Risa M Hoffman

Biographic Data

ID6333114
NAMERisa M Hoffman
GIVEN NAMESRisa M
FAMILY NAMEHoffman
SIGNATUREHOFFMAN R M
AFFILIATIONSUniversity of California, Los Angeles
ORCID0000-0001-9575-4574
VERIFIEDYes
TOTAL WORKS24
TOTAL CITATIONS3
WORKS AS AUTHOR24
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2012
LATEST PUBLICATION YEAR2026
H-INDEX1

  • Characteristics of new and re-initiating antiretroviral therapy clients in Malawi

    Open AccessMarguerite Thorp, Kelvin Balakasi et al.ARTICLEGlobal Health Action2026

    New antiretroviral treatment (ART) initiates and re-initiators (returning after interruption in treatment [IIT], defined as ≥28 days late for refill) are at higher risk of future IIT compared to stable clients. Counseling is a core strategy to increase retention among new initiates, but little is known about whether re-initiators may have different counseling needs. We compared sociodemographic and psychosocial characteristics of new initiates an…

  • Implementation strategies to increase Malawian health care workers’ knowledge about and self-efficacy to recommend HPV vaccination

    Open AccessCorrina Moucheraud, Sam Phiri et al.ARTICLEPLOS Global Public Health2026

    Health workers’ recommendation of HPV vaccination is a highly effective evidence-based intervention for increasing the uptake of this important cancer prevention tool. In Malawi, as in many countries, HPV vaccine uptake is low. In preparation for an implementation science study using an intervention optimization design, we pilot tested two implementation strategies aimed at increasing Malawian health workers’knowledge and self-efficacy to counsel…

  • Barriers to viral suppression in children aged 9 years or younger on dolutegravir-based antiretroviral therapy in Malawi, a mixed-methods study

    Open AccessKhumbo Phiri, Christine Hagstrom et al.ARTICLEPLOS Global Public Health2025

    After the transition to pediatric dolutegravir-based regimens, viral load (VL) suppression among children with HIV (CWH) in Malawi has remained suboptimal. This mixed-methods study assessed factors associated with high VL among young CWH on dolutegravir-based antiretroviral therapy (ART) and explored adherence barriers from primary-caregiver and healthcare worker perspectives. Between April-July 2023, we performed an unmatched case-control study …

  • Healthcare provider and health system leader perspectives on barriers to hypertension care in Malawi

    Open AccessChristine Hagstrom, Pericles Kalande et al.ARTICLEGlobal Health Action2025

    BACKGROUND: Malawi has a significant burden of hypertension, including for people with HIV. The World Health Organization recommends integrated HIV-hypertension care, but such integration is not widely implemented in resource-constrained settings. OBJECTIVE: This study explored barriers to hypertension care in Malawi from the perspectives of healthcare providers and health system leaders. METHODS: We conducted a qualitative study of providers and…

  • Factors associated with cervical cancer screening

    Open AccessCorrina Moucheraud, Symon Chibaka et al.ARTICLEBMC Public Health2025

    These results suggest promising areas for interventions aiming to increase cervical cancer screening in these contexts: encouraging health workers to discuss screening with eligible women, leveraging women's peers who have been affected by cervical cancer, and promoting screening during other preventive health services

  • Preferences for Hypertension Care in Malawi

    Open AccessRisa M Hoffman, Khumbo Phiri et al.ARTICLEAIDS and Behavior2024

    Hypertension is the most common non-communicable disease diagnosed among people in sub-Saharan Africa. However, little is known about client preferences for hypertension care. We performed a discrete choice experiment in Malawi among people with hypertension, with and without HIV. Participants were asked to select between two care scenarios, each with six attributes: distance, waiting time, provider friendliness, individual or group care, antihyp…

  • Burnout and depression

    Open AccessKhumbo Phiri, John Songo et al.ARTICLEPLOS Global Public Health2023

    Health care workers (HCWs) in eastern Africa experience high levels of burnout and depression, and this may be exacerbated during the COVID-19 pandemic due to anxiety and increased work pressure. We assessed the prevalence of burnout, depression and associated factors among Malawian HCWs who provided HIV care during the COVID-19 pandemic. From April-May 2021, between the second and third COVID-19 waves in Malawi, we randomly selected HCWs from 32…

  • Provider-led community antiretroviral therapy distribution in Malawi

    Open AccessJohn Songo, Hannah Whitehead et al.ARTICLEPLOS Global Public Health2023

    Background Outcomes of community antiretroviral therapy (ART) distribution (CAD), in which provider–led ART teams deliver integrated HIV services at health posts in communities, have been mixed in sub-Saharan African countries. CAD outcomes and costs relative to facility-based care have not been reported from Malawi. Methods We performed a retrospective cohort study in two Malawian districts (Lilongwe and Chikwawa districts), comparing CAD with f…

  • Gendered differences in perceptions and reports of wellbeing

    Corrina Moucheraud, Jenna Paul-Schultz et al.ARTICLEAIDS Care2022

    Few studies have examined gender differences in reported quality of life among persons living with HIV (PLWH) in low-income countries. We conducted a cross-sectional survey of adults on antiretroviral therapy in Malawi, including questions focused on wellbeing, and collected clinical data on these respondents. We compared men's and women's self-reported health and wellbeing using Poisson models that included socio-demographic covariates. Approxim…

  • Mediators and moderators of ART adherence effects of supporting treatment adherence readiness through training (START)

    Glenn J Wagner, Rachana Seelam et al.ARTICLEAIDS Care2022

    Supporting Treatment Adherence Readiness through Training (START) is an HIV antiretroviral adherence intervention, based on the Information Motivation and Behavioral skills (IMB) model, that significantly improved adherence in our randomized controlled trial. To understand how and for whom START had its effects on adherence, we examined mediators and moderators. Ninety-nine HIV-patients (53 control, 46 intervention) who enrolled in the trial and …

  • Understanding the Unique Barriers and Facilitators that Affect Men’s Initiation and Retention in HIV Care

    Open AccessKate Coursey, Khumbo Phiri et al.ARTICLEAIDS and Behavior2022

    Men in sub-Saharan Africa are underrepresented in antiretroviral therapy (ART) programs. Our secondary analysis of 40 in-depth interviews with Malawian men living with HIV examined barriers and facilitators for ART initiation versus retention. Interviewees included men who never initiated or initiated ART late (initiation respondents, n = 19); and men who initiated ART but were late for an appointment (retention respondents, n = 21). Transcribed …

  • Health behaviours and beliefs among Malawian adults taking antihypertensive medication and antiretroviral therapy

    Open AccessCorrina Moucheraud, Khumbo Phiri et al.ARTICLEGlobal Public Health2021

    In order to understand HIV-positive Malawian adults' experiences with hypertension management, we conducted qualitative interviews with 30 hypertensive adults who were also taking antiretroviral therapy. These interviews regarding hypertension management behaviours and beliefs were audio-recorded, transcribed, translated into English, and coded in Atlas.ti. Despite acknowledging the dangers of hypertension and the benefits of medication, many res…

  • Barriers and facilitators to facility HIV self-testing in outpatient settings in Malawi

    Open AccessMisheck Mphande, Paula Campbell et al.ARTICLEBMC Public Health2021

    The parent trial is registered with ClinicalTrials.gov , NCT03271307 , and Pan African Clinical Trials, PACTR201711002697316

  • START (Supporting Treatment Adherence Readiness through Training) Improves Both HIV Antiretroviral Adherence and Viral Reduction, and is Cost Effective

    Open AccessGlenn J Wagner, Risa M Hoffman et al.ARTICLEAIDS and Behavior2021

  • Screening Adults for HIV Testing in the Outpatient Department

    Open AccessCorrina Moucheraud, Risa M Hoffman et al.ARTICLEAIDS and Behavior2021

    Little is known about screening tools for adults in high HIV burden contexts. We use exit survey data collected at outpatient departments in Malawi (n = 1038) to estimate the sensitivity, specificity, negative and positive predictive values of screening tools that include questions about sexual behavior and use of health services. We compare a full tool (seven relevant questions) to a reduced tool (five questions, excluding sexual behavior measur…

  • Optimizing Test and Treat in Malawi

    Open AccessKathryn Dovel, Khumbo Phiri et al.ARTICLEGlobal Health Action2020

    Background: Test and Treat has been widely adopted throughout sub-Saharan Africa, whereby all HIV-positive individuals initiate antiretroviral therapy (ART) immediately upon diagnosis and continue for life. However, clients who feel healthy may delay ART initiation, despite being eligible under new treatment guidelines.Objective: We examined health care worker (HCW) perceptions and experiences on how feeling healthy positively or negatively influ…

  • A loving man has a very huge responsibility”

    Open AccessSamuel Lewis, Corrina Moucheraud et al.ARTICLEBMC Public Health2020

    Male partners in Malawi want to be involved in decisions about cervical cancer screening, but have limited knowledge about screening, and hold rigid beliefs about gender norms that may affect their support for screening. Messaging campaigns addressing men's concerns may be instrumental in improving women's adoption of cervical cancer screening services in Malawi and similar settings

  • Examining Correlates of Pre-ART and Early ART Adherence to Identify Key Factors Influencing Adherence Readiness

    Open AccessKyle Gordon, Risa M Hoffman et al.ARTICLEAIDS and Behavior2020

  • A Multi-Dimensional Characterization of Aging and Wellbeing Among HIV-Positive Adults in Malawi

    Open AccessCorrina Moucheraud, Jenna Paul-Schultz et al.ARTICLEAIDS and Behavior2020

  • Evaluating Measures of Pre-ART Adherence Readiness Through Associations with ART Adherence in the Early Months of Treatment

    Open AccessGulrez Shah Azhar, Stefan Schneider et al.ARTICLEAIDS and Behavior2019

  • Good health’ as a barrier and facilitator to ART initiation

    Amílcar Magaço, Kathryn Dovel et al.ARTICLECulture Health & Sexuality2019

    HIV test-and-treat programmes are being implemented throughout sub-Saharan Africa, enrolling HIV-positive clients into antiretroviral treatment (ART) immediately after diagnosis, regardless of clinical stage or CD4 count. This study conducted in Mozambique examined what influenced clients who tested HIV-positive in the context of test-and-treat to make ART initiation decisions. Eighty in-depth interviews with HIV-positive clients and nine focus g…

  • Blood pressure can kill you tomorrow, but HIV gives you time’

    Open AccessMatthew Hing, Risa M Hoffman et al.ARTICLEHealth Policy and Planning2019Cited by: 3References: 47

    Non-communicable diseases like hypertension are increasingly common among individuals living with HIV in low-resource settings. The prevalence of hypertension among people with HIV in Malawi, e.g. has been estimated to be as high as 46%. However, few qualitative studies have explored the patient experience with comorbid chronic disease. Our study aimed to address this gap by using the health belief model (HBM) to examine how comparative perceptio…

  • Translating Predictions of Zoonotic Viruses for Policymakers

    Open AccessSeth D Judson, Matthew Lebreton et al.ARTICLEEcoHealth2018

  • Fertility Desires Among HIV-Infected Men and Women in Los Angeles County

    Open AccessD Mindry, Glenn J Wagner et al.ARTICLEMaternal and Child Health Journal2012