Publications by authors named "Khumbo Namachapa"

Background: In sub-Saharan Africa (SSA), integrating HIV testing into antenatal care (ANC) has been crucial toward reducing mother-to-child transmission of HIV. With the introduction of new testing modalities, we explored temporal trends in HIV testing within and outside of ANC and identified sociodemographic determinants of testing during ANC.

Methods: We analyzed data from 139 nationally representative household surveys conducted between 2005 and 2021, including more than 2.

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Article Synopsis
  • The study examined recent HIV infection trends in Malawi using a testing algorithm (RITA) at 155 health facilities from September 2019 to March 2020.
  • Out of 12,703 valid RTRI test results, about 3.5% were classified as recent infections, with higher rates observed among breastfeeding women and young people aged 15-24.
  • Key factors linked to recent infections included being a non-pregnant or breastfeeding female, young age, and residency in particular districts like Machinga and Mzimba.
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Objectives: In 2015, Malawi piloted the HIV diagnostic assistant (HDA), a cadre of lay health workers focused primarily on HIV testing services. Our objective is to measure the effect of HDA deployment on country-level HIV testing measures.

Design: Interrupted time series analysis of routinely collected data to assess immediate change in absolute numbers and longitudinal changes in trends.

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