Publications by authors named "Jahn Jaramillo"

Purpose Of Review: Latino/x/e men who have sex with men (LMSM) in the United States are disproportionately affected by HIV. Peer-led adjunctive interventions show promise for enhancing engagement in HIV prevention and care among LMSM, but their effectiveness and implementation remain underexplored. This scoping review aimed to map existing evidence on peer-led interventions, identify gaps, and inform future research for enhancing HIV prevention and care among LMSM.

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Article Synopsis
  • * Through interviews and focus groups, researchers identified five key qualities that make peer implementers credible: proper training, verification, accurate information delivery, interpersonal skills, and engagement with the LGBTQ+ community.
  • * The findings aim to improve peer strategies for HIV prevention and treatment, including recruitment, training, and supervision of peer implementers.
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Existing HIV prevention interventions, such as pre-exposure prophylaxis (PrEP), and behavioral health treatments inadequately reach Latino men who have sex with men (LMSM) in the US. This study involved formative research to inform the content, design, and implementation of a scalable, low resource implementation strategy - peer ambassador stories - stories from peers to normalize using PrEP, HIV testing, and behavioral health treatment. We conducted semi-structured interviews with 20 LMSM to elucidate their content, design, and implementation preferences for peer ambassador stories.

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HIV test counselors are well positioned to refer individuals to pre-exposure prophylaxis (PrEP) and behavioral health treatments. HIV test counselors in Miami-Dade County (N = 20), a priority jurisdiction for Ending the HIV Epidemic, completed interviews to assess determinants of PrEP and behavioral health treatment referrals. To identify determinants, we used a rapid deductive qualitative analysis approach and the Consolidated Framework for Implementation Research (CFIR).

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Peer-led HIV interventions are an increasingly common and low-cost strategy to address shortages of professionally trained health workers for implementing evidence-based HIV prevention and treatment interventions to populations who experience health disparities. There is a need to understand the experiences and unmet needs of this essential workforce responsible for implementing and delivering HIV interventions to ensure their implementation efforts are sustainable. This commentary provides a brief overview of barriers to peer deliverers' sustained engagement in the HIV workforce and potential implementation strategies to promote the sustainment of peer deliverers' implementation efforts.

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Pre-exposure prophylaxis (PrEP) and HIV testing inadequately reach Latino sexual minority men (LSMM), fueling HIV disparities. This study identified determinants of LSMM's PrEP use and HIV testing and examined differences across subgroups (i.e.

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  • The study investigates the challenges faced by healthcare providers in the Philippines regarding drug-resistant tuberculosis (DR-TB) care services, highlighting low treatment success rates and the need for improvement.
  • Key themes identified include lack of empowerment among nurses, disparities in patient care, insufficient infection control, financial challenges linked to reimbursement, and limited government support for DR-TB elimination efforts.
  • Recommendations focus on tailored approaches to patients, such as local government financial support, nutritional assistance, and training for healthcare workers to enhance service delivery and reduce care access disparities.
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  • The study investigates how HIV services in Miami-Dade County adapted during COVID-19 disruptions, highlighting the resilience of organizations amidst challenges.
  • Quantitative data showed that while there were significant service disruptions, many HIV services implemented innovative solutions that often matched or surpassed the disruptions in service delivery.
  • Qualitative findings identified key themes related to service disruptions, resilient innovations, and ongoing health disparities, suggesting that some changes could improve HIV services even after the pandemic.
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Purpose: In the Philippines, drug-resistant tuberculosis (DRTB) is a growing concern. Healthcare workers face challenges in retaining patients with DRTB in care. This study intends to understand their perspectives on the factors that influence patient treatment outcomes and to propose potential programmatic solutions for strengthening care services for the patients.

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Introduction: HIV PrEP (pre-exposure prophylaxis) is underutilized among Latinx and Black men who have sex with men (MSM) in the United States. Although peer navigation approaches may increase PrEP uptake and adherence, it remains unclear what strategies work best for MSM of color.

Methods: From July 2017 to August 2018, we conducted semi-structured in-depth interviews with 25 purposively sampled Latinx and Black cisgender MSM to evaluate how the intersectionality of race/ethnicity, sexual orientation, and other identities influenced men's views on PrEP in general and on peer navigation specifically.

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In this commentary, we briefly describe our methodology in conducting a remote qualitative investigation with essential workers from southwest Kansas, and then describe some key considerations, challenges, and lessons learned in recruiting and conducting interviews remotely. From August 4, 2020 through August 26, 2020, Centers for Disease Control and Prevention (CDC) staff conducted five phone interviews with culturally and linguistically diverse employees in southwest Kansas to understand COVID-19 knowledge, attitudes, and practices and communication preferences. Our experience details the potential challenges of the federal government in recruiting individuals from these communities and highlights the possibilities for more effectively engaging health department and community partners to support investigation efforts.

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  • ViCo is a health surveillance system started in Guatemala in 2007 to track diseases like diarrhea and respiratory issues.
  • In 2018, interviews were conducted with involved people to see how ViCo could be improved and how it works with the health ministry.
  • Stakeholders thought ViCo is useful but suggested making it simpler, improving data management, and better integrating it into the national health system for it to work even better.
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Background: Peer navigation is a promising strategy to link at-risk minority men who have sex with men (MSM) to HIV prevention services including pre-exposure prophylaxis (PrEP).

Methods: Thirty-two Black and 63 Latinx HIV-negative MSM living in western Washington completed a survey examining attitudes towards peer navigation and PrEP. Factor analysis derived a score for peer navigator acceptability, and linear regression identified associations with this outcome.

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