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IMPAACT4HIV

On this page, explore how research drives progress in AHD care — with access to key studies, clinical trial results, guidelines, and insights shaping policy and practice across sub-Saharan Africa.

This page offers clinical resources, training tools, patient support, policy content, multimedia, and accessibility features — all designed to support comprehensive care and education.

Health-Related Quality of Life in People with Advanced HIV Disease, from 1996 to 2021: Systematic Review and Meta-analysis

I Portilla-Tamarit 1 2 3 4, M Rubio-Aparicio 5 6, M J Fuster-RuizdeApodaca 7 8, J Portilla-Tamarit 2 3 4, S Reus 2 3 4 9, J Portilla 2 3 4 9   Affiliations Expand   Abstract in English, Spanish The purpose of the study was to assess the effects of advanced HIV disease (AHD) on health-related quality of life (HRQoL) in PLHIV, the changes in HRQoL outcomes over the last 25 years, and the differences between countries according to level of economic […]

Advanced HIV disease in East Africa and Nigeria, in The African Cohort Study

Ikwo K Oboho a,✉, Allahna L Esber b,c, Nicole Dear b,c, Heather N Paulin a, Michael Iroezindu b,d, Emmanuel Bahemana b,e, Hannah Kibuuka f, John Owuoth g,h, Jonah Maswai b,i, Neha Shah b, Trevor A Crowell b,c, Julie A Ake b, Christina S Polyak b,c, AFRICOS Study Group PMCID: PMC11008437  PMID: 38427929 Supplemental Digital Content is Available in the Text. Key Words: advanced HIV disease, test and treat, CD4 testing, ART suppression Abstract Background: Earlier antiretroviral therapy (ART) may decrease progression to advanced HIV […]

Implementation of a rapid diagnostic assay package for cryptococcosis, histoplasmosis and tuberculosis in people living with HIV in Paraguay

Gloria Aguilar, Gladys Lopez, Omar Sued,  Narda Medina, Diego H. Caceres, Jose Pereira, Alexander Jordan, Virgilio Lezcano, Cristina Vicenti, Gustavo Benitez, Tania Samudio & Freddy Perez    Abstract Background Opportunistic infections (OIs) are common causes of mortality among people living with HIV (PLHIV). We determined prevalence and 30-day mortality due to histoplasmosis, cryptococcosis, and TB in PLHIV with advanced HIV disease (AHD).   […]

Understanding health systems challenges in providing Advanced HIV Disease (AHD) care in a hub and spoke model: a qualitative analysis to improve AHD care program in Malawi

Thulani Maphosa 1, Lise Denoeud-Ndam 2, Lester Kapanda 3, Sarah Khatib 4, Lloyd Chilikutali 3, Eddington Matiya 3, Boswell Munthali 3, Rosalia Dambe 3, Brown Chiwandira 5, Bilaal Wilson 5, Rose Nyirenda 5, Laywell Nyirenda 3, Bongani Chikwapulo 6, Owen Madeira Musopole 6, Appolinaire Tiam 7, Leila Katirayi 7   Affiliations Expand   Abstract Background: Despite tremendous progress in antiretroviral therapy (ART) and access to ART, many patients have advanced human immunodeficiency virus (HIV) disease (AHD). Patients on AHD, whether initiating ART or providing care after disengagement, have […]

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