2020
Monitoring Pharmacy and Test Kit Stocks in Rural Mozambique: U.S. President's Emergency Plan for AIDS Relief Surveillance to Help Prevent Ministry of Health Shortages
Bravo M, Peratikos MB, Muicha AS, Mahagaja E, Alvim MFS, Green AF, Wester CW, Vermund SH. Monitoring Pharmacy and Test Kit Stocks in Rural Mozambique: U.S. President's Emergency Plan for AIDS Relief Surveillance to Help Prevent Ministry of Health Shortages. AIDS Research And Human Retroviruses 2020, 36: 415-426. PMID: 31914787, PMCID: PMC7232670, DOI: 10.1089/aid.2019.0057.Peer-Reviewed Original ResearchConceptsRural Zambézia ProvinceHuman immunodeficiency virusPresident's Emergency PlanMedication supplyU.S. President's Emergency PlanTimes higher oddsMedication classesViral suppressionDiagnostic test kitsImmunodeficiency virusPharmacy dataStudy midpointOrdinal logistic regressionHigher oddsCare providersLower oddsZambézia ProvinceTuberculosis testingMonitoring of drugsLogistic regressionAIDS ReliefHealth shortagesARVEmergency plansCalendar time
2015
Determinants of undernutrition among children aged 6 to 59 months in rural Zambézia Province, Mozambique: results of two population-based serial cross-sectional surveys
Rose ES, Blevins M, González-Calvo L, Ndatimana E, Green AF, Lopez M, Olupona O, Vermund SH, Moon TD, For the Ogumaniha-SCIP Zambézia Consortium. Determinants of undernutrition among children aged 6 to 59 months in rural Zambézia Province, Mozambique: results of two population-based serial cross-sectional surveys. BMC Nutrition 2015, 1: 41. PMID: 27182448, PMCID: PMC4864006, DOI: 10.1186/s40795-015-0039-1.Peer-Reviewed Original ResearchAge z-scoreCross-sectional surveyZ-scoreZambézia ProvincePopulation-based cross-sectional surveyRural Zambézia ProvinceSerial cross-sectional surveysHeight z-scoreOdds of stuntingAge 6 monthsPrevalence of stuntingAge 5 yearsDeterminants of undernutritionDietary diversity scoreNon-linear associationLower oddsAnthropometric measurementsGreater oddsHousehold food insecurityMultidimensional interventionsSTATA 13.1UndernutritionLogistic regressionUnderweightConclusionsA combinationPractical Management of HIV-Associated Anemia in Resource-Limited Settings: Prospective Observational Evaluation of a New Mozambican Guideline
Brentlinger PE, Silva WP, Vermund SH, Valverde E, Buene M, Moon TD. Practical Management of HIV-Associated Anemia in Resource-Limited Settings: Prospective Observational Evaluation of a New Mozambican Guideline. AIDS Research And Human Retroviruses 2015, 32: 12-25. PMID: 26178574, PMCID: PMC4692124, DOI: 10.1089/aid.2015.0030.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnemiaAnthelminticsAnti-HIV AgentsAntimalarialsAntitubercular AgentsCD4 Lymphocyte CountCoinfectionDeveloping CountriesDisease ManagementFemaleHelminthiasisHemoglobinsHIV InfectionsHumansLost to Follow-UpMalaria, FalciparumMaleMozambiquePractice Guidelines as TopicProspective StudiesRural PopulationTuberculosis, PulmonaryConceptsHIV-associated anemiaAdverse drug reactionsDrug reactionsHemoglobin responseGuideline revisionsIron deficiencyLower body mass indexCo-trimoxazole prophylaxisDiscontinuation of zidovudineLaboratory-confirmed malariaProspective observational evaluationRural Zambézia ProvinceT-cell countsT-lymphocyte countsSmear-positive tuberculosisBody mass indexResource limited settingsResource-limited settingsLogistic regression modelsAnaemic HIVStudy cliniciansAntiretroviral therapyEsophageal candidiasisPresumptive treatmentAnemia managementImplementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique
Edwards LJ, Moisés A, Nzaramba M, Cassimo A, Silva L, Mauricio J, Wester CW, Vermund SH, Moon TD. Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique. International Journal Of Health Policy And Management 2015, 4: 353-361. PMID: 26029894, PMCID: PMC4450730, DOI: 10.15171/ijhpm.2015.58.Peer-Reviewed Original ResearchConceptsHealth systemZambézia ProvinceRural Zambézia ProvinceDistrict-level health systemGlobal healthHealth system capacityFirst yearHealth system performanceMonthly complianceMozambican MinistrySite mentoringOutcome evaluationLinear regressionVanderbilt InstituteCapacity domainsHealthOverall improvementZambéziaRegressionMentorship programHIV 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
Two-Year Death and Loss to Follow-Up Outcomes by Source of Referral to HIV Care for HIV-Infected Patients Initiating Antiretroviral Therapy in Rural Mozambique
Blevins M, José E, Bilhete FR, Vaz LM, Shepherd BE, Audet CM, Vermund SH, Moon TD. Two-Year Death and Loss to Follow-Up Outcomes by Source of Referral to HIV Care for HIV-Infected Patients Initiating Antiretroviral Therapy in Rural Mozambique. AIDS Research And Human Retroviruses 2014, 31: 198-207. PMID: 25381732, PMCID: PMC4532902, DOI: 10.1089/aid.2014.0007.Peer-Reviewed Original ResearchConceptsSource of referralCombination antiretroviral therapyRural Zambézia ProvinceReferral sitesAntiretroviral therapyAntenatal careGeneral outpatient clinicCumulative incidence estimatesAdditional unmeasured factorsCART initiationHIV careHazard ratioPatient characteristicsHIV testingMedian ageVoluntary counselingCox regressionOutpatient clinicKaplan-MeierPatient populationMedication pickupPatient outcomesInpatient careLTFUIncidence estimates
2011
Barriers to antiretroviral therapy adherence in rural Mozambique
Groh K, Audet CM, Baptista A, Sidat M, Vergara A, Vermund SH, Moon TD. Barriers to antiretroviral therapy adherence in rural Mozambique. BMC Public Health 2011, 11: 650. PMID: 21846344, PMCID: PMC3171727, DOI: 10.1186/1471-2458-11-650.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Retroviral AgentsAttitude of Health PersonnelAttitude to HealthCommunity Health ServicesCommunity Health WorkersCommunity-Based Participatory ResearchConfidentialityFemaleFocus GroupsHealth Services AccessibilityHIV InfectionsHumansMaleMedication AdherenceMozambiqueProfessional-Patient RelationsQualitative ResearchRural Health ServicesSocioeconomic FactorsConceptsHealth care workersCare workersAntiretroviral therapyPoor adherenceRural Zambézia ProvinceAntiretroviral therapy adherenceSuboptimal adherenceLack of confidentialityPatient adherencePoor treatmentTherapy adherencePatient preferencesMedications resultsChronic diseasesFocus groupsSide effectsZambézia ProvinceHospital staffHigh mortalityClinical sitesViral mutationsEffective interventionsAdherenceTraditional medicineMedicationsPredictors of Successful Early Infant Diagnosis of HIV in a Rural District Hospital in Zambézia, Mozambique
Cook RE, Ciampa PJ, Sidat M, Blevins M, Burlison J, Davidson MA, Arroz JA, Vergara AE, Vermund SH, Moon TD. Predictors of Successful Early Infant Diagnosis of HIV in a Rural District Hospital in Zambézia, Mozambique. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2011, 56: e104-e109. PMID: 21266912, PMCID: PMC3073723, DOI: 10.1097/qai.0b013e318207a535.Peer-Reviewed Original ResearchConceptsEarly infant diagnosisInfant diagnosisHIV diagnosisMaternal receiptAntiretroviral therapyEarly infant HIV diagnosisMultivariable logistic regression modelHIV-infected mothersLinkage of HIVRural Zambézia ProvinceHIV care clinicsInfant HIV diagnosisRural district hospitalMother-infant pairsPaediatric antiretroviral treatmentLocal health authoritiesLogistic regression modelsRetrospective cohortAntiretroviral treatmentMedian ageCare clinicsMaternal healthDistrict hospitalTimely initiationHIV