Publications by authors named "Susan Njogo"
Article Synopsis
- Early combination antiretroviral therapy (cART) leads to improved care linkage and virologic suppression, according to WHO guidelines, and this study analyzed its impact in Kenya.
- Among 8,592 HIV-infected adults starting cART, same-day initiation after diagnosis rose significantly, yet those starting cART on the same day showed higher non-retention rates compared to those starting after 91+ days.
- While about 14% of participants experienced initial virologic non-suppression within the first six months, there was no significant association found between the timing of cART initiation and viral suppression outcomes.
Background: The number of people living with HIV (PLHIV) in need of treatment monitoring in low-and-middle-income countries is rapidly expanding, straining existing laboratory capacity. Point-of-care viral load (POC VL) testing can alleviate the burden on centralized laboratories and enable faster delivery of results, improving clinical outcomes. However, implementation costs are uncertain and will depend on clinic testing volume.
View Article and Find Full Text PDFUnlabelled: Background While advances have been made in HIV prevention and treatment, new HIV infections continue to occur. The introduction of pre-exposure prophylaxis (PrEP) as an additional HIV prevention option for those at high risk of HIV may change the landscape of the HIV epidemic, especially in sub-Saharan Africa, which bears the greatest HIV burden.
Methods: This paper details Kenya's experience of PrEP rollout as a national public sector program.
Background: Achieving high rates of adherence to antiretroviral therapy (ART) in resource-poor settings comprises serious, but different, challenges in both the first months of treatment and during the life-long maintenance phase. We measured the impact of a health system-oriented, facility-based intervention to improve clinic attendance and patient adherence.
Methods: This was a quasi-experimental, longitudinal, controlled intervention study using interrupted time series analysis.