A5031285296- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Reproductive tract infections research
- Syphilis Diagnosis and Treatment
- Reproductive Health and Contraception
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
- Sex work and related issues
- Healthcare Systems and Reforms
- Medical Coding and Health Information
- HIV Research and Treatment
Kenya Medical Research Institute
2020-2024
Texas State University
2024
Partners for Health and Development in Africa
2021-2024
University of Washington
2023
Objectives Despite significant public health emphasis on unintended pregnancy prevention among adolescent girls and young women in Sub-Saharan Africa, there is a gap understanding how adolescents’ own reproductive priorities the social influences their decision-making align compete. We examined context of contraceptive Kenyan female adolescents. Methods Using community-based sampling, we conducted 40 in-depth interviews 6 focus group discussions sexually-active or partnered aged 15–19 Nyanza...
Background Pre-exposure prophylaxis (PrEP) is highly effective for HIV prevention, but uptake remains low, especially among adolescent girls and young women (AGYW) in Kenya. A model which trained AGYW using PrEP deliver self-tests to their close friends refer them may help increase this population. To understand AGYW's potential willingness engage such a model, we conducted qualitative formative study Method We semi-structured in-depth interviews (IDIs) with (16 24 years) Kiambu County who...
Bacterial vaginosis is a risk factor for sexually transmitted infections, including HIV. Adult African women have high prevalence of bacterial vaginosis, but it not known when first occurs.This study aimed to describe in younger women, before and after sex, determine the incidence significant correlates recurrence.In prospective observational cohort enrolling adolescents with limited sexual experience, young aged 16 21 years were recruited Thika, Kenya. Eligible participants HIV herpes...
Adolescent girls and young women (AGYW) have a high incidence of unplanned pregnancies, especially in low-resource settings. AGYW assess the overlapping risks pregnancy, contraception, STIs as they navigate relationships. Few studies examined how consider comparative their decisions around sexual reproductive health this context or risk perception influences contraceptive use.Twenty in-depth interviews (IDIs) 5 focus group discussions (FGDs) were conducted with subset sexually active...
In 2018, one-third of incident adult HIV infections in Kenya occurred among adolescent girls and young women (AGYW) aged 15–24 years.1 2 Pre-exposure prophylaxis (PrEP) is approved as part the national prevention interventions.3 4 AGYW have lowest uptake PrEP coupled with high discontinuation rates.5–7 Sexually transmitted are known to increase risk acquisition.8 Prevalence STIs sexually active high.9 This drives health seeking behaviour this population a good opportunity provide at point...
Abstract Introduction Post‐abortion clinics located in regions with high HIV burden may ideal locations to integrate counselling and delivery of pre‐exposure prophylaxis (PrEP), aligning normative goals for integrated reproductive health care. The objective this study was gauge the degree which Kenyan women seeking care a pregnancy loss, including induced abortion, are at risk whether would welcome an introduction PrEP prior discharge from post‐abortion Methods We conducted mixed‐methods...
Background and objective The Ministry of Health Lesotho Partners In piloted the National Primary Care Reform (LPHCR) from July 2014 to June 2017 improve quality quantity service delivery enhance health system management. This initiative included improvement routine information systems (RHISs) map disease burden reinforce data utilisation for clinical improvement. Methods analysis WHO Data Quality Assurance framework’s core indicators were used compare completeness before versus after LPHCR...
In Africa, dispensing oral HIV pre-exposure prophylaxis (PrEP) within already strained public health facilities has led to prolonged waiting periods and suboptimal experiences for clients. We sought explore the acceptability of PrEP semiannually with interim self-testing (HIVST) versus quarterly clinic-based testing optimize clinic-delivered services. conducted a qualitative study non-inferiority individual-level randomized controlled trial effect six-monthly HIVST compared standard-of-care...
Adolescent girls and young women (AGYW) seeking post-abortal care (PAC) remain at risk of unintended pregnancies HIV due to infrequent condom use. Integrating prevention services, such as PrEP, into PAC services offers an opportunity enhance reach, uptake, efficiency, particularly in high-burden settings like Kenya. However, data on acceptability, feasibility, sustainability clinics entry points for PrEP is limited. A cross-sectional qualitative study, part a cluster-randomized trial 14...
Objective: Multipurpose prevention technologies (MPTs) are developmental dual-purpose options that would provide women with a contraceptive as well modality aimed at sexually transmitted infections. The vaginal ring (CVR) has many properties makes it an ideal MPT candidate. objective of this study is to understand women’s attitudes towards menstrual suppression, potential side effect using CVR, and how address these for rings in development. Materials methods: We analyzed data derived from...
Abstract Background The contraceptive vaginal ring (NuvaRing), one of the Multipurpose Prevention Technologies (MPT) products, is effective in preventing unintended pregnancies and may contribute to reducing frequency Bacterial Vaginosis (BV), which a risk factor for HIV acquisition, transmission, shedding among women. NuvaRing cause irregular menstruation, including menstrual suppression, influence women’s decision on product choice, use, acceptability. In this prospective cohort study, we...
Objective To determine bacterial vaginosis (BV) status at multiple time points among adolescent girls and young women (AGYW) assess the impact of pregnancy on their BV status. Design Longitudinal cohort study. Setting Thika, Kenya. Participants AGYW aged 16–20 years enrolled prior to first sex or reporting only a single lifetime partner. Main outcome measures The primary was relative risk (RR) during compared with before by analysing longitudinal trends in over time. estimated using Poisson...
Abstract Background Adolescent girls and young women (AGYW) have a high incidence of unplanned pregnancies especially in low resource settings. AGYW assess overlapping risks pregnancy, contraception, STIs as they navigate relationships. Few studies examined how consider comparative their decisions around sexual reproductive health this context risk perception influences contraceptive use. Methods The Girls Health Study (GHS) is longitudinal cohort study Thika, Kenya assessing HSV-2 aged...