Phyllis Mushati
Datos Biográficos
| ID | 1511938 |
|---|---|
| NOMBRE | Phyllis Mushati |
| NOMBRES | Phyllis |
| APELLIDO | Mushati |
| FIRMA | MUSHATI P |
| AFILIACIONES | Centre for Sexual Health and HIV AIDS Research |
| ORCID | 0000-0002-0252-4882 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAS | 66 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2021 |
| ÍNDICE H | 4 |
The impact of the DREAMS partnership on HIV incidence among young women who sell sex in two Zimbabwean cities
INTRODUCTION: Young women who sell sex (YWSS) in Zimbabwe remain at high risk of HIV infection. Effective HIV prevention strategies are needed. Through support to access a combination of evidence-based interventions, including oral pre-exposure prophylaxis (PrEP), the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) partnership aimed to reduce new HIV infections among adolescent girls and young women by 40% over 24 months. …
Understanding early uptake of PrEP by female sex workers in Zimbabwe
Female sex workers (FSW) are prioritised for increased access to pre-exposure prophylaxis (PrEP), although rates of uptake remain sub-optimal, particularly across Southern Africa. In the first two years of its availability in Zimbabwe, 37.1% of FSW in trial sites initiated PrEP and received at least one re-supply. We conducted a qualitative study on perceptions of PrEP among 19 early users selected from sites with varying rates of PrEP initiation…
Spillover HIV prevention effects of a cash transfer trial in East Zimbabwe
ClinicalTrials.gov , NCT00966849 . Registered August 27, 2009
Changes Over Time in HIV Prevalence and Sexual Behaviour Among Young Female Sex-Workers in 14 Sites in Zimbabwe, 2013–2016
Young female sex-workers (FSW) aged 18-24 are at high risk of HIV due to high numbers of sexual partners, difficulty negotiating condom use, increased risk of gender-based violence, and limited access to services. Here we describe changes in sexual behaviours among young FSW across Zimbabwe between 2013 and 2016, and risk factors for prevalent HIV in 2013 and 2016. FSW ≥ 18 years were recruited using respondent-driven sampling in 14 sites across …
Enhancing national prevention and treatment services for sex workers in Zimbabwe
Targeted HIV interventions for female sex workers (FSW) combine biomedical technologies, behavioural change and community mobilization with the aim of empowering FSW and improving prevention and treatment. Understanding how to deliver combined interventions most effectively in sub-Saharan Africa is critical to the HIV response. The Sisters’ Antiretroviral Programme for Prevention of HIV: an Integrated Response (SAPPH-Ire) randomized controlled tr…
Mobility and sex work
Evaluating the impact of DREAMS on HIV incidence among young women who sell sex
HIV prevention products of known efficacy are available. Innovative studies are needed to provide evidence of how to optimise product use through combination interventions to achieve population impact within different contexts. We describe the design of such a study
Overlapping HIV and sex-work stigma among female sex workers recruited to 14 respondent-driven sampling surveys across Zimbabwe, 2013
HIV stigma can inhibit uptake of HIV testing and antiretroviral therapy as well as negatively affect mental health. Efforts to reduce discrimination against people living with HIV (LWH) have contributed to greater acceptance of the infection. Female sex workers (FSW) LWH may experience overlapping stigma due to both their work and HIV status, although this is poorly understood. We examined HIV and sex-work stigma experienced by FSW LWH in Zimbabw…
Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe
There is a growing interest in education as a means to reduce HIV infection in vulnerable children in sub-Saharan Africa; however, the mechanisms by which education reduces HIV infection remain uncertain. Substance use has been associated with high-risk sexual behaviour and could lie on the causal pathway between education and HIV risk. Therefore, we used multivariable regression to measure associations between: (i) orphanhood and substance use (…
Effects of cash transfers on Children’s health and social protection in Sub-Saharan Africa
Orphaned children are at higher risk for poor social protection outcomes even when cared for in family-based settings. UCT and CCT each produced direct effects on children's social protection which are not moderated by other child- and household-level risk factors, but orphans are less likely to attend school or obtain birth registration. The effects of UCT and CCT are not moderated by asset-holding, but greater household assets predict greater s…
Acceptability of conditions in a community-led cash transfer programme for orphaned and vulnerable children in Zimbabwe
Evidence suggests that a regular and reliable transfer of cash to households with orphaned and vulnerable children has a strong and positive effect on child outcomes. However, conditional cash transfers are considered by some as particularly intrusive and the question on whether or not to apply conditions to cash transfers is an issue of controversy. Contributing to policy debates on the appropriateness of conditions, this article sets out to inv…
Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe
Asset ownership among households caring for orphans and vulnerable children in rural Zimbabwe
The high prevalence of human immunodeficiency virus/acquired immune deficiency syndrome in sub-Saharan Africa has resulted in a dramatic increase in orphans and vulnerable children (OVC) over the past decade. These children typically rely on extended family networks for support, but the magnitude of the crisis has resulted in traditional familial networks becoming overwhelmed and more economically and socially vulnerable. Previous research consis…
Involving Communities in the Targeting of Cash Transfer Programs for Vulnerable Children
We used baseline data, collected in July-September 2009, from a randomized controlled trial of a cash transfer program for vulnerable children in eastern Zimbabwe to investigate the effectiveness, coverage, and efficiency of census- and community-based targeting methods for reaching vulnerable children. Focus group discussions and in-depth interviews with beneficiaries and other stakeholders were used to explore community perspectives on targetin…
Household-based cash transfer targeting strategies in Zimbabwe
Social Capital and Women's Reduced Vulnerability to HIV Infection in Rural Zimbabwe
Social capital-especially through its "network" dimension (high levels of participation in local community groups)-is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behavior change (1998-2003). Almost half of the initially uninfected women interviewed were members of at least o…
Age at First Sex and HIV Infection in Rural Zimbabwe
Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the p…
Community group participation
Community group participation
Social Capital and Women's Reduced Vulnerability to HIV Infection in Rural Zimbabwe
Social capital-especially through its "network" dimension (high levels of participation in local community groups)-is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behavior change (1998-2003). Almost half of the initially uninfected women interviewed were members of at least o…
Age at First Sex and HIV Infection in Rural Zimbabwe
Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the p…
Mobility and sex work
Household-based cash transfer targeting strategies in Zimbabwe
Involving Communities in the Targeting of Cash Transfer Programs for Vulnerable Children
We used baseline data, collected in July-September 2009, from a randomized controlled trial of a cash transfer program for vulnerable children in eastern Zimbabwe to investigate the effectiveness, coverage, and efficiency of census- and community-based targeting methods for reaching vulnerable children. Focus group discussions and in-depth interviews with beneficiaries and other stakeholders were used to explore community perspectives on targetin…
Acceptability of conditions in a community-led cash transfer programme for orphaned and vulnerable children in Zimbabwe
Evidence suggests that a regular and reliable transfer of cash to households with orphaned and vulnerable children has a strong and positive effect on child outcomes. However, conditional cash transfers are considered by some as particularly intrusive and the question on whether or not to apply conditions to cash transfers is an issue of controversy. Contributing to policy debates on the appropriateness of conditions, this article sets out to inv…
Community group participation
Age at First Sex and HIV Infection in Rural Zimbabwe
Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the p…
Social Capital and Women's Reduced Vulnerability to HIV Infection in Rural Zimbabwe
Social capital-especially through its "network" dimension (high levels of participation in local community groups)-is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behavior change (1998-2003). Almost half of the initially uninfected women interviewed were members of at least o…
Household-based cash transfer targeting strategies in Zimbabwe
Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe
Asset ownership among households caring for orphans and vulnerable children in rural Zimbabwe
The high prevalence of human immunodeficiency virus/acquired immune deficiency syndrome in sub-Saharan Africa has resulted in a dramatic increase in orphans and vulnerable children (OVC) over the past decade. These children typically rely on extended family networks for support, but the magnitude of the crisis has resulted in traditional familial networks becoming overwhelmed and more economically and socially vulnerable. Previous research consis…
Involving Communities in the Targeting of Cash Transfer Programs for Vulnerable Children
We used baseline data, collected in July-September 2009, from a randomized controlled trial of a cash transfer program for vulnerable children in eastern Zimbabwe to investigate the effectiveness, coverage, and efficiency of census- and community-based targeting methods for reaching vulnerable children. Focus group discussions and in-depth interviews with beneficiaries and other stakeholders were used to explore community perspectives on targetin…
Acceptability of conditions in a community-led cash transfer programme for orphaned and vulnerable children in Zimbabwe
Evidence suggests that a regular and reliable transfer of cash to households with orphaned and vulnerable children has a strong and positive effect on child outcomes. However, conditional cash transfers are considered by some as particularly intrusive and the question on whether or not to apply conditions to cash transfers is an issue of controversy. Contributing to policy debates on the appropriateness of conditions, this article sets out to inv…
Effects of cash transfers on Children’s health and social protection in Sub-Saharan Africa
Orphaned children are at higher risk for poor social protection outcomes even when cared for in family-based settings. UCT and CCT each produced direct effects on children's social protection which are not moderated by other child- and household-level risk factors, but orphans are less likely to attend school or obtain birth registration. The effects of UCT and CCT are not moderated by asset-holding, but greater household assets predict greater s…
Overlapping HIV and sex-work stigma among female sex workers recruited to 14 respondent-driven sampling surveys across Zimbabwe, 2013
HIV stigma can inhibit uptake of HIV testing and antiretroviral therapy as well as negatively affect mental health. Efforts to reduce discrimination against people living with HIV (LWH) have contributed to greater acceptance of the infection. Female sex workers (FSW) LWH may experience overlapping stigma due to both their work and HIV status, although this is poorly understood. We examined HIV and sex-work stigma experienced by FSW LWH in Zimbabw…
Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe
There is a growing interest in education as a means to reduce HIV infection in vulnerable children in sub-Saharan Africa; however, the mechanisms by which education reduces HIV infection remain uncertain. Substance use has been associated with high-risk sexual behaviour and could lie on the causal pathway between education and HIV risk. Therefore, we used multivariable regression to measure associations between: (i) orphanhood and substance use (…
Evaluating the impact of DREAMS on HIV incidence among young women who sell sex
HIV prevention products of known efficacy are available. Innovative studies are needed to provide evidence of how to optimise product use through combination interventions to achieve population impact within different contexts. We describe the design of such a study
Changes Over Time in HIV Prevalence and Sexual Behaviour Among Young Female Sex-Workers in 14 Sites in Zimbabwe, 2013–2016
Young female sex-workers (FSW) aged 18-24 are at high risk of HIV due to high numbers of sexual partners, difficulty negotiating condom use, increased risk of gender-based violence, and limited access to services. Here we describe changes in sexual behaviours among young FSW across Zimbabwe between 2013 and 2016, and risk factors for prevalent HIV in 2013 and 2016. FSW ≥ 18 years were recruited using respondent-driven sampling in 14 sites across …
Enhancing national prevention and treatment services for sex workers in Zimbabwe
Targeted HIV interventions for female sex workers (FSW) combine biomedical technologies, behavioural change and community mobilization with the aim of empowering FSW and improving prevention and treatment. Understanding how to deliver combined interventions most effectively in sub-Saharan Africa is critical to the HIV response. The Sisters’ Antiretroviral Programme for Prevention of HIV: an Integrated Response (SAPPH-Ire) randomized controlled tr…
Mobility and sex work
Spillover HIV prevention effects of a cash transfer trial in East Zimbabwe
ClinicalTrials.gov , NCT00966849 . Registered August 27, 2009
The impact of the DREAMS partnership on HIV incidence among young women who sell sex in two Zimbabwean cities
INTRODUCTION: Young women who sell sex (YWSS) in Zimbabwe remain at high risk of HIV infection. Effective HIV prevention strategies are needed. Through support to access a combination of evidence-based interventions, including oral pre-exposure prophylaxis (PrEP), the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) partnership aimed to reduce new HIV infections among adolescent girls and young women by 40% over 24 months. …
Understanding early uptake of PrEP by female sex workers in Zimbabwe
Female sex workers (FSW) are prioritised for increased access to pre-exposure prophylaxis (PrEP), although rates of uptake remain sub-optimal, particularly across Southern Africa. In the first two years of its availability in Zimbabwe, 37.1% of FSW in trial sites initiated PrEP and received at least one re-supply. We conducted a qualitative study on perceptions of PrEP among 19 early users selected from sites with varying rates of PrEP initiation…
Medicine (16 obras) · Demography (12 obras) · HIV/AIDS Research and Interventions (11 obras) · Environmental health (10 obras) · Demography (9 obras) · Population (8 obras) · Poverty, Education, and Child Welfare (8 obras) · Adolescent Sexual and Reproductive Health (7 obras) · Economics (7 obras) · Sex work and related issues (7 obras)