A5025893306- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- Reproductive Health and Contraception
- HIV/AIDS Research and Interventions
- Health Policy Implementation Science
- Reproductive tract infections research
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- HIV, Drug Use, Sexual Risk
- Community Health and Development
- Child Nutrition and Water Access
- Poverty, Education, and Child Welfare
- Healthcare Policy and Management
- Ectopic Pregnancy Diagnosis and Management
- Food Security and Health in Diverse Populations
- Pelvic floor disorders treatments
- Pregnancy and Medication Impact
- Global Public Health Policies and Epidemiology
- Pregnancy and preeclampsia studies
- HIV/AIDS Impact and Responses
- Health Systems, Economic Evaluations, Quality of Life
- Gestational Diabetes Research and Management
- Healthcare Systems and Reforms
- Human Rights and Development
- Preterm Birth and Chorioamnionitis
World Health Organization
2015-2024
United Nations Children's Fund India
2020-2022
United Nations Children's Fund Niger
2020-2022
World Health Organization - Pakistan
2014-2022
University Teaching Hospital
2020
University of Zambia
2020
Sexual Health Clinic
2020
University of the Witwatersrand
2020
University of Cape Town
2012-2017
Tygerberg Hospital
1998-2016
BackgroundObservational and laboratory studies suggest that some hormonal contraceptive methods, particularly intramuscular depot medroxyprogesterone acetate (DMPA-IM), might increase women's susceptibility to HIV acquisition. We aimed compare DMPA-IM, a copper intrauterine device (IUD), levonorgestrel (LNG) implant among African women seeking effective contraception living in areas of high incidence.MethodsWe did randomised, multicentre, open-label trial across 12 research sites eSwatini,...
South Africa faces numerous reproductive challenges that include high rates of unplanned and adolescent pregnancies. The uptake utilization family planning services modern contraception methods depend on factors. male partner plays a key role in health but data this topic are outdated or have predominant HIV prevention focus. purpose paper is to explore the influence partners contraceptive (FP/C) use within contemporary African setting, identify further areas exploration.This qualitative...
Unmet need for contraception results in several health challenges such as unintended pregnancies, unwanted births and unsafe abortions. Most interventions have been unable to successfully address this unmet due various community system level factors. Identifying these inhibiting enabling factors prior implementation of forms the basis planning efforts increase met needs. This qualitative study was part formative phase a larger research project that aimed develop an intervention needs through...
Multicountry teamwork in qualitative research is receiving increased recognition an attempt to address global health problems. We report our experience of implementing a multicountry study (Zambia, South Africa, and Kenya), employing gain insight into met needs contraception. Using this example, we demonstrate the innovative development multicountry, south–south relationship (i.e., collaboration sharing knowledge between developing countries located Global South) within health-care setting....
Progress has been made to improve access family planning services and contraceptive methods, yet many women still struggle contraception, increasing their risk for unintended pregnancy. This is also true South Africa, where over fifty per cent of pregnancies are reported as unintended, even though contraception freely available. There stagnation in the fertility rate indicators use data, indicating that there may be challenges accessing contraception. paper explores evaluation from community...
There is a growing body of research on the role social accountability in bringing about more accessible and better-quality healthcare. Here, we refer to as "citizens' efforts at ongoing meaningful collective engagement with public institutions for provision goods" (Joshi, World Dev 99:160–172, 2017). These processes have multiple interrelated components sub-processes engage range actors community-driven, often unpredictable context-dependent actions, which pose many methodological challenges...
Abstract Background Community dialogues have been widely used as a method for community engagement and participation to cover broad range of areas. However, there has limited documentation evaluation the process, particularly towards achieving family planning contraception (FP/C) programme goals. As part development an intervention package aimed at increasing health care provider (HCP) in provision FP/C, feasibility testing approach (a dialogue between communities facilities) was carried...
Introduction South Africa has the highest national burden of HIV globally. Understanding drivers acquisition in recently completed, prospective studies which was an endpoint may help inform strategy and investments prevention efforts guide design future trials. We assessed incidence correlates among women enrolled ECHO (Evidence for Contraceptive Options Outcomes), a large, open-label randomized clinical trial that compared three highly effective. reversible methods contraception rates...
In a previous study from this institution, patients at high risk for preterm labour were screened the presence of bacterial vaginosis (BV). When BV was present, they randomised to receive either treatment (metronidazole) or placebo (vitamin C). There significantly more with in metronidazole group. The aim double-blind placebo-controlled trial determine whether vitamin C could indeed reduce recurrence labour. Patients history preceding pregnancy 250 mg matching twice daily until 34 weeks'...
<ns4:p><ns4:bold>Background:</ns4:bold> <ns4:italic>In vitro</ns4:italic>, animal, biological and observational clinical studies suggest that some hormonal methods, particularly depot medroxyprogesterone acetate – DMPA, may increase women’s risk of HIV acquisition. DMPA is the most common contraceptive used in many countries worst affected by epidemic. To provide robust evidence for decision-making among women, clinicians planners, we are conducting Evidence Contraceptive Options Outcomes...
<ns4:p>Background: In vitro, animal, biological and observational clinical studies suggest that some hormonal methods, particularly depot medroxyprogesterone acetate – DMPA, may increase women’s risk of HIV acquisition. DMPA is the most common contraceptive used in many countries worst affected by epidemic. To provide robust evidence for decision-making among women, clinicians planners, we are conducting Evidence Contraceptive Options Outcomes (ECHO) study four with high incidence use:...
BackgroundThere is limited evidence on the impact of use progestin-only hormonal contraception (POC) weight change. We conducted a secondary analysis prospective change among women enrolled in Evidence for Contraceptive options and HIV Outcomes (ECHO) trial.MethodsThe ECHO trial was at 12 sites eSwatini, Kenya, South Africa Zambia between December 2015 October 2018. negative, aged 16–35 years, desiring contraception, were randomised (1:1:1) to either 3-monthly intramuscular depot...
Access to safe and effective contraceptive choices is a reproductive right contributes tremendously improvements in maternal child health. Progestin-only injectables, particularly intramuscularly injected depot medroxyprogesterone acetate (DMPA-IM), have received increased attention given findings suggesting potential association with HIV risk. For women at high risk of HIV, the World Health Organization's Medical eligibility criteria for use currently aggregate recommendations all...