Publications by authors named "J J Mosoko"

Article Synopsis
  • The study evaluates the use of routine data from prevention of mother-to-child transmission of HIV (PMTCT) as a cost-effective alternative to traditional HIV sentinel surveillance surveys in low-income countries.
  • The survey in Cameroon involved over 6,500 first-time antenatal care attendees, highlighting a high acceptance rate for HIV testing but revealing significant discrepancies in test sensitivity, with about 18.8% of HIV-positive women being misclassified as negative.
  • Findings indicate the need for improvements in the quality of routine PMTCT testing to ensure accurate data for both clinical and surveillance efforts as Cameroon moves towards this new approach.
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Background: During a period of evolving international consensus on how to engage communities in research, facilitators and barriers to participation in HIV prevention research were explored in a rural plantation community in the coastal region of Cameroon.

Methods: A formative rapid assessment using structured observations, focus group discussions (FGD), and key informant interviews (KIIs) was conducted with a purposive non-probabilistic sample of plantation workers and their household members. Eligibility criteria included living or working >1 year within the plantation community and age >18 years.

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Background: In 2002, Cameroon initiated scale up of antiretroviral therapy (ART); on 1 October 2004, a substantial reduction in ART cost occurred. We assessed the impact of this event and other factors on enrolment and retention in care among HIV-infected patients initiating ART from February 2002 to December 2005 at the single ART clinic serving the Southwest Region in Limbe, Cameroon.

Methods: We retrospectively analyzed clinical and pharmacy payment records of HIV-infected patients initiating ART according to national guidelines.

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Background: Retention in long-term antiretroviral therapy (ART) program remains a major challenge for effective management of HIV infected people in sub-Saharan Africa. Highly Active Antiretroviral Therapy (ART) discontinuation raises concerns about drug resistance and could negate much of the benefit sought by ART programs.

Methods: Based on existing patient records, we assessed determinants of retention in HIV care among HIV patients enrolled in an urban ART at two urban hospitals in Cameroon.

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The objective of this study was to identify factors associated with HIV infection among specific population subgroups and complement the HIV surveillance system in Cameroon. Five subgroups (truck drivers, female-sex-workers, university students, health service providers, and residents along Chad-Cameroon petroleum pipeline) were targeted in 2004. Potential participants were approached at their geographically diverse areas and consented to participate in the study.

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