Xanthe Hunt
Dados Biográficos
| ID | 288835 |
|---|---|
| NOME | Xanthe Hunt |
| PRENOMES | Xanthe |
| SOBRENOME | Hunt |
| ASSINATURA | HUNT X |
| AFILIAÇÕES | Stellenbosch University |
| ORCID | 0000-0001-7531-6665 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAÇÕES | 26 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2017 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Caregiving experiences, challenges and needs of mothers for their young children who are HIV exposed and uninfected from Worcester, South Africa – A qualitative exploration through the nurturing care …
In high HIV prevalence settings, pregnancy and early childhood can be stressful periods for mothers with HIV, due to fear of HIV transmission, breastfeeding concerns, poor health and socio-economic challenges. Not much is known about how mothers of young children who are HIV exposed and uninfected (HEU) experience caregiving before and beyond the confirmation of their HIV-negative status. Using the Nurturing Care Framework for early childhood dev…
Developing, piloting, and evaluating a psychological first aid training for medical students in South Africa
BACKGROUND: Common mental disorders are highly prevalent among medical students. One way to ameliorate risk for mental disorders in this group is to improve medical students’ psychological literacy and provide psychoeducation to promote appropriate help seeking, which could potentially be achieved through changes to the formal curriculum. OBJECTIVES: Our aim was to develop, pilot and evaluate a context-sensitive and culturally appropriate Psychol…
The effect of multi-level HIV prevention interventions on common mental disorders among adolescents and young adults in rural South Africa
This study evaluated the effect of multi-level HIV prevention interventions delivered through DREAMS (Determined, Resilient, Empowered, AIDS-free, Motivated, and Safe) program on common mental disorders (CMD) among adolescents and young adults (AYA) in rural South Africa. We used longitudinal data from two cohorts of AYA aged 13–35 years (N = 2184 for cohort 1 and N = 3067 for cohort 2), recruited between May 2017 and December 2018, with data col…
Sources of evidence, pathways, and processes to support disability-inclusive decision-making in low- and middle-income countries
Widespread failure to sufficiently account for disability in policies and programming across sectors limits the inclusion of people with disabilities in global health and development strategies. These oversights are especially marked in low- and middle-income countries (LMICs), where 80% of the world’s 1.3 billion people with disabilities reside. To bridge disability policy and programming gaps, it is important to first understand how key categor…
Understanding the mental health of adolescents and young adults in rural South Africa through participatory research
Most mental health problems in adulthood begin during adolescence. Factors such as poverty, violence, and unemployment contribute to the high burden of mental health problems. In Africa, the lack of resources for diagnosis, treatment, and management exacerbates the situation. Research on adolescent mental health has mostly focused on negative psychological effects, while positive attributes like coping, resilience, and emotional growth have been …
Impact of Covid-19 on unmet needs for healthcare in Peru
The COVID-19 pandemic affected people’s health and access to healthcare worldwide. Still, little is known about how distinct phases of the pandemic – namely the lockdown period and the period directly after lockdown – impacted these outcomes, and whether there were differences in these impacts among different segments of the Peruvian population. The aim of this study was to examine the impact of different phases of the COVID-19 response on unmet …
Caring for a young child who is HIV exposed and whose HIV status is not yet known
Living with HIV can affect mothers' wellbeing, functioning, and experiences of caregiving. Most research about caregiving in the context of HIV comes from studies of dyads where both mother and child are living with HIV. Less is known about how mothers experience caregiving when their children are HIV exposed, but their HIV-status is not yet known. We conducted a scoping review to map out existing evidence on this topic. Systematic database searc…
Scoping review on technology-facilitated gender-based violence against women with disabilities and LGBTQI+ persons in low- and middle-income countries
Background: Technology-facilitated gender-based violence (TFGBV) refers to acts of harm enabled or intensified through digital platforms, negatively affecting women’s rights, safety and well-being. Women with disabilities are at heightened risk because of the intersection of ableism and gender inequality. However, limited evidence exists on how TFGBV manifests and impacts this population, particularly in low- and middle-income countries (LMICs). …
How inclusive were strategies to prevent the spread of Covid-19 for people with disabilities? Evidence from qualitative research in eight low- and middle-income countries
Consequently, the pandemic compounded existing barriers and inaccessibility experienced by people with disabilities and contributed to inequality
Experiences of accessing education among people with disabilities during the Covid-19 pandemic
The COVID-19 pandemic had profound impacts on education globally. The pandemic widened educational disparities between young people with and without disabilities, but accounts from low- and middle-income countries are missing from the literature. This article reports on a multi-country qualitative study of experiences of education in low- and middle-income countries during the pandemic. Interviews were conducted with primary, secondary, and terti…
“If we work as a team, there are success stories.” Unpacking team members’ perceptions and experiences of what impacts team performance in a maternal and neonatal quality improvement programme in Sout…
Many maternal and neonatal deaths and stillbirths can be avoided if quality of care is improved. The South African National Department of Health implemented a multi-partner quality improvement (QI) programme between 2018 and 2022, in 21 facilities, with the aim to reduce maternal and perinatal mortality. We conducted a qualitative evaluation to explore QI team members’ perceptions of the factors shaping variation in team performance. The evaluati…
South African university students’ experiences of online group cognitive behavioural therapy
Mental disorders are common among university students. In the face of a large treatment gap, resource constraints and low uptake of traditional in-person psychotherapy services by students, there has been interest in the role that digital mental health solutions could play in meeting students' mental health needs. This study is a cross-sectional, qualitative inquiry into university students' experiences of an online group cognitive behavioural th…
Anxious, Depressed, and Suicidal
There is growing global awareness of the poor mental health of university students, as well as the need to improve students' access to services and expand the range of available evidence-based interventions. However, a crisis narrative is emerging, particularly in the wake of the COVID-19 pandemic, that runs the risk of positioning all students as potential patients in need of formal psychiatric interventions. Our aim in this commentary is to cri…
Impacts of the Covid-19 pandemic on access to healthcare among people with disabilities
These barriers ultimately led to decreased utilisation of services which, in turn, negatively impacted their health and wellbeing. However, we also found that certain factors, including active and engaged Organisations of Persons with Disabilities (OPDs) and Non-Governmental Organizations (NGOs) played a role in reducing some of the impact of pandemic-related healthcare access barriers
It is in the Nature of Men”
This study employed a cross-sectional, qualitative individual interview methodology to explore South African women with physical disabilities' experiences of intimate partner and sexual violence, inclusive of non-consensual and coerced sexual intercourse. For the participants, disability was a factor that intersected with gender norms to create vulnerability to abuse, and that patriarchal ideologies constructing how women should perform their gen…
How representative are organisations of persons with disabilities? Data from nine population-based surveys in low- and middle-income countries
Organisations of Persons with Disabilities (OPDs) are critical to promoting and protecting the rights of people with disabilities. However, little is known about the extent to which people with disabilities are aware and members of OPDs. This study uses data from nine population-based surveys in low- and middle-income countries to explore OPD awareness and membership. Across settings, about a third of people with disabilities were aware of OPDs a…
First 1,000 days
BACKGROUND: Child cognitive development is often compromised in contexts of poverty and adversity, and these deficits tend to endure and affect the child across the life course. In the conditions of poverty and violence that characterise many low- and middle-income countries (LMIC), the capacity of parents to provide the kind of care that promotes good child development may be severely compromised, especially where caregivers suffer from depressi…
Depression, anxiety, and psychological distress among caregivers of young children in rural Lesotho
Good mental health is a critical resource for mothers and caregivers of young children , given the central role of mental health in enabling responsive caregiving. However, fulfilling caregiving responsibilities under challenging circumstances such as extreme poverty, food insecurity, and gender inequality intensifies vulnerability to poor mental health. Previous research focuses on mental health of mothers, while in many LMICs children are cared…
Self-identified intervention priorities amongst women with road accident-acquired physical disabilities in South Africa
To develop inclusive, accessible, and practical policy and programming for people with disabilities, exercises like those outlined in this research - eliciting intervention ideas from lived experience - should be conducted as they highlight actionable priorities for programming
I might be lucky and go back to school’
These findings carry implications for policy and planning in inclusive education and other services to support the health and well-being of children with disabilities in Malawi
The Health of People with Disabilities in Humanitarian Settings During the Covid-19 Pandemic
People with disabilities are at a higher risk of poor health outcomes and face barriers to accessing health services, which may be exacerbated in humanitarian settings and during the Covid-19 pandemic. This scoping review explores how best to protect the health of people with disabilities in humanitarian contexts during the Covid-19 response. Forty-eight articles across the peer-reviewed and grey literature were identified. Key challenges include…
Associations between caregiver mental health and young children’s behaviour in a rural Kenyan sample
Anxiety and stress were associated with poorer child behavioural outcomes. Our sample reflected a higher prevalence of caregiving adults with mental health symptomology than previous estimates from Kenya, with few high-symptom caregivers seeking support. We discuss further implications for programming and health services delivery
Family disability, poverty and parenting stress
Our findings highlight the importance of developing a comprehensive understanding of the stressors facing households with a disabled member, particularly if that member is a child, so that supportive interventions can adequately cater to the needs of caregivers, and their children, in the context of poverty
When roles within interpreter-mediated psychiatric consultations speak louder than words
In South Africa, clinicians working in public psychiatric hospitals are mainly fluent in English and Afrikaans, while the majority of patients are not proficient in these languages. Due to a lack of professional interpreting services, informal, ad hoc interpreters are commonly employed in public psychiatric hospitals. We collected data on language practices in public psychiatric care in South Africa, and provide a detailed account of what happens…
Ad hoc interpreters in South African psychiatric services
Background: Language and communication lie at the heart of good quality mental health care and are a vital, yet complex, part of the diagnostic and treatment process. In South African mental health care, ad hoc interpreting arrangements are the status quo. However, these can cause both clinician and patient shame and distress.Objective: Though this issue has been researched from the point of view of informal interpreters, relatively little is kno…
When roles within interpreter-mediated psychiatric consultations speak louder than words
In South Africa, clinicians working in public psychiatric hospitals are mainly fluent in English and Afrikaans, while the majority of patients are not proficient in these languages. Due to a lack of professional interpreting services, informal, ad hoc interpreters are commonly employed in public psychiatric hospitals. We collected data on language practices in public psychiatric care in South Africa, and provide a detailed account of what happens…
How representative are organisations of persons with disabilities? Data from nine population-based surveys in low- and middle-income countries
Organisations of Persons with Disabilities (OPDs) are critical to promoting and protecting the rights of people with disabilities. However, little is known about the extent to which people with disabilities are aware and members of OPDs. This study uses data from nine population-based surveys in low- and middle-income countries to explore OPD awareness and membership. Across settings, about a third of people with disabilities were aware of OPDs a…
(Re)presenting the self
Photovoice is presented here as an emancipatory, participatory research method with the potential to put minority subjects in charge of their own representation. Drawing on research with disabled people conducted in South Africa, we argue that the meaning of images is often hostage to interpretations which reify untruths about the subject. We consider how photovoice projects may give rise to images that perpetuate the subjugation of their subject…
Impairment, socialization and embodiment
Sexuality erased, questioned, and explored
The sexuality of people with disabilities has historically been a site of oppression and discrimination. The sexuality of people with disabilities remains relatively under-researched and poorly understood. As a result, many myths and misconceptions about the sexuality of people with disabilities may prevail. This paper reports on findings from a qualitative study exploring the experiences of 13 people with physical disabilities in South Africa. A…
Intimacy, intercourse and adjustments
There is a growing recognition of the sexual and reproductive rights of people with disabilities, and since the World Health Organisation's World Report on Disability, increased international attention has been given to these issues. Past research, however, suggests that this group encounter barriers to sexual and reproductive rights, which are both physical and attitudinal. Against this backdrop, this article employs a sequential mixed qualitati…
Withdrawn, strong, kind, but de-gendered
The present paper examines stereotyping in relation to physical disability and gender in the South Africa. Cross-sectional data for the present study were gathered using free response items in a large survey (n = 1990) examining the attitudes of people without disability towards different facetsof sexuality and disability. The most prominent stereotypes found in thepresent study were those which characterised PWPD as withdrawn and shy, SuperCrips…
The sexual and reproductive rights and benefit derived from sexual and reproductive health services of people with physical disabilities in South Africa
There is a body of theoretical work, and some empirical research, which suggests that non-disabled people assume people with physical disabilities are not suitable romantic partners, do not have sexual drives or desires, or are not sexually active. It has also been proposed that people with physical disabilities face barriers to sexual healthcare access which are structural as well as social. The present paper explores non-disabled South Africans…
It is in the Nature of Men”
This study employed a cross-sectional, qualitative individual interview methodology to explore South African women with physical disabilities' experiences of intimate partner and sexual violence, inclusive of non-consensual and coerced sexual intercourse. For the participants, disability was a factor that intersected with gender norms to create vulnerability to abuse, and that patriarchal ideologies constructing how women should perform their gen…
Psychotherapy with a language interpreter
We examine the extent to which psychotherapy can be successfully conducted with the aid of an interpreter. We propose that, even if we assume idealistic levels of training on the part of the interpreter and the therapist, and openness on the part of the client, there are still many challenges inherent in interpreter-assisted therapy. We focus on some of the characteristics common to client experiences of effective psychotherapy, as well as the ch…
Paid staff or volunteers – does it make a difference? The impact of staffing on child outcomes for children attending community-based programmes in South Africa and Malawi
Our findings show that in order to most optimally impact on child outcome 30 community-based workers (CBWs) should ideally be paid with trained staff. Specialised input for more severe child difficulties is needed
The sexual lives of people with disabilities within low- and middle-income countries
BACKGROUND: Although approximately 80% of the global population of people with disabilities reside in low- and middle-income countries (LMICs), very little is known about their sexual lives due to a lack of empirical data. We aimed to provide a scoping review of English-language research conducted on disability and sexuality in LMICs. OBJECTIVE: Our research questions concerned what topics in disability and sexuality have (and have not) been inve…
A web of gaps
BACKGROUND: In low- and middle-income countries (LMICs), limited access to a range of supports means that families often carry primary responsibility for the care of a disabled child. The impact of this responsibility is poorly understood. OBJECTIVE: To present a selective review, critique, and comparison of the prominent areas of research aimed at understanding families with disabled children in the Global South. DESIGN: We compare and criticall…
Thinking about the environment and theorising change
BACKGROUND: There is a growing body of literature outlining the promise of mobile information and communication technologies to improve healthcare in resource-constrained contexts. METHODS: We reviewed the literature related to mobile information and communication technologies which aim to improve healthcare in resource-constrained contexts, in order to glean general observations regarding the state of mHealth in high-income countries (HIC) and l…
Psychotherapy with a language interpreter
We examine the extent to which psychotherapy can be successfully conducted with the aid of an interpreter. We propose that, even if we assume idealistic levels of training on the part of the interpreter and the therapist, and openness on the part of the client, there are still many challenges inherent in interpreter-assisted therapy. We focus on some of the characteristics common to client experiences of effective psychotherapy, as well as the ch…
Sensitivity to reward and punishment
This study examined whether higher sensitivity to reward predicted higher fat and sugar intake among a sample of South African students at a university in the Western Cape and explored whether this relationship was mediated by food cue responsivity. It also examined whether sensitivity to punishment predicted higher fat and sugar intake among those who eat in response to anxiety. University students ( n = 320) completed a series of questionnaires…
The sexual and reproductive rights and benefit derived from sexual and reproductive health services of people with physical disabilities in South Africa
There is a body of theoretical work, and some empirical research, which suggests that non-disabled people assume people with physical disabilities are not suitable romantic partners, do not have sexual drives or desires, or are not sexually active. It has also been proposed that people with physical disabilities face barriers to sexual healthcare access which are structural as well as social. The present paper explores non-disabled South Africans…
Secondary trauma among trauma researchers
Recommendations: Ethics applications should include a provision for the proper care for trauma researchers, who may, without support, develop symptoms of secondary traumatic stress. Training and regular supervision should become a mandatory part of trauma research practice, and if trauma levels are high, the principal researcher may need to invite a trauma counselor to do debriefing. In contexts where trauma levels are as high as in South Africa,…
Dating persons with physical disabilities
There is good reason to believe that the attitudes of persons without disability towards dating a person with a physical disability might be unfavourable. However, in general, and in the Global South in particular, there is a dearth of research in this area. This study sought to take the first step in addressing this lack of enquiry, by surveying the attitudes of a general population sample in South Africa towards dating people with physical disa…
Sexuality erased, questioned, and explored
The sexuality of people with disabilities has historically been a site of oppression and discrimination. The sexuality of people with disabilities remains relatively under-researched and poorly understood. As a result, many myths and misconceptions about the sexuality of people with disabilities may prevail. This paper reports on findings from a qualitative study exploring the experiences of 13 people with physical disabilities in South Africa. A…
Creative collaboration on a disability and sexuality participatory action research project
This article presents a team’s engagement with a creative collaborative project challenging the myths about the sexuality of people with physical disabilities in South Africa. The article is presented as a reflective diary account, which has been constructed from minutes of meetings, email correspondence, and personal reflections of the activities undertaken. We reflect on the work we have done and what we have learned as well as the decisions an…
Withdrawn, strong, kind, but de-gendered
The present paper examines stereotyping in relation to physical disability and gender in the South Africa. Cross-sectional data for the present study were gathered using free response items in a large survey (n = 1990) examining the attitudes of people without disability towards different facetsof sexuality and disability. The most prominent stereotypes found in thepresent study were those which characterised PWPD as withdrawn and shy, SuperCrips…
A case study of lessons learnt from implementing a routine outcome monitoring system for psychotherapy in a South African community clinic
Monitoring outcomes in psychotherapy is important for advancing research into empirically supported treatments, collecting data to inform practice-based evidence and for monitoring patient treatment responses during routine care. We implemented two routine outcome monitoring measures in a community psychology clinic in South Africa, namely, the Outcome Rating Scale and Kessler Psychological Distress Scale. In this article, we adopt a case study m…
Intimacy, intercourse and adjustments
There is a growing recognition of the sexual and reproductive rights of people with disabilities, and since the World Health Organisation's World Report on Disability, increased international attention has been given to these issues. Past research, however, suggests that this group encounter barriers to sexual and reproductive rights, which are both physical and attitudinal. Against this backdrop, this article employs a sequential mixed qualitati…
Associations between young children’s exposure to household violence and behavioural problems
Little is known about how young children in low- and middle-income countries (LMICs) experience violence in their homes, and how different types of household violence may affect child development. This study reports on levels of exposure to household violence and associations with child behavioural outcomes in preschool-aged children in western Kenya. A sample of 465 caregivers, whose children (n = 497) attended early learning centres supported b…
(Re)presenting the self
Photovoice is presented here as an emancipatory, participatory research method with the potential to put minority subjects in charge of their own representation. Drawing on research with disabled people conducted in South Africa, we argue that the meaning of images is often hostage to interpretations which reify untruths about the subject. We consider how photovoice projects may give rise to images that perpetuate the subjugation of their subject…
Impairment, socialization and embodiment
Ad hoc interpreters in South African psychiatric services
Background: Language and communication lie at the heart of good quality mental health care and are a vital, yet complex, part of the diagnostic and treatment process. In South African mental health care, ad hoc interpreting arrangements are the status quo. However, these can cause both clinician and patient shame and distress.Objective: Though this issue has been researched from the point of view of informal interpreters, relatively little is kno…
Modelling the impact of maternal HIV on uninfected children
A mathematical model, populated primarily with data from South Africa, was developed to model the numbers of children affected by maternal HIV, and the number who will experience long-term negative developmental consequences. A micro-simulation model generated two scenarios. The first simulated a cohort of women whose HIV status mimicked that of a target population, and mother-child dyads by way of age- and disease-specific fertility rates. Facto…
Programmatic guidance for interventions to improve early childhood development in high HIV burden countries
Improving mother–infant interaction during infant feeding
Associations between caregiver mental health and young children’s behaviour in a rural Kenyan sample
Anxiety and stress were associated with poorer child behavioural outcomes. Our sample reflected a higher prevalence of caregiving adults with mental health symptomology than previous estimates from Kenya, with few high-symptom caregivers seeking support. We discuss further implications for programming and health services delivery
Family disability, poverty and parenting stress
Our findings highlight the importance of developing a comprehensive understanding of the stressors facing households with a disabled member, particularly if that member is a child, so that supportive interventions can adequately cater to the needs of caregivers, and their children, in the context of poverty
When roles within interpreter-mediated psychiatric consultations speak louder than words
In South Africa, clinicians working in public psychiatric hospitals are mainly fluent in English and Afrikaans, while the majority of patients are not proficient in these languages. Due to a lack of professional interpreting services, informal, ad hoc interpreters are commonly employed in public psychiatric hospitals. We collected data on language practices in public psychiatric care in South Africa, and provide a detailed account of what happens…
First 1,000 days
BACKGROUND: Child cognitive development is often compromised in contexts of poverty and adversity, and these deficits tend to endure and affect the child across the life course. In the conditions of poverty and violence that characterise many low- and middle-income countries (LMIC), the capacity of parents to provide the kind of care that promotes good child development may be severely compromised, especially where caregivers suffer from depressi…
Psychology (36 obras) · Medicine (28 obras) · Disability Rights and Representation (18 obras) · Psychiatry (17 obras) · Sociology (16 obras) · Political science (14 obras) · Social Psychology (14 obras) · Developmental psychology (13 obras) · Clinical Psychology (10 obras) · Mental health (9 obras)