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Catalyzing Expanded Access to Early Testing, Care, and Treatment for HIV-exposed Infants in Kenya

Issue Briefs

Kenya is among four countries with the highest HIV disease burden in Africa (the others being Nigeria, South Africa, and Mozambique). As of 2015, approximately 1.5 million people, including an estimated 98,000 children under the age of 15 years, were living with HIV infection in Kenya, where HIV prevalence has remained stable at almost 6% over the last five years, with geographical variation ranging from 0.4% to 26% depending on the region. The mother-to-child HIV transmission rate stands at 6.1%. 

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Saving Lives at Birth: Development of a Model for National Scale-up of the Pratt Pouch to Expand Infant Nevirapine Prophylaxis in Uganda, Prevent Mother-to-child Transmission of HIV, and Save Infant Lives

Technical Briefs

Highlights development of a model for national scale-up of the Pratt Pouch to expand infant Nevirapine prophylaxis in Uganda.

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HIV Misdiagnosis in Pediatrics: Unpacking the Complexity

Journal Articles

By Emma Sacks, Jennifer Cohn (EGPAF), and Martina Penazzato

This supplement article focuses on the importance of timely and accurate diagnosis of pediatric HIV infection.

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Doing more, faster: Preliminary results from the routine use of point-of-care early infant HIV diagnosis in six sub- Saharan African countries

Issue Briefs

To improve health and to save lives, HIV-infected infants must be diagnosed early, rapidly and efficiently, and immediately initiated on treatment. Yet, current current early infant diagnosis systems in resource- limited countries are challenged at multiple levels of the cascade. 

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Quality Products to Deliver Quality Care: Monitoring the Performance of Point-of-Care Nucleic Acid Testing Manufacturers

Issue Briefs

While coverage of conventional, laboratory-based EID has increased in recent years throughout resource- limited countries, testing could be greatly expanded through the integration of new point-of-care (POC) testing technologies into national EID networks. POC technology ensures that infants are screened on-site, that their caregivers quickly receive their test results and that those who test HIV-positive are rapidly enrolled on lifesaving antiretroviral treatment. 

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Voluntary medical male circumcision among adolescents: a missed opportunity for HIV behavioral interventions

Journal Articles

VMMC is one of the first opportunities for adolescent males in African countries to interact with the health care system; HIV counseling at this interaction could maximize HIV prevention opportunities. This study explored male adolescent knowledge around HIV after VMMC and assessed health worker experiences through interviews with 92 VMMC clients (ages 10–19 years) and 33 health providers in South Africa, Tanzania, and Zimbabwe. Clients in all countries reported that limited information was provided about HIV prevention and care during VMMC. Providers reported spending little time talking about HIV prevention, including condom use. This study identifies this male youth interaction in the health care system as a missed opportunity in furthering prevention of HIV in this population.

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Youth engagement in developing an implementation science research agenda on adolescent HIV testing and care linkages in sub-Saharan Africa

Journal Articles

The Project Supporting Operational AIDS Research (Project SOAR), a United States Agency for the International Development-funded research initiative implemented by EGPAF, led development of a strategic research agenda to improve adolescent HIV care continuum outcomes, including HIV testing and counseling and linkage to care. This involved convening a two-day meeting of 50 experts, including youths living with HIV to review literature, develop research questions and priority areas for program implementation. This article presents the process of involving youth, how they shaped the course of discussions, and the resulting priority research gaps identified at the meeting.

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HIV Status Disclosure and Testing Among Sexual Partners of People Living with HIV: Lessons Learned from Project Keneya

Technical Briefs

This brief details approaches from Project Keneya to encourage people living with HIV to disclose their status to their sexual partners and to promote partner testing. A disclosure support group approach is feature in this brief.

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Improving the Quality of HIV Services to Increase Retention in Care and Treatment

Technical Briefs

This brief highlights strategies from Project Djidja on using site level data in Côte d’Ivoire to improve the quality of HIV services and strengthen the retention of people living with HIV in care and treatment services.

 

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Delivering Technical Assistance (DELTA) Project Fact Sheet

Fact Sheets

The purpose of DELTA is to provide targeted and cost-effective technical assistance and program implementation expertise in prevention of mother-to-child transmission (PMTCT), and pediatric and adult HIV care and treatment service programs in high-HIV prevalence settings. EGPAF employs a technical team of subject matter and field experts to meet the needs of each local context. 

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