- A clinician-nurse model to reduce early mortality and increase clinic retention among high-risk HIV-infected patients initiating combination antiretroviral treatment
Indiana University, School of Medicine, 1001 West 10th Street, OPW M200, Indianapolis, IN 46202, USA
J Int AIDS Soc 15:7. 2012
..The objective of this study was to evaluate the effect on survival and clinic retention of a nurse-based rapid assessment clinic for high-risk individuals initiating cART in a resource-constrained setting...
- "Wamepotea" (they have become lost): outcomes of HIV-positive and HIV-exposed children lost to follow-up from a large HIV treatment program in western Kenya
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
J Acquir Immune Defic Syndr 57:e40-6. 2011
..The objective of this study was to identify the vital status and reasons for children becoming loss to follow-up (LTFU) from a large program in western Kenya...
- The clinical burden of tuberculosis among human immunodeficiency virus-infected children in Western Kenya and the impact of combination antiretroviral treatment
School of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA
Pediatr Infect Dis J 28:626-32. 2009
..The burden of tuberculosis (TB) disease in children, particularly in HIV-infected children, is poorly described because of a lack of effective diagnostic tests and the emphasis of public health programs on transmissible TB...
- Sustainability of first-line antiretroviral regimens: findings from a large HIV treatment program in western Kenya
Department of Medicine, Indiana University, School of Medicine, Indianapolis, IN, USA
J Acquir Immune Defic Syndr 53:254-9. 2010
..To describe first change or discontinuation in combination antiretroviral treatment (cART) among previously treatment naive, HIV-infected adults in a resource-constrained setting...
- Retention of HIV-infected and HIV-exposed children in a comprehensive HIV clinical care programme in Western Kenya
Moi University School of Medicine, Eldoret, Kenya
Trop Med Int Health 15:833-41. 2010
..To describe incidence rates (IR) and risk factors for loss-to-follow-up (LTFU) among HIV-infected and HIV-exposed children in a large HIV treatment programme in Western Kenya...
- Harnessing the power of the grassroots to conduct public health research in sub-Saharan Africa: a case study from western Kenya in the adaptation of community-based participatory research (CBPR) approaches
Moi Teaching and Referral Hospital, Eldoret, Kenya
BMC Public Health 13:91. 2013
..This paper will describe how CBPR approaches and principles can be incorporated and adapted into the study design and methods of a longitudinal epidemiological study in sub-Saharan Africa using this project as an example...
- Community perspectives on research consent involving vulnerable children in Western Kenya
Indiana University, 107 S Indiana Ave, Bloomington, IN 47405 7000, USA
J Empir Res Hum Res Ethics 7:44-55. 2012
..Community members believed research involving orphans and street children could benefit these vulnerable populations, but would require special processes for consent...
- Nonadherence to clinic appointments among HIV-infected children in an ambulatory care program in western Kenya
Department of Child Health and Pediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya
J Acquir Immune Defic Syndr 63:e49-55. 2013
..We describe the effect of cumulative clinic adherence (CCA) to clinic appointments on mortality and loss to follow-up (LTFU) among HIV-infected children in Kenya...
- Sampling-based approaches to improve estimation of mortality among patient dropouts: experience from a large PEPFAR-funded program in Western Kenya
Constantin T Yiannoutsos
Indiana University Division of Biostatistics, Indianapolis, IN, USA
PLoS ONE 3:e3843. 2008
..This bias can be ameliorated by tracing a sample of dropouts and statistically adjust the mortality estimates to properly evaluate and guide large HIV care and treatment programs...
- Nutritional status of orphaned and separated children and adolescents living in community and institutional environments in uasin gishu county, kenya
Indiana University School of Medicine, Department of Medicine, Indianapolis, Indiana, United States of America Moi University College of Health Sciences, School of Medicine, Department of Medicine, Eldoret, Kenya University of Toronto, Dalla Lana School of Public Health, Toronto, Canada
PLoS ONE 8:e70054. 2013
..To describe the nutritional status of orphaned and separated children and adolescents (OSCA) living in households in the community (HH), on the street, and those in institutional environments in western Kenya...
- The journey of addiction: barriers to and facilitators of drug use cessation among street children and youths in Western Kenya
Department of Medicine, College of Health Sciences, School of Medicine, Moi University, Eldoret, Kenya
PLoS ONE 8:e53435. 2013
..Our findings demonstrate the need to integrate community, family and peers into any intervention in addition to traditional medical and psychological models for treatment of substance use dependence...
- Frequency and factors associated with adherence to and completion of combination antiretroviral therapy for prevention of mother to child transmission in western Kenya
Department of Medicine, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya
J Int AIDS Soc 16:17994. 2013
..The objective of this analysis was to identify points of disruption within the prevention of mother-to-child transmission (PMTCT) continuum from combination antiretroviral therapy (CART) initiation until delivery...
- Long-term impact of the Kenya postelection crisis on clinic attendance and medication adherence for HIV-infected children in western Kenya
Rachel B Yoder
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
J Acquir Immune Defic Syndr 59:199-206. 2012
..Kenya experienced a political and humanitarian crisis after presidential elections on December 27, 2007. We sought to describe both the immediate and long-term impact of this conflict for HIV-infected children in western Kenya...
- Influence of gender on loss to follow-up in a large HIV treatment programme in western Kenya
United States Agency for International Development, Academic Model Providing Access To Healthcare Partnership, Eldoret, Kenya
Bull World Health Organ 88:681-8. 2010
..To determine the incidence of loss to follow-up in a treatment programme for people living with human immunodeficiency virus (HIV) infection in Kenya and to investigate how loss to follow-up is affected by gender...
- A qualitative study using traditional community assemblies to investigate community perspectives on informed consent and research participation in western Kenya
Department of Pediatrics, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 5900, Indianapolis, IN 46202, USA
BMC Med Ethics 13:23. 2012
..Our goal was to inform ethical research practice in a biomedical research setting in western Kenya and similar resource-limited settings...
- Short-Term Rationing of Combination Antiretroviral Therapy: Impact on Morbidity, Mortality, and Loss to Follow-Up in a Large HIV Treatment Program in Western Kenya
April J Bell
Indiana University School of Medicine, 1001 West 10th Street, OPW M200, Indianapolis, IN 46202, USA
AIDS Res Treat 2012:814564. 2012
..92 95% CI 0.82-1.03). Conclusions. Rationing of cART, even for a relatively short period of six months, led to clinically adverse outcomes...
- "Talkin' about a revolution": How electronic health records can facilitate the scale-up of HIV care and treatment and catalyze primary care in resource-constrained settings
Indiana University School of Medicine, Indianapolis, IN, USA
J Acquir Immune Defic Syndr 52:S54-7. 2009
..Public, private, and academic partnerships can facilitate the development and implementation of EHRs in resource-constrained settings...
- Acceptance of HIV testing for children ages 18 months to 13 years identified through voluntary, home-based HIV counseling and testing in western Kenya
Rachel C Vreeman
Department of Pediatrics, Children s Health Services Research, Indiana University School of Medicine, Indianapolis, IN, USA
J Acquir Immune Defic Syndr 55:e3-10. 2010
..Home-based voluntary counseling and testing (HCT) presents a novel approach to early diagnosis. We sought to describe uptake of pediatric HIV testing, associated factors, and HIV prevalence among children offered HCT in Kenya...
- The epidemiology of substance use among street children in resource-constrained settings: a systematic review and meta-analysis
College of Health Sciences, Department of Medicine, Moi University, Eldoret, Kenya
Addiction 108:1722-33. 2013
..To compile and analyze critically the literature published on street children and substance use in resource-constrained settings...
- Factors underlying taking a child to HIV care: implications for reducing loss to follow-up among HIV-infected and -exposed children
Health Behavior, Indiana University, Bloomington, USA
SAHARA J 9:20-9. 2012
- Integrating nutrition support for food-insecure patients and their dependents into an HIV care and treatment program in Western Kenya
School of Medicine, Indiana University, Indianapolis, IN 46202, USA
Am J Public Health 99:215-21. 2009
..Today, nutritionists assess all AMPATH patients and dependents for food security and refer those in need to the food program. We describe the implementation, challenges, and successes of this program...
- Trends in the clinical characteristics of HIV-infected patients initiating antiretroviral therapy in Kenya, Uganda and Tanzania between 2002 and 2009
Elvin H Geng
Department of Medicine, San Francisco General Hospital, University of California at San Francisco, 995 Potrero Avenue, San Francisco, CA, USA
J Int AIDS Soc 14:46. 2011
..Regionally representative socio-demographic, laboratory and clinical characteristics of patients accessing ART over time and across sites have not been well described...
- Impact of the Kenya post-election crisis on clinic attendance and medication adherence for HIV-infected children in western Kenya
Rachel C Vreeman
Children s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
Confl Health 3:5. 2009
..However, unique program strengths may have minimized these disruptions...
- Leapfrogging paper-based records using handheld technology: experience from Western Kenya
Martin C Were
Regenstrief Institute, Inc, Indianapolis, IN, USA
Stud Health Technol Inform 160:525-9. 2010
..There is limited experience with broad-based use of handheld technologies for clinical care during home visits in sub-Saharan Africa...
- Gender and the use of antiretroviral treatment in resource-constrained settings: findings from a multicenter collaboration
Department of Medicine, Indiana University, Indianapolis, Indiana, USA
J Womens Health (Larchmt) 17:47-55. 2008
- Psychometric Assessment of a Physician-Patient Communication Behaviors Scale: The Perspective of Adult HIV Patients in Kenya
Department of Applied Health Sciences, School of Health, Physical Education, and Recreation, Indiana University, 1025 East 7th Street, Bloomington, IN 47405, USA Department of Research, USAID Academic Model Providing Access to Healthcare AMPATH partnership, Nandi Road, P O Box 4606, Eldoret 30100, Kenya
AIDS Res Treat 2013:706191. 2013
..Internal consistency ( = .81) and one-week retest reliability scores (.82) supported the reliability of the 13-item scale. . The revised PPCB scale showed acceptable validity and reliability in Kenya...
- Knowledge, attitudes, and substance use practices among street children in Western Kenya
Department of Medicine, College of Health Sciences, School of Medicine, Moi University, Eldoret, Kenya
Subst Use Misuse 47:1234-47. 2012
..The study's limitations and source of funding are noted...
- Experience implementing electronic health records in three East African countries
William M Tierney
Indiana University School of Medicin, Regenstrief Institute, Indianapolis, IN, USA
Stud Health Technol Inform 160:371-5. 2010
..Efficient use of health care resources in low-income countries by providers and local and national managers requires timely access to patient data...