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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.

Histoplasmosis Fact Sheet

Histoplasmosis is a serious fungal infection that primarily threatens people with weakened immune systems. Histoplasmosis is an infection caused by a fungus that lives in soil, especially where there are bird or bat droppings. People can get infected when they breathe in dust containing the fungus during activities like farming, gardening, or construction. Download document

IMPAACT AHD Commodities Guide R1

This guide was created for the people who are closest to the AHD problem and its solution: nurses, community health workers, clinic staff, civil society, and community-based organisations. It brings together all the essential tools to screen, test, treat, and prevent AHD, the most common and serious infections affecting people with AHD. Download document

Tracking cryptococcal meningitis to monitor HIV program success during the Treat-All era: an analysis of national data in Botswana

James Milburn 1 2, Ookeditse Ntwayagae 3, Rachita Suresh 1, Kebatshabile Ngoni 1, Cassie Northcott 1, James Penney 1, Matthew Kinsella 1, Imogen Mechie 1, Samuel Ensor 1, Goitseone Thamae 1, Tshepo Leeme 1, David S Lawrence 1 2, Tony Chebani 4, Daniel Grint 5, Mark W Tenforde 6, Ava Avalos 1, Dinah Ramaabya 4, Justus Ogando 7, Margaret Mokomane 8, Madisa Mine 9, Joseph N Jarvis 1 2 Affiliations Expand Abstract Background: Cryptococcal meningitis (CM) causes substantial mortality in African countries with a high prevalence of human immunodeficiency virus (HIV), despite advances in disease management and increasing antiretroviral therapy (ART) […]

Prevalence of advanced HIV disease and associated factors among antiretroviral therapy naïve adults enrolling in care at public health facilities in Kampala, Uganda

Bridget Ainembabazi 1, Elizabeth Katana 2, Felix Bongomin 3 4, Phillip Wanduru 5 6, Roy William Mayega 1, Aggrey David Mukose 1   Affiliations + Expand     Abstract   Background: Despite adoption of the ‘test-and-treat’ strategy, a high proportion of antiretroviral therapy (ART) naïve people living with HIV (PLHIV) enrol in care with, and die of advanced HIV disease (AHD) in Uganda. In this study, we aimed to […]

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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