A5015414528- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Adolescent and Pediatric Healthcare
- HIV Research and Treatment
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health Treatment and Access
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
- HIV, Drug Use, Sexual Risk
- Counseling Practices and Supervision
- Psychiatric care and mental health services
- Child Nutrition and Water Access
- HIV-related health complications and treatments
- Health Policy Implementation Science
- Psychology, Coaching, and Therapy
- Neonatal and fetal brain pathology
- Autism Spectrum Disorder Research
- Child and Adolescent Health
- Community Health and Development
- Mental Health and Patient Involvement
Botswana-Baylor Children's Clinical Center of Excellence
2019-2023
Botswana Harvard AIDS Institute Partnership
2021
Globally, mental health problems have been reported to be more common in youth living with HIV (YLWH) than the general population, but routine screening is rarely done high-volume clinics. In 2019, YLWH a large clinic Botswana were screened using Generalized Anxiety Scale-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) pilot standard-of-care programme. Two-way ANOVA was used describe effects of age group (12–<16, 16–<20 20–25 years old) sex on GAD-7 PHQ-9 scores. Chi-square statistics...
Introduction Neurodevelopmental delays and cognitive impairments are common in youth living with HIV. Unfortunately, resource-limited settings, where HIV infection impacts millions of children, neurodevelopmental disorders commonly go undetected because a lack appropriate assessment instruments local expertise. Here, we present protocol to culturally adapt validate the Penn Computerized Neurocognitive Battery (PennCNB) examine its validity for detecting both advanced subtle problems among...
Youth living with HIV (YLWH) have higher rates of common mental disorders (CMDs) when compared HIV-negative youth. We adapted the Friendship Bench to create a problem solving-based counselling intervention in Botswana delivered by near peer youth lay counsellors for YLWH called Safe Haven. In August 2020, and from June 2021, we conducted 22 semistructured interviews aged 13-25 years mild-to-moderate symptoms CMDs. Two independent coders carried out an inductive thematic analysis transcribed...
Youth Lay Counsellors deserve comprehensive
Background Despite high rates of HIV testing and enrolment HIV-positive pregnant women on antiretroviral therapy in Botswana, coverage for HIV-exposed infant (HEI) remains suboptimal. Many factors can contribute to suboptimal HEI rates, but they have seldom been thoroughly investigated Botswana. Therefore, the aim this study was explore experiences perspectives mothers barriers facilitators inform interventions promote Methods We conducted focus group discussions (FGDs) with who gave birth...
<h3>Aims</h3> When implementing interventions for adolescents, specific adolescent friendly adaptation from adult is vital. The Friendship Bench a lay counselor community therapy model that has been shown to have high efficacy in populations with counselors Zimbabwe and other communities. Our objective was understand the overall mental health needs necessary adaptations based work adolescents Botswana. <h3>Methods</h3> We used theory of change activities during stakeholder meetings discuss...
Objective: Children born to mothers infected with human immunodeficiency virus (HIV) during pregnancy experience increased risk of neurocognitive impairment. In Botswana, HIV infection is common, but standardized cognitive testing limited. The Penn Computerized Neurocognitive Battery (PennCNB) a widely used test battery that streamlines evaluation functioning. Our group translated and culturally adapted the PennCNB for use among children adolescents in this high-burden, low-resource setting....
<p><b><u>Introduction</u></b>: Youth living with HIV (YLWH) experience higher rates of mental illness than their peers. Holistic care for YLWH may involve adopting health screening programs into comprehensive to help identify and address concerns in young people. We explored various contexts, procedures, safety measures throughout the integration maintenance a program adolescents attending an referral clinic Gaborone, Botswana....
HIV infection and in utero exposure, common Sub-Saharan Africa, are associated with pediatric neurocognitive impairment. Cognitive screening can identify impairments, but it is rarely used this setting. The Penn Computerized Neurocognitive Battery (PennCNB), an evidence-based cognitive tool, was adapted for use Botswana. To facilitate future implementation, 20 semi-structured interviews were conducted to elicit key stakeholders' perspectives on factors likely be related successful uptake of...
<p><b><u>Introduction</u></b>: Youth living with HIV (YLWH) experience higher rates of mental illness than their peers. Holistic care for YLWH may involve adopting health screening programs into comprehensive to help identify and address concerns in young people. We explored various contexts, procedures, safety measures throughout the integration maintenance a program adolescents attending an referral clinic Gaborone, Botswana....