Anne Cockcroft
Dados Biográficos
| ID | 119085 |
|---|---|
| NOME | Anne Cockcroft |
| PRENOMES | Anne |
| SOBRENOME | Cockcroft |
| ASSINATURA | COCKCROFT A |
| AFILIAÇÕES | Community Information, Empowerment and Transparency |
| ORCID | 0000-0002-1558-1106 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 42 |
| TOTAL DE CITAÇÕES | 16 |
| TOTAL COMO AUTOR | 42 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1989 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 3 |
Vulnerable young women and frontline service providers identify options to improve the HIV-sensitivity of social protection programmes in Botswana
Poverty, lack of education and gender inequality make unemployed and out-of-school young women extremely vulnerable to HIV infection. Promotive social protection programmes aim to increase livelihood and capabilities and could empower this priority population to act on HIV prevention choices. In Botswana, they rarely benefit from such programmes.A modified Policy Delphi engaged a panel of 22 unemployed and out-of-school young women and eight fron…
Community perceptions of causes of violence against young women in Botswana
Violence against young women is a problem worldwide. Understanding its causes in a particular setting can inform context-specific interventions. We used Fuzzy cognitive mapping (FCM), a visual method for collating local knowledge about causes of health outcomes, to explore community views of factors that cause or prevent violence against young women in rural communities in southeast Botswana. In three communities, groups of young men, young women…
Shared perceived causes of suicide among young men and violence against young women offer potential for co-designed solutions
Violence against young women (VAW) and suicide among young men are serious concerns in Botswana and elsewhere. We examined the overlap in locally perceived causes of these two forms of violence in Botswana using the results from separate studies that used fuzzy cognitive mapping (FCM) to explore perceived causes of the two outcomes. FCM depicts perceived causes of an outcome and their links to the outcome and each other, with weights denoting the…
Community perceptions about causes of suicide among young men in Botswana
Suicide is common in Botswana, particularly among young men. Fuzzy cognitive mapping (FCM) can support participatory research by depicting local stakeholder knowledge about causes of health outcomes. This study used FCM to explore local perceptions about causes of suicide among young men in rural communities close to the capital, Gaborone. In nine sessions, groups of young men, young women, older men, and older women separately mapped their knowl…
Universal home visits improve male knowledge and attitudes about maternal and child health in Bauchi State, Nigeria
BACKGROUND: The World Health Organization recommends increased male involvement to improve maternal and newborn health in low- and middle-income countries, but few studies have measured the impact of male-engagement interventions on targeted men. A trial of universal home visits to pregnant women and their spouses in Nigeria improved maternal and child health outcomes. This analysis examines the impact of the visits on male spouses. METHODS: test…
Combining Conceptual Frameworks on Maternal Health in Indigenous Communities-Fuzzy Cognitive Mapping Using Participant and Operator-independent Weighting
A recurring issue in intercultural research is whose knowledge informs conceptualization and design of projects or interventions. Fuzzy cognitive mapping uses arrows and weights to represent stakeholder knowledge on causal relationships and can generate composite theories to inform research and action. Cognitive mapping is accessible across different cultures, but participant weighting is not always straightforward. We describe a procedure to com…
Bridging Western and Indigenous knowledge through intercultural dialogue
Indigenous communities in Latin America and elsewhere have complex bodies of knowledge, but Western health services generally approach them as vulnerable people in need of external solutions. Intercultural dialogue recognises the validity and value of Indigenous standpoints, and participatory research promotes reciprocal respect for stakeholder input in knowledge creation. As part of their decades-long community-based work in Mexico’s Guerrero St…
Acceptability and challenges of introducing an educational audio-drama about gender violence and HIV prevention into schools in Botswana
Structural interventions for HIV prevention are typically complex and evaluation should include measurement of implementation. In a trial of a structural intervention for HIV prevention in Botswana we trained teachers to use an audio-drama about gender violence and HIV (BVV). We measured the use of BVV by the trained teachers, and the factors related. In three-day workshops we trained guidance teachers in primary and secondary schools to use the …
Can social network analysis help to include marginalised young women in structural support programmes in Botswana? A mixed methods study
Since marginalised young women seek support from others like themselves, outreach programs could use networks of women to identify and engage those who most need help from government structural support programs. Methods that rely on social networks alone may be insufficient, and so a combination of approaches, including, for instance, peers, door-to-door recruitment, and key community informants, should be explored as a strategy for reaching marg…
Safe Birth and Cultural Safety in southern Mexico
BACKGROUND: Indigenous women in the southern Mexican state of Guerrero face poor maternal health outcomes. Living as they do at the very periphery of the Western health system, they often receive low-quality care from health services that lack human and financial resources. Traditional health systems remain active in indigenous communities where traditional midwives accompany women through motherhood. Several interventions have explored training …
Access of choice-disabled young women in Botswana to government structural support programmes
Structural factors like poverty, poor education, gender inequality, and gender violence are important in the HIV epidemic in southern Africa. Such factors constrain many people from making choices to protect themselves against HIV. The INSTRUCT cluster randomised controlled trial of a structural intervention for HIV prevention includes workshops for young women which link them with existing government structural support programmes. Fieldworkers i…
Household costs for personal protection against mosquitoes
( ISRCTN27581154 )
Aedes aegypti breeding ecology in Guerrero
Concrete tanks and barrels accounted for the majority of pupal productivity. Covering water containers could be an effective means of Ae. aegypti vector control, with a bigger effect than using temephos. These findings were useful in planning and implementing the Camino Verde trial intervention in Mexico
Coverage and beliefs about temephos application for control of dengue vectors and impact of a community-based prevention intervention
ISRCTN: 27581154
Which green way
ISRCTN27581154
Pupal productivity in rainy and dry seasons
ISRCTN27581154
Household costs of dengue illness
The trial was registered as ISRCTN:27,581,154
Where we put little fish in the water there are no mosquitoes
Our study suggests that fish in water containers may reduce the risk of dengue virus infection and dengue illness. This could be a useful part of interventions to control the Aedes aegypti vector
Insights Into Intimate Partner Violence in Pregnancy
A household survey and focus group discussions examined the frequency and risk factors for physical intimate partner violence (IPV) during pregnancy in two Nigerian states. Some 22% of women in Cross River and 9% in Bauchi reported IPV in their last pregnancy. The risk was higher in communities where more women reported IPV in the past year and lower among less poor women with more educated partners. Women were more likely to experience IPV in pr…
From knowledge to action
This paper describes implementation research of an intervention in a complex HIV prevention randomised trial in southern Africa. Researchers collected stories of change attributed by 106 community members to an audio-drama edutainment intervention in 41 sites in Botswana, Namibia and Swaziland. The team analysed themes in the stories following a behaviour change model of conscious knowledge, attitudes, subjective norms, intention to change, agenc…
Male circumcision, attitudes to HIV prevention and HIV status
In efficacy trials male circumcision (MC) protected men against HIV infection. Planners need information relevant to MC programmes in practice. In 2008, we interviewed 2915 men and 4549 women aged 15-29 years in representative cluster samples in Botswana, Namibia and Swaziland, asking about socio-economic characteristics, knowledge and attitudes about HIV and MC and MC history. We tested finger prick blood samples for HIV. We calculated weighted …
Epidemiological assessment of food aid in the Bosnian conflict, 1994-97
Surveys in emergency settings are important for the accountability of food aid. Four household surveys conducted between 1994 and 1997 measured the performance of the Bosnia food aid programme, covering a random sample of clusters in Bosnia and Herzegovina and the Republica Srpska. The team calculated coverage, exclusion and inclusion errors, programme misses, and under-supply. Despite intended universal coverage from 1994-96, 15, 19, and 31 per …
Socio-economic status and HIV/Aids stigma in Tanzania
Tanzania has a generalised AIDS epidemic but the estimated adult HIV prevalence of 6% is much lower than in many countries in Southern Africa. HIV infection rates are reportedly higher in urban areas, among women and among those with more education. Stigma has been found to be more common in poorer, less-educated people, and those in rural areas. We examined associations between poverty and other variables and a stigmatising attitude (belief that…
Choice-Disability and HIV Infection
Interpersonal power gradients may prevent people implementing HIV prevention decisions. Among 7,464 youth aged 15-29 years in Botswana, Namibia and Swaziland we documented indicators of choice-disability (low education, educational disparity with partner, experience of sexual violence, experience of intimate partner violence (IPV), poverty, partner income disparity, willingness to have sex without a condom despite believing partner at risk of HIV…
Equity in HIV testing
BACKGROUND: HIV testing with counseling is an integral component of most national HIV and AIDS prevention strategies in southern Africa. Equity in testing implies that people at higher risk for HIV such as women; those who do not use condoms consistently; those with multiple partners; those who have suffered gender based violence; and those who are unable to implement prevention choices (the choice-disabled) are tested and can have access to trea…
Collecting Reliable Information About Violence Against Women Safely in Household Interviews
This article describes the first national survey of violence against women in Pakistan from 2001 to 2004 covering 23,430 women. The survey took account of methodological and ethical recommendations, ensuring privacy of interviews through one person interviewing the mother-in-law while another interviewed the eligible woman privately. The training module for interviewers focused on empathy with respondents, notably increasing disclosure rates. Onl…
Challenging the myths about madaris in Pakistan
Minority Health and Small Numbers Epidemiology
Objective. We sought to test methods for generating epidemiological evidence on health conditions of small, dispersed minority communities. Methods. We used community-based mixed methods including a cross-sectional survey in 5 purposely selected settlements of Khorakané Romá (Gypsies of Muslim culture) in Italy to study the living conditions and health status of children aged from birth to 5 years. Results. In the 15 days prior to the survey, 32%…
Community perceptions about causes of suicide among young men in Botswana
Suicide is common in Botswana, particularly among young men. Fuzzy cognitive mapping (FCM) can support participatory research by depicting local stakeholder knowledge about causes of health outcomes. This study used FCM to explore local perceptions about causes of suicide among young men in rural communities close to the capital, Gaborone. In nine sessions, groups of young men, young women, older men, and older women separately mapped their knowl…
Aids/HIV counselling in occupational health
AIDS/HIV counselling will increasingly become part of the role of occupational health professionals. Issues that arise in the occupational setting include: occupational transmission, knowledge and attitudes, problems with family and friends, AIDS dementia, and uncertainty. Dilemmas can occur in relation to contamination incidents, HIV positive employees, or staff refusing to work because of fears of HIV/AIDS. It it easier to deal with the problem…
Compulsory HIV antibody testing, universal precautions and the perceived risk of HIV
Routine screening of patients and health care staff for HIV has not been endorsed by the medical profession. Instead universal precautions have been recommended as being the most effective way of minimizing the occupational risk of HIV infection. Consultant staff and undergraduate medical students at the Royal Free Hospital and School of Medicine, London, were asked about their attitudes towards compulsory HIV antibody testing, their compliance w…
Anxiety and perception of risk of HIV and hepatitis B infection among health-care workers reporting accidental exposures to blood and other body fluids
We noticed considerable variation in anxiety among staff reporting blood exposure incidents and therefore undertook a study to investigate this. We studied 100 consecutive staff reporting blood or other body fluid exposures to the Occupational Health Unit. The nurse seeing the staff member administered a questionnaire about worries related to the incident, knowledge of HIV and hepatitis B transmission risks, perception of risk from the particular…
Methods and impact of health screening for hospital staff
This study examines: (1) the impact of two methods of giving screening results on health behaviour and beliefs, evaluated in a randomized controlled trial. (2) The association between uptake of screening and health risk behaviours and beliefs. Two methods of feedback of screening results were given: simple informational feedback, and more extensive feedback, including target‐setting and a written contract. At six month follow‐up, those who receiv…
Household cost-benefit equations and sustainable universal childhood immunisation
This project proposes knowledge translation as a two-way communication that can be augmented by local and international evidence. We will document cultural and contextual barriers to immunisation in the context of household cost-benefit equations. The project makes this information accessible to health managers, and reciprocally, makes information on immunisation effects and side effects available to communities. We will measure the impact of thi…
Community views about routine HIV testing and antiretroviral treatment in Botswana
BACKGROUND: The Botswana government began providing free antiretroviral therapy (ART) in 2002 and in 2004 introduced routine HIV testing (RHT) in government health facilities, aiming to increase HIV testing and uptake of ART. There have been concerns that the RHT programme might be coercive, lead to increased partner violence, and drive people away from government health services. METHODS: We conducted a household survey of 1536 people in a strat…
Gender-based violence and HIV
Gender-based violence (GBV) is common in southern Africa. Here we use GBV to include sexual and non-sexual physical violence, emotional abuse, and forms of child sexual abuse. A sizeable literature now links GBV and HIV infection.Sexual violence can lead to HIV infection directly, as trauma increases the risk of transmission. More importantly, GBV increases HIV risk indirectly. Victims of childhood sexual abuse are more likely to be HIV positive,…
Minority Health and Small Numbers Epidemiology
Objective. We sought to test methods for generating epidemiological evidence on health conditions of small, dispersed minority communities. Methods. We used community-based mixed methods including a cross-sectional survey in 5 purposely selected settlements of Khorakané Romá (Gypsies of Muslim culture) in Italy to study the living conditions and health status of children aged from birth to 5 years. Results. In the 15 days prior to the survey, 32%…
Equity and vaccine uptake
BACKGROUND: Achieving equity means increased uptake of health services for those who need it most. But the poorest families continue to have the poorest service. In Pakistan, large numbers of children do not access vaccination against measles despite the national government's effort to achieve universal coverage. METHODS: A cross-sectional study of a random sample of 23 rural and 9 urban communities in the Lasbela district of south Pakistan, expl…
Evidence-based discussion increases childhood vaccination uptake
BACKGROUND: Childhood vaccination rates are low in Lasbela, one of the poorest districts in Pakistan's Balochistan province. This randomised cluster controlled trial tested the effect on uptake of informed discussion of vaccination costs and benefits, without relying on improved health services. METHODS: Following a baseline survey of randomly selected representative census enumeration areas, a computer generated random number sequence assigned 1…
One size does not fit all
BACKGROUND: Rates of childhood vaccination in Pakistan remain low.There is continuing debate about the role of consumer and service factors in determining levels of vaccination in developing countries. METHODS: In a stratified random cluster sample of census enumeration areas across four districts in Pakistan, household interviews about vaccination of children and potentially related factors with 10,423 mothers of 14,542 children preceded discuss…
Collecting Reliable Information About Violence Against Women Safely in Household Interviews
This article describes the first national survey of violence against women in Pakistan from 2001 to 2004 covering 23,430 women. The survey took account of methodological and ethical recommendations, ensuring privacy of interviews through one person interviewing the mother-in-law while another interviewed the eligible woman privately. The training module for interviewers focused on empathy with respondents, notably increasing disclosure rates. Onl…
Challenging the myths about madaris in Pakistan
Equity in HIV testing
BACKGROUND: HIV testing with counseling is an integral component of most national HIV and AIDS prevention strategies in southern Africa. Equity in testing implies that people at higher risk for HIV such as women; those who do not use condoms consistently; those with multiple partners; those who have suffered gender based violence; and those who are unable to implement prevention choices (the choice-disabled) are tested and can have access to trea…
What happened to multiple sexual partnerships in Swaziland? Analysis of five linked national surveys between 2002 and 2008
Multiple sexual partnerships are a driver of the HIV epidemic in southern Africa. Five linked cluster surveys in 2002, 2005, 2006, 2007 and 2008 allowed us to measure changes in rates of multiple partnerships in these clusters in Swaziland. We selected a stratified random sample of census enumeration areas in 2002 and survey teams subsequently revisited this same sample (a random sub-sample in 2005 and 2006). For this study, analysis includes onl…
Gender-specific patterns of multiple concurrent sexual partnerships
A priority of AIDS prevention in Botswana is to reduce multiple concurrent sexual partnerships. We analysed data from interviews with people aged 16-60 years in a 2007 national stratified random cluster sample of communities across Botswana. Among 768 male and 1784 female respondents, 10% reported multiple sexual partners in the month prior to the survey (MP1); 19% of men and 6% of women. In a multivariate analysis, men were more likely to report…
Breast-feeding in a complex emergency
Objective To examine changes in breast-feeding and impacts on child health during the Bosnian conflict. Design Four linked representative cross-sectional household surveys, 1994 to 1997. Setting The countries of former Yugoslavia largely missed the international wave of enthusiasm for breast-feeding of the 1980s and early 1990s. The concern is that breast-feeding deteriorates during humanitarian emergencies, when children need it most. Subjects T…
Childhood malnutrition during the Bosnian conflict
In the first years of the Bosnia conflict (1992–1995), a number of small local studies failed to confirm the expected widespread malnutrition that was the basis of humanitarian appeals. At the request of relief agencies, four population surveys from 1994 to 1997 measured childhood malnutrition during and immediately after the conflict as well as potential risk factors. The four surveys visited a random sample of clusters from population registers…
Socio-economic status and HIV/Aids stigma in Tanzania
Tanzania has a generalised AIDS epidemic but the estimated adult HIV prevalence of 6% is much lower than in many countries in Southern Africa. HIV infection rates are reportedly higher in urban areas, among women and among those with more education. Stigma has been found to be more common in poorer, less-educated people, and those in rural areas. We examined associations between poverty and other variables and a stigmatising attitude (belief that…
Choice-Disability and HIV Infection
Interpersonal power gradients may prevent people implementing HIV prevention decisions. Among 7,464 youth aged 15-29 years in Botswana, Namibia and Swaziland we documented indicators of choice-disability (low education, educational disparity with partner, experience of sexual violence, experience of intimate partner violence (IPV), poverty, partner income disparity, willingness to have sex without a condom despite believing partner at risk of HIV…
Male circumcision, attitudes to HIV prevention and HIV status
In efficacy trials male circumcision (MC) protected men against HIV infection. Planners need information relevant to MC programmes in practice. In 2008, we interviewed 2915 men and 4549 women aged 15-29 years in representative cluster samples in Botswana, Namibia and Swaziland, asking about socio-economic characteristics, knowledge and attitudes about HIV and MC and MC history. We tested finger prick blood samples for HIV. We calculated weighted …
Epidemiological assessment of food aid in the Bosnian conflict, 1994-97
Surveys in emergency settings are important for the accountability of food aid. Four household surveys conducted between 1994 and 1997 measured the performance of the Bosnia food aid programme, covering a random sample of clusters in Bosnia and Herzegovina and the Republica Srpska. The team calculated coverage, exclusion and inclusion errors, programme misses, and under-supply. Despite intended universal coverage from 1994-96, 15, 19, and 31 per …
From knowledge to action
This paper describes implementation research of an intervention in a complex HIV prevention randomised trial in southern Africa. Researchers collected stories of change attributed by 106 community members to an audio-drama edutainment intervention in 41 sites in Botswana, Namibia and Swaziland. The team analysed themes in the stories following a behaviour change model of conscious knowledge, attitudes, subjective norms, intention to change, agenc…
Insights Into Intimate Partner Violence in Pregnancy
A household survey and focus group discussions examined the frequency and risk factors for physical intimate partner violence (IPV) during pregnancy in two Nigerian states. Some 22% of women in Cross River and 9% in Bauchi reported IPV in their last pregnancy. The risk was higher in communities where more women reported IPV in the past year and lower among less poor women with more educated partners. Women were more likely to experience IPV in pr…
Household costs for personal protection against mosquitoes
( ISRCTN27581154 )
Medicine (40 obras) · Environmental health (26 obras) · Demography (15 obras) · Psychology (15 obras) · Sociology (14 obras) · Family medicine (13 obras) · Adolescent Sexual and Reproductive Health (12 obras) · Public health (12 obras) · Nursing (11 obras) · Population (11 obras)