- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- African Sexualities and LGBTQ+ Issues
- LGBTQ Health, Identity, and Policy
- Global Health and Surgery
- HIV-related health complications and treatments
- Energy and Environment Impacts
- HIV Research and Treatment
- Public Health Policies and Education
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
African Institute for Development Policy
2012-2021
Blantyre Institute for Community Ophthalmology
2013-2020
Background In the generalized epidemics of HIV in southern Sub-Saharan Africa, men who have sex with been largely excluded from surveillance and research. Epidemiologic data for MSM Africa are among sparsest globally, risk these has yet to be characterized majority countries. Methodology A cross-sectional anonymous probe 537 recruited non-probability sampling reported ever having had another man Malawi, Namibia, Botswana using a structured survey instrument screening OraQuick© rapid test...
Introduction Sub-Saharan Africa bears more than two-thirds of the worldwide burden HIV; however, data among transgender women from region are sparse. Transgender across world face significant vulnerability to HIV. This analysis aimed assess HIV prevalence as well psychosocial and behavioral drivers infection compared with cisgender (non-transgender) men who have sex (cis-MSM) in 8 sub-Saharan African countries. Methods findings Respondent-driven sampling targeted cis-MSM for enrollment. Data...
The sexual behaviour of men who have sex with (MSM) in southern Africa has been little studied. We present here the first data on bisexual partnerships and concurrency among MSM Malawi, Namibia Botswana.A cross-sectional probe a convenience sample 537 ever reported anal another man using structured survey instrument rapid-kit HIV screening.34.1% were married or had stable female partner, 53.7% both male partners past 6 months. Bisexual was common, 16.6% having concurrent relationships woman....
In the context of a generalized epidemic and criminalization homosexuality, men who have sex with (MSM) in Malawi disproportionate burden HIV compared to other adults. Past research has documented low uptake prevention health services among MSM, self-reported fear seeking services, concerns disclosure sexual orientation discrimination settings. Qualitative was conducted MSM service providers Blantyre, understand underlying factors related behaviors inform development community-based...
Introduction There are limited data characterizing the burden of HIV among men who have sex with (MSM) in Malawi. Epidemiologic research and access to prevention, treatment care services been traditionally Malawi by criminalization stigmatization same‐sex practices. To inform development a comprehensive prevention intervention for Malawian MSM, we conducted community‐led assessment prevalence correlates infection. Methods From April 2011 March 2012, 338 MSM were enrolled cross‐sectional...
<h3>Objectives</h3> Respondent-driven sampling (RDS) is a popular method for recruiting men who have sex with (MSM). Our objective to describe the ability of RDS reach MSM HIV testing in three southern African nations. <h3>Methods</h3> Data collected via among Lesotho (N=318), Swaziland (N=310) and Malawi (N=334) were analysed by wave order characterise differences sample characteristics. Seeds recruited from MSM-affiliated community-based organisations. Men interviewed during single study...
Introduction: The use of combination HIV prevention interventions (CHPI) now represent the standard care to minimize acquisition risks among men who have sex with (MSM). There has been limited evaluation these approaches in generalized epidemics and/or where MSM are stigmatized. A peer-based CHPI program target individual, social, and structural for was developed Blantyre, Malawi. Methods: To test feasibility CHPI, adult were followed prospectively from January 2012 May 2013. Participants (N...
Drawing on our experiences as an anthropologist and a researcher-activist working with lesbian, gay, bisexual, transgender, intersex (LGBTI) rights NGO in Malawi, this paper presents reflections the ethics of engaging LGBTI-identified Malawians research other projects. While community engagement is normatively discussed tactic for creating meaningful dialogue collaboration between researchers researched, advocates broadening term 'research' to encompass work activities LGBTI persons order...
Abstract Background Men who have sex with men (MSM) bear a disproportionate burden of HIV in Malawi. Early prevention efforts Malawi been largely focused on preventing heterosexual and vertical transmission HIV, MSM rarely the specific benefactors these efforts, despite facing both higher prevalence coupled multiple barriers to care. To better facilitate design culturally relevant programs prioritize resources among resource limited settings, objective this analysis was estimate relationship...
Men who have sex with men (MSM) are a key group for HIV interventions in Malawi considering their high prevalence (17.5% compared to 8.4% among the general population). The use of oral preexposure prophylaxis (PrEP) presents new opportunity MSM be protected. We present findings from qualitative assessment designed assess awareness and willingness barriers using PrEP Malawi.The 3 main objectives this were determine: (1) PrEP, (2) factors that influence (3) potential adherence order guide...
Condom compatible lubricants (CCLs), including water-based (WBL) represent one strategy to prevent the breakage of latex condoms and thus decrease risk HIV transmission during anal intercourse. The analyses presented here characterize correlates WBL use sex among men who have with (MSM) in Blantyre, Malawi enrolled from April 2011 March 2012 using respondent-driven sampling (RDS). Bivariate multivariable logistic regression RDS-weighting were conducted on a total sample 338 MSM. With...
<sec> <title>BACKGROUND</title> Men who have sex with men (MSM) are a key group for HIV interventions in Malawi considering their high prevalence (17.5% compared to 8.4% among the general population). The use of oral preexposure prophylaxis (PrEP) presents new opportunity MSM be protected. We present findings from qualitative assessment designed assess awareness and willingness barriers using PrEP Malawi. </sec> <title>OBJECTIVE</title> 3 main objectives this were determine: (1) PrEP, (2)...