Kathryn Dovel

Dados Biográficos

ID1731180
NOMEKathryn Dovel
PRENOMESKathryn
SOBRENOMEDovel
ASSINATURADOVEL K
AFILIAÇÕESUniversity of California, Los Angeles
ORCID0000-0002-5622-3401
VERIFICADOSim
TOTAL DE OBRAS35
TOTAL DE CITAÇÕES15
TOTAL COMO AUTOR35
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2013
ANO MAIS RECENTE DE PUBLICAÇÃO2026
ÍNDICE H2

  • Implementation of male-specific motivational interviewing in Malawi

    Open AccessKatherine Ničev Holland, Julie Hubbard et al.ARTICLEBMJ Global Health2026

    INTRODUCTION: Treatment interruption (TI), defined as >28 days late for antiretroviral therapy appointment, is one of the greatest challenges in controlling southern African HIV epidemics. Negative client-provider interactions remain a major reason for TI and a barrier to return to care, especially for men. Motivational interviewing (MI) facilitates client-driven counselling and improves client-provider interactions by facilitating equitable, int…

  • Exploration of Pregnant and Breastfeeding Women’s Acceptability of Rapid Point-of-Care Urine Testing Within Antenatal and Postnatal Care, and Its Perceived Impact on PrEP Adherence When Paired with Pr…

    Open AccessLara Court, Rufaro Mvududu et al.ARTICLEAIDS and Behavior2026

  • ‘You don’t need schooling—just take the pills and don’t stop.’

    Open AccessStephanie Chamberlin, Misheck Mphande et al.ARTICLESSM - Qualitative Research in…2025

    Research on chronic care management from other settings indicates that people’s formal education (e.g., primary, secondary, and tertiary schooling) may confer important cognitive skills and material resources to help them manage their chronic HIV care and treatment. However, recent population-level findings from southern and eastern Africa suggest no statistical relationship between education and chronic HIV care. To gain additional insight into …

  • 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 …

  • Health care needs survey to improve preparedness of community outreach clinics after severe flooding in Mulanje district, Malawi

    Open AccessJoseph Njala, Kelvin Balakasi et al.ARTICLEPLOS Global Public Health2025

    Due to the rising impact of climate change, Malawi has increasingly experienced extreme weather events in the last decade, including flooding that resulted in large-scale displacement of vulnerable populations. In response, the Ministry of Health and partners set up outreach clinics at camps for displaced persons. However, little is known about health care needs of the affected populations. We conducted a cross-sectional survey among individuals …

  • Intimate partner violence among HIV index case testing clients in Malawi, a mixed-methods study

    Open AccessMaria Sanena, Christine Hagstrom et al.ARTICLEPLOS Global Public Health2025

    While its prevalence in sub-Saharan Africa is high, intimate partner violence (IPV) is rarely reported during routine index case testing (ICT) services in Malawi. We retrospectively explored the occurrence of IPV in a large, PEPFAR-supported HIV care and treatment program, among people with HIV (PWH) who had previously accessed ICT services. Between July-August 2022, we enrolled PWH aged ≥18 years, at 15 health facilities, who had received ICT se…

  • Stakeholder priorities for ART initiation and early retention strategies in Malawi

    Open AccessSanthi Hariprasad, Khumbo Phiri et al.ARTICLEBMC Public Health2025

    New or returning antiretroviral therapy (ART) clients are largely ineligible for differentiated service delivery (DSD) models. These clients are at increased risk of treatment interruption and may benefit from flexible care models, but stakeholder buy-in may limit progress on interventions for this population. We qualitatively explored stakeholder perceptions and decision-making criteria for scaling DSD models for new or returning ART clients in …

  • Men’s Satisfaction with General Health Services is Associated with Future Use of HIV Testing in Malawi

    Open AccessMarguerite Thorp, Kelvin Balakasi et al.ARTICLEAIDS and Behavior2024

    Across sub-Saharan Africa, men are less likely to know their HIV status than women, leading to later treatment initiation. Little is known about how experiences with general health services affect men's use of HIV testing. We used data from a 2019 community-representative survey of men in Malawi to understand frequency and cause of men's negative health service experiences (defined as men reporting they "would not recommend" a facility) and their…

  • 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…

  • Health care workers’ perceptions and bias toward men as HIV clients in Malawi and Mozambique

    Open AccessKathryn Dovel, Rose Paneno et al.ARTICLEPLOS Global Public Health2023

    Men are underrepresented in HIV services throughout sub-Saharan Africa. Little is known about health care worker (HCW) perceptions of men as clients, which may directly affect the quality of care provided, and HCWs’ buy-in for male-specific interventions. Focus group discussions (FGDs) were conducted in 2016 with HCWs from 15 facilities across Malawi and Mozambique and were originally conducted to evaluate barriers to universal treatment (not HCW…

  • Triple Benefit

    Open AccessKathryn Dovel, Pericles Kalande et al.ARTICLEAIDS and Behavior2023

    We conducted a programmatic, observational cohort study with mother-infant pairs (MIPs) enrolled in prevention-of-mother-to-child-transmission (PMTCT) programs in Malawi to assess the feasibility and potential HIV-related benefits of integrating Early Childhood Development (ECD) services into PMTCT programs. Six health facilities were included in the intervention. We offered ECD counseling from the WHO/UNICEF Care for Child Development package in…

  • Alcohol use and intimate partner violence in HIV-uninfected pregnant women in Cape Town, South Africa

    Dvora Joseph Davey, Stanzi M le Roux et al.ARTICLEAIDS Care2022

    In settings with a high burden of HIV, pregnant women often experience a cluster of risk factors, including alcohol use and intimate partner violence (IPV). These interrelated risks are poorly understood among pregnant women at risk of HIV in sub-Saharan Africa. We aim to determine cross-sectional associations between pregnant women's alcohol use and victimization due to IPV in the HIV-Unexposed-Uninfected Mother-Infant Cohort Study in Cape Town,…

  • 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…

  • Factors associated with men’s health facility attendance as clients and caregivers in Malawi

    Open AccessMarguerite Thorp, Kelvin Balakasi et al.ARTICLEBMC Public Health2022

    Quality of services offered at local health facilities and men's health status were the only variables associated with client facility visits among men, while harmful gender norms, not being married, and being younger were negatively associated with caregiver visits

  • Stepped care to optimize pre-exposure prophylaxis (PrEP) effectiveness in pregnant and postpartum women (SCOPE-PP) in South Africa

    Open AccessDvora Joseph Davey, Kathryn Dovel et al.ARTICLEBMC Public Health2022

    NCT05322629 : Date of registration: April 12, 2022

  • Barriers to Oral HIV Pre-exposure Prophylaxis (PrEP) Adherence Among Pregnant and Post-partum Women from Cape Town, South Africa

    Open AccessIvana Beesham, Kathryn Dovel et al.ARTICLEAIDS and Behavior2022

    Cisgender women, particularly pregnant and postpartum women in Eastern and Southern Africa, face an unacceptably high risk of HIV acquisition. Oral pre-exposure prophylaxis (PrEP) is an effective HIV prevention intervention that can reduce HIV acquisition and vertical transmission. In this qualitative study, we interviewed 21 postpartum women from Cape Town, South Africa who initiated PrEP during pregnancy and who self-reported low PrEP adherence…

  • 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 …

  • Double benefit? Integrating an early childhood development programme into HIV PMTCT Option B+ services in Malawi

    Open AccessStephanie Redinger, Evelyn Udedi et al.ARTICLEAIDS Care2021

    We investigated the feasibility and acceptability of integrating early childhood development into Prevention of Mother-to-Child Transmission (PMTCT) services in Malawi.We recruited mothers living with HIV in the PMTCT programs who had an infant ≤8 weeks of age. Group ECD sessions were delivered while mothers waited for HIV consultations. Follow up was conducted at 9 months postnatal. A sub-sample of mothers completed in-depth interviews which wer…

  • 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

  • I had Made the Decision, and No One was Going to Stop Me” —Facilitators of PrEP Adherence During Pregnancy and Postpartum in Cape Town, South Africa

    Open AccessDvora Joseph Davey, Lucia Knight 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…

  • How HIV Clients Find Their Way Back to the ART Clinic

    Open AccessStephanie Chamberlin, Misheck Mphande et al.ARTICLEAIDS and Behavior2021

    Retention in antiretroviral therapy (ART) services is critical to achieving positive health outcomes for individuals living with HIV, but accumulating evidence indicates that individuals are likely to miss ART appointments over time. Thus, it is important to understand why individuals miss appointments and how they re-engage in HIV care. We used in-depth interviews with 44 ART clients in Malawi who recently missed an ART appointment (> 14 days) b…

  • Microfinance and Peer Health Leadership Intervention Implementation for Men in Dar es Salaam, Tanzania

    Open AccessFrank Mhando, Kathryn Dovel et al.ARTICLEAmerican Journal of Men s Health2020

    Men in sub-Saharan Africa continue to experience health disparities that are exacerbated by low employment. This study qualitatively assessed men’s perceptions of the economic and health-care-seeking effects of participation in an integrated microfinance and peer health leadership intervention on violence and HIV risk reduction in Tanzania. Three focus group discussions with 27 men, aged 20 to 44 years, examined the perceived effects on income ge…

  • 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…