Category Archives: Health Systems

Barriers to access to antiretroviral treatment in developing countries: A review

2008

OBJECTIVE: To present a review of barriers impeding people living with HIV/AIDS in developing countries from accessing treatment, and to make recommendations for further studies. METHODS: Electronic databases, websites of...

Integration of HIV/AIDS services with maternal, neonatal and child health, nutrition, and family planning services

2012

Background: The integration of HIV/AIDS and maternal, neonatal, child health and nutrition services (MNCHN), including family planning (FP) is recognized as a key strategy to reduce maternal and child mortality...

A meta-analysis of utility estimates for HIV/AIDS

2002

The authors performed a meta-analysis to derive pooled utilities for HIV/AIDS and to assess the relative importance of study design characteristics in predicting utilities. Twenty-five articles were identified reporting 74...

Non-occupational postexposure prophylaxis for HIV: A systematic review

2009

OBJECTIVES: To review the evidence on the clinical effectiveness and cost-effectiveness of non-occupational postexposure prophylaxis (PEP) for HIV. DATA SOURCES: Eleven electronic databases were searched from inception to December 2007....

Mental health service delivery in South Africa from 2000 to 2010: One step forward, one step back

2011

Objectives. To identify progress and challenges in mental healthcare in South Africa, as well as future mental health services research priorities. Method. A systematic review of mental health services research....

A systematic review of health system barriers and enablers for antiretroviral therapy (ART) for HIV-infected pregnant and postpartum women

2014

BACKGROUND: Despite global progress in the fight to reduce maternal mortality, HIV-related maternal deaths remain persistently high, particularly in much of Africa. Lifelong antiretroviral therapy (ART) appears to be the...

Is there a role for primary care clinicians in providing shared care in HIV treatment? A systematic literature review

2012

BACKGROUND: Despite HIV being increasingly considered as a chronic illness, there is as yet no consensus about how primary care should be integrated with specialty care to provide optimal clinical...

Effects of physician-nurse substitution on clinical parameters: A systematic review and meta-analysis

2014

BACKGROUND: Physicians’ shortage in many countries and demands of high-quality and affordable care make physician-nurse substitution an appealing workforce strategy. The objective of this study is to conduct a systematic...

Operational methods of HIV testing in emergency departments: A systematic review

2011

OBJECTIVES: Casual review of existing literature reveals a multitude of individualized approaches to emergency department (ED) HIV testing. Cataloging the operational options of each approach could assist translation by disseminating...

Safety of task-shifting for male medical circumcision: A systematic review and meta-analysis

2012

INTRODUCTION: Task-shifting for male medical circumcision is proposed as a strategy to overcome the lack of surgeons and doctors in high HIV prevalence settings. We undertook a systematic review and...

Towards universal voluntary HIV testing and counselling: A systematic review and meta-analysis of community-based approaches

2013

BACKGROUND: Effective national and global HIV responses require a significant expansion of HIV testing and counselling (HTC) to expand access to prevention and care. Facility-based HTC, while essential, is unlikely...

Impact of small reductions in plasma HIV RNA levels on the risk of heterosexual transmission and disease progression

2008

OBJECTIVE: To estimate the impact of small changes in plasma levels of HIV-1 RNA on the risk of heterosexual transmission or disease progression to an AIDS-defining event or death. DESIGN...

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