A5079683604- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- Patient Satisfaction in Healthcare
- HIV/AIDS Impact and Responses
- Reproductive tract infections research
- Occupational Health and Safety Research
- Adolescent and Pediatric Healthcare
- Interprofessional Education and Collaboration
- Maternal and fetal healthcare
- Health Policy Implementation Science
- COVID-19 and Mental Health
- Risk and Safety Analysis
- Reproductive Health and Contraception
- Safety Warnings and Signage
- Traffic and Road Safety
- Nursing Roles and Practices
- Electronic Health Records Systems
- Birth, Development, and Health
- COVID-19 Pandemic Impacts
- Antibiotic Use and Resistance
- Bacterial Identification and Susceptibility Testing
- Mentoring and Academic Development
- COVID-19 epidemiological studies
- ICT in Developing Communities
University of Lusaka
2020-2025
London School of Hygiene & Tropical Medicine
2010-2017
Centre for Infectious Disease Research in Zambia
2016-2017
British Council
2015
University of London
2013-2015
Medical Research Council
2011
University of Southampton
2005-2006
There is broad consensus on the value of integration HIV services and reproductive health in regions world with generalised HIV/AIDS epidemics high morbidity. Integration thought to increase access uptake services; improves their efficiency cost-effectiveness through better use available resources. However, there still very limited empirical literature service providers how they experience operationalize integration. This qualitative study was conducted among frontline workers explore...
The inappropriate prescribing and use of antibiotics have contributed to the emergence spread antimicrobial resistance (AMR). In Zambia, there is a paucity information on patterns among hospitalized patients in level 1 hospitals. This study investigated antibiotic five hospitals Lusaka, Zambia. cross-sectional utilized World Health Organization (WHO) Point Prevalence Survey (PPS) methodology in-patients admitted before 08:00 a.m. survey day August 2024. Data were analysed using IBM SPSS...
At the onset of health system decentralization as a primary care strategy, which constituted key feature sector reforms across developing world, efficient and effective management information systems (HMIS) were widely acknowledged adopted critical element district strengthening programmes. The focal concern was about performance long-term sustainability decentralized systems. underlying logic that HMIS would provide managers with required to make strategic decisions are vehicle for in these...
In sub-Saharan Africa (SSA) there are strong arguments for the provision of integrated sexual and reproductive health (SRH) HIV services. Most transmissions sexually transmitted or associated with pregnancy, childbirth, breastfeeding. Many behaviours that prevent transmission also infections unintended pregnancies. There is potential integration to increase coverage services, as individuals who use SRH services can benefit from vice-versa, well cost-savings. However, a dearth empirical...
Researchers have widely documented the pervasiveness of HIV stigma and discrimination, its impact on people living with HIV. Only a few studies, however, analysed perceptions women accessing sexual reproductive health (SRH) services. This study explores experiences HIV-positive clients attending family planning post-natal services implications for service use antiretroviral therapy (ART) adherence. Our aim was to gain better understanding various dimensions ART adherence among in order...
Enabling women living with HIV to effectively plan whether and when become pregnant is an essential right; effective prevention of unintended pregnancies also critical reduce maternal morbidity mortality as well vertical transmission HIV. The objective this study examine the use family planning (FP) services by HIV-positive HIV-negative in Kenya their ability achieve fertility desires. Data are derived from a random sample seeking public health facilities who had declared status (1887 at...
The Integra Initiative designed, tested, and adapted protocols for peer mentorship in order to improve service providers' skills, knowledge, capacity provide quality integrated HIV sexual reproductive health (SRH) services. This paper describes experiences mentoring as a method of building. Service providers who were skilled the provision FP or PNC services selected undergo training program subsequently build their peers SRH-HIV integration. A qualitative assessment was conducted assess...
Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored interaction systems hardware software factors to explain why some facilities were able implement sustain service delivery while others not. This article draws detailed mixed-methods for four case-study offering services between 2009 2013 in Kenya: (i) time-series client flow, tracking uptake 8841 clients; (ii) structured questionnaires with 24 providers; (iii) in-depth interviews...
Preventing unwanted pregnancies in Women Living with HIV (WLHIV) is a recognised HIV-prevention strategy. This study explores the fertility intentions and contraceptive practices of WLHIV using services Kenya.Two hundred forty women self-identifying as who attended reproductive health Kenya were interviewed structured questionnaire 2011; 48 also in-depth. STATA SE/13.1, Nvivo 8 thematic analysis used.Seventy one percent participants did not want another child; this was associated having at...
Addressing the postnatal needs of new mothers is a neglected area care throughout sub-Saharan Africa. The study compares effectiveness integrating HIV and family planning (FP) services into (PNC) with stand-alone on postpartum women's use counseling testing FP in public health facilities Kenya.Data were derived from samples women who had been assigned to intervention or comparison groups, given birth within previous 0-10 weeks receiving care, at baseline 15 months later. Descriptive...
This is one of the few studies that explores preferences and experiences with integrated sexual reproductive health (SRH)-HIV care among users mainstream family planning postnatal services who are women living HIV (WLWH). paper reports on quantitative data from 179 clients attending public sector clinics 30 qualitative in-depth interviews WLHIV in Kenya. Quantitative show integration happening for vast majority these at their last visit. However, very often received by WLWH fragmented as...
The aim of this study was to investigate association between HIV and family planning integration technical quality care. focused on client-provider consultation sessions. cross-sectional observed 366 sessions interviewed 37 health care providers in 12 public facilities Kenya. Multilevel random intercept linear regression models were fitted the matched data relationships service as well associations facility-level structural provider factors A sensitivity analysis performed test for hidden...
Introduction The Microbicides Development Programme evaluated the safety and effectiveness of 0.5% 2% PRO2000/5 microbicide gels in reducing risk vaginally acquired HIV. In February 2008 Independent Data Monitoring Committee recommended that evaluation gel be discontinued due to futility. Africa Centre site systematically collected participant responses this discontinuation. Methods Clinic field staff completed reports using ethnographic observation techniques. In-depth-interviews focus...
Background: Successful transition from adolescent to adult care has not been extensively evaluated, in Zambia. The study aimed assess the relationship between facility-based socio-demographic traits and successful HIV care, Methods: A retrospective descriptive cross-sectional analysis of 7275 patient files 718 PEPFAR sponsored facilities. Data was extracted National Electronic Health Record (EHR) system imported into STATA SE v-16 for analysis. Descriptive statistics were calculated on...
ABSTRACT Objective To determine the types of occupational accidents and their predictors at construction sites in Lusaka city. Methods A qualitative research design which explored views, experiences, beliefs workers. sample size seven participants who were previously involved least one accident was drawn purposively. Data collected by interviewing using a semi-structured interview schedule voice recorder. The data from recorder then transcribed verbatim format. Thematic evaluation used for...
Background The Integra Initiative has evaluated different models of integrating FP/PNC and HIV testing treatment services in Kenya Swaziland. Human physical resource integration (“structural” integration) is the usual outcome measure “successful” service integration. research shown that fact functional (clients actually receiving integrated care) does not necessarily follow. Much depends on actions individual providers their managers combination with systems other factors. This paper...
ABSTRACT OBJECTIVE This study aimed at determining the magnitude of stress among COVID-19 health workers in Kabwe district. METHODS The was a cross-sectional which recruited 138 care managing cases Kabwe. Data were collected through structured questionnaires and in-depth interviews. Quantitative data analyzed using SPSS version 16 while qualitative Nvivo8. RESULTS obtained 100% responses from respondents prevalence 73%. nurses more perceived to experience compared pharmacy personnel (28% vs....
ABSTRACT OBJECTIVE This study aimed to describe characteristics of occupational morbidity in Zambia over an eleven year period: 2008-2018. METHODS A descriptive retrospective observational based on compensation claims database from the Workers Compensation Fund Control Board (WCFCB) period 2008 2018 was conducted. All accepted at WCFCB during were reviewed. The reference population all workers covered by time. taken up into study. Stata version 14 used analyze data, and make tables graphs....
Abstract Background Child birth intervalis the length of time between two successful live births.Shorter child interval among women reproductive age is a serious global public health challenge. It associated with low weight, malnutrition, and mortality.There general dearth literature on this subject in Zambia. Therefore, aim study was to establish determinants second women. Methods A cross-sectional involving 100 reproductiveage group Lusaka province. The participants were purposively...