Publications by authors named "Caroline Ng'eno"
Background: In Kenya, of the 82,000 children living with HIV, only 59% are receiving ART and 67% are virally suppressed. Early in the COVID-19 pandemic, the Ministry of Health recommended 3 multimonth dispensing (3MMD) of ART to all people living with HIV, including children. This study assesses the association between 3 MMD and clinical outcomes among children in Western Kenya.
View Article and Find Full Text PDFObjective: Kenya ART guidelines recommend three sessions of enhanced adherence counselling (EAC) following detectable viral load. The objective of this study was to assess completion of EAC sessions and factors associated with viral re-suppression amongst adolescents and young persons (AYPs) with persistent viremia in Western Kenya.
Methods: A retrospective analysis of routinely collected data abstracted from viral load registers was done.
Article Synopsis
- The study focuses on differentiated service delivery (DSD) for HIV, specifically examining multimonth dispensing (MMD) in Kenya to enhance client-centered care and lessen health facility strain.
- Researchers analyzed data from 3,501 clients eligible for ≥3MMD, finding that younger clients and those switching ART regimens were less likely to uptake ≥3MMD, while those on DTG-based regimens had a higher likelihood of enrollment.
- The findings highlight the importance of understanding client-level factors influencing MMD enrollment and transitions, suggesting that ongoing monitoring is vital for effective DSD implementation.
Objective: To describe the implementation strategies of the index testing program across Nairobi County in Kenya, assess outcomes along the HIV index testing cascade (acceptance, elicitation ratio, HIV positivity and linkage to treatment), and assess annual changes along the HIV index testing cascade during the first 2 years of implementation.
Methods: Retrospective analysis of programmatic aggregate data collected from October 2017 to September 2019 after the roll-out of index testing services in 48 health facilities in Nairobi County. Proportions and ratios were calculated for acceptance, elicitation ratio, testing uptake and HIV positivity.
Voluntary medical male circumcision is a crucial HIV prevention program for men in sub-Saharan Africa. Kenya is one of the first countries to achieve high population coverage and seek to transition the program to a more sustainable structure designed to maintain coverage while making all aspects of service provision domestically owned and implemented. Using pre-defined metrics, we created and evaluated three models of circumcision service delivery (static, mobile and mixed) to identify which had potential for sustaining high circumcision coverage among 10-14-year-olds group, a historically high-demand and accessible age group, at the lowest possible cost.
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