Jeremiah Chikovore
Datos Biográficos
| ID | 7705016 |
|---|---|
| NOMBRE | Jeremiah Chikovore |
| NOMBRES | Jeremiah |
| APELLIDO | Chikovore |
| FIRMA | CHIKOVORE J |
| AFILIACIONES | Human Sciences Research Council |
| ORCID | 0000-0002-4910-6952 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 0 |
Improving tuberculosis diagnosis in South Africa’s private sector
While tuberculosis (TB) is primarily addressed in South Africa’s public sector, people with TB also present to private sector General Practitioners (GPs), where TB may be missed or treatment delayed. We introduced a pilot project in a high-TB burden health district to connect private GPs to free public sector TB testing. We aimed to gauge GPs’ willingness to participate and describe TB patterns in the private sector. GPs practicing in metropolita…
Provider perspectives on empirical antibiotic treatment for tuberculosis-like symptoms in South Africa’s private general practice sector
While tuberculosis (TB) in South Africa is commonly treated in the public sector, some clients first seek care in the private sector. Research has demonstrated that private general practitioners (GPs) perform less well than do public sector care providers in TB testing and drug-dispensing practices. We aimed to describe GPs’ decision-making practices related to empiric antibiotic treatment when presented with symptoms that may be related to TB, t…
A discourse analysis of social inequities, gender, and stigma in tuberculosis policies of seven countries from Africa, Asia, Europe and South America
BACKGROUND: Interventions tackling the social aspects of tuberculosis (TB) are widely suggested, yet we miss insights into how policies incorporate these. The language and framing of policies to address TB can lend important insights into how these social drivers are perceived, problematized, and responded to. OBJECTIVE: To understand how discourses in current TB policies frame social dimensions of TB, especially concepts of social inequity, gend…
Ending TB means responding to socially produced vulnerabilities of all genders
Globally and in Africa, tuberculosis (TB) affects more men than women, as masculine norms, behaviours, and practices can increase likelihood of exposure to TB whilst undermining engagement in TB care (1). The WHO Africa region remains particularly affected, accounting for nearly a quarter (23%) of the estimated 10.6 million people who developed TB and close to a third (31%) of the 1.6 million people who died from the disease in 2021 (2), despite …
Prescribing practices for presumptive TB among private general practitioners in South Africa
INTRODUCTION: Medicine prescribing practices are integral to quality of care for leading infectious diseases such as tuberculosis (TB). We describe prescribing practices in South Africa's private health sector, where an estimated third of people with TB symptoms first seek care. METHODS: Sixteen standardised patients (SPs) presented one of three cases during unannounced visits to private general practitioners (GPs) in Durban and Cape Town: TB sym…
Understanding factors influencing utilization of HIV prevention and treatment services among patients and providers in a heterogeneous setting
Despite advances made in HIV prevention and treatment interventions in South Africa, barriers to their utilization continue to exist. Understanding perspectives from patients and providers of healthcare can shed light on the necessary strategies to enhance uptake of HIV services. A cross-sectional qualitative study was conducted in July 2020 in Ekurhuleni District. Based on HIV prevalence estimates from a national survey, male condom use coverage…
“… It is like it has come up and stole our lives from us” The first 21 days
We examined how different sectors of society experienced the first 21 days of the stay-at-home lockdown following the onset of the coronavirus disease 2019 (COVID-19) pandemic in South Africa. This rapid qualitative assessment was conducted remotely with 60 key and community informants from different socio-cultural and economic backgrounds in Gauteng, KwaZulu-Natal and the Western Cape provinces of South Africa. Atlas.ti.8 was used to facilitate …
Quality of care for tuberculosis and HIV in the private health sector
BACKGROUND: South Africa has high burdens of tuberculosis (TB) and TB-HIV, yet the quality of patient care in the private sector is unknown. We describe quality of TB and TB-HIV care among private general practitioners (GPs) in two South African cities using standardised patients (SPs). METHODS: Sixteen SPs presented one of three cases during unannounced visits to private GPs in selected high-TB burden communities in Durban and Cape Town: case 1,…
Association Between ART Adherence and Mental Health
Missing men with tuberculosis
Tuberculosis (TB) is treatable but is the leading infectious cause of death worldwide, with men over-represented in some key aspects of the disease burden. Men’s TB epidemiological scenario occurs within a wider public health and historical context, including their prior sidelining in health discussions. Differences are however noticeable in how some Western countries and high TB and HIV burden low and middle-income countries (LMIC) including in …
Discordance, Disclosure and Normative Gender Roles
A community-based HIV self-testing study in Blantyre, Malawi demonstrated that not all individuals living in couples tested with their partner. We describe factors dissuading individuals in couples from self-testing with their partner. Data were drawn from qualitative study exploring consequences of HIV self-testing within couples. In-depth interviews were conducted with 33 individuals living in couples who tested alone. Participants expressed fe…
Men, masculinity, and engagement with treatment as prevention in KwaZulu-Natal, South Africa
Men's poorer engagement with healthcare generally and HIV care specifically, compared to women, is well-described. Within the HIV public health domain, interest is growing in universal test and treat (UTT) strategies. UTT strategies refer to the expansion of antiretroviral therapy (ART) in order to reduce onward transmission and incidence of HIV in a population, through a "treatment as prevention" (TasP). This paper focuses on how masculinity inf…
Community perceptions of repeat HIV-testing
In the context of the ANRS 12249 Treatment as Prevention (TasP) trial, we investigated perceptions of regular and repeat HIV-testing in rural KwaZulu-Natal (South Africa), an area of very high HIV prevalence and incidence. We conducted two qualitative studies, before (2010) and during the early implementation stages of the trial (2013-2014), to appreciate the evolution in community perceptions of repeat HIV-testing over this period of rapid chang…
‘For a mere cough, men must just chew Conjex , gain strength, and continue working’
BACKGROUND: Delay by men in seeking healthcare results in their higher mortality while on HIV or tuberculosis (TB) treatment and contributes to ongoing community-level disease transmission before going on treatment. OBJECTIVE: To understand masculinity's role in delay in healthcare seeking for men, with a focus on TB-suggestive symptoms. DESIGN: Data were collected between March 2011 and March 2012 in low-income suburbs in urban Blantyre using fo…
Control, struggle, and emergent masculinities
Facilitating men to seek care early is an urgent public health imperative, given the contexts of high HIV/AIDS prevalence but increasingly available treatment, and the role of care-seeking delay in TB transmission. Men's struggles trying to achieve ideal images seem to influence their engagement with their health. Ambiguous views regarding some key masculinity representations and the embrace of less harmful masculinities raise questions about som…
The Status of Fatherhood and Fathering in South Africa
the political system in South Africa under which Black people were systematically oppressed. We point out that some forms of father absence illustrate the commitment of men to supporting their families by their willingness to seek migrant work far from their homes. Examples are given of government policies to support fathers and some of the major civil society efforts are described. The paper closes with important themes about fatherhood in work …
HIV/Aids and sexuality
Concerns regarding HIV and AIDS were elicited from 546 school youth (51% female, age range 9-25 years) in a Zimbabwean rural district, through a self-generated question writing process. Concerns emerged around how to avoid infection at a time when they were undergoing secondary sexual development, had growing feelings for love and were even engaging in sexual activity, but had limited access to preventive methods due to denial by the adult world.…
Denial and violence
This paper describes the perspectives of men on premarital sex and pregnancy in rural Zimbabwe. It is based on data collected using three qualitative methods including focus group discussions and individual interviews among men and women, and self-generated questions and statements among school youth. The paper illuminates the paradoxes of denial and violence implicit in the way men speak: as relatives on the one hand and as and as partners on th…
The Hide-and-Seek Game
This paper is based on a study aimed at understanding the perceptions of men to induced abortion and contraceptive use within marriage in rural Zimbabwe. Two qualitative methods were combined. Men were found to view abortion not as a reproductive health problem for women. Instead, they described abortion as a sign of illicit sexual activity and contraceptive use as a strategy married women use to conceal their involvement in extramarital sexual a…
Sin obras prominentes en esta página.
The Hide-and-Seek Game
This paper is based on a study aimed at understanding the perceptions of men to induced abortion and contraceptive use within marriage in rural Zimbabwe. Two qualitative methods were combined. Men were found to view abortion not as a reproductive health problem for women. Instead, they described abortion as a sign of illicit sexual activity and contraceptive use as a strategy married women use to conceal their involvement in extramarital sexual a…
Denial and violence
This paper describes the perspectives of men on premarital sex and pregnancy in rural Zimbabwe. It is based on data collected using three qualitative methods including focus group discussions and individual interviews among men and women, and self-generated questions and statements among school youth. The paper illuminates the paradoxes of denial and violence implicit in the way men speak: as relatives on the one hand and as and as partners on th…
HIV/Aids and sexuality
Concerns regarding HIV and AIDS were elicited from 546 school youth (51% female, age range 9-25 years) in a Zimbabwean rural district, through a self-generated question writing process. Concerns emerged around how to avoid infection at a time when they were undergoing secondary sexual development, had growing feelings for love and were even engaging in sexual activity, but had limited access to preventive methods due to denial by the adult world.…
The Status of Fatherhood and Fathering in South Africa
the political system in South Africa under which Black people were systematically oppressed. We point out that some forms of father absence illustrate the commitment of men to supporting their families by their willingness to seek migrant work far from their homes. Examples are given of government policies to support fathers and some of the major civil society efforts are described. The paper closes with important themes about fatherhood in work …
Control, struggle, and emergent masculinities
Facilitating men to seek care early is an urgent public health imperative, given the contexts of high HIV/AIDS prevalence but increasingly available treatment, and the role of care-seeking delay in TB transmission. Men's struggles trying to achieve ideal images seem to influence their engagement with their health. Ambiguous views regarding some key masculinity representations and the embrace of less harmful masculinities raise questions about som…
‘For a mere cough, men must just chew Conjex , gain strength, and continue working’
BACKGROUND: Delay by men in seeking healthcare results in their higher mortality while on HIV or tuberculosis (TB) treatment and contributes to ongoing community-level disease transmission before going on treatment. OBJECTIVE: To understand masculinity's role in delay in healthcare seeking for men, with a focus on TB-suggestive symptoms. DESIGN: Data were collected between March 2011 and March 2012 in low-income suburbs in urban Blantyre using fo…
Men, masculinity, and engagement with treatment as prevention in KwaZulu-Natal, South Africa
Men's poorer engagement with healthcare generally and HIV care specifically, compared to women, is well-described. Within the HIV public health domain, interest is growing in universal test and treat (UTT) strategies. UTT strategies refer to the expansion of antiretroviral therapy (ART) in order to reduce onward transmission and incidence of HIV in a population, through a "treatment as prevention" (TasP). This paper focuses on how masculinity inf…
Community perceptions of repeat HIV-testing
In the context of the ANRS 12249 Treatment as Prevention (TasP) trial, we investigated perceptions of regular and repeat HIV-testing in rural KwaZulu-Natal (South Africa), an area of very high HIV prevalence and incidence. We conducted two qualitative studies, before (2010) and during the early implementation stages of the trial (2013-2014), to appreciate the evolution in community perceptions of repeat HIV-testing over this period of rapid chang…
Discordance, Disclosure and Normative Gender Roles
A community-based HIV self-testing study in Blantyre, Malawi demonstrated that not all individuals living in couples tested with their partner. We describe factors dissuading individuals in couples from self-testing with their partner. Data were drawn from qualitative study exploring consequences of HIV self-testing within couples. In-depth interviews were conducted with 33 individuals living in couples who tested alone. Participants expressed fe…
Missing men with tuberculosis
Tuberculosis (TB) is treatable but is the leading infectious cause of death worldwide, with men over-represented in some key aspects of the disease burden. Men’s TB epidemiological scenario occurs within a wider public health and historical context, including their prior sidelining in health discussions. Differences are however noticeable in how some Western countries and high TB and HIV burden low and middle-income countries (LMIC) including in …
“… It is like it has come up and stole our lives from us” The first 21 days
We examined how different sectors of society experienced the first 21 days of the stay-at-home lockdown following the onset of the coronavirus disease 2019 (COVID-19) pandemic in South Africa. This rapid qualitative assessment was conducted remotely with 60 key and community informants from different socio-cultural and economic backgrounds in Gauteng, KwaZulu-Natal and the Western Cape provinces of South Africa. Atlas.ti.8 was used to facilitate …
Quality of care for tuberculosis and HIV in the private health sector
BACKGROUND: South Africa has high burdens of tuberculosis (TB) and TB-HIV, yet the quality of patient care in the private sector is unknown. We describe quality of TB and TB-HIV care among private general practitioners (GPs) in two South African cities using standardised patients (SPs). METHODS: Sixteen SPs presented one of three cases during unannounced visits to private GPs in selected high-TB burden communities in Durban and Cape Town: case 1,…
Association Between ART Adherence and Mental Health
Prescribing practices for presumptive TB among private general practitioners in South Africa
INTRODUCTION: Medicine prescribing practices are integral to quality of care for leading infectious diseases such as tuberculosis (TB). We describe prescribing practices in South Africa's private health sector, where an estimated third of people with TB symptoms first seek care. METHODS: Sixteen standardised patients (SPs) presented one of three cases during unannounced visits to private general practitioners (GPs) in Durban and Cape Town: TB sym…
Understanding factors influencing utilization of HIV prevention and treatment services among patients and providers in a heterogeneous setting
Despite advances made in HIV prevention and treatment interventions in South Africa, barriers to their utilization continue to exist. Understanding perspectives from patients and providers of healthcare can shed light on the necessary strategies to enhance uptake of HIV services. A cross-sectional qualitative study was conducted in July 2020 in Ekurhuleni District. Based on HIV prevalence estimates from a national survey, male condom use coverage…
Ending TB means responding to socially produced vulnerabilities of all genders
Globally and in Africa, tuberculosis (TB) affects more men than women, as masculine norms, behaviours, and practices can increase likelihood of exposure to TB whilst undermining engagement in TB care (1). The WHO Africa region remains particularly affected, accounting for nearly a quarter (23%) of the estimated 10.6 million people who developed TB and close to a third (31%) of the 1.6 million people who died from the disease in 2021 (2), despite …
Improving tuberculosis diagnosis in South Africa’s private sector
While tuberculosis (TB) is primarily addressed in South Africa’s public sector, people with TB also present to private sector General Practitioners (GPs), where TB may be missed or treatment delayed. We introduced a pilot project in a high-TB burden health district to connect private GPs to free public sector TB testing. We aimed to gauge GPs’ willingness to participate and describe TB patterns in the private sector. GPs practicing in metropolita…
Provider perspectives on empirical antibiotic treatment for tuberculosis-like symptoms in South Africa’s private general practice sector
While tuberculosis (TB) in South Africa is commonly treated in the public sector, some clients first seek care in the private sector. Research has demonstrated that private general practitioners (GPs) perform less well than do public sector care providers in TB testing and drug-dispensing practices. We aimed to describe GPs’ decision-making practices related to empiric antibiotic treatment when presented with symptoms that may be related to TB, t…
A discourse analysis of social inequities, gender, and stigma in tuberculosis policies of seven countries from Africa, Asia, Europe and South America
BACKGROUND: Interventions tackling the social aspects of tuberculosis (TB) are widely suggested, yet we miss insights into how policies incorporate these. The language and framing of policies to address TB can lend important insights into how these social drivers are perceived, problematized, and responded to. OBJECTIVE: To understand how discourses in current TB policies frame social dimensions of TB, especially concepts of social inequity, gend…
Medicine (16 obras) · Nursing (12 obras) · Adolescent Sexual and Reproductive Health (10 obras) · Family medicine (10 obras) · Psychology (10 obras) · Public health (10 obras) · Sociology (10 obras) · Economic growth (7 obras) · Environmental health (7 obras) · Gender Studies (7 obras)