Kwasi Torpey
Datos Biográficos
| ID | 6651871 |
|---|---|
| NOMBRE | Kwasi Torpey |
| NOMBRES | Kwasi |
| APELLIDO | Torpey |
| FIRMA | TORPEY K |
| AFILIACIONES | University of Ghana |
| ORCID | 0000-0003-1628-2922 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAS | 5 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Strategies to Promote HIV Self-Testing and Long-Acting Injectable PrEP Among Ghanaian Youth
Crowdsourcing is a participatory problem-solving approach that engages a large and diverse group of individuals to generate ideas or solutions. In HIV prevention, it provides a structured mechanism for involving youth in shaping intervention strategies. The Innovative Tools to Expand Youth-Friendly HIV Self-Testing and Long-Acting Injectable PrEP Uptake in Ghana (Y-FIT GH) National Open Call applied this method to generate youth-driven ideas to p…
Contraceptive and sexual health services during the Covid-19 pandemic and recovery
Barriers to implementation of domestic violence prevention policies and programs in northwestern Ethiopia
Ethiopia is a signatory to various international conventions, regional charters, and protocols related to violence against women, yet many women suffer domestic violence. To date, very little is known about how these conventions and protocols are being implemented, and the barriers associated with their implementation. This study explored the barriers to implementation of domestic violence against women prevention policies and programs in northwe…
We have our reasons”
To bridge the gap between awareness, knowledge, and acceptability, HIV prevention programs should address access barriers and incorporate community-derived strategies
Examining Experiences of Gender Identities, Roles, and Relations among Men with Same-Gender Sexual Histories
Biobehavioral survey using time location sampling among female sex workers living in Ghana in 2020
Background: The HIV epidemic in Ghana is characterized as a mix of a low-level generalized epidemic with significant contributions from transmission among female sex workers (FSW) and their clients. This study seeks to identify and describe key characteristics and sexual behaviors of FSW and estimate the prevalence of HIV, syphilis, gonorrhea, chlamydia, and hepatitis B virus (HBV) among FSW in Ghana. Method: A total of 7,000 FSW were recruited f…
Barriers and facilitators to implementing six monthly multi-month dispensing of antiretroviral therapy in two urban HIV clinics during the Covid-19 Era in Malawi
Following the COVID-19 pandemic, the Malawi Government released a policy that promoted the scale-up of six-monthly multi-month dispensing (6-MMD) of antiretroviral therapy (ART) to people living with HIV in order to decrease congestion at health facilities and transmission of COVID-19. We evaluated the barriers and facilitators to implementing the scale-up of 6-MMD.We conducted a cross-sectional study and collected quantitative and qualitative da…
"I told myself, be bold and go and test"
Despite a disproportionately high burden of HIV, GBMSM in Ghana and sub-Saharan Africa often delay testing until the point of illness. However, limited studies examine factors that affect their participation in testing. We used qualitative in-depth interviews (IDIs) and focus group discussions (FGDs) to collect insights into experiences, motivators, and barriers to HIV testing among GBMSM. Two community-based organizations used snowball and conve…
Utilisation of Reproductive Health Services among Adolescents in Ghana
Early pubertal development induces early sexual activities among adolescents. In Ghana, despite the high sexual activity among Ghanaian adolescents, sexual and reproductive health (SRH) services are underutilised, primarily due to SRH stigma and a lack of SRH knowledge and information. This study examined the use of SRH services among adolescents aged 15-19 years in Ghana over a ten year period. The study utilised data from the 2007 and 2017 Ghan…
Multi-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana
Sexual stigma and discrimination toward men who have same-gender sexual experiences are present across the globe. In Ghana, same-gender sexual desires and relationships are stigmatized, and the stigma is sanctioned through both social and legal processes. Such stigma negatively influences health and other material and social aspects of daily life for men who have sex with men (MSM). However, there is evidence that stigma at the interpersonal leve…
For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002
Community-Based Interventions as Opportunities to Increase HIV Self-Testing and Linkage to Care Among Men Who Have Sex With Men – Lessons From Ghana, West Africa
MSM in Ghana encounter challenges in accessing HIV services and may experience barriers to HIV self-testing due to multiple forms of stigma present in health care settings. We worked with community-based organization partners to implement three interventions that successfully engaged and retained MSM which provides an opportunity for linkage to self-testing and medical care. These interventions were (1) Many Men Many Voices (3MV) a locally-led cu…
HIV Education, Empathy, and Empowerment (Hive3)
Men who have sex with men (MSM) in Ghana remain at heightened risk of HIV infection, and face challenges in accessing HIV prevention and care services. Previous research in Ghana shows that MSM face intersectional stigma across ecological levels (family, peers, healthcare settings, and community level) and the criminalization of same-gender sexual behaviors in the country. To protect their wellbeing from exposure to stigma, many MSM avoid interac…
Implementation and evaluation of a culturally grounded group-based HIV prevention programme for men who have sex with men in Ghana
This study examined the feasibility and acceptability of an evidence-based HIV prevention programme for men who have sex with men (MSM) in Ghana through a participatory approach. The programme involved 57 self-identified adult cisgender MSM and led by a community-based organisation in collaboration with local nurses. We used an explanatory mixed-method design to evaluate the programme. We computed descriptive statistics, relative frequency, and p…
Level of adherence and associated factors among HIV-positive adolescents on antiretroviral therapy in Cameroon
Aim: Globally, there were over 250 000 new HIV infections among adolescents in 2017, with a higher proportion of these in sub-Saharan Africa. In Cameroon, UNICEF estimated over 4 200 new HIV infections in adolescents in 2015; by 2016, there were over 40 000 adolescents who had HIV. Given that the number of adolescents living with HIV in Cameroon is on the increase, there is a need to better understand the factors influencing adherence to treatmen…
HIV comprehensive knowledge and prevalence among young adolescents in Nigeria
Results indicate low comprehensive HIV knowledge among young adolescents. Our findings suggest that there is a need for increased attention towards young adolescents particularly in the provision of comprehensive, functional sexuality education, including HIV at the family- and school-levels. Consequently, age appropriate interventions are needed to address the epidemiological risks of young adolescents that are influenced by a myriad of social i…
Investigating client perception and attitude to decentralization of HIV / Aids treatment services to primary health centres in three Nigerian states
BACKGROUND: The opinions of consumers in decentralization provide insights into possible levels of improvement in access and uptake of services. OBJECTIVES: The study examined clients' perception and attitude towards decentralization of antiretroviral treatment services from central hospitals to primary health centres (PHCs). METHODOLOGY: A cross-sectional survey was undertaken in three states in Nigeria. A total of 1265 exit interviews were cond…
Adherence to On-Time ART Drug Pick-Up and Its Association with CD4 Changes and Clinical Outcomes Amongst HIV Infected Adults on First-Line Antiretroviral Therapy in Nigerian Hospitals
Challenges faced by caregivers of vulnerable children in Cross River State and Abuja Federal Capital Territory, Nigeria
This study describes the characteristics of caregivers, examines the relationships between caregivers and their children and analyzes the experiences and challenges of caring for orphans and vulnerable children (OVC) faced by caregivers in the community. Using a combination of questionnaire, informant interviews and focus group discussions, data were collected from 150 female and male caregivers in Cross Rivers State and the Federal Capital Terri…
Role and outcomes of community health workers in HIV care in sub‐Saharan Africa
Targeting orphaned and vulnerable adolescents with services
The limited focus and vertical nature of current policies limit their responsiveness to the multidimensional nature of the needs of orphans and vulnerable children (OVC) in sub-Saharan Africa. This article describes the process of engaging stakeholders for multisectoral programming targeting adolescent OVC and measuring changes in their well-being using the child status index (CSI). We employed mixed methods for this analysis. Qualitative data de…
Use of service data to inform pediatric HIV-free survival following prevention of mother-to-child transmission programs in rural Malawi
When mothers and newborns received nevirapine, the estimated 24-month probability of HIV-free survival among children was high at 82% (CI: 54% to 99%). However this conclusion should be interpreted cautiously 1) due to the wide confidence interval; and 2) because the confidence interval range includes 55%, which is the natural HIV-free survival rate in the absence of a PMTCT intervention. This analysis highlighted the need of quality data and wel…
Reducing mother-to-child transmission of HIV
Reduction of MTCT of HIV is possible with effective PMTCT interventions, including improved access to ARVs for PMTCT and appropriate infant feeding practices. Loss to follow up of HIV exposed infants is a challenge and requires strategies to enhance retention
Is single-dose NVP relevant in the era of more efficacious PMTCT regimens? Lessons from Zambia
For almost a decade, single-dose nevirapine (sdNVP) has been proven to be a safe and effective drug for the prevention of mother-to-child transmission (PMTCT) of HIV. With the advent of the use of more efficacious combination therapy strategy in reducing mother-to-child transmission, sdNVP has been relegated as a lower tier intervention. Availability of infrastructural capacity coupled with the practical reality that very few women attend an ante…
Excluding pregnancy among women initiating antiretroviral therapy
The pregnancy checklist is effective for excluding pregnancy in many women initiating ART, but its moderate sensitivity and specificity precludes its use to completely replace pregnancy testing. Its use should be encouraged in low resource settings where pregnancy tests are unavailable or must be rationed. Family planning methods should be available and integrated into ART clinics
For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002
Challenges faced by caregivers of vulnerable children in Cross River State and Abuja Federal Capital Territory, Nigeria
This study describes the characteristics of caregivers, examines the relationships between caregivers and their children and analyzes the experiences and challenges of caring for orphans and vulnerable children (OVC) faced by caregivers in the community. Using a combination of questionnaire, informant interviews and focus group discussions, data were collected from 150 female and male caregivers in Cross Rivers State and the Federal Capital Terri…
Targeting orphaned and vulnerable adolescents with services
The limited focus and vertical nature of current policies limit their responsiveness to the multidimensional nature of the needs of orphans and vulnerable children (OVC) in sub-Saharan Africa. This article describes the process of engaging stakeholders for multisectoral programming targeting adolescent OVC and measuring changes in their well-being using the child status index (CSI). We employed mixed methods for this analysis. Qualitative data de…
TRIPS, the Doha Declaration and increasing access to medicines
There are acute disparities in pharmaceutical access between developing and industrialized countries. Developing countries make up approximately 80% of the world's population but only represent approximately 20% of global pharmaceutical consumption. Among the many barriers to drug access are the potential consequences of the Trade Related Aspects of Intellectual Property Rights (TRIPS) Agreement. Many developing countries have recently modified t…
Prevention of mother-to-child transmission of HIV in Zambia
Efficacious ARV regimens beyond sdNVP can be implemented in resource-constrained PHCs. The majority (73.0%) of women identified eligible for ART were initiated on cART; however, a minority (11.3%) of HIV-positive pregnant women were assessed for CD4 count and had their test results available. Factors associated with implementation of more efficacious ARV regimens include timing of blood-draw for CD4 count and capacity to initiate cART onsite wher…
Is single-dose NVP relevant in the era of more efficacious PMTCT regimens? Lessons from Zambia
For almost a decade, single-dose nevirapine (sdNVP) has been proven to be a safe and effective drug for the prevention of mother-to-child transmission (PMTCT) of HIV. With the advent of the use of more efficacious combination therapy strategy in reducing mother-to-child transmission, sdNVP has been relegated as a lower tier intervention. Availability of infrastructural capacity coupled with the practical reality that very few women attend an ante…
Excluding pregnancy among women initiating antiretroviral therapy
The pregnancy checklist is effective for excluding pregnancy in many women initiating ART, but its moderate sensitivity and specificity precludes its use to completely replace pregnancy testing. Its use should be encouraged in low resource settings where pregnancy tests are unavailable or must be rationed. Family planning methods should be available and integrated into ART clinics
Use of service data to inform pediatric HIV-free survival following prevention of mother-to-child transmission programs in rural Malawi
When mothers and newborns received nevirapine, the estimated 24-month probability of HIV-free survival among children was high at 82% (CI: 54% to 99%). However this conclusion should be interpreted cautiously 1) due to the wide confidence interval; and 2) because the confidence interval range includes 55%, which is the natural HIV-free survival rate in the absence of a PMTCT intervention. This analysis highlighted the need of quality data and wel…
Reducing mother-to-child transmission of HIV
Reduction of MTCT of HIV is possible with effective PMTCT interventions, including improved access to ARVs for PMTCT and appropriate infant feeding practices. Loss to follow up of HIV exposed infants is a challenge and requires strategies to enhance retention
Role and outcomes of community health workers in HIV care in sub‐Saharan Africa
Targeting orphaned and vulnerable adolescents with services
The limited focus and vertical nature of current policies limit their responsiveness to the multidimensional nature of the needs of orphans and vulnerable children (OVC) in sub-Saharan Africa. This article describes the process of engaging stakeholders for multisectoral programming targeting adolescent OVC and measuring changes in their well-being using the child status index (CSI). We employed mixed methods for this analysis. Qualitative data de…
Investigating client perception and attitude to decentralization of HIV / Aids treatment services to primary health centres in three Nigerian states
BACKGROUND: The opinions of consumers in decentralization provide insights into possible levels of improvement in access and uptake of services. OBJECTIVES: The study examined clients' perception and attitude towards decentralization of antiretroviral treatment services from central hospitals to primary health centres (PHCs). METHODOLOGY: A cross-sectional survey was undertaken in three states in Nigeria. A total of 1265 exit interviews were cond…
Adherence to On-Time ART Drug Pick-Up and Its Association with CD4 Changes and Clinical Outcomes Amongst HIV Infected Adults on First-Line Antiretroviral Therapy in Nigerian Hospitals
Challenges faced by caregivers of vulnerable children in Cross River State and Abuja Federal Capital Territory, Nigeria
This study describes the characteristics of caregivers, examines the relationships between caregivers and their children and analyzes the experiences and challenges of caring for orphans and vulnerable children (OVC) faced by caregivers in the community. Using a combination of questionnaire, informant interviews and focus group discussions, data were collected from 150 female and male caregivers in Cross Rivers State and the Federal Capital Terri…
Implementation and evaluation of a culturally grounded group-based HIV prevention programme for men who have sex with men in Ghana
This study examined the feasibility and acceptability of an evidence-based HIV prevention programme for men who have sex with men (MSM) in Ghana through a participatory approach. The programme involved 57 self-identified adult cisgender MSM and led by a community-based organisation in collaboration with local nurses. We used an explanatory mixed-method design to evaluate the programme. We computed descriptive statistics, relative frequency, and p…
Level of adherence and associated factors among HIV-positive adolescents on antiretroviral therapy in Cameroon
Aim: Globally, there were over 250 000 new HIV infections among adolescents in 2017, with a higher proportion of these in sub-Saharan Africa. In Cameroon, UNICEF estimated over 4 200 new HIV infections in adolescents in 2015; by 2016, there were over 40 000 adolescents who had HIV. Given that the number of adolescents living with HIV in Cameroon is on the increase, there is a need to better understand the factors influencing adherence to treatmen…
HIV comprehensive knowledge and prevalence among young adolescents in Nigeria
Results indicate low comprehensive HIV knowledge among young adolescents. Our findings suggest that there is a need for increased attention towards young adolescents particularly in the provision of comprehensive, functional sexuality education, including HIV at the family- and school-levels. Consequently, age appropriate interventions are needed to address the epidemiological risks of young adolescents that are influenced by a myriad of social i…
Community-Based Interventions as Opportunities to Increase HIV Self-Testing and Linkage to Care Among Men Who Have Sex With Men – Lessons From Ghana, West Africa
MSM in Ghana encounter challenges in accessing HIV services and may experience barriers to HIV self-testing due to multiple forms of stigma present in health care settings. We worked with community-based organization partners to implement three interventions that successfully engaged and retained MSM which provides an opportunity for linkage to self-testing and medical care. These interventions were (1) Many Men Many Voices (3MV) a locally-led cu…
HIV Education, Empathy, and Empowerment (Hive3)
Men who have sex with men (MSM) in Ghana remain at heightened risk of HIV infection, and face challenges in accessing HIV prevention and care services. Previous research in Ghana shows that MSM face intersectional stigma across ecological levels (family, peers, healthcare settings, and community level) and the criminalization of same-gender sexual behaviors in the country. To protect their wellbeing from exposure to stigma, many MSM avoid interac…
Multi-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana
Sexual stigma and discrimination toward men who have same-gender sexual experiences are present across the globe. In Ghana, same-gender sexual desires and relationships are stigmatized, and the stigma is sanctioned through both social and legal processes. Such stigma negatively influences health and other material and social aspects of daily life for men who have sex with men (MSM). However, there is evidence that stigma at the interpersonal leve…
For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002
Biobehavioral survey using time location sampling among female sex workers living in Ghana in 2020
Background: The HIV epidemic in Ghana is characterized as a mix of a low-level generalized epidemic with significant contributions from transmission among female sex workers (FSW) and their clients. This study seeks to identify and describe key characteristics and sexual behaviors of FSW and estimate the prevalence of HIV, syphilis, gonorrhea, chlamydia, and hepatitis B virus (HBV) among FSW in Ghana. Method: A total of 7,000 FSW were recruited f…
Barriers and facilitators to implementing six monthly multi-month dispensing of antiretroviral therapy in two urban HIV clinics during the Covid-19 Era in Malawi
Following the COVID-19 pandemic, the Malawi Government released a policy that promoted the scale-up of six-monthly multi-month dispensing (6-MMD) of antiretroviral therapy (ART) to people living with HIV in order to decrease congestion at health facilities and transmission of COVID-19. We evaluated the barriers and facilitators to implementing the scale-up of 6-MMD.We conducted a cross-sectional study and collected quantitative and qualitative da…
"I told myself, be bold and go and test"
Despite a disproportionately high burden of HIV, GBMSM in Ghana and sub-Saharan Africa often delay testing until the point of illness. However, limited studies examine factors that affect their participation in testing. We used qualitative in-depth interviews (IDIs) and focus group discussions (FGDs) to collect insights into experiences, motivators, and barriers to HIV testing among GBMSM. Two community-based organizations used snowball and conve…
Utilisation of Reproductive Health Services among Adolescents in Ghana
Early pubertal development induces early sexual activities among adolescents. In Ghana, despite the high sexual activity among Ghanaian adolescents, sexual and reproductive health (SRH) services are underutilised, primarily due to SRH stigma and a lack of SRH knowledge and information. This study examined the use of SRH services among adolescents aged 15-19 years in Ghana over a ten year period. The study utilised data from the 2007 and 2017 Ghan…
Barriers to implementation of domestic violence prevention policies and programs in northwestern Ethiopia
Ethiopia is a signatory to various international conventions, regional charters, and protocols related to violence against women, yet many women suffer domestic violence. To date, very little is known about how these conventions and protocols are being implemented, and the barriers associated with their implementation. This study explored the barriers to implementation of domestic violence against women prevention policies and programs in northwe…
We have our reasons”
To bridge the gap between awareness, knowledge, and acceptability, HIV prevention programs should address access barriers and incorporate community-derived strategies
Examining Experiences of Gender Identities, Roles, and Relations among Men with Same-Gender Sexual Histories
Medicine (23 obras) · HIV/AIDS Research and Interventions (19 obras) · Family medicine (16 obras) · Nursing (15 obras) · Adolescent Sexual and Reproductive Health (13 obras) · Environmental health (12 obras) · Public health (12 obras) · HIV, Drug Use, Sexual Risk (10 obras) · Human immunodeficiency virus (HIV (10 obras) · Psychology (8 obras)