A5056756752- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Global Maternal and Child Health
- HIV Research and Treatment
- Poverty, Education, and Child Welfare
- HIV/AIDS Impact and Responses
- Mental Health Treatment and Access
- HIV/AIDS drug development and treatment
- SARS-CoV-2 and COVID-19 Research
- HIV-related health complications and treatments
- Child Nutrition and Water Access
- Parasites and Host Interactions
- Vaccine Coverage and Hesitancy
- Healthcare Systems and Reforms
- Colorectal Cancer Screening and Detection
- Child and Adolescent Psychosocial and Emotional Development
- Cervical Cancer and HPV Research
- Reproductive tract infections research
- Chronic Disease Management Strategies
- Global Cancer Incidence and Screening
- Family Caregiving in Mental Illness
- Maternal Mental Health During Pregnancy and Postpartum
- COVID-19 epidemiological studies
- Diabetes Management and Education
University of Zimbabwe
2016-2025
Parirenyatwa Hospital
2021
Iowa City Public Library
2016
John Wiley & Sons (United States)
2016
Seattle University
2016
Hudson Institute
2016
National Blood Service Zimbabwe
2013
Martini Ziekenhuis
2013
University of Groningen
2013
Biomedical Research and Training Institute
2010-2011
<h3>Importance</h3> Depression and anxiety are common mental disorders globally but rarely recognized or treated in low-income settings. Task-shifting of health care to lay workers (LHWs) might decrease the treatment gap. <h3>Objective</h3> To evaluate effectiveness a culturally adapted psychological intervention for delivered by LHWs primary care. <h3>Design, Setting, Participants</h3> Cluster randomized clinical trial with 6 months' follow-up conducted from September 1, 2014, May 25, 2015,...
Using a randomized controlled trial in rural eastern Zimbabwe, we tested whether comprehensive support to keep orphan adolescent girls school could reduce HIV risk.All grade 6 25 primary schools were invited participate the study fall 2007 (n = 329). Primary condition. All received universal daily feeding program; intervention participants fees, uniforms, and school-based helper monitor attendance resolve problems. We conducted annual surveys collected additional information on dropout,...
Common mental disorders (CMD) are a leading cause of disability globally. Emerging evidence indicates that in low and middle income countries the treatment gap for CMD can be addressed through use trained supervised lay health workers (LHWs). Few clinical trials have evaluated such task-shifting approaches sub-Saharan Africa. In Zimbabwe, we successfully piloted intervention delivered by LHWs. This protocol describes cluster randomised controlled trial to assess effectiveness this...
Background Schistosomiasis and STH are among the list of neglected tropical diseases considered for control by WHO. Although both endemic in Zimbabwe, no nationwide interventions have been implemented. For this reason 2009 Zimbabwe Ministry Health Child Care included two 2009–2013 National Strategy highlighting importance understanding distribution burden as a prerequisite elimination interventions. It is against background that national survey was conducted. Methodology A countrywide...
Postnatal depression (PND) is a major problem in low- and middle-income countries (LMICs). A total of 210 postpartum mothers attending primary care urban clinics were screened for PND at 6 weeks using the Edinburgh Depression Scale (EPDS) Diagnostic Statistical Manual Mental Disorders (Fourth Edition; DSM-IV) criteria depression. The HIV prevalence was 14.8%. Of enrolled mothers, 64 (33%) met DSM IV Using trained peer coun- selors, with (n = 58) randomly assigned to either group...
Objective To investigate community and health-care workers' perspectives on the coronavirus disease 2019 (COVID-19) pandemic early responses during first 2 weeks of national lockdown in Zimbabwe.Methods Rapid qualitative research was carried out between March April 2020 via phone interviews with one representative from each four community-based organizations 16 workers involved a trial services for young people.In addition, information COVID-19 collected social media platforms, news outlets...
Sexually transmitted infections (STIs) and Reproductive tract (RTIs) are responsible for high morbidity among women. We aim to quantify the magnitude of burden risk factors STI/RTI s pregnant women in Zimbabwe. A cross sectional study enrolled at 36 weeks gestation from national PMTCT program. Study was conducted three peri-urban clinics around Harare Zimbabwe offering maternal child health services. total 691 were enrolled. Prevalence HSV (51.1%), HIV (25.6%) syphilis (1.2%), Trichomonas...
Postnatal depression (PND) is a serious public health problem in resource-limited countries. Research limited on PND affecting HIV-infected women sub-Saharan Africa. Zimbabwe has one of the highest antenatal HIV infection rates world. We determined prevalence and risk factors among attending urban primary care clinics Zimbabwe.Using trained peer counselors, simple random sample postpartum (n = 210) 6-week postnatal visit at two were screened for using Shona version Edinburgh Depression Scale...
Zimbabwe has a high human immunodeficiency virus (HIV) burden. It is therefore important to scale up HIV-testing and counseling (HTC) as gateway HIV prevention, treatment care.To determine factors associated with being HIV-tested among adult men women in Zimbabwe.Secondary analysis was done using data from 7,313 6,584 who completed interviewer-administered questionnaires provided blood specimens for testing during the Demographic Health Survey (ZDHS) 2010-11. Factors ever were determined...
Working with community health workers is a vital strategy to improve at level in low- and middle-income countries. Our study assessed the acceptability of worker-led literacy intervention on lifestyle modification among hypertensive diabetes patients City Harare, Zimbabwe. The consisted face-to-face individual educational sessions support visits, delivered by trained either patient’s home or primary care clinic. We embedded this qualitative within cluster randomized trial, which...
To investigate mortality rates and risk factors for death among smear-negative tuberculosis (TB) suspects.Cohort study nested within a cluster-randomised trial of community-based active case finding. Smear-negative TB suspects were followed 12 months, with home tracing where necessary. We calculated used regression analysis to the relationship between clinical characteristics death.Between February 2006 June 2007, 1195 1136.8 person-years. Human immunodeficiency virus (HIV) prevalence was...
Farm workers are at a very high risk of occupational diseases due to exposure pesticides resulting from inadequate education, training and safety systems. The farm worker spends lot time exposed these harmful agrochemicals. Numerous acute cases with symptoms typical agrochemical were reported the commercial farms. We assessed health effects agrochemicals in farms Kwekwe District (Zimbabwe), 2006.An analytical cross sectional study was conducted amongst sample 246 who handled when discharging...
Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal coverage. As such, there is emphasis on generation of contextualized evidence solve local challenges. However, weak research capacity inadequate resources remain an impendiment quality in the African region. WHO Region (WHO AFR) facilitated adoption a regional strategy for strengthening national (NHRS) 2015. We assessed progress NHRS among 47 member states AFR....
Abstract Introduction There have been very few randomized clinical trials of interventions for alcohol use disorders (AUD) in people living with HIV (PLWH) African countries. This is despite the fact that one modifiable risk factors poor virological control PLWH on antiretroviral therapy. Methods Sixteen clinic clusters Zimbabwe were selected through stratified randomization and 1: 1 to Intervention Control arms. Inclusion criteria individual participants being adult, a probable disorder as...
Healthcare workers (HCWs) have experienced anxiety and psychological distress during the COVID-19 pandemic. We established report findings from an occupational health programme for HCWs in Zimbabwe that offered screening SARS-CoV-2 with integrated comorbidities including common mental disorder (CMD) referral counselling.
There is a growing epidemic of tobacco use among adolescents in the developing world. However, there no up to date information on smoking adolescents. Although world concerted efforts are being made control use, Zimbabwe does not have any documented programmes. We estimated prevalence school going secondary students Harare, Zimbabwe.A 3-stage stratified random sampling was employed select six participating schools and students. A descriptive analysis conducted describe demographic...
The interplay between hereditary and environmental factors in the causation of colorectal cancer sub-Saharan Africa is poorly understood. We carried out a community based case-control study to identify risk associated with Zimbabwe. recruited 101 cases 202 controls, matched for age, sex domicile. Potential including family history, socioeconomic status, urbanization, diabetes mellitus previous schistosomiasis were evaluated. Conditional logistic regression was used estimate odds ratios...
Background The last evaluation to assess outcomes for patients receiving antiretroviral therapy (ART) through the Zimbabwe public sector was conducted in 2011, covering 2007–2010 cohorts. reported retention at 6, 12, 24 and 36 months were 90.7%, 78.1%, 68.8% 64.4%, respectively. We report findings of a follow-up 2012–2015 cohorts implementation impact recommendations from this prior evaluation. Methods A nationwide retrospective study 2016. Multi-stage proportional sampling used select...
There is a dearth of information on how to scale-up evidence-based psychological interventions, particularly within the context existing HIV programs. This paper describes strategy for an intervention delivered by lay health workers (LHWs) 60 primary care facilities in Zimbabwe.A mixed methods approach was utilized as follows: (1) needs assessment using semi-structured questionnaire obtain from nurses (n = 48) and focus group discussions with District Health Promoters 12) identify key...