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9 results on '"Mayfield, Alishya"'

1. Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar

Author

Razafinjato, Bénédicte, primary, Rakotonirina, Luc, additional, Cordier, Laura F., additional, Rasoarivao, Anna, additional, Andrianomenjanahary, Mamy, additional, Marovavy, Lanto, additional, Hanitriniaina, Feno, additional, Andriamiandra, Isaïe Jules, additional, Mayfield, Alishya, additional, Palazuelos, Daniel, additional, Cowley, Giovanna, additional, Ramarson, Andriamanolohaja, additional, Ihantamalala, Felana, additional, Rakotonanahary, Rado J. L., additional, Miller, Ann C., additional, Garchitorena, Andres, additional, McCarty, Meg G., additional, Bonds, Matthew H., additional, and Finnegan, Karen E., additional

Published
2024
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2. Geographic barriers to establishing a successful hospital referral system in rural Madagascar

Author

Ihantamalala, Felana Angella, primary, Bonds, Matthew H, additional, Randriamihaja, Mauricianot, additional, Rakotonirina, Luc, additional, Herbreteau, Vincent, additional, Révillion, Christophe, additional, Rakotoarimanana, Serge, additional, Cowley, Giovanna, additional, Andriatiana, Tsirinomen’ny Aina, additional, Mayfield, Alishya, additional, Rich, Michael L, additional, Rakotonanahary, Rado J L, additional, Finnegan, Karen E, additional, Ramarson, Andriamanolohaja, additional, Razafinjato, Benedicte, additional, Ramiandrisoa, Bruno, additional, Randrianambinina, Andriamihaja, additional, Cordier, Laura F, additional, and Garchitorena, Andres, additional

Published
2021
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3. Integrating Health Systems and Science to Respond to COVID-19 in a Model District of Rural Madagascar

Author

Rakotonanahary, Rado J. L., primary, Andriambolamanana, Herinjaka, additional, Razafinjato, Benedicte, additional, Raza-Fanomezanjanahary, Estelle M., additional, Ramanandraitsiory, Vero, additional, Ralaivavikoa, Fiainamirindra, additional, Tsirinomen'ny Aina, Andritiana, additional, Rahajatiana, Lea, additional, Rakotonirina, Luc, additional, Haruna, Justin, additional, Cordier, Laura F., additional, Murray, Megan B., additional, Cowley, Giovanna, additional, Jordan, Demetrice, additional, Krasnow, Mark A., additional, Wright, Patricia C., additional, Gillespie, Thomas R., additional, Docherty, Michael, additional, Loyd, Tara, additional, Evans, Michelle V., additional, Drake, John M., additional, Ngonghala, Calistus N., additional, Rich, Michael L., additional, Popper, Stephen J., additional, Miller, Ann C., additional, Ihantamalala, Felana A., additional, Randrianambinina, Andriamihaja, additional, Ramiandrisoa, Bruno, additional, Rakotozafy, Emmanuel, additional, Rasolofomanana, Albert, additional, Rakotozafy, Germain, additional, Andriamahatana Vololoniaina, Manuela C., additional, Andriamihaja, Benjamin, additional, Garchitorena, Andres, additional, Rakotonirina, Julio, additional, Mayfield, Alishya, additional, Finnegan, Karen E., additional, and Bonds, Matthew H., additional

Published
2021
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4. Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar

Author

Razafinjato, Bénédicte, primary, Rakotonirina, Luc, additional, Andriantahina, Jafeta Benony, additional, Cordier, Laura F., additional, Andriamihaja, Randrianambinina, additional, Rasoarivao, Anna, additional, Andrianomenjanahary, Mamy, additional, Marovavy, Lanto, additional, Hanitriniaina, Feno, additional, Mayfield, Alishya, additional, Palazuelos, Daniel, additional, Ihantamalala, Felana, additional, Rakotonanahary, Rado J.L., additional, Miller, Ann, additional, Garchitorena, Andres, additional, McCarty, Meg G., additional, Bonds, Matthew H., additional, and Finnegan, Karen E., additional

Published
2020
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5. Networks of Care in Rural Madagascar for Achieving Universal Health Coverage in Ifanadiana District

Author

Cordier, Laura F., primary, Kalaris, Katherine, additional, Rakotonanahary, Rado J. L., additional, Rakotonirina, Luc, additional, Haruna, Justin, additional, Mayfield, Alishya, additional, Marovavy, Lanto, additional, McCarty, Meg G., additional, Tsirinomen’ny Aina, Andritiana, additional, Ratsimbazafy, Baolova, additional, Razafinjato, Benedicte, additional, Loyd, Tara, additional, Ihantamalala, Felana, additional, Garchitorena, Andres, additional, Bonds, Matthew H., additional, and Finnegan, Karen E., additional

Published
2020
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6. Assessing and Responding to Palliative Care Needs in Rural Sub-Saharan Africa: Results from a Model Intervention and Situation Analysis in Malawi

Author

Herce, Michael E., primary, Elmore, Shekinah N., additional, Kalanga, Noel, additional, Keck, James W., additional, Wroe, Emily B., additional, Phiri, Atupere, additional, Mayfield, Alishya, additional, Chingoli, Felix, additional, Beste, Jason A., additional, Tengatenga, Listern, additional, Bazile, Junior, additional, Krakauer, Eric L., additional, and Rigodon, Jonas, additional

Published
2014
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7. Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda

Author

Rich, Michael L., primary, Miller, Ann C., additional, Niyigena, Peter, additional, Franke, Molly F., additional, Niyonzima, Jean Bosco, additional, Socci, Adrienne, additional, Drobac, Peter C., additional, Hakizamungu, Massudi, additional, Mayfield, Alishya, additional, Ruhayisha, Robert, additional, Epino, Henry, additional, Stulac, Sara, additional, Cancedda, Corrado, additional, Karamaga, Adolph, additional, Niyonzima, Saleh, additional, Yarbrough, Chase, additional, Fleming, Julia, additional, Amoroso, Cheryl, additional, Mukherjee, Joia, additional, Murray, Megan, additional, Farmer, Paul, additional, and Binagwaho, Agnes, additional

Published
2012
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8. Assessing and Responding to Palliative Care Needs in Rural Sub-Saharan Africa: Results from a Model Intervention and Situation Analysis in Malawi

Author

Mayfield, Alishya, Krakauer, Eric L., Chingoli, Felix, Bazile, Junior, Kalanga, Noel, Rigodon, Jonas, Keck, James W., Wroe, Emily B., Elmore, Shekinah N., Beste, Jason A., Tengatenga, Listern, Herce, Michael E., and Phiri, Atupere

Subjects
1. No poverty, 3. Good health
Abstract

IntroductionPalliative care is rarely accessible in rural sub-Saharan Africa. Partners In Health and the Malawi government established the Neno Palliative Care Program (NPCP) to provide palliative care in rural Neno district. We conducted a situation analysis to evaluate early NPCP outcomes and better understand palliative care needs, knowledge, and preferences.MethodsEmploying rapid evaluation methodology, we collected data from 3 sources: 1) chart review of all adult patients from the NPCP’s first 9 months; 2) structured interviews with patients and caregivers; 3) semi-structured interviews with key stakeholders.ResultsThe NPCP enrolled 63 patients in its first 9 months. Frequent diagnoses were cancer (n = 50, 79%) and HIV/AIDS (n = 37 of 61, 61%). Nearly all (n = 31, 84%) patients with HIV/AIDS were on antiretroviral therapy. Providers registered 112 patient encounters, including 22 (20%) home visits. Most (n = 43, 68%) patients had documented pain at baseline, of whom 23 (53%) were treated with morphine. A majority (n = 35, 56%) had ≥1 follow-up encounter. Mean African Palliative Outcome Scale pain score decreased non-significantly between baseline and follow-up (3.0 vs. 2.7, p = 0.5) for patients with baseline pain and complete pain assessment documentation. Providers referred 48 (76%) patients for psychosocial services, including community health worker support, socioeconomic assistance, or both. We interviewed 36 patients referred to the NPCP after the chart review period. Most had cancer (n = 19, 53%) or HIV/AIDS (n = 10, 28%). Patients frequently reported needing income (n = 24, 67%) or food (n = 22, 61%). Stakeholders cited a need to make integrated palliative care widely available.ConclusionsWe identified a high prevalence of pain and psychosocial needs among patients with serious chronic illnesses in rural Malawi. Early NPCP results suggest that comprehensive palliative care can be provided in rural Africa by integrating disease-modifying treatment and palliative care, linking hospital, clinic, and home-based services, and providing psychosocial support that includes socioeconomic assistance.

9. Excellent clinical outcomes and high retention in care among adults in a community-based HIV treatment program in rural Rwanda.

Author

Rich ML, Miller AC, Niyigena P, Franke MF, Niyonzima JB, Socci A, Drobac PC, Hakizamungu M, Mayfield A, Ruhayisha R, Epino H, Stulac S, Cancedda C, Karamaga A, Niyonzima S, Yarbrough C, Fleming J, Amoroso C, Mukherjee J, Murray M, Farmer P, and Binagwaho A

Subjects
Adolescent, Adult, Aged, CD4 Lymphocyte Count, Cohort Studies, Female, HIV genetics, HIV Infections immunology, HIV Infections virology, Humans, Logistic Models, Male, Middle Aged, Patient Compliance, Patient Dropouts, RNA, Viral blood, Retrospective Studies, Rural Population, Rwanda, Treatment Outcome, Young Adult, Anti-HIV Agents therapeutic use, HIV isolation & purification, HIV Infections drug therapy
Abstract

Background: Access to antiretroviral therapy (ART) has rapidly expanded; as of the end of 2010, an estimated 6.6 million people are receiving ART in low-income and middle-income countries. Few reports have focused on the experiences of rural health centers or the use of community health workers. We report clinical and programatic outcomes at 24 months for a cohort of patients enrolled in a community-based ART program in southeastern Rwanda under collaboration between Partners In Health and the Rwandan Ministry of Health., Methods and Findings: A retrospective medical record review was performed for a cohort of 1041 HIV+ adult patients initiating community-based ART between June 1, 2005, and April 30, 2006. Key programatic elements included free ART with direct observation by community health worker, tuberculosis screening and treatment, nutritional support, a transportation allowance, and social support. Among 1041 patients who initiated community-based ART, 961 (92.3%) were retained in care, 52 (5%) died and 28 (2.7%) were lost to follow-up. Median CD4 T-cell count increase was 336 cells per microliter [interquartile range: (IQR): 212-493] from median 190 cells per microliter (IQR: 116-270) at initiation., Conclusions: A program of intensive community-based treatment support for ART in rural Rwanda had excellent outcomes in 24-month retention in care. Having committed to improving access to HIV treatment in sub-Saharan Africa, the international community, including country HIV programs, should set high programmatic outcome benchmarks.

Published
2012
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