Publications by authors named "L L Abuogi"

Structural, psychological, and clinical barriers to HIV care engagement among adolescents and young adults living with HIV (AYAH) persist globally despite gains in HIV epidemic control. Phone-based peer navigation may provide critical peer support, increase delivery flexibility, and require fewer resources. Prior studies show that phone-based navigation and automated text messaging interventions improve HIV care engagement, adherence, and retention among AYAH.

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Clinical guidelines for infant feeding among people with HIV in the U.S. were updated in 2023 to encourage providers to utilize a shared decision-making approach that includes breastfeeding/chestfeeding (B/CF) when appropriate.

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Article Synopsis
  • Adherence to antiretroviral therapy (ART) is low among pregnant and postpartum women living with HIV in resource-limited settings, with few effective interventions available.
  • A study conducted 24 in-depth interviews with women in western Kenya, correlating their self-reported experiences with actual ART drug concentration levels obtained from blood samples.
  • Key themes identified included the effects of HIV status disclosure, social support, healthcare interactions, and health beliefs, highlighting a potential for targeted interventions to enhance ART adherence and improve health outcomes for mothers and infants.
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Article Synopsis
  • Routine HIV viral load testing is crucial for assessing treatment outcomes, but traditional methods face challenges like high costs and slow result delivery.
  • The GeneXpert HIV-1 quantification assay is a potential solution, offering faster and cheaper point-of-care testing, although its real-world effectiveness is still under review.
  • Analysis of 900 samples from studies in Kenya shows that GeneXpert performs well in terms of specificity and agreement with standard testing but has lower sensitivity, indicating that while it could be a reliable monitoring tool, further investigation is needed to ensure accurate results.
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Poor adherence and retention in HIV care remain a major challenge among adolescents and young adults (AYA) living with HIV in sub-Saharan Africa (SSA). Strategies are urgently required to support AYA to remain in care for better health outcomes. We explored AYA preferences regarding the format and delivery of electronic and in-person peer navigation to improve HIV care outcomes.

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