Publications by authors named "H J Menzies"

Background: In 2016, Namibia had ~ 230,000 people living with HIV (PLHIV) and 9154 new tuberculosis (TB) cases, including 3410 (38%) co-infected cases. TB preventative therapy (TPT), consisting of intensive case finding and isoniazid preventative therapy, is critical to reducing TB disease and mortality.

Methods: Between November 2014 and February 2015, data was abstracted from charts of PLHIV enrolled in HIV treatment.

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Article Synopsis
  • The Namibian Ministry of Health and Social Services launched the first HIV Project ECHO in Africa between 2015 and 2016, aimed at enhancing clinical skills, boosting healthcare worker satisfaction, and tackling HIV service challenges during the rollout of antiretroviral therapy.
  • A thorough mixed-methods evaluation revealed that healthcare worker knowledge about HIV increased by 17.8% overall, with nurses seeing a 22.3% improvement, alongside a notable rise in professional satisfaction and reduced feelings of isolation among participants.
  • Following the pilot, the program expanded significantly, serving over 140,000 people by May 2019, showing that the Project ECHO model effectively created supportive learning communities and fostered healthcare improvements similar to
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Namibia ranks among the 30 high TB burden countries worldwide. Here, we report results of the second nationwide anti-TB drug resistance survey. To assess the prevalence and trends of multidrug-resistant TB (MDR-TB) in Namibia.

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We assessed Zika virus seroprevalence among healthy 1-4-year-old children using a serum sample collection assembled in 2014 representing 30 urban sites across Indonesia. Of 662 samples, 9.1% were Zika virus seropositive, suggesting widespread recent Zika virus transmission and immunity.

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Objective: To describe outcomes of HIV-infected pediatric patients with drug-resistant tuberculosis (DR TB).

Methods: Demographic, clinical and laboratory data from charts of pediatric patients treated for DR TB during 2005-2008 were collected retrospectively from 5 multi-DR TB hospitals in South Africa. Data were summarized, and Pearson χ test or Fisher exact test was used to assess differences in variables of interest by HIV status.

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