Tom Ellman
Biographic Data
| ID | 7732938 |
|---|---|
| NAME | Tom Ellman |
| GIVEN NAMES | Tom |
| FAMILY NAME | Ellman |
| SIGNATURE | ELLMAN T |
| AFFILIATIONS | Médecins Sans Frontières |
| ORCID | 0000-0002-8743-8325 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 10 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Task shifting of point-of-care testing to lay health workers in rural primary health facilities in Nsanje, Malawi
Background Point-of-care testing (POCT) can reduce diagnostic gaps, but because it frequently falls to overstretched frontline healthcare workers (HCW), its real-world effectiveness is diminished. Despite World Health Organization recommendations for task sharing (TS) with lay health workers (LHW), it remains underutilized.Objective To explore whether task-shifted POCT by LHWs can improve uptake compared to standard HCW-led care.Methods A retrosp…
‘I can change my life’
Introduction The Médecins Sans Frontières (MSF) Kiambu People Who Use Drugs (PWUD) project, which started in September 2019, had enrolled 590 PWUD in its Medically Assisted Therapy (MAT) program by April 2022. This project provides a one-stop-shop model, offering a comprehensive range of medical and psychosocial services. This study aimed to explore how PWUD navigate from heroin use to MAT enrolment.Methods The study involved individual, paired a…
Patient experiences and preferences for advanced HIV disease testing services
The decline in HIV/AIDS deaths has been slower than expected, and advanced HIV disease (AHD) remains common. Despite expanded diagnostic services, patient preferences around AHD testing are understudied. This qualitative study explored the experiences and preferences of people living with HIV and healthcare workers to inform patient-centred approaches. In February 2024, purposive sampling identified people living with HIV who underwent testing at…
Task sharing for point-of-care testing
World Health Organization recommends task sharing (TS) for point-of-care testing (POCT) with lay health workers (LHW) to improve access when professional capacity is limited. Despite many benefits of POCT, TS remains underutilized. This study examined uptake of TS for POCT in national policies and the implementation landscape in 19 African countries from November 2024 to March 2025. A mixed-methods approach included an online cross-sectional surv…
HIV Self-testing Among Previously Diagnosed HIV-Positive People in Khayelitsha, South Africa
In South Africa, where an estimated 34% of nearly 7-million HIV-positive people were not on antiretroviral therapy (ART) in 2019, innovative strategies to diagnose and link people to care are needed. HIV self-testing (HIVST) is one such strategy. However, there is concern that access to HIVST might result in re-testing among people on ART, with a risk of false negative results and disengagement from care. Between November 2017 and December 2018, …
Delivering PrEP to Young Women in a Low-Income Setting in South Africa
Daily oral pre-exposure prophylaxis (PrEP) is a key tool in addressing high HIV incidence among young women, and breaking the cycle of transmission. From 2017 to 2020, Médecins Sans Frontières (MSF) offered PrEP, in conjunction with contraception and risk-reduction counselling, to women aged 18-25, in a government-run clinic in Khayelitsha, a low income high HIV prevalence area in South Africa. Drawing on clinical, quantitative, and qualitative i…
Distribution of advanced HIV disease from three high HIV prevalence settings in Sub-Saharan Africa
In our study, about 1 in 10 PLHIV had advanced HIV with nearly 40% of them unaware of their HIV status. However, a substantial proportion of patients with advanced HIV were established on ART. Our findings suggest the need for a dual focus on alternative testing strategies to identify PLHIV earlier as well as improving ART retention
Progress towards the Unaids 90–90-90 goals by age and gender in a rural area of KwaZulu-Natal, South Africa
In this context of high HIV prevalence, significant progress has been achieved with regards to reaching the UNAIDS 90-90-90 targets. The third 90, viral suppression in people on ART, was achieved among women and men. However, gaps persist in HIV diagnosis and ART coverage particularly in men and individuals younger than 30 years. Achieving 90-90-90 is feasible but requires additional investment to reach youth and men
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…
Provision of antiretroviral treatment in conflict settings
With commitment, simplified treatment and monitoring, and adaptations for potential instability, HIV treatment can be feasibly and effectively provided in conflict or post-conflict settings
No prominent works on this page.
Provision of antiretroviral treatment in conflict settings
With commitment, simplified treatment and monitoring, and adaptations for potential instability, HIV treatment can be feasibly and effectively provided in conflict or post-conflict 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…
Progress towards the Unaids 90–90-90 goals by age and gender in a rural area of KwaZulu-Natal, South Africa
In this context of high HIV prevalence, significant progress has been achieved with regards to reaching the UNAIDS 90-90-90 targets. The third 90, viral suppression in people on ART, was achieved among women and men. However, gaps persist in HIV diagnosis and ART coverage particularly in men and individuals younger than 30 years. Achieving 90-90-90 is feasible but requires additional investment to reach youth and men
Distribution of advanced HIV disease from three high HIV prevalence settings in Sub-Saharan Africa
In our study, about 1 in 10 PLHIV had advanced HIV with nearly 40% of them unaware of their HIV status. However, a substantial proportion of patients with advanced HIV were established on ART. Our findings suggest the need for a dual focus on alternative testing strategies to identify PLHIV earlier as well as improving ART retention
Delivering PrEP to Young Women in a Low-Income Setting in South Africa
Daily oral pre-exposure prophylaxis (PrEP) is a key tool in addressing high HIV incidence among young women, and breaking the cycle of transmission. From 2017 to 2020, Médecins Sans Frontières (MSF) offered PrEP, in conjunction with contraception and risk-reduction counselling, to women aged 18-25, in a government-run clinic in Khayelitsha, a low income high HIV prevalence area in South Africa. Drawing on clinical, quantitative, and qualitative i…
HIV Self-testing Among Previously Diagnosed HIV-Positive People in Khayelitsha, South Africa
In South Africa, where an estimated 34% of nearly 7-million HIV-positive people were not on antiretroviral therapy (ART) in 2019, innovative strategies to diagnose and link people to care are needed. HIV self-testing (HIVST) is one such strategy. However, there is concern that access to HIVST might result in re-testing among people on ART, with a risk of false negative results and disengagement from care. Between November 2017 and December 2018, …
Task sharing for point-of-care testing
World Health Organization recommends task sharing (TS) for point-of-care testing (POCT) with lay health workers (LHW) to improve access when professional capacity is limited. Despite many benefits of POCT, TS remains underutilized. This study examined uptake of TS for POCT in national policies and the implementation landscape in 19 African countries from November 2024 to March 2025. A mixed-methods approach included an online cross-sectional surv…
Task shifting of point-of-care testing to lay health workers in rural primary health facilities in Nsanje, Malawi
Background Point-of-care testing (POCT) can reduce diagnostic gaps, but because it frequently falls to overstretched frontline healthcare workers (HCW), its real-world effectiveness is diminished. Despite World Health Organization recommendations for task sharing (TS) with lay health workers (LHW), it remains underutilized.Objective To explore whether task-shifted POCT by LHWs can improve uptake compared to standard HCW-led care.Methods A retrosp…
‘I can change my life’
Introduction The Médecins Sans Frontières (MSF) Kiambu People Who Use Drugs (PWUD) project, which started in September 2019, had enrolled 590 PWUD in its Medically Assisted Therapy (MAT) program by April 2022. This project provides a one-stop-shop model, offering a comprehensive range of medical and psychosocial services. This study aimed to explore how PWUD navigate from heroin use to MAT enrolment.Methods The study involved individual, paired a…
Patient experiences and preferences for advanced HIV disease testing services
The decline in HIV/AIDS deaths has been slower than expected, and advanced HIV disease (AHD) remains common. Despite expanded diagnostic services, patient preferences around AHD testing are understudied. This qualitative study explored the experiences and preferences of people living with HIV and healthcare workers to inform patient-centred approaches. In February 2024, purposive sampling identified people living with HIV who underwent testing at…
HIV/AIDS Research and Interventions (9 works) · HIV, Drug Use, Sexual Risk (7 works) · Medicine (7 works) · Public health (5 works) · Global Maternal and Child Health (4 works) · Antiretroviral therapy (3 works) · Family medicine (3 works) · Gerontology (3 works) · HIV Research and Treatment (3 works) · Human immunodeficiency virus (HIV (3 works)