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Direct questioning is more effective than patient-initiated report for the detection of sexually transmitted infections in a primary care HIV clinic in Western Kenya
(2013)
In resource-limited settings, detection of sexually transmitted infections (STIs) often relies on self-reported symptoms to initiate management. We found self-report demonstrated poor sensitivity for STI detection. Adding ...
The association of HIV counseling and testing with HIV risk behaviors in a random population-based survey in Kisumu, Kenya
(University of Nairobi., 2011-05)
HIV testing has been promoted as a key HIV prevention strategy in low-resource settings, despite studies showing variable impact on risk behavior. We sought to examine rates of HIV testing and the association between testing ...
The association of HIV counseling and testing with HIV risk behaviors in a random population-based survey in Kisumu, Kenya.
(2011)
HIV testing has been promoted as a key HIV prevention strategy in low-resource settings, despite studies showing variable impact on risk behavior. We sought to examine rates of HIV testing and the association between testing ...
Association of Cervical Biopsy with HIV Type 1 Genital Shedding Among Women on Highly Active Antiretroviral Therapy
(2013)
Abstract HIV-1 genital shedding is associated with increased HIV-1 transmission risk. Inflammation and ulceration are associated with increased shedding, while highly active antiretroviral therapy (HAART) has been shown ...
Is There an Association Between HIV-1 Genital Shedding and Cervical Intraepithelial Neoplasia 2/3 Among Women on Antiretroviral Therapy?
(2013)
Given the high prevalence of cervical intraepithelial neoplasia (CIN) grade 2/3 among HIV-infected women, we sought to examine the relationship between CIN 2/3 and HIV-1 genital shedding among women on highly active ...
Loop electrosurgical excision procedure: safety and tolerability among human immunodeficiency virus-positive Kenyan women
(2011)
To estimate the safety, tolerability, and acceptability of loop electrosurgical excision procedure (LEEP) for cervical intraepithelial neoplasia (CIN 2 or 3) in human immunodeficiency virus (HIV)-positive women performed ...
Safety of the loop electrosurgical excision procedure performed by clinical officers in an HIV primary care setting.
(2010)
The increasing availability of HIV clinics providing highly active antiretroviral therapy (HAART) has dramatically reduced AIDS-related morbidity and mortality in resource-limited settings. However, the impact of HAART on ...
Prevalence, characteristics, and outcomes of HIV-positive women diagnosed with invasive cancer of the cervix in Kenya.
(2013)
OBJECTIVE:
To determine the prevalence of invasive cervical cancer (ICC) and assess access to, and outcomes of, treatment for ICC among HIV-infected women in Kisumu, Kenya.
METHODS:
We performed a retrospective ...
Risk factors for cervical precancer detection among previously unscreened HIV-infected women in Western Kenya.
(Wiley, 2013)
HIV and cervical cancer are intersecting epidemics in many low-resource settings, yet there are few accurate estimates of the scope of this public health challenge. To understand disease prevalence and risk factors for ...
A randomized trial comparing the diagnostic accuracy of visual inspection with acetic acid to visual inspection with lugol's iodine for cervical cancer screening in HIV-infected women.
(University of Nairobi, 2015)
Visual inspection with Acetic Acid (VIA) and Visual Inspection with Lugol’s Iodine (VILI) are increasingly recommended in various cervical cancer screening protocols in low-resource settings. Although VIA is more widely ...