Nancy Phaswana‐Mafuya
Biographic Data
| ID | 5992529 |
|---|---|
| NAME | Nancy Phaswana‐Mafuya |
| GIVEN NAMES | Nancy |
| FAMILY NAME | Phaswana‐Mafuya |
| SIGNATURE | MAFUYA N P |
| AFFILIATIONS | Human Sciences Research Council |
| ORCID | 0000-0001-9387-0432 |
| VERIFIED | Yes |
| TOTAL WORKS | 42 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 42 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Impact of Covid-19 on the HIV Treatment Outcomes Among Men Who Have Sex with Men in South Africa After the Implementation of a Differentiated Service Delivery Model
The impacts of COVID-19 among men who have sex with men (MSM), who face limited access to HIV services due to stigma, discrimination, and violence, need to be assessed and quantified in terms of HIV treatment outcomes for future pandemic preparedness. This study aimed to evaluate the effects of the COVID-19 lockdown on the HIV treatment cascade among MSM in selected provinces of South Africa using routine programme data after the implementation o…
A Qualitative Consolidated Framework for Implementation Research Evaluation of Innovative PrEP Delivery During Covid-19 Among Adolescent Girls and Young Women in North West Province, South Africa
Background: Innovative interventions, such as social media platforms and telemedicine, were implemented during the COVID-19 lockdown period for HIV prevention and treatment services. However, limited studies have reported on the facilitators and barriers of these innovations for HIV pre-exposure prophylaxis (PrEP) service continuity. Therefore, this study aimed to identify the barriers and facilitators of the implemented PrEP innovative intervent…
Consistency of Condom Use with Lubricants and Associated Factors Among Men Who Have Sex with Men in Ghana
Several studies conducted worldwide have reported on the effectiveness of consistent condom use with lubricants in preventing HIV transmission and acquisition; however, men who have sex with men (MSM) in Ghana continue to be disproportionately affected by the HIV burden. They are stigmatized, discriminated against, and criminalized, leading to social isolation, reduced access to health care, and inadequate targeted interventions. The disseminatio…
Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa
HIV prevention for gay, bisexual, and other men who have sex with men (GBMSM) and transgender women (TGW) is critical to reducing health disparities and population HIV prevalence. To understand if different types of stigma impact engagement with HIV prevention services, we assessed associations between stigmas and use of HIV prevention services offered through an HIV prevention intervention. This analysis included 201 GBMSM and TGW enrolled in a …
Physical and psychosocial aspects of healthy ageing and HIV status among older adults in South Africa
Developing and validating the Multidimensional Sexual Identity Stigma Scale among men who have sex with men in South Africa
Evaluating the vertical HIV transmission risks among South African female sex workers; have we forgotten PMTCT in their HIV programming
These findings show significant gaps in engagement in the PMTCT cascades for FSW, evidenced by sub-optimal uptake of HIV prevention and treatment in the peri/post-natal periods and insufficient prevention of unintended pregnancies among FSW living with HIV. These gaps result in elevated risks for vertical transmission among FSW and the need for PMTCT services within FSW programs
Female Sex Workers’ Experiences Selling Sex during Pregnancy and Post‐Delivery in South Africa
Nearly 75 percent of female sex workers (FSWs) in Port Elizabeth, South Africa are mothers, many of whom engage in sex work during pregnancy or after delivery. We conducted in‐depth interviews with 22 postpartum and 8 pregnant FSWs in Port Elizabeth. Interview guides were used to probe women's experiences, challenges, and concerns about selling sex during pregnancy and post‐delivery in a high‐HIV‐prevalence context. Interviews were transcribed, t…
Diabetes in South African older adults
BACKGROUND: Diabetes is a chronic disease with severe late complications. It is known to impact the quality of life and cause disability, which may affect an individual's capacity to manage and maintain longer-term health and well-being. OBJECTIVES: To examine the prevalence of self-report diabetes, and association between diabetes and each of health-related quality of life and disability amongst South Africa's older adults. To study both the dir…
Concurrent tobacco use and risky drinking in South Africa
The aim of this study was to examine socio-demographic and psychosocial correlates of concurrent tobacco use and risky drinking. We analysed data from the cross-sectional South African National Health and Nutrition Examination Survey (SANHANES-1) 2011–2012. The sample included 14 764 adolescents and adults aged 15 years and older. They responded to questions on tobacco and alcohol use, psychosocial, and socio-demographic indicators. Results indic…
Characterizing the Patterns of HIV Disclosure to Clients Among South African Female Sex Workers in Port Elizabeth
Association between Visual Impairment and Low Vision and Sleep Duration and Quality among Older Adults in South Africa
This study aims to estimate the association between visual impairment and low vision and sleep duration and poor sleep quality in a national sample of older adults in South Africa. A national population-based cross-sectional Study of Global Ageing and Adults Health (SAGE) wave 1 was conducted in 2008 with a sample of 3840 individuals aged 50 years or older in South Africa. The interviewer-administered questionnaire assessed socio-demographic char…
Prevalence of Self-Reported Diagnosed Cataract and Associated Risk Factors among Elderly South Africans
This paper estimates the prevalence of self-reported cataract and associated risk factors among individuals aged ≥50 years in South Africa. Data from a nationally-representative cross-sectional Study on Global AGEing and Adult Health (SAGE) ( N = 3646) conducted in South Africa from 2007-2008 was analyzed. The primary outcome was self-reported cataract, and exposures included socio-demographics, self-reported co-morbidities, and behavioral factor…
Obituary
It is with my deepest sorrow that I announce the untimely death of the passing of Dr Dimitri Tassiopoulos.Dr Dimitri Tassiopoulos was a Chief Research Manager with Social Aspects of HIV/AIDS Resear
Community member perceptions of influences on teenage pregnancies
This exploratory qualitative study aimed to provide insight into the factors contributing to the high prevalence rate of teenage pregnancy in South African communities. Focus group were conducted with 193 community members (females = 44.6%; adults = 50.8%, teenagers/youth = 44.0%) and followed by thematic content analysis to interpret the data. Several overarching themes regarding the increasingly common occurrence of teenage pregnancy emerged fr…
A social network typology and sexual risk-taking among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a better understanding of the social contexts of men who have sex with men is essential for informing the design of HIV programming and messaging. This study explored social network connectivity, a…
Exploring repeat HIV testing among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men (MSM) - and the general adult population - in South Africa, there is little data regarding the extent to which MSM seek repeat testing for HIV. This study explores reported histories of HIV testing, and the rationales for test seeking, among a purposive sample of 34 MSM in two urban areas of South Africa. MSM participated in activity-based in-depth interviews that included a timel…
Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa
There were substantial variations across countries and settings, even between upper-middle income countries and lower-middle income countries. The baseline information on the magnitude of the problem of risk factors provided by this study can help countries and health policymakers to set up interventions addressing the global non-communicable disease epidemic
Universal health coverage in emerging economies
BACKGROUND AND OBJECTIVE: The achievement of universal health coverage (UHC) in emerging economies is a high priority within the global community. This timely study uses standardized national population data collected from adults aged 50 and older in China, Ghana, India, Mexico, the Russian Federation, and South Africa. The objective is to describe health care utilization and measure association between inpatient and outpatient service use and pa…
Perceptions of sugar mommy practices in South Africa
The study sought to explore sugar mommy practices regarding their occurrence, acceptability as well as perceived reasons why older women and younger men enter into sugar mommy relationships. An exploratory qualitative study involving 135 participants from 11 diverse focus groups in terms of age, gender (females=27%) and geotype throughout the nine South African provinces was conducted. Data on the participants' views, opinions and experiences of …
Self-reported prevalence of chronic non-communicable diseases and associated factors among older adults in South Africa
INTRODUCTION: Little is known about the prevalence and predictors of chronic non-communicable diseases (NCDs) of older adults in South Africa. This study aims to investigate the self-reported prevalences of major chronic NCDs and their predictors among older South Africans. METHODS: We conducted a national population-based cross-sectional survey with a sample of 3,840 individuals aged 50 years or above in South Africa in 2008. The outcome variabl…
Depression and associated factors in older adults in South Africa
BACKGROUND AND OBJECTIVE: Late-life depression is an important public health problem because of its devastating consequences. The study aims to investigate the prevalence and associated factors of self-reported symptom-based depression in a national sample of older South Africans who participated in the Study of Global Ageing and Adult Health (SAGE wave 1) in 2008. METHODS: We conducted a national population-based cross-sectional study with a pro…
Sociodemographic predictors of multiple non-communicable disease risk factors among older adults in South Africa
BACKGROUND AND OBJECTIVE: Unhealthy lifestyle behaviours are important risk factors of morbidity and mortality. This study aimed to explore the sociodemographic predictors of multiple non-communicable disease (NCD) risk factors experienced by elderly South Africans. METHODS: We conducted a national population-based cross-sectional survey with a sample of 3,840 individuals aged 50 years or above in South Africa in 2008. The outcome variable was th…
Self-rated health and associated factors among older South Africans
BACKGROUND: Population ageing has become significant in South African society, increasing the need to improve understandings of health and well-being among the aged. OBJECTIVE: To describe the self-reported ratings of overall health and functioning, and to identify factors associated with self-rated health among older South Africans. DESIGN: A national population-based cross-sectional survey, with a sample of 3,840 individuals aged 50 years and o…
Data Resource Profile
Population ageing is rapidly becoming a global issue and will have a major impact on health policies and programmes. The World Health Organization's Study on global AGEing and adult health (SAGE) aims to address the gap in reliable data and scientific knowledge on ageing and health in low- and middle-income countries. SAGE is a longitudinal study with nationally representative samples of persons aged 50+ years in China, Ghana, India, Mexico, Russ…
Tourists' expectations and perceptions of the Robben Island Museum-a world heritage site
The objective of this study was to explore the expectations and perceptions of tourists visiting the Robben Island Museum. Two surveys were conducted concurrently during the month of September 1999, using semi-structured questionnaires. A convenient sample of 135 tourists was interviewed before boarding the boat, using the expectations questionnaire. The same respondents were interviewed again once they had visited the museum in order to rate the…
Tourists' expectations and perceptions of the Robben Island Museum-a world heritage site
The objective of this study was to explore the expectations and perceptions of tourists visiting the Robben Island Museum. Two surveys were conducted concurrently during the month of September 1999, using semi-structured questionnaires. A convenient sample of 135 tourists was interviewed before boarding the boat, using the expectations questionnaire. The same respondents were interviewed again once they had visited the museum in order to rate the…
Perceived HIV/Aids impact among staff in tertiary institutions in the Eastern Cape, South Africa
A descriptive questionnaire-based study was undertaken among staff in tertiary institutions in the Eastern Cape Province. The objective of the study was to explore perceived HIV/AIDS impact on duties at work, staff morale, job satisfaction and workload among a proportionate sample of 872 employees in eight randomly selected tertiary institutions. The results of the study showed that HIV/AIDS impacts negatively on duties at work, lowers staff mora…
Health-related quality of life in a sample of HIV-infected South Africans
The study aims to assess the health-related quality of life and HIV symptoms of a sample of people living with HIV (PLHIV) in South Africa. The sample included 607 PLHIV from all districts of the Eastern Cape Province, recruited either through a health facility, from the community through key informants, or through support groups. At the time of the study, 66% of the respondents reported having been given an AIDS diagnosis (advanced stage of HIV …
Hazardous Alcohol Use among Persons Living with Human Immunodeficiency Virus Infection in the Eastern Cape, South Africa
The study assessed the prevalence of hazardous alcohol use among people living with HIV (PLHIV) and its correlates with socio-economic characteristics, disease variables and ART adherence in South Africa. The sample included 607 PLHIV (males =475, females =132; age range =18–61), sampled by all districts in the Eastern Cape. Participants were recruited through a health facility in the community through key informants or a support group. Results i…
Intimate Partner Violence and HIV Risk among Women in Primary Health Care Delivery Services in a South African Setting
The aim of the study is to investigate intimate partner violence (IPV) and HIV risk among antenatal care attendees at primary care health care facilities in a South African setting. A convenient sample of 984 pregnant women (mean age of 26.1 years, SD=6.3 years) attending 35 antenatal clinics were interviewed using a structured questionnaire. Collected data was captured and analyzed using Statistical Package for Social Services (SPSS) Version 16 …
Levels of ability and functioning of persons living with HIV and Aids using the WHO DAS II in a South African context
The study aimed to explore the relationships between socio-demographic variables and the domains of ability and functioning of the World Health Organisation Disability Assessment Schedule. The sample was made up of 607 persons living with HIV (PLHIV) in the Eastern Cape, South Africa. Convenience sampling was used to identify participants. The results indicate that 66% classified themselves as having AIDS, 48% indicated that they were on ART, and…
Use of traditional and complementary health practices in prenatal, delivery and postnatal care in the context of hiv transmission from mother to child (PMTCT) in the Eastern Cape, South Africa
The aim of this study was as part of a baseline assessment in PMTCT in the traditional health sector: a) to determine the views of women who have used the services of traditional practitioners before, during and/or after pregnancy, and b) to conduct formative research with traditional health practitioners (THPs), i.e. herbalists, diviners and traditional birth attendants (TBAs) on HIV, pregnancy care, delivery and infant care. The sample included…
Implementation of the national programme for prevention of mother-to-child transmission of HIV
To conduct a rapid assessment of the prevention-of-mother-to-child-transmission-of-HIV (PMTCT) programme in two of the three local service areas in Cacadu district, Eastern Cape province, South Africa, we designed an exploratory study using a mixed-methods approach. Quantitative and qualitative data on PMTCT programme implementation were collected in 2008 through a structured assessment at the 44 health facilities implementing the programme in th…
The Use of Europep in South Africa
The study examined the psychometric properties of the South African (isiXhosa) version of the European Task Force for Patient Evaluation of General Practice (EUROPEP) instrument. A total of 19,136 patients who visited 266 primary care practices in three districts in the Eastern Cape of South Africa completed the EUROPEP, a measure of patient satisfaction with care. The data were analyzed for reliability and construct validity. Exploratory factor …
Support Group Needs for People Living with HIV and Aids (PLWHA) in Communities around Durban, South Africa
The study constructed a participant centred perspective of what members of a support group for people living with HIV and AIDS (PLWHA) desired from their group meetings. The study sample (n = 34) was from three support groups of PLWHA in a province of South Africa (males = 7, female = 27, mean age = 34.2 years, SD = 6.8 years). Participants completed a brief survey and participated in focus group discussion on views on the ideal support group, ac…
Sexual Behaviour, HIV Status, and HIV Risk among Older South Africans
The aim of this study was to conduct a secondary analysis on sexual behaviour, HIV status and HIV risk and co-morbidity among older South Africans using the South African 2005 HIV prevalence and behaviour survey. A multistage probability nationally representative sample involving 3795 male and female respondents, aged 50 years or older was selected. About 41.1% had been sexually active in the past 12 months and 35.9% in the past month. Men (63.1%…
Pre- and post-intervention assessment of a PMTCT-programme-strengthening initiative in a rural area of the Eastern Cape, South Africa
The research assesses prevention-of-mother-to-child-transmission-of-HIV (PMTCT) services following implementation of programme-strengthening activities in a municipality in the Eastern Cape Province, South Africa. A pre-intervention and post-intervention design was used to conduct facility assessments and client exit interviews at baseline and after 28 months. For the facility assessments, unstructured interviews were conducted with the heads of …
Data Resource Profile
Population ageing is rapidly becoming a global issue and will have a major impact on health policies and programmes. The World Health Organization's Study on global AGEing and adult health (SAGE) aims to address the gap in reliable data and scientific knowledge on ageing and health in low- and middle-income countries. SAGE is a longitudinal study with nationally representative samples of persons aged 50+ years in China, Ghana, India, Mexico, Russ…
Fruit and vegetable intake and associated factors in older adults in South Africa
BACKGROUND AND OBJECTIVE: Numerous studies support the protective effect of high fruit and vegetable (FV) consumption on chronic disease risk, mainly against cancer and cardiovascular diseases. Compared with younger adults, older people experience additional health, social, and environmental conditions that affect dietary intake. To identify those additional dimensions and examine them in association with FV intake, data on 3,840 participants in …
Patient experiences and health system responsiveness among older adults in South Africa
BACKGROUND: As populations age, health systems must adapt and develop approaches that meet the needs of older patients with increasing multiple chronic conditions. Understanding older populations' perceptions of quality of care is critical to developing measures to increase the utilization of primary healthcare services. Using the data from the Global Study on Ageing and Adult Health (SAGE) survey, the current study aims to evaluate the degree of…
Victim Empowerment Programme in a Selected Municipality of the Eastern Cape, South Africa
An exploratory qualitative study was conducted to assess service providers' perceptions of the Victim Empowerment Programme (VEP) with a focus on VEP knowledge, management, communication, empowerment, utilization and accessibility of services in a selected district of the Eastern Cape of South Africa. In-depth telephone interviews were conducted with 33 service providers across different sectors using guiding questions. Recurrent themes were iden…
Tobacco Use and Associated Factors in Older Adults in South Africa
This study aimed to determine the prevalence of tobacco use and their associated factors in older South Africans. We conducted a national population-based cross-sectional study with a sample of 3840 aged 50 years or older in South Africa in 2008 (males= 44.1%, females= 55.9%, mean age= 61.6, SD= 9.5, blacks= 74.0%). Participants completed a collection of surveys including socio-demographic characteristics, tobacco use, health variables as well as…
Rewriting the narrative of the epidemiology of HIV in sub-Saharan Africa
The fight against HIV remains complicated with contracting donor resources and high burden of HIV among reproductive age adults still often limiting independent economic development. In the widespread HIV epidemics of sub-Saharan Africa (SSA), it is proposed that key populations with specific HIV acquisition and transmission risk factors, such as men who have sex with men (MSM), female sex workers (FSW), and people who use drugs (PUD), are less r…
Self-reported prevalence of chronic non-communicable diseases and associated factors among older adults in South Africa
INTRODUCTION: Little is known about the prevalence and predictors of chronic non-communicable diseases (NCDs) of older adults in South Africa. This study aims to investigate the self-reported prevalences of major chronic NCDs and their predictors among older South Africans. METHODS: We conducted a national population-based cross-sectional survey with a sample of 3,840 individuals aged 50 years or above in South Africa in 2008. The outcome variabl…
Depression and associated factors in older adults in South Africa
BACKGROUND AND OBJECTIVE: Late-life depression is an important public health problem because of its devastating consequences. The study aims to investigate the prevalence and associated factors of self-reported symptom-based depression in a national sample of older South Africans who participated in the Study of Global Ageing and Adult Health (SAGE wave 1) in 2008. METHODS: We conducted a national population-based cross-sectional study with a pro…
Sociodemographic predictors of multiple non-communicable disease risk factors among older adults in South Africa
BACKGROUND AND OBJECTIVE: Unhealthy lifestyle behaviours are important risk factors of morbidity and mortality. This study aimed to explore the sociodemographic predictors of multiple non-communicable disease (NCD) risk factors experienced by elderly South Africans. METHODS: We conducted a national population-based cross-sectional survey with a sample of 3,840 individuals aged 50 years or above in South Africa in 2008. The outcome variable was th…
Self-rated health and associated factors among older South Africans
BACKGROUND: Population ageing has become significant in South African society, increasing the need to improve understandings of health and well-being among the aged. OBJECTIVE: To describe the self-reported ratings of overall health and functioning, and to identify factors associated with self-rated health among older South Africans. DESIGN: A national population-based cross-sectional survey, with a sample of 3,840 individuals aged 50 years and o…
Universal health coverage in emerging economies
BACKGROUND AND OBJECTIVE: The achievement of universal health coverage (UHC) in emerging economies is a high priority within the global community. This timely study uses standardized national population data collected from adults aged 50 and older in China, Ghana, India, Mexico, the Russian Federation, and South Africa. The objective is to describe health care utilization and measure association between inpatient and outpatient service use and pa…
Perceptions of sugar mommy practices in South Africa
The study sought to explore sugar mommy practices regarding their occurrence, acceptability as well as perceived reasons why older women and younger men enter into sugar mommy relationships. An exploratory qualitative study involving 135 participants from 11 diverse focus groups in terms of age, gender (females=27%) and geotype throughout the nine South African provinces was conducted. Data on the participants' views, opinions and experiences of …
Exploring repeat HIV testing among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men (MSM) - and the general adult population - in South Africa, there is little data regarding the extent to which MSM seek repeat testing for HIV. This study explores reported histories of HIV testing, and the rationales for test seeking, among a purposive sample of 34 MSM in two urban areas of South Africa. MSM participated in activity-based in-depth interviews that included a timel…
Medicine (36 works) · Environmental health (24 works) · Gerontology (22 works) · Demography (21 works) · Psychology (21 works) · Population (20 works) · HIV/AIDS Research and Interventions (18 works) · Family medicine (17 works) · Psychiatry (14 works) · Sociology (14 works)