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Showing 1 - 20 of 157 Results for "Uganda"

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Initiatives that provide for early diagnosis and appropriate longitudinal care prior to treatment eligibility are needed to reduce mortality rates and costs among adults accessing treatment. A review found that early mortality among adults accessing antiretroviral therapy can be attributed to late diagnosis of HIV. Despite multiple interactions with parts of the healthcare system, a study of women in Uganda found that late presentation for HIV care resulted largely from the, “inability of the medical system to link women to appropriate care,” (McGrath et al., 2012: 1095). Women entered care only when symptomatic. Another study found that more than a quarter of HIV patients in care prior to ART initiation did not start ART according to national guideline criteria. Another study found that women did not know where to go to access treatment. A review found that a process is needed to optimize transfers of care without treatment interruption and with appropriate medical documentation. Another study found that over half of patients who were not yet known to be eligible for ART at enrollment but who had tested HIV-positive, including a quarter who had CD4 counts taken, were lost to follow up. Another review found that asymptomatic patients perceived little need to initiate ART. Another study found that those with higher CD4 counts who were not yet eligible for ART lacked social support and social capital, yet needed this support.
Provision and Access
1 study
Promoting condom use at sexual debut may increase consistent condom use during adolescence and beyond
Mitigating Risk
2 studies Gray IIIb condoms, youth Ethiopia, Uganda
A wide range of contraceptive method choices are safe and effective for women living with HIV, including hormonal contraception and IUDs. However, further research is awaited on hormonal contraception and HIV. [See Overview for the role of hormonal contraception in HIV acquisition and transmission]
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
4 studies Gray I, IIIb PMTCT, contraception, family planning Africa, Uganda, Zimbabwe
Co-trimoxazole prophylaxis, antiretroviral therapy and ITNs can substantially reduce the incidence of malaria in women living with HIV.
Malaria
4 studies Gray I, II, IIIa, V bednets, malaria, treatment Africa, Rwanda, Thailand, Uganda
Knowledge of treatment availability can increase uptake of HIV testing. [See also %{s:29}]
HIV Testing and Counseling for Women
4 studies Gray IIIb, IV, V HIV testing, counseling, treatment South Africa, Uganda, Zimbabwe
Encouraging couple dialogue and counseling, including techniques to avert gender-based violence, may increase the number of couples who receive and disclose their test results.
HIV Testing and Counseling for Women
5 studies Gray IIIb, IV, V HIV testing, counseling, couples, disclosure Kenya, Rwanda, Tanzania, Uganda, Zambia
Abolishing school fees can enable girls to attend (or stay in) school and staying in school is linked with better HIV outcomes.
Advancing Education
2 studies Gray IIIa, V education, school fees Ethiopia, Ghana, Kenya, Malawi, Mozambique, Tanzania, Uganda
Psychological counseling and mentoring for OVC may improve their psychological well-being.
Orphans and Vulnerable Children
3 studies Gray II, IIIa, IV counseling, depression, orphans, support groups, youth Kenya, Rwanda, Tanzania, Uganda
Training for teachers to conduct age-appropriate participatory sexuality and HIV education can improve students’ knowledge and skills.
Mitigating Risk
4 studies Gray I, IIIa, IV Yemen, adolescents, prevention, sex education, teachers, training programs Cameroon, Uganda
Mobile phone text messages from health providers may improve adherence by providing patient support. Note: WHO notes the importance of national regulations to protect the privacy of those receiving text messages (WHO, 2013: 180).
Adherence and Support
6 studies Gray I, II, IIIb adherence, mobile phones, pill counts, treatment Brazil, India, Kenya, Uganda
Home testing, consented to by household members, can increase the number of people who learn their serostatus.
HIV Testing and Counseling for Women
9 studies Gray I, IIIa, IIIb HIV testing, condoms, counseling, disclosure, health facilities, home-based testing Kenya, South Africa, Uganda, Zambia
Promoting family planning counseling and voluntary contraceptive use as part of routine HIV services (and vice versa) can increase contraceptive use, including dual method use, thus averting unintended pregnancies and transmission among women living with HIV. [See also above and %{c:15}]
Structuring Health Services to Meet Women’s Needs
2 studies Gray V HIV testing, PMTCT, condom use, contraception, family planning, treatment South Africa, Uganda
PMTCT-Plus (family-focused) HIV care can increase the numbers of women and their partners who access treatment and remain adherent. Note: This should not be implemented in any way that prejudices women who do not want to disclose to partners (see overview).
Antenatal Care - Treatment
4 studies Gray IIIa, IIIb PMTCT Plus, PMTCT-Plus, pregnancy, treatment Africa, Botswana, Côte d’Ivoire, South Africa, Tanzania, Uganda, Zambia
Promoting acceptability of condom use by both women and men as the norm in sexual intercourse may decrease national HIV prevalence.
Male and Female Condom Use
4 studies Gray IIIb, V condoms, marriage, pregnancy, sexual partners, stigma Ethiopia, Kenya, South Africa, Sub-Saharan Africa, Tanzania, Uganda, Zambia
Peer counseling by mother mentors may improve treatment adherence among pregnant women living with HIV.
Antenatal Care - Treatment
6 studies Gray II, IIIa, IIIb, IV, V adherence, peer support, pregnancy, treatment Ethiopia, Kenya, Malawi, Namibia, Nigeria, South Africa, Uganda
When a couple is serodiscordant or both male and female partners are HIV-positive and wish to conceive, having an undetectable viral load and limiting unprotected sex to peak fertility (with the possible use of pre-exposure prophylaxis) may result in the lowest risk of perinatal transmission. [See also %{s:33}]
Pre-Conception
5 studies Gray IIIb, V pre-exposure prophylaxis, pregnancy, serodiscordant, sexual partners, transmission, treatment Kenya, Saudi Arabia, South Africa, Switzerland, Uganda
Increasing couple communication about HIV risk can increase preventive behaviors, including condom use.
Male and Female Condom Use
4 studies Gray IIIb, IV, V communication, condoms, marriage, sexual partners India, Malawi, South Africa, Thailand, Uganda
Use of co-trimoxazole prophylaxis together with initiation of antiretroviral therapy decreases mortality significantly.
Provision and Access
5 studies Gray II, IIIb co-trimoxazole, counseling, treatment Cambodia, Ethiopia, Kenya, Malawi, South Africa, Uganda, Zimbabwe
Community-based participatory learning approaches involving men and women can create more gender-equitable relationships, thereby decreasing violence. [See also %{s:57}]
Addressing Violence Against Women
5 studies Gray II, IIIa, IIIb, IV condom use, condoms, gender norms, gender relations, men, sex behavior, violence Ethiopia, South Africa, Uganda
Male circumcision reduces HIV acquisition for men and reduces the likelihood of transmission to HIV-negative women.
Voluntary Medical Male Circumcision
6 studies Gray I, II, IIIb, IV Eastern and Southern Africa, condoms, male circumcision Kenya, Rwanda, South Africa, Uganda, Zambia