Browsing by Autor "Carlos Benites"

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Barreras para implementar el despistaje, intervenciones breves y referencia al tratamiento por problemas de consumo de alcohol y otras drogas en hospitales que atienden personas que viven con el VIH/SIDA en el Perú
(National Institute of Health of Peru, 2016) Kim Hoffman; Jessica Beltrán; Javier Ponce; Lisset García‐Fernández; María Calderón; John Muench; Carlos Benites; Leslie Soto; Dennis McCarty; Fabián Fiestas
Multiple barriers, including lack of awareness of substance use problems, limited space and time of providers, and lack of specialized services to refer patients for treatment make it difficult to implement SBIRT in the Peruvian healthcare system.
Continuo de la atención de personas que viven con VIH y brechas para el logro de las metas 90-90-90 en Perú
(National Institute of Health of Peru, 2018) Lisset García‐Fernández; Rommy H. Novoa; Byelca Huamán; Carlos Benites
In 2013, the Joint United Nations Programme on HIV/AIDS (UNAIDS) proposed, in terms of public health, to end the HIV epidemic by 2030 by achieving the so-called 90-90-90 targets by 2020. This goal will only be possible if coverage in the HIV care continuum indicators is increased. With the methodology proposed by PAHO/WHO, this paper estimates the indicators of the continuum of care in Peru for 2014, consisting of diagnostic coverage, antiretroviral treatment (ART), and viral suppression in people living with HIV (PLHIV). Of the 72,000 PLHIV estimated in Peru for 2014, 64% were diagnosed, 56% and 55% were linked and retained in the system, respectively; 46% were receiving ART, and 36% had viral suppression. The main gaps identified were: 19,917 PLHIV did not know their diagnosis, 25,078 had no access to treatment, and 25,633 did not achieve viral suppression at study closing. This is the first estimation exercise of the continuum of care indicators in Peru. These indicators will serve as a baseline for the monitoring progress toward the 90- 90-90 Targets. It is also the starting point for analysis and research on the determinants of each gap and new proposals by authorities and actors involved in the fight against HIV in Peru.
Discutiendo estrategias para la continuidad en la atención de PVV en el contexto de la pandemia por SARS CoV 2
(2022) Ruben Dario Vàsquez-Becerra; Ana Ma Pérez Vera; Rosa Terán; Carlos Benites
Discutiendo estrategias para la continuidad en la atencin de personas que viven con VIH (PVV) en el contexto de la pandemia por SARS CoV 2 (COVID-19)
Identifying Implementation Gaps in the HIV Prevention Cascade Among Peruvian Men Who Have Sex with Men
(2025) Jorge A. Gallardo-Cartagena; David Oliveros; Robinson Cabello; Carlos Benites; Susan P. Buchbinder; Kelika A. Konda; Frederick L. Altice; Jorge Sánchez
<title>Abstract</title> Background In Peru, HIV remains highly concentrated among men who have sex with men (MSM), yet PrEP uptake remains suboptimal despite expanded access through the public health system. This study examined implementation gaps in the HIV prevention cascade among MSM during the early onset of rollout of free PrEP. Methods Between June and August 2023, an online survey was conducted among Peruvian MSM. The survey included items on socio-demographics, recent sexual behavior, and PrEP-related knowledge, beliefs, and self-efficacy. Progression through the HIV prevention cascade was assessed, and co-variables were grouped according to the Behavioral Model for Vulnerable Populations. Descriptive statistics and multivariable logistic regression identified correlates of the two largest cascade gaps: seeking PrEP and initiating PrEP. Results Among 381 MSM eligible for PrEP, the largest drop-offs occurred between readiness and seeking PrEP (82.9% vs. 34.6%) and between seeking and initiating PrEP (34.6% vs. 19.2%). PrEP-seeking was positively associated with older age, access to actionable PrEP information, self-efficacy, prior HIV PEP use, inconsistent condom use, and recent STI history. PrEP initiation was associated with self-efficacy, higher income, and access to information. Positive beliefs about PrEP were negatively associated with initiation, and cost concerns were negatively associated with PrEP-seeking but not initiation. Conclusions Despite the national rollout of free PrEP, major gaps persist along the HIV prevention cascade. Awareness and interest alone have not translated into uptake. Addressing informational barriers, reinforcing self-efficacy, and strengthening enabling resources through digital strategies and mHealth interventions will be critical to improving PrEP engagement among MSM.
Impacto de la pandemia por SARS-CoV-2 en adolescentes que viven con el VIH en Lima, Perú
(National Institute of Health of Peru, 2021) Renato A. Errea; Milagros Wong; Liz Senador; Alicia Ramos; Karen Ramos; Jerome T. Galea; Leonid Lecca; Hugo Sánchez; Carlos Benites; Molly F. Franke
Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine medical and laboratory appointments. In addition, financial hardship, uncertainty about their future plans, emotional stressors, lifestyle disruptions, and concerns of involuntary disclosure have further challenged continuity in care for this adolescent population.
Prevención de la transmisión materno-infantil del VIH en gestantes y madres awajún y wampis de la región Amazonas en Perú
(National Institute of Health of Peru, 2017) Byelca Huamán; Alfonso Gushiken; Carlos Benites; Fabiola Quiroz; Lisset García‐Fernández
PMTCT measures challenge the customs, values, and beliefs of pregnant women and mothers in the Awajún and Wampis indigenous communities, and thus these measures are not understood or accepted, jeopardizing the relationship of the mothers with health personnel. Therefore, cultural factors and interventions appropriate to this population must be better understood.
Resistencia transmitida en VIH-1 de pacientes provenientes de nueve departamentos del Perú
(National Institute of Health of Peru, 2021) Carlos Augusto Yabar; Giovanny Francesco Vilcarino; Susan Espetia; Mariela G. Yaya; Gabriela Salinas; Lisset García‐Fernández; Rina María Alvarez Becerra Alvarez Becerra; Carlos Benites; Daniel Santos-Anaya; Edgardo Mamani
The main aim of this research is to identify the transmitted resistance (RT) of the Human Immunodeficiency Virus (HIV) in subjects from nine cities of Peru. For this, a descriptive and cross-sectional study was carried out in 135 adult subjects who agreed to participate through an informed consent. Blood samples were collected to perform the CD4 / CD8 cell count, viral load and HIV Genotyping. Socio-epidemiological information was collected from the participants through surveys. The results revealed a RT frequency of 9.8% (13/132). The information from this research might help improve the intervention and monitoring programs for antiretroviral resistance in the country.
<scp>HIV</scp> treatment cascade in regions of Peru with the highest HIV prevalence
(Wiley, 2022) Nora Reyes Puma; Carlos Benites; Lisset García‐Fernández; María Calderón; Fabián Fiestas; Ruben Dario Vàsquez-Becerra; Eva Aranda; Carlos Augusto Yabar; Angélica Victoria García Tello; Cesar Ramal-Asayag
Further analysis and improvements in the definition of indicators are required to achieve conclusive results; however, these data will give us a general understanding of the progress of Peruvian health policies in achieving the goal established by the WHO.