A5059433100- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- Global Maternal and Child Health
- HIV, Drug Use, Sexual Risk
- Poverty, Education, and Child Welfare
- HIV/AIDS Impact and Responses
- Mobile Health and mHealth Applications
- LGBTQ Health, Identity, and Policy
- Sexuality, Behavior, and Technology
- Child and Adolescent Psychosocial and Emotional Development
- Vaccine Coverage and Hesitancy
- HIV-related health complications and treatments
- Reproductive Health and Contraception
- Sexual function and dysfunction studies
- Pregnancy and Medication Impact
- Pain Management and Opioid Use
- COVID-19 Impact on Reproduction
- Reproductive tract infections research
- Opioid Use Disorder Treatment
- Family and Disability Support Research
- Pelvic floor disorders treatments
- African Sexualities and LGBTQ+ Issues
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
Family Health International 360
2017-2024
Johns Hopkins University
2016-2024
Public Health Department
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...
Female sex workers, MSM, and transgender women-collectively referred to as key populations (KPs)-are disproportionately affected by gender-based violence (GBV) HIV, yet little is known about the they face, its origins, responses GBV. The purpose of this study was understand nature consequences GBV experienced, inform HIV policies programming help protect KPs' human rights.
Transgender (trans) women experience gender-based violence (GBV) throughout their lives, which impedes access to services and contributes poor health outcomes quality of life. To inform policies programs, trans worked with the United States Agency for International Development (USAID)- President's Emergency Plan AIDS Relief (PEPFAR)-supported LINKAGES project, Nations Programme, The University West Indies, local organizations document experiences GBV transphobia in healthcare, education,...
Youth living with HIV (YLHIV) enrolled in treatment experience higher loss to follow-up, suboptimal adherence, and greater HIV-related mortality compared younger children or adults. Despite poorer health outcomes, few interventions target youth specifically. Expanding access mobile phone technology, low- middle-income countries (LMICs) particular, has increased interest using this technology improve outcomes. mHealth may present innovative opportunities adherence retention among YLHIV...
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...
Adolescents living with HIV (ALHIVs) enrolled in treatment services experience greater loss to follow-up and suboptimal adherence than other age groups. HIV-related stigma, disclosure-related issues, lack of social support, limited knowledge impede antiretroviral therapy (ART) retention services. The 90-90-90 goals for ALHIVs will only be met through strategies targeted meet their specific needs.We aimed evaluate the feasibility implementing a media-based intervention improve knowledge, ART...
Objective: The study explored high-risk participants' experiences with pain management regarding clinical access to and use of prescription opioids.Design: Qualitative semistructured interviews focus groups.Setting: Data were collected August 2014 May 2015 at an urban community-based research facility in Baltimore City, MD.Participants: HIV participants chronic a history illicit drug use.Methods: coding analysis used iterative, inductive, thematic approach coders achieved inter-coder...
An intervention including business training and health education was implemented in Mozambique, where girls are at elevated risk for acquiring HIV. As part of a mixed-methods evaluation, we describe perceived effects the on girls' sexual behavior school attendance. We conducted 49 in-depth interviews (IDIs) with girl participants (ages 13–19), 24 IDIs heads households, 36 influential males identified by girls, 12 focus group discussions community members after ended one year later....
Globally, men who have sex with (MSM) are at high risk for HIV. Many HIV-prevention efforts rely on community outreach and mobilization to engage MSM. This study examines peer relationships their potential role in HIV prevention through 31 focus group discussions (FGDS) 121 in-depth interviews (IDIs) 363 MSM across 15 sites India. Results indicate that receive social support friendships, sex-worker collaborations, constructed kin relationships, romantic partnerships. Access these however, is...
Women First was a combined economic and social empowerment intervention implemented between 2010 2015 in Zambézia Province, Mozambique. The designed to reduce adolescent girls' risk of HIV gender-based violence, improve school attendance empower girls. However, perceptions improved respectfulness also emerged as an unanticipated effect during the programme evaluation. In this paper, we explore emic definitions respect good behaviour how caused improvements from perspective participants,...
### 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...
Gay, bisexual and other men who have sex with face both high levels of violence a disproportionate burden poor health outcomes. We explored perpetrated against Salvadoran gay, by public security forces; perceived motivations violence; impacts on health. conducted structured qualitative interviews 20 participants used systematic coding narrative analysis to identify emergent themes. Nearly all described the physical, emotional, sexual and/or economic forces. Most attributed being targeted...
<ns4:p><ns4:bold>Background: </ns4:bold>The Family Health Directorate of the Ministry and Marie Stopes Burkina Faso, with implementing partners, Association Burkinabè pour le Bien-être Familial Equilibres & Populations collaboratively conducted a pilot project in Faso focused on “increasing access to family planning (FP) services through task-sharing short- long-acting methods primary care cadres.” Four cadres providers provided intrauterine devices (IUDs) implants, while community...
In rural Mozambique, girls commonly marry and have children before age 18. We use a Positive Youth Development lens to examine how constructs of confidence competence were related adolescent girls’ ability progress toward achieving their future aspirations. As part an intervention evaluation, we used longitudinal qualitative design, conducting in-depth interviews with 47 aged 13 19 at the end 1 year later. explored aspirations examined goals three distinct groups emerged: (a) hopeful...