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This community-based, qualitative study conducted in rural Kisesa District, Tanzania, explores perceptions and experiences of barriers to accessing the national antiretroviral programme among self-identified HIV-positive persons. Part of wider operations research around local introduction of HIV therapy, the study involved consultation with villagers and(More)
OBJECTIVE To investigate the interplay between antiretroviral therapy (ART) scale-up, different types of stigma and Voluntary Counselling and Testing (VCT) uptake 2 years after the introduction of free ART in a rural ward of Tanzania. METHODS Qualitative study using in-depth interviews and group activities with a purposive sample of 91 community leaders,(More)
BACKGROUND Malawi, which has about 80,000 deaths from AIDS every year, made free antiretroviral therapy available to more than 80 000 patients between 2004 and 2006. We aimed to investigate mortality in a population before and after the introduction of free antiretroviral therapy, and therefore to assess the effects of such programmes on survival at the(More)
OBJECTIVE To assess the impact of the AIDS epidemic on mortality and household mobility before and after death. DESIGN Open community cohort study with a demographic surveillance system and two sero-epidemiological surveys. METHODS Ten rounds of demographic surveillance were completed during 1994-1998 in the study area, which has a population of about(More)
OBJECTIVE To describe the associations between socio-demographic, behavioural and clinical characteristics and the use of HIV voluntary counselling and testing (VCT) services among residents in a rural ward in Tanzania. METHODS Eight thousand nine hundred and seventy participants from a community-based cohort were interviewed, provided blood for research(More)
BACKGROUND Many programmes on young people and HIV/AIDS prevention have focused on the in-school and channeled sexual and reproductive health messages through schools with limited activities for the young people's families. The assumption has been that parents in African families do not talk about sexual and reproductive health (SRH) with their children.(More)
In population-based surveys on sexual behaviour, men consistently report higher numbers of sexual partners than women, which may be associated with male exaggeration or female under-reporting or with issues related to sampling, such as exclusion of female sex workers. This paper presents an analysis of data collected in the context of a longitudinal study(More)
BACKGROUND The approach to national and global estimates of HIV/AIDS used by UNAIDS starts with estimates of adult HIV prevalence prepared from surveillance data using either the Estimation and Projection Package (EPP) or the Workbook. Time trends of prevalence are transferred to Spectrum to estimate the consequences of the HIV/AIDS epidemic, including the(More)
OBJECTIVES To estimate survival patterns after HIV infection in adults in low and middle-income countries. DESIGN An analysis of pooled data from eight different studies in six countries. METHODS HIV seroconverters were included from eight studies (three population-based, two occupational, and three clinic cohorts) if they were at least 15 years of age,(More)