- Poverty, Education, and Child Welfare
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Impact and Responses
- Ethics and Legal Issues in Pediatric Healthcare
- Global Maternal and Child Health
- Female Genital Mutilation/Cutting Issues
- Genital Health and Disease
- Child Nutrition and Water Access
- HIV, Drug Use, Sexual Risk
- Children's Rights and Participation
- Child and Adolescent Health
- Sex work and related issues
- Disability Rights and Representation
- Intergenerational Family Dynamics and Caregiving
- Maternal Mental Health During Pregnancy and Postpartum
- Family and Disability Support Research
- Ethics in medical practice
- Employer Branding and e-HRM
- Reproductive tract infections research
- Child Welfare and Adoption
- Public Health Policies and Education
- Family Support in Illness
- Outsourcing and Supply Chain Management
- HIV/AIDS oral health manifestations
George Mason University
2016-2022
American University
2020
Population Council
2004-2014
Population Council
2004-2014
London School of Hygiene & Tropical Medicine
2008-2012
Makerere University
2004
North Carolina State University
1998
Introduction Knowledge about experiences in accessing HIV services among persons with disabilities who are living sub‐Saharan Africa is limited. Although transmission increasingly acknowledged, there a need to bring life the and voices from raise awareness of programme implementers policy makers their barriers services. This paper explores how faced by impede ability access HIV‐related manage disease. Methods We conducted focus group discussions 76 (41 females; 35 males) physical, visual...
From 1997 through 2007, the Horizons program conducted research to inform care and support of children who had been orphaned rendered vulnerable by acquired immunodeficiency syndrome in sub-Saharan Africa. studies Kenya, Malawi, Rwanda, South Africa, Uganda, Zambia, Zimbabwe. Research included both diagnostic exploring circumstances families communities affected human virus (HIV) evaluations pioneering intervention strategies. Interventions found be supportive succession planning for with an...
Background: Persons with disabilities have often been overlooked in the context of HIV and AIDS risk prevention service provision. This paper explores access to use information services among persons disabilities.Methods: We conducted a multi-country qualitative research study at urban rural sites Uganda, Zambia, Ghana: three countries selected exemplify different stages response disabilities. key informant interviews government officials providers, focus group discussions caregivers....
Introduction The objective of this study was to estimate the prevalence pediatric HIV disclosure in rural Zimbabwe and track process over time. Methods We recruited a population-based sample 372 caregivers HIV-positive children ages 9 15 participate survey about disclosure. Using data from cross-sectional sample, we then identified prospective cohort 123 who said their child did not know his or her status, followed non-disclosed through two additional waves collection next 12 months. At each...
This study explores how communities in Zambia characterize vulnerable children the context of HIV; demonstrates estimates vulnerability vary depending on definitions; and discusses implications these for program delivery. Baseline research conducted 2005 included cross-sectional community-based household surveys at six locations using multi-stage random sampling (totalling 1,503 households, reporting 5,009 children) participatory qualitative (focus group in-depth interviews) with adults...
<h3>Context</h3> Since January 2001, women aged over 16 years in the UK have been able to purchase progestogen-only emergency hormonal contraception from pharmacists without prescription. This paper outlines context which these changes took place, including contraceptive choices UK, within pharmacy profession and political pressures. <h3>Observations</h3> We chart multisectoral developments required make (EC) available prescription clinical research findings results on views behaviour of...
Abstract This study assessed the strategy of building young people's capacity to provide care and support people living with HIV AIDS in rural Zambia. Members youth anti-AIDS clubs schools communities were trained as adjunct caregivers using a locally developed curriculum that allowed them explore challenge gendered notions caregiving emphasized networking existing resources. Results show increased among males (47% 82%) females (41% 78%). Both sexes provided similar services, including help...
Insufficient data on the nature and extent of children's vulnerability in Uganda has challenged government donors priority setting, resource allocation developing effective approaches to improve well-being. We conducted a population-based survey among nationally representative sample 2551 households, covering total 7946 children. engaged national stakeholders priority-setting exercise develop scoring system assess dimensions vulnerability. The identified individual household characteristics...
Program managers and researchers promoting children's rights to health, education, an adequate standard of living often gather data directly from children assess their needs develop responsive services. Gathering information within a participatory framework recognizing views contributes protection rights. Extra precautions, however, are needed protect because the vulnerabilities associated with developmental needs. Using case studies ethical challenges faced by program implementers...
The informed consent (IC) process for voluntary medical male circumcision (VMMC) was evaluated in Zambia and Swaziland as VMMC programs scaled up. In-depth interviews (IDIs) were conducted with clients 1 week after surgery to explore understanding of IC gauge how expectations MC compared actual experiences. In Zambia, key opinion leaders (KOLs) also interviewed. Some equated written releasing the clinic from liability. Most felt well prepared procedure, although many surprised by level pain...
Abstract Based on evidence that it can reduce HIV transmission by up to 60%, male circumcision (MC) is being scaled in high prevalence settings. We present data from operations research into the introduction of MC Zambia, assessing informed consent (IC) procedures for adolescent clients. administered a comprehension test among adult (n = 311) and 115) clients at 10 clinics around Lusaka between counselling IC process. conducted semi-structured interviews with (13–17 years) 1 week...
Abstract This short report explores motivations and circumstances of fostering children at six sites in Zambia. Cross-sectional community household surveys using multistage random sampling (totalling 1503 households, reporting on 5009 children) participatory qualitative research (focus groups in-depth interviews) with adult youth members were conducted as part baseline for the US-funded RAPIDS (Reaching HIV/AIDS Affected People Integrated Development Support) programme. Interviews...