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Counseling in HIV Infection

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121. Evidence and the Politics of Deimplementation: The Rise and Decline of the "Counseling and Testing" Paradigm for HIV Prevention at the US Centers for Disease Control and Prevention. (PubMed)

Evidence and the Politics of Deimplementation: The Rise and Decline of the "Counseling and Testing" Paradigm for HIV Prevention at the US Centers for Disease Control and Prevention. In situations of scientific uncertainty, public health interventions, such as counseling for HIV infection, sometimes must be implemented before obtaining evidence of efficacy. The history of HIV counseling and testing, which served as the cornerstone of HIV prevention efforts at the US Centers for Disease Control (...) and Prevention (CDC) for a quarter of a century, illustrates the influence of institutional resistance on public health decision making and the challenge of de-implementing well-established programs.In 1985, amid uncertainty about the accuracy of the new test for HIV, public health officials at the Centers for Disease Control and Prevention (CDC) and AIDS activists agreed that counseling should always be provided both before and after testing to ensure that patients were tested voluntarily and understood

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2016 Milbank Quarterly

122. Lost opportunities to identify and treat HIV‐positive patients: results from a baseline assessment of provider‐initiated HIV testing and counselling (PITC) in Malawi (PubMed)

Lost opportunities to identify and treat HIV‐positive patients: results from a baseline assessment of provider‐initiated HIV testing and counselling (PITC) in Malawi To assess implementation of provider-initiated testing and counselling (PITC) for HIV in Malawi.A review of PITC practices within 118 departments in 12 Ministry of Health (MoH) facilities across Malawi was conducted. Information on PITC practices was collected via a health facility survey. Data describing patient visits and HIV (...) transmitted infection clinics. Reported challenges to delivering PITC included test kit shortages (71/71 providers), insufficient physical space (58/71) and inadequate number of HIV counsellors (32/71) while providers from inpatient units cited the inability to test on weekends.Various models of PITC currently exist at MoH facilities in Malawi. Only antenatal and maternity clinics demonstrated high rates of routine opt-out PITC. The low ratio of facility visits to HIV tests suggests missed opportunities

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2016 Tropical Medicine & International Health

123. “I Always Worry about What Might Happen Ahead”: Implementing Safer Conception Services in the Current Environment of Reproductive Counseling for HIV-Affected Men and Women in Uganda (PubMed)

“I Always Worry about What Might Happen Ahead”: Implementing Safer Conception Services in the Current Environment of Reproductive Counseling for HIV-Affected Men and Women in Uganda We explored healthcare provider perspectives and practices regarding safer conception counseling for HIV-affected clients.We conducted semistructured interviews with 38 providers (medical and clinical officers, nurses, peer counselors, and village health workers) delivering care to HIV-infected clients across 5 (...) healthcare centres in Mbarara District, Uganda. Interview transcripts were analyzed using content analysis.Of 38 providers, 76% were women with median age 34 years (range 24-57). First, we discuss providers' reproductive counseling practices. Emergent themes include that providers (1) assess reproductive goals of HIV-infected female clients frequently, but infrequently for male clients; (2) offer counseling focused on "family planning" and maternal and child health; (3) empathize with the importance

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2016 BioMed research international

124. Counseling for HIV and STIs Screening

will be conducted. Condition or disease Intervention/treatment Phase HIV, Hepatitis B, Hepatitis C and Syphilis Infections Behavioral: Computer-assisted counseling Behavioral: On-demand counseling Behavioral: Standard counseling Behavioral: Appointment + reminder Behavioral: Reminder Behavioral: No appointment and no reminder Not Applicable Detailed Description: The study will be presented to clients, who will be asked to formally consent to participate. Clients residing or working in northern Thailand and able (...) participants. After the blood draw, participants will be invited to complete a questionnaire to assess their knowledge, attitudes and practices with regard to HIV and other infections. Test results will then be provided. In case of confirmed HIV infection, participants will be provided with further counseling, CD4 cell count measurement and referral options for immediate treatment. Blood samples collected during the study for the diagnosis will be stored for determination of the Fiebig stage (duration

2016 Clinical Trials

125. The effectiveness of counseling, material support and/or nutritional supplementation on improving adherence to anti-retroviral therapy and clinical outcomes among HIV patients: a systematic review of quantitative evidence protocol. (PubMed)

methods Food Supply economics Global Health HIV Infections drug therapy Humans Medication Adherence Middle Aged Systematic Reviews as Topic Treatment Outcome Young Adult Adherence ART Counseling and material support nutritional supplementation 2015 03 28 2015 06 30 2015 06 30 2015 10 13 6 0 2015 10 13 6 0 2016 5 26 6 0 epublish 26455853 10.11124/jbisrir-2015-2243 (...) The effectiveness of counseling, material support and/or nutritional supplementation on improving adherence to anti-retroviral therapy and clinical outcomes among HIV patients: a systematic review of quantitative evidence protocol. 26455853 2016 05 25 2018 12 02 2202-4433 13 7 2015 Aug 14 JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep The effectiveness of counseling, material support and/or nutritional supplementation on improving adherence

2015 JBI database of systematic reviews and implementation reports

126. Predictors of provider- initiated HIV testing and counseling refusal by outpatient department clients in Wolaita zone, Southern Ethiopia: a case control study. (PubMed)

Predictors of provider- initiated HIV testing and counseling refusal by outpatient department clients in Wolaita zone, Southern Ethiopia: a case control study. Despite different strategies designed to rapidly identify HIV infected individuals, majority of HIV-infected people are unaware of their sero-status in developing countries. The objective of this study was to assess predictors of provider-initiated HIV testing and counseling (PITC) refusal by outpatient department (OPD) clients (...) attitude [AOR = 6.09, (95 % CI: 1.70, 21.76)], who had perceived risk for HIV infection [AOR = 5.23, (95 % CI: 2.22, 12.32)], who did not perceive the benefits of provider-initiated HIV testing and counseling [AOR = 4.64, (95 % CI: 1.79, 12.01)], who did not get minimum recommended pretest information from their providers [AOR = 2.98, (95 % CI: 1.06, 8.35)], who ever not heard of provider-initiated HIV testing and counseling service [AOR = 2.41, (95 % CI: 1.14, 5.09)], and who were from urban area [AOR

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2016 BMC Public Health

127. Randomized Factorial Trial of Phone-Delivered Support Counseling and Daily Text Message Reminders for HIV Treatment Adherence. (PubMed)

Randomized Factorial Trial of Phone-Delivered Support Counseling and Daily Text Message Reminders for HIV Treatment Adherence. HIV infection is clinically managed with antiretroviral therapy (ART), but only with sustained adherence. Cost-efficient interventions to improve and sustain ART adherence remain a pressing priority for populations challenged by nonadherence. The aim of this study was to test the independent and interactive effects of (1) brief phone-delivered self-regulation counseling (...) and (2) daily phone-delivered text message medication reminders on HIV adherence and HIV viral suppression.A randomized 2 (5 sessions of phone-delivered adherence support counseling vs. contact-matched control) × 2 (daily ART text reminders vs. no reminders) trial with primary end points of monthly phone-based unannounced pill count-determined ART adherence and HIV viral suppression monitored over 12 months.Self-regulation adherence counseling demonstrated significant improvements in achieving 90

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2016 Journal of acquired immune deficiency syndromes (1999) Controlled trial quality: uncertain

128. Providers’ perspectives on preconception counseling and safer conception for HIV-infected women (PubMed)

Providers’ perspectives on preconception counseling and safer conception for HIV-infected women Unplanned pregnancy among HIV-infected women can have negative health consequences for women, partners, and neonates. Despite recommendations, preconception counseling (PCC) appears to be infrequently addressed in HIV care. This study explored knowledge, attitudes, and practices among health-care providers regarding PCC, safer conception and pregnancy among HIV-infected women.Physicians, physician (...) assistants, and nurse practitioners (n = 14) providing obstetric/gynecological and HIV care in urban south Florida public and private hospitals completed structured qualitative interviews. Dominant themes arising included provider perceptions of patient knowledge and practices, provider knowledge and attitudes regarding safer conception, and provider practices regarding reproductive health.Providers perceived patients to have limited reproductive knowledge. Patients' internalized HIV stigma was a barrier

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2015 AIDS care

129. Chemokine co-receptor usage in HIV-1-infected treatment-naïve voluntary counselling and testing clients in Southern Taiwan. (PubMed)

Chemokine co-receptor usage in HIV-1-infected treatment-naïve voluntary counselling and testing clients in Southern Taiwan. The goal of this present study was to determine the proportion of CCR5-tropic and CXCR4-tropic viruses and impact of tropism test on clinical presentation, CD4 cell counts, viral load and genotypic drug resistance from drug-naïve, voluntary counselling and testing (VCT) clients in southern Taiwan.This was a cross-sectional study. Plasma samples were collected from HIV-1 (...) -infected patients from January 2013 to December 2013; subjects were recruited from free VCT centres in southern Taiwan.Taiwan.Plasma samples from 108 HIV-1-infected, treatment-naïve, VCT clients were analysed. HIV-1 strains were sequenced, genotype resistance was determined by a commercial kit (Viro-seq) and co-receptor tropism (CRT) was predicted by an internet tool geno2pheno[coreceptor], with a 10% false-positive rate as the cut-off. Differences in progression markers, patient characteristics, VCT

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2015 BMJ open

130. Acceptability of Couples’ Voluntary HIV Testing Among HIV-infected Patients in Care and Their HIV-negative Partners in the United States (PubMed)

Acceptability of Couples’ Voluntary HIV Testing Among HIV-infected Patients in Care and Their HIV-negative Partners in the United States Couples' voluntary HIV counseling and testing (CHTC) is an HIV risk reduction strategy not widely available in the US.We assessed willingness to participate in CHTC among US HIV-infected clinic patients via tablet-based survey and among HIV-negative persons with HIV-infected partners in care via mixed-method phone interviews.Most of the N=64 HIV-infected (...) partners surveyed were men (89%), on antiretroviral treatment (ART) (92%), and many self-identified homosexual (62%). We observed high levels of willingness to participate in CHTC (64%) among HIV-infected partners. Reasons for not wanting to participate included perceived lack of need (26%), desire to self-disclose their status (26%), and fear of being asked sensitive questions with their partner present (17%). HIV-infected partners were interested in discussing ART (48%), other sexually transmitted

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2016 The open AIDS journal

131. HIV status disclosure rate and reasons for non-disclosure among infected children and adolescents in Enugu, southeast Nigeria (PubMed)

) were seen as significant predictors of HIV disclosure.There is a low rate of HIV disclosure to infected children, and it was found to be lower for younger children. We recommend improving efforts for disclosure counseling to caregivers in pediatric HIV clinics. (...) HIV status disclosure rate and reasons for non-disclosure among infected children and adolescents in Enugu, southeast Nigeria To determine the rate of HIV status disclosure, caregivers' reasons for non-disclosure, and factors influencing disclosure among a sample of HIV-infected children in Enugu, southeast Nigeria.Data were collected prospectively via a questionnaire on HIV-infected children and their caregivers who visited the pediatric HIV clinic of the University of Nigeria Teaching

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2016 SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance

132. Gender Affirmation and Resiliency Among Black Transgender Women With and Without HIV Infection (PubMed)

Gender Affirmation and Resiliency Among Black Transgender Women With and Without HIV Infection Purpose: Among black transgender women (transwomen) at high risk of HIV acquisition or already living with HIV/AIDS, the study examined whether medical or socially based gender affirming factors may contribute differentially to selected measures of resiliency, perceived stress, and a scale measure of mental health outcomes. This question has implications for clinical care and counseling (...) and outcomes were first assessed using bivariate level correlations. Significant bivariate associations were then tested in multivariable regression models adjusting for age and HIV status. Results: Mean age of the sample was 34.5 years. More than one-half of the sample (62.3%) indicated being HIV-infected. None of the bivariate or multivariable associations pertaining to GA medical factors were significant. Conversely, the social GA factors were significant and protective with all four outcomes

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2016 Transgender health

133. Factors influencing antiretroviral treatment suboptimal adherence among perinatally HIV-infected adolescents in Thailand. (PubMed)

relationships with caregivers, forgetfulness due to busy schedules, and fear of disclosing HIV status to others, especially boy/girlfriends, were important contributors to suboptimal adherence. Social and emotional support and counseling from peer group was consistently reported as a strong adherence-promoting factor.Our findings highlight unique barriers of ART adherence among the perinatally infected adolescents. Future interventions should be targeted at helping adolescents to improve interpersonal (...) Factors influencing antiretroviral treatment suboptimal adherence among perinatally HIV-infected adolescents in Thailand. Existing studies have suggested decreased adherence and rebound in mortality in perinatally HIV-infected adolescents receiving antiretroviral therapy (ART) as compared to adults and young children.We used both quantitative and qualitative approaches to identify factors influencing adherence among perinatally infected adolescents in Thailand. We analyzed data from 568 pairs

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2017 PLoS ONE

134. An intersectional approach for understanding the vulnerabilities of English-speaking heterosexual Caribbean youth to HIV/AIDS and sexually transmitted infections: Prevention and intervention strategies (PubMed)

circumcision, and HIV testing and counseling. Suggestions are offered for future research investigations to explore the contributing factors to youth's vulnerability to sexually transmitted infections and to empirically verify the relationship between and among variables that account for desired outcomes, including decreases in risky sexual behaviors. (...) An intersectional approach for understanding the vulnerabilities of English-speaking heterosexual Caribbean youth to HIV/AIDS and sexually transmitted infections: Prevention and intervention strategies Caribbean youth comprise about 30 percent of the English-speaking Caribbean population, and about 81,000 Caribbean and Latin American youth are HIV infected. AIDS is the leading cause of death for 15- to 24-year-old English-speaking Caribbean youth. This article relies on intersectionality theory

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2016 Health psychology open

135. Short-term effectiveness of a community health worker intervention for HIV-infected pregnant women in Tanzania to improve treatment adherence and retention in care: A cluster-randomized trial. (PubMed)

Short-term effectiveness of a community health worker intervention for HIV-infected pregnant women in Tanzania to improve treatment adherence and retention in care: A cluster-randomized trial. Community health workers (CHWs) are lay workers who have the potential to enhance services to prevent mother-to-child HIV transmission (PMTCT) and improve the health of women living with HIV infection. We conducted a cluster-randomized trial of an intervention to integrate CHWs with 'Option B+' PMTCT (...) ) groups. Intervention effectiveness was determined with a difference-in-differences strategy based on clinical and pharmacy data from HIV-infected postpartum women at baseline (births in 2014) and endline (births April-Oct 2015). The primary outcome was retention in care between 60 and 120 days postpartum. Secondary outcomes included ART initiation, timing of ART initiation (as measured by week of gestation), and ART adherence 90 days postpartum, measured using the medication possession ratio (MPR≥95

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2017 PLoS ONE Controlled trial quality: predicted high

136. WITHDRAWN: Home-based HIV voluntary counseling and testing in developing countries. (PubMed)

WITHDRAWN: Home-based HIV voluntary counseling and testing in developing countries. The low uptake of HIV voluntary counseling and testing (VCT), an effective HIV prevention intervention, has hindered global attempts to prevent new HIV infections, as well as limiting the scale-up of HIV care and treatment for the estimated 38 million infected persons. According to UNAIDS, only 10% of HIV-infected individuals worldwide are aware of their HIV status. At this point in the HIV epidemic, a renewed (...) focus has shifted to prevention, and with it, a focus on methods to increase the uptake of HIV VCT. This review discusses home-based HIV VCT delivery models, which, given the low uptake of facility-based testing models, may be an effective avenue to get more patients on treatment and prevent new infections.(1) To identify and critically appraise studies addressing the implementation of home-based HIV voluntary counseling and testing in developing countries. (2) To determine whether home-based HIV

2010 Cochrane

137. Recipient Assessment for Transplantation - HIV, HBV and HCV infection

Recipient Assessment for Transplantation - HIV, HBV and HCV infection ________________________________________________________________________________________________________________________ Recipient Assessment for Transplantation March 2013 Page 1 of 23 HIV, HBV and HCV infection Date written: November 2011 Author: David Gracey GUIDELINES a. Human immunodeficiency virus (HIV) We recommend that HIV infection should not preclude a patient from being assessed for kidney transplantation (Level 1D (...) ) b. Hepatitis B virus (HBV) We recommend that HBV infection should not preclude a patient from being assessed for kidney transplantation (Level 1D) c. Hepatitis C virus (HCV) We recommend that HCV infection should not preclude a patient from being assessed for kidney transplantation (Level 1D) UNGRADED SUGGESTIONS FOR CLINICAL CARE HIV Testing for HIV should be performed in all potential kidney transplant candidates (ungraded) Assessment of HIV-infected potential kidney transplant patients should

2013 KHA-CARI Guidelines

138. March 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection

for treating and preventing HIV infection, Chapter 5 – HIV diagnosis and ARV drugs for HIV prevention Key messages • HIV self-testing has the potential to increase the number of people living with HIV who have access to testing, know their status, are diagnosed and initiate treatment. • HIV self-testing shares many characteristics with current HIV testing and counselling approaches, including products, accuracy issues, linkage to care, potential benefits and risks and regulatory policies and frameworks (...) and preventing HIV infection. Chapter 5, “HIV diagnosis and ARV drugs for HIV prevention” summarizes diverse models of HIV testing and counselling services to increase access to HIV diagnosis that are presented in more detail in the WHO 2012 strategic HIV testing and counselling policy framework. This technical update was prepared in November 2013 through the collaboration of the WHO, UNAIDS and key experts. Its primary objectives are to synthesize experiences, research and policies on HIV self-testing so

2014 World Health Organisation HIV Guidelines

139. Sero-prevalence and associated risk factors for hepatitis C virus infection among voluntary counseling testing and anti retroviral treatment clinic attendants in Adwa hospital, northern Ethiopia (PubMed)

Sero-prevalence and associated risk factors for hepatitis C virus infection among voluntary counseling testing and anti retroviral treatment clinic attendants in Adwa hospital, northern Ethiopia Hepatitis C virus (HCV) is a major health concern where about 3% of the world's population is infected globally. In Ethiopia the prevalence ranges from 0.9 to 1.3% in the general populations. Human immune deficiency virus (HIV) patients due to their weak immune response are heavily affected by the virus (...) . There is no data on magnitude and associated risk factors for HCV infection among voluntary counseling, testing center and anti retroviral treatment clinic Attendants in the study area. Therefore, the aim of this study was to determine the sero-prevalence and associated risk factors for HCV infection among voluntary counseling testing and anti retroviral treatment clinic attendants Adwa general hospital.Cross sectional study was carried out among 302 participants (151 HIV-negative from VCT and 151 HIV-positive

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2016 BMC research notes

140. Boosting ART uptake and retention among HIV-infected pregnant and breastfeeding women and their infants: the promise of innovative service delivery models. (PubMed)

Boosting ART uptake and retention among HIV-infected pregnant and breastfeeding women and their infants: the promise of innovative service delivery models. With the rapid scale-up of antiretroviral treatment (ART) in the "Treat All" era, there has been increasing emphasis on using differentiated models of HIV service delivery. The gaps within the clinical cascade for mothers and their infants suggest that current service delivery models are not meeting families' needs and prompt re (...) -consideration of how services are provided. This article will explore considerations for differentiated care and encourage the ongoing increase of ART coverage through innovative strategies while also addressing the unique needs of mothers and infants.Service delivery models should recognize that the timing of the mother's HIV diagnosis is a critical aspect of determining eligibility. Women newly diagnosed with HIV require a more intensive approach so that adequate counselling and monitoring of ART

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2018 Journal of the International AIDS Society

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