A5007045020- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Impact and Responses
- HIV, Drug Use, Sexual Risk
- Gender Roles and Identity Studies
- Poverty, Education, and Child Welfare
- Sex work and related issues
- HIV Research and Treatment
- Global Maternal and Child Health
- Child and Adolescent Psychosocial and Emotional Development
- Child Abuse and Trauma
- Food Security and Health in Diverse Populations
- Health Systems, Economic Evaluations, Quality of Life
- Vaccine Coverage and Hesitancy
- Resilience and Mental Health
- Genital Health and Disease
- Intimate Partner and Family Violence
- Children's Rights and Participation
- Eating Disorders and Behaviors
- Global Public Health Policies and Epidemiology
- COVID-19 epidemiological studies
- Youth Development and Social Support
- Ethics and Legal Issues in Pediatric Healthcare
- Female Genital Mutilation/Cutting Issues
- Homelessness and Social Issues
University of KwaZulu-Natal
2016-2025
Regional Inter-agency Task Team on Children and AIDS
2024
University of Gothenburg
2023
Centre for the AIDS Programme of Research in South Africa
2017-2022
College of Law
2014-2021
Management Sciences (United States)
2021
Arba Minch University
2020
University of the Humanities
2014
Howard College
2011
University of Zululand
2010
The coronavirus disease 19 (COVID-19) pandemic has created extraordinary challenges and prompted remarkable social changes around the world. effects of COVID-19 public health control measures that have been implemented to mitigate its impact are likely be accompanied by a unique set consequences for specific populations living in low-income countries fragile systems pervasive social-structural vulnerabilities. This paper discusses implications related interventions children young people...
In Africa, the persistently high HIV incidence rate among young women is major obstacle to achieving goal of epidemic control.To determine trends in coverage prevention and treatment programs incidence.This cohort study consisted 2 sequential, community-based longitudinal studies performed Vulindlela Greater Edendale area KwaZulu-Natal, South Africa. Participants enrolled from June 11, 2014, 22, 2015 (2014 survey), with a single follow-up visit 24, 2016, April 3, 2017 (2016 cohort), or July...
Relationships and constructions of masculinity are central to understanding the process male HIV disclosure, which is an important step towards accessing HIV-related services. Data from in-depth interviews focus-group discussions with 23 HIV-positive, self-identified heterosexual, Black South African men were used explore disclosure how this was negotiated in context masculinity. Of these men, 20 had disclosed one or more persons, partners siblings being preferred confidants. Disclosure...
We assessed whether informing female sex workers about the availability of HIV self-testing at clinics in Kenya using text messages would increase testing rates. selected a sample 2196 registered an electronic health record system who were irregular testers and randomized them to be sent message announcing (1) self-test kits three times (intervention), (2) general (enhanced standard care [SOC]), or (3) one time (traditional SOC). Participants intervention arm significantly more likely test...
Epidemiological modelling has concluded that if voluntary medical male circumcision (VMMC) is scaled up in high HIV prevalence settings it would lead to a significant reduction incidence rates. Following the adoption of this evidence by WHO, South Africa embarked on an ambitious VMMC programme. However, still falls short meeting targets, particularly KwaZulu-Natal, epicentre HIV/AIDS epidemic. A qualitative study was conducted district KwaZulu-Natal identify barriers and facilitators uptake...
Depression amongst young people is a major health challenge and often shaped by social marginalisation. Informal settlements are growing rapidly. There need to deepen understandings of depression in these contexts. We sought understand factors associated with depressive symptomology 232 (122 women, 110 men) aged 18–30 urban informal South Africa. conducted cross-sectional analysis baseline data collected for the Stepping Stones Creating Futures pilot. Logistic regression modelled...
We conducted a randomized controlled trial among 305 truck drivers from two North Star Alliance roadside wellness clinics in Kenya to see if offering HIV testing choices would increase uptake. Participants were be offered (1) provider-administered rapid blood (finger-prick) test (i.e., standard of care [SOC]) or (2) Choice between SOC self-administered oral with provider supervision the clinic. arm who refused clinic kit for home use phone-based posttest counseling. compared uptake using...
BackgroundSexually transmitted infections (STIs) and Human immunodeficiency virus (HIV) share a complex bidirectional relationship, however, population prevalence the association between presence of STIs HIV in high burden district KwaZulu-Natal, South Africa is not known.MethodsA total 9812 participants aged 15–49 years were enrolled cross-sectional population-based household survey. Participants completed structured questionnaire provided first-pass urine (males) or self-collected...
HIV incidence among adolescent girls and young women (AGYW) remains high, with their male partners a prominent factor in sustaining these elevated rates. Partnership characteristics remain important metrics for determining risk, evidence indicating that AGYW engaged transactional age-disparate relationships face greater exposure. This study examines the risk posed to relationship "Blesser", defined as who provides his female partner material needs or desires exchange sexual relationship, an...
Recent studies have questioned whether orphanhood is primarily associated with key dimensions of psycho-social wellbeing in children living circumstances material deprivation and high prevalence HIV AIDS.This study uses cross-sectional data from a longitudinal conducted between 2004-2007 to examine the psychosocial well-being orphans non-orphans Amajuba District KwaZulu-Natal, South Africa. Psychosocial included an assessment orphans' non level anxiety depression, affability resilience....
ABSTRACT BACKGROUND This study investigated the relationship between school connectedness and health risk behaviors, specifically, substance abuse, violence‐related sexual suicidal ideation among school‐going adolescents. School was understood to encompass a range of aspects pertaining learner's sense belonging school. We hypothesized that strong perceptions will more likely be associated with lower levels behaviors METHODS The conducted in 2 neighboring public co‐educational schools Durban,...
South Africa has over 6,000,000 HIV infected individuals and the province of KwaZulu-Natal (KZN) is most severely affected. As public health initiatives to better control epidemic are implemented, timely, detailed robust surveillance data needed monitor, evaluate inform programmatic interventions policies time. We describe rationale design Incidence Provincial Surveillance System (HIPSS) monitor prevalence incidence. The household-based survey will include a sample men women from two...
Providing HIV testing services to truck drivers in Africa is crucial but has proven challenging. The introduction of self-testing promises provide expanded service delivery options for clients, potentially increasing demand and expanding coverage - especially important high-risk difficult-to-reach populations. This study examines the preferences regarding models, among long distance identify that would appeal this population. Using a discrete choice experiment, counselling 305 recruited from...
Truckers in sub-Saharan Africa are at higher risk of contracting HIV than the general population. self-testing may be a way to increase testing rates this high-risk The objective randomized controlled trial was assess whether informing truckers who do not test for regularly about availability kits roadside wellness centers Kenya using text messages would compared current program which they sent general. A sample 2262 male registered North Star Alliance electronic health record system who,...
Abstract Background Young women in sub-Saharan Africa remain at the epicentre of HIV epidemic, with surveillance data indicating persistent high levels incidence. In South Africa, adolescent girls and young (AGYW) account for a quarter all new infections. Determined, Resilient, Empowered, AIDS-free, Mentored Safe (DREAMS) is strategy introduced by United States President’s Emergency Plan AIDS Relief (PEPFAR) aimed reducing incidence among AGYW 10 countries 25% programme’s first year, 40%...