- Tuberculosis Research and Epidemiology
- HIV/AIDS Research and Interventions
- Pneumonia and Respiratory Infections
- Adolescent Sexual and Reproductive Health
- Health Policy Implementation Science
- Viral Infections and Outbreaks Research
- Primary Care and Health Outcomes
- HIV/AIDS Impact and Responses
- Pneumocystis jirovecii pneumonia detection and treatment
- Schizophrenia research and treatment
- Adolescent and Pediatric Healthcare
- Global Maternal and Child Health
- Machine Learning in Healthcare
- Emergency and Acute Care Studies
- HIV Research and Treatment
- Misinformation and Its Impacts
- Maternal Mental Health During Pregnancy and Postpartum
- Evaluation and Performance Assessment
- HIV/AIDS drug development and treatment
- Legal Issues in South Africa
- Medication Adherence and Compliance
- Homelessness and Social Issues
- Cannabis and Cannabinoid Research
- Urban and Rural Development Challenges
University of Malawi
2022
Dignitas International
2020-2021
Massachusetts Department of Mental Health
2019-2020
Ministry of Health
2012
University of South Africa
2006-2009
Of the 1.8 million adolescents between ages of 10 and 19 living with HIV globally in 2020; approximately 1.5 these live sub-Saharan Africa. These (ALHIV) are at higher risk experiencing mental health problems than those without; Malawi, 18.9% have a depressive disorder. ALHIV can face numerous psychosocial challenges, but little is known about how Malawi perceive stressors. Understanding challenges key step ensuring good care. The aim this study was to assess faced by attending...
To identify factors influencing patients' anti-retroviral therapy (ART) adherence at four clinics in Botswana.Quantitative descriptive. Structured interviews were conducted with a random sample of 400 patients out the population all attending randomly selected ART Botswana during April and May 2007.Data analysed using SPSS version 13. Chi-square p-value calculations done to test significance relationships between categories or variables.Patient-centred barriers included inadequate knowledge...
Data on alcohol abuse as a risk factor for the development of multidrug-resistant tuberculosis (MDR-TB) are scarce.To describe patterns use in MDR-TB patients and to determine whether is associated with Botswana.We compared level among against three control groups: 1) non-MDR-TB patients, 2) human immunodeficiency virus (HIV) infected without history TB, 3) general population. Alcohol was measured Use Disorders Identification Test 10 (AUDIT) questionnaire.Of total national population 164...
Abstract Background TB remains a major global health problem. It is particularly prevalent in prisons sub-Saharan Africa due to overcrowding, malnutrition, high HIV prevalence and insufficient medical services. Prisoners have experienced worse treatment outcomes than the general population. The researchers investigated predictors of unsuccessful outcomesamong prisoners population Zomba, Malawi. Methods We retrospectively reviewed registers diagnosed with from January 2011 December 2016 at...
Abstract Background Adolescents living with HIV (ALHIV) are at high risk of experiencing mental health problems. Depression is a major contributor to the burden HIV-related disease amongst ALHIV and significantly linked non-adherence anti-retroviral therapy (ART), yet it under-recognized. In 2015, Baylor College Medicine International Pediatric AIDS Initiative (BIPAI) recommended that psychosocial screening tool Home, Education, Activities, Drugs, Sexuality, Suicide/Depression (HEADSS) be...
Objective To assess implementation and to identify barriers facilitators implementation, sustainability scalability of an strategy provide lay health workers (LHWs) with the knowledge, skills tools needed implement intervention support patient tuberculosis (TB) treatment adherence. Design Mixed-methods design including a cluster randomised controlled trial process evaluation informed by RE-AIM framework. Setting Forty-five centres (HCs) in four districts south east zone Malawi, who had...
In Botswana, where one quarter of the adult population is infected with human immunodeficiency virus and annual tuberculosis (TB) incidence among highest globally, intensified TB case finding needed in health care facilities to detect treat cases early prevent transmission. During August-December 2009, screening was implemented adults at patient intake five clinics Francistown. Among 11 779 screenings intake, 926 were positive. Nineteen patients diagnosed TB. Routine operationally feasible,...
Anti-retroviral drugs (ARVs) are supplied free of charge in Botswana. Lifelong adherence to anti-retroviral therapy (ART) is vital improve the patient’s state well-being and prevent development strains human immunodef ciency virus (HIV) that resistant ART. Persons with ART-resistant HIV can spread these other people, requiring more expensive ART severe side-effects poorer health outcomes. The purpose this exploratory, descriptive, qualitative study was determine nurses’ perspectives on...
Abstract Background Little is known about how to build leadership capacity support implementation of evidence-based practices within health systems. We observed substantial variability across sites in uptake and sustainability a peer-led educational outreach intervention for lay workers (LHWs) providing tuberculosis care Malawi. Feedback from peer-trainers (PTs) suggested that may have contributed the variation. sought assess impact PT style on implementation, identify traits more successful...
Abstract Background TB remains a major global health problem. It is particularly prevalent in prisons sub-Saharan Africa due to overcrowding, malnutrition, high HIV prevalence and insufficient medical services. Prisoners have experienced worse treatment outcomes than the general population. We investigated predictors of unsuccessful among prisoners non – prisoners.Methods retrospectively reviewed registers - diagnosed with from January 2011 December 2016 at Zomba Maximum Central Prison...
Abstract Background: TB remains a major global health problem. It is particularly prevalent in prisons sub-Saharan Africa due to overcrowding, malnutrition, high HIV prevalence and insufficient medical services. Prisoners have experienced worse treatment outcomes than the general population. The researchers investigated predictors of unsuccessful among prisoners population Zomba, Malawi. Methods: We retrospectively reviewed registers diagnosed with from January 2011 December 2016 at Zomba...
Abstract Background TB remains a major global health problem. it is particularly prevalent in prisons sub-Saharan Africa. Prisoners have experienced worse treatment outcomes than the general population. The researchers investigated and pre d ictors of unsuccessful among prisoners Methods We retrospectively reviewed registers population diagnosed with from January 2011 to December 2016 at Zomba Maximum Central Prison Hospital, Malawi. study used routinely collected data extracted national,...
Abstract Background TB remains a major global health problem. it is particularly prevalent in prisons sub-Saharan Africa. Prisoners have experienced worse treatment outcomes than the general population. The researchers investigated and pre d ictors of unsuccessful among prisoners Methods We retrospectively reviewed registers population diagnosed with from January 2011 to December 2016 at Zomba Maximum Central Prison Hospital, Malawi. study used routinely collected data extracted national,...