Robin Fatch

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BACKGROUND Late diagnosis of HIV infection is a major challenge to the scale-up of HIV prevention and treatment. In 2005 Uganda adopted provider-initiated HIV testing in the health care setting to ensure earlier HIV diagnosis and linkage to care. We provided HIV testing to patients at Mulago hospital in Uganda, and performed CD4 tests to assess disease(More)
BACKGROUND HIV counselling and testing and linkage to care are crucial for successful HIV prevention and treatment. Abbreviated counselling could save time; however, its effect on HIV risk is uncertain and methods to improve linkage to care have not been studied. METHODS We did this factorial randomised controlled study at Mulago Hospital, Uganda.(More)
Rapid HIV tests provide same-day results and are widely used in HIV testing programs in areas with limited personnel and laboratory infrastructure. The Uganda Ministry of Health currently recommends the serial rapid testing algorithm with Determine, STAT-PAK, and Uni-Gold for diagnosis of HIV infection. Using this algorithm, individuals who test positive on(More)
BACKGROUND Preventing unintended pregnancies among women living with HIV is an important component of prevention of mother-to-child HIV transmission (PMTCT), yet few data exist on contraceptive use among women entering HIV care. METHODS This was a retrospective study of electronic medical records from the initial HIV clinic visits of 826 sexually active,(More)
BACKGROUND Alcohol use has a detrimental impact on the HIV epidemic, especially in sub-Saharan Africa. HIV counseling and testing (HCT) may provide a contact opportunity to intervene with hazardous alcohol use; however, little is known about how alcohol consumption changes following HCT. METHODS We utilized data from 2056 participants of a randomized(More)
Intelligence analysts are bombarded with enormous volumes of imagery, which they must visually filter through to identify relevant areas of interest. Interpretation of such data is subject to error due to (1) large data volumes, implying the need for faster and more effective processing, and (2) misinterpretation, implying the need for enhanced(More)
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