Kazione Kulisewa
Biographic Data
| ID | 6639371 |
|---|---|
| NAME | Kazione Kulisewa |
| GIVEN NAMES | Kazione |
| FAMILY NAME | Kulisewa |
| SIGNATURE | KULISEWA K |
| AFFILIATIONS | Kamuzu Central Hospital |
| ORCID | 0000-0002-2979-4495 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2018 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Integrating safety planning, problem-solving therapy and peer support for suicide prevention among adolescents living with HIV in Malawi
There are few evidence-based suicide prevention interventions tailored for adolescents living with HIV (ALWH) in sub-Saharan Africa. The safety planning intervention targets acute suicidal behavior through co-creation of actionable coping strategies for use at the onset of suicide-related distress. We utilized the Assessment-Decision-Adaptation-Production-Topical Experts-Integration-Training–Testing framework to adapt and integrate safety plannin…
‘You feel like it’s better to just die’
Suicide is the second leading cause of death for adolescents worldwide. Adolescents living with HIV (ALWH) in Malawi are particularly at risk, due to stigmatization and a high comorbid prevalence of depression. Internalized stigma is an indicator of depression and suicidality, yet we have a limited understanding of the drivers and impacts of internalized stigma. In this analysis, we assessed how death-centric stereotypes and experienced stigma co…
Recommended best practices for construct-centered adaptation of the Harmonized Cognitive Assessment Protocol
The HCAP neuropsychological assessment approach has unique considerations for adaptation that balance the needs of local validity with cross-national harmonization. Shared best practices for HCAP adaptation will improve the quality of cross-national HCAP data collection, data harmonization, analyses, and inferences. The HCAP is a useful model for cross-nationally harmonized data collection and research to improve our understanding of cognitive ag…
Depressive disorder at the household level
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being.Objectives We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.Methods As part…
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: m…
The acceptability of antidepressant treatment in people living with HIV in Malawi
Depression is common among people living with HIV (PLWH). Measurement-based care models that measure depression severity and antidepressant side effects, and use an algorithm to guide antidepressant prescription by non-specialized health workers represent an evidence-based treatment for severe depression in sub-Saharan Africa. We conducted in-depth interviews from June to December 2018 with eleven patients enrolled in Project SOAR-Mental Health, …
Preferences for enhanced treatment options to address HIV care engagement among women living with HIV and perinatal depression in Malawi
This study highlights the importance of peer encouragement to support perinatal HIV care engagement among women with HIV and PND. The results from this study can be used to support intervention development to increase HIV care engagement and improve long-term HIV outcomes in women with PND
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi
As in other sub-Saharan countries, the burden of depression is high among people living with HIV in Malawi. However, the association between depression at ART initiation and two critical outcomes-retention in HIV care and viral suppression-is not well understood. Prior to the launch of an integrated depression treatment program, adult patients were screened for depression at ART initiation at two clinics in Lilongwe, Malawi. We compared retention…
How faithfully do HIV clinicians administer the PHQ-9 depression screening tool in high-volume, low-resource clinics? Results from a depression treatment integration project in Malawi
In routine care in LMICs, clinicians may administer validated mental health screening tools with varying quality. To ensure quality, integration programs must incorporate appropriate and ongoing training, support, supervision, and monitoring
The effectiveness of depression management for improving HIV care outcomes in Malawi
ClinicalTrials.gov ID [ NCT03555669 ]. Retrospectively registered on 13 June 2018
The Role of Depression Screening and Treatment in Achieving the Unaids 90–90–90 Goals in Sub-Saharan Africa
Despite widespread HIV screening and treatment programs across sub-Saharan Africa, many countries are not on course to meet the Joint United Nations Program on HIV/AIDS 90-90-90 targets. As mental health disorders such as depression are prevalent among people living with HIV, investment in understanding and addressing comorbid depression is increasing. This manuscript aims to assess depression and HIV management in sub-Saharan Africa using a 90-9…
Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi
Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were…
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Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi
Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were…
How faithfully do HIV clinicians administer the PHQ-9 depression screening tool in high-volume, low-resource clinics? Results from a depression treatment integration project in Malawi
In routine care in LMICs, clinicians may administer validated mental health screening tools with varying quality. To ensure quality, integration programs must incorporate appropriate and ongoing training, support, supervision, and monitoring
The effectiveness of depression management for improving HIV care outcomes in Malawi
ClinicalTrials.gov ID [ NCT03555669 ]. Retrospectively registered on 13 June 2018
The Role of Depression Screening and Treatment in Achieving the Unaids 90–90–90 Goals in Sub-Saharan Africa
Despite widespread HIV screening and treatment programs across sub-Saharan Africa, many countries are not on course to meet the Joint United Nations Program on HIV/AIDS 90-90-90 targets. As mental health disorders such as depression are prevalent among people living with HIV, investment in understanding and addressing comorbid depression is increasing. This manuscript aims to assess depression and HIV management in sub-Saharan Africa using a 90-9…
Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi
As in other sub-Saharan countries, the burden of depression is high among people living with HIV in Malawi. However, the association between depression at ART initiation and two critical outcomes-retention in HIV care and viral suppression-is not well understood. Prior to the launch of an integrated depression treatment program, adult patients were screened for depression at ART initiation at two clinics in Lilongwe, Malawi. We compared retention…
Depressive disorder at the household level
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being.Objectives We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.Methods As part…
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: m…
The acceptability of antidepressant treatment in people living with HIV in Malawi
Depression is common among people living with HIV (PLWH). Measurement-based care models that measure depression severity and antidepressant side effects, and use an algorithm to guide antidepressant prescription by non-specialized health workers represent an evidence-based treatment for severe depression in sub-Saharan Africa. We conducted in-depth interviews from June to December 2018 with eleven patients enrolled in Project SOAR-Mental Health, …
Preferences for enhanced treatment options to address HIV care engagement among women living with HIV and perinatal depression in Malawi
This study highlights the importance of peer encouragement to support perinatal HIV care engagement among women with HIV and PND. The results from this study can be used to support intervention development to increase HIV care engagement and improve long-term HIV outcomes in women with PND
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
‘You feel like it’s better to just die’
Suicide is the second leading cause of death for adolescents worldwide. Adolescents living with HIV (ALWH) in Malawi are particularly at risk, due to stigmatization and a high comorbid prevalence of depression. Internalized stigma is an indicator of depression and suicidality, yet we have a limited understanding of the drivers and impacts of internalized stigma. In this analysis, we assessed how death-centric stereotypes and experienced stigma co…
Recommended best practices for construct-centered adaptation of the Harmonized Cognitive Assessment Protocol
The HCAP neuropsychological assessment approach has unique considerations for adaptation that balance the needs of local validity with cross-national harmonization. Shared best practices for HCAP adaptation will improve the quality of cross-national HCAP data collection, data harmonization, analyses, and inferences. The HCAP is a useful model for cross-nationally harmonized data collection and research to improve our understanding of cognitive ag…
Integrating safety planning, problem-solving therapy and peer support for suicide prevention among adolescents living with HIV in Malawi
There are few evidence-based suicide prevention interventions tailored for adolescents living with HIV (ALWH) in sub-Saharan Africa. The safety planning intervention targets acute suicidal behavior through co-creation of actionable coping strategies for use at the onset of suicide-related distress. We utilized the Assessment-Decision-Adaptation-Production-Topical Experts-Integration-Training–Testing framework to adapt and integrate safety plannin…
Medicine (10 works) · Psychiatry (10 works) · HIV/AIDS Research and Interventions (9 works) · Mental health (8 works) · Mental Health Treatment and Access (6 works) · Nursing (6 works) · Depression (economics (5 works) · Family medicine (5 works) · Maternal Mental Health During Pregnancy and Postpartum (5 works) · Adolescent Sexual and Reproductive Health (4 works)