Sally Theobald
Datos Biográficos
| ID | 3581208 |
|---|---|
| NOMBRE | Sally Theobald |
| NOMBRES | Sally |
| APELLIDO | Theobald |
| FIRMA | THEOBALD S |
| AFILIACIONES | Liverpool School of Tropical Medicine |
| ORCID | 0000-0002-9053-211X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 94 |
| TOTAL DE CITAS | 187 |
| TOTAL COMO AUTOR | 94 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1996 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Intersectional experiences of non-communicable diseases and health seeking strategies in informal settlements in Freetown, Sierra Leone
This paper takes an intersectional approach to explore the burdens of non-communicable diseases (NCDs) and their interactions with gendered inequities and poverty, in shaping health seeking practices. The study explores the lived experiences of men and women living with NCDs in three informal settlements in Freetown, Sierra Leone. As Low- and Middle-Income Countries (LMICs) grapple with increased NCD risk factors, evidence gaps limit understandin…
The experiences of female community health workers during Covid-19 and the influence of gender norms and values in Nepal
Female Community Health Volunteers (FCHVs) are close-to-community providers who voluntarily serve their communities in Nepal. Gaps exist in evidence regarding the challenges posed by shocks such as the pandemic, as well as the gendered experiences of FCHVs in the general context. This study aimed to explore the experiences and challenges faced by FCHVs during COVID-19 and the influence of gender norms and values. We conducted a qualitative study …
Experiences of stigma and violence among persons affected by skin neglected tropical diseases (NTDs)
BACKGROUND: Persons affected by skin neglected tropical diseases (skin NTDs) commonly face stigma and violence, which perpetuates social exclusion, mental health issues, poverty and impedes health-seeking behaviour. Thus, stigma and violence limit the attainment of World Health Organisation (WHO) 2030 roadmap progress. Evidence on stigma related to skin NTDs pertains largely to leprosy, and experiences focus on the micro level, with limited consi…
‘We cannot just keep it in our palm’
This study investigates the development and implementation of Liberia’s policy to integrate the case management of neglected tropical diseases (NTDs) into the broader health system. The policy responded to persistent challenges of inequitable access and fragmented services, as outlined in Liberia’s 2016 national strategic plan for integrated NTD case management. Using a qualitative case study approach, the research draws on stakeholder perspectiv…
Healthcare in the Margins
This study investigates healthcare access and health-seeking behavior in informal urban settlements of Bangladesh, focusing on the roles played by key stakeholders in the public, private, NGO, and informal sectors, toward positive health outcomes. Utilizing data gathered from service mapping (N = 5), validation sessions (N = 5) and case studies (N = 15) in five informal urban settlements. The study uncover many important barriers to healthcare ac…
Safeguarding in practice
Safeguarding challenges in global health research include sexual abuse and exploitation, physical and psychological abuse, financial exploitation and neglect. Intersecting individual identities (such as gender and age) shape vulnerability to risk. Adolescents, who are widely included in sexual and reproductive health research, may be particularly vulnerable. Sensitive topics like teenage pregnancy may lead to multiple risks. We explored potential…
Seven core competencies and conditions for equitable partnerships and power sharing in community-based participatory research
Equitable health research requires actively engaging communities in producing new knowledge to advocate for their health needs. Community-based participatory research (CBPR) relies on the coproduction of contextual and grounded knowledge between researchers, programme implementers and community partners with the aim of catalysing action for change. Improving coproduction competencies can support research quality and validity. Yet, frameworks and …
Multimethod evaluation of health services integration for neglected tropical diseases requiring case management in Liberia
INTRODUCTION: The WHO neglected tropical disease (NTD) roadmap stresses the importance of integrating NTDs requiring case management (CM) within the health system. The NTDs programme of Liberia is among the first to implement an integrated approach and evaluate its impact. METHODS: A retrospective study of three of five CM-NTD-endemic counties that implemented the integrated approach was compared with cluster-matched counties with non-integrated …
A multi-step analysis and co-produced principles to support equitable partnership with Liverpool School of Tropical Medicine, 125 years on
Transboundary health partnerships are shaped by global inequities. Perspectives from the “global South” are critical to understand and redress power asymmetries in research partnerships yet are not often included in current guidelines. We undertook research with partners working with the Liverpool School of Tropical Medicine (LSTM) to inform LSTM’s equitable partnership strategy and co-develop principles for equitable partnerships as an entry poi…
Prevalence of hypertension, diabetes mellitus, and their risk factors in an informal settlement in Freetown, Sierra Leone
The prevalence of hypertension,and NCD risk factors was high among the residents of the Kroobay informal settlement. We also noted a low prevalence of diabetes. There is an urgent need for the implementation of health education, promotion, and screening initiatives to reduce health risks so that these conditions will not overwhelm health services
Voices and challenges of marginalized and vulnerable groups in urban informal settlements in Nairobi, Kenya
Urbanization is rapidly increasing across Africa, including in Nairobi, Kenya. Many people, recent migrants and long-term residents, live within dense and dynamic urban informal settlements. These contexts are fluid and heterogeneous, and deepening the understanding of how vulnerabilities and marginalization are experienced is important to inform pointed action, service delivery and policy priorities. The aim of this paper is to explore vulnerabi…
Policy and practices shaping the delivery of health services to pregnant adolescents in informal urban settlements in Kenya
In Kenya, the pregnancy rate of 15% among adolescents aged 15–19 years is alarmingly high. Adolescent girls living in informal urban settlements are exposed to rapid socio-economic transitions and multiple intersecting health risks and may be particularly disadvantaged in accessing sexual reproductive health services. Understanding vulnerabilities and service-seeking behaviours from different perspectives is important in order to support the deve…
Perceptions of and Attitudes toward Covid-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
Vaccine hesitancy or low uptake was identified as a major threat to global health by the World Health Organization (WHO) in 2019. Vaccine hesitancy is context-specific and varies across time, place, and socioeconomic groups. In this study, we aimed to understand the perceptions of and attitudes toward COVID-19 vaccination through time among urban slum dwellers in Dhaka, Bangladesh. In-depth telephone interviews were conducted between October 2020…
How are Research for Development Programmes Implementing and Evaluating Equitable Partnerships to Address Power Asymmetries
The complexity of issues addressed by research for development (R4D) requires collaborations between partners from a range of disciplines and cultural contexts. Power asymmetries within such partnerships may obstruct the fair distribution of resources, responsibilities and benefits across all partners. This paper presents a cross-case analysis of five R4D partnership evaluations, their methods and how they unearthed and addressed power asymmetrie…
Implications of Covid-19 for safeguarding in international development research
COVID-19 brings uncertainties and new precarities for communities and researchers, altering and amplifying relational vulnerabilities (vulnerabilities which emerge from relationships of unequal power and place those less powerful at risk of abuse and violence). Research approaches have changed too, with increasing use of remote data collection methods. These multiple changes necessitate new or adapted safeguarding responses. This practice piece s…
A syndemic born of war
The intersections between NTDs, disability, and mental ill-health are increasingly recognised globally. Chronic morbidity resultant from many NTDs, particularly those affecting the skin—including lymphatic filariasis (LF), leprosy, Buruli ulcer (BU) and onchocerciasis—is well known and largely documented from a medicalised perspective. However less is known about the complex biosocial interaction shaping interconnected morbidities. We apply synde…
Barriers and Enablers to Health-Seeking for People Affected by Severe Stigmatising Skin Diseases (SSSDs)
People affected by severe stigmatising skin diseases (SSSDs) often live in the poorest communities, within the poorest countries, and experience a range of barriers to seeking timely, quality care. This scoping review analyses the available literature on health-seeking for patients affected by SSSDs, to identify enablers and barriers to health-seeking. We searched MEDLINE complete, CINAHL, Global Health databases for suitable articles published b…
Does inter-border conflict influence the views of task sharing among community health volunteers in Nigeria? A qualitative study
The perception of task sharing was mainly positive, despite the challenges, especially the current conflict. In this fragile context, reconsideration of non-seasonal task allocations within improved community-driven selection and security systems should be encouraged. Supportive supervision and providing adequate and timely renumeration will also be beneficial in this fragile setting
Health systems resilience in fragile and shock-prone settings through the prism of gender equity and justice
Fragile and shock-prone settings (FASP) present a critical development challenge, eroding efforts to build healthy, sustainable and equitable societies. Power relations and inequities experienced by people because of social markers, e.g., gender, age, education, ethnicity, and race, intersect leading to poverty and associated health challenges. Concurrent to the growing body of literature exploring the impact of these intersecting axes of inequit…
Financing care for Severe Stigmatizing Skin Diseases (SSSDs) in Liberia
Our findings contribute to the limited work on financing of SSSD services in West African settings and provide insight on challenges and opportunities for financing and large costs in accessing care by households, which is also being exacerbated by stigma
The Gendered Experience of Close to Community Providers during Covid-19 Response in Fragile Settings
Many countries, and particularly those including fragile contexts, have a shortage of formal health workers and are increasingly looking to close-to-community (CTC) providers to fill the gap. The experiences of CTC providers are shaped by context-embedded gender roles and relations. This qualitative research study in Lebanon, Nepal, Myanmar and Sierra Leone explored the gendered experiences of CTC providers during the COVID-19 pandemic in fragile…
Leaving No One Behind
Children heading households (CHH) in urban informal settlements face specific vulnerabilities shaped by limitations on their opportunities and capabilities within the context of urban inequities, which affect their wellbeing. We implemented photovoice research with CHHs to explore the intersections between their vulnerabilities and the social and environmental context of Nairobi's informal settlements. We enrolled and trained four CHHs living in …
Why onchocerciasis transmission persists after 15 annual ivermectin mass drug administrations in South-West Cameroon
INTRODUCTION: Onchocerciasis is targeted for elimination mainly with annual community-directed treatment with ivermectin (CDTI). High infection levels have been reported in South-West Cameroon, despite ≥15 years of CDTI. The aim of this study was to assess factors associated with continued onchocerciasis transmission and skin disease. METHODS: A large-scale cross-sectional study was conducted in 2017 in 20 communities in a loiasis-risk area in So…
Achieving equity in UHC interventions
Background: The UN’s Sustainable Development Goals (SDGs) which pledge to leave no one behind for Universal health coverage (UHC) raise the importance of ensuring equitable health outcomes and healthcare delivery. As Neglected Tropical Diseases (NTDs) affect the most disadvantaged and hard to reach populations, they are considered a litmus test for Universal health coverage.Objective: Here, we assess the challenges of implementing Mass Drug Admin…
The Global Gag Rule and Women’s Reproductive Health
I am feminist, woman, and mother to three tween/teenage daughters – and I believe to my very core in women's rights to abortion under all circumstances. It feels appropriate to declare this: aborti
Local response in health emergencies
This paper highlights the major challenges and considerations for addressing COVID-19 in informal settlements. It discusses what is known about vulnerabilities and how to support local protective action. There is heightened concern about informal urban settlements because of the combination of population density and inadequate access to water and sanitation, which makes standard advice about social distancing and washing hands implausible. There …
Going beyond the surface
Intersectionality and gender mainstreaming in international health
Critiques of gender mainstreaming (GM) as the officially agreed strategy to promote gender equity in health internationally have reached a critical mass. There has been a notable lack of dialogue between gender advocates in the global north and south, from policy and practice, governments and non-governmental organisations (NGOs). This paper contributes to the debate on the shape of future action for gender equity in health, by uniquely bringing …
He will ask why the child gets sick so often
Limits and opportunities to community health worker empowerment
While increasingly the onus is on CHWs and CHW programs to solve the problem of health access, attention should be given to the experiences of CHWs themselves. CHW programs need to move beyond an instrumentalist approach to CHWs, and take a developmental and empowerment perspective when engaging with CHWs. CHW programs should systematically identify disempowering organisational arrangements and take steps to remedy these. Doing so will not only i…
How are Research for Development Programmes Implementing and Evaluating Equitable Partnerships to Address Power Asymmetries
The complexity of issues addressed by research for development (R4D) requires collaborations between partners from a range of disciplines and cultural contexts. Power asymmetries within such partnerships may obstruct the fair distribution of resources, responsibilities and benefits across all partners. This paper presents a cross-case analysis of five R4D partnership evaluations, their methods and how they unearthed and addressed power asymmetrie…
Priority setting for health in the context of devolution in Kenya
Devolution changes the locus of power within a country from central to sub-national levels. In 2013, Kenya devolved health and other services from central government to 47 new sub-national governments (known as counties). This transition seeks to strengthen democracy and accountability, increase community participation, improve efficiency and reduce inequities. With changing responsibilities and power following devolution reforms, comes the need …
Exploring perceptions of community health policy in Kenya and identifying implications for policy change
BACKGROUND: Global interest and investment in close-to-community health services is increasing. Kenya is currently revising its community health strategy (CHS) alongside political devolution, which will result in revisioning of responsibility for local services. This article aims to explore drivers of policy change from key informant perspectives and to study perceptions of current community health services from community and sub-county levels, i…
Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches
The increasing ascendancy of 'gender mainstreaming' as the central approach to improving gender equity has largely determined strategies to integrate a gender focus in sector-wide approaches (SWAps). This paper explores the impetus for and process of gender mainstreaming in SWAps in the Ministries of Health in Uganda, Ghana, Malawi and Mozambique, and outlines some achievements and challenges. The shifting and contested relationships between the …
Decision space for health workforce management in decentralized settings
The aim of this paper is to improve understanding about how district health managers perceive and use their decision space for human resource management (HRM) and how this compares with national policies and regulatory frameworks governing HRM. The study builds upon work undertaken by PERFORM Research Consortium in Uganda using action-research to strengthen human resources management in the health sector. To assess the decision space that manager…
The research, policy and practice interface
Does supportive supervision enhance community health worker motivation? A mixed-methods study in four African countries
Supportive supervision is an important element of community health worker (CHW) programmes and is believed to improve CHW motivation and performance. A group supervision intervention, which included training and mentorship of supervisors, was implemented in Ethiopia, Kenya, Malawi and Mozambique. In three of the countries, this was combined with individual and/or peer supervision. A mixed-methods implementation study was conducted to assess the e…
Experiences of using life histories with health workers in post-conflict and crisis settings
INTRODUCTION: Life history is a research tool which has been used primarily in sociology and anthropology to document experiences of marginalized individuals and communities. It has been less explored in relation to health system research. In this paper, we examine our experience of using life histories to explore health system trajectories coming out of conflict through the eyes of health workers. METHODS: Life histories were used in four inter-…
The gendered health workforce
It is well known that the health workforce composition is influenced by gender relations. However, little research has been done which examines the experiences of health workers through a gender lens, especially in fragile and post-conflict states. In these contexts, there may not only be opportunities to (re)shape occupational norms and responsibilities in the light of challenges in the health workforce, but also threats that put pressure on res…
Exploring the complexity of microfinance and HIV in fishing communities on the shores of Lake Malawi
This study utilised qualitative research methodology to explore female fish traders’ experiences of accessing microfinance in fishing communities in southern Malawi. Microfinance is a tool that has been used to alleviate poverty. People living in fishing communities in the Global South are at an increased risk of HIV and, equally, microfinance has been identified as a tool to prevent HIV. The authors' research found consistent testimonies of over…
Sexual violence legislation in sub-Saharan Africa
Six sub-Saharan African countries currently have laws on sexual violence, including Kenya, and eight others have provisions on sexual violence in other legislation. Effective legislation requires functioning medico-legal linkages to enable both justice to be done in cases of sexual violence and the provision of health services for survivors of sexual violence. The health sector also needs to provide post-rape care services and collect and deliver…
A gender perspective on HIV treatment in Malawi
In this article, we use a synthesis of findings from four studies we have conducted to argue that gender issues influence people's access to HIV testing and counselling services, as well as their access to antiretroviral therapy (ART) services. Gender issues also influence the costs, including opportunity costs, of using and adhering to HIV treatment. In addition, stigma – which affects use and adherence to treatment – is experienced differently …
Leaving No One Behind
Children heading households (CHH) in urban informal settlements face specific vulnerabilities shaped by limitations on their opportunities and capabilities within the context of urban inequities, which affect their wellbeing. We implemented photovoice research with CHHs to explore the intersections between their vulnerabilities and the social and environmental context of Nairobi's informal settlements. We enrolled and trained four CHHs living in …
Sex, power, marginalisation and HIV amongst young fishermen in Malawi
Through scale-up of effective treatment and prevention, HIV incidence rates are falling across Southern and Eastern Africa. However, key population groups, including people living in fishing communities, continue to face an elevated risk of infection and have high rates of undiagnosed disease. We set out to investigate how intersecting inequalities make young fishermen working on the southern shores of Lake Malawi particularly vulnerable to HIV-i…
Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries
This article poses questions, challenges, and dilemmas for health system researchers striving to better understand how gender shapes accountability mechanisms, by critically examining the relationship between accountability and gender in health systems. It raises three key considerations, namely that: (1) power and inequities are centre stage: power relations are critical to both gender and accountability, and accountability mechanisms can transf…
The importance of gender analysis in research for health systems strengthening
Promoting Female Condoms in HIV Voluntary Counselling and Testing Centres in Kenya
Promotion of male condoms and voluntary counselling and testing for HIV (VCT) have been cornerstones of Kenya's fight against the HIV epidemic. This paper argues that there is an urgent need to promote the female condom in Kenya through VCT centres, which are rapidly being scaled-up across the country and are reaching increasingly large numbers of people. Training of counsellors using a vaginal demonstration model is needed, as well an adequate s…
Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches
Health Policy and Planning volume 20, number 3, May 2005, pp. 141–9 The fourth author was erroneously printed as Helen Standing. It should in fact be Hilary Standing as it is printed above. The editors apologize to Dr Standing for this error.
Employment and environmental hazard
This article explores women's experience of employment within the electronics industry's export processing zones (EPZs) of northern Thailand. Is the preference shown by many employers for women really 'good for women'? Does the increasing feminisation of labour open up new opportunities for women, or is it simply exploitation
Employment and environmental hazard
This article explores women's experience of employment within the electronics industry's export processing zones (EPZs) of northern Thailand. Is the preference shown by many employers for women really 'good for women'? Does the increasing feminisation of labour open up new opportunities for women, or is it simply exploitation
Occupational Hazards in the Electronics Industry
The decentralization of the electronics industry within Thailand has been characterized by gendered and environmental health repercussions. Young women come from all over Thailand to fill the gendered spaces available on the production lines for electronic components. In doing so, many young women also put their long-term health on the line. This paper analyzes the complex and contested environmental health issues brewing in the Northern Regional…
From Export Processing to Erogenous Zones
Teaching about gender, health, and communicable disease
This article looks at the challenges and opportunities we have encountered while teaching a short course on gender, health, and communicable disease. The course is aimed at health policy-makers, planners, and managers from national ministries, international and national health organisations, and non-governmental organisations (NGOs). It ran for the first time in April 2000, with participants from Asia, Africa, and Europe. In this article, we expl…
Gender, health and development I
This is the first paper of a series of three that focus on key topical areas in gender health and development. Using the health sector as a case study this progress report will synthesize discourse action and progress to date on gender mainstreaming within sector wide approaches. Subsequent reports will consider gender equity and access to HIV and AIDS health services and research approaches in gender health and development. Building a health sys…
Traditional medicine in late pregnancy and labour
In South Africa most black women use antenatal care services and deliver in clinics, and a considerable number complement this use of formal health services with traditional medicine. This study reported here examined the knowledge, beliefs and practical experiences of pregnant women, traditional healers and midwives with regard to kgaba (traditional medicine) and explored what constitutes kgaba. Interviews (N=30) and focus group discussions (N=2…
Mainstreaming HIV/Aids in development sectors
Drawing on an international literature review, two international workshops and primary qualitative research in Uganda this paper reviews experiences of mainstreaming HIV/AIDS in development sectors (such as education, health and agriculture) in developing countries. The extent to which HIV/AIDS mainstreaming strategies and associated challenges are similar to or different from those of mainstreaming gender in the health sector is also explored. T…
Gender, health and development (II)
Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches
The increasing ascendancy of 'gender mainstreaming' as the central approach to improving gender equity has largely determined strategies to integrate a gender focus in sector-wide approaches (SWAps). This paper explores the impetus for and process of gender mainstreaming in SWAps in the Ministries of Health in Uganda, Ghana, Malawi and Mozambique, and outlines some achievements and challenges. The shifting and contested relationships between the …
Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches
Health Policy and Planning volume 20, number 3, May 2005, pp. 141–9 The fourth author was erroneously printed as Helen Standing. It should in fact be Hilary Standing as it is printed above. The editors apologize to Dr Standing for this error.
Gender, health and development III
can be found at: Progress in Development Studies Additional services and information for http://pdj.sagepub.com/cgi/alerts Email Alerts: http://pdj.sagepub.com/subscriptions Subscriptions: http://www.sagepub.com/journalsReprints.nav Reprints: http://www.sagepub.com/journalsPermissions.nav Permissions: http://pdj.sagepub.com/cgi/content/refs/6/4/337 SAGE Journals Online and HighWire Press platforms): (this article cites 3 articles hosted on the Ci…
A gender perspective on HIV treatment in Malawi
In this article, we use a synthesis of findings from four studies we have conducted to argue that gender issues influence people's access to HIV testing and counselling services, as well as their access to antiretroviral therapy (ART) services. Gender issues also influence the costs, including opportunity costs, of using and adhering to HIV treatment. In addition, stigma – which affects use and adherence to treatment – is experienced differently …
Promoting Female Condoms in HIV Voluntary Counselling and Testing Centres in Kenya
Promotion of male condoms and voluntary counselling and testing for HIV (VCT) have been cornerstones of Kenya's fight against the HIV epidemic. This paper argues that there is an urgent need to promote the female condom in Kenya through VCT centres, which are rapidly being scaled-up across the country and are reaching increasingly large numbers of people. Training of counsellors using a vaginal demonstration model is needed, as well an adequate s…
The Malawi National Tuberculosis Programme
The Programme of Work which is being delivered through the SWAp is a good opportunity to enhance equity and pro-poor health services. The major challenge is to increase case detection, especially amongst the poor, where we assume most 'missing cases' are to be found. In addition, the Programme needs a prevalence survey which will enable thorough equity monitoring and the development of responsive interventions to promote service access amongst 'm…
Engendering health sector responses to sexual violence and HIV in Kenya
In Kenya many people who have been affected by sexual violence turn to the health sector for clinical treatment and preventive therapies. This interface provides a vital opportunity to impact on the dual epidemics of HIV and sexual violence. Despite this, the uptake of post-rape care services in health facilities is low and health care providers felt ill-prepared to deal with the consequences of sexual violence. A qualitative study was conducted …
Experiences of abortion in Nepal and menstrual regulation in Bangladesh
The extent to which abortion and menstrual regulation services are safe, legal, and women-friendly is a strong proxy of gender equity. This article draws on women's voices from Nepal and Bangladesh to illustrate that even where services are provided legally, women can still face multiple barriers to access to services, and problematic quality of care. This is exacerbated by the stigma which surrounds these services. Stigma is directly related to …
Potential for abuse in the VCT counselling room
The rapid scale-up of HIV counselling and testing programmes in Kenya has led to quality concerns, including the potential for abuse within the private, confidential setting of client-initiated voluntary counselling and testing (VCT). A qualitative study was conducted in three provinces of Kenya, involving 26 VCT service providers and 13 key informants. First and second hand accounts of emotional, physical and sexual abuse emerged in all three st…
He will ask why the child gets sick so often
The research, policy and practice interface
Quality of care in nutritional rehabilitation in HIV-endemic Malawi
In Malawi, HIV and malnutrition are two of the most common causes of childhood morbidity and mortality. This qualitative study based in Nutrition Rehabilitation Units (NRU) in HIV-endemic Malawi explores caregiver's (staff and family) perspectives on quality of care for severely malnourished children. Three carer focus groups and 30 carer and staff in-depth interviews were conducted in two NRUs. The interviews and data analysis used a grounded th…
Who has access to counseling and testing and anti-retroviral therapy in Malawi – an equity analysis
To promote equitable access for CT and ART in Malawi there is need to further invest in human resources for health, and seize opportunities to integrate CT and ART services with tuberculosis, sexually transmitted infections and maternal health services. This should not only promote access to services but also ensure that resources available for CT and ART strengthen rather than undermine the provision of the essential health package in Malawi. On…
Sexual violence legislation in sub-Saharan Africa
Six sub-Saharan African countries currently have laws on sexual violence, including Kenya, and eight others have provisions on sexual violence in other legislation. Effective legislation requires functioning medico-legal linkages to enable both justice to be done in cases of sexual violence and the provision of health services for survivors of sexual violence. The health sector also needs to provide post-rape care services and collect and deliver…
Promoting vulnerability or resilience to HIV? A qualitative study on polygamy in Maiduguri, Nigeria
Literature on the links between polygamy and HIV and AIDS is limited and the findings inconclusive. Literature to date in Sub-Saharan Africa has relied mainly on case-control studies and surveys. This qualitative study aimed to explore different community members' perceptions of the links between the practice of polygamy and vulnerability or resilience to HIV and AIDS in Maiduguri, north-eastern Nigeria. The study used focus group discussions and…
Negotiating multiple barriers
Malawi is facing a severe HIV and AIDS epidemic with an estimated 12% of its population living with the virus. Health workers are on the front lines of the HIV epidemic and they face the risk of HIV infection in both their personal and professional lives. This mixed method study aimed to explore the enablers and barriers to HIV counselling and testing and antiretroviral therapy by health workers in Malawi. After qualitative data were collected th…
Prevention of mother-to-child transmission of HIV infection
PMTCT was seen as a community issue in which more than the mother alone can be involved. To support access to PMTCT, especially for rural women, there is need for further innovation and implementation research on involving TBAs in some aspects of PMTCT services, and in negotiating with women which community members, if any, they would like to support them in ensuring that newborn babies receive nevirapine
Political science (67 obras) · Medicine (61 obras) · Sociology (52 obras) · Economic growth (44 obras) · Global Maternal and Child Health (42 obras) · Nursing (38 obras) · Economics (30 obras) · Psychology (30 obras) · Public relations (28 obras) · Public health (27 obras)