Publications by authors named "Ray Shields"
Introduction: In 2007, the Cameroon Baptist Convention Health Services (CBCHS) initiated an assisted partner notification services (aPNS) public health programme to increase HIV case identification and reduce HIV incidence in the most affected regions of Cameroon. We describe large-scale implementation of aPNS and overall programmatic achievements in a resource-limited setting through 2015.
Methods: CBCHS trained health advisors (HAs) from 16 CBCHS facilities and 22 non-CBCHS facilities to integrate aPNS into their existing jobs in five of the ten Cameroon regions.
Objective: The World Health Organization recommends visual inspection with acetic acid (VIA) for cervical cancer screening in resource-limited settings. In Cameroon, we use digital cervicography (DC) to capture images of the cervix after VIA. This study evaluated interobserver agreement of DC results, compared DC with histopathologic results, and examined interobserver agreement among screening methods.
View Article and Find Full Text PDFObjective: The purpose of this study was to compare the quality of diabetes care provided to American Indians/Alaska Natives (AI/AN) by urban and rural Indian health programs.
Design: Medical record review data collected by the Indian Health Service as part of the Diabetes Care and Outcomes Audit in 2002.
Setting: Seventeen urban Indian health clinics and 225 rural Indian health programs.
Objectives: This study evaluated the quality of diabetes care for older American Indians and Alaska Natives.
Methods: We analyzed the Indian Health Service Diabetes Care and Outcomes Audit to determine whether completion of indicators of diabetes care differed as a function of age and whether additional patient and program factors were also associated with completion of the majority of the indicators.
Results: Completion rates varied by age group, with significantly lower rates seen among the youngest and oldest.