2024
Time spent at health facility is a key driver of patient satisfaction, but did not influence retention to HIV care: A serial cross-sectional study in Mozambique
De Schacht C, Amorim G, Calvo L, Ntasis E, Van Rompaey S, Matsimbe J, Martinho S, Graves E, Alvim M, Green A, Kassim H, Carlos I, Wester C, Audet C. Time spent at health facility is a key driver of patient satisfaction, but did not influence retention to HIV care: A serial cross-sectional study in Mozambique. PLOS ONE 2024, 19: e0299282. PMID: 38635537, PMCID: PMC11025808, DOI: 10.1371/journal.pone.0299282.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesHealth FacilitiesHIV InfectionsHumansMozambiquePatient SatisfactionConceptsHealth facilitiesOdds of viral suppressionPatient satisfactionSatisfaction scoresHIV careHigher oddsViral suppressionAdherence to antiretroviral therapyClient-provider communicationStudy assessed patient satisfactionAssociated with higher oddsReduce patient waiting timesMedian satisfaction scorePatient waiting timesCross-sectional studyGeneralized linear regression modelsOverall satisfaction scoreAssociated with lower retentionAssociated with retentionHealth servicesExit interviewsAssociated with timeClient-providerClinical servicesLinear regression models
2020
‘I married when I was 16… due to poverty, I had no other way’: multi-level factors influencing HIV-related sexual risk behaviours among adolescent girls in Zambézia, Mozambique
Ridgeway K, Lenzi R, Packer C, González-Calvo L, Moon T, Green A, Burke H. ‘I married when I was 16… due to poverty, I had no other way’: multi-level factors influencing HIV-related sexual risk behaviours among adolescent girls in Zambézia, Mozambique. Culture Health & Sexuality 2020, 23: 414-430. PMID: 32427049, DOI: 10.1080/13691058.2020.1715483.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHIV InfectionsHumansMaleMozambiquePovertyRisk-TakingSexual BehaviorYoung AdultConceptsAdolescent girlsBehavior one yearInterpersonal-level factorsRisk behaviorsGirls ages 13Sexual risk behaviorsSelf-reported sexual riskGirls' behaviorFirst time pointAge 13Sexual risk reductionFamily supportHousehold economic stabilityBehavior changeFuture interventionsMulti-level factorsGirlsSexual riskTime pointsInterventionDepth interviewsAdolescentsBehaviorOne-yearSupportMultiple Concurrent Illnesses Associated with Anemia in HIV-Infected and HIV-Exposed Uninfected Children Aged 6–59 Months, Hospitalized in Mozambique
Duffy C, Kenga D, Gebretsadik T, Maússe F, Manjate A, Zaqueu E, Fernando H, Green A, Sacarlal J, Moon T. Multiple Concurrent Illnesses Associated with Anemia in HIV-Infected and HIV-Exposed Uninfected Children Aged 6–59 Months, Hospitalized in Mozambique. American Journal Of Tropical Medicine And Hygiene 2020, 102: 605-612. PMID: 31933456, PMCID: PMC7056436, DOI: 10.4269/ajtmh.19-0424.Peer-Reviewed Original ResearchMeSH KeywordsAnemiaChild, PreschoolFemaleHIV InfectionsHospitalizationHumansInfantMaleMozambiqueRisk FactorsConceptsHospital admissionMultiple concurrent illnessesEtiology of anemiaAcute respiratory illnessFactors of anemiaHistory of feverDiagnosis of bacteremiaDiagnosis of malariaGastroenteritis/diarrheaChildren Aged 6Concurrent illnessHIV-InfectedUninfected childrenAntiretroviral therapyAnemia managementCommon diagnosisRespiratory illnessHospitalized childrenMultiple etiologiesBlood culturesMild anemiaNonphysician cliniciansRelative oddsDual diagnosisHIV
2019
Immunodeficiency at Antiretroviral Therapy Start: Five-Year Adult Data (2012–2017) Based on Evolving National Policies in Rural Mozambique
Arinze F, Gong W, Green A, De Schacht C, Carlucci J, Silva W, Claquin G, Tique J, Stefanutto M, Graves E, Van Rompaey S, Alvim M, Tomo S, Moon T, Wester C. Immunodeficiency at Antiretroviral Therapy Start: Five-Year Adult Data (2012–2017) Based on Evolving National Policies in Rural Mozambique. AIDS Research And Human Retroviruses 2019, 36: 39-47. PMID: 31359762, PMCID: PMC9836686, DOI: 10.1089/aid.2019.0043.Peer-Reviewed Original ResearchConceptsCD4 cell countMedian CD4 cell countAntiretroviral therapyART initiationSevere immunodeficiencyCell countMedian changeHealth facilitiesHigher median CD4 cell countsMultivariable logistic regression modelAdvanced HIV diseaseAntiretroviral therapy (ART) startMedian CD4 cellProvider-initiated testingCombination antiretroviral therapyStage 4 diseaseTreatment-naive adultsLogistic regression modelsUniversal HIVOlder patientsCD4 cellsHIV diseaseTherapy startMale sexFemale sexA longitudinal qualitative evaluation of an economic and social empowerment intervention to reduce girls’ vulnerability to HIV in rural Mozambique
Burke H, Packer C, González-Calvo L, Ridgeway K, Lenzi R, Green A, Moon T. A longitudinal qualitative evaluation of an economic and social empowerment intervention to reduce girls’ vulnerability to HIV in rural Mozambique. Evaluation And Program Planning 2019, 77: 101682. PMID: 31369827, DOI: 10.1016/j.evalprogplan.2019.101682.Peer-Reviewed Original ResearchConceptsInequitable gender normsSocial empowerment interventionLongitudinal qualitative evaluationFocus group discussionsGender normsMulti-sector interventionsIntergenerational sexDepth interviewsVulnerable girlsCommunity membersGirls' sexual behaviorRural MozambiqueSexual behaviorGroup discussionsMixed-methods evaluationEmpowerment interventionBusiness trainingSchool attendanceHouseholdsMozambiqueBusinessMoneyRisky sexVulnerabilityIDIHIV Rapid Diagnostic Test Inventories in Zambézia Province, Mozambique: A Tale of 2 Test Kits
Wahlfeld C, Muicha A, Harrison P, Kipp A, Claquin G, Silva W, Green A, Wester C, Moon T. HIV Rapid Diagnostic Test Inventories in Zambézia Province, Mozambique: A Tale of 2 Test Kits. International Journal Of Health Policy And Management 2019, 8: 292-299. PMID: 31204445, PMCID: PMC6571497, DOI: 10.15171/ijhpm.2019.07.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsHealth FacilitiesHIV InfectionsHumansMozambiquePoint-of-Care TestingReagent Kits, DiagnosticConceptsHIV rapid diagnostic testsRapid diagnostic testsHealth facilitiesZambézia ProvinceDiagnostic testsTest kitIdentification of PLHIVHealth facility levelMixed-effects logistic regressionOutcomes of interestSpecific health facilityProvincial health authoritiesHIV testUNAIDS 90Treat programsUni-GoldSpecific healthcare facilitiesHealth authoritiesLogistic regressionSurveillance dataFacility levelStudy periodEssential medicinesConfirmatory testHealthcare facilities
2018
Exploring intersections of localised gender norms and unanticipated effects of a sexual and reproductive health intervention: implications of respect and being a “good girl” in Zambézia Province, Mozambique
Lenzi R, Packer C, Ridgeway K, Moon T, Green A, González-Calvo L, Burke H. Exploring intersections of localised gender norms and unanticipated effects of a sexual and reproductive health intervention: implications of respect and being a “good girl” in Zambézia Province, Mozambique. Culture Health & Sexuality 2018, 21: 575-590. PMID: 30328775, DOI: 10.1080/13691058.2018.1498540.Peer-Reviewed Original ResearchConceptsGender normsGood girlGender-based violenceSocial empowerment interventionHead of householdFocus group discussionsReproductive health programsReproductive health interventionsEmpower girlsUnanticipated effectsEmic definitionDepth interviewsCommunity membersRural communitiesImplications of respectGirls' riskGroup discussionsInfluential menEmpowerment interventionSchool attendanceMozambiqueNormsCommunityProgram evaluationZambézia Province
2014
Antiretroviral Therapy Program Expansion in Zambézia Province, Mozambique: Geospatial Mapping of Community-Based and Health Facility Data for Integrated Health Planning
Moon TD, Ossemane EB, Green AF, Ndatimana E, José E, Buehler CP, Wester CW, Vermund SH, Olupona O. Antiretroviral Therapy Program Expansion in Zambézia Province, Mozambique: Geospatial Mapping of Community-Based and Health Facility Data for Integrated Health Planning. PLOS ONE 2014, 9: e109653. PMID: 25329169, PMCID: PMC4201452, DOI: 10.1371/journal.pone.0109653.Peer-Reviewed Original ResearchConceptsHIV populationZambézia ProvinceCommunity-based VCTCommunity-based voluntary counselingHIV testing resultsProgram demographic informationHIV seropositivity rateHealth facility dataProgram expansionHIV careVoluntary counselingSeropositivity rateTesting deliveryEvidence-based decisionsHealth planningTreatment monitoringGeospatial mappingDemographic informationHealth estimatesClinicFacility dataCommunity-BasedProgram planningCareVCTClinical Mentorship of Nurse Initiated Antiretroviral Therapy in Khayelitsha, South Africa: A Quality of Care Assessment
Green A, de Azevedo V, Patten G, Davies M, Ibeto M, Cox V. Clinical Mentorship of Nurse Initiated Antiretroviral Therapy in Khayelitsha, South Africa: A Quality of Care Assessment. PLOS ONE 2014, 9: e98389. PMID: 24887260, PMCID: PMC4041881, DOI: 10.1371/journal.pone.0098389.Peer-Reviewed Original ResearchMeSH KeywordsAnti-HIV AgentsChildFemaleHIV InfectionsHumansMentorsNurse-Patient RelationsPregnancySouth AfricaConceptsAntiretroviral treatmentEligible patientsLong-term side effectsART start dateART-eligible patientsBaseline blood workClinical mentorship programInitiated antiretroviral therapyUniversal ART accessHIV-positive patientsTB/HIVNumber of patientsCross-sectional studyRoutine clinical dataResource limited settingsHIV treatment accessART initiationNurse initiationAntiretroviral therapyPatient characteristicsPositive patientsMore patientsBlood workClinical presentationNurses' confidence