- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Syphilis Diagnosis and Treatment
- Global Maternal and Child Health
- Public-Private Partnership Projects
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Mobile Health and mHealth Applications
- Migration, Health and Trauma
- HIV-related health complications and treatments
- Gallbladder and Bile Duct Disorders
- Focus Groups and Qualitative Methods
- Mental Health Treatment and Access
- Poverty, Education, and Child Welfare
- Racial and Ethnic Identity Research
- Reproductive tract infections research
Family Aids Caring Trust
2020-2023
University of KwaZulu-Natal
2021-2023
University of Zimbabwe
2011-2021
Zimbabwe AIDS Network
2014
Adolescent females in Zimbabwe are at high risk for HIV acquisition. Shaping the Health of Adolescents (SHAZ!) was a randomized controlled trial combined intervention package including life-skills and health education, vocational training, micro-grants social supports compared to education alone. SHAZ! originally envisioned as larger effectiveness trial, however, scaled back due contextual economic conditions country time. enrolled 315 participants randomly assigned study arm within blocks...
Abstract Background In Kenya, South Africa, and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake effective use sexual reproductive health services; however, few published studies have explored providers’ attitudes toward experiences delivering PrEP to AGYW. Methods We conducted cross-sectional qualitative study, interviewing 113 36 public, private, nongovernmental...
Although oral PrEP is highly effective at preventing HIV acquisition, optimizing continuation among beneficiaries challenging in many settings. We estimated the costs of delivering to populations risk seven clinics Zimbabwe. Full annual economic initiations and visits were from providers' perspective for a six-clinic NGO network one government SGBV clinic Zimbabwe (January-December 2018). Disaggregating full initiation incremental follow-up enabled modeling impact duration on cost per...
Female sex workers (FSWs) have a 26 times greater chance of HIV infection compared to the women in general population. The World Health Organization recommends pre-exposure prophylaxis (PrEP) for population groups with an incidence 3% or higher and FSWs southern Africa fit this criteria. This study sought understand factors that motivate initiate PrEP, Harare, Zimbabwe.
Self-testing for STIs such as HIV and syphilis may empower sexual minorities expand uptake of STI testing. While much is known about self-testing (HIVST), less self-testing, particularly in low-income settings. The objective this study to determine context-specific facilitators barriers assess the usability Zimbabwe among men who have sex with (MSM).This mixed methods was conducted Harare part a larger trial. included in-depth interviews (phase I) followed by testing second interview II)....
### Key Findings We implemented and monitored an intervention, called Test Prevent, to intentionally link clients with a negative HIV test result oral pre-exposure prophylaxis (PrEP). Implications Background: As testing increases worldwide, programs are reaching individuals without infection who at risk of exposure may be candidates for Although linkage treatment is global priority (referred as “test treat”), less attention given results. developed the “Test Prevent” pilot program at-risk...
The HIV Prevention Ambassador Training Package for Adolescent Girls and Young Women was created in collaboration with adolescent girls young women (AGYW) to improve skills, knowledge, attitudes about oral pre-exposure prophylaxis (PrEP) among peer "ambassadors". It field tested 17 ambassadors Mazowe District, Zimbabwe changes ambassadors' knowledge PrEP, as well PrEP uptake AGYW the district, were assessed. training package improved trained built AGYW's skills advocate awareness rollout. Use...
ABSTRACT Objectives Self-testing for STIs such as HIV and syphilis may empower sexual minorities expand uptake of STI testing. While much is known about self-testing (HIVST), less self-testing, particularly in low-income settings. The objective this study to determine context-specific facilitators barriers assess the usability Zimbabwe among men who have sex with (MSM). Methods This mixed methods was conducted Harare part a larger trial. included in-depth interviews (phase one) followed by...
<h3>Background</h3> Body Mass Index (BMI) is a statistical measure which compares person9s weight and height. It used to estimate healthy body based on This pertinent use in HIV positives since loss as proxy for clinical progression of disease that more associated with advancing often precedes symptoms. We sought BMI among HIV+ female adolescents see if this the best tool immune-compromised populations. <h3>Methods</h3> Data were pulled out from an ongoing RCT entitled SHAZ! Plus. (N=650)....
Access to syphilis testing and treatment is frequently limited for men who have sex with (MSM). A two-armed randomised controlled trial compared feasibility costs of facility-based self-testing among MSM in Zimbabwe.
Abstract Introduction Adolescent girls and young women (AGYW) remain disproportionately affected by HIV in Zimbabwe. Several prevention options are available, including oral tenofovir-based pre‐exposure prophylaxis (PrEP), however AGYW face unique barriers to PrEP uptake continuation novel approaches therefore needed empower use PrEP. The objective of this study was characterize early learnings from implementing a multi-level intervention consisting fashionable branding (including “V Starter...
Abstract Background: In Kenya, South Africa and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake effective use sexual reproductive health services; however, few published studies have explored providers’ attitudes toward experiences delivering PrEP to AGYW. Methods: We conducted cross-sectional qualitative study, interviewing 113 36 public, private, nongovernmental...