2023
Community health workers can be trained to identify patients eligible for tuberculosis preventive therapy, but encounter barriers to programme implementation in KwaZulu-Natal, South Africa
Norton S, Moll A, Madi J, Nkomo N, Brooks R, Andrews L, Shenoi S. Community health workers can be trained to identify patients eligible for tuberculosis preventive therapy, but encounter barriers to programme implementation in KwaZulu-Natal, South Africa. African Journal Of AIDS Research 2023, 22: 131-135. PMID: 37337826, DOI: 10.2989/16085906.2023.2213213.Peer-Reviewed Original ResearchConceptsTuberculosis preventive therapyCommunity health workersLargest HIV epidemicCause of deathNon-communicable diseasesHealth workersPreventive therapyRural resource-limited settingsHigh TB incidence ratesFurther implementation researchTB incidence rateRate of referralResource-limited settingsMedian ageTreatment initiationHIV epidemicIncidence rateRural South AfricaHIVInfectious diseasesTuberculosisImplementation researchScreening resultsDiseasePatients
2020
759. Where can we find active TB? Case finding at community sites and alcohol based venues (ABVs) in rural South Africa
Choi K, Shenoi S, Moll A, Friedland G. 759. Where can we find active TB? Case finding at community sites and alcohol based venues (ABVs) in rural South Africa. Open Forum Infectious Diseases 2020, 7: s426-s426. PMCID: PMC7778049, DOI: 10.1093/ofid/ofaa439.949.Peer-Reviewed Original ResearchAlcohol Use Disorders Identification TestHazardous alcohol useActive TBTB casesAlcohol useCase detectionOlder ageMean AUDITActive TB diseaseUseful adjunctive strategyPrimary care clinicsHIV rapid testsCommunity health workersTuberculosis case detectionResource limited settingsCases of TBDisorders Identification TestSubstance abuse servicesTB diseaseRandom glucoseBlood pressureMedian ageCare clinicsAdjunctive strategiesRisk factors102. Improving Implementation of HIV Pre-exposure Prophylaxis: Lessons Learned from Young Women in Rural South Africa
Hannaford A, Khumalo N, Norton S, Moll A, Shenoi S. 102. Improving Implementation of HIV Pre-exposure Prophylaxis: Lessons Learned from Young Women in Rural South Africa. Open Forum Infectious Diseases 2020, 7: s180-s181. PMCID: PMC7777701, DOI: 10.1093/ofid/ofaa439.412.Peer-Reviewed Original ResearchPrEP delivery modelsPre-exposure prophylaxisYoung womenPrEP initiationHIV pre-exposure prophylaxisSexual activityCommunity health workersInconsistent condom useHIV prevention programsMale sexual partnersCommunity-based deliveryPrEP deliveryMedication refillsPrEP implementationPrEP useDelivery modelPrEP educationHIV stigmaHealth workersHigh riskPrEP disclosureProgrammatic conditionsClinic facilitiesRural South AfricaCondom use
2019
1673. Gendered Patterns of HIV, TB, and Other Primary Care Referrals in Rural South Africa
Choi K, Moll A, Shenoi S. 1673. Gendered Patterns of HIV, TB, and Other Primary Care Referrals in Rural South Africa. Open Forum Infectious Diseases 2019, 6: s612-s613. PMCID: PMC6809581, DOI: 10.1093/ofid/ofz360.1537.Peer-Reviewed Original ResearchPrimary care servicesRural South AfricaHazardous drinkingPositive screeningHealth concernIsoniazid preventive therapyLast clinic visitPrimary care referralsMultivariable logistic regressionHealth careCommunity health workersHealth-seeking behaviourCommunity-based servicesCare referralClinic visitsPreventive therapyMedian ageClinical outcomesSaharan AfricaHealthcare useHealth workersHIV effortsMore referralsCare servicesHIVOpportunities for community health workers to contribute to global efforts to end tuberculosis
Sinha P, Shenoi SV, Friedland GH. Opportunities for community health workers to contribute to global efforts to end tuberculosis. Global Public Health 2019, 15: 474-484. PMID: 31516079, PMCID: PMC7028491, DOI: 10.1080/17441692.2019.1663361.Peer-Reviewed Original Research
2017
Community Health Workers Can Strengthen Isoniazid Preventive Therapy Implementation in Rural KwaZulu-Natal, South Africa
Norton S, Moll A, Madi J, Nkomo N, Brooks R, Shenoi S. Community Health Workers Can Strengthen Isoniazid Preventive Therapy Implementation in Rural KwaZulu-Natal, South Africa. Open Forum Infectious Diseases 2017, 4: s119-s119. PMCID: PMC5632264, DOI: 10.1093/ofid/ofx163.146.Peer-Reviewed Original ResearchIsoniazid preventive therapyCommunity health workersRural KwaZulu-NatalHealth workersHigh TB incidence ratesDifferentiated care modelProportion of patientsHIV treatment programsTB incidence rateCause of deathResource limited settingsIPT initiationPreventive therapySecondary outcomesTB casesMedian agePrimary outcomeTB epidemicPreventive treatmentChronic diseasesIncidence rateSymptom screenCHW rolesCare modelTherapy implementation
2016
“I Have to Push Him with a Wheelbarrow to the Clinic”: Community Health Workers' Roles, Needs, and Strategies to Improve HIV Care in Rural South Africa
Loeliger KB, Niccolai LM, Mtungwa LN, Moll A, Shenoi SV. “I Have to Push Him with a Wheelbarrow to the Clinic”: Community Health Workers' Roles, Needs, and Strategies to Improve HIV Care in Rural South Africa. AIDS Patient Care And STDs 2016, 30: 385-394. PMID: 27509239, PMCID: PMC4991585, DOI: 10.1089/apc.2016.0096.Peer-Reviewed Original ResearchConceptsCommunity health workersHIV careCommunity health worker rolesHIV care provisionAntiretroviral therapy initiationHIV treatment outcomesHealth worker rolesHealthcare systemBasic emergency careHIV/AIDS epidemicRural KwaZulu-NatalCommunity-based programsAdherence persistTherapy initiationAntiretroviral medicationsHIV prevalenceTreatment outcomesCHW rolesHealth workersHolistic careCentered careHIV resourcesEmergency careClinical practiceRural South AfricaAntiretroviral therapy initiation and adherence in rural South Africa: community health workers’ perspectives on barriers and facilitators
Loeliger KB, Niccolai LM, Mtungwa LN, Moll A, Shenoi SV. Antiretroviral therapy initiation and adherence in rural South Africa: community health workers’ perspectives on barriers and facilitators. AIDS Care 2016, 28: 982-993. PMID: 27043077, PMCID: PMC4917424, DOI: 10.1080/09540121.2016.1164292.Peer-Reviewed Original ResearchMeSH KeywordsAnti-HIV AgentsAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveBlack PeopleCommunity Health WorkersCounselingFocus GroupsHealth Services AccessibilityHIV InfectionsHumansInterviews as TopicLost to Follow-UpMaleMedication AdherenceQualitative ResearchRural PopulationSocial StigmaSocial SupportSocioeconomic FactorsSouth AfricaTruth DisclosureConceptsCommunity health workersAntiretroviral therapyART initiationHealth workersAntiretroviral therapy initiationInsufficient patient educationLong-term adherenceAcute infectious diseasesGlobal HIV/AIDS epidemicPublic health strategiesHealthcare servicesHIV/AIDS managementAlternative medicine (CAM) providersHIV/AIDS epidemicHIV/AIDSTherapy initiationInitial diagnosisLifelong therapyPrevent patientsAdherence ratesPatient counsellingPatient educationPatient dissatisfactionCHW rolesMedicine providers