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163 results on '"Zimba, Chifundo"'

4. Two implementation strategies to support the integration of depression screening and treatment into hypertension and diabetes care in Malawi (SHARP): parallel, cluster-randomised, controlled, implementation trial

Author

Pence, Brian W, Gaynes, Bradley N, Udedi, Michael, Kulisewa, Kazione, Zimba, Chifundo C, Akiba, Christopher F, Dussault, Josée M, Akello, Harriet, Malava, Jullita K, Crampin, Amelia, Zhang, Ying, Preisser, John S, DeLong, Stephanie M, and Hosseinipour, Mina C

Published
2024
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8. Safety, uptake, and use of a dapivirine vaginal ring for HIV-1 prevention in African women (HOPE): an open-label, extension study

Author

Aanyu, Dorothy, Abima, John, Abullarade, Janne, Agarwal, Priyanka, Ahluwalia, Surabhi, Akasiima, Simon Africa, Akello, Carolyne Agwau, Albert, Samuel, Alphale, Motsamai, Alphonse, Calins, Apeduno, Lucy, Aranda, Sara, Aridor, Orly, Arnolds, Shakeera, Asiimwe, Prossy, Atujuna, Millicent, Atwebembere, Didas, Baboolall, Lakshmi, Badana, Kiran, Baeten, Jared M., Balamusani, David, Balán, Iván C., Banda, Gabriel, Banda, Towera Whitney, Baugh, Jennifer, Baziira, James Amos, Beamer, May, Bebeza, Sivuyisiwe Asanda, Bekker, Linda-Gail, Bell, Ian, Bemer, Meagan, Berman, Richard, Berthiaume, Jennifer, Bezak, Linda, Bhagwandin, Yashveer, Bhayat, Hassen Anwar, Bhengu, Nokulunga, Bhengu, Sonto, Bhoola, Aruna, Biira, Florence Asiimwe, Bittoni, Daniel, Black, Roberta, Blose, Nombuso Jacqueline, Boks, Pearl, Bolton, Stephen Gordon, Botya, Phathiswa, Brown, Amanda, Brown, Elizabeth, Brown, Helen, Bruce, Robyn Helen, Bukenya, Luke Erismus, Bukirwa, Aidah, Bunge, Katherine, Bunts, Lisa, Buthelezi, Fezile, Buthelezi, Mbongeleni William, Buthelezi, Samkelisiwe Dumisile, Byogero, Rose, Byroo, Samiksha, Byuma, Robert, Carstens, Johanna Albertha, Carter, Allison, Cassim, Nazneen, Cebekhulu, Busisiwe, Cele, Bongekile, Cele, Dolly Judith, Cele, Phindile, Cele, Simangele, Cele, Sithabile, Chadza, Mary, Chakhtoura, Nahida, Chapdu, Claire, Chareka, Gift Tafadzwa, Chasakara, Charles, Chatani-Gada, Manju, Chetty, Diana, Chidanyika, Mary, Chifambi, Tafadzwa Tariro Lisa, Chihota, Emelder, Chikono, Sungano, Chikonyora, Anesu, Chikukwa, Brett Dzidzai, Chin, Craig, Chindevu, Mary, Chinula, Lameck, Chinyanda, Tendai Blessing, Chirenda, Thandiwe Hilda, Chirenje, Zvavahera Mike, Chirisa, Chiedza, Chisale, Patience, Chishanga, Angela, Chitambo, Tobias, Chitema, Fred, Chithila, Flora, Chitowa, Tinei Helen, Chitsinde, Catherine, Chitsulo, Gladys, Chitukuta, Miria, Chiveso, Spiwe, Chome, Nelecy, Chonco, Phumelele Fortune, Christopher, Emily, Chunderduri, Kerusha, Cibi, Vutomi, Cleland, Naana, Coba, Thobeka, Cobbing, Mandy Rae, Collins, Clare, Comer, Kim, Cozzi, Shameen, Crida, Danielle, Dadabhai, Sufia, Daki, Thembakazi, Danster, Nwabisa, Dassaye, Reshmi, David, Renita, Davis, Jontraye M., Dawood, Sumaya, Deb, Pallabi, Degnam, Leslie, Derrick, Tiffany Sharron, Devlin, Bríd Teresa, Dezzutti, Charlene, Dhlakama, Patricia Mae, Dias, Lorna, Dimairo, Jean Chivoniso, Dinnie, Elaine, Dlabanta, Avile, Dladla, Msizi, Dladla, Thandeka Immaculate, Dlungele, Andile Princess, Dolezal, Curtis, Donaty, Kristine, Dott, Clare, Dubbs, Jenna, Dubula-Majola, Vuyiseka, Dukwe, Pamella, Duma, Cebo Ivan, Duma, Portia Ignatia Makhosazana, Duma, Promise, Duncan, Vimbai Kudzanai, Duran, Luis, Dyabeni, Lindelwa, Edwards, Andrew, Etikala, Radhika, Etima, Juliane, Fairlie, Lee, Fischer, Henry, Fitzpatrick, Jacqueline, Fleurs, Llewellyn, Fowler, Mary Glenn, Freeman, Lester, Gaffoor, Zakir, Gama, Lizzy, Garcia, Morgan, Garg, Anita, Gatsi, Vanesa Margret, Gcwensa, Clifford, Gebashe, Emmanuel Lwandile, Geduld, Samantha, Gelant, Jennipher, Germuga, Donna, Ggita, Joseph, Giguere, Rebecca, Godo, Lucy, Goetz, B. Jay, Gogo, Litha, Goliati, Esther, Gondwe, Daniel Kondwani, Gordon, Kelley C., Goreraza, Rodney, Gounden, Jayandree, Govender, Dhevium, Govender, Justin Sivalingum, Govender, Nerusha, Govender, Subramonien, Govender, Vaneshree, Gqwara, Nonkululeko Nosipho, Gravelle, Anisa (Tracy), Guga, Phindile, Guma, Victor, Gumede, Delisile Zilungile, Gumede, Sibusiso, Gumede, Thembelihle, Gumede, Thobeka Winifred, Gundani, Orgrah, Gunnam, Ravi, Gupta, Rahul, Gwande, Mirriam, Gxako, Xolani, Hall, Kim, Hall, Wayne, Hargrave, Perry, Harkoo, Ishana, Harrell, Tanya, Heaps, Amy L., Hendricks, Simone Lara, Hendrix, Craig W., Hlabisa, Bongeka, Hlabisa, Lungile Bongeka, Hlahla, Kudzai, Hlela, Thulebona Martin, Hobongwana, Thandiwe, Horn, Eva, Howard, Ridley, Huang, Haixiao, Hunidzairia, Portia, Hurbans, Nivriti, Husnik, Marla, Hwehwe, Tendai Doreen, Imamdin, Rabia, Ismail, Amina, Jacobs, Ebrahiema, Jacobson, Cindy, Jacques, Ashleigh Catherine, Jamabya, Jane, James, Grace, Janse van Rensburg, Karla, Jaya, Ziningi Nobuhle, Jeenarain, Nitesha, Jennings, Lauren, Jiang, Haoping, Jiang, Ning, Jiao, Yuqing, Jijana, Nwabisa Laurianne, Jokoniya, Godfrey, Jones, Judith, Kabasonga, Mildred, Kabenge, Daniel Kizza, Kabwigu, Samuel, Kachale, Evans, Kachenjera, Lonely, Kachingamire, Fiona, Kachipapa, Emma, Kadiwa, Mary, Kadyamusuma, McLoddy, Kafufu, Bosco, Kagwa, Mary Mukasa, Kajura-Manyindo, Clare, Kakayi, Brenda Catherine, Kaliwo, Victoria, Kalonji, Dishiki Jenny, Kamanga, Nyasha Elizabeth, Kamira, Betty, Kampangire, Zerif, Kamwana, Getrude, Kamya, Justine, Kapa, La-Donna, Karugaba, Patrick, Kasambara, Khumbo, Kassim, Priya, Kassim, Sheetal, Katana, Milly, Katongole, Francis, Katongole, Sulaiman, Katsis, Alexis, Katumbi, Chaplain, Katz, Ariana W.K., Kawanje, Edmore, Kawuma, Caroline Nassozi, Kayongo, Sowedi, Kekana, Emily, Kemigisha, Doreen, Khanyile, Siphosihle, Khanyisile, Nombuso Happiness, Khaya, Babalwa, Khiya, Noluthando, Khoza, Norah Ntombikayise, Khumalo, Thembisile, Khwela, Christina, Khwela, Zamo, Kibiribiri, Edith, Kibirige, Ismael, Kiiza, Beatrice, Kikonyogo, Florence Sempa, Kin, Melissa, Kirkwood, Catherine, Kistnasami, Girisha, Kiweewa, Flavia Matovu, Kiweewa, Max, Konatham, Deepika, Kubheka, Lungile, Kufakunesu, Terrence, Kumwenda, Phaleda, Kumwenda, Wiza Wisdom Isaac, Kush, Maura, Kutner, Bryan A., Kwatsha, Ntomboxolo, Kwedza, Rosper, Kyomukama, Erinah, Lands, Debra, Langa, Phumelele Nokuthula, Lebeta, Kalkidan, Lentz, Cody, Leremi, Brendley Tebogo, Leszczewski, Michelle, Levy, Lisa, Livant, Edward, Livant, Ted, Lukas, Irene, Mabanga, Lungile Pearl, Mabaso, Nomusa, Machisa, Vimbainashe, Maddox, Toni M., Madlala, Bernadette, Magobiane, Nocwaka, Magolela, Melda, Maguramhinga, Fungai, Magwaza, Phumzile Desiree, Maharaj, Keshnee, Mahed, Ferial, Mahlase, Tankiso Vuyiswa, Maila, Moshukutjoane Lebogang, Makala, Yvonne, Makamure, Patrick, Makanani, Bonus, Makgoka, Kgabo Phineas, Makhamba, Pamela, Makhanya, Nompumelelo, Makondo, Rulani, Makoni, Rujeko, Makooka, Henry, Makunganya, Jennie, Makwenda, Sibongile, Malan, Gakiema, Malemia, Agnes, Malherbe, Mariette, Malunga, Faith, Mamba Nhassengo, Temantfulini, Mampa, Mogau, Mamvura, Tendai Karen, Manengamambo, Elmah, Mangove, Loreen Zandile, Mangxilana, Nomvuyo Thelma, Manjera, Tsungai Patience, Mans, Winifred Elizabeth, Mansoor, Leila, Maoko, Memory, Mapfunde, Annie, Maphumulo, Nonhlanhla Yvonne, Martinson, Francis E.A., Maruwo, Abel, Marx, Emmerentia Yvonne, Marzinke, Mark A., Masango, Moira, Mashego, Mmathabo Nnana, Mashinini, Gwendoline Thotele Refilwe, Masuko, Shingirayi Irene, Matambanadzo, Kudzai Viviana, Mathebula, Florence Tintswalo, Mathipa, Matheus, Matsa, Jacob Munyaradzi, Matta, Eleanor Agnes, Matubu, Allen Taguma, Mavundla, Ayanda Comfort, Mavundla, Sandile, Mawindo, Billy, Mayani, Josiah, Mayanja, Emmanuel, Mayekiso, Nombongo, Mayisela, Nonkululeko Precious, Mayo, Ashley J., Mbabali, Mary Speciosa, Mbanjwa, Nonhlakanipho Masibonge Gciniwe, Mbatha, Constance Seanokeng, Mbatha, Nomcedo Janice, Mbewe, Dorica, Mbichila, Tinkhani, Mbilizi, Yamikani Rose, Mbokazi, Sithokoza, Mbwerera, Mwandifitsa, Mchunu, Zethu, McKinstry, Laura, Mdlongwa, Bongiwe, Mellors, John W., Meyiwa, Sihle Perfect, Mgodi, Nyaradzo Mavis, Mhizha, Erasmus Samuel, Mhlanga, Felix, Mhlanga, Nomsa Sibongile, Mirembe, Brenda Gail, Mirembe, Dorothy, Mkandawire, Fumbani, Mkhabela, Ntombizethu Hazel, Mkhize, Baningi, Mkhize, Princess Hlengiwe, Mkhize, Zaba, Mlangeni, Elizabeth Gugu, Mlingo, Margaret, Mngqebisa, Bukiwe, Mngxekeza, Noluxolo, Mninzi, Anele, Mnqonywa, Nonzwakazi, Mogkoro, Mammekwa, Mogodiri, Thembisile Wilmah, Mohuba, Rebone Frengelina, Mokoena, Maseponki Cecilia, Mona, Noxolo, Montoya, Deidra, Monyethabeng, Willie, Moodley, Jayajothi, Moodley, Jeeva, Moodley, Kerushini, Moonsamy, Suri, Morar, Neetha Shagan, Morudu, Sophie Nomsa, Mpekula, Angela, Mphisa, Gerald Thsepo, Mpofu, Jayne, Mposula, Hlengiwe Theodora, Mqadi, Avril, Msiska, Emmie, Msumba, Lusungu, Mtambo, Nana, Mthalane, Emmanuel Sinothi, Mthembu, Thabisile Susan, Mthethi, Zanoxolo, Mthethwa, Magdeline Judith, Mthethwa, Ntokozo Zabathethwa, Mthimkhulu, Sicelo Samuel, Mtlokoa, Itsepheng, Mubiru, Michael Charles, Mudavanhu, Mary, Mufumisi, Anna Zvirevo, Mugagga, Agnes Mary, Muganga, Joanita, Mugava, Michelle, Mugenyi, Margaret, Mugocha, Caroline, Mugodhi, Faith, Mugwagwa, Norma, Muhlanga, Felix Godwin Sivhukile, Mukaka, Shorai, Mukasa, Dick, Mukasa, Restituta, Mukatipa, Mathews, Mukova, Shedina, Mulebeke, Sarah, Mulima, Joyce, Muller, Julio, Mulumba, Faith, Mupamombe, Tsitsi, Murandu, Constance, Murefu, Tarisai, Murewa, Fungai, Muringayi, Kudakwashe, Murombedzi, Caroline, Musara, Petina, Musisi, Jane Nsubuga, Musisi, Mary Maria, Musoke, Philippa, Mutebo, Joseph, Mutero, Prisca, Mutiti, Kudzai Santana, Mutizira, Shadreck, Mutsvunguma, Sharon, Muungani, Netsai, Muvunzi, Tariro, Muwawu, Rosemary, Mvelase, Samkelisiwe, Mvinjelwa, Priscilla Pamela, Mvuyane, Goodness Zoh, Mwafulirwa, Liness, Mwagomba, Pokiwe, Mwakhwawa, Thoko Gift, Mwebaza, Deborah, Mwenda, Wezi Longwe, Myeni, Nqobile, Mzolo, Angeline Doreen Nonhlanhla, Nabatanzi, Regina Bukenya, Nabisere, Joselyne, Nabukeera, Josephine, Nagawa, Christine Valerie, Naicker, Cherise, Naicker, Kumari, Naicker, Vimla, Naidoo, Ishana, Naidoo, Jason, Naidoo, Jayganthie, Naidoo, Kalendri, Naidoo, Logashvari, Naidoo, Renissa, Naidoo, Sandy, Naidu, Nalini, Nair, Gonasagrie Lulu, Nakabiito, Clemensia, Nakacwa, Susan, Nakakande, Joyce Gladys, Nakalega, Rita, Nakalema, Maria Gorreti, Nakibuka, Jesca, Nakyanzi, Teopista, Nakyeyune, Justine, Nalusiba, Stella, Namakula, Rhoda, Namalueso, Felix, Namayanja, Paula Mubiru, Nampala, Christine Tapuwa, Nampiira, Suzan Nkalubo, Namuddu, Agnes, Nandundu, Norah, Nansamba, Winnie, Nanyonga, Stella, Nanziri, Sophie Clare, Nassoma, Zainab Nakivumbi, Ncube, Duduzile Ethel, Ncube, Eva, Ncube, Sithabile, Ndadziyira, Pepukayi, Ndamase, Pamella Pumla, Nderecha, Walter Seth Taurayi, Ndhlovu-Forde, Zanele, Ndimande, Thembelihle Cynthia, Ndlovu, Bukekile, Ndlovu, Grecenia, Ndlovu, James, Ndlovu, Nontokozo Happiness, Ndlovu, Thakisile Nontokozo, Ndlovu, Zodwa, Ndovie, Margret, Nel, Annalene, Nemasango, Beauty, Neradilek, Blazej, Ngani, Susan, Ngcebethsha, Nokwanda Queeneth, Ngcobela, Lizbon, Ngcobo, Nolwazi, Ngcobo, Nompumelelo, Ngcobo, Sindisiwe Promise, Ngcukana, Nidleka, Ngo, Julie, Ngqabe, Nontshukumo, Ngqame, Siyabonga, Ngubane, Mduduzi Dawood, Ngure, Kenneth, Ngwenya, Nancy Nokuthula, Nhkoma, Mugowe, Nhlapho, Bongiwe Ntombizodwa, Nhleko, Sibusiso, Nkwanyana, Hlengiwe, Noble, Heather, Nobula, Lumka Lucia, Nolan, Monica, Nompondwana, Mluleki, Notshokovu, Busiwe, Ntanzi, Vukani Sandile, Nursaye, Nishi, Nutall, Jeremy Peter, Nyabadza, Omega, Nyaka, Evelesi, Nyakudya, Sandra, Nyakura, Envioletta Chiedza, Nyamadzawo, Shingayi, Nyamuzihwa, Tsitsi, Nyanzi, Zubayiri, Nyathi, Angel Tinny, Nyirenda, Fadire, Nyirenda, Makandwe, Nyirenda, Mary, Nzama, Sinqobile Charity, Nzuza, Lamec Sbongisomi, O'Byrne, Bhavesha, Okello, Fabian, Okumu, Eunice, Oluka, Emmanuel, Onen, Francis, Onyango, Carolyne Peris, Ostbye, Katherine, Padayachee, Kerusha, Palanee-Phillips, Thesla, Palichina, Victor, Pan, Zhenyu, Pappajohn, Colin, Paramanund, Levanya, Parikh, Urvi M., Patterson, Karen, Pearce, Nazmie, Peda, Melissa, Penrose, Kerri J., Phahlamohlaka, Bathandekile Molly, Phidane, Nokulunga Ruth, Pillay, Omisha, Premrajh, Anamika, Prosad, Nikita, Rabe, Lorna, Rajman, Alishka, Ramjee, Gita, Rampai, Keneoe Maphuti, Rampyapedi, Hlalifi Sylvia, Randhawa, April, Rasmeni, Sabelo, Rausch, Dianne, Reddy, Avanita, Reddy, Isayum, Reddy, Jerusha, Reddy, Krishnaveni, Rees, Vera Helen, Repetto, Andrea, Richards, Cheryl, Riddler, Sharon, Rini, Nobubele, Roeber, Brendon, Rohan, Lisa, Romer, Zachary, Rose, Matthew, Rosenberg, Zeda Fran, Rossi, Lisa, Ruch, Aviva, Rullo, Christine, Runeyi, Sinazo, Rupemba, Olivia, Rushwaya, Chenai, Russell, Marisa, Ruzive, Patience Sharai, Rwanzogyera, Godfrey, Saava, Margaret Nakato, Sagela, Tshepo Jimmy, Sakwa, Rebecca, Sayed, Fathima, Scheckter, Rachel, Schille, Jennifer, Scotch, Nokwayintombi, Scott, William, Scoville, Caitlin, Sebagala, Richard, Sebastian, Elaine, Sedze, Natasha Tina, Seedat, Nasreen Hoosen, Semakula, Joseph, Senn, Teri, Serugo, Francis, Seyama, Linly, Shabalala, Bhekanani Khumulani, Shangase, Charlotte Phumzile, Shanhinga, Pamela Caroline, Shaver, Jeremy, Shen, Hanjie, Shogole, Mogobalale Corlett, Shonhiwa, Rachel, Shozi, Claudia, Sibanda, Marvelous, Sibeko, Sylvia Sibongile, Sibisi, Ncamisile Teressa, Sibisi, Samuel Siphelele, Sibiya, Brighty Zweni, Sibiya, Happiness, Sichali, Dorothy, Sikosana, Phumzile Yvonne, Silva, Craig, Simelane, Ayanda Purity, Simon, Melissa, Sing, Triesha, Singh, Devika, Singh, Nishanta, Sithole, Hailey Virginia, Sitima, Edith, Siva, Samantha, Siyasiya, Alex, Sizane, Vuyane, Siziba, Bekezela, Slezinger, Edward, Smolinski, Daria, Snapinn, Katie, Sogoni, Olwethu, Soko, Dean, Solai, Leonard Nichiren, Somga, Mandiphumle, Song, Mei, Song, Xiaoling, Soobryan, Devarani, Soto-Torres, Lydia, Spence, Patrick Lawrence, Spooner, Elizabeth, Sseguya, Vincent, Ssentongo, Augustine, Ssenyonga, Mark, Sseremba, Lawrence Lollian, Stais, Michael, Steytler, John, Stockton, Sharon, Stofel, Julie, Stuurman, Tinyiko Reginah, Sukazi, Sizakele, Sukdao, Jasmin Lynn, Swarna, Kranthi, Szydlo, Daniel, Tagliaferri Rael, Christine, Taguta, Dorothy Rumbidzai, Taha, Taha, Tahuringana, Eunice, Tamale, Joshua, Tambama, Penelope, Taulo, Edna, Taulo, Frank, Tauya, Thelma Tonderai, Tegha, Gerald, Tembe, Sindisiwe Lucia, Tembo, Tchangani, Thatelo, Constance Lebo, Thobela, Pinky Mery, Thom, Annie, Thompson, Christine, Thompson, Monica, Thusi, Linda, Tock, Lauri, Tofile, Thandokazi, Torjesen, Kristine, Tranfaglia, Carol, Tseng, Jenny, Tshabalala, Themba, Tshongoyi, Nomvuselelo, Tsidya, Mercy, Tsikiwa, Wendy Rufaro, Tuswa-Haynes, NoCamagu, Tutshana, Bomkazi Onini, Twala, Andile Premrose, Udith, Ashvir Viren, Unten, Christine, van der Straten, Ariane, van Niekerk, Neliette, Varela, Amanda, Vatsha, Nangamso, Vijayendran, Gayathri, Vuma, Amukelani California, Wabwire, Deo Ogema, Walani, Madalo, Wanda, Bhekisisa, Wasberg, Lisa, White, Rhonda R., Windle, Kathleen Marie, Woeber, Kubashni, Wright, Danica, Wright, Tiffanee, Xaba, Thembalethu Nontokozo, Yambira, Makanaka Jean Savie, Yola, Ntando, Zaca, Sindisiwe Lydia, Zalwango, Aisha, Zemanek, Jullian, Zimba, Chifundo, Zinyengere, Tsitsi, Zinyongo, Margaret, Zondi, Thabile Goodness, Zou, Chun, Zuma, Jabulisile, Zungu, Nokuthula Princess, Zungu, Nompumelelo, Baeten, Jared M, Mgodi, Nyaradzo M, Mayo, Ashley J, Szydlo, Daniel W, Gati Mirembe, Brenda, Hunidzarira, Portia, Mansoor, Leila E, Nair, Gonasagrie, Parikh, Urvi M, Mellors, John W, Balán, Iván C, Hendrix, Craig W, Chirenje, Zvavahera M, Taha, Taha E, Rosenberg, Zeda, Soto-Torres, Lydia E, Hillier, Sharon L, and Brown, Elizabeth R

Published
2021
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12. The longitudinal association of stressful life events with depression remission among SHARP trial participants with depression and hypertension or diabetes in Malawi.

Author

Landrum, Kelsey R., Gaynes, Bradley N., Akello, Harriet, Malava, Jullita Kenala, Dussault, Josée M., Hosseinipour, Mina C., Udedi, Michael, Masiye, Jones, Zimba, Chifundo C., and Pence, Brian W.

Subjects
LIFE change events, RESOURCE-limited settings, MENTAL depression, NON-communicable diseases, MIDDLE-income countries
Abstract

Depressive disorders are leading contributors to morbidity in low- and middle-income countries and are particularly prevalent among people with non-communicable diseases (NCD). Stressful life events (SLEs) are risk factors for, and can help identify those at risk of, severe depressive illness requiring more aggressive treatment. Yet, research on the impact of SLEs on the trajectory of depressive symptoms among NCD patients indicated for depression treatment is lacking, especially in low resource settings. This study aims to estimate the longitudinal association of SLEs at baseline with depression remission achievement at three, six, and 12 months among adults with either hypertension or diabetes and comorbid depression identified as being eligible for depression treatment. Participants were recruited from 10 NCD clinics in Malawi from May 2019-December 2021. SLEs were measured by the Life Events Survey and depression remission was defined as achieving a Patient Health Questionaire-9 (PHQ-9) score <5 at follow-up. The study population (n = 737) consisted predominately of females aged 50 or higher with primary education and current employment. At baseline, participants reported a mean of 3.5 SLEs in the prior three months with 90% reporting ≥1 SLE. After adjustment, each additional SLE was associated with a lower probability of achieving depression remission at three months (cumulative incidence ratio (CIR) 0.94; 95% confidence interval: 0.90, 0.98, p = 0.002), six months (0.95; 0.92, 0.98, p = 0.002) and 12 months (0.96; 0.94, 0.99, p = 0.011). Re-expressed per 3-unit change, the probability of achieving depression remission at three, six, and 12 months was 0.82, 0.86, and 0.89 times lower per 3 SLEs (the median number of SLEs). Among NCD patients identified as eligible for depression treatment, recent SLEs at baseline were associated with lower probability of achieving depression remission at three, six, and 12 months. Findings suggest that interventions addressing SLEs during integrated NCD and depression care interventions (e.g., teaching and practicing SLE coping strategies) may improve success of depression treatment among adult patient populations in low-resource settings and may help identify those at risk of severe and treatment resistant depression. [ABSTRACT FROM AUTHOR]

Published
2024
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14. Evaluating the validity of depression-related stigma measurement among diabetes and hypertension patients receiving depression care in Malawi: A mixed-methods analysis

Author

Dussault, Josée M., primary, Akiba, Christopher, additional, Zimba, Chifundo, additional, Malava, Jullita, additional, Akello, Harriet, additional, Stockton, Melissa, additional, Mbota, MacDonald, additional, Matewere, Maureen, additional, Masiye, Jones, additional, Udedi, Michael, additional, Gaynes, Bradley N., additional, Go, Vivian F., additional, Hosseinipour, Mina C., additional, and Pence, Brian W., additional

Published
2023
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15. Psychosocial Experiences of Cancer Survivors and their Caregivers in sub‐Saharan Africa: A Synthesis of Qualitative Studies

Author

Bryant, Ashley Leak, primary, Ikharo, Ebahi, additional, Gondwe, Kaboni Whitney, additional, Conklin, Jamie L., additional, Zimba, Chifundo Colleta, additional, Bula, Agatha, additional, Jumbo, Wongani, additional, Wella, Kondwani, additional, Mapulanga, Patrick, additional, Idiagbonya, Eno, additional, Bingo, Samuel A.M., additional, Chilemba, Evelyn, additional, Hotchkiss, Jennifer, additional, Montano, Nilda Peragallo, additional, Qan’ir, Yousef, additional, and Song, Lixin, additional

Published
2023
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16. Assessing suicidality during the SARS-CoV-2 pandemic: Lessons learned from adaptation and implementation of a telephone-based suicide risk assessment and response protocol in Malawi

Author

Landrum, Kelsey R., primary, Akiba, Christopher F., additional, Pence, Brian W., additional, Akello, Harriet, additional, Chikalimba, Hamis, additional, Dussault, Josée M., additional, Hosseinipour, Mina C., additional, Kanzoole, Kingsley, additional, Kulisewa, Kazione, additional, Malava, Jullita Kenala, additional, Udedi, Michael, additional, Zimba, Chifundo C., additional, and Gaynes, Bradley N., additional

Published
2023
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17. Estimating the effect of anticipated depression treatment-related stigma on depression remission among people with noncommunicable diseases and depressive symptoms in Malawi

Author

Dussault, Josée M., primary, Zimba, Chifundo, additional, Akello, Harriet, additional, Stockton, Melissa, additional, Hill, Sherika, additional, Aiello, Allison E., additional, Keil, Alexander, additional, Gaynes, Bradley N., additional, Udedi, Michael, additional, and Pence, Brian W., additional

Published
2023
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21. Systematic review of psychosocial interventions for adult cancer patients and their family caregivers in Sub-Saharan Africa

Author

Guan, Ting, primary, Qan’ir, Yousef, additional, Conklin, Jamie L., additional, Zimba, Chifundo Colleta, additional, Bula, Agatha, additional, Jumbo, Wongani, additional, Wella, Kondwani, additional, Mapulanga, Patrick, additional, Bingo, Samuel A.M., additional, Chilemba, Evelyn, additional, Haley, Jennifer, additional, Montano, Nilda Peragallo, additional, Bryant, Ashley Leak, additional, and Song, Lixin, additional

Published
2023
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22. The cross-sectional association of stressful life events with depression severity among patients with hypertension and diabetes in Malawi

Author

Landrum, Kelsey R., primary, Pence, Brian W., additional, Gaynes, Bradley N., additional, Dussault, Josée M., additional, Hosseinipour, Mina C., additional, Kulisewa, Kazione, additional, Malava, Jullita Kenela, additional, Masiye, Jones, additional, Akello, Harriet, additional, Udedi, Michael, additional, and Zimba, Chifundo C., additional

Published
2022
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25. Involving both parents in HIV prevention during pregnancy and breastfeeding

Author

Chi, Benjamin H., Rosenberg, Nora E., Mweennba, Oliver, Powers, Kimberly A., Zimba, Chifundo, Maman, Suzanne, Kasaro, Margaret, Mollan, Katie R., Stringer, Jeffrey S.A., and Mutale, Wilbroad

Subjects
HIV tests -- Health aspects, HIV -- Prevention -- Health aspects, Infection -- Prevention -- Health aspects, Pregnancy -- Health aspects, Sexually transmitted disease prevention -- Health aspects, Pregnant women -- Health aspects, Breast feeding -- Health aspects, Health, World Health Organization
Abstract

Over the past decade, services to prevent mother-to-child transmission (PMTCT) ofhuman immunodeficiency virus (HIV) have expanded rapidly, resulting in reductions in paediatric acquired immunodeficiency syndrome (AIDS) worldwide. (1) However, although [...]

Published
2018
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26. Psychosocial experiences of cancer survivors and their caregivers in sub‐Saharan Africa: A synthesis of qualitative studies.

Author

Ikharo, Ebahi, Gondwe, Kaboni Whitney, Conklin, Jamie L., Zimba, Chifundo Colleta, Bula, Agatha, Jumbo, Wongani, Wella, Kondwani, Mapulanga, Patrick, Idiagbonya, Eno, Bingo, Samuel A. M., Chilemba, Evelyn, Hotchkiss, Jennifer, Montano, Nilda Peragallo, Qan'ir, Yousef, Song, Lixin, and Leak Bryant, Ashley

Subjects
BURDEN of care, CAREGIVERS, CANCER survivors, QUALITATIVE research, MEDICAL personnel
Abstract

Objective: To synthesize and examine current literature on survivorship experiences and psychosocial oncologic care programs of individuals affected by cancer in sub‐Saharan Africa (SSA). Methods: This was a systematic review guided by the PRISMA 2020 guidelines. We searched 6 databases for articles published from inception to 21 October 2021. Articles were appraised using the Johanna Briggs Institute's Checklist for Qualitative Research. For data synthesis, we used the World Health Organization (WHO) quality of life framework [WHOQOL] to organize experiences into 6 domains/themes. Results: Twenty‐five qualitative studies were included in the synthesis. Studies focused on psychosocial care of adults (>18 years) affected by cancer in SSA. The common WHOQOL domains were social relations, spirituality/religion/personal beliefs, and psychological. Conclusion: Findings echo need for individuals with cancer and their caregivers. Healthcare professionals are an essential resource for information and support services that can be tailored to individuals need. This synthesis highlighted caregiver stress and stressors from the community that could impact care of individuals with cancer. A holistic approach is needed that incorporates professional and social aspects of care. [ABSTRACT FROM AUTHOR]

Published
2023
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27. Quality of life among patients with cancer and their family caregivers in the Sub-Saharan region: A systematic review of quantitative studies

Author

Qan’ir, Yousef, primary, Guan, Ting, additional, Idiagbonya, Eno, additional, Dobias, Cloie, additional, Conklin, Jamie L., additional, Zimba, Chifundo Colleta, additional, Bula, Agatha, additional, Jumbo, Wongani, additional, Wella, Kondwani, additional, Mapulanga, Patrick, additional, Bingo, Samuel, additional, Chilemba, Evelyn, additional, Haley, Jennifer, additional, Montano, Nilda Peragallo, additional, Bryant, Ashley Leak, additional, and Song, Lixin, additional

Published
2022
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30. Perspectives on HIV partner notification, partner HIV self‐testing and partner home‐based HIV testing by pregnant and postpartum women in antenatal settings: a qualitative analysis in Malawi and Zambia

Author

Hershow, Rebecca B., Zimba, Chifundo C., Mweemba, Oliver, Chibwe, Kasapo F., Phanga, Twambilile, Dunda, Wezzie, Matenga, Tulani, Mutale, Wilbroad, Chi, Benjamin H., Rosenberg, Nora E., and Maman, Suzanne

Subjects
HIV testing -- Social aspects, Health risk communication -- Methods, Contact tracing -- Methods, Pregnant women -- Health aspects, Health
Abstract

: Introduction: HIV testing male partners of pregnant and postpartum women can lead to improved health outcomes for women, partners and infants. However, in sub‐Saharan Africa, few male partners get HIV tested during their partner's pregnancy in spite of several promising approaches to increase partner testing uptake. We assessed stakeholders’ views and preferences of partner notification, home‐based testing and secondary distribution of self‐test kits to understand whether offering choices for partner HIV testing may increase acceptability. Methods: Interviewers conducted semi‐structured interviews with HIV‐negative (N = 39) and HIV‐positive (N = 41) pregnant/postpartum women, male partners of HIV‐negative (N = 14) and HIV‐positive (N = 14) pregnant/postpartum women, healthcare workers (N = 19) and policymakers (N = 16) in Malawi and Zambia. Interviews covered views of each partner testing approach and preferred approaches; healthcare workers were also asked about perceptions of a choice‐based approach. Interviews were transcribed, translated and analysed to compare perspectives across country and participant types. Results: Most participants within each stakeholder group considered all three partner testing strategies acceptable. Relationship conflict was discussed as a potential adverse consequence for each approach. For partner notification, additional barriers included women losing letters, being fearful to give partners letters, being unable to read and men refusing to come to the clinic. For home‐based testing, additional barriers included lack of privacy or confidentiality and fear of experiencing community‐level HIV stigma. For HIV self‐test kits, additional barriers included lack of counselling, false results and poor linkage to care. Preferred male partner testing options varied. Participants preferred partner notification due to their respect for clinical authority, home‐based testing due to their desire to prioritize convenience and clinical authority, and self‐test kits due to their desire to prioritize confidentiality. Less than half of couples interviewed selected the same preferred male partner testing option as their partner. Most healthcare workers felt the choice‐based approach would be acceptable and feasible, but noted implementation challenges in personnel, resources or space. Conclusions: Most stakeholders considered different approaches to partner HIV testing to be acceptable, but concerns were raised about each. A choice‐based approach may allow women to select their preferred method of partner testing; however, implementation challenges need to be addressed., Abbreviations Introduction Despite advances in HIV prevention of mother‐to‐child transmission (PMTCT) in sub‐Saharan Africa (SSA), pregnant and postpartum women face a high risk of HIV acquisition from infected male partners [...]

Published
2019
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31. “Thandi should feel embarrassed”: describing the validity and reliability of a tool to measure depression-related stigma among patients with depressive symptoms in Malawi

Author

Dussault, Josée M., primary, Zimba, Chifundo, additional, Malava, Jullita, additional, Akello, Harriet, additional, Stockton, Melissa A., additional, Udedi, Michael, additional, Gaynes, Bradley N., additional, Hosseinipour, Mina C., additional, Pence, Brian W., additional, and Masiye, Jones, additional

Published
2021
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33. Identifying challenges and recommendations for advancing global mental health implementation research: A key informant study of the National Institute of Mental Health Scale-Up Hubs

Author

Naslund, John A., Kalha, Jasmine, Restivo, Juliana L., Amarreh, Ishmael, Callands, Tamora, Chen, Hongtu, Gomez-Restrepo, Carlos, Hamoda, Hesham M., Kapoor, Arjun, Levkoff, Sue, Masiye, Jones, Oquendo, Maria A., Patel, Vikram, Petersen, Inge, Sensoy Bahar, Ozge, Shields-Zeeman, Laura, Ssewamala, Fred M., Tugnawat, Deepak, Uribe-Restrepo, José Miguel, Vijayakumar, Lakshmi, Wagenaar, Bradley H., Wainberg, Milton L., Wissow, Larry, Wurie, Haja Ramatulai, Zimba, Chifundo, and Pathare, Soumitra

Published
2021
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34. Contextualising men’s role and participation in PMTCT programmes in Malawi and Zambia: A hegemonic masculinity perspective

Author

Mweemba, Oliver, primary, Zimba, Chifundo, additional, Chi, Benjamin H., additional, Chibwe, Kasapo F., additional, Dunda, Wezi, additional, Freeborn, Kellie, additional, Maman, Suzanne, additional, Matenga, Tulani Francis L., additional, Phanga, Twambilile, additional, Rosenberg, Nora, additional, and Mutale, Wilbroad, additional

Published
2021
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35. The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity-Building Scale-Up Trial: Study Design and Protocol

Author

Gaynes, Bradley N., primary, Akiba, Christopher F., additional, Hosseinipour, Mina C., additional, Kulisewa, Kazione, additional, Amberbir, Alemayehu, additional, Udedi, Michael, additional, Zimba, Chifundo C., additional, Masiye, Jones K., additional, Crampin, Mia, additional, Amarreh, Ishmael, additional, and Pence, Brian W., additional

Published
2021
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36. Tonse Pamodzi: Developing a combination strategy to support adherence to antiretroviral therapy and HIV pre-exposure prophylaxis during pregnancy and breastfeeding

Author

Hill, Lauren M., primary, Saidi, Friday, additional, Freeborn, Kellie, additional, Amico, K. Rivet, additional, Rosenberg, Nora E., additional, Maman, Suzanne, additional, Phanga, Twambilile, additional, Tsidya, Mercy, additional, Chirwa, Sara, additional, Zimba, Chifundo, additional, Mutale, Wilbroad, additional, and Chi, Benjamin H., additional

Published
2021
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37. Contextualising men's role and participation in PMTCT programmes in Malawi and Zambia: A hegemonic masculinity perspective.

Author

Mweemba, Oliver, Zimba, Chifundo, Chi, Benjamin H., Chibwe, Kasapo F., Dunda, Wezi, Freeborn, Kellie, Maman, Suzanne, Matenga, Tulani Francis L., Phanga, Twambilile, Rosenberg, Nora, and Mutale, Wilbroad

Subjects
*HIV infection transmission, *MASCULINITY, *INTERVIEWING, *SPOUSES, *QUALITATIVE research, *DISCOURSE analysis, *DECISION making, *PRENATAL care, *THEMATIC analysis, *DATA analysis software, *VERTICAL transmission (Communicable diseases), *WOMEN'S health
Abstract

This study sought to explore and contextualise the man's role in antenatal services, and the barriers and strategies for engaging men in prevention of mother-to-child HIV transmission (PMTCT). We conducted 143 interviews with pregnant and breastfeeding women, male partners, health workers and policy makers in Malawi and Zambia. We employed thematic and critical discourse analysis using the hegemonic masculinity perspective. We found that men's roles in PMTCT reflected hegemonic masculinities. As breadwinners, men supported their partners with material and financial resources. As decision makers, men were involved in decision making on the health of their partners. As social protectors, men supported their partners in accessing and adhering to antenatal care, HIV treatment and care. Barriers and challenges to male involvement in antenatal care were often the result of conflict between the clinic operating hours and men's working hours, the perception of antenatal care services as female spaces, and men's fear of HIV testing. Proposed strategies to increase male engagement in PMTCT included sensitising men about HIV and pregnancy; engaging leaders and employers, providing services outside working hours, and providing incentives. We conclude that men's role and participation in PMTCT services are an extension and adaptation of hegemonic masculinities. [ABSTRACT FROM AUTHOR]

Published
2022
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38. Safety, uptake, and use of a dapivirine vaginal ring for HIV-1 prevention in African women (HOPE): an open-label, extension study

Author

Baeten, Jared M, primary, Palanee-Phillips, Thesla, additional, Mgodi, Nyaradzo M, additional, Mayo, Ashley J, additional, Szydlo, Daniel W, additional, Ramjee, Gita, additional, Gati Mirembe, Brenda, additional, Mhlanga, Felix, additional, Hunidzarira, Portia, additional, Mansoor, Leila E, additional, Siva, Samantha, additional, Govender, Vaneshree, additional, Makanani, Bonus, additional, Naidoo, Logashvari, additional, Singh, Nishanta, additional, Nair, Gonasagrie, additional, Chinula, Lameck, additional, Parikh, Urvi M, additional, Mellors, John W, additional, Balán, Iván C, additional, Ngure, Kenneth, additional, van der Straten, Ariane, additional, Scheckter, Rachel, additional, Garcia, Morgan, additional, Peda, Melissa, additional, Patterson, Karen, additional, Livant, Edward, additional, Bunge, Katherine, additional, Singh, Devika, additional, Jacobson, Cindy, additional, Jiao, Yuqing, additional, Hendrix, Craig W, additional, Chirenje, Zvavahera M, additional, Nakabiito, Clemensia, additional, Taha, Taha E, additional, Jones, Judith, additional, Torjesen, Kristine, additional, Nel, Annalene, additional, Rosenberg, Zeda, additional, Soto-Torres, Lydia E, additional, Hillier, Sharon L, additional, Brown, Elizabeth R, additional, Aanyu, Dorothy, additional, Abima, John, additional, Abullarade, Janne, additional, Agarwal, Priyanka, additional, Ahluwalia, Surabhi, additional, Akasiima, Simon Africa, additional, Akello, Carolyne Agwau, additional, Albert, Samuel, additional, Alphale, Motsamai, additional, Alphonse, Calins, additional, Apeduno, Lucy, additional, Aranda, Sara, additional, Aridor, Orly, additional, Arnolds, Shakeera, additional, Asiimwe, Prossy, additional, Atujuna, Millicent, additional, Atwebembere, Didas, additional, Baboolall, Lakshmi, additional, Badana, Kiran, additional, Baeten, Jared M., additional, Balamusani, David, additional, Balán, Iván C., additional, Banda, Gabriel, additional, Banda, Towera Whitney, additional, Baugh, Jennifer, additional, Baziira, James Amos, additional, Beamer, May, additional, Bebeza, Sivuyisiwe Asanda, additional, Bekker, Linda-Gail, additional, Bell, Ian, additional, Bemer, Meagan, additional, Berman, Richard, additional, Berthiaume, Jennifer, additional, Bezak, Linda, additional, Bhagwandin, Yashveer, additional, Bhayat, Hassen Anwar, additional, Bhengu, Nokulunga, additional, Bhengu, Sonto, additional, Bhoola, Aruna, additional, Biira, Florence Asiimwe, additional, Bittoni, Daniel, additional, Black, Roberta, additional, Blose, Nombuso Jacqueline, additional, Boks, Pearl, additional, Bolton, Stephen Gordon, additional, Botya, Phathiswa, additional, Brown, Amanda, additional, Brown, Elizabeth, additional, Brown, Helen, additional, Bruce, Robyn Helen, additional, Bukenya, Luke Erismus, additional, Bukirwa, Aidah, additional, Bunts, Lisa, additional, Buthelezi, Fezile, additional, Buthelezi, Mbongeleni William, additional, Buthelezi, Samkelisiwe Dumisile, additional, Byogero, Rose, additional, Byroo, Samiksha, additional, Byuma, Robert, additional, Carstens, Johanna Albertha, additional, Carter, Allison, additional, Cassim, Nazneen, additional, Cebekhulu, Busisiwe, additional, Cele, Bongekile, additional, Cele, Dolly Judith, additional, Cele, Phindile, additional, Cele, Simangele, additional, Cele, Sithabile, additional, Chadza, Mary, additional, Chakhtoura, Nahida, additional, Chapdu, Claire, additional, Chareka, Gift Tafadzwa, additional, Chasakara, Charles, additional, Chatani-Gada, Manju, additional, Chetty, Diana, additional, Chidanyika, Mary, additional, Chifambi, Tafadzwa Tariro Lisa, additional, Chihota, Emelder, additional, Chikono, Sungano, additional, Chikonyora, Anesu, additional, Chikukwa, Brett Dzidzai, additional, Chin, Craig, additional, Chindevu, Mary, additional, Chinyanda, Tendai Blessing, additional, Chirenda, Thandiwe Hilda, additional, Chirenje, Zvavahera Mike, additional, Chirisa, Chiedza, additional, Chisale, Patience, additional, Chishanga, Angela, additional, Chitambo, Tobias, additional, Chitema, Fred, additional, Chithila, Flora, additional, Chitowa, Tinei Helen, additional, Chitsinde, Catherine, additional, Chitsulo, Gladys, additional, Chitukuta, Miria, additional, Chiveso, Spiwe, additional, Chome, Nelecy, additional, Chonco, Phumelele Fortune, additional, Christopher, Emily, additional, Chunderduri, Kerusha, additional, Cibi, Vutomi, additional, Cleland, Naana, additional, Coba, Thobeka, additional, Cobbing, Mandy Rae, additional, Collins, Clare, additional, Comer, Kim, additional, Cozzi, Shameen, additional, Crida, Danielle, additional, Dadabhai, Sufia, additional, Daki, Thembakazi, additional, Danster, Nwabisa, additional, Dassaye, Reshmi, additional, David, Renita, additional, Davis, Jontraye M., additional, Dawood, Sumaya, additional, Deb, Pallabi, additional, Degnam, Leslie, additional, Derrick, Tiffany Sharron, additional, Devlin, Bríd Teresa, additional, Dezzutti, Charlene, additional, Dhlakama, Patricia Mae, additional, Dias, Lorna, additional, Dimairo, Jean Chivoniso, additional, Dinnie, Elaine, additional, Dlabanta, Avile, additional, Dladla, Msizi, additional, Dladla, Thandeka Immaculate, additional, Dlungele, Andile Princess, additional, Dolezal, Curtis, additional, Donaty, Kristine, additional, Dott, Clare, additional, Dubbs, Jenna, additional, Dubula-Majola, Vuyiseka, additional, Dukwe, Pamella, additional, Duma, Cebo Ivan, additional, Duma, Portia Ignatia Makhosazana, additional, Duma, Promise, additional, Duncan, Vimbai Kudzanai, additional, Duran, Luis, additional, Dyabeni, Lindelwa, additional, Edwards, Andrew, additional, Etikala, Radhika, additional, Etima, Juliane, additional, Fairlie, Lee, additional, Fischer, Henry, additional, Fitzpatrick, Jacqueline, additional, Fleurs, Llewellyn, additional, Fowler, Mary Glenn, additional, Freeman, Lester, additional, Gaffoor, Zakir, additional, Gama, Lizzy, additional, Garg, Anita, additional, Gatsi, Vanesa Margret, additional, Gcwensa, Clifford, additional, Gebashe, Emmanuel Lwandile, additional, Geduld, Samantha, additional, Gelant, Jennipher, additional, Germuga, Donna, additional, Ggita, Joseph, additional, Giguere, Rebecca, additional, Godo, Lucy, additional, Goetz, B. Jay, additional, Gogo, Litha, additional, Goliati, Esther, additional, Gondwe, Daniel Kondwani, additional, Gordon, Kelley C., additional, Goreraza, Rodney, additional, Gounden, Jayandree, additional, Govender, Dhevium, additional, Govender, Justin Sivalingum, additional, Govender, Nerusha, additional, Govender, Subramonien, additional, Gqwara, Nonkululeko Nosipho, additional, Gravelle, Anisa (Tracy), additional, Guga, Phindile, additional, Guma, Victor, additional, Gumede, Delisile Zilungile, additional, Gumede, Sibusiso, additional, Gumede, Thembelihle, additional, Gumede, Thobeka Winifred, additional, Gundani, Orgrah, additional, Gunnam, Ravi, additional, Gupta, Rahul, additional, Gwande, Mirriam, additional, Gxako, Xolani, additional, Hall, Kim, additional, Hall, Wayne, additional, Hargrave, Perry, additional, Harkoo, Ishana, additional, Harrell, Tanya, additional, Heaps, Amy L., additional, Hendricks, Simone Lara, additional, Hendrix, Craig W., additional, Hlabisa, Bongeka, additional, Hlabisa, Lungile Bongeka, additional, Hlahla, Kudzai, additional, Hlela, Thulebona Martin, additional, Hobongwana, Thandiwe, additional, Horn, Eva, additional, Howard, Ridley, additional, Huang, Haixiao, additional, Hunidzairia, Portia, additional, Hurbans, Nivriti, additional, Husnik, Marla, additional, Hwehwe, Tendai Doreen, additional, Imamdin, Rabia, additional, Ismail, Amina, additional, Jacobs, Ebrahiema, additional, Jacques, Ashleigh Catherine, additional, Jamabya, Jane, additional, James, Grace, additional, Janse van Rensburg, Karla, additional, Jaya, Ziningi Nobuhle, additional, Jeenarain, Nitesha, additional, Jennings, Lauren, additional, Jiang, Haoping, additional, Jiang, Ning, additional, Jijana, Nwabisa Laurianne, additional, Jokoniya, Godfrey, additional, Kabasonga, Mildred, additional, Kabenge, Daniel Kizza, additional, Kabwigu, Samuel, additional, Kachale, Evans, additional, Kachenjera, Lonely, additional, Kachingamire, Fiona, additional, Kachipapa, Emma, additional, Kadiwa, Mary, additional, Kadyamusuma, McLoddy, additional, Kafufu, Bosco, additional, Kagwa, Mary Mukasa, additional, Kajura-Manyindo, Clare, additional, Kakayi, Brenda Catherine, additional, Kaliwo, Victoria, additional, Kalonji, Dishiki Jenny, additional, Kamanga, Nyasha Elizabeth, additional, Kamira, Betty, additional, Kampangire, Zerif, additional, Kamwana, Getrude, additional, Kamya, Justine, additional, Kapa, La-Donna, additional, Karugaba, Patrick, additional, Kasambara, Khumbo, additional, Kassim, Priya, additional, Kassim, Sheetal, additional, Katana, Milly, additional, Katongole, Francis, additional, Katongole, Sulaiman, additional, Katsis, Alexis, additional, Katumbi, Chaplain, additional, Katz, Ariana W.K., additional, Kawanje, Edmore, additional, Kawuma, Caroline Nassozi, additional, Kayongo, Sowedi, additional, Kekana, Emily, additional, Kemigisha, Doreen, additional, Khanyile, Siphosihle, additional, Khanyisile, Nombuso Happiness, additional, Khaya, Babalwa, additional, Khiya, Noluthando, additional, Khoza, Norah Ntombikayise, additional, Khumalo, Thembisile, additional, Khwela, Christina, additional, Khwela, Zamo, additional, Kibiribiri, Edith, additional, Kibirige, Ismael, additional, Kiiza, Beatrice, additional, Kikonyogo, Florence Sempa, additional, Kin, Melissa, additional, Kirkwood, Catherine, additional, Kistnasami, Girisha, additional, Kiweewa, Flavia Matovu, additional, Kiweewa, Max, additional, Konatham, Deepika, additional, Kubheka, Lungile, additional, Kufakunesu, Terrence, additional, Kumwenda, Phaleda, additional, Kumwenda, Wiza Wisdom Isaac, additional, Kush, Maura, additional, Kutner, Bryan A., additional, Kwatsha, Ntomboxolo, additional, Kwedza, Rosper, additional, Kyomukama, Erinah, additional, Lands, Debra, additional, Langa, Phumelele Nokuthula, additional, Lebeta, Kalkidan, additional, Lentz, Cody, additional, Leremi, Brendley Tebogo, additional, Leszczewski, Michelle, additional, Levy, Lisa, additional, Livant, Ted, additional, Lukas, Irene, additional, Mabanga, Lungile Pearl, additional, Mabaso, Nomusa, additional, Machisa, Vimbainashe, additional, Maddox, Toni M., additional, Madlala, Bernadette, additional, Magobiane, Nocwaka, additional, Magolela, Melda, additional, Maguramhinga, Fungai, additional, Magwaza, Phumzile Desiree, additional, Maharaj, Keshnee, additional, Mahed, Ferial, additional, Mahlase, Tankiso Vuyiswa, additional, Maila, Moshukutjoane Lebogang, additional, Makala, Yvonne, additional, Makamure, Patrick, additional, Makgoka, Kgabo Phineas, additional, Makhamba, Pamela, additional, Makhanya, Nompumelelo, additional, Makondo, Rulani, additional, Makoni, Rujeko, additional, Makooka, Henry, additional, Makunganya, Jennie, additional, Makwenda, Sibongile, additional, Malan, Gakiema, additional, Malemia, Agnes, additional, Malherbe, Mariette, additional, Malunga, Faith, additional, Mamba Nhassengo, Temantfulini, additional, Mampa, Mogau, additional, Mamvura, Tendai Karen, additional, Manengamambo, Elmah, additional, Mangove, Loreen Zandile, additional, Mangxilana, Nomvuyo Thelma, additional, Manjera, Tsungai Patience, additional, Mans, Winifred Elizabeth, additional, Mansoor, Leila, additional, Maoko, Memory, additional, Mapfunde, Annie, additional, Maphumulo, Nonhlanhla Yvonne, additional, Martinson, Francis E.A., additional, Maruwo, Abel, additional, Marx, Emmerentia Yvonne, additional, Marzinke, Mark A., additional, Masango, Moira, additional, Mashego, Mmathabo Nnana, additional, Mashinini, Gwendoline Thotele Refilwe, additional, Masuko, Shingirayi Irene, additional, Matambanadzo, Kudzai Viviana, additional, Mathebula, Florence Tintswalo, additional, Mathipa, Matheus, additional, Matsa, Jacob Munyaradzi, additional, Matta, Eleanor Agnes, additional, Matubu, Allen Taguma, additional, Mavundla, Ayanda Comfort, additional, Mavundla, Sandile, additional, Mawindo, Billy, additional, Mayani, Josiah, additional, Mayanja, Emmanuel, additional, Mayekiso, Nombongo, additional, Mayisela, Nonkululeko Precious, additional, Mayo, Ashley J., additional, Mbabali, Mary Speciosa, additional, Mbanjwa, Nonhlakanipho Masibonge Gciniwe, additional, Mbatha, Constance Seanokeng, additional, Mbatha, Nomcedo Janice, additional, Mbewe, Dorica, additional, Mbichila, Tinkhani, additional, Mbilizi, Yamikani Rose, additional, Mbokazi, Sithokoza, additional, Mbwerera, Mwandifitsa, additional, Mchunu, Zethu, additional, McKinstry, Laura, additional, Mdlongwa, Bongiwe, additional, Mellors, John W., additional, Meyiwa, Sihle Perfect, additional, Mgodi, Nyaradzo Mavis, additional, Mhizha, Erasmus Samuel, additional, Mhlanga, Nomsa Sibongile, additional, Mirembe, Brenda Gail, additional, Mirembe, Dorothy, additional, Mkandawire, Fumbani, additional, Mkhabela, Ntombizethu Hazel, additional, Mkhize, Baningi, additional, Mkhize, Princess Hlengiwe, additional, Mkhize, Zaba, additional, Mlangeni, Elizabeth Gugu, additional, Mlingo, Margaret, additional, Mngqebisa, Bukiwe, additional, Mngxekeza, Noluxolo, additional, Mninzi, Anele, additional, Mnqonywa, Nonzwakazi, additional, Mogkoro, Mammekwa, additional, Mogodiri, Thembisile Wilmah, additional, Mohuba, Rebone Frengelina, additional, Mokoena, Maseponki Cecilia, additional, Mona, Noxolo, additional, Montoya, Deidra, additional, Monyethabeng, Willie, additional, Moodley, Jayajothi, additional, Moodley, Jeeva, additional, Moodley, Kerushini, additional, Moonsamy, Suri, additional, Morar, Neetha Shagan, additional, Morudu, Sophie Nomsa, additional, Mpekula, Angela, additional, Mphisa, Gerald Thsepo, additional, Mpofu, Jayne, additional, Mposula, Hlengiwe Theodora, additional, Mqadi, Avril, additional, Msiska, Emmie, additional, Msumba, Lusungu, additional, Mtambo, Nana, additional, Mthalane, Emmanuel Sinothi, additional, Mthembu, Thabisile Susan, additional, Mthethi, Zanoxolo, additional, Mthethwa, Magdeline Judith, additional, Mthethwa, Ntokozo Zabathethwa, additional, Mthimkhulu, Sicelo Samuel, additional, Mtlokoa, Itsepheng, additional, Mubiru, Michael Charles, additional, Mudavanhu, Mary, additional, Mufumisi, Anna Zvirevo, additional, Mugagga, Agnes Mary, additional, Muganga, Joanita, additional, Mugava, Michelle, additional, Mugenyi, Margaret, additional, Mugocha, Caroline, additional, Mugodhi, Faith, additional, Mugwagwa, Norma, additional, Muhlanga, Felix Godwin Sivhukile, additional, Mukaka, Shorai, additional, Mukasa, Dick, additional, Mukasa, Restituta, additional, Mukatipa, Mathews, additional, Mukova, Shedina, additional, Mulebeke, Sarah, additional, Mulima, Joyce, additional, Muller, Julio, additional, Mulumba, Faith, additional, Mupamombe, Tsitsi, additional, Murandu, Constance, additional, Murefu, Tarisai, additional, Murewa, Fungai, additional, Muringayi, Kudakwashe, additional, Murombedzi, Caroline, additional, Musara, Petina, additional, Musisi, Jane Nsubuga, additional, Musisi, Mary Maria, additional, Musoke, Philippa, additional, Mutebo, Joseph, additional, Mutero, Prisca, additional, Mutiti, Kudzai Santana, additional, Mutizira, Shadreck, additional, Mutsvunguma, Sharon, additional, Muungani, Netsai, additional, Muvunzi, Tariro, additional, Muwawu, Rosemary, additional, Mvelase, Samkelisiwe, additional, Mvinjelwa, Priscilla Pamela, additional, Mvuyane, Goodness Zoh, additional, Mwafulirwa, Liness, additional, Mwagomba, Pokiwe, additional, Mwakhwawa, Thoko Gift, additional, Mwebaza, Deborah, additional, Mwenda, Wezi Longwe, additional, Myeni, Nqobile, additional, Mzolo, Angeline Doreen Nonhlanhla, additional, Nabatanzi, Regina Bukenya, additional, Nabisere, Joselyne, additional, Nabukeera, Josephine, additional, Nagawa, Christine Valerie, additional, Naicker, Cherise, additional, Naicker, Kumari, additional, Naicker, Vimla, additional, Naidoo, Ishana, additional, Naidoo, Jason, additional, Naidoo, Jayganthie, additional, Naidoo, Kalendri, additional, Naidoo, Renissa, additional, Naidoo, Sandy, additional, Naidu, Nalini, additional, Nair, Gonasagrie Lulu, additional, Nakacwa, Susan, additional, Nakakande, Joyce Gladys, additional, Nakalega, Rita, additional, Nakalema, Maria Gorreti, additional, Nakibuka, Jesca, additional, Nakyanzi, Teopista, additional, Nakyeyune, Justine, additional, Nalusiba, Stella, additional, Namakula, Rhoda, additional, Namalueso, Felix, additional, Namayanja, Paula Mubiru, additional, Nampala, Christine Tapuwa, additional, Nampiira, Suzan Nkalubo, additional, Namuddu, Agnes, additional, Nandundu, Norah, additional, Nansamba, Winnie, additional, Nanyonga, Stella, additional, Nanziri, Sophie Clare, additional, Nassoma, Zainab Nakivumbi, additional, Ncube, Duduzile Ethel, additional, Ncube, Eva, additional, Ncube, Sithabile, additional, Ndadziyira, Pepukayi, additional, Ndamase, Pamella Pumla, additional, Nderecha, Walter Seth Taurayi, additional, Ndhlovu-Forde, Zanele, additional, Ndimande, Thembelihle Cynthia, additional, Ndlovu, Bukekile, additional, Ndlovu, Grecenia, additional, Ndlovu, James, additional, Ndlovu, Nontokozo Happiness, additional, Ndlovu, Thakisile Nontokozo, additional, Ndlovu, Zodwa, additional, Ndovie, Margret, additional, Nemasango, Beauty, additional, Neradilek, Blazej, additional, Ngani, Susan, additional, Ngcebethsha, Nokwanda Queeneth, additional, Ngcobela, Lizbon, additional, Ngcobo, Nolwazi, additional, Ngcobo, Nompumelelo, additional, Ngcobo, Sindisiwe Promise, additional, Ngcukana, Nidleka, additional, Ngo, Julie, additional, Ngqabe, Nontshukumo, additional, Ngqame, Siyabonga, additional, Ngubane, Mduduzi Dawood, additional, Ngwenya, Nancy Nokuthula, additional, Nhkoma, Mugowe, additional, Nhlapho, Bongiwe Ntombizodwa, additional, Nhleko, Sibusiso, additional, Nkwanyana, Hlengiwe, additional, Noble, Heather, additional, Nobula, Lumka Lucia, additional, Nolan, Monica, additional, Nompondwana, Mluleki, additional, Notshokovu, Busiwe, additional, Ntanzi, Vukani Sandile, additional, Nursaye, Nishi, additional, Nutall, Jeremy Peter, additional, Nyabadza, Omega, additional, Nyaka, Evelesi, additional, Nyakudya, Sandra, additional, Nyakura, Envioletta Chiedza, additional, Nyamadzawo, Shingayi, additional, Nyamuzihwa, Tsitsi, additional, Nyanzi, Zubayiri, additional, Nyathi, Angel Tinny, additional, Nyirenda, Fadire, additional, Nyirenda, Makandwe, additional, Nyirenda, Mary, additional, Nzama, Sinqobile Charity, additional, Nzuza, Lamec Sbongisomi, additional, O'Byrne, Bhavesha, additional, Okello, Fabian, additional, Okumu, Eunice, additional, Oluka, Emmanuel, additional, Onen, Francis, additional, Onyango, Carolyne Peris, additional, Ostbye, Katherine, additional, Padayachee, Kerusha, additional, Palichina, Victor, additional, Pan, Zhenyu, additional, Pappajohn, Colin, additional, Paramanund, Levanya, additional, Parikh, Urvi M., additional, Pearce, Nazmie, additional, Penrose, Kerri J., additional, Phahlamohlaka, Bathandekile Molly, additional, Phidane, Nokulunga Ruth, additional, Pillay, Omisha, additional, Premrajh, Anamika, additional, Prosad, Nikita, additional, Rabe, Lorna, additional, Rajman, Alishka, additional, Rampai, Keneoe Maphuti, additional, Rampyapedi, Hlalifi Sylvia, additional, Randhawa, April, additional, Rasmeni, Sabelo, additional, Rausch, Dianne, additional, Reddy, Avanita, additional, Reddy, Isayum, additional, Reddy, Jerusha, additional, Reddy, Krishnaveni, additional, Rees, Vera Helen, additional, Repetto, Andrea, additional, Richards, Cheryl, additional, Riddler, Sharon, additional, Rini, Nobubele, additional, Roeber, Brendon, additional, Rohan, Lisa, additional, Romer, Zachary, additional, Rose, Matthew, additional, Rosenberg, Zeda Fran, additional, Rossi, Lisa, additional, Ruch, Aviva, additional, Rullo, Christine, additional, Runeyi, Sinazo, additional, Rupemba, Olivia, additional, Rushwaya, Chenai, additional, Russell, Marisa, additional, Ruzive, Patience Sharai, additional, Rwanzogyera, Godfrey, additional, Saava, Margaret Nakato, additional, Sagela, Tshepo Jimmy, additional, Sakwa, Rebecca, additional, Sayed, Fathima, additional, Schille, Jennifer, additional, Scotch, Nokwayintombi, additional, Scott, William, additional, Scoville, Caitlin, additional, Sebagala, Richard, additional, Sebastian, Elaine, additional, Sedze, Natasha Tina, additional, Seedat, Nasreen Hoosen, additional, Semakula, Joseph, additional, Senn, Teri, additional, Serugo, Francis, additional, Seyama, Linly, additional, Shabalala, Bhekanani Khumulani, additional, Shangase, Charlotte Phumzile, additional, Shanhinga, Pamela Caroline, additional, Shaver, Jeremy, additional, Shen, Hanjie, additional, Shogole, Mogobalale Corlett, additional, Shonhiwa, Rachel, additional, Shozi, Claudia, additional, Sibanda, Marvelous, additional, Sibeko, Sylvia Sibongile, additional, Sibisi, Ncamisile Teressa, additional, Sibisi, Samuel Siphelele, additional, Sibiya, Brighty Zweni, additional, Sibiya, Happiness, additional, Sichali, Dorothy, additional, Sikosana, Phumzile Yvonne, additional, Silva, Craig, additional, Simelane, Ayanda Purity, additional, Simon, Melissa, additional, Sing, Triesha, additional, Sithole, Hailey Virginia, additional, Sitima, Edith, additional, Siyasiya, Alex, additional, Sizane, Vuyane, additional, Siziba, Bekezela, additional, Slezinger, Edward, additional, Smolinski, Daria, additional, Snapinn, Katie, additional, Sogoni, Olwethu, additional, Soko, Dean, additional, Solai, Leonard Nichiren, additional, Somga, Mandiphumle, additional, Song, Mei, additional, Song, Xiaoling, additional, Soobryan, Devarani, additional, Soto-Torres, Lydia, additional, Spence, Patrick Lawrence, additional, Spooner, Elizabeth, additional, Sseguya, Vincent, additional, Ssentongo, Augustine, additional, Ssenyonga, Mark, additional, Sseremba, Lawrence Lollian, additional, Stais, Michael, additional, Steytler, John, additional, Stockton, Sharon, additional, Stofel, Julie, additional, Stuurman, Tinyiko Reginah, additional, Sukazi, Sizakele, additional, Sukdao, Jasmin Lynn, additional, Swarna, Kranthi, additional, Szydlo, Daniel, additional, Tagliaferri Rael, Christine, additional, Taguta, Dorothy Rumbidzai, additional, Taha, Taha, additional, Tahuringana, Eunice, additional, Tamale, Joshua, additional, Tambama, Penelope, additional, Taulo, Edna, additional, Taulo, Frank, additional, Tauya, Thelma Tonderai, additional, Tegha, Gerald, additional, Tembe, Sindisiwe Lucia, additional, Tembo, Tchangani, additional, Thatelo, Constance Lebo, additional, Thobela, Pinky Mery, additional, Thom, Annie, additional, Thompson, Christine, additional, Thompson, Monica, additional, Thusi, Linda, additional, Tock, Lauri, additional, Tofile, Thandokazi, additional, Tranfaglia, Carol, additional, Tseng, Jenny, additional, Tshabalala, Themba, additional, Tshongoyi, Nomvuselelo, additional, Tsidya, Mercy, additional, Tsikiwa, Wendy Rufaro, additional, Tuswa-Haynes, NoCamagu, additional, Tutshana, Bomkazi Onini, additional, Twala, Andile Premrose, additional, Udith, Ashvir Viren, additional, Unten, Christine, additional, van Niekerk, Neliette, additional, Varela, Amanda, additional, Vatsha, Nangamso, additional, Vijayendran, Gayathri, additional, Vuma, Amukelani California, additional, Wabwire, Deo Ogema, additional, Walani, Madalo, additional, Wanda, Bhekisisa, additional, Wasberg, Lisa, additional, White, Rhonda R., additional, Windle, Kathleen Marie, additional, Woeber, Kubashni, additional, Wright, Danica, additional, Wright, Tiffanee, additional, Xaba, Thembalethu Nontokozo, additional, Yambira, Makanaka Jean Savie, additional, Yola, Ntando, additional, Zaca, Sindisiwe Lydia, additional, Zalwango, Aisha, additional, Zemanek, Jullian, additional, Zimba, Chifundo, additional, Zinyengere, Tsitsi, additional, Zinyongo, Margaret, additional, Zondi, Thabile Goodness, additional, Zou, Chun, additional, Zuma, Jabulisile, additional, Zungu, Nokuthula Princess, additional, and Zungu, Nompumelelo, additional

Published
2021
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39. Correction: The cross-sectional association of stressful life events with depression severity among patients with hypertension and diabetes in Malawi.

Author

Landrum, Kelsey R., Pence, Brian W., Gaynes, Bradley N., Dussault, Josée M., Hosseinipour, Mina C., Kulisewa, Kazione, Malava, Jullita Kenela, Masiye, Jones, Akello, Harriet, Udedi, Michael, and Zimba, Chifundo C.

Subjects
LIFE change events, HYPERTENSION, PEOPLE with diabetes, MENTAL depression
Abstract

The S3 File is uploaded incorrectly. The authors have provided correct version of S3 File below.Supporting informationS3 File(PDF)By Kelsey R. Landrum; Brian W. Pence; Bradley N. Gaynes; Josée M. Dussault; Mina C. Hosseinipour; Kazione Kulisewa; Jullita Kenela Malava; Jones Masiye; Harriet Akello; Michael Udedi and Chifundo C. ZimbaReported by Author; Author; Author; Author; Author; Author; Author; Author; Author; Author; Author [Extracted from the article]

Published
2024
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40. Impact of Women's Home Environment on Use of the Dapivirine Vaginal Ring for HIV Prevention in Sub-Saharan Africa.

Author

Gichane, Margaret W., Katz, Ariana W. K., Ngure, Kenneth, Scheckter, Rachel, Woeber, Kubashni, Reddy, Krishnaveni, Tauya, Thelma, Zimba, Chifundo, Etima, Juliane, Mangxilana, Nomvuyo, Palanee-Phillips, Thesla, and van der Straten, Ariane

Subjects
HIV prevention, HOME environment, CONFIDENCE intervals, CROWDS, QUALITATIVE research, NON-nucleoside reverse transcriptase inhibitors, DESCRIPTIVE statistics, CERVICAL caps, ODDS ratio, WOMEN'S health
Abstract

The monthly dapivirine vaginal ring has proven efficacious in reducing HIV incidence in two Phase 3 clinical trials. When considering the potential future availability of the ring to the public, key questions remain about the feasibility of integrating the ring as an HIV prevention intervention into women's lives. We conducted qualitative mapping interviews (n = 66) among women enrolled in MTN-025/HOPE, an open-label trial conducted in Malawi, South Africa, Uganda and Zimbabwe, to examine how home environments influenced use of the dapivirine vaginal ring. Most women had secure places to store their rings including wardrobes, suitcases, and bags. The primary concerns for ring storage were potential tampering from children or rodents. Household overcrowding limited the privacy some women had which made removal and insertion of vaginal rings challenging. Despite these challenges, ring storage, insertion, and removal was feasible across social and living contexts. [ABSTRACT FROM AUTHOR]

Published
2021
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43. The landscape for HIV pre-exposure prophylaxis during pregnancy and breastfeeding in Malawi and Zambia: A qualitative study

Author

Zimba, Chifundo, primary, Maman, Suzanne, additional, Rosenberg, Nora E., additional, Mutale, Wilbroad, additional, Mweemba, Oliver, additional, Dunda, Wezzie, additional, Phanga, Twambilile, additional, Chibwe, Kasapo F., additional, Matenga, Tulani, additional, Freeborn, Kellie, additional, Schrubbe, Leah, additional, Vwalika, Bellington, additional, and Chi, Benjamin H., additional

Published
2019
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45. “I would love if there was a young woman to encourage us, to ease our anxiety which we would have if we were alone”: Adapting the Mothers2Mothers Mentor Mother Model for adolescent mothers living with HIV in Malawi

Author

Carbone, Nicole B., primary, Njala, Joseph, additional, Jackson, Debra J., additional, Eliya, Michael T., additional, Chilangwa, Chileshe, additional, Tseka, Jennifer, additional, Zulu, Tasila, additional, Chinkonde, Jacqueline R., additional, Sherman, Judith, additional, Zimba, Chifundo, additional, Mofolo, Innocent A., additional, and Herce, Michael E., additional

Published
2019
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46. Women’s views about contraception requirements for biomedical research participation

Author

Sullivan, Kristen A., primary, Little, Margaret Olivia, additional, Rosenberg, Nora E., additional, Zimba, Chifundo, additional, Jaffe, Elana, additional, Gilbert, Sappho, additional, Coleman, Jenell S., additional, Hoffman, Irving, additional, Mtande, Tiwonge, additional, Anderson, Jean, additional, Gross, Marielle S., additional, Rahangdale, Lisa, additional, Faden, Ruth, additional, and Lyerly, Anne Drapkin, additional

Published
2019
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48. Hygiene, Blood Flow, and Vaginal Overload: Why Women Removed an HIV Prevention Vaginal Ring During Menstruation in Malawi, South Africa, Uganda and Zimbabwe.

Author

Duby, Zoe, Katz, Ariana W. K., Browne, Erica N., Mutero, Prisca, Etima, Juliane, Zimba, Chifundo Colleta, Woeber, Kubashni, Atujuna, Millicent, Reddy, Krishnaveni, van der Straten, Ariane, the MTN-020/ASPIRE Study Team, Baeten, Jared, Palanee-Phillips, Thesla, Brown, Elizabeth, Soto-Torres, Lydia, Schwartz, Katie, Makanani, Bonus, Martinson, Francis, Bekker, Linda-Gail, and Govender, Vaneshree

Subjects
HIV prevention, BLOOD circulation, CERVICAL caps, HYGIENE, INTERVIEWING, MENSTRUATION, PATIENT compliance, SELF-evaluation, SURVEYS, TAMPONS, QUALITATIVE research, MEDICAL device removal
Abstract

We assessed the interference between vaginal ring use and menses among women who participated in the qualitative component of the MTN-020/ASPIRE vaginal ring trial in Malawi, South Africa, Uganda and Zimbabwe (N = 214). A common reason for imperfect ring adherence and premature removal of the vaginal ring cited by participants related to vaginal bleeding or menses. Whereas self-reporting via survey questions suggested that the majority (60%) of women did not mind wearing the ring while menstruating, and did not remove it (91%) during menses, in the qualitative interviews women frequently described removing the ring during menses. Their reasons included hygiene, beliefs that the ring blocked the flow of menstrual blood, fears that the ring would come out with blood or during tampon removal, and concerns around an 'overburdened' vagina. Examining women's narratives and subjective experiences related to menstruation helps build a better understanding of factors affecting ring use and adherence. [ABSTRACT FROM AUTHOR]

Published
2020
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49. "The state of mind tells me it's dirty": menstrual shame amongst women using a vaginal ring in Sub Saharan Africa.

Author

Duby, Zoe, Katz, Ariana, Musara, Petina, Nabukeera, Josephine, Zimba, Chifundo Colleta, Woeber, Kubashni, Palanee-Phillips, Thesla, and van der Straten, Ariane

Subjects
HIV prevention, CERVICAL caps, CONDOMS, EMBARRASSMENT, EMOTIONS, FOCUS groups, INTERVIEWING, MENSTRUATION, SHAME, PSYCHOLOGY of women, AVERSION, QUALITATIVE research
Abstract

Socio-cultural beliefs and practices surrounding menses influence women's sexual and reproductive health behaviors and decision-making. We analyzed menstrual experiences within the context of the MTN-020/ASPIRE clinical trial during which women were asked to use a monthly vaginal ring for HIV prevention. The qualitative component of the trial was conducted during February 2013-June 2015, included interviews and focus group discussions with 214 women aged 18–42, in Malawi, Zimbabwe, Uganda, and South Africa. Emotions of shame, embarrassment and disgust relating to menses emerged. Menstruation was referred to using euphemistic terms or language about dirtiness. Women were uncomfortable touching their own menstrual blood when removing vaginal rings and felt embarrassed about study staff seeing blood on returned rings. Despite reassurances, women felt ashamed performing study procedures while menstruating, leading to missed study visits. Women's aversion to menstrual blood was linked to narratives about avoiding sex during menses and beliefs about its potential harms. Women associated men's disgust pertaining to menstrual blood with men's willingness to use condoms for sex only during menses, highlighting another way through which socio-cultural beliefs and practices around menstruation affect HIV protective behaviours. These findings provide novel insight into menstrual shame among women in these four countries. [ABSTRACT FROM AUTHOR]

Published
2020
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