Aaron Katz's research while affiliated with University of Washington Seattle and other places

Publications (16)

Article
Adolescent girls and young women (aged 15–24 years; AGYW) continue to carry a disproportionate burden of HIV in sub‐Saharan Africa. Pre‐exposure prophylaxis (PrEP) helps reduce the risk of acquiring HIV for persons at substantial risk, including AGYW. As countries plan for the rollout of PrEP across sub‐Saharan Africa, PrEP policies and programs co...
Article
National health insurance (NHI) is a financing mechanism established by a national government with the goal of covering all or almost all of its citizens. A number of low- and middle-income countries have established NHIs as part of a strategy to progress towards universal health coverage. The establishment of an NHI presents a potentially signific...
Article
Full-text available
Background In recent months, multiple efforts have sought to characterize COVID-19 social distancing policy responses. These efforts have used various coding frameworks, but many have relied on coding methodologies that may not adequately describe the gradient in social distancing policies as states “re-open.” Methods We developed a COVID-19 socia...
Preprint
Full-text available
In recent months, multiple efforts have sought to characterize COVID-19 social distancing policy responses. These efforts have used various coding frameworks, but most have relied on binary coding that may not adequately describe the gradient in social distancing policies as states re-open. We developed a COVID-19 social distancing intensity framew...
Article
This paper aims to describe and analyse progress with domestic HIV-related policies in PEPFAR partner countries, utilising data collected as part of PEPFAR’s routine annual program reporting from U.S. government fiscal years 2010 through 2016. 402 policies were monitored for one or more years across more than 50 countries using the PEPFAR policy tr...
Article
Full-text available
The development and management of health policies, strategies and guidelines (collectively, policies) in many low- and middle-income countries (LMICs) are often ad hoc and fragmented due to resource constraints a variety of other reasons within ministries of health. The ad hoc nature of these policy processes can undermine the quality of health pol...
Article
Full-text available
Background: Gay men and other men who have sex with men are disproportionately burdened by HIV infection. Laws that penalize same-sex intercourse contribute to a cycle of stigma, homonegativity and discrimination. In many African nations, laws criminalizing homosexuality may be fueling the epidemic, as they dissuade key populations from seeking tre...
Data
Road Map for Monitoring and Implementing Policy Reforms. (DOCX)
Data
Workshop Evaluation Module 3-Month Follow-up. (DOCX)
Data
Policy Reforms in the Partnership Frameworks. (XLS)
Article
Full-text available
Achieving an AIDS-free generation will require the adoption and implementation of critical health policy reforms. However, countries with high HIV burden often have low policy development, advocacy, and monitoring capacity. This lack of capacity may be a significant barrier to achieving the AIDS-free generation goals. This manuscript describes the...
Article
Full-text available
Objective: Following national trends, Washington State relies heavily on foreign-born workers to provide long-term care. Our study assesses state nursing facility characteristics, quality ratings, and the views of facility administrators about the implications of an increasing number of foreign-born employees. Methods: We used independently availab...

Citations

... Although we cannot disentangle these relationships, this PEP-PrEP connection suggests that AGYW with an existing linkage to the healthcare system were more likely to report PrEP consultations. Due to structural and community barriers, accessing healthcare systems can be precarious for AGYW [29,79,80]. Rather than have it siloed in clinics, PrEP services might be best delivered using community-based approaches-such as mobile or pop-up clinics-that bring care to areas that AGYW frequent. ...
... This nuanced understanding may help guide future COVID-19 response partners identify the optimal package (or set of packages, depending on the epidemiological circumstance) of physical distancing approaches that maximizes public health benefit while minimizing social and economic harm. A recently published Social Distancing Policy Intensity Coding Framework organized social distancing policies according to 16 physical distancing policy domains [4,5] and was used to describe the physical distancing policy responses in 12 U.S. States. The 16 domains, which are listed in the Methods section below, consist of some of the most common geographic locations and events subject to physical distancing policies. ...
... This nuanced understanding may help guide future COVID-19 response partners identify the optimal package (or set of packages, depending on the epidemiological circumstance) of physical distancing approaches that maximizes public health benefit while minimizing social and economic harm. A recently published Social Distancing Policy Intensity Coding Framework organized social distancing policies according to 16 physical distancing policy domains [4,5] and was used to describe the physical distancing policy responses in 12 U.S. States. The 16 domains, which are listed in the Methods section below, consist of some of the most common geographic locations and events subject to physical distancing policies. ...
... Policy adoption, policy implementation, and policy evaluation are examples of other stages in the policy cycle which sequentially follow policy development. The process of policy advancement is relevant to HIV services and health generally [20], as exemplified by the case of task sharing policy development in Kenya. ...
... This study's findings highlight that policy-making for vivax malaria and likely for other anti-malarial guidelines is characterized by under documentation and complex and often time-consuming processes. In the medium to longer term, better integration of policymaking processes for malaria into the overall national health policy-making processes (assuming those exist) would potentially strengthen overall health governance and would address the limited connection between the NMP and the MOH in the policy-making process [76]. Thereby ensuring any guidance provided to NMPs to facilitate their decision and policy-making processes is institutionalized within the MoH and aligns with its overarching guidance on policy-making and national health strategies [77,78]. ...
... The criminalization is a legacy of colonization and some countries such as Uganda have even explored expanding on these laws (Han & O'Mahoney, 2014;Ireland, 2013;Kaoma, 2018). The challenges of criminalization such as high levels of stigma, violence and discrimination are well documented (Hagopian et al., 2017;KHRC, 2011). A recent study also showed that gay men and other men who have sex with men living in countries that criminalize homosexuality are nearly five times more likely to get infected with HIV than those who do not (Lyons, 2020). ...
... Where stigma and discrimination in law and policy are included in frameworks, this is usually generic with laws and policies mentioned as part of the macro-system or structural factors within a socio-ecological model. The UNAIDS models usefully point to specific laws that can be discriminatory and affect HIV-related outcomes, and Hagopian and colleagues provide a framework specific to how anti-homosexuality laws affect HIV-related stigma and outcomes [24,56]. Stangl's framework draws attention to the existence of laws and policies as well as law enforcement practices and access to justice so as to capture information on implementation, which might also be discriminatory [17]. ...
... To effectively reduce the HIV incidence in newborns, requires an increased HIV testing uptake among pregnant women, a reduction of HIV prevalence amongst pregnant women, a suppressed viral load and a full understanding of the HIV epidemiology among pregnant women. Every good policy needs continued monitoring, comparisons from different implementation sites and sharing of lessons that will lead to refinement [21]. With all the policy changes in HIV care, assumptions are that the epidemiology of HIV would have also been affected, e.g. ...
... Examining the ways that program administrators define exercise and describe factors they find to be effective in promoting regular participation among seniors can contribute to a better understanding of how to more sustainably enhance participation rates (Benjamin et al., 2009;Hawley-Hague, Horne, Skelton, & Todd, 2016;McPhate et al., 2015). The extent to which providers of services for seniors view aging as a period of inevitable decline versus a developmental stage (Baltes, 1987) can influence service-provider relations (Acker, Pletz, Katz, & Hagopian, 2015;Agee & Blanton, 2000) and contribute to the quality of the seniors' experiences (Utley-Smith et al., 2009). Yet, there is limited research that focuses on the vantage point of program administrators who work with seniors from ethno-culturally diverse regions, despite the important role that senior centers play in these regions as a source of exercise, recreation, and information (Hawley-Hague et al., 2016;Pardasani, 2010;West et al., 2011). ...