Rony Zachariah

Summary

Country: Luxembourg

Publications

  1. pmc Characteristics, immunological response & treatment outcomes of HIV-2 compared with HIV-1 & dual infections (HIV 1/2) in Mumbai
    Montaldo Chiara
    Medecins Sans Frontieres, Mumbai, India
    Indian J Med Res 132:683-9. 2010
  2. ncbi request reprint Practicing medicine without borders: tele-consultations and tele-mentoring for improving paediatric care in a conflict setting in Somalia?
    R Zachariah
    Medecins Sans Frontieres, Brussels Operational Centre, Luxembourg, Belgium
    Trop Med Int Health 17:1156-62. 2012
  3. doi request reprint Language in tuberculosis services: can we change to patient-centred terminology and stop the paradigm of blaming the patients?
    R Zachariah
    Medical Department, Medecins Sans Frontieres, Operational Centre Brussels, MSF Luxembourg, Luxembourg
    Int J Tuberc Lung Dis 16:714-7. 2012
  4. ncbi request reprint Is operational research delivering the goods? The journey to success in low-income countries
    Rony Zachariah
    Operational Centre Brussels, Medical Department, Medecins Sans Frontieres, Luxembourg, Luxembourg
    Lancet Infect Dis 12:415-21. 2012
  5. doi request reprint Retention and attrition during the preparation phase and after start of antiretroviral treatment in Thyolo, Malawi, and Kibera, Kenya: implications for programmes?
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, 68 Rue de Gasperich, L 1617, Luxembourg, Luxembourg
    Trans R Soc Trop Med Hyg 105:421-30. 2011
  6. doi request reprint Payment for antiretroviral drugs is associated with a higher rate of patients lost to follow-up than those offered free-of-charge therapy in Nairobi, Kenya
    R Zachariah
    Médecins Sans Frontières Brussels, Medical Department Operational Research, 68 Rue de Gasperich, L 1617, Luxembourg
    Trans R Soc Trop Med Hyg 102:288-93. 2008
  7. ncbi request reprint Scaling-up co-trimoxazole prophylaxis in HIV-exposed and HIV-infected children in high HIV-prevalence countries
    Rony Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, Brussels, Belgium
    Lancet Infect Dis 7:686-93. 2007
  8. ncbi request reprint Does antiretroviral treatment reduce case fatality among HIV-positive patients with tuberculosis in Malawi?
    R Zachariah
    Medical Department Operational Research, Medecins Sans Frontieres, Brussels Operational Centre, Luxembourg
    Int J Tuberc Lung Dis 11:848-53. 2007
  9. pmc Acceptance of anti-retroviral therapy among patients infected with HIV and tuberculosis in rural Malawi is low and associated with cost of transport
    Rony Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, Brussels, Belgium
    PLoS ONE 1:e121. 2006
  10. ncbi request reprint Risk factors for high early mortality in patients on antiretroviral treatment in a rural district of Malawi
    Rony Zachariah
    Medecins Sans Frontieres, Operational Research, Brussels Operational Center, Belgium
    AIDS 20:2355-60. 2006

Collaborators

Detail Information

Publications79

  1. pmc Characteristics, immunological response & treatment outcomes of HIV-2 compared with HIV-1 & dual infections (HIV 1/2) in Mumbai
    Montaldo Chiara
    Medecins Sans Frontieres, Mumbai, India
    Indian J Med Res 132:683-9. 2010
    ....
  2. ncbi request reprint Practicing medicine without borders: tele-consultations and tele-mentoring for improving paediatric care in a conflict setting in Somalia?
    R Zachariah
    Medecins Sans Frontieres, Brussels Operational Centre, Luxembourg, Belgium
    Trop Med Int Health 17:1156-62. 2012
    ..In a district hospital in conflict-torn Somalia, we assessed (i) the impact of introducing telemedicine on the quality of paediatric care, and (ii) the added value as perceived by local clinicians...
  3. doi request reprint Language in tuberculosis services: can we change to patient-centred terminology and stop the paradigm of blaming the patients?
    R Zachariah
    Medical Department, Medecins Sans Frontieres, Operational Centre Brussels, MSF Luxembourg, Luxembourg
    Int J Tuberc Lung Dis 16:714-7. 2012
    ..These terms are non-judgmental and patient-centred. We appeal to the global Stop TB Partnership to lead discussions on this issue and to make concrete steps towards changing the current paradigm...
  4. ncbi request reprint Is operational research delivering the goods? The journey to success in low-income countries
    Rony Zachariah
    Operational Centre Brussels, Medical Department, Medecins Sans Frontieres, Luxembourg, Luxembourg
    Lancet Infect Dis 12:415-21. 2012
    ..We also propose measures of success for operational research. Adoption and use of these measures could help to ensure that operational research better changes policy and practice and improves health-care delivery and disease programmes...
  5. doi request reprint Retention and attrition during the preparation phase and after start of antiretroviral treatment in Thyolo, Malawi, and Kibera, Kenya: implications for programmes?
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, 68 Rue de Gasperich, L 1617, Luxembourg, Luxembourg
    Trans R Soc Trop Med Hyg 105:421-30. 2011
    ..Considerable attrition occurs during the preparation phase of ART, and programme evaluations confined to on-treatment analysis significantly underestimate attrition. This has important operational implications, which are discussed here...
  6. doi request reprint Payment for antiretroviral drugs is associated with a higher rate of patients lost to follow-up than those offered free-of-charge therapy in Nairobi, Kenya
    R Zachariah
    Médecins Sans Frontières Brussels, Medical Department Operational Research, 68 Rue de Gasperich, L 1617, Luxembourg
    Trans R Soc Trop Med Hyg 102:288-93. 2008
    ..In resource-limited settings, ART should be offered free of charge in order to promote treatment compliance and prevent the emergence of drug resistance...
  7. ncbi request reprint Scaling-up co-trimoxazole prophylaxis in HIV-exposed and HIV-infected children in high HIV-prevalence countries
    Rony Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, Brussels, Belgium
    Lancet Infect Dis 7:686-93. 2007
    ..We discuss some of the major barriers preventing the scale-up of co-trimoxazole prophylaxis for children in countries with a high prevalence of HIV and propose specific actions required to tackle these challenges...
  8. ncbi request reprint Does antiretroviral treatment reduce case fatality among HIV-positive patients with tuberculosis in Malawi?
    R Zachariah
    Medical Department Operational Research, Medecins Sans Frontieres, Brussels Operational Centre, Luxembourg
    Int J Tuberc Lung Dis 11:848-53. 2007
    ..Thyolo district, Malawi...
  9. pmc Acceptance of anti-retroviral therapy among patients infected with HIV and tuberculosis in rural Malawi is low and associated with cost of transport
    Rony Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, Brussels, Belgium
    PLoS ONE 1:e121. 2006
    ....
  10. ncbi request reprint Risk factors for high early mortality in patients on antiretroviral treatment in a rural district of Malawi
    Rony Zachariah
    Medecins Sans Frontieres, Operational Research, Brussels Operational Center, Belgium
    AIDS 20:2355-60. 2006
    ....
  11. ncbi request reprint Community support is associated with better antiretroviral treatment outcomes in a resource-limited rural district in Malawi
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, 68 Rue de Gasperich, L 1617, Luxembourg, Belgium
    Trans R Soc Trop Med Hyg 101:79-84. 2007
    ..The community might be an unrecognized and largely 'unexploited resource' that could play an important contributory role in countries desperately trying to scale up ART with limited resources...
  12. doi request reprint Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa
    R Zachariah
    Medecins Sans Frontieres, Medical Department, Brussels Operational Center, Rue de Gasperich, Luxembourg
    Trans R Soc Trop Med Hyg 103:549-58. 2009
    ..Task shifting should not undermine the primary objective of improving patient benefits and public health outcomes...
  13. doi request reprint Very early mortality in patients starting antiretroviral treatment at primary health centres in rural Malawi
    Rony Zachariah
    Medecins Sans Frontieres, Medical Department, Brussels, Belgium
    Trop Med Int Health 14:713-21. 2009
    ..To report on the cumulative proportion of deaths occurring within 3 months of starting antiretroviral treatment (ART) and to identify factors associated with such deaths, among adults at primary health centres in a rural district of Malawi...
  14. ncbi request reprint Operational research in low-income countries: what, why, and how?
    Rony Zachariah
    Operational Research Unit, Medical Department, Brussels Operational Centre, Medecins Sans Frontieres, Brussels, Belgium
    Lancet Infect Dis 9:711-7. 2009
    ....
  15. ncbi request reprint Antiretroviral therapy for HIV prevention: many concerns and challenges, but are there ways forward in sub-Saharan Africa?
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Centre, Belgium
    Trans R Soc Trop Med Hyg 104:387-91. 2010
    ..In this paper, we highlight four key operational challenges linked to acceptability and feasibility and discuss possible ways forward to address them...
  16. ncbi request reprint The published research paper: is it an important indicator of successful operational research at programme level?
    R Zachariah
    Medecins Sans Frontieres, Operational Centre Brussels, 68 Rue de Gasperich, Luxembourg
    Trop Med Int Health 15:1274-7. 2010
    ..We present arguments to support publishing operational research from low-income countries; we highlight some of the main reasons for failure of publication at programme level and suggest ways forward...
  17. doi request reprint Viewpoint: Why do we need a point-of-care CD4 test for low-income countries?
    R Zachariah
    Medecins Sans Frontieres, Operational Centre Brussels, Operational Research Unit, Medical Department, MSF Luxembourg, Luxembourg
    Trop Med Int Health 16:37-41. 2011
    ..It is high-time that CD4 technology is simplified and adapted for wider use in low-income countries to change the current paradigm of restricted access once and for all...
  18. doi request reprint Vital registration in rural Africa: is there a way forward to report on health targets of the Millennium Development Goals?
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, 68 Rue de Gasperich, L 1617, Luxembourg
    Trans R Soc Trop Med Hyg 105:301-9. 2011
    ....
  19. doi request reprint Reduced tuberculosis case notification associated with scaling up antiretroviral treatment in rural Malawi
    R Zachariah
    Médecins sans Frontières MSF, Medical Department Operational Research, MSF Luxembourg, Brussels Operational Centre, Luxembourg
    Int J Tuberc Lung Dis 15:933-7. 2011
    ..To report on the trends in new and recurrent tuberculosis (TB) case notifications in a rural district of Malawi that has embarked on large-scale roll-out of antiretroviral treatment (ART)...
  20. pmc The HIV/AIDS epidemic in sub-Saharan Africa: thinking ahead on programmatic tasks and related operational research
    Rony Zachariah
    Medecins Sans Frontieres, Operational Centre Brussels, Medical Department, MSF Luxemburg, Luxemburg
    J Int AIDS Soc 14:S7. 2011
    ..From a programmatic perspective, we: a) highlight what needs to fundamentally change in our thinking and overall approach to the epidemic; and b) outline a number of key task areas for implementation and related operational research...
  21. doi request reprint Building leadership capacity and future leaders in operational research in low-income countries: why and how?
    R Zachariah
    Medical Department, Medecins Sans Frontieres, Operational Centre Brussels, MSF Luxembourg, Luxembourg
    Int J Tuberc Lung Dis 15:1426-35, i. 2011
    ....
  22. ncbi request reprint Cotrimoxazole prophylaxis for HIV-positive TB patients in developing countries
    R Zachariah
    Medecins Sans Frontieres, Operational Research HIV TB, Medical Department, Brussels Operational Center, 68 Rue de Gaspench, L 1617 Luxemburg
    Trop Doct 36:79-82. 2006
    ..We review the current evidence on the above concerns and highlight the main operational considerations related to implementing CTX prophylaxis as a basic component of care for HIV-positive TB patients in developing countries...
  23. ncbi request reprint Behavioural characteristics, prevalence of Chlamydia trachomatis and antibiotic susceptibility of Neisseria gonorrhoeae in men with urethral discharge in Thyolo, Malawi
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo District, Malawi
    Trans R Soc Trop Med Hyg 96:232-5. 2002
    ..trachomatis was not found to be a major pathogen. Antimicrobial susceptibility surveillance of N. gonorrhoeae is essential in order to prevent treatment failures and control the spread of resistant strains...
  24. ncbi request reprint Cotrimoxazole prophylaxis in HIV-infected individuals after completing anti-tuberculosis treatment in Thyolo, Malawi
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo, Thyolo District, Malawi
    Int J Tuberc Lung Dis 6:1046-50. 2002
    ..Thyolo, rural southern Malawi...
  25. ncbi request reprint Moderate to severe malnutrition in patients with tuberculosis is a risk factor associated with early death
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo District, Malawi
    Trans R Soc Trop Med Hyg 96:291-4. 2002
    ..5% of the 767 patients with normal to mild malnutrition (odds ratio 1.8, 95% confidence interval 1.1-2.7). In patients with TB, BMI < 17.0 kg/m2 is associated with an increased risk of early death...
  26. ncbi request reprint Motives, sexual behaviour, and risk factors associated with HIV in individuals seeking voluntary counselling and testing in a rural district of Malawi
    R Zachariah
    Medecins Sans Frontieres, Thyolo, Malawi
    Trop Doct 33:88-91. 2003
    ..There is a demand for VCT, and the service provides an opportunity for intensive education about HIV/AIDS prevention on a one-to-one basis. It could also be an entry point to prevention and care for those who are infected...
  27. ncbi request reprint Can we get more HIV-positive tuberculosis patients on antiretroviral treatment in a rural district of Malawi?
    R Zachariah
    Medical Department HIV TB Operational Research, Brussels Operational Centre, Medecins Sans Frontieres, Brussels, Belgium
    Int J Tuberc Lung Dis 9:238-47. 2005
    ..Decentralisation of ART from hospitals to health centres would greatly improve ART access...
  28. ncbi request reprint Acceptability and technical problems of the female condom amongst commercial sex workers in a rural district of Malawi
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo District, Thyolo, Malawi
    Trop Doct 33:220-4. 2003
    ..This study would be useful in preparing the introduction of the female condom within known commercial sex establishments in Malawi...
  29. ncbi request reprint Sexually transmitted infections among prison inmates in a rural district of Malawi
    Rony Zachariah
    Mission Malawi, Medecins Sans Frontieres Luxembourg, 70 rue de Gasperich, L 1617, Luxembourg
    Trans R Soc Trop Med Hyg 96:617-9. 2002
    ..The findings have implications for HIV transmission and might help in developing more rational policies on STI control and condom access within Malawi prisons...
  30. ncbi request reprint Passive versus active tuberculosis case finding and isoniazid preventive therapy among household contacts in a rural district of Malawi
    R Zachariah
    Operational Research HIV TB, Medical Department, Médecins sans Frontières Brussels Operational Centre, Brussels, Belgium
    Int J Tuberc Lung Dis 7:1033-9. 2003
    ..Thyolo district, rural Malawi...
  31. ncbi request reprint Implementing joint TB and HIV interventions in a rural district of Malawi: is there a role for an international non-governmental organisation?
    R Zachariah
    Operational Research HIV TB, Medecins Sans Frontieres, Medical Department, Brussels Operational Centre, Brussels, Belgium
    Int J Tuberc Lung Dis 8:1058-64. 2004
    ..This introduced a new dynamic of decentralised operational flexibility at the district level which improved access to care and support for people with TB-HIV...
  32. ncbi request reprint How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district in Malawi
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, Belgium
    Trans R Soc Trop Med Hyg 100:167-75. 2006
    ..Communities can play an important contributory role in reducing the burden of HIV/AIDS and TB and in mitigating its impact. Despite this, community resources in most settings are often under-exploited and their role remains undefined...
  33. ncbi request reprint Changes in Escherichia coli resistance to co-trimoxazole in tuberculosis patients and in relation to co-trimoxazole prophylaxis in Thyolo, Malawi
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo District, Malawi
    Trans R Soc Trop Med Hyg 96:202-4. 2002
    ....
  34. ncbi request reprint Targeting CD4 testing to a clinical subgroup of patients could limit unnecessary CD4 measurements, premature antiretroviral treatment and costs in Thyolo District, Malawi
    R Zachariah
    Medecins Sans Frontieres, Medical Department Operational Research HIV TB, Brussels Operational Center, 94 Rue Dupre, Brussels, Belgium
    Trans R Soc Trop Med Hyg 100:24-31. 2006
    ....
  35. ncbi request reprint Voluntary counselling, HIV testing and adjunctive cotrimoxazole reduces mortality in tuberculosis patients in Thyolo, Malawi
    Rony Zachariah
    Medecins Sans Frontieres Luxembourg, Blantyre, Malawi
    AIDS 17:1053-61. 2003
    ....
  36. ncbi request reprint Voluntary counselling, HIV testing and sexual behaviour among patients with tuberculosis in a rural district of Malawi
    R Zachariah
    Medecins Sans Frontieres, Thyolo, Malawi
    Int J Tuberc Lung Dis 7:65-71. 2003
    ....
  37. ncbi request reprint Providing universal access to antiretroviral therapy in Thyolo, Malawi through task shifting and decentralization of HIV/AIDS care
    Marielle Bemelmans
    Medecins Sans Frontieres, Blantyre, Malawi
    Trop Med Int Health 15:1413-20. 2010
    ..To describe how district-wide access to HIV/AIDS care was achieved and maintained in Thyolo District, Malawi...
  38. ncbi request reprint Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model
    Anthony D Harries
    National Tuberculosis Control Programme, Ministry of Health and Population, P O Box 30377, Lilongwe, Malawi
    Trans R Soc Trop Med Hyg 98:695-701. 2004
    ....
  39. doi request reprint Baseline characteristics, response to and outcome of antiretroviral therapy among patients with HIV-1, HIV-2 and dual infection in Burkina Faso
    Katie Harries
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, 68 Rue de Gasperich, L 1617, Luxembourg
    Trans R Soc Trop Med Hyg 104:154-61. 2010
    ..Reasons may include differences in age at baseline, lower intrinsic immune recovery in HIV-2, use of ineffective ART regimens (inappropriate prescribing) by clinicians, and poor drug adherence...
  40. doi request reprint Unacceptable attrition among WHO stages 1 and 2 patients in a hospital-based setting in rural Malawi: can we retain such patients within the general health system?
    Katie Tayler-Smith
    Medecins Sans Frontieres, Medical Department Operational Research, Brussels Operational Center, 68 Rue de Gasperich, L 1617, Luxembourg
    Trans R Soc Trop Med Hyg 104:313-9. 2010
    ..In a rural district hospital setting in Malawi, attrition of individuals in WHO stages 1 and 2 is unacceptably high, and specific operational strategies need to be considered to retain such patients in the health system...
  41. ncbi request reprint Compliance with cotrimoxazole prophylaxis for the prevention of opportunistic infections in HIV-positive tuberculosis patients in Thyolo district, Malawi
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo District, Malawi
    Int J Tuberc Lung Dis 5:843-6. 2001
    ....
  42. doi request reprint Screening patients with diabetes mellitus for tuberculosis in China
    Yan Lin
    China Office, International Union Against Tuberculosis and Lung Disease, Beijing, China Clinical Center on Tuberculosis, China CDC, Beijing, China The Affiliated Hospital of Guiyang Medical College, Guiyang City, Guizhou Province, China Tai an Central Hospital, Tai An City, Shandong Province, China Dingxi Number 2 Hospital, Anding District, Gansu Province, China Jinan Central Hospital, Lixia District, Jinan City, Shandong Province, China Shijiazhuang Number 2 Hospital, Shijiazhuang City, Hebei Province, China Medecins sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg World Diabetes Foundation, Gentofte, Denmark Stop TB Department, World Health Organization, Geneva, Switzerland International Union Against Tuberculosis and Lung Diseases, Paris, France London School of Hygiene and Tropical Medicine, London, UK
    Trop Med Int Health 17:1302-8. 2012
    ..How this is best performed is not well determined. In this pilot project in China, we aimed to assess the feasibility and results of screening DM patients for TB within the routine healthcare setting of five DM clinics...
  43. ncbi request reprint WHO clinical staging of HIV infection and disease, tuberculosis and eligibility for antiretroviral treatment: relationship to CD4 lymphocyte counts
    R Teck
    Medecins Sans Frontieres Luxembourg, Thyolo, Malawi
    Int J Tuberc Lung Dis 9:258-62. 2005
    ..Thyolo district, Malawi...
  44. pmc Mortality reduction associated with HIV/AIDS care and antiretroviral treatment in rural Malawi: evidence from registers, coffin sales and funerals
    Beatrice Mwagomba
    Thyolo District Health Services, Ministry of Health and Population, Thyolo, Malawi
    PLoS ONE 5:e10452. 2010
    ....
  45. doi request reprint Is mid-upper arm circumference alone sufficient for deciding admission to a nutritional programme for childhood severe acute malnutrition in Bangladesh?
    Engy Ali
    Medecins Sans Frontieres, Medical Department, Operational Research, Brussels, Belgium
    Trans R Soc Trop Med Hyg 107:319-23. 2013
    ..Assess their nutritional outcomes, and 2. Report on morbidity and mortality...
  46. ncbi request reprint Weight loss after the first year of stavudine-containing antiretroviral therapy and its association with lipoatrophy, virological failure, adherence and CD4 counts at primary health care level in Kigali, Rwanda
    Johan van Griensven
    Medecins Sans Frontieres, Operational Centre Brussels, Medical Department, Duprestraat 94, 1090 Brussels, Belgium
    Trans R Soc Trop Med Hyg 104:751-7. 2010
    ..In low-income countries, measuring weight is a routine clinical procedure that could be used to filter out individuals with lipoatrophy on stavudine-based ART, after alternative causes of weight loss have been ruled out...
  47. doi request reprint Stavudine- and nevirapine-related drug toxicity while on generic fixed-dose antiretroviral treatment: incidence, timing and risk factors in a three-year cohort in Kigali, Rwanda
    Johan van Griensven
    Medecins Sans Frontieres, Operational Centre Brussels, Medical Department, Duprestraat 94, 1090 Brussels, Belgium
    Trans R Soc Trop Med Hyg 104:148-53. 2010
    ..d4T is associated with significant long-term toxicity. d4T-dose reduction, increased access to safer ART in low-income countries and close monitoring for those at risk are all relevant strategies...
  48. ncbi request reprint Clinical screening for HIV in a health centre setting in urban Kenya: an entry point for voluntary counselling, HIV testing and early diagnosis of HIV infection?
    V Arendt
    Medecins Sans Frontieres, Mission Kenya, Brussels Operational Centre, Brussels, Belgium
    Trop Doct 37:45-7. 2007
    ....
  49. ncbi request reprint Generic fixed-dose combination antiretroviral treatment in resource-poor settings: multicentric observational cohort
    Alexandra Calmy
    MSF, Campaign for Access to Essential Medicines, 78 rue de Lausanne, 1205 Geneva, Switzerland
    AIDS 20:1163-9. 2006
    ..The use fixed-dose combination (FDC) is a critical tool in improving HAART. Studies on the effectiveness of combined lamivudine, stavudine and nevirapine (3TC/d4T/NVP) are scarce...
  50. doi request reprint No cash, no care: how user fees endanger health--lessons learnt regarding financial barriers to healthcare services in Burundi, Sierra Leone, Democratic Republic of Congo, Chad, Haiti and Mali
    Frederique Ponsar
    Medecins Sans Frontieres, Analysis and Advocacy Unit, Operational Centre Brussels, Brussels, Belgium
    Int Health 3:91-100. 2011
    ..The challenge for health authorities and donor agencies is around working creatively to remove the fees while addressing the financial consequences of improved access and providing quality care. ..
  51. ncbi request reprint High prevalence of lipoatrophy among patients on stavudine-containing first-line antiretroviral therapy regimens in Rwanda
    Johan van Griensven
    Medecins Sans Frontieres, Kimihurura, Kacyiru, 1361 Kigali, Rwanda
    Trans R Soc Trop Med Hyg 101:793-8. 2007
    ..Lipoatrophy appears to be an important long-term complication of WHO-recommended first-line ART regimens. These data highlight the urgent need for access to more affordable and less toxic ART regimens in resource-limited settings...
  52. doi request reprint Task shifting for antiretroviral treatment delivery in sub-Saharan Africa: not a panacea
    Mit Philips
    Analysis and Advocacy Unit, Medecins Sans Frontieres, Brussels Operational Centre, Belgium
    Lancet 371:682-4. 2008
  53. doi request reprint Tracing patients on antiretroviral treatment lost-to-follow-up in an urban slum in India
    Lisa Errol
    Medecins Sans Frontieres, Mumbai, India
    J Adv Nurs 68:2399-409. 2012
    ..This article describes a cooperative initiative between an HIV-clinic and non-government organization network providing lost-to-follow-up tracing and delayed appointment follow-up of patients on antiretroviral treatment...
  54. doi request reprint Cohort monitoring of persons with diabetes mellitus in a primary healthcare clinic for Palestine refugees in Jordan
    Ali Khader
    United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan Field Health Programme, United Nations Relief and Works Agency, Amman, Jordan Tokyo University Medical School, Tokyo, Japan International Union Against Tuberculosis and Lung Disease, Paris, France London School of Hygiene and Tropical Medicine, London, UK Médecins Sans Frontières, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg World Diabetes Foundation, Gentofte, Denmark
    Trop Med Int Health 17:1569-76. 2012
    ..To illustrate the method of cohort reporting of persons with diabetes mellitus (DM) in a primary healthcare clinic in Amman, Jordan, serving Palestine refugees with the aim of improving quality of DM care services...
  55. doi request reprint Screening of patients with tuberculosis for diabetes mellitus in China
    Liang Li
    Clinical Center on Tuberculosis, China CDC, Beijing, China China Office, International Union Against Tuberculosis and Lung Disease, Beijing, China Guangzhou Chest Hospital, Guangzhou, Guangdong Province, China Xinjiang Chest Hospital, Urumuqi, Xinjiang, China Shenyang Chest Hospital, Shenyang, Liaoning Province, China Anding District CDC, Dingxi, Gansu Province, China Shandong Chest Hospital, Jinan, Shandong Province, China Medecins sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg World Diabetes Foundation, Gentofte, Denmark Stop TB Department, World Health Organization, Geneva, Switzerland International Union Against Tuberculosis and Lung Diseases, Paris, France London School of Hygiene and Tropical Medicine, London, UK
    Trop Med Int Health 17:1294-301. 2012
    ..There is a high burden of both diabetes (DM) and tuberculosis (TB) in China, and this study aimed to assess feasibility and results of screening patients with TB for DM within the routine healthcare setting of six health facilities...
  56. pmc Health seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi
    R Zachariah
    Medecins Sans Frontieres, Luxembourg, Thyolo District, Malawi
    Sex Transm Infect 78:127-9. 2002
    ....
  57. doi request reprint Patient retention and attrition on antiretroviral treatment at district level in rural Malawi
    M Massaquoi
    Medecins Sans Frontieres, Thyolo District, Thyolo, Malawi
    Trans R Soc Trop Med Hyg 103:594-600. 2009
    ..2, 95% CI 1.76-2.72, P<0.001). As Malawi continues to extend the coverage (and equity) of ART, including in rural areas, attention is needed to reduce losses to follow-up at hospital level and reduce mortality at primary care level...
  58. ncbi request reprint Sexually transmitted infections and sexual behaviour among commercial sex workers in a rural district of Malawi
    R Zachariah
    Medecins Sans Frontieres Luxembourg, Thyolo District, Malawi
    Int J STD AIDS 14:185-8. 2003
    ..The high levels of STIs, particularly GUDs, and unprotected sex underlines the importance of developing targeted interventions for CSWs and their clients...
  59. ncbi request reprint High acceptability of voluntary counselling and HIV-testing but unacceptable loss to follow up in a prevention of mother-to-child HIV transmission programme in rural Malawi: scaling-up requires a different way of acting
    M Manzi
    Medecins Sans Frontieres Luxembourg, Thyolo District, Luxembourg, Malawi
    Trop Med Int Health 10:1242-50. 2005
    ..Thyolo District Hospital, rural Malawi...
  60. ncbi request reprint Safety, effectiveness, and outcomes of concomitant use of highly active antiretroviral therapy with drugs for tuberculosis in resource-poor settings
    Anthony D Harries
    HIV Unit, Ministry of Health, Lilongwe, Malawi
    Lancet 367:944-5. 2006
  61. ncbi request reprint Research to policy and practice change: is capacity building in operational research delivering the goods?
    Rony Zachariah
    Medecins Sans Frontieres, Medical Department, Brussels Operational Centre, MSF Luxembourg, Luxembourg, France
    Trop Med Int Health 19:1068-75. 2014
    ..We report on the numbers of enrolled participants who successfully completed courses, the number of papers published and their reported effect on policy and/or practice...
  62. doi request reprint Treatment outcomes in a cohort of patients with chronic hepatitis B and human immunodeficiency virus co-infection in Mumbai, India
    Petros Isaakidis
    Medecins Sans Frontieres, Chandni Bungalow, 1st Floor, Union Park, Off Carter Road, Khar West, Mumbai 400 052, India
    Int Health 4:239-45. 2012
    ..In regions with a high HIV/HBV burden, all HIV-infected individuals should be tested for chronic hepatitis B. A TDF/3TC-backbone could be considered as first-line standardized ART regimen in these settings. ..
  63. doi request reprint Reasons for loss to follow-up among mothers registered in a prevention-of-mother-to-child transmission program in rural Malawi
    L D Bwirire
    Medecins Sans Frontieres, Thyolo District, Malawi
    Trans R Soc Trop Med Hyg 102:1195-200. 2008
    ..Mothers attending antenatal services need to be better informed and supported, at both community and health-provider level...
  64. ncbi request reprint Outcomes and safety of concomitant nevirapine and rifampicin treatment under programme conditions in Malawi
    M Moses
    Medecins Sans Frontieres, Thyolo District, Thyolo, Malawi
    Int J Tuberc Lung Dis 14:197-202. 2010
    ..Thyolo District Hospital, rural Malawi...
  65. ncbi request reprint Treatment outcomes stratified by baseline immunological status among young children receiving nonnucleoside reverse-transcriptase inhibitor-based antiretroviral therapy in resource-limited settings
    Daniel P O'Brien
    AIDS Working Group, Medecins Sans Frontieres, Paris, France
    Clin Infect Dis 44:1245-8. 2007
    ..86-0.92), with no significant difference among children stratified on the basis of baseline immunological levels; 62% attained a CD4 cell percentage >25%, and 7% continued to have a CD4 cell percentage <15%...
  66. ncbi request reprint Do aid agencies have an ethical duty to comply with researchers? A response to Rennie
    Rony Zachariah
    Medecins Sans Frontieres, 68 Rue de Gasperich, L 1617, Gasperich, Luxembourg
    Dev World Bioeth 6:78-80. 2006
    ....
  67. pmc Can timely vector control interventions triggered by atypical environmental conditions prevent malaria epidemics? A case-study from wajir county, kenya
    Peter Maes
    Medical Department, Water, Hygiene and Sanitation Unit, Medecins Sans Frontieres, Operational Center Brussels, Brussels, Belgium
    PLoS ONE 9:e92386. 2014
    ..Atypical environmental conditions with drought followed by heavy rainfall and flooding in arid areas in sub-Saharan Africa can lead to explosive epidemics of malaria, which might be prevented through timely vector-control interventions...
  68. doi request reprint Abolishing user fees for children and pregnant women trebled uptake of malaria-related interventions in Kangaba, Mali
    Frederique Ponsar
    Analysis and Advocacy Unit, Medecins Sans Frontieres, Brussels Operational Centre, Brussels, Belgium
    Health Policy Plan 26:ii72-83. 2011
    ..This would contribute to increasing the impact of interventions on population health and, in turn, the effectiveness of aid...
  69. ncbi request reprint The Partec CyFlow Counter could provide an option for CD4+ T-cell monitoring in the context of scaling-up antiretroviral treatment at the district level in Malawi
    M Fryland
    Medecins Sans Frontieres Luxembourg, Thyolo District, Malawi
    Trans R Soc Trop Med Hyg 100:980-5. 2006
    ..It could provide a new option for introducing routine CD4+ cell monitoring at the district level in the context of scaling-up antiretroviral therapy in Malawi...
  70. ncbi request reprint In resource-limited settings good early outcomes can be achieved in children using adult fixed-dose combination antiretroviral therapy
    Daniel P O'Brien
    AIDS Working Group, Medecins Sans Frontieres, Plantage Middenlaan 14, 1001 EA Amsterdam, The Netherlands
    AIDS 20:1955-60. 2006
    ..To (a) determine early treatment outcomes and (b) assess safety in children treated with adult fixed-dose combination (FDC) antiretroviral tablets...
  71. doi request reprint Increased baseline body weight is a risk factor associated with virological failure while on antiretroviral treatment
    Johan van Griensven
    J Acquir Immune Defic Syndr 48:631-3. 2008
  72. ncbi request reprint Supporting 'medicine at a distance' for delivery of hospital services in war-torn Somalia: how well are we doing?
    Abdisalan M Maalim
    Medecins Sans Frontieres, Belgium, Somalia Mission Coordination, Nairobi, Kenya
    Int Health 6:70-3. 2014
    ..We describe an innovative strategy implemented to support national staff at Istarlin Hospital in the conflict setting of Somalia; and report on inpatient morbidities, mortality and adverse hospital exit outcomes...
  73. ncbi request reprint Evaluation of four rapid tests for diagnosis and differentiation of HIV-1 and HIV-2 infections in Guinea-Conakry, West Africa
    Pascale Chaillet
    Medecins Sans Frontieres, Medical Department, Brussels Operational Center, Brussels, Belgium
    Trans R Soc Trop Med Hyg 104:571-6. 2010
    ..The use of SD Bioline HIV 1/2 3.0 (the current standard in Guinea-Conakry) as a discriminatory HIV test is poor and may be best replaced by Immunoflow HIV1-HIV2...
  74. ncbi request reprint Cabergoline for suppression of puerperal lactation in a prevention of mother-to-child HIV-transmission programme in rural Malawi
    L Buhendwa
    Medecins Sans Frontieres, Thyolo District, Malawi
    Trop Doct 38:30-2. 2008
    ..It could be of operational benefit not only for artificial feeding, but also for weaning in those that breast-feed within preventive mother-to-child HIV transmission programmes in resource-limited settings...
  75. ncbi request reprint HIV prevalence and demographic risk factors in blood donors
    R Zachariah
    Medecins Sans Frontieres, Luxembourg, Blantyre, Malawi
    East Afr Med J 79:88-91. 2002
    ..To estimate HIV prevalence in various blood donor populations, to identity sociodemographic risk factors associated with prevalent HIV and to assess the feasibility of offering routine voluntary counselling services to blood donors...
  76. pmc Adapting the DOTS framework for tuberculosis control to the management of non-communicable diseases in sub-Saharan Africa
    Anthony D Harries
    Clinical HIV Unit, Ministry of Health, Lilongwe, Malawi
    PLoS Med 5:e124. 2008
  77. pmc Reaching out to the forgotten: providing access to medical care for the homeless in Italy
    Gianfranco De Maio
    Medecins Sans Frontieres, Operational Centre Brussels, Italy Mission, Rome, Italy
    Int Health 6:93-8. 2014
    ..We aimed to document the characteristics and clinical management of inpatients and outpatients seen during this program...
  78. ncbi request reprint Self-administered treatment for tuberculosis among pastoralists in rural Ethiopia: how well does it work?
    Mohammed Khogali
    Medecins Sans Frontieres, Medical Department Operational Research Unit Operations, Brussels Operational Centre, MSF Luxembourg, Luxembourg
    Int Health 6:112-7. 2014
    ..From a rural district, we report on treatment outcomes of a modified self-administered treatment (SAT) strategy for pastoralists with TB...
  79. doi request reprint Dried blood spots are a useful tool for quality assurance of rapid HIV testing in Kigali, Rwanda
    P Chaillet
    Medecins Sans Frontieres, Medical Department, Brussels Operational Center, Belgium
    Trans R Soc Trop Med Hyg 103:634-7. 2009
    ....