A5014156068- International Environmental Law and Policies
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Environmental and Social Impact Assessments
- Reproductive Health and Contraception
- Occupational Health and Safety Research
- Sex work and related issues
- Global Maternal and Child Health
- Statistical Methods in Epidemiology
- Musculoskeletal pain and rehabilitation
- Intergenerational Family Dynamics and Caregiving
- Traffic and Road Safety
- HIV/AIDS Impact and Responses
- HIV, Drug Use, Sexual Risk
- Aging and Gerontology Research
- Legal Issues in South Africa
- Reproductive Health and Technologies
- African studies and sociopolitical issues
- Injury Epidemiology and Prevention
- Physical Activity and Health
- demographic modeling and climate adaptation
- Health Systems, Economic Evaluations, Quality of Life
- UAV Applications and Optimization
- Data-Driven Disease Surveillance
- Biotechnology and Related Fields
Family Health International 360
2017-2022
John Wiley & Sons (United States)
2021
Duke University
2016-2018
Duke Medical Center
2018
Duke University Hospital
2018
Duke Institute for Health Innovation
2016
South Africa became the first country in to introduce oral PrEP June 2016. The National Department of Health has used a phased approach rollout, allowing for dynamic learn-and-adapt process which will lead ultimately scale-up. Phased rollout began with provision at facilities providing services sex workers 2016 and was expanded 2017, MSM then students selected university campus clinics, followed by primary health care facilities. Programmatic data shows variability initiation continuation...
We developed an unmanned aerial vehicle (UAV) Delivery Decision Tool to help health system decision makers identify their transport challenges and explore the potential utility impact of UAVs on broader system.
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...
Background: Rubber tapping exposes workers to risk factors for musculoskeletal disorders (MSDs).Objectives: This cross-sectional study assessed the prevalence and associated with MSDs among Sri Lankan rubber tappers.Methods: Questionnaires were administered 300 tappers measure potential factors. Ergonomic exposure levels measured 90 using Quick Exposure Check instrument. MSD ratios calculated log-binomial regression.Results: In past 12 months, 66% of in our sample experienced an MSD. high or...
To characterize barriers to healthy eating (BHE) and physical activity (BPA) among participants in a workplace weight management intervention.Steps health completed questionnaire ascertain faced. Exploratory factor analysis was used determine the structure for BPA BHE. The relationships of these factors with accelerometer data dietary behaviors were assessed using linear regression.Barriers included time constraints lack interest motivation, eating, self-control convenience, access foods....
ARV-based pre-exposure prophylaxis (PrEP) has the potential to avert many new HIV infections, yet little is known about how reach women at high risk for infection and motivate them initiate PrEP. Clinical trials have succeeded in recruiting at-risk participants, evidenced by control arm incidence ≥3% (defined World Health Organization as "substantial risk"). We examined experiences from prevention document recruitment strategies identify practical, potentially effective reaching real-world...
Mid-level care providers serve as the backbone of primary in many parts sub-Saharan Africa. Despite this, research suggests that quality and consistency this is uneven. This study assessed degree to which a set four simple, low-cost interventions could improve adherence clinical measures (CQMs) associated with common health conditions seen resource-constrained setting.A quasi-experimental, longitudinal was carried out three clinics Nairobi, Kenya from August 2014 January, 2015. officers...
Generativity, “a concern for others and a need to contribute something the next generation,” is dimension of successful aging in itself, but also predicts other positive health outcomes. We examine its manifestations correlates among elderly rural India assess association between generativity quality life (QoL). Three hundred forty-eight Indian completed an interviewer-assisted questionnaire assessing generativity, QoL, personal familial factors. Regression models were used potential...
### 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...
Abstract Background The levonorgestrel-releasing intrauterine device (IUD)—also known as the hormonal IUD—is a highly effective contraceptive method that has not been widely available in public sector Zambia. Early introduction efforts can provide critical insights into characteristics of users, reasons for choice, and experiences getting their method. Methods We conducted survey with 710 clients who received IUD, copper implant or injectable two provinces Zambia, additional in-depth...
Background: Rubber tapping involves carrying heavy loads, navigating rough terrain, and using sharp tools. However, little is known about occupational injury among this vulnerable working population.Objective: To assesses the prevalence, severity, contributing factors associated with Sri Lankan rubber tappers to identify possible interventions improve safety.Methods: A questionnaire was administered 300 tappers. The associations between tapper characteristics within last year were examined...
Introduction Open Doors, an HIV prevention project targeting key populations in Zambia, recorded low positivity rates (9%) among testing clients, compared to national adult prevalence (12.3%), suggesting case finding efficiency could be improved. To close this gap, they undertook a series of targeted programmatic and management interventions. We share the outcomes these interventions, specifically changes volume, rate, total numbers living with identified. Methods The implemented range...
The aim of this study was to examine the relationship between body mass index (BMI) and occupational musculoskeletal (MSK) injury rates, statistical interaction BMI exposure MSK hazards (measured by level risk based on job category).Using 17 years data from 38,214 university health system employees, multivariate Poisson regression modeled rates.A significant observed. Although effect strongest for 'low' occupations, absolute rates 'mid'/'high' occupations remained larger.To address burden,...
Background Despite the positive characteristics of levonorgestrel-releasing intrauterine device (IUD)–a long-acting, highly effective contraceptive with important non-contraceptive attributes–the method has not been widely available in low- and middle-income countries. This study hormonal IUD, copper implant injectable users Nigeria compares their characteristics, reasons for choice, experiences obtaining method. Methods We conducted a phone survey 888 women who received or from 40 social...
Abstract Provision of injectable contraceptive services by lay health workers is endorsed normative bodies, but support for this practice not universal. We assessed whether providers (lady workers, LHWs) could perform as well clinically trained (family welfare FWWs) on appropriate screening, counseling, and injection intramuscular subcutaneous depot medroxyprogesterone acetate (DMPA) using a randomized controlled trial. In the urban sample ( n = 355), 88 percent FWW DMPA clients were...
Background Viral load (VL) testing of patients on antiretroviral therapy (ART) is critical to suppressing HIV. Timely transport VL samples from health facilities the laboratory for often problematic in Turkana County, Kenya, and transportation barriers cause delays that can negatively impact ART patients. Unmanned Aerial Vehicles (UAVs), or drones, are being promoted as a potential, novel way reduce times medical commodities. Our study models use UAVs remote area Kenya estimate costs...
Background: Rubber production is an important component of the Sri Lankan economy. Prior reports have raised concerns about poverty and poor physical social living conditions among rubber tappers.Objective: To assess tappers’ psychological health distress.Methods Material: A cross-sectional survey was conducted 300 tappers in two large plantations southern Lanka from September to November 2014. Structured questionnaires including Peradeniya Depression Scale (PDS) 10-item Perceived Stress...
<h3>Background</h3> Occupational injuries are a major cause of global disability and death. Agriculture has been shown to be the most hazardous all industries, particularly in jobs that require intense manual labour. Rubber tapping- process extracting rubber from trees- involves sharp tools, steep terrain, heavy loads; putting tappers at risk for injury. This study assesses injury prevalence factors among Sri Lankan tappers, identifies possible interventions improve worker safety....
guidelines in a low-resource primary-care setting Kenya Evaluando los efectos de las intervenciones organizativas y educativas sobre la adhesio ´n gu ıas pr actica cl ınica en un entorno
Objectives: Healthy eating is a central target in many obesity interventions. Self-regulation supported by theory and research as key factor behavior change. While measure of self-regulation for physical activity has been developed, no such exists to quantify healthy eating. The aim this was develop validate two scales, one Goal-setting (HEGS), Planning Scheduling (HEPS), measuring eating.Methods: scales were modeled after similar administered 550 participants with workplace weight...