Heidi Van Rooyen
Datos Biográficos
| ID | 1738499 |
|---|---|
| NOMBRE | Heidi Van Rooyen |
| NOMBRES | Heidi |
| APELLIDO | Van Rooyen |
| FIRMA | VAN ROOYEN H |
| AFILIACIONES | Human Sciences Research Council |
| ORCID | 0000-0002-6502-6098 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAS | 54 |
| TOTAL COMO AUTOR | 41 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2009 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 3 |
Policymaking in Favour of Women
Realisation of women’s full participation in all spheres of society remains inconsistent and progress towards gender equality is slow. The COVID-19 pandemic laid bare existing and deeply entrenched gender inequalities. In this article, we draw on multiple HSRC-led studies conducted between 2020 and 2022 that explored the impact of the COVID-19 pandemic and lockdown on the psychosocial and economic wellbeing of women and their families. We show th…
A poetic inquiry
For the past four decades, biomedical science has transformed clinical outcomes for HIV and AIDS. However, the social, economic and gendered determinants of HIV remain largely intact. The social science and humanities offer concepts and methods for articulating why these remain intractable. I used poetic inquiry - an arts-based, qualitative approach - as I reviewed literature on the "end of AIDS, and post-AIDS". As I did so, I considered what con…
Two-way associations between relationship quality and uptake of couples health screening including HIV testing and counselling together
In the context of a couples cohort established to evaluate an optimised couples-focused behavioural intervention in rural South Africa, we examined: (1) Is couples’ relationship quality (RQ) associated with couples HIV testing and counselling (CHTC) uptake? (2) Does CHTC uptake or the intervention components uptake improve subsequent RQ? Enrolled couples, (n = 218), previously naïve to couples HIV testing, were invited to two group sessions and o…
Population health impact, cost-effectiveness, and affordability of community-based HIV treatment and monitoring in South Africa
Community-based delivery and monitoring of antiretroviral therapy (ART) for HIV has the potential to increase viral suppression for individual- and population-level health benefits. However, the cost-effectiveness and budget impact are needed for public health policy. We used a mathematical model of HIV transmission in KwaZulu-Natal, South Africa, to estimate population prevalence, incidence, mortality, and disability-adjusted life-years (DALYs) …
A difficult conversation’
Adolescence and young adulthood are important periods of transition and therefore for action and intervention to ensure future sexual and reproductive health (SRH). Caregiver-adolescent communication about sex and sexuality is a protective factor for SRH, but there are often barriers to this. Adults' perspectives are limited within the literature but important as they should lead this process. This paper uses exploratory qualitative data from in-…
Secondary Distribution of HIV Self-Testing Kits to Social and Sexual Networks of PLWH in KwaZulu-Natal, South Africa. A Brief Report
Background: To reach 95% of persons living with HIV (PLWH) knowing their HIV status, alternative testing approaches such as HIV self-testing (HIVST) and secondary HIVST kit distribution are needed. We investigated if secondary HIVST kit distribution from male and female PLWH in South Africa would successfully lead to their contacts testing for HIV and linking to care if positive. Methods: Male and female PLWH participating in an HIV treatment tri…
“I think it’s communication and trust and sharing everything”
In South Africa, couple‐based interventions (CBIs) have been used to increase HIV testing, reduce HIV transmission, and shift relationship dynamics. To understand local definitions of healthy relationships, this study sought to collect qualitative data on a model of healthy relationships in a semi‐rural area of KwaZulu‐Natal, South Africa. We conducted semi‐structured qualitative interviews with HIV‐positive women ( n = 15) and men of mixed HIV s…
Protocol
Retrospectively registered. ISRCTN Registry ISRCTN 46162564 Registered on 26th May 2022
Correlates of Substance Misuse, Transactional Sex, and Depressive Symptomatology Among Partnered Gay, Bisexual and Other Men Who Have Sex with Men in South Africa and Namibia
HIV Testing, Knowledge and Willingness to Use PrEP Among Partnered Men Who Have Sex With Men in South Africa and Namibia
Social Influence and Uptake of Couples HIV Testing and Counselling in KwaZulu-Natal, South Africa
Social influences may create a barrier to couples HIV testing and counselling (CHTC) uptake in sub-Saharan Africa. This secondary analysis of data collected in the ‘Uthando Lwethu’ randomised controlled trial used discrete-time survival models to evaluate the association between within-couple average ‘peer support’ score and uptake of CHTC by the end of nine months’ follow-up. Peer support was conceptualised by self-rated strength of agreement wi…
Power relations in sexual agreements among male couples in Southern Africa
Sexual agreements between same-sex practising men facilitate communication about health promotion activities, including HIV prevention. In African contexts, male couples negotiate their sexual agreements in relation to rigid cultural prescriptions about male power and privilege, intense hostility towards same-sex sexualities and persistent heterogendered socio-cultural norms. Yet the impact of such norms on relationship practices and HIV risk amo…
The power of the poem”
Researchers exploring sensitive topics need to identify appropriate methodologies to encourage open expression. We used poetic inquiry to explore the lived realities of transwomen in Namibia, a socially marginalised group globally. We conducted two focus group discussions with 15 transwomen and developed found poems. The poems captured issues of identity and belonging and illustrated the transwomen's journeys of self-acceptance, experiences of vi…
Exploring queerphobic geographies in Southern Africa
Space in Southern African countries is continuously constructed as heterosexual, putting queer individuals at risk of violence. This paper explores the experiences of queer men and transwomen in spaces that they have identified as queerphobic and violent in South Africa and Namibia. In an effort to locate geographies of queerphobic violence, the paper focuses on how queer men and transwomen are prone to both implicit and explicit violence in thes…
Intimate Partner Violence among Male Couples in South Africa and Namibia
Community mobilization for HIV prevention and treatment research in sub-Saharan Africa
Community mobilization (CM) can assist in HIV research on prevention and disease management, as it emphasizes social factors linked to health risk behavior, potentially reaches more people, and enables sustainability in interventions. However, CM strategies remain underdeveloped in HIV research reporting. This article offers a CM framework for HIV research, developed and used over 15 years in Sweetwaters, Vulindlela, in rural KwaZulu-Natal, South…
Refining Interventions Through Formative Research
Conducting formative research is a scientific, ethical, and community engagement imperative. This article describes how formative research refined ethical processes for a family-based home-based counseling and testing (FBCT) intervention in KwaZulu-Natal. In-depth interviews were conducted to explore community ( n = 20) and key stakeholders' ( n = 20) needs, concerns, and perspectives on the FBCT model, including ethical issues for working with c…
Putting the T in LGBT
South Africa presents a paradox for sexual and gender-minority civil society. While there is an enabling legal and policy environment, the lived realities for trans and gender-diverse citizens do not necessarily reflect this progressive ideal. This chapter explores the historic and contemporary forms of trans resistance and activism, unpacking how the trans movement in South Africa intersects with other social movements (e.g. #FeesMustFall). It d…
What will it really take to end the HIV epidemic
International audience
If She is Drunk, I Don’t Want Her to Take it”
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/Nimh Project Accept
Youth represent a large proportion of new HIV infections worldwide, yet their utilization of HIV testing and counseling (HTC) remains low. Using the post-intervention, cross-sectional, population-based household survey done in 2011 as part of HPTN 043/NIMH Project Accept, a cluster-randomized trial of community mobilization and mobile HTC in South Africa (Soweto and KwaZulu Natal), Zimbabwe, Tanzania and Thailand, we evaluated age-related differe…
I told her this is your life’
Despite the important role of social relationships for health and wellbeing, little is known about how primary partners affect adherence to HIV care and treatment. We qualitatively explored how relationship dynamics and partner support influence adherence among couples from KwaZulu-Natal, South Africa. Twenty-four heterosexual couples with at least one HIV-positive partner completed semi-structured interviews on topics including relationship dyna…
Perceived mHealth barriers and benefits for home-based HIV testing and counseling and other care
Power and the association with relationship quality in South African couples
Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men's perspectives into account to ensure positive relationship outcomes
Empowering patients to link to care and treatment
To explore the barriers and facilitators of linkage to and retention in care amongst persons who tested positive for HIV, qualitative research was conducted in a home-based HIV counselling and testing (HBCT) project with interventions to facilitate linkages to HIV care in rural KwaZulu-Natal, South Africa. The intervention tested 1272 adults for HIV in Vulindlela of whom 32% were HIV positive, received point-of-care (POC) CD4 testing and referral…
A comparison of HIV/Aids-related stigma in four countries
Power and the association with relationship quality in South African couples
Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men's perspectives into account to ensure positive relationship outcomes
Exploring queerphobic geographies in Southern Africa
Space in Southern African countries is continuously constructed as heterosexual, putting queer individuals at risk of violence. This paper explores the experiences of queer men and transwomen in spaces that they have identified as queerphobic and violent in South Africa and Namibia. In an effort to locate geographies of queerphobic violence, the paper focuses on how queer men and transwomen are prone to both implicit and explicit violence in thes…
The power of the poem”
Researchers exploring sensitive topics need to identify appropriate methodologies to encourage open expression. We used poetic inquiry to explore the lived realities of transwomen in Namibia, a socially marginalised group globally. We conducted two focus group discussions with 15 transwomen and developed found poems. The poems captured issues of identity and belonging and illustrated the transwomen's journeys of self-acceptance, experiences of vi…
Using participatory methods and geographic information systems (GIS) to prepare for an hiv community‐based trial in Vulindlela, South Africa (Project Accept–HPTN 043)
Recent attempts to integrate geographic information systems (GIS) and participatory techniques, have given rise to terminologies such as participatory GIS and community‐integrated GIS . Although GIS was initially developed for physical geographic application, it can be used for the management and analysis of health and health care data. Geographic information systems, combined with participatory methodology, have facilitated the analysis of acces…
Perceived mHealth barriers and benefits for home-based HIV testing and counseling and other care
Intimate Partner Violence among Male Couples in South Africa and Namibia
Using participatory methods and geographic information systems (GIS) to prepare for an hiv community‐based trial in Vulindlela, South Africa (Project Accept–HPTN 043)
Recent attempts to integrate geographic information systems (GIS) and participatory techniques, have given rise to terminologies such as participatory GIS and community‐integrated GIS . Although GIS was initially developed for physical geographic application, it can be used for the management and analysis of health and health care data. Geographic information systems, combined with participatory methodology, have facilitated the analysis of acces…
A comparison of HIV/Aids-related stigma in four countries
Advice-giving difficulties in voluntary counselling and testing
Advice-giving in voluntary counselling and testing (VCT) is demanding as it involves the discussion of difficult topics such as the morality of sexual risk and behaviour. We conducted a detailed exploration of how the giving and receiving of advice is managed in VCT, and how this is achieved against the backdrop of the competing public health and counselling imperatives that shape VCT practice. Informed by social constructionism and adopting a di…
The influence of antiretroviral treatment on willingness to test
Previous quantitative studies suggest a mutually reinforcing relationship between HIV counselling and testing (HCT) and antiretroviral treatment (ART). HCT is the entry into ART, and access to ART appears to increase HIV-testing uptake in settings with historically low uptake. Adopting a qualitative approach, this study examined the influence of ART on willingness to test for HIV, in a rural community in South Africa. Ninety-six in-depth intervie…
Looking to the future
This paper examines the approaches heterosexual men and women in South Africa use to engage their partners in discussions of HIV and risk factors in their relationships. These strategies entail balancing the risks of infection while managing the challenges of maintaining a relationship. In a context in which there is a great deal of insecurity in relationships it is especially challenging to discuss HIV risks with partners. Our findings reveal th…
Health diplomacy and the adaptation of global health interventions to local needs in sub-Saharan Africa and Thailand
Adaptation selection, development and approval during multi-site global health research studies should be a planned process that maintains fidelity to the study protocol. The successful implementation of appropriate site-specific adaptations may have important implications for intervention implementation, from both a service uptake and a global health diplomacy perspective
Mobile VCT
Advice dilemmas
The public health and counselling imperatives that shape VCT create advice dilemmas for counsellors. Public health proponents view the dispensing of advice as important, whilst most contemporary counselling dictates that advice should not be given under any circumstances. Using a qualitative, discursive approach transcripts of twenty-seven videotaped simulated VCT sessions in South Africa were analysed with a view to understanding how counsellors…
HIV status disclosure to families for social support in South Africa (Nimh Project Accept/HPTN 043)
Literature on HIV status disclosure among persons living with HIV/AIDS (PLWHA) is dominated by research on the rates, barriers and consequences of disclosure to sexual partners, because of the assumed preventive health benefits of partner disclosure. Disclosure of HIV status can lead to an increase in social support and other positive psychosocial outcomes for PLWHA, but disclosure can also be associated with negative social outcomes including st…
Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa
These findings highlight the need for novel youth- and men-friendly testing services and emphasises the importance of discussions about HIV in the home and community to encourage testing
Pregnant Women Living with HIV (WLH) Supported at Clinics by Peer WLH
What Should the Ideal HIV Self-Test Look Like? A Usability Study of Test Prototypes in Unsupervised HIV Self-Testing in Kenya, Malawi, and South Africa
Primary School-Going Children's Understanding of HIV/Aids
The aims of the study were to investigate how primary school-going children understand the HIV/AIDS pandemic and the effect of HIV/AIDS on them. Children’s narratives were obtained via four focus groups with a total of 36 children of primary school-going age (average age 7). The results of the study indicated that children’s knowledge and awareness was generally adequate for their developmental age as described by Piaget’s cognitive developmental…
Empowering patients to link to care and treatment
To explore the barriers and facilitators of linkage to and retention in care amongst persons who tested positive for HIV, qualitative research was conducted in a home-based HIV counselling and testing (HBCT) project with interventions to facilitate linkages to HIV care in rural KwaZulu-Natal, South Africa. The intervention tested 1272 adults for HIV in Vulindlela of whom 32% were HIV positive, received point-of-care (POC) CD4 testing and referral…
Men don't want things to be seen or known about them”
While evidence for home based counselling and testing (HBCT) as an effective HIV testing strategy is growing, men are often under-represented in this approach. Following up on a sample of households previously offered HBCT, the study contacted men who had not tested. Ninety men were randomly divided between voice, text or instant message arms, contacted and encouraged to test. Additionally, focus groups were conducted with 10 men and 10 women to …
Men’s moralising discourses on gender and HIV risk in rural KwaZulu-Natal, South Africa
Various interventions have resulted in increased rates of HIV testing. However, encouraging men to acknowledge their risk for HIV, to test and link to treatment remains a challenge. In this study, we examine men's perspectives on navigating HIV risk in rural KwaZulu-Natal, South Africa. Qualitative interviews were conducted at four intervals over a three-year time period with a baseline cohort of 126 men and women. We found that men navigated HIV…
If you are circumcised, you are the best’
While the uptake of voluntary medical male circumcision (VMMC) is increasing, South Africa has only attained 20% of its target to circumcise 80% of adult men by 2015. Understanding the factors influencing uptake is essential to meeting these targets. This qualitative study reports on findings from focus-group discussions with men in rural KwaZulu-Natal, South Africa, about what factors influence their perceptions of VMMC. The study found that VMM…
Power and the association with relationship quality in South African couples
Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men's perspectives into account to ensure positive relationship outcomes
If She is Drunk, I Don’t Want Her to Take it”
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/Nimh Project Accept
Youth represent a large proportion of new HIV infections worldwide, yet their utilization of HIV testing and counseling (HTC) remains low. Using the post-intervention, cross-sectional, population-based household survey done in 2011 as part of HPTN 043/NIMH Project Accept, a cluster-randomized trial of community mobilization and mobile HTC in South Africa (Soweto and KwaZulu Natal), Zimbabwe, Tanzania and Thailand, we evaluated age-related differe…
I told her this is your life’
Despite the important role of social relationships for health and wellbeing, little is known about how primary partners affect adherence to HIV care and treatment. We qualitatively explored how relationship dynamics and partner support influence adherence among couples from KwaZulu-Natal, South Africa. Twenty-four heterosexual couples with at least one HIV-positive partner completed semi-structured interviews on topics including relationship dyna…
Perceived mHealth barriers and benefits for home-based HIV testing and counseling and other care
Putting the T in LGBT
South Africa presents a paradox for sexual and gender-minority civil society. While there is an enabling legal and policy environment, the lived realities for trans and gender-diverse citizens do not necessarily reflect this progressive ideal. This chapter explores the historic and contemporary forms of trans resistance and activism, unpacking how the trans movement in South Africa intersects with other social movements (e.g. #FeesMustFall). It d…
What will it really take to end the HIV epidemic
International audience
Refining Interventions Through Formative Research
Conducting formative research is a scientific, ethical, and community engagement imperative. This article describes how formative research refined ethical processes for a family-based home-based counseling and testing (FBCT) intervention in KwaZulu-Natal. In-depth interviews were conducted to explore community ( n = 20) and key stakeholders' ( n = 20) needs, concerns, and perspectives on the FBCT model, including ethical issues for working with c…
Medicine (35 obras) · HIV/AIDS Research and Interventions (30 obras) · Adolescent Sexual and Reproductive Health (28 obras) · Psychology (26 obras) · Family medicine (22 obras) · Sociology (20 obras) · Human immunodeficiency virus (HIV (15 obras) · Nursing (14 obras) · Public health (14 obras) · Demography (13 obras)