Elizabeth A Bukusi

Biographic Data

ID165311
NAMEElizabeth A Bukusi
GIVEN NAMESElizabeth A
FAMILY NAMEBukusi
SIGNATUREBUKUSI E A
AFFILIATIONSKenya Medical Research Institute
ORCID0000-0002-2031-2808
VERIFIEDYes
TOTAL WORKS145
TOTAL CITATIONS59
AUTHOR COUNT145
EDITOR COUNT0
FIRST PUBLICATION YEAR2008
LATEST PUBLICATION YEAR2026
H-INDEX4

  • Exploring Adolescents’ Contraceptive Preferences and Trade‐Offs

    Open AccessElizabeth K Harrington, Dismas Congo Ouma et al.ARTICLEStudies in Family Planning2025References: 67

    A focus on contraceptive preferences is essential to the provision of person‐centered care. Adolescent girls and young women (AGYW) in the WHO African Region experience disparities in contraceptive access and use and reproductive health outcomes. Despite increasing recognition of AGYW needs as unique, their preferences are understudied, limiting strategies to improve contraceptive care access and quality among marginalized youth populations. We d…

  • Measuring the performance of computer vision artificial intelligence to interpret images of HIV self-testing results

    Open AccessStephanie Roche, Obinna Ikechukwu Ekwunife et al.ARTICLEFrontiers in Public Health2024

    Introduction: HIV self-testing (HIVST) is highly sensitive and specific, addresses known barriers to HIV testing (such as stigma), and is recommended by the World Health Organization as a testing option for the delivery of HIV pre-exposure prophylaxis (PrEP). Nevertheless, HIVST remains underutilized as a diagnostic tool in community-based, differentiated HIV service delivery models, possibly due to concerns about result misinterpretation, which …

  • Adaptation of the Client Diagnostic Questionnaire for East Africa

    Open AccessEdith Kamaru Kwobah, Suzanne Goodrich et al.ARTICLEPLOS Global Public Health2024

    Research increasingly involves cross-cultural work with non-English-speaking populations, necessitating translation and cultural validation of research tools. This paper describes the process of translating and criterion validation of the Client Diagnostic Questionnaire (CDQ) for use in a multisite study in Kenya and Uganda. The English CDQ was translated into Swahili, Dholuo (Kenya) and Runyankole/Rukiga (Uganda) by expert translators. The trans…

  • Exploring HIV risk perception mechanisms among youth in a test-and-treat trial in Kenya and Uganda

    Open AccessLawrence Owino, Jason Johnson-Peretz et al.ARTICLEPLOS Global Public Health2024

    Understanding risk perception and risk-taking among youth can inform targeted prevention efforts. Using a health beliefs model-informed framework, we analysed 8 semi-structured, gender-specific focus group discussions with 93 youth 15–24 years old (48% male, 52% female), drawn from the SEARCH trial in rural Kenya and Uganda in 2017–2018, coinciding with the widespread introduction of PrEP. Highly connected social networks and widespread uptake of…

  • User-informed tailoring of electronic and in-person peer navigation strategies to improve retention in HIV care for adolescents and young adults

    Zachary Kwena, Zachary Arochi Kwena et al.ARTICLEAIDS Care2024

    Poor adherence and retention in HIV care remain a major challenge among adolescents and young adults (AYA) living with HIV in sub-Saharan Africa (SSA). Strategies are urgently required to support AYA to remain in care for better health outcomes. We explored AYA preferences regarding the format and delivery of electronic and in-person peer navigation to improve HIV care outcomes. This formative qualitative study was conducted among AYA enrolled in…

  • “We chose PrEP because I wanted to be sure that this child my wife was going to conceive was indeed mine.” Factors influencing the choice of safer conception methods and experiences with its use

    Open AccessJoelle Brown, Joelle M Brown et al.ARTICLEBMC Public Health2024

    The differences in method preferences and experiences voiced by participants in this study and in other studies from the region point to the importance of having a variety of safer conception options in the service delivery package and addressing concerns about paternity, intimacy, and method-related attributes to enable HIV sero-discordant couples to safely achieve their reproductive goals

  • The Effect of Stigma on Family Planning and HIV Pre-exposure Prophylaxis Decisions of Young Women Accessing Post-Abortion Care in Kenya

    Open AccessYasaman Zia, Lydia Etyang et al.ARTICLEAIDS and Behavior2024

    Adolescent girls and young women (AGYW) in Eastern and Southern Africa face parallel epidemics of unintended pregnancy and HIV. Their sexual health decisions are often dominated by intersecting stigmas. In an implementation science project integrating delivery of daily, oral pre-exposure prophylaxis (PrEP) for HIV prevention into 14 post-abortion care (PAC) clinics in Kenya, we enrolled a subset of PrEP initiating AGYW (aged 15 to 30 years) into …

  • Confirmatory Factor Analysis and Validation of the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults in Kenya

    Open AccessYasaman Zia, Ushma D Upadhyay et al.ARTICLEStudies in Family Planning2024Cited by: 2References: 40

    Understanding the levels of power that adolescent girls and young women exercise in their sexual and reproductive lives is imperative to inform interventions to help them meet their goals. We implemented an adapted version of the Sexual and Reproductive Health Empowerment (SRE) Scale for Adolescents and Young Adults among 500 adolescent girls and young women aged 15–20 in Kisumu, Kenya. We used confirmatory factor analysis (CFA) to assess factor …

  • Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception

    Open AccessEmily Himes, Lauren Suchman et al.ARTICLEStudies in Family Planning2024References: 25

    Implementing self‐injection (SI) of subcutaneous depot‐medroxyprogesterone acetate (DMPA‐SC) is a key self‐care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences—including those with and without experience using SI—view the benefits and …

  • A youth-centred approach to improving engagement in HIV services

    Open AccessEliud Akama, Laura K Beres et al.ARTICLEBMJ Global Health2023

    Introduction Innovative interventions are needed to improve HIV outcomes among adolescents and young adults (AYAs) living with HIV. Engaging AYAs in intervention development could increase effectiveness and youth acceptance, yet research is limited. We applied human-centred design (HCD) to refine adherence-support interventions pretrial and assessed HCD workshop acceptability

  • Adaptation of the sexual and reproductive empowerment scale for adolescents and young adults in Kenya

    Open AccessElizabeth K Harrington, Ouma Congo et al.ARTICLEPLOS Global Public Health2023

    Measuring empowerment is critical to understanding the level of control adolescents and young adults (AYA) have over their sexual and reproductive health (SRH) behaviors, and could provide a key window into addressing their unique SRH needs. We adapted the Sexual and Reproductive Empowerment (SRE) scale for AYA for use in an East African context. This multi-method qualitative study sampled 15–23 year-old female adolescents and young adults in Kis…

  • Pathways from climate change to emotional wellbeing

    Open AccessNadia Beyeler, Tammy M Nicastro et al.ARTICLEPLOS Global Public Health2023

    Climate change is associated with adverse mental and emotional health outcomes. Social and economic factors are well-known drivers of mental health, yet comparatively few studies examine the social and economic pathways through which climate change affects mental health. There is additionally a lack of research on climate change and mental health in sub-Saharan Africa. This qualitative study aimed to identify potential social and economic pathway…

  • Cost comparison of a rapid results initiative against standard clinic-based model to scale-up voluntary medical male circumcision in Kenya

    Open AccessMirosław Marczak, Katrin Jaradeh et al.ARTICLEPLOS Global Public Health2023

    Voluntary male medical circumcision (VMMC) reduces HIV acquisition by up to 60%. Kenya has successfully scaled up VMMC to an estimated 91% of eligible men and boys in certain regions in combination due to VMMC and cultural circumcisions. VMMC as a program is implemented regionally in traditionally non-circumcising counties where the prevalence is still below 91%, ranging from 56.4% to 66.7%. Given that funding toward VMMC is expected to decline i…

  • Sex specific differences in HIV status disclosure and care engagement among people living with HIV in rural communities in Kenya and Uganda

    Open AccessChinomnso N Okorie, Sarah A Gutin et al.ARTICLEPLOS Global Public Health2023

    Non-disclosure of human immunodeficiency virus (HIV) status can hinder optimal health outcomes for people living with HIV (PLHIV). We sought to explore experiences with and correlates of disclosure among PLHIV participating in a study of population mobility. Survey data were collected from 1081 PLHIV from 2015–16 in 12 communities in Kenya and Uganda participating in a test-and-treat trial (SEARCH, NCT#01864603). Pooled and sex-stratified multipl…

  • Geographic mobility and treatment outcomes among people in care for tuberculosis in the Lake Victoria region of East Africa

    Open AccessGrace E Mulholland, Michael E Herce et al.ARTICLEPLOS Global Public Health2023

    Geographic mobility may disrupt continuity of care and contribute to poor clinical outcomes among people receiving treatment for tuberculosis (TB). This may occur especially where health services are not well coordinated across international borders, particularly in lower and middle income country settings. In this work, we describe mobility and the relationship between mobility and unfavorable TB treatment outcomes (i.e., death, loss to follow-u…

  • Preventing HIV and achieving pregnancy among HIV sero-different couples

    Open AccessJoelle Brown, Serah Gitome et al.ARTICLEPLOS Global Public Health2023

    Safer conception services are needed to minimize HIV transmission among HIV sero-different couples desiring pregnancy. Few studies have evaluated the choices couples make when offered multiple safer conception methods or real-world method acceptability and effectiveness. We piloted a comprehensive safer conception program ( Clintrials . gov identifier: NCT03049176) for HIV sero-different couples planning pregnancy in Zimbabwe to measure feasibili…

  • Barriers to linkage and retention in HIV care still persist among adolescent girls and young women in western Kenya

    Zachary Kwena, K Rivet Amico et al.ARTICLEAfrican Journal of AIDS Research2023

    Adolescent girls and young women (AGYW) in sub-Saharan Africa experience delayed linkage to and poor retention in HIV care. Identifying and addressing specific barriers in HIV care programming is important to achieving the upgraded UNAIDS 95-95-95 targets and epidemic control. We examined these challenges among 103 HIV-positive AGYW in and out of HIV care in communities around Lake Victoria in western Kenya as part of a larger qualitative study t…

  • Performance of Multiple Adherence Measures for pre-exposure Prophylaxis (PrEP) Among Young Women in Kenya

    Open AccessNicholas Musinguzi, Kenneth Ngure et al.ARTICLEAIDS and Behavior2023

  • Nothing about us without us

    Open AccessIrene Maeri, Patrick Eyul et al.ARTICLESocial Science & Medicine2023References: 26

  • Comparing the effect of a multisectoral agricultural intervention on HIV-related health outcomes between widowed and married women

    Open AccessJackline A Odhiambo, Sheri D Weiser et al.ARTICLESocial Science & Medicine2023References: 33

    Our study is among the first comparing the effect of a livelihood intervention on HIV health outcomes among widowed and married women. Widowed women experienced similar benefits as married women on individual-level outcomes, but weaker benefit on outcomes dependent on their external environment like enacted stigma and social support. Future trials and programs targeting widowed women should bolster stigma reduction and social support

  • Attitudes towards and experiences with economic incentives for engagement in HIV care and treatment

    Open AccessSarah Iguna, Monica Getahun et al.ARTICLEPLOS Global Public Health2022

    Growing literature has shown heterogenous effects of conditional cash incentives (CCIs) on HIV care retention. The field lacks insights into reasons why incentives impact various patients in different ways–differences that may be due to variations in psychological and social mechanisms of effect. A deeper understanding of patients’ perceptions and experiences of CCIs for retention may help to clarify these mechanisms. We conducted a qualitative s…

  • Patient preferences for HIV service delivery models; a Discrete Choice Experiment in Kisumu, Kenya

    Open AccessRaphael Onyango Mando, Michelle Moghadassi et al.ARTICLEPLOS Global Public Health2022

    Novel “differentiated service delivery” models for HIV treatment that reduce clinic visit frequency, minimize waiting time, and deliver treatment in the community promise retention improvement for HIV treatment in Sub-Saharan Africa. Quantitative assessments of differentiated service delivery (DSD) feature most preferred by patient populations do not widely exist but could inform selection and prioritization of different DSD models. We used a dis…

  • First cases of Sars-CoV-2 infection and secondary transmission in Kisumu, Kenya

    Open AccessBeth A Tippett Barr, Amy Herman-Roloff et al.ARTICLEPLOS Global Public Health2022

    We investigated the first 152 laboratory-confirmed SARS-CoV-2 cases (125 primary and 27 secondary) and their 248 close contacts in Kisumu County, Kenya. Conducted June 10–October 8, 2020, this study included interviews and sample collection at enrolment and 14–21 days later. Median age was 35 years (IQR 28–44); 69.0% reported COVID-19 related symptoms, most commonly cough (60.0%), headache (55.2%), fever (53.3%) and loss of taste or smell (43.8%)…

  • Using an on-site modular training approach to amplify prep service delivery in public health facilities in Kenya

    Open AccessElizabeth Irungu, Moses Musau et al.ARTICLEPLOS Global Public Health2022

    Delivery of oral PrEP, a potent HIV prevention intervention, has begun within public health systems in many countries in Africa. Training as many health providers as possible expeditiously is necessary to efficiently and rapidly scale up PrEP delivery among at risk populations and thereby realize the greatest impact of PrEP. We designed and implemented an innovative on-site modular training approach delivered in five two-hour modules. The modules…

  • Improvements in pediatric and adolescent HIV testing and identification in western Kenya under the Accelerating Children’s HIV/Aids Treatment initiative

    Nicollate Okoko, A Rain Mocello et al.ARTICLEAIDS Care2022

    Pediatric HIV remains a significant global concern, with 160,000 new infections annually. Accelerating Children’s HIV/AIDS Treatment (ACT) provided a strategic response to the “treatment gap” for children. We examined whether activities under ACT increased testing and identification of youth living with HIV (YLWH). Family AIDS Care & Education Services implemented ACT across 130 health facilities in western Kenya between October 2015 and Septembe…