2018
Partners-based HIV treatment for seroconcordant couples attending antenatal and postnatal care in rural Mozambique: A cluster randomized trial protocol
Audet CM, Graves E, Barreto E, De Schacht C, Gong W, Shepherd BE, Aboobacar A, Gonzalez-Calvo L, Alvim MF, Aliyu MH, Kipp AM, Jordan H, Amico KR, Diemer M, Ciaranello A, Dugdale C, Vermund SH, Van Rompaey S. Partners-based HIV treatment for seroconcordant couples attending antenatal and postnatal care in rural Mozambique: A cluster randomized trial protocol. Contemporary Clinical Trials 2018, 71: 63-69. PMID: 29879469, PMCID: PMC6067957, DOI: 10.1016/j.cct.2018.05.020.Peer-Reviewed Original ResearchConceptsChild transmissionSeroconcordant couplesMale partnersResource-limited rural settingsElimination of motherRoutine clinical dataUptake of servicesClinical trial designMale partner approvalAntiretroviral therapyHIV careAntenatal careRural MozambiqueHIV servicesPostnatal carePregnant womenHIV treatmentTrial protocolClinical dataHealth facilitiesTrial designHIVNewborn childrenPartner approvalEngagement interventions
2017
Adapting an adherence support workers intervention: engaging traditional healers as adherence partners for persons enrolled in HIV care and treatment in rural Mozambique
Audet CM, Salato J, Vermund SH, Amico KR. Adapting an adherence support workers intervention: engaging traditional healers as adherence partners for persons enrolled in HIV care and treatment in rural Mozambique. Implementation Science 2017, 12: 50. PMID: 28407813, PMCID: PMC5390357, DOI: 10.1186/s13012-017-0582-z.Peer-Reviewed Original ResearchConceptsCommunity health workersAntiretroviral therapyWorker interventionTraditional healersHealth workersHealth systemAllopathic health systemEvidence-informed interventionsLow-literacy populationsHIV careHIV diagnosisRural MozambiquePatient adherenceHIV epidemicHealth facilitiesClinical careHealthcare providersHealth workforceHIVTraditional treatmentCommunity-based activitiesInterventionTraditional medicineCareSuccessful program implementation
2016
Occupational hazards of traditional healers: repeated unprotected blood exposures risk infectious disease transmission
Audet CM, Salato J, Blevins M, Silva W, González‐Calvo L, Vermund SH, Gaspar F. Occupational hazards of traditional healers: repeated unprotected blood exposures risk infectious disease transmission. Tropical Medicine And International Health 2016, 21: 1476-1480. PMID: 27580349, PMCID: PMC5093076, DOI: 10.1111/tmi.12775.Peer-Reviewed Original ResearchConceptsBlood exposureOccupational hazardsBlood-borne agentsTraditional healersWilcoxon rank sum testRank sum testHepatitis BC virusChronic illnessInfectious disease transmissionHigh prevalenceZambézia ProvincePast monthHealers' practicesChi-squareTraditional practitionersMedianPatientsDisease transmissionInjectionRandom sampleRural MozambiqueExposureHealersSimple random sample
2015
HIV testing service awareness and service uptake among female heads of household in rural Mozambique: results from a province-wide survey
Paulin HN, Blevins M, Koethe JR, Hinton N, Vaz L, Vergara AE, Mukolo A, Ndatimana E, Moon TD, Vermund SH, Wester CW. HIV testing service awareness and service uptake among female heads of household in rural Mozambique: results from a province-wide survey. BMC Public Health 2015, 15: 132. PMID: 25881182, PMCID: PMC4339241, DOI: 10.1186/s12889-015-1388-z.Peer-Reviewed Original ResearchConceptsHealth service accessService uptakeVCT servicesRural Zambézia ProvinceHigh HIV prevalencePopulation-based surveyRemote rural settingsConclusionsMost womenRural MozambiqueHigh HIVVoluntary counselingTwo-stage cluster sampleHIV prevalenceProvince-wide surveyService accessHIV stigmaHealth facilitiesZambézia ProvinceStigma scoresTesting utilizationStigma reductionLogistic regressionBaseline measuresSurvey domainsVCT
2014
Assessing spatial patterns of HIV knowledge in rural Mozambique using geographic information systems
Buehler CP, Blevins M, Ossemane EB, González‐Calvo L, Ndatimana E, Vermund SH, Sidat M, Olupona O, Moon TD. Assessing spatial patterns of HIV knowledge in rural Mozambique using geographic information systems. Tropical Medicine And International Health 2014, 20: 353-364. PMID: 25430042, DOI: 10.1111/tmi.12437.Peer-Reviewed Original ResearchConceptsHIV knowledgeAntiretroviral therapyEnumeration areasMedian scorePopulation-based cluster surveyMore HIV knowledgeHIV knowledge scoresMultivariable linear regression modelsLow HIV knowledgePoor HIV knowledgeHIV knowledge levelsDistrict of residenceHealth facilitiesZambézia ProvinceNumber of childrenKnowledge scoreProgram plannersTherapyMore educationLinear regression modelsScoresAssessment toolRural MozambiqueRegression modelsRespondent agePoor Clinical Outcomes for HIV Infected Children on Antiretroviral Therapy in Rural Mozambique: Need for Program Quality Improvement and Community Engagement
Vermund SH, Blevins M, Moon TD, José E, Moiane L, Tique JA, Sidat M, Ciampa PJ, Shepherd BE, Vaz LM. Poor Clinical Outcomes for HIV Infected Children on Antiretroviral Therapy in Rural Mozambique: Need for Program Quality Improvement and Community Engagement. PLOS ONE 2014, 9: e110116. PMID: 25330113, PMCID: PMC4203761, DOI: 10.1371/journal.pone.0110116.Peer-Reviewed Original ResearchConceptsCombination antiretroviral therapyAntiretroviral therapyInfant diagnosisClinical outcomesEarly infant diagnosisPoor clinical outcomeYears of ageResource-limited settingsUnknown clinical outcomesCohort mortality ratesQuality improvement effortsART initiationCART initiationRural MozambiqueHIV servicesAdults 15HIV prevalenceKaplan-MeierHigher hemoglobinMedication pickupClinical dataOutcome treatmentNational guidelinesCase findingZambézia ProvinceMultidimensional Poverty in Rural Mozambique: A New Metric for Evaluating Public Health Interventions
Victor B, Blevins M, Green AF, Ndatimana E, González-Calvo L, Fischer EF, Vergara AE, Vermund SH, Olupona O, Moon TD. Multidimensional Poverty in Rural Mozambique: A New Metric for Evaluating Public Health Interventions. PLOS ONE 2014, 9: e108654. PMID: 25268951, PMCID: PMC4182519, DOI: 10.1371/journal.pone.0108654.Peer-Reviewed Original ResearchConceptsMultidimensional poverty measuresMultidimensional poverty measurementMultidimensional poverty indexContext-specific indicatorsMultidimensional povertyPoverty measurementPoverty measuresEvidence-based planningPoverty gapPoverty indexPoverty conditionsAverage deprivationPovertyPublic health interventionsFemale headsSocial determinantsMultidimensional phenomenonIntervention deploymentRural MozambiqueHouseholdsProgram implementersHealth interventionsLocal languageGeospatial mapsGeospatial visualizationMobile clinics for antiretroviral therapy in rural Mozambique
Moon TD, Jequicene T, Blevins M, José E, Lankford JR, Wester CW, Fuchs MC, Vermund SH. Mobile clinics for antiretroviral therapy in rural Mozambique. Bulletin Of The World Health Organization 2014, 92: 680-684. PMID: 25378759, PMCID: PMC4208568, DOI: 10.2471/blt.13.129478.Peer-Reviewed Original ResearchConceptsHIV careClinic strategyHealth care infrastructureAntiretroviral therapy programsHuman immunodeficiency virusUptake of servicesPresident's Emergency PlanLocal health systemsMonths of implementationAntiretroviral therapyImmunodeficiency virusPeripheral clinicsNew patientsMobile clinicsAdult populationART expansionClinicTherapy programAIDS ReliefHealth systemCareTreatmentRural MozambiqueRural regionsNational coverage
2012
Poor-quality health services and lack of programme support leads to low uptake of HIV testing in rural Mozambique
Audet CM, Groh K, Moon TD, Vermund SH, Sidat M. Poor-quality health services and lack of programme support leads to low uptake of HIV testing in rural Mozambique. African Journal Of AIDS Research 2012, 11: 327-335. PMID: 25860191, PMCID: PMC4837645, DOI: 10.2989/16085906.2012.754832.Peer-Reviewed Original ResearchPatient's HIV statusHIV statusHIV testingHIV infectionHigh burdenPoor quality health servicesFood supplement programWorld's highest burdenClinical service deliveryHIV diseaseZambézia ProvinceClinical practiceHealth servicesLow uptakePoor accessFatalistic beliefsHIVRural districtsInfectionFocus group discussionsRural MozambiquePurposeful samplingGender-specific focus group discussionsIntentional disclosureService deliveryThe Association among Literacy, Numeracy, HIV Knowledge and Health-Seeking Behavior: A Population-Based Survey of Women in Rural Mozambique
Ciampa PJ, Vaz LM, Blevins M, Sidat M, Rothman RL, Vermund SH, Vergara AE. The Association among Literacy, Numeracy, HIV Knowledge and Health-Seeking Behavior: A Population-Based Survey of Women in Rural Mozambique. PLOS ONE 2012, 7: e39391. PMID: 22745747, PMCID: PMC3382184, DOI: 10.1371/journal.pone.0039391.Peer-Reviewed Original ResearchConceptsLow HIV knowledgeHIV knowledgeLiteracy/numeracyHIV testingMean agePrenatal careSelf-reported HIV testingHealth seeking behaviourWorse health behaviorsMultivariable regression modelsImproved health outcomesRespondents' mean ageSurvey of womenLimited literacy skillsHealth behaviorsHealth outcomesLimited literacyMozambican womenWomenFurther studiesAssociationCareNumeracy subscaleRural MozambiqueRegression modelsImplementation of cervical cancer screening using visual inspection with acetic acid in rural Mozambique: successes and challenges using HIV care and treatment programme investments in Zambézia Province
Moon TD, Silva‐Matos C, Cordoso A, Baptista AJ, Sidat M, Vermund SH. Implementation of cervical cancer screening using visual inspection with acetic acid in rural Mozambique: successes and challenges using HIV care and treatment programme investments in Zambézia Province. Journal Of The International AIDS Society 2012, 15: 17406. PMID: 22713260, PMCID: PMC3499800, DOI: 10.7448/ias.15.2.17406.Peer-Reviewed Original ResearchConceptsLoop electrosurgical excision procedureHIV careCervical cancerProvincial HospitalZambézia ProvinceCervical cancer screening servicesMaternal child health nursesAntiretroviral therapy rolloutVIA-positive womenCancer screening servicesElectrosurgical excision procedureChild health nursesSquamous intraepithelial lesionsCervical cancer screeningChronic disease screeningHealth manpower shortagesRural MozambiqueExcision procedureHIV testingIntraepithelial lesionsHIV statusClinic nursesScreening servicesCancer screeningHealth nurses
2011
Improving Retention in the Early Infant Diagnosis of HIV Program in Rural Mozambique by Better Service Integration
Ciampa PJ, Burlison JR, Blevins M, Sidat M, Moon TD, Rothman RL, Vermund SH. Improving Retention in the Early Infant Diagnosis of HIV Program in Rural Mozambique by Better Service Integration. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2011, 58: 115-119. PMID: 21546845, DOI: 10.1097/qai.0b013e31822149bf.Peer-Reviewed Original ResearchConceptsEarly infant diagnosisInfant diagnosisInfant testingEarly infant testingWomen/infantsRetrospective record reviewPostpartum HIVRural MozambiqueRecord reviewStandard referralHIV programsHigher oddsReferral processSimple interventionHIVReferralDiagnosisInfant retentionWomenService integrationInfants
2010
Lessons learned while implementing an HIV/AIDS care and treatment program in rural Mozambique.
Moon TD, Burlison JR, Sidat M, Pires P, Silva W, Solis M, Rocha M, Arregui C, Manders EJ, Vergara AE, Vermund SH. Lessons learned while implementing an HIV/AIDS care and treatment program in rural Mozambique. Retrovirology Research And Treatment 2010, 3: 1-14. PMID: 25097450, PMCID: PMC4119752, DOI: 10.4137/rrt.s4613.Peer-Reviewed Original Research