Category Archives: Health Systems

Multiplexed technologies for sexually transmitted infections: Global evidence on patient-centered and clinical health outcomes

2021

INTRODUCTION: Conventional care packages around screening for sexually transmitted infections (STIs) entail multiple clinic visits and precipitate losses to follow-up. To prevent these losses, multiplexed technologies for STIs (immunochromatographic tests/devices/assays...

ART initiations following community-based distribution of HIV self-tests: Meta-analysis and meta-regression of STAR Initiative data

2021

INTRODUCTION: Measuring linkage after community-based testing, particularly HIV self-testing (HIVST), is challenging. Here, we use data from studies of community-based HIVST distribution, conducted within the STAR Initiative, to assess initiation...

Costs of implementing community-based intervention for HIV testing in sub-Saharan Africa: A systematic review

2021

BACKGROUND: Community-based interventions (CBIs) are interventions aimed at improving the well-being of people in a community. CBIs for HIV testing seek to increase the availability of testing services to populations...

The utilisation of payment models across the HIV continuum of care: Systematic review of evidence

2021

The increasing chronicity and multimorbidities associated with people living with HIV have posed important challenges to health systems across the world. In this context, payment models hold the potential to...

Health system adaptations and considerations to facilitate optimal oral pre-exposure prophylaxis scale-up in sub-Saharan Africa

2021

Following WHO’s 2015 recommendation, countries in sub-Saharan Africa have progressively scaled up oral pre-exposure prophylaxis (PrEP) as part of combination HIV prevention. PrEP has potential to significantly reduce new HIV...

Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness

2021

There is a large body of evidence examining best practices, outcomes, impact, and other aspects of laboratory (non-rapid) HIV testing in emergency departments (EDs). Many studies have identified missed opportunities...

Best practices of using online and geosocial network applications to provide HIV and sexual health information to young newcomer men who have sex with men

2021

There is a high HIV incidence among young gay men and other men who have sex with men in countries such as China in recent years. Evidence shows that HIV...

Cost-Effectiveness of antiretroviral therapy: A systematic review

2020

BACKGROUND: The mobilization of resources to prevent and treat human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) is unparalleled in the history of public health. The uptake of antiretroviral...

Assessing the costs and outcomes of control programmes for sexually transmitted infections: A systematic review of economic evaluations

2021

OBJECTIVE: To identify economic evaluations of interventions to control STIs and HIV targeting young people, and to assess how costs and outcomes are measured in these studies. DESIGN: Systematic review....

Chronic political instability and the HIV/AIDS response in Guinea-Bissau from 2000 to 2015: A systematic review

2021

Guinea-Bissau suffers from political instability and an unusually high HIV/AIDS burden compared to other countries in the West Africa region. We conducted a systematic review on the HIV/AIDS epidemic in...

Exploring sustainability in the era of differentiated HIV service delivery in Sub-Saharan Africa: A systematic review

2021

INTRODUCTION: The World Health Organization recommends differentiated service delivery (DSD) to support resource-limited health systems in providing patient-centered HIV care. DSD offers alternative care models to clinic-based care for people...

Comparative analyses of published cost effectiveness models highlight critical considerations which are useful to inform development of new models

2020

Background: Comparative analyses of published cost effectiveness models provide useful insights into critical issues to inform the development of new cost effectiveness models in the same disease area.Objective: The purpose...

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