A5025319348- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- HIV, Drug Use, Sexual Risk
- Poverty, Education, and Child Welfare
- Sex work and related issues
- Food Security and Health in Diverse Populations
- HIV/AIDS Impact and Responses
- Homelessness and Social Issues
- Mental Health and Patient Involvement
- Maternal Mental Health During Pregnancy and Postpartum
- Diabetes Management and Education
- Adolescent and Pediatric Healthcare
- Iron Metabolism and Disorders
- Child and Adolescent Psychosocial and Emotional Development
- Maternal and Perinatal Health Interventions
- Primary Care and Health Outcomes
- Reproductive Health and Contraception
- Trace Elements in Health
- COVID-19 Impact on Reproduction
- LGBTQ Health, Identity, and Policy
- Infant Development and Preterm Care
- Blood donation and transfusion practices
- Gender, Security, and Conflict
- Intimate Partner and Family Violence
RTI International
2021-2025
Columbia University
2024
University of North Carolina at Chapel Hill
2017-2022
Christian Medical College & Hospital
1994
Background: Adolescent girls and young women (AGYW) in sub-Saharan Africa have high HIV prevalence incidence. We sought to understand which risk factors individually combination contribute risk, whether these are associated with worry perception. Setting: This study is ongoing at 4 public health centers Lilongwe, Malawi (2016–2017). Methods: AGYW of 15–24 years old were recruited participate a assessing models service delivery. At each center, participants completed baseline survey...
Oral Pre-Exposure Prophylaxis (PrEP) is an effective HIV prevention strategy for adherent users. Adolescent girls and young women (AGYW) in sub-Saharan Africa may particularly benefit from PrEP because of the disproportionate burden this group. Understanding potential users' perceptions interest using critical to promote utilization by individuals at risk HIV.This qualitative investigation AGYW's knowledge use was conducted context Girl Power, a quasi-experimental cohort study comparing four...
Adolescent girls and young women (AGYW) face challenges to seeking HIV sexual reproductive health services in sub-Saharan Africa. Integrated approaches designed for AGYW may facilitate service uptake, but rigorous evaluation is needed.Four comparable public-sector centers were selected Malawi randomly assigned a delivery model. One offered "standard of care" (SOC), consisting vertical testing, family planning, sexually transmitted infection management adult-oriented spaces, by providers...
Background Adolescents in Sub-Saharan Africa are disproportionately affected by the HIV epidemic. Comorbid depression is prevalent among adolescents living with (ALWH) and poses numerous challenges to care engagement retainment. We present a pilot trial designed investigate feasibility, fidelity, acceptability of an dapted e nhanced F riendship B ench intervention (henceforth: AFB EFB) reducing improving ALWH Malawi. Methods Design: Participants will be randomized one three conditions:...
Adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) face difficulties accessing sexual reproductive health (SRH) services. Youth-friendly service delivery models may prove an alternative to increase SRH uptake. This analysis utilises evidence from the Girl Power-Malawi study, a study designed compare impact of different on uptake for AGYW. Three intervention clinics trained providers youth-friendly services (YFHS), engaged peer educators patient outreach, expanded hours...
In sub-Saharan Africa, adolescent girls and young women (AGYW) face a range of sexual reproductive health (SRH) challenges. Clinical, behavioural structural interventions have each reduced these risks improved outcomes. However, combinations not been compared with other or no intervention at all. The 'Girl Power' study is designed to systematically make comparisons.Four comparable facilities in Malawi South Africa (n=8) were selected assigned one the following models care: (1) Standard AGYW...
In sub-Saharan Africa couple HIV testing and counseling (CHTC) has been associated with substantial increases in safe sex, especially when at least one partner is infected. However, this relationship not characterized an Option B+ context.The study was conducted the antenatal clinic Bwaila District Hospital Lilongwe, Malawi 2016 under program.Ninety heterosexual couples HIV-infected pregnant woman (female-positive couples) 47 HIV-uninfected (female-negative were enrolled observational study....
ABSTRACT Background Adolescents in Sub-Saharan Africa are disproportionately affected by the HIV epidemic. Comorbid depression is prevalent among adolescents living with (ALWH) and poses numerous challenges to care engagement retainment. We present a pilot trial designed investigate feasibility, fidelity, acceptability of an dapted e nhanced F riendship B ench intervention (henceforth: AFB EFB) reducing improving ALWH Malawi. Methods Design: Participants will be randomized one three...
Abstract Background In Malawi, approximately 25% of adolescents living with HIV (ALWH) also suffer from depression. Not only is stigma a major contributor to depression but it adversely impacts care engagement. ALWH can experience as stereotyping, social exclusion, low support, and abuse, these experiences are associated poor mental health. Despite recognition the deleterious effects stigma, we have limited knowledge how experienced by comorbid Guided Health Stigma Discrimination Framework,...
Abstract Beyond demonstrated effectiveness, research needs to identify how peer support can be implemented in real-world settings. Telephone offers one approach this. The purpose of this study is evaluate telephone provided by trained staff for high-risk groups, according key tasks or functions the Reciprocal Peer Support model (RPS) providing both standardization and adaptability. methods used include review contact data years 2015–2016 from services Rutgers Health University Behavioral...
Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, decreases transmission. However, the impact of couple on social support, critical for persons living with HIV, has not been examined. Ninety couples a recently tested HIV-positive pregnant woman (female-positive couples) 47 HIV-negative (female-negative were enrolled in an observational study at antenatal clinic Malawi. Each member was assessed immediately before...
In Malawi, 50% of adolescent girls and young women (AGYW) have had a first child by age 19 45% report their pregnancies as unintended or mistimed. Yet, uptake contraception remains low. Understanding how interactions with social ties impact AGYW contraceptive use might explain low beyond individual environmental factors. Data are from Girl-Power, study among sexually active AGYW, aged 15-24, in Malawi. We used logistic regression models to examine whether communication norms (descriptive...
Background: One in four South African women will experience intimate partner violence (IPV) their lifetime, potentially increasing biological stress. In Africa, limited IPV and stress research has utilized multiple timepoints or examined modifying factors. Cash transfers (CTs) are associated with reduced may be an intervention target. Aims: We used data-driven methods to identify longitudinal trajectory groups among adolescent girls young (AGYW), estimate each group’s association stress,...
HIV disparities continue to persist among Black youth in the South. We conducted quantitative surveys (N = 83) and follow-up qualitative interviews (n 13) assess sexual health needs including but not limited Pre-Exposure Prophylaxis (PrEP) awareness. Participants all identified as Black; most survey respondents being assigned female sex at birth heterosexual. Both qualitatively quantitatively, knowledge about PrEP engagement preventive behaviors was low. described a need for more...
This study examined integration of peer support and a Food Drug Administration-cleared, diabetes management app (DMA) in self-management as scalable model for those with type 2 mellitus (T2DM).Two lay health Coaches delivered telephone-based to adults (N = 43) T2DM recruited through primary group practice. Those eligible were offered no-cost access DMA the entire 6-month study. introduced contacted individuals by phone text frequency dependent on participant needs/preferences. supported...