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Uptake of HIV pre-exposure prophylaxis and contraception in South African hair salons: a study protocol for a pilot cluster randomised controlled trial.
BMJ Open
December 2024
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Introduction: Young women are disproportionately affected by HIV in South Africa and have a high incidence of unintended pregnancies. Access to sexual and reproductive health (SRH) services, including HIV pre-exposure prophylaxis (PrEP), contraception and screening for seally transmitted infections (STIs), remains limited in South Africa, in part due to inadequate infrastructure and individual barriers to care. Integrated, community-based SRH services have the potential to overcome barriers to clinic-based care for women at risk of HIV, unintended pregnancy and STIs.
View Article and Find Full Text PDFEvaluating the Implementation of Home-Based Sexual Health Care Among Men Who Have Sex with Men: Limburg4zero.
AIDS Behav
January 2025
Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health Mosa, Public Health Service South Limburg, Heerlen, The Netherlands.
Home-based sexual health care (including self-sampling testing) could reduce barriers to clinic-based testing. This study systematically evaluated the implementation of home-based sexual health care ('Limburg4Zero') among men who have sex with men (MSM) in a mixed urban-rural region of the Netherlands. We systematically assessed implementation outcomes (contextual domains, population reached, effectiveness, adoption by health care providers (HCP), implementation fidelity, and maintenance) using the practical, robust implementation and sustainability model.
View Article and Find Full Text PDFPublic advocates, private advisors: the autonomy, function, and influence of the President's Council of Advisors on Science and Technology.
Front Res Metr Anal
December 2024
Science and Technology Policy Program, Baker Institute for Public Policy, Rice University, Houston, TX, United States.
US national expert advisory bodies related to science, technology, and innovation (STI) policy have a wide range of missions, governing structures, operational practices, cultures, and impact on federal policymaking. This paper offers an analytical framework for assessing the autonomy, function, and influence of of the President's Council of Advisors on Science and Technology (PCAST), a federal advisory committee consisting of 30 elite scientists, engineers, and industry leaders appointed by and advising the president. We demonstrate that PCAST carries both a strong instrumental advisory role, providing substantive advice to White House STI policy development, and a significant symbolic advisory role, offering visible public support to presidential decisions and initiatives related to STI.
View Article and Find Full Text PDFContextualized Experiences and Predictors of Condom Use in a Flemish Population: A Mixed Methods Study.
Int J Environ Res Public Health
November 2024
Sensoa, Flemish Expertise Centre for Sexual Health, President Building, F. Rooseveltplaats 12 bus 7, 2060 Antwerpen, Belgium.
This study aims to address the gap in understanding condom use (CU) behavior in Flanders (the Dutch-speaking community in Belgium) by applying a mixed methods approach, integrating both quantitative and qualitative data. Utilizing a large-scale survey of over 14,000 participants and 11 in-depth interviews, the study explores key factors influencing CU, including (amongst others) relationship status, attitudes toward condoms, and STI testing. Quantitative findings highlight significant predictors such as the type of partner (casual vs.
View Article and Find Full Text PDFFrom Cure to Prevention: Doxycycline's Potential in Prophylaxis for Sexually Transmitted Infections.
Antibiotics (Basel)
December 2024
Department of Basic and Clinical Sciences, University of Nicosia, Nicosia 2417, Cyprus.
Over the past two decades, the global incidence of sexually transmitted infections (STIs) such as gonorrhea, chlamydia, and syphilis have increased significantly, particularly among cisgender men who have sex with men (MSM) and transgender women (TGW). This rise in STIs has spurred interest in new preventive measures, including doxycycline post-exposure prophylaxis (DoxyPEP). Clinical trials in the United States and France have demonstrated the effectiveness of DoxyPEP in reducing both chlamydia and syphilis incidence among MSM and TGW; although, its efficacy against gonorrhea remains limited, and it was further found to be ineffective among cisgender women in Kenya.
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