Melissa H Watts
Datos Biográficos
| ID | 1725638 |
|---|---|
| NOMBRE | Melissa H Watts |
| NOMBRES | Melissa H |
| APELLIDO | Watts |
| FIRMA | WATTS M H |
| AFILIACIONES | Duke University |
| ORCID | 0000-0003-1317-3536 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 59 |
| TOTAL DE CITAS | 65 |
| TOTAL COMO AUTOR | 59 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2008 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Individual and school-level factors associated with suspected pediatric eye disorders and referral adherence in an enhanced school-based vision screening program in Ghana
Evidence on how social and school-level contexts shape pediatric vision screening outcomes is limited, particularly in sub-Saharan Africa. We examined the association between individual and contextual factors and vision screening outcomes in a pilot enhanced school-based vision screening program (ESVSP) in Kumasi, Ghana. We conducted a cross-sectional study using data from an ESVSP to detect suspected eye disorders in school-children aged 4–22 ye…
Social support across the cancer care continuum in Malawi
Informational, emotional, and instrumental social support can help individuals cope with life stressors like a cancer diagnosis. As the cancer burden in lower-and middle-income countries continues to increase, patients with cancer face challenges that may be alleviated in part through the provision of social support. To understand the role of social support in the cancer journey, we conducted individual in-depth interviews with 29 breast cancer a…
Participatory simulation training design
“It’s a lifeline”
The use of health technology, such as telehealth and mobile health used to support or deliver health care, is a promising strategy to improve HIV outcomes among people with HIV (PWH) in the rural South. In-depth interviews were conducted with 21 HIV care providers in rural Florida to understand the perspectives and experiences of using health technology to deliver care for PWH. Thematic analysis was applied. Emerging themes were organized under f…
Community navigation intervention for social needs in patients with abnormal mammography
The study was pre-registered at ClinicalTrials.gov on March 12, 2024, under identifier NCT06305312
Drivers of inappropriate use of antimicrobials in South Asia
Antimicrobial resistance is a global public health crisis. Effective antimicrobial stewardship requires an understanding of the factors and context that contribute to inappropriate use of antimicrobials. The goal of this qualitative systematic review was to synthesize themes across levels of the social ecological framework that drive inappropriate use of antimicrobials in South Asia. In September 2023, we conducted a systematic search using the e…
Identification, mapping, and self-reported practice patterns of village doctors in Sitakunda subdistrict, Bangladesh
Background: Informally trained health care providers, such as village doctors in Bangladesh, are crucial in providing health care services to the rural poor in low- and middle-income countries. Despite being one of the primary vendors of antibiotics in rural Bangladesh, village doctors often have limited knowledge about appropriate antibiotic use, leading to varied and potentially inappropriate dispensing and treatment practices. In this study, w…
Using Grounded Theory to Develop a Substantive Theory for Grandparent-Caregiving in Uganda
INTRODUCTION: Few studies have focused on developing theories to explain caregiving as performed by grandparents who provide care for their grandchildren in any setting. Theory development that is grounded in the experiences and cultural context of those being studied is needed to inform research, subsequent care, and overall well-being, especially of populations that are understudied. METHODS: This manuscript was informed by Constructivist Groun…
Outcomes of the Mama Training
HIV-related Shame among Women Giving Birth in Tanzania
Healthcare provider perspective on barriers and facilitators in the care of pediatric injury patients at a tertiary hospital in Northern Tanzania
Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). The recovery of injured children in LMICs is often impeded by barriers in accessing and receiving timely and quality care at healthcare facilities. The purpose of this study was to identify the barriers and the facilitators in pediatric injury care at Kilimanjaro Christian Medical Center (KCMC), a tertiary zonal referral hospital in Nort…
Patient perspectives on the helpfulness of a community health worker program for HIV care engagement in Tanzania
Task-shifting is a valuable approach for redistributing clinical tasks to nonprofessional health workers and relieving human resource shortages. The Community-Based HIV Services (CBHS) program is a national cohort of volunteer community health workers (CHWs) who support HIV care engagement at clinics in Tanzania. We recruited 23 patients initiating HIV care at two clinics to understand their experiences with the CBHS program. Participants complet…
The Development and Psychometric Evaluation of the HIV Stigmatizing Attitudes Scale (HSAS) in Tanzania
Attitudes Toward Pregnancy Among Women Enrolled in Prevention of Mother-to-Child Transmission of HIV (PMTCT) Services in Moshi, Tanzania
HIV Stigmatizing Attitudes Among Men Accompanying Their Partners to Antenatal Care in Tanzania
The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania
Improving Access to Cancer Care in the HIV Population
Purpose: People living with HIV are less likely to receive cancer treatment and have worse cancer-specific survival, yet underlying drivers of this disparity have minimally been explored. We investigated cancer care barriers from the perspective of patients living with HIV and cancer (PLWHC) to inform future interventions, reduce disparities, and improve outcomes. Methods: We conducted in-depth semistructured interviews with 27 PLWHC. The intervi…
I have a lot of faith in her’
In rural settings with shortages in trained health care workers, community health workers (CHWs) play an important role in the delivery of health care services. The Ghana Health Service initiated a national CHW programme in 2016 to expand health services to rural populations. This study explored the perceived role and value of CHWs in addressing family planning issues in the Amansie West district of Ghana. The study included in-depth interviews (…
She Just Told Me Not To Cry”
The Disclosure Dilemma
Pilot Outcomes of Maisha
An ethnographic exploration of diarrheal disease management in public hospitals in Bangladesh
Predictors of postpartum HIV care engagement for women enrolled in prevention of mother-to-child transmission (PMTCT) programs in Tanzania
Prevention of mother-to-child transmission of HIV (PMTCT) is a foundational component of a comprehensive HIV treatment program. In addition to preventing vertical transmission to children, PMTCT is an important catch-point for universal test-and-treat strategies that can reduce community viral load and slow the epidemic. However, systematic reviews suggest that care engagement in PMTCT programs is sub-optimal. This study enrolled a cohort of 200 …
Attitudes Toward Long-Term Use of Antiretroviral Therapy Among HIV-Infected Pregnant Women in Moshi, Tanzania
Serostatus disclosure among a cohort of HIV-infected pregnant women enrolled in HIV care in Moshi, Tanzania
HIV-infected pregnant women face complex decisions about whether and how to disclose their serostatus. Previous studies have shown that HIV disclosure is associated with better care engagement, emotional adjustment to the disease, and reduced risk of HIV transmission, but women face both real and perceived barriers to disclosure. We examined patterns and predictors of HIV disclosure in a cohort of 200 women diagnosed or confirmed to have HIV duri…
It's better for me to drink, at least the stress is going away
Because he has bought for her, he wants to sleep with her
Gender-based violence and HIV sexual risk behavior
It's all the time in my mind
Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa
Care-giving expectations and challenges among elders and their adult children in Southern Sri Lanka
The elderly population in Sri Lanka is growing rapidly. Elders are traditionally cared for in the homes of their adult children, but the shifting socio-economic environment in Sri Lanka challenges this arrangement. This paper describes the dynamics of elder–care-giver relationships in Southern Sri Lanka. Data included four focus group discussions and five in-depth interviews with elderly, and ten in-depth interviews with adult children of the eld…
Food Insufficiency, Substance Use, and Sexual Risks for HIV/Aids in Informal Drinking Establishments, Cape Town, South Africa
The Protective Role of Religious Coping in Adolescents’ Responses to Poverty and Sexual Decision‐Making in Rural Kenya
In this study, we explored how adolescents in rural Kenya apply religious coping in sexual decision-making in the context of high rates of poverty and Human Immunodeficiency Virus (HIV). Semi-structured interviews were conducted with 34 adolescents. One-third (13) reported religious coping related to economic stress, HIV, or sexual decision-making; the majority (29) reported religious coping with these or other stressors. Adolescents reported pra…
If you don’t take a stand for your life, who will help you?”
The needs of South African men with HIV may often be overlooked in the provision of HIV services, leading to care programs that do not adequately serve the unique needs of male patients. Additionally, norms of masculinity guide men's behaviors as they navigate health decision-making and the healthcare systems. The aim of this study is to examine how masculinity influences healthcare access and utilization in South Africa, and to identify opportun…
Men Who Report Recent Male and Female Sex Partners in Cape Town, South Africa
The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men
Men who have sex with men (MSM) represent more than half of all new HIV infections in the United States. Utilizing a collaborative, community‐based approach, a brief risk reduction intervention was developed and pilot tested among newly HIV‐diagnosed MSM receiving HIV care in a primary care setting. Sixty‐five men, within 3 months of diagnosis, were randomly assigned to the experimental condition or control condition and assessed at baseline, 3‐m…
Providing Support to IPV Victims in the Emergency Department
The authors compare perspectives of intimate partner violence (IPV) survivors and emergency department (ED) nurses on types of social support IPV victims need at different stages of readiness to disclose and leave a relationship. Qualitative interviews (16 IPV survivors, 10 ED nurses) center on women's responses to vignettes that illustrate different stages of readiness. Survivors mention fear as a barrier for action, whereas nurses are more like…
Providing Support to IPV Victims in the Emergency Department
The authors compare perspectives of intimate partner violence (IPV) survivors and emergency department (ED) nurses on types of social support IPV victims need at different stages of readiness to disclose and leave a relationship. Qualitative interviews (16 IPV survivors, 10 ED nurses) center on women's responses to vignettes that illustrate different stages of readiness. Survivors mention fear as a barrier for action, whereas nurses are more like…
Religion and HIV in Tanzania
The decision to start ARVs hinged primarily on education-level and knowledge about ARVs rather than on religious factors. Research results highlight the influence of religious beliefs on HIV-related stigma and willingness to disclose, and should help to inform HIV-education outreach for religious groups
Integrating HIV Prevention into Services for Abused Women in South Africa
Mental Health Treatment to Reduce HIV Transmission Risk Behavior
It's all the time in my mind
Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting
This study aimed to determine the level of antiretroviral adherence and factors associated with adherence among patients receiving free antiretroviral therapy (ART) at one clinic in Tanzania. Adult patients were recruited into the cross-sectional study and completed a survey that included self-reported adherence over four days and over one month. Less than 95% adherence on either measure was considered "poor." Factors associated with adherence in…
Acceptability of a group intervention for initiates of antiretroviral therapy in Tanzania
The success of antiretroviral therapy (ART) programmes requires high adherence and retention in care. In light of healthcare shortages, group interventions may be optimal ways to deliver information and provide support to ART patients. This study assessed the acceptability of a group intervention for patients and their supporters, which aimed to decrease stigma, harness social support and improve adherence. Twenty-eight ART patients attended a fo…
The Protective Role of Religious Coping in Adolescents’ Responses to Poverty and Sexual Decision‐Making in Rural Kenya
In this study, we explored how adolescents in rural Kenya apply religious coping in sexual decision-making in the context of high rates of poverty and Human Immunodeficiency Virus (HIV). Semi-structured interviews were conducted with 34 adolescents. One-third (13) reported religious coping related to economic stress, HIV, or sexual decision-making; the majority (29) reported religious coping with these or other stressors. Adolescents reported pra…
The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men
Men who have sex with men (MSM) represent more than half of all new HIV infections in the United States. Utilizing a collaborative, community‐based approach, a brief risk reduction intervention was developed and pilot tested among newly HIV‐diagnosed MSM receiving HIV care in a primary care setting. Sixty‐five men, within 3 months of diagnosis, were randomly assigned to the experimental condition or control condition and assessed at baseline, 3‐m…
Perceived acceptability of home-based couples voluntary HIV counseling and testing in Northern Tanzania
It is estimated that 5.6% of the Tanzanian population ages 15-49 are infected with HIV, but only 30% of adults have ever had an HIV test. Couples' testing has proven to increase testing coverage and introduce HIV prevention, but barriers include access to testing services and unequal gender dynamics in relationships. Innovative approaches are needed to address barriers to couple's testing and increase uptake of HIV testing. Using qualitative data…
Food Insufficiency, Substance Use, and Sexual Risks for HIV/Aids in Informal Drinking Establishments, Cape Town, South Africa
Gender-based violence and HIV sexual risk behavior
Because he has bought for her, he wants to sleep with her
Men Who Report Recent Male and Female Sex Partners in Cape Town, South Africa
Religious coping among women with obstetric fistula in Tanzania
Religion is an important aspect of Tanzanian culture, and is often used to cope with adversity and distress. This study aimed to examine religious coping among women with obstetric fistulae. Fifty-four women receiving fistula repair at a Tanzanian hospital completed a structured survey. The Brief RCOPE assessed positive and negative religious coping strategies. Analyses included associations between negative religious coping and key variables (de…
HIV Testing Behaviors and Attitudes Among Community Recruited Methamphetamine Users in a South African Township
Positive Choices
The impact of methamphetamine (“tik”) on a peri-urban community in Cape Town, South Africa
Care-giving expectations and challenges among elders and their adult children in Southern Sri Lanka
The elderly population in Sri Lanka is growing rapidly. Elders are traditionally cared for in the homes of their adult children, but the shifting socio-economic environment in Sri Lanka challenges this arrangement. This paper describes the dynamics of elder–care-giver relationships in Southern Sri Lanka. Data included four focus group discussions and five in-depth interviews with elderly, and ten in-depth interviews with adult children of the eld…
It's better for me to drink, at least the stress is going away
HIV/Aids-related stigma in South African alcohol-serving venues and its potential impact on HIV disclosure, testing and treatment-seeking behaviours
Alcohol-serving venues in South Africa are sites for high-risk behaviours that may lead to HIV transmission. Prevention and treatment interventions are sorely needed in these settings, but HIV-related stigma may limit their effectiveness. This study explored expressions of stigma among alcohol-serving venue patrons in Cape Town and examined the potential impact of stigma on HIV disclosure, testing and treatment-seeking behaviours. A total of 92 i…
Alcohol Use During Pregnancy in a South African Community
Psychological Symptoms and Social Functioning Following Repair of Obstetric Fistula in a Low-Income Setting
Impact of Sexual Trauma on HIV Care Engagement
HIV Risk Behavior Among Methamphetamine Users Entering Substance Abuse Treatment in Cape Town, South Africa
Medicine (52 obras) · Adolescent Sexual and Reproductive Health (39 obras) · Psychiatry (36 obras) · HIV/AIDS Research and Interventions (34 obras) · Family medicine (33 obras) · Psychology (30 obras) · Nursing (29 obras) · Public health (26 obras) · Environmental health (24 obras) · HIV, Drug Use, Sexual Risk (22 obras)