dolutegravir- Based Antiretroviral Therapy at University of Gondar Hospital, North West Ethiopia, 2022: A Case-Control Study.","authors":"Addisu Liknaw, Abilo Tadesse, Workagegnehu Hailu, Tsebaot Tesfaye, Melaku Tadesse","doi":"10.1177/23259582251375873","DOIUrl":"10.1177/23259582251375873","url":null,"abstract":"<p><p>BackgroundDolutegravir (DTG)-based antiretroviral treatment is now the recommended regimen because of its high efficacy and fewer adverse effects. Nonetheless, hyperglycemia as adverse effect of DTG was reported in few clinical observations.MethodsA case-control study was carried out among DTG-based antiretroviral therapy (ART) users during the study period. EPI Info version 4.8 and SPSS version 26 were used for data entry and analysis, respectively. Binary logistic regression model was used to determine association between risk factors and outcome measures. The associated factors of hyperglycemia were identified using the odds ratio. A <i>P-</i>value <.05 was used to test significance.ResultsThis study contained 42 cases (DTG-based ART users who developed hyperglycemia) and 84 controls (DTG-based ART users who didn't develop hyperglycemia). On bivariable analysis, lower base-line CD4 count, greater body mass index, and lower grade school attendees were significant at <i>P</i>-value <.25. On multivariable analysis, overweight/obesity (body mass index ≥25) plausibly approached statistical significance but did not reach conventional threshold (<i>P</i>-value<.05) as risk factor for hyperglycemia among DTG-based ART users.ConclusionOverweight/obesity-driven hyperglycemia secondary to insulin resistance might be the explanation for hyperglycemia among DTG-based ART users. Further studies with larger sample sizes and prospective designs are needed to confirm these findings.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251375873"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions and Experiences of HIV Nurses on Peer Support for People Living With HIV in the Netherlands: A Qualitative Study.","authors":"Maarten Bedert, Kevin Moody, John de Wit, Pythia Nieuwkerk, Marc van der Valk","doi":"10.1177/23259582251372442","DOIUrl":"10.1177/23259582251372442","url":null,"abstract":"<p><p>BackgroundPeer support is an important intervention to achieve increased quality of life for people with HIV. We set out to understand the perceptions and experiences of HIV nurses with peer support in the Netherlands.MethodsWe conducted 21 semi-structured interviews which were analysed using thematic analysis.ResultsRegarding referral to peer support services, we found that nurses favoured patients with the larger presumed burden of living with HIV. Nurses identified logistical and personal barriers with referrals: additional workload, lack of belief in peer support programs, concerns about the impact on their patients because of earlier unfavourable experiences with peer support. Patients are often considered not being ready for peer support and are fearful of unwanted disclosure by others. A good personal connection with peers and having peers in active care facilitated linkage to peer support by increasing visibility and proximity.ConclusionsWe suggest that closer integration of peer support into formal care is a possible solution to the existing barriers.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"24 ","pages":"23259582251372442"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}