We implemented and evaluated a clinic-based routine voluntary HIV testing intervention in Nakivale Refugee Settlement in Uganda. Comparing the standard of care period (40 d) with the intervention period (168 d), the mean HIV-infected clients identified per week increased from 0.9 to 5.6, and there was no significant difference between the HIV prevalence in the 2 periods (standard of care: 3.3%; intervention: 4.5%; P > 0.5). Clinic-based routine HIV testing in a refugee settlement is effective and should be considered for implementation in refugee settlements in other high-prevalence regions in sub-Saharan Africa.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4213244 | PMC |
| http://dx.doi.org/10.1097/QAI.0000000000000317 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The No More Adverse Childhood Experiences (NACES) pilot project addresses Adverse Childhood Experiences (ACEs) in rural farmworker communities in central California. Informed by engagement of farmworkers, the project included a clinic-based intervention that provided ACE education, screening, and response services during routine health visits with adult and pediatric patients. To understand the impact of the clinic-based intervention, the evaluation team developed a mixed-methods approach that collected and analyzed administrative data on ACE education and screening; clinic readiness for trauma informed health care self-assessments; staff training surveys; and interviews with staff, adult patients, and caregivers of pediatric patients.
View Article and Find Full Text PDFDevelopment and Validation of Dynamic 5-Year Breast Cancer Risk Model Using Repeated Mammograms.
JCO Clin Cancer Inform
December 2024
Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine in St Louis, St Louis, MO.
Article Synopsis
- Current long-term risk prediction models for breast cancer are not fully utilizing past mammogram images, and dynamic models have not been explored for routine medical use.
- A study examined a large group of women, analyzing their mammogram data over time to create a dynamic model that predicts the 5-year risk of developing breast cancer.
- The results showed that incorporating previous mammogram images significantly improved risk prediction, identifying high-risk women who could benefit from further screening or preventive measures.
Caregiver Perspectives on Pediatric Primary Care Clinic-Based Food and Nutrition Assistance Programs.
J Health Care Poor Underserved
November 2024
Many pediatric primary care clinics provide food resources to support their patients' health and well-being. We aimed to explore families' perspectives regarding clinic-based food resources through interviews with caregivers of pediatric patients at two academic primary care clinics. We interviewed 40 caregivers, who were mostly mothers (90%) and Black (88%).
View Article and Find Full Text PDFAn evaluation of an online STI service across London: reviewing uptake, utility and outcomes over a 4-year period.
Sex Transm Infect
December 2024
Sexual Health and HIV, Chelsea and Westminster Healthcare NHS Trust, London, UK.
Article Synopsis
- Sexual Health London (SHL) has been providing remote STI testing for London residents over 16 since 2018, initially focusing on asymptomatic screenings and expanding to symptomatic testing in 2020.
- A four-year evaluation of SHL's online testing pathway analyzed data from over 670,000 users, revealing high return rates for tests and associations between user demographics and positive STI results.
- The evaluation found that SHL had the largest order volume for online postal STI testing in the UK, but positivity rates for chlamydia and gonorrhoea were lower than national averages, possibly due to the focus on asymptomatic screenings prior to 2020.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!