A5049011311- HIV/AIDS Research and Interventions
- Female Genital Mutilation/Cutting Issues
- Pregnancy and Medication Impact
- Global Maternal and Child Health
- HIV/AIDS drug development and treatment
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- Healthcare Systems and Reforms
- Sexuality, Behavior, and Technology
- COVID-19 epidemiological studies
- HIV-related health complications and treatments
- Disaster Response and Management
- Intimate Partner and Family Violence
- Pharmacological Effects and Toxicity Studies
- Agricultural risk and resilience
- Feminist Theory and Gender Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Global Health Care Issues
- Patient Satisfaction in Healthcare
- COVID-19 and healthcare impacts
- Law in Society and Culture
- Healthcare Policy and Management
- HIV, Drug Use, Sexual Risk
- Marriage and Sexual Relationships
- COVID-19 and Mental Health
Liverpool School of Tropical Medicine
2018-2024
Coventry University
2016
BackgroundLate initiation of antiretrovirals in pregnancy is associated with increased risk perinatal transmission and higher infant mortality. We report the final 72-week postpartum results for efficacy safety dolutegravir-based compared efavirenz-based regimens mothers infants.MethodsDolPHIN-2 was a randomised, open-label trial. Pregnant women South Africa Uganda aged at least 18 years, untreated but confirmed HIV infection an estimated gestation 28 weeks, initiating antiretroviral therapy...
Abstract Background Many women in sub-Saharan Africa initiate antenatal care (ANC) late pregnancy, undermining optimal prevention of mother-to-child-transmission (PMTCT) HIV. Questions remain about whether and how initiation ANC pregnancy is related to adherence antiretroviral therapy (ART) the era national dolutegravir roll-out. Methods This study employed a qualitative design involving individual interviews focus group discussions conducted between August 2018 March 2019. We interviewed 37...
Abstract Background Despite numerous campaigns and interventions to end female genital mutilation (FGM), the practice persists across world, including European Union (EU). Previous have focused mainly on awareness raising legislation aimed at criminalizing practice. Limited evidence exists effectiveness of due in part lack systematic evaluation projects. This paper presents an REPLACE Approach, which is a new methodology for tackling FGM based community-based behaviour change intervention...
Purpose – Despite numerous studies on FGM, little is known about belief systems that support FGM in the EU. The purpose of this paper to explore dynamic nature and enforcement mechanisms perpetuate among three African migrant communities Design/methodology/approach This based data collected through community-based participatory action research communities: Eritrean Ethiopian community Palermo, Italy; Guinea Bissauan Lisbon, Portugal; Senegalese Gambian Banyoles, Spain. A total 24 FGDs 70...
Abstract Background Dolutegravir (DTG)-based regimens have been recommended by the WHO as preferred first-line and second-line HIV treatment in all populations. Evidence suggests an association with weight gain, particularly among black women. Our study investigated perceptions of gain from DTG-based regimen use on body image adherence antiretroviral therapy women living (WLHIV) Uganda. Methods Between April June 2021, we conducted semi-structured interviews involving 25 WLHIV (adolescents,...
Abstract Background HIV partner disclosure rates remain low among pregnant women living with in many African countries despite potential benefits for and their families. Partner can trigger negative responses like blame, violence, separation. Women diagnosed late pregnancy have limited time to prepare disclosure. We sought understand challenges around non-disclosure faced by South Africa Uganda explore pathways safe Methods conducted in-depth interviews focus group discussions lactating...
Abstract Background Early attendance at antenatal care (ANC), coupled with good-quality care, is essential for improving maternal and child health outcomes. However, achieving these outcomes in sub-Saharan Africa remains a challenge. This study examines the effects of community-facility system strengthening model (known as 4byFour) on early ANC attendance, testing four conditions by months pregnancy, clinic visits Migori county, western Kenya. Methods We conducted mixed methods...
Abstract Background In the era of rapid dolutegravir rollout, concerns about neural tube defects have complicated health systems response among women childbearing potential. This qualitative study, which was nested within DolPHIN-2 clinical trial, examined current and future system opportunities challenges associated with transition to dolutegravir-based regimen as first line antiretroviral therapy potential in South Africa Uganda . Method Semi-structured in-depth interviews members...
Objective Despite an extensive literature on efficiency, qualitative evidence the drivers of hospital efficiency is scant. This study examined factors that influence efficiencies health service provision in public hospitals Kingdom Saudi Arabia (KSA) and their potential remedies. Design We employed a design involving semi-structured interviews conducted between July September 2019. Participants were purposively selected included policymakers managers drawn from districts, regional national...
Abstract Background Despite concerns about dolutegravir use in pregnancy, most low- and middle-income countries are accelerating the introduction of dolutegravir-based regimens into national antiretroviral treatment programmes. Questions remain acceptability women due to potential risks pregnancy. This study from South Africa Uganda explored community values, preferences attitudes towards women. Methods employed a qualitative design involving in-depth interviews focus group discussion...
Stigma and masculinity represent persistent barriers in delivering successful HIV interventions to men. Our study examined community perceptions of anti-retroviral therapy (ART) their implications for men on ART across the life course Blantyre, Malawi.Our qualitative is based 72 face-to-face semi-structured interviews. Participants were selected purposively included (with suppressed unsuppressed viral loads), adult male members irrespective status other stakeholders such as health personnel...
COVID-19 has caused significant public health problems globally, with catastrophic impacts on systems. This study explored the adaptations to services in Liberia and Merseyside UK at beginning of pandemic (January-May 2020) their perceived impact routine service delivery. During this period, transmission routes treatment pathways were as yet unknown, fear care worker was high death rates among vulnerable hospitalised patients high. We aimed identify cross-context lessons for building more...
COVID-19 has tested the resilience of health systems globally and exposed existing strengths weaknesses. We sought to understand adaptations decision making in Liberia Merseyside, UK. used a people-centred approach carry out qualitative interviews with 24 decision-makers at national county level 42 actors hospital UK (Merseyside). explored systems' decision-making processes capacity adapt continue essential service delivery response both contexts. Study respondents Merseyside had similar...
Summary Attempts to study the determinants of health insurance enrollment in resource‐poor settings have often given less consideration potential influence informal risk‐sharing systems on individuals and households' decisions about insurance. This paper contributes existing discussions this area by examining effect financial support for care, an example arrangement, Ghana National Health Insurance Scheme (NHIS). It is based a mixed‐methods research Tamale metropolis northern Ghana. The...
We investigated the impact of Drug-Drug Interactions (DDIs) on virologic control among HIV-positive pregnant women initiating antiretroviral therapy while identifying drivers for Traditional Medicine (TM) use and exploring nature extent TM-related DDIs.