- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Mobile Health and mHealth Applications
- Global Maternal and Child Health
- ICT in Developing Communities
- Child Nutrition and Water Access
- Vaccine Coverage and Hesitancy
- Sex work and related issues
- Adolescent and Pediatric Healthcare
- Poverty, Education, and Child Welfare
Kenyatta National Hospital
2019-2025
Kenya Medical Research Institute
2024
<h3>ABSTRACT</h3> <h3>Introduction:</h3> We evaluated a 2-way short message service (SMS) communication platform to improve continuation of pre-exposure prophylaxis (PrEP) for HIV prevention among Kenyan women who initiated PrEP within routine maternal child health (MCH) and family planning clinics. <h3>Methods:</h3> adapted an existing SMS (Mobile WACh [mWACh]) send PrEP-tailored, theory-based allow clients communicate with remote nurse. Women did not have were initiating at 2 MCH/family...
Health care worker (HCW) training using standardized patient actors (SPs) is an evidence-based approach for improving patient-provider interactions. We evaluated whether SP among HCWs in Western Kenya improved the quality of pre-exposure prophylaxis (PrEP) counseling adolescent girls and young women (AGYW).We conducted a 2-day intervention providing PrEP AGYW. Six trained SPs role played one encounter each with following scripts depicting common PrEP-seeking scenarios. used checklists to...
Background Use of SMS for data collection is expanding, but coverage, bias, and logistical constraints are poorly described. Objective The aim this study to assess the use capture clinical outcomes that occur at home identify potential biases in reporting compared in-person ascertainment. Methods In PrEP Implementation Young Women Adolescents program, which integrated pre-exposure prophylaxis (PrEP) into antenatal care, postnatal family planning facilities Kisumu County, Kenya, HIV-negative...
To evaluate effectiveness of a standardized patient actor (SP) training intervention to improve quality preexposure prophylaxis (PrEP) services for adolescent girls and young women (AGYW) in Kenya.
Pre-exposure prophylaxis (PrEP) is being scaled up to prevent HIV acquisition among adolescent girls and young women (AGYW) in Eastern Southern Africa. In a prior study more than one-third of AGYW 'mystery shoppers' stated they would not return care based on interactions with health providers. We examined the experiences this identify main barriers effective PrEP services. Unannounced patient actors (USP/'mystery shoppers') posed as AGYWs seeking using standardized scenarios 8 months after...
Introduction: Adolescent girls and young women (AGYW) in Kenya have low pre-exposure prophylaxis (PrEP) initiation rates part due to stigmatizing interactions with health care providers. Our recent randomized clinical trial of a standardized patient actor (SP) training intervention for providers found higher quality PrEP delivery at sites, however it was unclear whether improved service initiation. Methods: This analysis used routine records from facilities participating the which aimed...
<sec> <title>BACKGROUND</title> Use of SMS for data collection is expanding, but coverage, bias, and logistical constraints are poorly described. </sec> <title>OBJECTIVE</title> The aim this study to assess the use capture clinical outcomes that occur at home identify potential biases in reporting compared in-person ascertainment. <title>METHODS</title> In PrEP Implementation Young Women Adolescents program, which integrated pre-exposure prophylaxis (PrEP) into antenatal care, postnatal...