Nathan Ford
Datos Biográficos
| ID | 3700499 |
|---|---|
| NOMBRE | Nathan Ford |
| NOMBRES | Nathan |
| APELLIDO | Ford |
| FIRMA | FORD N |
| AFILIACIONES | Médecins Sans Frontières |
| ORCID | 0000-0001-8752-9078 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 36 |
| TOTAL DE CITAS | 20 |
| TOTAL COMO AUTOR | 36 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Ensuring effective transitions in care for hospitalized people living with HIV
Recent changes in the global health financing resulted in a steep reduction in donor support for HIV programmes worldwide, threatening years of progress in reducing infections and mortality. These developments require existing HIV programmes to rethink their priorities. Advanced HIV disease (AHD) is a condition present in approximately 30% of people living with HIV (PLHIV) presenting to HIV care programmes worldwide. These individuals are defined…
Aligning action across major infectious diseases in a dynamic global health landscape
In July 2025, WHO merged its Department of HIV, Viral Hepatitis and STIs with the Global Programme on Tuberculosis and Lung Health, creating a new structure -the Department of HIV, TB, Hepatitis and STIs.Although this decision was driven by unprecedented financial shortfalls, there is a strong underlying rationale, creating opportunities to identify synergies and efficiencies without losing the gains made in recent years.HIV, TB, Hepatitis and ST…
Evolution of WHO Covid-19 mask guidelines amid intense demands for rapid advice
During a health emergency, there is an urgent need to rapidly develop guidelines that meet minimum quality standards, as exemplified by the development of WHO guidelines on mask use in health care and community settings during the COVID-19 pandemic. Between January 2020 and October 2023, WHO developed 21 guideline updates on the use of masks as part of infection prevention and control (IPC) practices. Guideline developers had to deal with an ever…
Use of indirect evidence from HIV self-testing to inform the WHO hepatitis C self-testing recommendation
Interventions to reduce deaths in people living with HIV admitted to hospital in low- and middle-income countries
People living with HIV (PLHIV) admitted to hospital have a high risk of death. We systematically appraised evidence for interventions to reduce mortality among hospitalised PLHIV in low- and middle-income countries (LMICs). Using a broad search strategy with terms for HIV, hospitals, and clinical trials, we searched for reports published between 1 Jan 2003 and 23 August 2021. Studies of interventions among adult HIV positive inpatients in LMICs w…
Child mortality associated with maternal HIV status
INTRODUCTION: Child mortality remains highest in regions of the world most affected by HIV/AIDS. The aim of this study was to assess child mortality rates in relation to maternal HIV status from 2005 to 2015, the period of rapid HIV treatment scale-up in Rwanda. METHODS: We used data from the 2005, 2010 and 2015 Rwanda Demographic Health Surveys to derive under-2 mortality rates by survey year and mother's HIV status and to build a multivariable …
Health policy and system support to optimise community health worker programmes
Optimising community health worker (CHW) programmes requires evidence-based policies on their education, deployment, and management. This guideline aims to inform efforts by planners, policy makers, and managers to improve CHW programmes as part of an integrated approach to strengthen primary health care and health systems. The development of this guideline followed the standard WHO approach to developing global guidelines. We conducted one overv…
Provision and continuation of antiretroviral therapy during acute conflict
This experience provides further evidence that provision of HIV treatment and emergency drug stocks can be successfully provided to most patients in both conflict-affected settings
Reimagining HIV service delivery
The recently updated World Health Organization (WHO) consolidated guidelines on the use of antiretroviral therapy (ART) recommending to “treat all” mark a paradigm shift in the delivery of HIV treatment: from who is eligible and when to start ART, to how to provide client-centred and high-quality care to all people living with HIV (PLHIV). As part of this shift, the new guidance includes service delivery recommendations based on a “differentiated…
Patient-Reported Barriers to Adherence to Antiretroviral Therapy
Act local, think global
The scale-up of antiretroviral therapy (ART) in Malawi was based on a public health approach adapted to its resource-poor setting, with principles and practices borrowed from the successful tuberculosis control framework. From 2004 to 2015, the number of new patients started on ART increased from about 3000 to over 820,000. Despite being a small country, Malawi has made a significant contribution to the 15 million people globally on ART and has a…
Ten priorities for expanding access to HCV treatment for people who inject drugs in low- and middle-income countries
Role and outcomes of community health workers in HIV care in sub‐Saharan Africa
Towards Universal Voluntary HIV Testing and Counselling
Provision of antiretroviral care to displaced populations in humanitarian settings
Risk factors, barriers and facilitators for linkage to antiretroviral therapy care
OBJECTIVE: To characterize patient and programmatic factors associated with retention in care during the pre-antiretroviral therapy (ART) period and linkage to ART care. DESIGN: Systematic literature review. METHODS: An electronic search was conducted on MEDLINE, Global Health, Google Scholar and conference databases to identify studies reporting on predictors, barriers and facilitators of retention in care in the pre-ART period, and linkage to c…
Priorities for developing countries in the global response to non-communicable diseases
The growing global burden of non communicable diseases (NCDs) is now killing 36 million people each year and needs urgent and comprehensive action. This article provides an overview of key critical issues that need to be resolved to ensure that recent political commitments are translated into practical action. These include: (i) categorizing and prioritizing NCDs in order to inform donor funding commitments and priorities for intervention; (ii) f…
The first decade of antiretroviral therapy in Africa
The past decade has seen remarkable progress in increasing access to antiretroviral therapy in resource-limited settings. Early concerns about the cost and complexity of treatment were overcome thanks to the efforts of a global coalition of health providers, activists, academics, and people living with HIV/AIDS, who argued that every effort must be made to ensure access to essential care when millions of lives depended on it. The high cost of tre…
Providing surgical care in Somalia
The delivery of surgical care in any conflict-settings is difficult, but in situations where international support is limited, the challenges are more extreme. In this model, task shifting, or the provision of services by less trained cadres, was utilized and peri-operative mortality remained low demonstrating that safe surgical practices can be accomplished even without the presence of fully trained surgeon and anesthesiologists. If security imp…
A systematic review of task- shifting for HIV treatment and care in Africa
When to start antiretroviral therapy in resource-limited settings
BACKGROUND: Recent evidence from developed and developing countries shows clear clinical and public health benefit to starting antiretroviral therapy (ART) earlier. While discussions about when to start ART have often focused on the clinical risks and benefits, the main issue is one of fair limit-setting. We applied a human rights framework to assess a policy of early treatment initiation according to the following criteria: public-health purpose…
Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo
In this study, most surgical interventions were unrelated to violent trauma and rather reflected the general surgical needs of a low-income tropical country. Programs in conflict zones in low-income countries need to be prepared to treat both the war-wounded and non-trauma related life-threatening surgical needs of the general population. Given the limited surgical workforce in these areas, training of local staff and task shifting is recommended…
Task shifting in HIV/Aids
Sub-Saharan Africa is facing a crisis in human health resources due to a critical shortage of health workers. The shortage is compounded by a high burden of infectious diseases; emigration of trained professionals; difficult working conditions and low motivation. In particular, the burden of HIV/AIDS has led to the concept of task shifting being increasingly promoted as a way of rapidly expanding human resource capacity. This refers to the delega…
An integrated approach of community health worker support for HIV/Aids and TB care in Angónia district, Mozambique
BACKGROUND: The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. METHODS: A participant-observer description of the evolution of community health worker support to the health services in Angóni…
Mortality, violence and access to care in two districts of Port-au-Prince, Haiti
Extrapolating to the total population of these two districts some 2,000 violent deaths occurred over the recall period. Among the survivors, violence had lasting effects in terms of physical and mental health and loss of property and possessions
Mortality, Violence and Lack of Access to Healthcare in the Democratic Republic of Congo
The people of the Democratic Republic of Congo for decades have been living in a situation of chronic crisis. Violence, population displacement and the destruction of infrastructure and health services have devastated the health of the population. In 2001, Médicins Sans Frontières conducted a survey in five areas of western and central DRC to assess mortality, access to health-care, vaccination coverage and exposure to violence. High mortality ra…
Treating Aids in complex emergencies
Human Immunodefficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) is directly responsible for increased mortality in many humanitarian crises and can exacerbate vulnerability linked to food insecurity, loss of livelihood and disrupted coping mechanisms. However, the need to provide antiretroviral therapy as part of a comprehensive response to HIV/AIDS, in conflict and emergency settings, is not universally accepted. Established humanita…
Drug development for neglected diseases
Global plagues and the Global Fund
BACKGROUND: Although a grossly disproportionate burden of disease from HIV/AIDS, TB and malaria remains in the Global South, these infectious diseases have finally risen to the top of the international agenda in recent years. Ideal strategies for combating these diseases must balance the advantages and disadvantages of 'vertical' disease control programs and 'horizontal' capacity-building approaches. DISCUSSION: The Global Fund to Fight AIDS, Tub…
Mortality, Violence and Lack of Access to Healthcare in the Democratic Republic of Congo
The people of the Democratic Republic of Congo for decades have been living in a situation of chronic crisis. Violence, population displacement and the destruction of infrastructure and health services have devastated the health of the population. In 2001, Médicins Sans Frontières conducted a survey in five areas of western and central DRC to assess mortality, access to health-care, vaccination coverage and exposure to violence. High mortality ra…
Do Aid Agencies Have an Ethical Duty to Comply With Researchers? A Response to Rennie 1
Medical AID organisations such as Médecins Sans Frontières receive several requests from individuals and international academic institutions to conduct research at their implementation sites in Africa. Do AID agencies have an ethical duty to comply with research requests? In this paper we respond to the views and constructed theories (albeit unfounded) of one such researcher, whose request to conduct research at one of our sites in the Democratic…
The trauma of ongoing conflict and displacement in Chechnya
The study demonstrates that the health needs of internally displaced in both locations are similarly high and equally unaddressed. The high levels of past confrontation with violence and ongoing exposure in both locations is likely to contribute to a further deterioration of the health status of internally displaced. As of March 2007, concerns remain about how the return process is being managed by the authorities
Exploring HIV risk perception and behaviour in the context of antiretroviral treatment
The objective of this cross-sectional household survey was to assess factors influencing HIV risk perception, behaviour and intervention uptake in a community characterised by high HIV prevalence and availability of antiretroviral therapy (ART). The survey was conducted in Khayelitsha, South Africa and involved two-stage sampling with self-weighting clusters and random selection of households within clusters. One man and woman between 14 and 49 y…
Conflict in the Indian Kashmir Valley II
The ongoing conflict exacts a huge toll on the communities' mental well-being. We found high levels of psychological distress that impacts on daily life and places a burden on the health system. Ongoing feelings of personal vulnerability (not feeling safe) was associated with high levels of psychological distress. Community mental health programmes should be considered as a way reduce the pressure on the health system and improve socio-economic f…
Conflict in the Indian Kashmir Valley I
The civilian population in Kashmir is exposed to high levels of violence, as demonstrated by the high frequency of deliberate events as detention, hostage, and torture. The reported violence may result in substantial health, including mental health problems. Males reported significantly more confrontations with almost all violent events; this can be explained by higher participation in outdoor activities
Task shifting in HIV/Aids
Sub-Saharan Africa is facing a crisis in human health resources due to a critical shortage of health workers. The shortage is compounded by a high burden of infectious diseases; emigration of trained professionals; difficult working conditions and low motivation. In particular, the burden of HIV/AIDS has led to the concept of task shifting being increasingly promoted as a way of rapidly expanding human resource capacity. This refers to the delega…
An integrated approach of community health worker support for HIV/Aids and TB care in Angónia district, Mozambique
BACKGROUND: The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. METHODS: A participant-observer description of the evolution of community health worker support to the health services in Angóni…
Mortality, violence and access to care in two districts of Port-au-Prince, Haiti
Extrapolating to the total population of these two districts some 2,000 violent deaths occurred over the recall period. Among the survivors, violence had lasting effects in terms of physical and mental health and loss of property and possessions
Ethics of conducting research in conflict settings
Humanitarian agencies are increasingly engaged in research in conflict and post-conflict settings. This is justified by the need to improve the quality of assistance provided in these settings and to collect evidence of the highest standard to inform advocacy and policy change. The instability of conflict-affected areas, and the heightened vulnerability of populations caught in conflict, calls for careful consideration of the research methods emp…
Universal access
The Pool region of the Republic of Congo is an isolated, conflict-affected area with under-resourced and poorly functioning health care services. Despite significant AIDS-related mortality and morbidity in this area, and a national level commitment to universal HIV care, HIV has been largely neglected. In 2005 Médecins Sans Frontières decided to introduce HIV care activities. However, in this setting of high basic health care needs, limited medic…
Treating Aids in complex emergencies
Human Immunodefficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) is directly responsible for increased mortality in many humanitarian crises and can exacerbate vulnerability linked to food insecurity, loss of livelihood and disrupted coping mechanisms. However, the need to provide antiretroviral therapy as part of a comprehensive response to HIV/AIDS, in conflict and emergency settings, is not universally accepted. Established humanita…
A systematic review of task- shifting for HIV treatment and care in Africa
When to start antiretroviral therapy in resource-limited settings
BACKGROUND: Recent evidence from developed and developing countries shows clear clinical and public health benefit to starting antiretroviral therapy (ART) earlier. While discussions about when to start ART have often focused on the clinical risks and benefits, the main issue is one of fair limit-setting. We applied a human rights framework to assess a policy of early treatment initiation according to the following criteria: public-health purpose…
Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo
In this study, most surgical interventions were unrelated to violent trauma and rather reflected the general surgical needs of a low-income tropical country. Programs in conflict zones in low-income countries need to be prepared to treat both the war-wounded and non-trauma related life-threatening surgical needs of the general population. Given the limited surgical workforce in these areas, training of local staff and task shifting is recommended…
The first decade of antiretroviral therapy in Africa
The past decade has seen remarkable progress in increasing access to antiretroviral therapy in resource-limited settings. Early concerns about the cost and complexity of treatment were overcome thanks to the efforts of a global coalition of health providers, activists, academics, and people living with HIV/AIDS, who argued that every effort must be made to ensure access to essential care when millions of lives depended on it. The high cost of tre…
Providing surgical care in Somalia
The delivery of surgical care in any conflict-settings is difficult, but in situations where international support is limited, the challenges are more extreme. In this model, task shifting, or the provision of services by less trained cadres, was utilized and peri-operative mortality remained low demonstrating that safe surgical practices can be accomplished even without the presence of fully trained surgeon and anesthesiologists. If security imp…
Risk factors, barriers and facilitators for linkage to antiretroviral therapy care
OBJECTIVE: To characterize patient and programmatic factors associated with retention in care during the pre-antiretroviral therapy (ART) period and linkage to ART care. DESIGN: Systematic literature review. METHODS: An electronic search was conducted on MEDLINE, Global Health, Google Scholar and conference databases to identify studies reporting on predictors, barriers and facilitators of retention in care in the pre-ART period, and linkage to c…
Priorities for developing countries in the global response to non-communicable diseases
The growing global burden of non communicable diseases (NCDs) is now killing 36 million people each year and needs urgent and comprehensive action. This article provides an overview of key critical issues that need to be resolved to ensure that recent political commitments are translated into practical action. These include: (i) categorizing and prioritizing NCDs in order to inform donor funding commitments and priorities for intervention; (ii) f…
Role and outcomes of community health workers in HIV care in sub‐Saharan Africa
Towards Universal Voluntary HIV Testing and Counselling
Provision of antiretroviral care to displaced populations in humanitarian settings
Ten priorities for expanding access to HCV treatment for people who inject drugs in low- and middle-income countries
Medicine (27 obras) · Public health (18 obras) · Nursing (15 obras) · Economic growth (13 obras) · Global Maternal and Child Health (13 obras) · Political science (13 obras) · HIV/AIDS Research and Interventions (12 obras) · Environmental health (11 obras) · Health care (11 obras) · Economics (8 obras)