Holly M Burke
Biographic Data
| ID | 6456122 |
|---|---|
| NAME | Holly M Burke |
| GIVEN NAMES | Holly M |
| FAMILY NAME | Burke |
| SIGNATURE | BURKE H M |
| AFFILIATIONS | Family Health International 360 |
| ORCID | 0000-0002-5538-5628 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 15 |
| WORKS AS AUTHOR | 13 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
The case for investing in provider-administered subcutaneous DMPA
INTRODUCTION: Depot medroxyprogesterone acetate (DMPA) is available as provider-administered intramuscular (DMPA-IM) and subcutaneous injections (PA DMPA-SC), as well as DMPA-SC self-injection (SI), which enhances accessibility and continuation by reducing facility visits. However, DMPA-SC has a higher unit price than DMPA-IM, and low SI uptake can undermine its cost-effectiveness. This study assessed whether PA DMPA-SC's potential benefits justi…
The effects of the integration of an economic strengthening and HIV prevention education programme on the prevalence of sexually transmitted infections and savings behaviours among adolescents
Background: Multisectoral approaches are thought necessary to prevent HIV among adolescents. We examined whether an economic strengthening (ES) and an HIV-prevention education intervention improved outcomes when combined versus separately. Methods: We conducted a full-factorial randomised controlled study to randomise participants into all possible intervention groups based on the two interventions: economic strengthening only (ES-only), HIV-prev…
‘I married when I was 16… due to poverty, I had no other way’
This paper explores individual, interpersonal- and household-level factors influencing HIV-related sexual risk behaviour among adolescent girls who participated in an intervention to reduce HIV risk in a rural setting in Mozambique. Twenty-eight adolescent girls ages 13-19, 30 heads of household, and 53 influential men participated in in-depth interviews at two time points. Comparative analysis compared girls who reported reducing risk behaviours…
Hope, Self-Efficacy, and Crushed Dreams
In rural Mozambique, girls commonly marry and have children before age 18. We use a Positive Youth Development lens to examine how constructs of confidence and competence were related to adolescent girls’ ability to and progress toward achieving their future aspirations. As part of an intervention evaluation, we used a longitudinal qualitative design, conducting in-depth interviews with 47 adolescent girls aged 13 to 19 at the end of the interven…
Exploring intersections of localised gender norms and unanticipated effects of a sexual and reproductive health intervention
Women First was a combined economic and social empowerment intervention implemented between 2010 and 2015 in Zambézia Province, Mozambique. The intervention was designed to reduce adolescent girls' risk of HIV and gender-based violence, improve school attendance and empower girls. However, perceptions of girls' improved respectfulness also emerged as an unanticipated effect during the programme evaluation. In this paper, we explore emic definitio…
Gender norms associated with adolescent sexual behaviours in Uganda
The relationship between gendered power relations and sexual behaviours of adolescents has been limitedly explored in Uganda. A 2015 cross-sectional survey covering 16 purposively selected districts of Uganda assessed perceptions and associations of gender norms measured using the Gender Equitable Men scale and sexual behaviours among adolescents (N = 867). Findings indicate that behavioural intention to use contraception was moderately correlate…
Correlates of Rapid Repeat Pregnancy Among Adolescents and Young Women in Uganda
CONTEXT: Short pregnancy intervals can contribute to maternal and child morbidity and mortality. No previous research has explored factors associated with short pregnancy intervals among young women in Uganda, where adolescent pregnancy and short birth intervals are common. METHODS: Data on 626 married or cohabiting women aged 15-22 with one or two previous pregnancies were drawn from the 2011 Uganda Demographic and Health Survey. Bivariate and m…
How formative research can improve the effects of household economic strengthening programs for children
Household economic strengthening (HES) programs should increase the welfare of households and children so as to decrease cyclical poverty. Yet research shows that HES programs with positive household outcomes often fail to produce corresponding improvements in children’s lives. In-depth interviews (IDIs) with 96 households who were part of a HES program in Liberia provide a window into intra-household decision-making affecting children’s health a…
Impact of an Agricultural Value Chain Project on Smallholder Farmers, Households, and Children in Liberia
The role of relationship types on condom use among urban men with concurrent partners in Ghana and Tanzania
Multiple concurrent partnerships are hypothesized to be important drivers of HIV transmission. Despite the demonstrated importance of relationship type (i.e., wife, girlfriend, casual partner, sex worker) on condom use, research on concurrency has not examined how different combinations of relationship types might affect condom use. We address this gap, using survey data from a sample of men from Ghana (GH: n = 807) and Tanzania (TZ: n = 800) who…
Evaluation of a Communication Campaign to Improve Continuation Among First-Time Injectable Contraceptive Users in Nyando District, Kenya
CONTEXT: Communication campaigns might be a viable means of improving contraceptive continuation; however, few such interventions aimed at reducing contraceptive discontinuation have been evaluated. METHODS: Data were collected from independent samples of new injectable users in Nyando District, Kenya-site of a communication campaign to increase contraceptive continuation-and in a comparison district, nine months before and nine months after inte…
Using the Inequitable Gender Norms Scale and Associated HIV Risk Behaviors among Men at High Risk for HIV in Ghana and Tanzania
Context:Gender norms influence unintended pregnancy, maternal health, HIV/AIDS infection, and act as barriers to reproductive health services. The Gender Equitable Men (GEM) scale has been used widely in programs and research in African settings, but it has yet to be statistically validated.Method:We examined the internal and external validity of the Inequitable Gender Norms (IGN) subscale of the GEM scale in Tanzania and Ghana using a two-step, …
Partnering for Care in HIV Prevention Trials
QUALITATIVE CASE STUDIES WERE conducted at seven international sites conducting HIV prevention research in Africa, Asia, and the Americas to identify strategies for ensuring that health needs of research participants identified in the course of research are adequately addressed. Key factors were identified that contribute to the balance between direct care and healthcare referrals at a research site, as well as the overall quality of the healthca…
Impact of an Agricultural Value Chain Project on Smallholder Farmers, Households, and Children in Liberia
Using the Inequitable Gender Norms Scale and Associated HIV Risk Behaviors among Men at High Risk for HIV in Ghana and Tanzania
Context:Gender norms influence unintended pregnancy, maternal health, HIV/AIDS infection, and act as barriers to reproductive health services. The Gender Equitable Men (GEM) scale has been used widely in programs and research in African settings, but it has yet to be statistically validated.Method:We examined the internal and external validity of the Inequitable Gender Norms (IGN) subscale of the GEM scale in Tanzania and Ghana using a two-step, …
Partnering for Care in HIV Prevention Trials
QUALITATIVE CASE STUDIES WERE conducted at seven international sites conducting HIV prevention research in Africa, Asia, and the Americas to identify strategies for ensuring that health needs of research participants identified in the course of research are adequately addressed. Key factors were identified that contribute to the balance between direct care and healthcare referrals at a research site, as well as the overall quality of the healthca…
Gender norms associated with adolescent sexual behaviours in Uganda
The relationship between gendered power relations and sexual behaviours of adolescents has been limitedly explored in Uganda. A 2015 cross-sectional survey covering 16 purposively selected districts of Uganda assessed perceptions and associations of gender norms measured using the Gender Equitable Men scale and sexual behaviours among adolescents (N = 867). Findings indicate that behavioural intention to use contraception was moderately correlate…
Hope, Self-Efficacy, and Crushed Dreams
In rural Mozambique, girls commonly marry and have children before age 18. We use a Positive Youth Development lens to examine how constructs of confidence and competence were related to adolescent girls’ ability to and progress toward achieving their future aspirations. As part of an intervention evaluation, we used a longitudinal qualitative design, conducting in-depth interviews with 47 adolescent girls aged 13 to 19 at the end of the interven…
Partnering for Care in HIV Prevention Trials
QUALITATIVE CASE STUDIES WERE conducted at seven international sites conducting HIV prevention research in Africa, Asia, and the Americas to identify strategies for ensuring that health needs of research participants identified in the course of research are adequately addressed. Key factors were identified that contribute to the balance between direct care and healthcare referrals at a research site, as well as the overall quality of the healthca…
Using the Inequitable Gender Norms Scale and Associated HIV Risk Behaviors among Men at High Risk for HIV in Ghana and Tanzania
Context:Gender norms influence unintended pregnancy, maternal health, HIV/AIDS infection, and act as barriers to reproductive health services. The Gender Equitable Men (GEM) scale has been used widely in programs and research in African settings, but it has yet to be statistically validated.Method:We examined the internal and external validity of the Inequitable Gender Norms (IGN) subscale of the GEM scale in Tanzania and Ghana using a two-step, …
Evaluation of a Communication Campaign to Improve Continuation Among First-Time Injectable Contraceptive Users in Nyando District, Kenya
CONTEXT: Communication campaigns might be a viable means of improving contraceptive continuation; however, few such interventions aimed at reducing contraceptive discontinuation have been evaluated. METHODS: Data were collected from independent samples of new injectable users in Nyando District, Kenya-site of a communication campaign to increase contraceptive continuation-and in a comparison district, nine months before and nine months after inte…
The role of relationship types on condom use among urban men with concurrent partners in Ghana and Tanzania
Multiple concurrent partnerships are hypothesized to be important drivers of HIV transmission. Despite the demonstrated importance of relationship type (i.e., wife, girlfriend, casual partner, sex worker) on condom use, research on concurrency has not examined how different combinations of relationship types might affect condom use. We address this gap, using survey data from a sample of men from Ghana (GH: n = 807) and Tanzania (TZ: n = 800) who…
How formative research can improve the effects of household economic strengthening programs for children
Household economic strengthening (HES) programs should increase the welfare of households and children so as to decrease cyclical poverty. Yet research shows that HES programs with positive household outcomes often fail to produce corresponding improvements in children’s lives. In-depth interviews (IDIs) with 96 households who were part of a HES program in Liberia provide a window into intra-household decision-making affecting children’s health a…
Impact of an Agricultural Value Chain Project on Smallholder Farmers, Households, and Children in Liberia
Correlates of Rapid Repeat Pregnancy Among Adolescents and Young Women in Uganda
CONTEXT: Short pregnancy intervals can contribute to maternal and child morbidity and mortality. No previous research has explored factors associated with short pregnancy intervals among young women in Uganda, where adolescent pregnancy and short birth intervals are common. METHODS: Data on 626 married or cohabiting women aged 15-22 with one or two previous pregnancies were drawn from the 2011 Uganda Demographic and Health Survey. Bivariate and m…
Exploring intersections of localised gender norms and unanticipated effects of a sexual and reproductive health intervention
Women First was a combined economic and social empowerment intervention implemented between 2010 and 2015 in Zambézia Province, Mozambique. The intervention was designed to reduce adolescent girls' risk of HIV and gender-based violence, improve school attendance and empower girls. However, perceptions of girls' improved respectfulness also emerged as an unanticipated effect during the programme evaluation. In this paper, we explore emic definitio…
Gender norms associated with adolescent sexual behaviours in Uganda
The relationship between gendered power relations and sexual behaviours of adolescents has been limitedly explored in Uganda. A 2015 cross-sectional survey covering 16 purposively selected districts of Uganda assessed perceptions and associations of gender norms measured using the Gender Equitable Men scale and sexual behaviours among adolescents (N = 867). Findings indicate that behavioural intention to use contraception was moderately correlate…
The effects of the integration of an economic strengthening and HIV prevention education programme on the prevalence of sexually transmitted infections and savings behaviours among adolescents
Background: Multisectoral approaches are thought necessary to prevent HIV among adolescents. We examined whether an economic strengthening (ES) and an HIV-prevention education intervention improved outcomes when combined versus separately. Methods: We conducted a full-factorial randomised controlled study to randomise participants into all possible intervention groups based on the two interventions: economic strengthening only (ES-only), HIV-prev…
‘I married when I was 16… due to poverty, I had no other way’
This paper explores individual, interpersonal- and household-level factors influencing HIV-related sexual risk behaviour among adolescent girls who participated in an intervention to reduce HIV risk in a rural setting in Mozambique. Twenty-eight adolescent girls ages 13-19, 30 heads of household, and 53 influential men participated in in-depth interviews at two time points. Comparative analysis compared girls who reported reducing risk behaviours…
Hope, Self-Efficacy, and Crushed Dreams
In rural Mozambique, girls commonly marry and have children before age 18. We use a Positive Youth Development lens to examine how constructs of confidence and competence were related to adolescent girls’ ability to and progress toward achieving their future aspirations. As part of an intervention evaluation, we used a longitudinal qualitative design, conducting in-depth interviews with 47 adolescent girls aged 13 to 19 at the end of the interven…
The case for investing in provider-administered subcutaneous DMPA
INTRODUCTION: Depot medroxyprogesterone acetate (DMPA) is available as provider-administered intramuscular (DMPA-IM) and subcutaneous injections (PA DMPA-SC), as well as DMPA-SC self-injection (SI), which enhances accessibility and continuation by reducing facility visits. However, DMPA-SC has a higher unit price than DMPA-IM, and low SI uptake can undermine its cost-effectiveness. This study assessed whether PA DMPA-SC's potential benefits justi…
Medicine (10 works) · Adolescent Sexual and Reproductive Health (9 works) · Psychology (9 works) · Poverty, Education, and Child Welfare (8 works) · Demography (7 works) · Sociology (6 works) · HIV/AIDS Research and Interventions (5 works) · Political science (5 works) · Psychological intervention (5 works) · Social Psychology (5 works)