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Linda Sande

Biographic Data

ID6330981
NAMELinda Sande
GIVEN NAMESLinda
FAMILY NAMESande
SIGNATURESANDE L
AFFILIATIONSUniversity of Liverpool
ORCID0009-0003-4230-5961
VERIFIEDYes
TOTAL WORKS9
TOTAL CITATIONS0
AUTHOR COUNT9
EDITOR COUNT0
FIRST PUBLICATION YEAR2018
LATEST PUBLICATION YEAR2025
H-INDEX0
  • Drivers of disengagement from care during the first six months on antiretroviral therapy for HIV in South Africa

    Open Access•Mhairi Maskew, Nyasha Mutanda et al.•ARTICLE•PLOS Global Public Health•2025

    For clients on HIV treatment in sub-Saharan Africa, early disengagement from care is a critical obstacle to achieving UNAIDS’s second 95 target. While South Africa’s Differentiated Service Delivery Guideline on Fast Track Initiation and Counseling (FTIC) defines normative procedures, the impact of implementation and drivers of disengagement remain unclear. The PREFER mixed-methods study enrolled a prospective cohort of adult clients initiating AR…

  • Provider costs of professional Covid-19 rapid antigen testing in low-income settings

    Open Access•Collin Mangenah, Lucky G Ngwira et al.•ARTICLE•PLOS Global Public Health•2025

    World Health Organization recommends antigen rapid diagnostic tests (RDT) as point of care tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in suspected outbreaks when polymerase-chain-reaction testing is not accessible; to trace the extent of outbreaks; and in areas with widespread community transmission. Annual economic costs were estimated for professional SARS-CoV-2 testing as part of several COVID-19 testing use cases i…

  • Experiences and Preferences in Zambia and South Africa for Delivery of HIV Treatment During a Client’s First Six Months

    Open Access•Nyasha Mutanda, Allison Morgan et al.•ARTICLE•AIDS and Behavior•2025

    Disengagement from antiretroviral therapy (ART) is highest in the early treatment period (≤ 6 months after initiation/re-initiation), but low intensity models designed to increase retention generally exclude these clients. We describe client preferences for HIV service delivery in the early treatment period. From 9/2022 to 6/2023, we surveyed adult clients who were initiating or on ART for ≤ 6 months at primary health facilities in South Africa a…

  • Crises and complexity

    Open Access•Zaruhi Mkrtchyan, Yolanda Moyo et al.•ARTICLE•Health Policy and Planning•2025•References: 21

    The end of the COVID-19 global health emergency presents an opportunity to reflect on actions needed to enhance the effectiveness of responses to any future shocks. We highlight critical areas requiring attention from researchers and research commissioners to enhance the identification and adoption of ‘good value’ interventions, and we discuss the complexities of evidence-informed decision-making across multiple sectors, the evolving role of mode…

  • Patterns of engagement in care during clients’ first 12 months after HIV treatment initiation in South Africa

    Open Access•Mhairi Maskew, Mariet Benade et al.•ARTICLE•PLOS Global Public Health•2024

    Retention on antiretroviral therapy (ART) during the early treatment period is one of the most serious challenges facing HIV programs, but the timing and patterns of early disengagement from care remain poorly understood. We describe patterns of engagement in HIV care during the first year after treatment initiation. We analysed retrospective datasets of routinely collected electronic medical register (EMR) data for ≥18-year-old clients who initi…

  • The cost and intermediary cost-effectiveness of oral HIV self-test kit distribution across 11 distribution models in South Africa

    Open Access•Katleho Matsimela, Linda Sande et al.•ARTICLE•BMJ Global Health•2021

    BACKGROUND: Countries around the world seek innovative ways of closing their remaining gaps towards the target of 95% of people living with HIV (PLHIV) knowing their status by 2030. Offering kits allowing HIV self-testing (HIVST) in private might help close these gaps. METHODS: We analysed the cost, use and linkage to onward care of 11 HIVST kit distribution models alongside the Self-Testing AfRica Initiative's distribution of 2.2 million HIVST k…

  • Pragmatic economic evaluation of community-led delivery of HIV self-testing in Malawi

    Open Access•Pitchaya Indravudh, Katherine Fielding et al.•ARTICLE•BMJ Global Health•2021

    INTRODUCTION: Community-based strategies can extend coverage of HIV testing and diagnose HIV at earlier stages of infection but can be costly to implement. We evaluated the costs and effects of community-led delivery of HIV self-testing (HIVST) in Mangochi District, Malawi. METHODS: This economic evaluation was based within a pragmatic cluster-randomised trial of 30 group village heads and their catchment areas comparing the community-led HIVST i…

  • Costs of integrating HIV self-testing in public health facilities in Malawi, South Africa, Zambia and Zimbabwe

    Open Access•Linda Sande, Linda Alinafe Sande et al.•ARTICLE•BMJ Global Health•2021

    INTRODUCTION: As countries approach the UNAIDS 95-95-95 targets, there is a need for innovative and cost-saving HIV testing approaches that can increase testing coverage in hard-to-reach populations. The HIV Self-Testing Africa-Initiative distributed HIV self-test (HIVST) kits using unincentivised HIV testing counsellors across 31 public facilities in Malawi, South Africa, Zambia and Zimbabwe. HIVST was distributed either through secondary (partn…

  • Costs of accessing HIV testing services among rural Malawi communities

    Open Access•Linda Sande, Hendramoorthy Maheswaran et al.•ARTICLE•AIDS Care•2018

    HIV testing is free in Malawi, but users may still incur costs that can deter or delay them accessing these services. We sought to identify and quantify these costs among HIV testing service clients in Malawi. We asked residents of communities participating in a cluster randomised trial investigating the impact of HIV self-testing about their past HIV testing experiences and the direct non-medical and indirect costs incurred to access HIV testing…

No prominent works on this page.

  • Costs of accessing HIV testing services among rural Malawi communities

    Open Access•Linda Sande, Hendramoorthy Maheswaran et al.•ARTICLE•AIDS Care•2018

    HIV testing is free in Malawi, but users may still incur costs that can deter or delay them accessing these services. We sought to identify and quantify these costs among HIV testing service clients in Malawi. We asked residents of communities participating in a cluster randomised trial investigating the impact of HIV self-testing about their past HIV testing experiences and the direct non-medical and indirect costs incurred to access HIV testing…

  • The cost and intermediary cost-effectiveness of oral HIV self-test kit distribution across 11 distribution models in South Africa

    Open Access•Katleho Matsimela, Linda Sande et al.•ARTICLE•BMJ Global Health•2021

    BACKGROUND: Countries around the world seek innovative ways of closing their remaining gaps towards the target of 95% of people living with HIV (PLHIV) knowing their status by 2030. Offering kits allowing HIV self-testing (HIVST) in private might help close these gaps. METHODS: We analysed the cost, use and linkage to onward care of 11 HIVST kit distribution models alongside the Self-Testing AfRica Initiative's distribution of 2.2 million HIVST k…

  • Pragmatic economic evaluation of community-led delivery of HIV self-testing in Malawi

    Open Access•Pitchaya Indravudh, Katherine Fielding et al.•ARTICLE•BMJ Global Health•2021

    INTRODUCTION: Community-based strategies can extend coverage of HIV testing and diagnose HIV at earlier stages of infection but can be costly to implement. We evaluated the costs and effects of community-led delivery of HIV self-testing (HIVST) in Mangochi District, Malawi. METHODS: This economic evaluation was based within a pragmatic cluster-randomised trial of 30 group village heads and their catchment areas comparing the community-led HIVST i…

  • Costs of integrating HIV self-testing in public health facilities in Malawi, South Africa, Zambia and Zimbabwe

    Open Access•Linda Sande, Linda Alinafe Sande et al.•ARTICLE•BMJ Global Health•2021

    INTRODUCTION: As countries approach the UNAIDS 95-95-95 targets, there is a need for innovative and cost-saving HIV testing approaches that can increase testing coverage in hard-to-reach populations. The HIV Self-Testing Africa-Initiative distributed HIV self-test (HIVST) kits using unincentivised HIV testing counsellors across 31 public facilities in Malawi, South Africa, Zambia and Zimbabwe. HIVST was distributed either through secondary (partn…

  • Patterns of engagement in care during clients’ first 12 months after HIV treatment initiation in South Africa

    Open Access•Mhairi Maskew, Mariet Benade et al.•ARTICLE•PLOS Global Public Health•2024

    Retention on antiretroviral therapy (ART) during the early treatment period is one of the most serious challenges facing HIV programs, but the timing and patterns of early disengagement from care remain poorly understood. We describe patterns of engagement in HIV care during the first year after treatment initiation. We analysed retrospective datasets of routinely collected electronic medical register (EMR) data for ≥18-year-old clients who initi…

  • Drivers of disengagement from care during the first six months on antiretroviral therapy for HIV in South Africa

    Open Access•Mhairi Maskew, Nyasha Mutanda et al.•ARTICLE•PLOS Global Public Health•2025

    For clients on HIV treatment in sub-Saharan Africa, early disengagement from care is a critical obstacle to achieving UNAIDS’s second 95 target. While South Africa’s Differentiated Service Delivery Guideline on Fast Track Initiation and Counseling (FTIC) defines normative procedures, the impact of implementation and drivers of disengagement remain unclear. The PREFER mixed-methods study enrolled a prospective cohort of adult clients initiating AR…

  • Provider costs of professional Covid-19 rapid antigen testing in low-income settings

    Open Access•Collin Mangenah, Lucky G Ngwira et al.•ARTICLE•PLOS Global Public Health•2025

    World Health Organization recommends antigen rapid diagnostic tests (RDT) as point of care tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in suspected outbreaks when polymerase-chain-reaction testing is not accessible; to trace the extent of outbreaks; and in areas with widespread community transmission. Annual economic costs were estimated for professional SARS-CoV-2 testing as part of several COVID-19 testing use cases i…

  • Experiences and Preferences in Zambia and South Africa for Delivery of HIV Treatment During a Client’s First Six Months

    Open Access•Nyasha Mutanda, Allison Morgan et al.•ARTICLE•AIDS and Behavior•2025

    Disengagement from antiretroviral therapy (ART) is highest in the early treatment period (≤ 6 months after initiation/re-initiation), but low intensity models designed to increase retention generally exclude these clients. We describe client preferences for HIV service delivery in the early treatment period. From 9/2022 to 6/2023, we surveyed adult clients who were initiating or on ART for ≤ 6 months at primary health facilities in South Africa a…

  • Crises and complexity

    Open Access•Zaruhi Mkrtchyan, Yolanda Moyo et al.•ARTICLE•Health Policy and Planning•2025•References: 21

    The end of the COVID-19 global health emergency presents an opportunity to reflect on actions needed to enhance the effectiveness of responses to any future shocks. We highlight critical areas requiring attention from researchers and research commissioners to enhance the identification and adoption of ‘good value’ interventions, and we discuss the complexities of evidence-informed decision-making across multiple sectors, the evolving role of mode…

HIV/AIDS Research and Interventions (7 works) · Medicine (7 works) · Family medicine (6 works) · Adolescent Sexual and Reproductive Health (4 works) · Nursing (4 works) · Business (3 works) · Demography (3 works) · Disengagement theory (3 works) · Environmental health (3 works) · Gerontology (3 works)

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