Anjali Sharma
Biographic Data
| ID | 3787124 |
|---|---|
| NAME | Anjali Sharma |
| GIVEN NAMES | Anjali |
| FAMILY NAME | Sharma |
| SIGNATURE | SHARMA A |
| AFFILIATIONS | Centre for Infectious Disease Research in Zambia |
| ORCID | 0000-0001-6297-3113 |
| VERIFIED | Yes |
| TOTAL WORKS | 58 |
| TOTAL CITATIONS | 15 |
| AUTHOR COUNT | 58 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Depressive symptoms mediate the association between loneliness and cognitive performance in women living with HIV
Loneliness is a risk factor for cognitive impairment, yet, its role in domain-specific cognitive performance and underlying mechanisms remain understudied in women living with HIV (WLWH). To assess whether depressive symptoms mediate associations between loneliness and global and domain-specific cognition, data were analyzed from 1621 WLWH participating in the Women's Interagency HIV Study, a multicenter, observational cohort conducted in the Uni…
Community Engagement Strategy for Building Trust in Human Challenge Studies Using Participatory and Creative Methods
Human Infection Challenge studies (HICs) are crucial for advancing global understanding of disease pathogenesis, immune responses, and accelerating vaccine and drug development. Explorations on willingness to participate among medical students revealed the need to ensure full understanding of HIC requirements, for example, for residency, by the broader community. This raised the question of ‘How could we ensure informed and understood consent for…
Alcohol and other drug use among HIV-affected adolescents and young adults in Zambia
Background Alcohol and other drug (AOD) use is a growing public health problem among AYA and young adults (AYA) globally. AYA who are affected by HIV in low-and-middle-income countries (LMICs) may have high risk for AOD use problems, yet the context of AOD use remains an understudied area in this population. Method ology: In this qualitative study, we conducted 16 focus group discussions with HIV-affected AYA (ages 16-24), caregivers, and healthc…
Ai-Driven Decision Support for Art Collectors
Global art market is typified by substantial monetary investment, lack of information, and a certain degree of subjectivity, which makes it difficult to make informed choices in the face of collectors. This project aims to introduce an AI-based decision support system that could help the art collector in valuation and authenticity evaluation, as well as in the market risk analysis on the basis of an integrated, data-driven system structure. The s…
Social capital and uptake of primary healthcare during protracted displacement
The world's refugee populations primarily reside in low- and middle-income countries, where they face protracted displacement and limited financial and human capital. Social capital is among the few assets they can leverage for resilience. Despite its importance, few studies have examined how social capital influences the uptake of healthcare services during protracted displacement. This study examines the associations of refugee with access to m…
Disentangling depression in women with diabetes
While preliminary, our findings suggest that associations between inflammatory biomarkers and depression may not be consistent across all depressive measures or symptom dimensions. Although larger samples with repeated measures are needed, findings from this exploratory study suggest that including inflammatory measures beyond hsCRP and IL-6, together with tools that capture distinct depressive symptom dimensions, may help to inform future precis…
Using the Framework for Reporting Adaptation and Modifications-Expanded (FRAME) to Adapt an Evidence-Based HIV-Prevention Intervention for Zambian Adolescent Girls and Young Women
Despite substantial global efforts, adolescent girls and young women (AGYW) in Southern Africa remain disproportionately affected by HIV. In Zambia, the HIV prevalence among AGYW is nearly three times that of their male peers. The Informed Motivated Aware and Responsible Adolescents and Adults (IMARA) program, an evidence-based HIV/STI prevention intervention initially developed in the United States and later adapted in South Africa, demonstrated…
Household healthcare seeking patterns for emergent ill-health in Migori, Western Kenya
Background Healthcare-seeking decisions reflect personal assessments of illness etiology and severity to determine whether, how, and where to seek care. Understanding these contexts enables targeted interventions to address barriers and ensure timely access to quality services. We examined patterns of household healthcare seeking for emergent ill-health in Western Kenya. Methods As part of a multi-site mixed-methods study evaluating a patient-cen…
Designing community-based strategies to reach non-household contacts of people with tuberculosis in Lusaka, Zambia
Background: In high-burden settings, most tuberculosis (TB) transmission likely occurs outside the home. Our qualitative study in Zambia explored the acceptability and preferences for designing TB active case finding (ACF) strategies to reach non-household contacts of people with TB. Methods: = 12) of community venue types identified as potential TB transmission locations. Interviews explored TB attitudes and beliefs, and perceptions toward two A…
Generative AI and higher education
The release of the Artificial Intelligence (AI) chatbot ChatGPT renewed discussions about how AI would upend higher education. This paper presents a critical analysis of “grey literature” claims made in the first months after ChatGPT was made public, exploring what these discussions might mobilise in practice. We identified articles for inclusion through a systematic search of five prominent higher education sector outlets. The included articles …
Beyond the pill
Women engaging in sex work (WESW) in low- and middle-income countries face a disproportionately high risk of HIV infection. This study explores enablers and barriers to the uptake and persistence of oral pre-exposure prophylaxis (PrEP) and long-acting injectable PrEP (LAI-PrEP) among WESW in Lusaka, Zambia. We evaluated Capability, Opportunity, and Motivation behavioral domains, using the COM-B model, which affectied behavioral engagement with Pr…
A hybrid effectiveness implementation trial testing an HIV and STI prevention program for mother figures and their adolescent girls and young women delivered by peer leaders
ClinicalTrials.gov, NCT06503666, Registered on 10 July 2024
Trends in Alcohol Use Before and During the Covid-19 Pandemic Among Women Living With and Without HIV in the United States (2017–2022)
Data on alcohol use trends in women living with HIV (WLWH) are lacking. We examine data collected before and across the COVID-19 pandemic (2014-2022) in WLWH and socio-demographically similar women living without HIV (WLWOH)(n = 1564; 67% WLWH) who self-reported alcohol use to establish and compare trends. Women were categorized into baseline groups based on use pattern from 10/2014 to 09/2017: abstinence (no alcohol at any visit), non-heavy drin…
Associations Between Internalized HIV Stigma and Cognitive Function Among Older Women With HIV
Objectives Internalized HIV stigma refers to the negative beliefs, feelings, and attitudes that people with HIV (PWH) adopt about themselves due to societal HIV stigma. Internalized HIV stigma negatively affects mental health but less is known about this factor on cognitive function in PWH. This study examines associations between internalized HIV stigma and cognition among women aged 50+ with HIV. Methods Internalized HIV stigma was measured in …
(Wl-3187)-Feeding the urban poorest
This note examined nutritional insecurity among one of the most vulnerable population sub-groups i.e. urban poorest, who often hide under the mask of “urban advantage”. Estimates from the latest NFHS suggest an alarming nutritional disadvantage among the urban poorest compared to their rural counterparts. Possible reason could be that the urban poorest, who includes migrants and slum dwellers, are hardest groups to ensure food security through ex…
Heterogeneous depressive symptom trajectories among women with type 2 diabetes
BACKGROUND: Depression affects 33% of women with type 2 diabetes (T2D) and leads to increased risks of premature mortality. Fluctuation and variation of depressive presentations can hinder clinical identification. PURPOSE: We aimed to identify and examine subgroups characterized by distinct depressive symptom trajectories among women with T2D. METHODS: This retrospective analysis leveraged the Women's Interagency HIV Study data to identify depres…
Geometry in Warli
The study was themed on art integration (folk art “Warli” and geometry images) in mathematics teaching and its effect on learners' achievement. The objectives were (i) to develop art-integrated mathematical instructional modules to teach mathematical concepts and (ii)To measure the effect of an art-integrated mathematical instructional intervention on learner achievement. The quasi-experimental post-test research design with a single group post-t…
An exploration of multi-level factors affecting routine linkage to HIV care in Zambia’s Pepfar-supported treatment program in the treat all era
Multiple steps from HIV diagnosis to treatment initiation and confirmed engagement with the health system are required for people living with HIV to establish full linkage to care in the modern treat all era. We undertook a qualitative study to gain an in-depth understanding of the impeding and enabling factors at each step of this linkage pathway. In-depth interviews were conducted with fifty-eight people living with HIV recruited from ten routi…
Lessons Learned from a Community-led, Pilot Teletherapy Group for Older Women Living with Depression and HIV
Older women with HIV face challenges to their quality of life, including neurocognitive decline, early-onset menopause, and chronic health issues. Chief among these concerns is depression, the most common psychiatric comorbidity among people living with HIV, with rates twice as high among women as men. However, tailored interventions among older women living with HIV and depression are lacking. Following the ADAPT-ITT framework to adapt existing …
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"Kenji's International School Echoes with the Voices of "Sirbuba
This article uncovers the journey of a Nepal educator, poet, and writer who found inspiration in a Japanese philosopher's search for the self through love, care, happiness, and the "golden" moments of life. Nandu Uprety opened Kenji's International School to follow Miyazawa Kenji's philosophy of humanity, working for people experiencing poverty, developing society, and nurturing nature. This is not to say that Nandu Uprety did not face challenges…
The Impacts of Stigma Against Sexual Minority Men Within and Between Various Socioecological Levels
Sexual minority men (SMM) face persistent stigma in Zambia. From a holistic perspective, we aim to explore its impacts within and between multiple socioecological levels, demonstrating how their interactions create a vicious cycle of barriers to the well-being of SMM. In-depth interviews were conducted with 20 purposively recruited SMM from Lusaka, Zambia. All interviews were audio-recorded, after written consent, transcribed verbatim, and iterat…
Integration of Common Elements Treatment Approach (Ceta) into public sector HIV clinics for unhealthy alcohol use in urban Zambia
In Sub-Saharan Africa, unhealthy alcohol use (UAU) is a growing threat to achieving ‘the last mile’ towards ending AIDS by 2030. Common Elements Treatment Approach (CETA) is a multisession transdiagnostic cognitive behavioral therapy protocol that can treat a range of common co-morbid mental and behavioral mental health problems, including UAU. In a randomized controlled trial (RCT), we previously reported that CETA was clinically effective in re…
Integrating isoniazid preventive therapy into the fast-track HIV treatment model in urban Zambia
Most people living with HIV (PLHIV) established on treatment in Zambia receive multi-month prescribing and dispensing (MMSD) antiretroviral therapy (ART) and are enrolled in less-intensive differentiated service delivery (DSD) models such as Fast Track (FT), where clients collect ART every 3–6 months and make clinical visits every 6 months. In 2019, Zambia introduced Isoniazid Preventive Therapy (IPT) with scheduled visits at 2 weeks and 1, 3, an…
A mixed methods study on men’s and women’s tuberculosis care journeys in Lusaka, Zambia—Implications for gender-tailored tuberculosis health promotion and case finding strategies
Men and women with undiagnosed tuberculosis (TB) in high burden countries may have differential factors influencing their healthcare seeking behaviors and access to TB services, which can result in delayed diagnoses and increase TB-related morbidity and mortality. A convergent, parallel, mixed-methods study design was used to explore and evaluate TB care engagement among adults (≥18 years) with newly diagnosed, microbiologically-confirmed TB atte…
Living with infertility
This paper explores the perceived causes of infertility, treatment-seeking for infertility and the consequences of childlessness, particularly for women, among a predominantly Muslim population in urban slums of Dhaka in Bangladesh. In-depth interviews were conducted with 60 women and 60 men randomly selected from Urban Surveillance System clusters of the International Centre for Diarrhoeal Disease Research, Bangladesh. Case studies of 20 self-pe…
Impact of the growing multicultural movement on the portrayal of developing countries in contemporary children's books in Britain
This article considers recent changes in the perspective adopted by contemporary British children's publications concerning the portrayal of Africa. First, it reveals an increased awareness among contemporary children's texts about economic, scientific and technological developments and rich wildlife, progress in the spheres of education and growing urbanisation. Secondly, it examines how far contemporary texts have been successful in promoting a…
Living with infertility
This paper explores the perceived causes of infertility, treatment-seeking for infertility and the consequences of childlessness, particularly for women, among a predominantly Muslim population in urban slums of Dhaka in Bangladesh. In-depth interviews were conducted with 60 women and 60 men randomly selected from Urban Surveillance System clusters of the International Centre for Diarrhoeal Disease Research, Bangladesh. Case studies of 20 self-pe…
Designing and Construction of Suited Trouser Tops Designs and Evaluation of Consumer Acceptance
Comfort fit and durability are the factors of prime importance. Today, with changing role of woman in society, every girl wants to be comfortable, active, mobile and socially presentable. Appropriate dress would thus provide her confidence and sound mental health. It can be suggested from present study that draftings can be useful as self-employment project by using them in constructing different design of tops for sales in boutiques or retailers…
Body image in middle-aged HIV-infected and uninfected women
We assessed factors associated with negative body image among 225 HIV-infected and 207 uninfected women. Standardized interviews obtained sociodemographic data and elicited agreement with the statement: 'Overall I am satisfied with my body shape'. Height and weight were measured. Overall, 39% of the women were obese and 47% had a negative body image. Factors independently associated with negative body image were HIV-infection, BMI, and depression…
Body image in older men with or at-risk for HIV infection
We performed a cross-sectional analysis of factors associated with negative body image among 550 older men with or at-risk for HIV infection, including demographics, depression, illicit drug use, and antiretroviral therapy adherence. Overall, 31 per cent of participants reported negative body image, which was independently associated with increased BMI, self-rated fair/poor health, depression, and erectile dysfunction, but not HIV status. Screeni…
Conceptualisation of Health and Illness
The present article attempts to understand the relationship between culture and health through an empirical investigation of health and illness conceptualisation among the members of Bondo tribe of Orissa in India. The investigation of socio-cultural definitions and meanings of health and illness was done using the social representations framework. The dynamic nature of health and illness conceptualisation was investigated among the three groups …
Handloom Weaving — State of Art of Tribes of Kullu Valley, Himachal Pradesh, India
There are a myriad of craft traditions in India, which depend on social, economic and regional factors. The present status of craft in India owes much to the rich craft traditions of the past. The tribals of Himachal Pradesh are well known within and outside the country for the fabrication of woollen clothes of several kinds like shawls, pattus, patties, lahang etc. Kullu shawls like Manipuri and Naga shawls are very popular all over the country …
Antiretroviral therapy (ART) adherence and correlates to nonadherence among people on ART in Estonia
There are little data on antiretroviral therapy (ART) adherence among patients in Eastern Europe, despite the high incidence of HIV infection and the growing number of HIV-infected individuals who are being prescribed ART. The aim of this study was to measure rates of adherence to ART and factors associated with nonadherence among patients receiving care at an outpatient HIV clinic in Estonia. The study was based on cross-sectional data from a co…
Building sustainable organizational capacity to deliver HIV programs in resource-constrained settings
BACKGROUND: In 2008, the US government mandated that HIV/AIDS care and treatment programs funded by the US President's Emergency Plan for AIDS Relief (PEPFAR) should shift from US-based international partners (IPs) to registered locally owned organizations (local partners, or LPs). The US Health Resources and Services Administration (HRSA) developed the Clinical Assessment for Systems Strengthening (ClASS) framework for technical assistance in re…
Developing an adherence support intervention for patients on antiretroviral therapy in the context of the recent IDU-driven HIV/Aids epidemic in Estonia
There is limited data on and experience with interventions for antiretroviral therapy (ART) adherence support for patients on ART in Eastern Europe. We sought to identify a feasible adherence support intervention for delivery amongst HIV-positive adults receiving care in Estonia, where the HIV/AIDS epidemic has been mainly concentrated among injection drug users (IDUs). Our application of intervention mapping (IM) strategies used existing literat…
Building public health capacity in Madhya Pradesh through academic partnership
Engaging in partnerships is a strategic means of achieving objectives common to each partner. The Post Graduate Diploma in Public Health Management (PGDPHM) partners in consultation with the government and aims to strengthen the public health managerial capacity. This case study examines the PGDPHM program conducted jointly by the Public Health Foundation of India and the Government of Madhya Pradesh (GoMP) at the State Institute of Health Manage…
Rapid assessment of facilitators and barriers related to the acceptance, challenges and community perception of daily regimen for treating tuberculosis in India
INTRODUCTION: The Revised National Tuberculosis Control Program (RNTCP) is the largest tuberculosis (TB) control program in the world based on Directly Observed Treatment Short-Course (DOTS) strategy. Globally, most countries have been using a daily regimen and in India a shift towards a daily regimen for TB treatment has already begun. The daily strategy is known to improve program coverage along with compliance. Such strategic shifts have both …
Frequent Occurrence of Pain and Prescription Opioid Use for Treatment of Pain Among Women with and at Risk for HIV Infection
The health system accountability impact of prison health committees in Zambia
Our study shows that PrHCs do have potential to facilitate improved social accountability in both state and societal domains and at their intersection, for an extremely vulnerable population. However, sustained and meaningful change will depend on a longer-term strategy that integrates structural reform and is delivered through meaningful cross-sectoral partnership
Medieval (Islamic) Cities in India (1206–1764)
This article examines the medieval (Islamic) cities in India from an environmental and technological perspective. The main objectives of this article are (a) to identify and evaluate characteristic features of the cities that were closely linked with the natural environment, (b) to examine the environmental conservation measures, sustainable practices and eco-friendly technologies adopted in these cities, (c) to assess the environmental impact of…
Stranded asset implications of the Paris Agreement in Latin America and the Caribbean
Achieving the Paris Agreement’s near-term goals (nationally determined contributions, or NDCs) and long-term temperature targets could result in pre-mature retirement, or stranding, of carbon-intensive assets before the end of their useful lifetime. We use an integrated assessment model to quantify the implications of the Paris Agreement for stranded assets in Latin America and the Caribbean (LAC), a developing region with the least carbon-intens…
Menstrual hygiene management in rural schools of Zambia
When menstruating, schoolgirls in rural Zambia would rather stay home than be uncomfortable, inactive and embarrassed due to inadequate MHM facilities at school. A friendly and supportive MHM environment that provides education, absorbent sanitary materials and adequate WASH facilities is essential to providing equal opportunity for all girls
They say that I have lost my integrity by breaking my virginity”
There is a need for the teachers to undergo training on how to handle young mothers and have a flexible time-table to accommodate adolescent school going mothers when they miss lessons to attend to their babies. Non-parenting school girls should be counseled so that they do not stigmatize adolescent mothers. Parents need to be educated on how to deal with adolescent mothers in the community. The guidance office should have a qualified psychosocia…
A study on loan approval and non‐performing asset—Segment identification
Nonperforming assets (NPAs) are a huge challenge infront of the Indian economy. Accumulating NPA is forming a burden and obstacle for economic growth. Financial institutions are struggling with nonperforming loans, and their efficiency is getting tremendously impacted. The aims of this study are to find out the critical factors for granting mortgage loan and to develop a formula that can help financial institutions in identifying and differentiat…
Addressing a volatile subject
Measuring the dynamic shape of digital practices and their near-ubiquitous relationship to daily life is an elusive quest, one that must contend with temporal and relational limits. Research instruments employing categories and indicators struggle with the transient and interconnected character of the digital ‘social fact’. Longitudinal studies pose special difficulties: a 1990s study of browsing and searching would need to be updated to account …
Starting or Switching to an Integrase Inhibitor-Based Regimen Affects PTSD Symptoms in Women with HIV
Selfie consents, remote rapport, and Zoom debriefings
In-person interactions have traditionally been the gold standard for qualitative data collection. The COVID-19 pandemic required researchers to consider if remote data collection can meet research objectives, while retaining the same level of data quality and participant protections. We use four case studies from the Philippines, Zambia, India and Uganda to assess the challenges and opportunities of remote data collection during COVID-19. We pres…
A quantitative assessment of the dependence of outdoor thermal-stresses on tree-building morphology and wind
A Review on Historical Earth Pigments Used in India’s Wall Paintings
Iron-containing earth minerals of various hues were the earliest pigments of the prehistoric artists who dwelled in caves. Being a prominent part of human expression through art, nature-derived pigments have been used in continuum through ages until now. Studies reveal that the primitive artist stored or used his pigments as color cakes made out of skin or reeds. Although records to help understand the technical details of Indian painting in the …
Efficacy of the Common Elements Treatment Approach (Ceta) for Unhealthy Alcohol Use Among Adults with HIV in Zambia
Medicine (32 works) · HIV/AIDS Research and Interventions (23 works) · Psychology (20 works) · Family medicine (15 works) · Psychiatry (15 works) · Nursing (13 works) · Public health (13 works) · Sociology (13 works) · HIV, Drug Use, Sexual Risk (12 works) · Political science (12 works)