2019
Evaluating the Integrated Methadone and Anti-Retroviral Therapy Strategy in Tanzania Using the RE-AIM Framework
Hassan S, Cooke A, Saleem H, Mushi D, Mbwambo J, Lambdin BH. Evaluating the Integrated Methadone and Anti-Retroviral Therapy Strategy in Tanzania Using the RE-AIM Framework. International Journal Of Environmental Research And Public Health 2019, 16: 728. PMID: 30823440, PMCID: PMC6427450, DOI: 10.3390/ijerph16050728.Peer-Reviewed Original ResearchConceptsOpioid treatment programsRE-AIM frameworkHIV servicesOTP clinicART initiationTherapy strategiesART initiation ratesHIV care deliveryHIV-positive clientsRE-AIM componentsHIV diagnosisImplementation science frameworkHIV prevalenceSaharan AfricaEligible clientsProgrammatic dataCare deliveryTreatment programProtocol fidelityDar es SalaamInitiation rateMethadoneClinicIMATSemi-structured interviewsPatient and provider perspectives on implementation barriers and facilitators of an integrated opioid treatment and HIV care intervention
Cooke A, Saleem H, Hassan S, Mushi D, Mbwambo J, Lambdin B. Patient and provider perspectives on implementation barriers and facilitators of an integrated opioid treatment and HIV care intervention. Addiction Science & Clinical Practice 2019, 14: 3. PMID: 30691511, PMCID: PMC6350287, DOI: 10.1186/s13722-019-0133-9.Peer-Reviewed Original ResearchConceptsOpioid treatment programsOTP clinicIntervention characteristicsHIV servicesHIV care interventionsHIV-positive PWUDAntiretroviral therapy initiationHIV-positive patientsOTP providersCare contextLow-resource settingsDar es Salaam TanzaniaSpecific care contextsOTP patientsOpioid treatmentTherapy initiationSuccess of interventionsCare interventionsNeeds of providersPatient educationClinic workloadPatientsTherapy interventionOuter settingIntervention protocol
2017
Convenience without disclosure: a formative research study of a proposed integrated methadone and antiretroviral therapy service delivery model in Dar es Salaam, Tanzania
Cooke A, Saleem H, Mushi D, Mbwambo J, Hassan S, Lambdin BH. Convenience without disclosure: a formative research study of a proposed integrated methadone and antiretroviral therapy service delivery model in Dar es Salaam, Tanzania. Addiction Science & Clinical Practice 2017, 12: 23. PMID: 29041950, PMCID: PMC5646174, DOI: 10.1186/s13722-017-0089-6.Peer-Reviewed Original ResearchConceptsHIV-positive patientsAntiretroviral therapyOTP clinicElectronic health information systemsHealth information systemsHIV careService delivery modelsHIV clinical managementHIV clinical careOTP providersEffective HIV preventionDar es SalaamDelivery modelOTP patientsART adherenceCD4 testingClinic capacityClinical managementTimely initiationHIV preventionProgram clinicsClinic staffClinical carePatientsTreatment settingsPrevalence and predictors of HCV among a cohort of opioid treatment patients in Dar es Salaam, Tanzania
Lambdin BH, Lorvick J, Mbwambo JK, Rwegasha J, Hassan S, Lum P, Kral AH. Prevalence and predictors of HCV among a cohort of opioid treatment patients in Dar es Salaam, Tanzania. International Journal Of Drug Policy 2017, 45: 64-69. PMID: 28628854, PMCID: PMC6166640, DOI: 10.1016/j.drugpo.2017.05.043.Peer-Reviewed Original ResearchConceptsOpioid treatment programsHepatitis C virusOTP clinicHCV antibodiesAntibody serostatusHCV careDar es SalaamTreatment programHCV antibody prevalenceMultivariable Poisson regressionCross-sectional studyRoutine programmatic dataHIV-positiveMiddle-income countriesAdjusted analysisHIV servicesLast injectionMethadone patientsTreatment patientsC virusLeading causeAntibody prevalenceOverall seroprevalenceHigh burdenPWID
2015
“Can’t you initiate me here?”: Challenges to timely initiation on antiretroviral therapy among methadone clients in Dar es Salaam, Tanzania
Saleem HT, Mushi D, Hassan S, Bruce RD, Cooke A, Mbwambo J, Lambdin BH. “Can’t you initiate me here?”: Challenges to timely initiation on antiretroviral therapy among methadone clients in Dar es Salaam, Tanzania. International Journal Of Drug Policy 2015, 30: 59-65. PMID: 26831364, PMCID: PMC4829458, DOI: 10.1016/j.drugpo.2015.12.009.Peer-Reviewed Original ResearchConceptsTimely ART initiationART initiationMethadone clinicsMethadone clientsCD4 testingAntiretroviral therapy accessCD4 test resultsEarly ART initiationCare CD4 testingHealth system factorsHIV-positive clientsDar es SalaamSocial supportLimited social supportAntiretroviral therapyHIV careHIV clinicClinic providersHIV treatmentClinic levelTherapy accessClinicART statusHIVTreatment breakdown