2021
Structural barriers to implementing recommended tuberculosis preventive treatment in primary care clinics in rural South Africa
Chandra DK, Moll AP, Altice FL, Didomizio E, Andrews L, Shenoi SV. Structural barriers to implementing recommended tuberculosis preventive treatment in primary care clinics in rural South Africa. Global Public Health 2021, 17: 555-568. PMID: 33650939, PMCID: PMC8410883, DOI: 10.1080/17441692.2021.1892793.Peer-Reviewed Original ResearchConceptsTuberculosis preventive treatmentPrimary healthcare clinicsTPT initiationWorld Health OrganizationAntiretroviral therapyPreventive treatmentRural South AfricaHIV/TB servicesBurden of HIVOnly independent correlatePrimary care clinicsClinic-level factorsPatient-level characteristicsPrimary care providersHealth Services frameworkEvidence-based strategiesQuality improvement strategiesTB servicesClinical factorsCare clinicsIndependent correlatesMedical recordsPromoting ActionCare providersHealthcare clinics
2020
1656. Factors associated with low TB preventative therapy prescription rates among healthcare workers in rural South Africa
Ahmed A, Grammatico M, Malinga S, Makhunga P, Moll A, Ladines-Lim J, Jones J, Choi K, Shenoi S. 1656. Factors associated with low TB preventative therapy prescription rates among healthcare workers in rural South Africa. Open Forum Infectious Diseases 2020, 7: s816-s817. PMCID: PMC7778258, DOI: 10.1093/ofid/ofaa439.1834.Peer-Reviewed Original ResearchPrimary care clinicsLower prescription ratesPrescription ratesHealthcare workersPatients' nondisclosureRural South AfricaConclusions Healthcare workersIsoniazid preventive therapyProfessional nursesRural district hospitalMedical officersCross-sectional surveyEligible patientsMortality benefitPreventive therapyMedian ageCare clinicsPreventative therapyTuberculosis incidenceDistrict hospitalSelf-reported knowledgePatientsHCW trainingMultivariate analysisPrescribers759. 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 factors1644. “And the stick to fight TB is IPT”: Perspectives on TPT Implementation Among Senior Nurses in Rural South Africa
Grammatico M, Ahmed A, Grau L, Moll A, Shenoi S. 1644. “And the stick to fight TB is IPT”: Perspectives on TPT Implementation Among Senior Nurses in Rural South Africa. Open Forum Infectious Diseases 2020, 7: s811-s811. PMCID: PMC7777536, DOI: 10.1093/ofid/ofaa439.1824.Peer-Reviewed Original ResearchIsoniazid preventive therapyWorld Health OrganizationPreventative therapyMedian age 39 yearsSenior nursesTB preventative therapyPatient-level factorsPrimary health clinicsPrimary care clinicsAge 39 yearsHigh-volume clinicsHealth care experiencesResource-limited settingsBackground TuberculosisAntiretroviral therapyHigh tuberculosisChronic medicationsPill burdenPreventive therapyTB burdenHigh HIVCare clinicsConclusion NursesHIV prevalenceStandardized training program
2016
Impact of nurse-delivered community-based CD4 services on facilitating pre-ART care in rural South Africa
Kompala T, Moll AP, Mtungwa N, Brooks RP, Friedland GH, Shenoi SV. Impact of nurse-delivered community-based CD4 services on facilitating pre-ART care in rural South Africa. BMC Health Services Research 2016, 16: 374. PMID: 27515233, PMCID: PMC4982129, DOI: 10.1186/s12913-016-1627-8.Peer-Reviewed Original ResearchConceptsPre-ART careAntiretroviral treatmentCD4 testingCBVCT servicesTreatment cascadeRural South AfricaLocal primary care clinicsCD4 count resultsCommunity-based voluntary counselingPrimary care clinicsHIV-positive clientsPhlebotomy servicesResource-limited settingsART initiationHIV careART eligibilityCare cascadeCare clinicsHIV-positiveVoluntary counselingTreatment eligibilityCD4 resultsResult notificationResultsBetween 2010Nurse presence