A clinician-nurse model to reduce early mortality and increase clinic retention among high-risk HIV-infected patients initiating combination antiretroviral treatmentPaula Braitstein
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 KenyaPaula Braitstein
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...
Retention of HIV-infected and HIV-exposed children in a comprehensive HIV clinical care programme in Western KenyaPaula Braitstein
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...
The clinical burden of tuberculosis among human immunodeficiency virus-infected children in Western Kenya and the impact of combination antiretroviral treatmentPaula Braitstein
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 KenyaPaula Braitstein
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...
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) approachesAllan Kamanda
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...
Sampling-based approaches to improve estimation of mortality among patient dropouts: experience from a large PEPFAR-funded program in Western KenyaConstantin 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...
Long-term impact of the Kenya postelection crisis on clinic attendance and medication adherence for HIV-infected children in western KenyaRachel 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 KenyaVincent Ochieng-Ooko
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 KenyaRachel Vreeman
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...
Frequency and factors associated with adherence to and completion of combination antiretroviral therapy for prevention of mother to child transmission in western KenyaPaul Ayuo
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...
Short-Term Rationing of Combination Antiretroviral Therapy: Impact on Morbidity, Mortality, and Loss to Follow-Up in a Large HIV Treatment Program in Western KenyaApril 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 settingsPaula Braitstein
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 KenyaRachel 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...
Integrating nutrition support for food-insecure patients and their dependents into an HIV care and treatment program in Western KenyaJoseph Mamlin
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...
The journey of addiction: barriers to and facilitators of drug use cessation among street children and youths in Western KenyaLonnie Embleton
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...
Trends in the clinical characteristics of HIV-infected patients initiating antiretroviral therapy in Kenya, Uganda and Tanzania between 2002 and 2009Elvin 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 KenyaRachel 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...
Factors underlying taking a child to HIV care: implications for reducing loss to follow-up among HIV-infected and -exposed childrenJuddy Wachira
Health Behavior, Indiana University, Bloomington, USA
SAHARA J 9:20-9. 2012
....
Gender and the use of antiretroviral treatment in resource-constrained settings: findings from a multicenter collaborationPaula Braitstein
Department of Medicine, Indiana University, Indianapolis, Indiana, USA
J Womens Health (Larchmt) 17:47-55. 2008
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Leapfrogging paper-based records using handheld technology: experience from Western KenyaMartin 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...
Psychometric Assessment of a Physician-Patient Communication Behaviors Scale: The Perspective of Adult HIV Patients in KenyaJuddy Wachira
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 KenyaLonnie Embleton
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 countriesWilliam 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...