Lillian Mwanri
Biographic Data
| ID | 223752 |
|---|---|
| NAME | Lillian Mwanri |
| GIVEN NAMES | Lillian |
| FAMILY NAME | Mwanri |
| SIGNATURE | MWANRI L |
| AFFILIATIONS | Torrens University Australia |
| ORCID | 0000-0002-5792-7785 |
| VERIFIED | Yes |
| TOTAL WORKS | 71 |
| TOTAL CITATIONS | 32 |
| AUTHOR COUNT | 71 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Mechanisms for advancing universal health coverage in Kenya
Background Universal Health Coverage (UHC) is a cornerstone of Sustainable Development Goal 3, yet its implementation in Africa shows mixed results. This study explores mechanisms driving UHC progress in Kenya. Method Realist interviews were conducted with 44 key informants across Kenya's health ecosystem, including government officials, private sector representatives, insurance agency members, and community and faith-based organizations. The stu…
Prevalence, trends and inequalities of childhood undernutrition according to a Composite Index of Anthropometric Failure (Ciaf)
Frailty Among Older African Migrants in Australia
HIV care continuity for women in postconflict Tigray
INTRODUCTION: The Tigray War (November 2020-November 2022) caused catastrophic health system collapse in northern Ethiopia, with substantial excess mortality and near-total destruction of health infrastructure. The impact on HIV care services remains poorly documented. We comprehensively assessed HIV care continuum recovery across prevention of mother-to-child transmission (PMTCT), HIV-exposed infant care and cervical cancer screening among women…
Christianity as coping mechanisms for migrants with mental health challenges in Australia
Christian religion may be a powerful resource that can serve as a coping mechanism to resolve challenges and provide comfort to African migrants confronted with mental health challenges. We aimed to explore the coping strategies among African migrants in Australia. We undertook semi-structured interviews online with 11 participants with African backgrounds, comprising six mental health clinicians and five migrant service users living in Australia…
Client perceptions and satisfaction with HIV care clinic services in post-conflict Tigray, Ethiopia
BACKGROUND: The 2020-2022 Tigray conflict affected health infrastructure, antiretroviral therapy (ART) supply chains, and continuity of HIV care. Assessing patient satisfaction during the recovery period is important to monitor service quality and inform service improvement. This study aimed to (i) measure the level of patient satisfaction among people living with HIV (PLHIV) receiving ART in post-conflict Mekelle City, (ii) model the relationshi…
Strategies for collaborative mental health care in post-conflict Tigray
Background There is a significant mental health service gap in Sub-Saharan Africa, with many people relying on traditional healers due to factors such as limited resources and conflict. While mental health collaborative care provision between traditional and biomedical providers is recommended, this recommendation lacks context-specific strategies for post-conflict Tigray. This study explores and identifies strategies for collaborative care provi…
Stakeholder Consensus on Strategies for Collaboration Between Traditional and Biomedical Mental Health Services in Post-Conflict Tigray, Ethiopia
Ongoing conflicts in sub-Saharan Africa negatively affect the population's mental health and weaken health care systems. Collaboration among stakeholders is recommended to strengthen mental health services in post-conflict settings, despite limited evidence on context-specific strategies. This paper aimed to identify strategies for collaboration between traditional and biomedical services to improve mental health care. An adapted nominal group te…
The mediating role of social networks and safety perceptions in the frailty–quality of life relationship among older people in rural and urban regions of Ghana
Frailty is a major public health concern among older people, particularly in resource-limited settings where it significantly reduces Quality of Life (QoL) and increases vulnerability to poor health outcomes. While social and environmental factors influencing frailty have been studied in high-income countries, evidence from Sub-Saharan Africa remains scarce. This study examined the relationship between frailty and QoL in Ghana, focusing on the me…
Lived Experience of Secondary Vicarious Trauma Among the Tegaru Australian Diaspora in the Postwar Context of Tigray
Background The war in Tigray has caused humanitarian and public health crises in North Ethiopia in addition to a high prevalence of mental health symptoms among the Tegaru (people from Tigray) diaspora in Australia. To date, there have been no studies that have explored mechanisms of vicarious mental health and resilience among Tegaru diasporas in Australia. Methods We conducted 14 in‐depth interviews with Tegaru people living in South Australia …
From past to present
At the 58th World Health Assembly in 2005, the international community charted a course for universal health coverage (UHC), aiming to ensure access to health care for all in need, of sufficient quality, and without causing financial hardship. At the time, barriers to accessing health care were overwhelming, particularly in low-and middle-income countries like Africa. Currently, 50 of Africa’s 54 countries are in various phases of UHC implementat…
Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic
Background Patient satisfaction with services is both a direct and indirect indicator of healthcare quality. It influences healthcare outcomes, patient retention, and the likelihood of medical malpractice claims. However, there is limited evidence on patient satisfaction with mental health services in Africa. Therefore, we aimed to assess mental health service satisfaction and its determinants in adult patients with mental illness in an outpatien…
Socio-ecological determinants of multiple anthropometric failures among under-five children
The composite index of anthropometric failure (CIAF) offers a comprehensive measure of the overall burden of undernutrition in children, extending beyond the traditional anthropometric indices to better capture the co-occurrence of multiple anthropometric deficits. Despite its growing use, evidence on the determinants of CIAF remains fragmented and inconclusive. This systematic review and meta-analysis aimed to identify and synthesize the determi…
Perceived stigma and the role of BMI on perceived HIV-related stigma among people living with HIV/Aids in Southeast Ethiopia
The prevalence of perceived HIV-related stigma was found high. Patients with poor social support and non-adherent to HAART were more likely to suffer from HIV-related perceived stigma. Our findings suggest that there is a relationship between body mass index and perceived HIV-related stigma, while depression can indirectly predict perceived HIV-related stigma
The effect of depression on antiretroviral drug non-adherence among women living with HIV in Gondar health facilities, northwest Ethiopia
Depression, poor social support, and HIV- related stigma in women living with HIV were associated with ART non-adherence. Addressing these modifiable barriers could significantly enhance ART adherence in these populations
The Perceived Social Determinants of Mental Health among African Youth Refugees in South Australia
This qualitative study explored the social determinants of mental health among African youths in South Australia, revealing five major themes: displacement and migration, family relationships and dynamics, social exclusion, racism and discrimination, and unemployment and education. The findings indicate that many participants experienced significant displacement due to armed conflict, leading to prolonged migration journeys and feelings of discon…
Effect of Depression on Quality of Life among Women Living with HIV in Gondar Town, Northwest, Ethiopia, Prospective Cohort Study
Factors influencing the adoption of Universal Health Coverage in Africa
Exploring the barriers to mental health help-seeking among African Migrants in Australia
Background: The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services. Aims: This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia. Methods: In this qua…
Determinants of aggregate anthropometric failure among children under-five years in Ethiopia
Undernutrition significantly contributes to failure to thrive in children under five, with those experiencing multiple forms of malnutrition facing the highest risks of morbidity and mortality. Conventional markers such as stunting, wasting, and underweight have received much attention but are insufficient to identify multiple types of malnutrition, prompting the development of the Composite Index of Anthropometric Failure (CIAF) and the Composit…
Co-existence of maternal overweight/obesity, child undernutrition, and anaemia among mother-child pairs in Ethiopia
Ethiopia is currently known to be the most food-insecure country in sub-Saharan Africa, where childhood undernutrition remains endemic. While attention is increasingly being paid to childhood undernutrition in Ethiopia, a current surge of "triple burden of malnutrition" (TBM) has received less attention. The purpose of this study was to determine the prevalence of TBM and identify the associated factors in Ethiopia. Data were from the Ethiopian D…
Quality of life among people with mental illness attending a psychiatric outpatient clinic in Ethiopia
In this study, the QoL of people with mental illness was poor, with the psychological health domain the most affected. Sociodemographic factors, social support-related factors, drug use factors, and clinical factors, directly and indirectly affected QoL through the mediator variables of physical health domains, psychological health domains, social relation health domains, and environmental health domains. In order to improve the QoL of people wit…
Parental Migration and the Social and Mental Well-Being Challenges among Indonesian Left-Behind Children
Parental labour migration, of either one or both parents, has been associated with various challenges among left-behind children (LBC). However, there is a limited understanding of the LBC's own views and experiences of social and mental well-being and how the new daily life circumstances they encounter following their parents' migration impact them. This study aimed to understand the influence of parental migration and its aftermath on the socia…
Describing the Eye Health of Newly Arrived Refugees in Adelaide, South Australia
This study describes the eye health of newly arrived refugees attending a state-funded health service in Adelaide, South Australia, helping to address the paucity of data on the eye health of refugees. Patients attending the Refugee Health Service undergo comprehensive assessment by an on-site optometrist with accredited interpreters if they have eye symptoms, personal or family history of eye disease, or visual impairment (using World Health Org…
Childhood undernutrition mediates the relationship between open defecation with anemia among Ethiopian children
Open defecation showed a significant direct effect on anemia. Child undernutrition remarkably mediated the relationship between OD and anemia that further magnified the effect. This finding has an important programmatic implication calling for strengthened, accelerated and large-scale implementation of strategies to end open defecation and achieve universal access to sanitation in Ethiopia
African Immigrants to Australia
The purpose of this paper is to examine the employment experiences of immigrants of African background in the Australian labor market. Drawing on the findings from a qualitative study conducted in South East Queensland, the paper identifies several barriers and challenges faced by Africans to meaningful employment and labor market success. The paper indicates the need to develop targeted policies to eliminate employment discrimination, reduce bar…
Afro-diasporic Experiences of Highly Skilled Black African Immigrants in Australia
This study explored the experiences of skilled African immigrants in Australia. Semi-structured interviews were conducted with 27 individuals from different sub-Saharan African countries currently residing in South Australia. The findings report on the experiences of change, cultural identity, diasporic identities, employment, negotiating family dynamics, and the experiences of racial discrimination in Australia. These findings call for considera…
Empowerment as a tool for a healthy resettlement
Purpose The purpose of this paper is to describe the application of empowerment and the role that it plays in fostering community participation, community integration and in enabling a healthy re-settlement of culturally and linguistically diverse migrants who have recently arrived in Australia from Sub Saharan Africa. Design/methodology/approach The paper's approach is a discussion expressing the views of authors supported by the relevant litera…
Impacts of Covid-19 on African Migrants' Wellbeing, and Their Coping Strategies in Urban and Regional New South Wales, Australia
Aim As the COVID-19 pandemic response continues to evolve, the need to protect more vulnerable populations in society becomes more apparent. Studies are still emerging on how different population groups have been impacted by the COVID-19 pandemic. Our study explored the impact of COVID-19 for African migrants in New South Wales, Australia, and their coping strategies. Methods We employed inductive, exploratory qualitative interpretive research de…
Negotiating Identity and Belonging in a New Space
This paper was part of a large study that aimed to explore determinants of increased suicides among African youths in South Australia. As part of this larger study, narratives from participants indicated that identity crisis could be a potential determinant of suicide. This paper reports on how African youths negotiate and form identity in Australia. A qualitative inquiry was undertaken with 31 African youths using a focus group and individual in…
Inequalities in addressing the HIV epidemic
Purpose – The purpose of this paper is to identify the potential socio-cultural determinants contributing to inequalities and the susceptibility of the Ojek to Human Immunodeficiency Virus (HIV) infection. Design/methodology/approach – In 2010 a qualitative enquiry was employed to collect data concerning the susceptibility of the Ojek to HIV infection. Both one-on-one open-ended in-depth interviews and focus group discussions were employed. Parti…
Anaemia in schoolchildren in eight countries in Africa and Asia
Objective To report on the haemoglobin concentrations and prevalence of anaemia in schoolchildren in eight countries in Africa and Asia. Design Blood samples were collected during surveys of the health of schoolchildren as a part of programmes to develop school-based health services. Setting Rural schools in Ghana, Indonesia, Kenya, Malawi, Mali, Mozambique, Tanzania and Vietnam. Subjects Nearly 14 000 children enrolled in basic education in thre…
Empowerment as a tool for a healthy resettlement
Purpose The purpose of this paper is to describe the application of empowerment and the role that it plays in fostering community participation, community integration and in enabling a healthy re-settlement of culturally and linguistically diverse migrants who have recently arrived in Australia from Sub Saharan Africa. Design/methodology/approach The paper's approach is a discussion expressing the views of authors supported by the relevant litera…
Extreme heat and cultural and linguistic minorities in Australia
With increasing diversity within populations, it is important that the health sector is aware that during periods of extreme heat there may be disparities in the adaptive capacity of minority groups, underpinned by sociocultural and language-based vulnerabilities in migrants and refugees. These factors need to be considered by policymakers when formulating and disseminating heat health strategies
Inequalities in addressing the HIV epidemic
Purpose – The purpose of this paper is to identify the potential socio-cultural determinants contributing to inequalities and the susceptibility of the Ojek to Human Immunodeficiency Virus (HIV) infection. Design/methodology/approach – In 2010 a qualitative enquiry was employed to collect data concerning the susceptibility of the Ojek to HIV infection. Both one-on-one open-ended in-depth interviews and focus group discussions were employed. Parti…
Barriers to Participation in Physical Activity Among South Sudanese Children in South Australia
Physical inactivity is one of the determinants of childhood obesity. Although its facilitators are well documented for the general community, limited evidence exists informing newly arrived and emerging migrant communities in Australia. To explore parents' perspectives of barriers to participation in physical activity among South Sudanese children in South Australia. Qualitative, face-to-face interviews were conducted with parents. Data were tran…
Intergenerational Conflicts, Cultural Restraints and Suicide
The socio-economic impacts of Aids on families caring for Aids-orphaned children in Mbeya rural district, Tanzania
Purpose The purpose of this paper is to explore the socio-economic impacts of AIDS on families caring for AIDS-orphaned children in Mbeya rural district, Tanzania. Design/methodology/approach A qualitative inquiry employing one-on-one in-depth interviews was conducted in 2015. Purposive sampling technique was used to recruit participants ( n =24) comprising 20 heads of families caring for AIDS-orphaned children, two local government staff and two…
Barriers to HIV testing among male clients of female sex workers in Indonesia
These findings indicated multilevelled barriers to accessing HIV testing services among participants, who are known to be among key population groups in HIV care. Actions to improve HIV/AIDS-related health services accessibility are required. The dissemination of the knowledge and information on HIV/AIDS and improved available of HIV/AIDS-related services are necessary actions to improve the personal levelled barriers. System wide barriers will n…
African Immigrants to Australia
The purpose of this paper is to examine the employment experiences of immigrants of African background in the Australian labor market. Drawing on the findings from a qualitative study conducted in South East Queensland, the paper identifies several barriers and challenges faced by Africans to meaningful employment and labor market success. The paper indicates the need to develop targeted policies to eliminate employment discrimination, reduce bar…
Policy and practice suggestions to improve performance on the Unaids 90‐90‐90 targets
OBJECTIVE: This paper aims to evaluate the potential solutions to address negative outcomes of HIV care and treatment, that were proposed by HIV care providers, researchers and HIV programme managers in Southwest Ethiopia. METHODS: A nominal group technique (NGT) was conducted with 25 experts in December 2017 in Jimma, Southwest Ethiopia. The NGT process included (a) an analysis of the previously qualitative study conducted with various Ethiopian…
Addendum
In the original version of our article [...]
HIV Stigma and Moral Judgement
It is well acknowledged that human immunodeficiency virus stigma (HIV stigma) challenges people living with HIV globally. There is a scarcity of information about determinants of HIV stigma and discrimination among married men in the Indonesian context. This study aimed to explore factors that contribute to stigma and discrimination against HIV-positive men married to women in Yogyakarta, Indonesia. Face-to-face in-depth interviews were conducted…
Our Tradition Our Enemy”
Evidence exists that suggests that women are vulnerable to negative HIV treatment outcomes worldwide. This study explored barriers to treatment outcomes of women in Jimma, Southwest Ethiopia. We interviewed 11 HIV patients, 9 health workers, 10 community advocates and 5 HIV program managers from 10 institutions using an in-depth interview guide designed to probe barriers to HIV care at individual, community, healthcare provider, and government po…
Improving the Unaids 90-90-90 Treatment Targets
Ethiopia's performance toward the UNAIDS 90-90-90 targets is low. The present study explored interventions to improve delayed HIV care presentation (first 90), poor retention (second 90) and clinical and immunological failure (third 90). We employed a qualitative approach using in-depth interviews with 10 HIV patients, nine health workers, 11 community advocates and five HIV program managers. Ethical approvals were obtained from Australia and Eth…
Migration, Stress and the Challenges of Accessing Food
This study explored the migration and food experiences of Afghani women refugees residing in Adelaide, South Australia for 2 years or less. In-depth semi-structured qualitative interviews were conducted with 10 women between May and September 2017. The data were thematically analysed, and the Social Determinants of Health Framework was used to discuss the findings. Five key themes emerged from the data. In the transition country (Iran/Pakistan), …
Integration and social determinants of health and wellbeing for people from refugee backgrounds resettled in a rural town in South Australia
Challenges experienced by refugees resettled in rural areas can affect integration, health and wellbeing and subsequent onward migration intentions. Attention to broader socioeconomic, cultural and environmental conditions, alongside tailored settlement support policies and practices for individual rural resettlement sites, is required to support integration and health and wellbeing
Stigma and discrimination
There was evidence of concerns about HIV-related stigma and discrimination among individuals enrolled in this program and their family members, which in turn negatively affected the utilisation of the nutritional program and the HIV service more broadly. Stigma and discrimination are a source of health inequity and undermine access to the nutritional program and other HIV services. Nutritional programs in HIV care should include strategies to tak…
An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana
The numerous barriers to indoor residual spraying acceptance and implications show that acceptance levels could be improved. However, measures are required to address householders' concerns and streamline operational barriers to increase community uptake of indoor residual spraying
Negotiating Identity and Belonging in a New Space
This paper was part of a large study that aimed to explore determinants of increased suicides among African youths in South Australia. As part of this larger study, narratives from participants indicated that identity crisis could be a potential determinant of suicide. This paper reports on how African youths negotiate and form identity in Australia. A qualitative inquiry was undertaken with 31 African youths using a focus group and individual in…
Covid/HIV Co-Infection
The present commentary explored the intersecting nature of the COVID-19 and HIV pandemics to identify a shared research agenda using a syndemic approach. The research agenda posits the following questions. Questions around HIV infection, transmission, and diagnosis include: (i) molecular, genetic, clinical, and environmental assessments of COVID-19 in people living with HIV, (ii) alternative options for facility-based HIV testing services such as…
Racial disparities in Covid-19 pandemic cases, hospitalisations, and deaths
Meaning-making as a coping strategy among transgender women living with HIV in Indonesia
This study aimed to understand how transgender women living with human immunodeficiency virus (HIV) cope psychologically with the infection. A qualitative inquiry was conducted with 29 participants in Yogyakarta, Indonesia. Participants were recruited using purposive and snowball sampling techniques. Data analysis was guided by the framework analysis for qualitative research. The findings indicated that acceptance of HIV status by an individual w…
What do Health Workers say About Rural Practice
Adequately staffed rural health services improve healthcare delivery and health outcomes, yet this is lacking in rural Ghana. We used a descriptive qualitative design to understand the contextual issues that affect rural practice, in the Upper East Region, Ghana. Sixty-eight in-depth interviews were conducted with healthcare workers and analysed thematically. Four themes were identified: types of postings to rural settings, healthcare workers' pe…
Telling Our Stories
The findings demonstrate that despite challenges, skilled African migrants' resilience, ambition and determination were significant enablers to a healthy resettlement in Australia, contributing effectively to social, economic and cultural expectations, and subsequently meeting most of their own migration intentions. These findings suggest that resilience factors identified in the study are key elements of integration
Migrants and Service Providers’ Perspectives of Barriers to Accessing Mental Health Services in South Australia
International mobility has increased steadily in recent times, bringing along a myriad of health, social and health system challenges to migrants themselves and the host nations. Mental health issues have been identified as a significant problem among migrants, with poor accessibility and underutilisation of the available mental health services (MHSs) repeatedly reported, including in Australia. Using a qualitative inquiry and one-on-one in-depth…
Medicine (54 works) · Sociology (33 works) · Environmental health (32 works) · Qualitative research (28 works) · Nursing (23 works) · Public health (23 works) · Political science (21 works) · Psychiatry (21 works) · Psychology (21 works) · Mental health (17 works)