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Counseling in HIV Infection

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21. HIV prevalence, spatial distribution and risk factors for HIV infection in the Kenyan fishing communities of Lake Victoria. (PubMed)

HIV prevalence, spatial distribution and risk factors for HIV infection in the Kenyan fishing communities of Lake Victoria. Global efforts to end HIV by 2030 focus on reducing and eventually eliminating new infections in priority populations. Identifying these populations and characterizing their vulnerability factors helps in guiding investment of scarce HIV prevention resources to achieve maximum impact. We sought to establish HIV prevalence, spatial distribution and risk factors for HIV (...) of Homa Bay, Kisumu, Siaya and Busia counties compared to Migori County reduced the risk of HIV infection. For women, being married, having more children with the current spouse, having an HIV negative sexual partner and being a resident of Busia compared to Migori County reduced the risk of HIV infection. We also found that longer distance from the beaches to the nearest public health facilities was associated with increasing cumulative HIV prevalence at the beaches.Fishing communities have high HIV

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2019 PLoS ONE

22. Acceptance of provider–initiated testing and counseling for HIV infection by caregivers in a tertiary health institution in Abuja, Nigeria: a cross sectional study (PubMed)

Acceptance of provider–initiated testing and counseling for HIV infection by caregivers in a tertiary health institution in Abuja, Nigeria: a cross sectional study Less than 10% of HIV positive children are enrolled into antiretroviral treatment program in the country. Provider-initiated testing and counseling was introduced to increasing uptake of HIV testing. The aim of this study is to determine the acceptability and factors undermining the acceptance of this laudable initiative by parents (...) of provider-initiated testing and counseling, 95.6% knew what HIV was. Acceptance of the program was high (98.7%), majority (89.7%) wanting to know the HIV status of their children/wards. Non-acceptance was small (1.2%), there main reason being prior knowledge of their HIV status. Prevalence of HIV among tested children was 1.7%. There was a strong relationship between having willingness to test for HIV and many of the study variables with religion of the parents/caregivers having the strongest

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2016 The Pan African medical journal

23. Behaviorally and perinatally HIV-infected young women: targets for preconception counseling (PubMed)

Behaviorally and perinatally HIV-infected young women: targets for preconception counseling This study aimed to describe demographic and psychological characteristics among HIV-infected young women, and to identify knowledge, attitudes, and behaviors associated with conception, with the goal of informing interventions or programmatic decisions regarding preconception counseling methods for young women living with HIV. Behaviorally and perinatally HIV-infected young women (n = 34) were (...) conveniently sampled in Miami, Florida. Participants were asked to complete measures of reproductive knowledge, attitudes toward conception, and risk behaviors, as well as measures of depression and cognitive functioning. Perinatally and behaviorally HIV-infected young women were very similar in important areas of health preconception practices such as conception-related health literacy and conception-related communication with providers. Behaviorally infected women, however, were somewhat more likely

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2016 AIDS care

24. Prevalence of Chlamydia trachomatis infection in women, heterosexual men and MSM visiting HIV counselling institutions in North Rhine-Westphalia, Germany - should Chlamydia testing be scaled up? (PubMed)

Prevalence of Chlamydia trachomatis infection in women, heterosexual men and MSM visiting HIV counselling institutions in North Rhine-Westphalia, Germany - should Chlamydia testing be scaled up? Patients asking for a free anonymous HIV test may have contracted other sexually transmitted infections (STIs) such as Chlamydia trachomatis, yet Chlamydia prevalence in that population is unknown. This study aimed to assess the prevalence and factors associated with Chlamydia infection in patients (...) were young age (18-24 years versus ≥ 40 years, aPR: 3.0, 95 % CI: 1.2-7.8), having had more than 2 partners over the past 6 months (ref.: one partner, aPR: 2.1, 95 % CI: 1.1-4.0) and being born abroad (aPR: 1.9, 95 % CI: 1.0-3.5). Among heterosexual men, young age was associated with Chlamydia infection (18-24 years versus ≥ 40 years, aPR: 4.1, 95 % CI: 1.3-13). Among MSM, none of the variables were associated with Chlamydia infection.LPHA offering HIV tests should consider offering routine

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2016 BMC Infectious Diseases

25. High Rates of Exclusive Breastfeeding in Both Arms of a Peer Counseling Study Promoting EBF Among HIV-Infected Kenyan Women (PubMed)

High Rates of Exclusive Breastfeeding in Both Arms of a Peer Counseling Study Promoting EBF Among HIV-Infected Kenyan Women Exclusive breastfeeding (EBF) is recommended for 6 months after delivery as the optimal infant feeding method and is especially important for prevention of mother-to-child HIV transmission (PMTCT). However, EBF promotion efforts among HIV-infected mothers in sub-Saharan Africa have achieved mixed success and require context-specific interventions.HIV-positive, pregnant (...) women from six clinics in Nairobi were enrolled into a clinic-level, before-after counseling intervention study. All women received standard perinatal and HIV care. Women in the intervention arm were offered three counseling sessions that promoted EBF, described its benefits, and explained breastfeeding techniques. Mother-infant pairs were followed until 14 weeks postpartum, with infant HIV testing at 6 weeks. EBF prevalence at 14 weeks postpartum was compared between study arms using log-binomial

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2016 Breastfeeding Medicine

26. Counseling in HIV Infection

Counseling in HIV Infection Counseling in HIV Infection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Counseling in HIV Infection (...) Counseling in HIV Infection Aka: Counseling in HIV Infection , HIV Positive Discussion II. Protocol: Discuss new HIV diagnosis See Review initial medical plan See III. Protocol: Discuss behaviors at risk for transmission to others See See Discuss how to disclose HIV positive status IV. Protocol: Review Support and Coping Discuss coping mechanisms What support systems do they have in place? Is the patient depressed or at risk of ? Discuss the patient's family's reaction Are they in a safe at home

2018 FP Notebook

27. Infant and young child feeding counseling, decision-making, and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study (PubMed)

Infant and young child feeding counseling, decision-making, and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study This study examined infant and young child feeding (IYCF) counseling, decision-making, and practices among HIV-infected women with children 0-23 months participating in Malawi's Option B+ prevention of mother-to-child transmission (PMTCT) program. We conducted 160 survey interviews, 32 in-depth

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2016 AIDS and behavior

28. Psychosocial needs of perinatally HIV-infected youths in Thailand: lessons learnt from instructive counseling (PubMed)

Psychosocial needs of perinatally HIV-infected youths in Thailand: lessons learnt from instructive counseling Identifying psychosocial needs of perinatally HIV-infected (pHIV) youth is a key step in ensuring good mental health care. We report psychosocial needs of pHIV youth identified using the "Youth Counseling Needs Survey" (YCS) and during individual counseling (IC) sessions. pHIV youth receiving care at two tertiary-care hospitals in Bangkok or at an orphanage in Lopburi province were (...) %). The most common problems identified by the YCS were lack of communication skills (21.3%), poor health attitude and self-care (14.0%), and poor ARV adherence (12.7%). Youth were less likely to report psychosocial problems in the YCS than in the IC session. Common psychosocial needs among HIV-infected youth were issues about life skills, communication skills, knowledge on self-care, ARV adherence, and self-value. YCS can identify pHIV youths' psychosocial needs but might underestimate issues. Regular IC

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2016 AIDS care

29. Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy. (PubMed)

Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy. HIV-infected patients receiving antiretroviral therapy have increased risk of metabolic syndrome, including dyslipidemia. In this study, we determined whether individual nutritional counseling reduced dyslipidemia, particularly low-density lipoprotein (LDL) cholesterol, among HIV-infected patients with dyslipidemia not currently taking lipid-lowering (...) medication. We conducted a randomized 24-week trial among HIV-infected patients with dyslipidemia who were on antiretroviral therapy and were eligible to initiate therapeutic lifestyle changes according to the Thai National Cholesterol Education Program. Participants were randomly assigned to an intervention group that received individual counseling with a nutritionist for seven sessions (baseline, weeks 2, 4, 8, 12, 18, and 24) and a control group that received standard verbal diet information

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2016 AIDS care Controlled trial quality: uncertain

30. An open-label cluster randomised trial to evaluate the effectiveness of a counselling intervention on linkage to care among HIV-infected patients in Uganda: Study design (PubMed)

An open-label cluster randomised trial to evaluate the effectiveness of a counselling intervention on linkage to care among HIV-infected patients in Uganda: Study design Home-based HIV counselling & testing (HBHCT) is highly acceptable and has the potential to increase HIV testing uptake in sub-Saharan Africa. However, data are lacking on strategies that can effectively link HIV-positive individuals identified through HBHCT to care. This trial was designed to assess the effectiveness of two (...) and time to linkage. The primary analysis will be based on individual-level data.This study will provide evidence on the impact of a counselling intervention on linkage to care among adults identified with HIV infection through HBHCT. Interpretation of the trial outcomes will be aided by results from an on-going qualitative sub-study.

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2016 Contemporary clinical trials communications Controlled trial quality: uncertain

31. Risky HIV sexual behavior and utilization of voluntary counseling and HIV testing and associated factors among undergraduate students in Addis Ababa, Ethiopia. (PubMed)

Risky HIV sexual behavior and utilization of voluntary counseling and HIV testing and associated factors among undergraduate students in Addis Ababa, Ethiopia. HIV/AIDS is a major public health problem in Ethiopia. University students are often a young and sexually active group that is at risk of acquiring and transmitting HIV. We assessed risky HIV sexual behaviors and utilization of voluntary counseling and testing services among undergraduate students at Addis Ababa Science and Technology (...) towards HIV risk reduction strategies than students in non-health related departments.Some students were engaged in risky sexual behaviour even though they had heard about HIV/AIDS. The perception of risk for acquisition of HIV infection and utilization of VCT were low. HIV prevention and control strategies including education in the areas of HIV/AIDS as part of university programs curriculum, specially non-health students, and strengthening health institutions to provide youth-friendly VCT services

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2017 BMC Public Health

32. Linkage to HIV care after home-based HIV counselling and testing in sub-Saharan Africa: A systematic review. (PubMed)

adults newly identified with HIV infection through HBHCT. Eligible studies were reviewed, assessed for risk of bias and findings summarised using the PRISMA guidelines.A total of 14 studies from six countries met the eligibility criteria; nine used specific strategies (point-of-care CD4 count testing, follow-up counselling, provision of transport funds to clinic and counsellor facilitation of HIV clinic visit) in addition to routine referral to facilitate linkage to care. Time intervals (...) Linkage to HIV care after home-based HIV counselling and testing in sub-Saharan Africa: A systematic review. Home-based HIV counselling and testing (HBHCT) has the potential to increase HIV testing uptake in sub-Saharan Africa (SSA), but data on linkage to HIV care after HBHCT are scarce. We conducted a systematic review of linkage to care after HBHCT in SSA.Five databases were searched for studies published between 1st January 2000 and 19th August 2016 that reported on linkage to care among

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2017 Tropical medicine & international health : TM & IH

33. Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples (PubMed)

Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples We present temporal trends in self-reported and biological markers of unprotected sex and sex with concurrent partners in discordant couples receiving couples' voluntary HIV counselling and testing (CVCT).Heterosexual Zambian HIV-serodiscordant couples were enrolled into longitudinal follow-up in an open cohort (1994-2012). Multivariable Anderson-Gill models explored predictors (...) of self-report and biological indicators of unprotected sex within (including sperm on a vaginal swab, incident pregnancy or incident linked HIV infection) and outside (including self-report, STI and unlinked HIV infection) the union. Measures of secular trends in baseline measures were also examined.At enrolment of 3049 couples, men were 35 years old on average, women were 29 years, and couples had been together for an average of 7 years. M+F- couples reported an average of 16.6 unprotected sex acts

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2017 Sexually transmitted infections

34. Need to include couples’ HIV counselling and testing as a strategy to improve HIV partner notification services (PubMed)

Counseling Family Characteristics HIV Infections epidemiology Humans Sexual Partners 2017 10 26 6 0 2017 10 27 6 0 2018 10 31 6 0 ppublish 29068835 10.1097/QAD.0000000000001632 00002030-201711130-00015 PMC5679739 NIHMS905466 Lancet HIV. 2015 Nov;2(11):e483-91 26520928 AIDS. 2017 Aug 24;31(13):1867-1876 28590326 (...) Need to include couples’ HIV counselling and testing as a strategy to improve HIV partner notification services 29068835 2018 10 30 2018 11 13 1473-5571 31 17 2017 11 13 AIDS (London, England) AIDS Need to include couples' HIV counselling and testing as a strategy to improve HIV partner notification services. 2435-2436 10.1097/QAD.0000000000001632 Joseph Davey Dvora L DL aDepartment of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California bDivision

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2017 AIDS (London, England)

35. CIHR Canadian HIV Trials Network Co-Infection and Concurrent Diseases Core: Canadian guidelines for management and treatment of HIV/hepatitis C coinfection in adults

CIHR Canadian HIV Trials Network Co-Infection and Concurrent Diseases Core: Canadian guidelines for management and treatment of HIV/hepatitis C coinfection in adults Can J Infect Dis Med Microbiol Vol 24 No 4 Winter 2013 217 CIHR Canadian HIV Trials Network Coinfection and Concurrent Diseases Core: Canadian guidelines for management and treatment of HIV/hepatitis C coinfection in adults Mark Hull MD FRCPC 1 , Marina Klein MD FRCPC 2 , Stephen Shafran MD FRCPC 3 , Alice Tseng BScPhm PharmD FCSHP (...) ) and Canadian Association for HIV Research (CAHR) support. All authors contributed to the literature review, writing, editing and final approval (April 2013) of the document. External input was obtained from academic and community-based stakeholder organiza- tions and individuals by a CIHR CTN/CAHR lead online posting of the draft guidelines (March and April 2013) and a CIHR Meeting, Planning and Dissemination Grant-supported HIV-HCV Co-Infection Guidelines Symposium, held April 12, 2013, during the 22nd

2014 CPG Infobase

36. A comparison of linkage to HIV care after provider-initiated HIV testing and counselling (PITC) versus voluntary HIV counselling and testing (VCT) for patients with sexually transmitted infections in Cape Town, South Africa. (PubMed)

A comparison of linkage to HIV care after provider-initiated HIV testing and counselling (PITC) versus voluntary HIV counselling and testing (VCT) for patients with sexually transmitted infections in Cape Town, South Africa. We examined linkage to care for patients with sexually transmitted infection who were diagnosed HIV-positive via the provider-initiated HIV testing and counselling (PITC) approach, as compared to the voluntary counselling and testing (VCT) approach, as little is known about (...) the impact of expanded testing strategies on linkage to care.In a controlled trial on PITC (Cape Town, 2007), we compared HIV follow-up care for a nested cohort of 930 HIV-positive patients. We cross-referenced HIV testing and laboratory records to determine access to CD4 and viral load testing as primary outcomes. Secondary outcomes were HIV immune status and time taken to be linked to HIV care. Logistic regression was performed to analyse the difference between arms.There was no difference in the main

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2014 BMC Health Services Research

37. Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. (PubMed)

Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. Providing HIV voluntary counseling and testing (VCT) to men who attend their partner's prenatal care is an intervention with potential to reduce HIV transmission to women and infants during the vulnerable period of pregnancy. Little is known about the acceptability of this intervention in global settings outside of Africa.We conducted in-depth qualitative interviews to evaluate (...) these Brazilian men's decision to attend prenatal care, informing our final conceptual model. The men interviewed had a general understanding of the value of HIV prevention of mother to child transmission. They also described open and communicative relationships with their significant others and displayed a high level of enthusiasm towards optimizing the health of their expanding family. The major barriers to attending prenatal care included perceived stigma against HIV infected individuals, men's lack

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2017 PLoS ONE

38. Rapid point of care combined Antigen/Antibody HIV test to aid in the diagnosis of HIV infection

testing with serology testing (with no rapid point-of-care test result). The positive rapid point-of-care result would also be accompanied by counselling for the results according to the proposed clinical decision pathway. With regard to false-negative results, where the rapid point-of-care test indicates no HIV infection, but confirmatory serology testing would; there is potential for those individuals to have worse health outcomes in the longer term due to having an undiagnosed HIV infection (...) Rapid point of care combined Antigen/Antibody HIV test to aid in the diagnosis of HIV infection 1 Public Summary Document Application No. 1391 – Rapid point-of-care combined Antigen/Antibody HIV test to aid in the diagnosis of HIV infection Applicant: ANZPI, Alere Pty Ltd Date of MSAC consideration: MSAC 64 th Meeting, 30-31 July 2015 Context for decision: MSAC makes its advice in accordance with its Terms of Reference, see at www.msac.gov.au. 1. Purpose of application and links to other

2015 Medical Services Advisory Committee

39. Targeted pregnancy and HIV prevention risk-reduction counselling for young women: lessons learned from biomedical prevention trials. (PubMed)

Targeted pregnancy and HIV prevention risk-reduction counselling for young women: lessons learned from biomedical prevention trials. Women enrolled in human immunodeficiency virus (HIV) prevention efficacy trials receive counseling on prevention of HIV, sexually transmitted infections (STIs), and pregnancy during every visit. Incident pregnancy has an impact on efficacy outcomes. Incidence rates of pregnancy and HIV/STIs among women who became pregnant and associated risk factors were (...) , suggesting an urgent need for appropriate, targeted, individual-centred counseling for women participating in HIV prevention trials.

2018 Journal of Infectious Diseases

40. The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia. (PubMed)

The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia. Over 90% of the children with Human Immunodeficiency Virus are infected through the mother to child transmission process according to literatures. Preventing unintended pregnancy by using contraceptive methods is crucial for reducing maternal and child mortality and morbidity. Here we set out to assess the prevalence and associated factors of modern contraceptive utilization (...) residence (AOR = 0.095, 95% CI: 0.03-0.28), having discussed contraceptives with partner (AOR = 7, 95% CI: 5.3-11.9), receiving counseling from health care providers (AOR = 4.8, 95% CI: 1.8-7), previous history of contraceptive utilization (AOR = 5.6, 95% CI: 2.6-8.3), and with CD4 count >500mm3/dl (AOR = 2.4, 95% CI: 1.3-4.3).The proportion of women utilizing contraceptive has been low in Amhara Region referral hospitals. Encouraging patients to discuss about contraception with partners and repeated

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2018 BMC Women's Health

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