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NCT ID: NCT02060162 Completed - HIV Clinical Trials

Antiretroviral Treatment Outcomes in HIV-HBV Co-infected Patients in Southern Africa

Start date: October 2013
Phase:
Study type: Observational

This is a prospective HIV cohort that aims to establish causes of liver disease among HIV-infected individuals in Zambia, including viral hepatitis and alcohol.

NCT ID: NCT02058927 Completed - Measles Clinical Trials

Immune Reconstitution to Measles Virus of HIV Infected Children in Zambia

Start date: May 2011
Phase: N/A
Study type: Observational

This is an observational study of HIV-1 infected children starting antiretroviral therapy to measure the magnitude and quality of general immune reconstitution and pathogen-specific immune reconstitution to measles virus.

NCT ID: NCT02054780 Completed - Risk Behavior Clinical Trials

Randomized Controlled Trial of Ways to Improve OVC HIV Prevention and Well-being

Start date: February 2014
Phase: N/A
Study type: Interventional

The purpose of this study is to compare the effectiveness of two types of counseling, Psychosocial Counseling (PC) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), in addressing outcomes of orphans and vulnerable children (OVC) including mental and behavioral health, well-being, social support, and HIV risk behaviors. The study will be conducted in Lusaka, Zambia.

NCT ID: NCT02053142 Completed - Clinical trials for Ulcers of Female Genital Organs

Acyclovir Therapy for Genital Herpes Ulcers in HIV Negative African Women

Start date: January 2009
Phase: N/A
Study type: Interventional

This is a prospective study to evaluate the pharmacokinetics, clinical and virologic response to acyclovir episodic therapy for genital herpes ulcers in HIV negative African women.

NCT ID: NCT02053129 Completed - Clinical trials for Pulmonary Tuberculosis

Evaluation of PTB Screening in ANC in Lusaka, Zambia

Start date: November 2011
Phase: N/A
Study type: Interventional

This is a pilot pulmonary TB screening program done in three antenatal care clinics in Lusaka, Zambia to determine the prevalence of culture-confirmed pulmonary tuberculosis and to determine the sensitivity and specificity of symptom-based TB screening.

NCT ID: NCT02043080 Completed - HIV Clinical Trials

Optimizing Clinical Outcomes in HIV-Infected Adults & Children

Start date: August 2012
Phase: N/A
Study type: Interventional

This is a study to evaluate Xpert MTB/RIF as the first-line TB diagnostic test in HIV-infected adults and pediatric patients as a means to obtain faster, more accurate TB diagnosis.

NCT ID: NCT02043067 Completed - Tuberculosis Clinical Trials

Enhanced TB Screening to Determine the Prevalence and Incidence of TB in Patients With HIV

Start date: October 2011
Phase: N/A
Study type: Observational

This study will examine an enhanced protocol to systematically screen a cohort of 400 new HIV clinic enrollees for prevalence and 1-year incidence of tuberculosis (TB).

NCT ID: NCT02012816 Completed - HIV Infection Clinical Trials

The Use of Peer Referral Incentives to Increase Demand for Voluntary Medical Male Circumcision in Zambia

Start date: June 2014
Phase: N/A
Study type: Interventional

The Centre for Infectious Disease Research in Zambia (CIDRZ) and researchers from the University of North Carolina at Chapel Hill (UNC) have partnered to pilot an peer-referral incentive program to increase voluntary medical male circumcision (VMMC) uptake in Zambia. The program allows each man coming for circumcision to refer up to 5 uncircumcised men in their social network for VMMC services and receive a monetary reward for each successful referral. The peer-referral program offers several advantages over traditional demand-creation approaches that rely on employing mobilizers or community health workers (CHWs). The amount of the monetary incentive will be analogous to the amount of incentive that CHWs might receive for comparable effort, making the program suitable for large-scale expansion. The effect of the peer-referral program on uptake of VMMC services will be evaluated using a rigorous methodology proposed by UNC researchers.

NCT ID: NCT01990625 Completed - Pregnancy Clinical Trials

A Cluster-Randomized Trial of Ultrasound Use to Improve Pregnancy Outcomes in Low Income Country Settings

Start date: April 2014
Phase: N/A
Study type: Interventional

In many low-income countries, the use of ultrasound by medical officers and non-physician health care staff (e.g., midwives) for antenatal identification of high risk pregnancies is a new intervention requiring authoritative investigation. The primary hypothesis to be assessed in this study is that antenatal ultrasound screenings performed by medical officers and non-physician health care staff will significantly reduce a composite outcome consisting of maternal mortality and maternal near miss, stillbirth and neonatal mortality in low-resource settings. Underpinning this hypothesis are two assumptions. The first assumption is that antenatal detection of complicated pregnancies will lead to appropriate referral at the right time for complicated pregnancies to comprehensive emergency obstetric and neonatal care (EmONC) facilities. The second assumption is that ultrasound's introduction will increase antenatal attendance leading to greater rates of institutional delivery. To assess these underlying assumptions beyond the composite end point, this study will investigate the health system impact of compact ultrasound. Secondary outcomes include antenatal attendance rates, institutional delivery rates at basic EmONC facilities, referral rates to comprehensive EmONC facilities, cesarean section rates (both planned and emergent) and an assessment of medical officers and non-physician health care provider ultrasound competence and training quality.

NCT ID: NCT01951794 Completed - HIV Clinical Trials

Validation of a Community Survey Methodology for Measuring PMTCT Program Impact

Start date: June 2014
Phase:
Study type: Observational

Validate a promising community survey methodology for evaluating the Prevention of Mother to Child Transmission (PMTCT) program effectiveness against a "gold standard" cohort design and to identify individual- and facility-level characteristics associated with HIV-free survival among HIV-exposed infants.