A5057738444- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- HIV, Drug Use, Sexual Risk
- Syphilis Diagnosis and Treatment
- Reproductive Health and Contraception
- Reproductive tract infections research
- Child Nutrition and Water Access
- Sex work and related issues
- HIV-related health complications and treatments
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Innovation, Technology, and Society
- Infectious Diseases and Tuberculosis
- Healthcare Systems and Reforms
- Health Policy Implementation Science
- HIV/AIDS Impact and Responses
- Pericarditis and Cardiac Tamponade
- Biomedical and Engineering Education
- Poverty, Education, and Child Welfare
- Biotechnology and Related Fields
- Community Health and Development
- Pneumothorax, Barotrauma, Emphysema
University of the Witwatersrand
2017-2025
University of KwaZulu-Natal
2014-2023
South Africa faces numerous reproductive challenges that include high rates of unplanned and adolescent pregnancies. The uptake utilization family planning services modern contraception methods depend on factors. male partner plays a key role in health but data this topic are outdated or have predominant HIV prevention focus. purpose paper is to explore the influence partners contraceptive (FP/C) use within contemporary African setting, identify further areas exploration.This qualitative...
Unmet need for contraception results in several health challenges such as unintended pregnancies, unwanted births and unsafe abortions. Most interventions have been unable to successfully address this unmet due various community system level factors. Identifying these inhibiting enabling factors prior implementation of forms the basis planning efforts increase met needs. This qualitative study was part formative phase a larger research project that aimed develop an intervention needs through...
Multicountry teamwork in qualitative research is receiving increased recognition an attempt to address global health problems. We report our experience of implementing a multicountry study (Zambia, South Africa, and Kenya), employing gain insight into met needs contraception. Using this example, we demonstrate the innovative development multicountry, south–south relationship (i.e., collaboration sharing knowledge between developing countries located Global South) within health-care setting....
Progress has been made to improve access family planning services and contraceptive methods, yet many women still struggle contraception, increasing their risk for unintended pregnancy. This is also true South Africa, where over fifty per cent of pregnancies are reported as unintended, even though contraception freely available. There stagnation in the fertility rate indicators use data, indicating that there may be challenges accessing contraception. paper explores evaluation from community...
We developed the Healthy Families-PrEP intervention to support HIV-prevention during periconception and pregnancy. evaluated preexposure prophylaxis (PrEP) use with three objective measures.
Sexually transmitted infection (STI) partner notification is key to fostering STI cure and preventing onward transmission; this critical among people planning for pregnancy given the high morbidity mortality neonates. This qualitative study explores how women considering HIV pre-exposure prophylaxis approach in Durban, South Africa inform future interventions. We conducted a cohort evaluating use as part of safer conception care adult (≥ 18 years) without HIV, partnered with man living or...
Abstract Background Community dialogues have been widely used as a method for community engagement and participation to cover broad range of areas. However, there has limited documentation evaluation the process, particularly towards achieving family planning contraception (FP/C) programme goals. As part development an intervention package aimed at increasing health care provider (HCP) in provision FP/C, feasibility testing approach (a dialogue between communities facilities) was carried...
Quality of care is a multidimensional concept that forms an integral part the uptake and use modern contraceptive methods. Satisfaction with services significant factor in continued services. While much known about quality general public health service, little family planning specific South Africa. This paper aims to fill gap research by using Bruce-Jain framework.This formative qualitative study was conducted Africa, Zambia, Kenya explore contraception. The results presented this are from...
Unmet need for contraception remains a challenge especially in low and middle-income countries. Community participation or the -active involvement of affected populations all stages decision-making implementation policies, programs, services‖ is precondition attaining highest standard health. Participation as key component rights quality care frameworks could increase met needs. However, it has been inadequately addressed contraceptive programs. A qualitative, exploratory methodology that...
Women who choose to conceive a baby with partner living HIV or whose serostatus is unknown in HIV-endemic settings need prevention strategies mitigate acquisition during conception and pregnancy.
Daily, oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) as pre-exposure prophylaxis (PrEP) reduces t HIV acquisition for African women. Adherence is key to efficacy and patterns of adherence can be highly variable in real-world settings. Using group-based trajectory modeling (GBTM), we sought identify distinct periconception PrEP evaluate potential baseline predictors such trajectories.We conducted a single-arm longitudinal study women aged 18-35 years living Durban, South Africa...
Pregnant women are vulnerable to HIV acquisition. Oral pre-exposure prophylaxis (PrEP) is safe and effective for use during pregnancy. We describe PrEP adherence among pregnant using multiple measures.
Integrating sexually transmitted infection (STI) and preexposure prophylaxis (PrEP) care may optimize sexual reproductive health.
Objective: We developed Healthy Families-PrEP to support perinatal women use HIV prevention strategies. Design: Single arm study evaluate PrEP among pregnant exposed the intervention. Methods: offered safer conception counselling including TDF/FTC as with adherence (Healthy Families-PrEP) for planning pregnancy in South Africa a partner or unknown serostatus. Women completed and testing quarterly were followed one year until end. For those initiating PrEP, electronic pillcap data plasma...
Background: Tuberculosis (TB) accounts for 70% of pericardial effusions in sub-Saharan Africa. There is a high burden drug resistant TB South Africa, with an estimated 4600 new cases identified 2012, but its frequency patients unknown. The aim this study was to determine the prevalence tuberculosis admitted King Edward VIII hospital effusion. Methods & Materials: This cross sectional participants enrolled Investigation Management Pericarditis (IMPI) from October 2009 August 2013. Enrolled...
Abstract Background South Africa faces numerous sexual and reproductive health challenges that can be mitigated with contraceptive use. Contraceptive use is defined measured as use, non-use, or discontinued Research has shown there are expanded definitions of beyond these categories. Identifying such categories may assist in a better understanding factors influence Setting methodology This qualitative study was conducted the eThekwini Municipality KwaZulu-Natal, Africa. The aim to explore...
Abstract Background South Africa faces numerous sexual and reproductive health challenges that can be mitigated with contraceptive use. Contraceptive use is defined measured as use, non-use, or discontinued Research has shown there are expanded definitions of beyond these categories. Identifying such categories may assist in a better understanding factors influence Setting methodology This qualitative study was conducted the eThekwini Municipality KwaZulu-Natal, Africa. The aim to explore...
<h3>Background</h3> HIV-exposed women in African settings planning to conceive are at heightened risk of acquiring sexually transmitted infections (STIs). STIs can increase HIV acquisition risks and cause maternal child morbidity. Here, we describe the prevalence curable among HIV-uninfected pregnancy with a partner who is living or unknown serostatus an HIV-endemic setting (eThekwini, KwaZulu-Natal (KZN)). <h3>Methods</h3> This descriptive longitudinal sub-study nested within Safer...