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Hearing the Silence and Silenced: Co-Producing Research on Infant-Feeding Experiences and Practices With Black Women With HIV.
Sociol Health Illn
January 2025
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
In the UK, up to 700 people with HIV give birth annually; the majority are Black African migrant cisgender women. Infant-feeding decisions for parents with HIV are complex, requiring parents to weigh-up the small risk of HIV transmission via breastmilk and UK guidelines recommending formula milk, against strong personal and societal expectations to breastfeed. We explored this situation in a qualitative study.
View Article and Find Full Text PDFClinical Outcomes of a Nurse-Delivered, Technology-Enabled HIV Outpatient Model.
J Int Assoc Provid AIDS Care
September 2024
Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK.
We evaluated Klick, a nurse-led, digitally enabled model of HIV outpatient care, launched in 2020. Klick's smartphone app offers online booking, remote nurse-led consultations, and results. An audit of Klick nurse-led consultations was conducted against BHIVA monitoring guidelines, and nurses were interviewed about their experience.
View Article and Find Full Text PDFIntroduction: The British HIV Association (BHIVA) guidelines were amended during the coronavirus (COVID-19) pandemic, allowing for less frequent monitoring of routine bloods. We assessed the impact of this on patient outcomes.
Methods: Between April 2020 and March 2021, routine blood appointments at our HIV clinic were replaced by virtual consultations in 'stable' people living with HIV (PLWH), defined using standard operating procedure (SOP) criteria.
How women living with HIV in the UK manage infant-feeding decisions and vertical transmission risk - a qualitative study.
BMC Public Health
August 2024
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Background: The World Health Organization (WHO) recommends that women with HIV breastfeed for a minimum of one year. In contrast, across high-income countries, HIV and infant-feeding guidelines recommend exclusive formula feeding if parents want to avoid all risk of postpartum transmission. However, recently these guidelines (including in the United Kingdom (UK)) increasingly state that individuals with HIV should be supported to breast/chest feed if they meet certain criteria; such as an undetectable maternal HIV viral load and consent to additional clinical monitoring.
View Article and Find Full Text PDFMore pressure on integrase strand-transfer inhibitors?
Lancet HIV
May 2024
Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
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