Alison Wringe

Dados Biográficos

ID176019
NOMEAlison Wringe
PRENOMESAlison
SOBRENOMEWringe
ASSINATURAWRINGE A
AFILIAÇÕESLondon School of Hygiene & Tropical Medicine
ORCID0000-0001-6939-3461
VERIFICADOSim
TOTAL DE OBRAS48
TOTAL DE CITAÇÕES9
TOTAL COMO AUTOR48
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2009
ANO MAIS RECENTE DE PUBLICAÇÃO2025
ÍNDICE H1

  • A qualitative exploration of women’s choices and experiences of using oral and vaginal HIV pre-exposure prophylaxis in Eswatini

    Open AccessEsther Mukooza, Nqobile Mmema et al.ARTICLEAIDS Care2025

    Understanding women's decision-making when offered different HIV pre-exposure prophylaxis (PrEP) options is critical for improving uptake. This qualitative study explored factors influencing PrEP choices among Swazi women in 2022-2023. In-depth interviews were conducted with 17 women who accepted or declined oral PrEP or the Dapivirine vaginal ring; and 6 healthcare workers who prescribed PrEP. One focus group discussion (FGD) with eight women el…

  • Moving towards a person-centred HIV care cascade

    Open AccessDavid Etoori, Alison Wringe et al.ARTICLEPLOS Global Public Health2024

    In 2022, in recognition of lags in data infrastructure, the World Health Organisation (WHO) recommended the use of routinely linked individual patient data to monitor HIV programmes. The WHO also recommended a move to person-centred care to better reflect the experiences of people living with HIV. The switch from aggregated service level data to person-centred data will likely introduce some biases and errors. However, little is understood about …

  • “It is still very little; I cannot pass it on”

    Open AccessEsther Mukooza, Bernadette Schausberger et al.ARTICLEAIDS Care2024

    Acute and early HIV infection (AEHI) is rarely diagnosed in sub-Saharan Africa, despite its potential contribution to incidence reduction. This qualitative study in Eswatini explored the experiences of health workers, people diagnosed with AEHI, and their partners towards AEHI diagnosis, to inform its scale-up. In-depth interviews were undertaken with 11 women and four men diagnosed with AEHI. Three patients' partners were interviewed about their…

  • Investigating clinic transfers among HIV patients considered lost to follow-up to improve understanding of the HIV care cascade

    Open AccessDavid Etoori, Chodziwadziwa Kabudula et al.ARTICLEPLOS Global Public Health2022

    Investigating clinical transfers of HIV patients is important for accurate estimates of retention and informing interventions to support patients. We investigate transfers for adults reported as lost to follow-up (LTFU) from eight HIV care facilities in the Agincourt health and demographic surveillance system (HDSS), South Africa. Using linked clinic and HDSS records, outcomes of adults more than 90 days late for their last scheduled clinic visit…

  • Slipping through the cracks

    Open AccessRose Burns, Ethel Venables et al.ARTICLEAIDS Care2022

    Advanced HIV causes substantial mortality in sub-Saharan Africa despite widespread antiretroviral therapy coverage. This paper explores pathways of care amongst hospitalised patients with advanced HIV in rural Kenya and urban Democratic Republic of the Congo, with a view to understanding their care-seeking trajectories and poor health outcomes. Thirty in-depth interviews were conducted with hospitalised patients with advanced HIV who had previous…

  • Coming of age with HIV

    Open AccessConstance R Smackworth-Young, Virginia Bond et al.ARTICLEAIDS Care2021

    Young perinatally-infected women living with HIV in Zambia grew up alongside antiretroviral therapy (ART) roll-out and expanding prevention programmes. We used Bonnington's temporal framework to understand how HIV impacted the experiences of these women over time. Data were drawn from two sequential studies with a cohort of young women living with HIV: a qualitative study in 2014-16 and an ethnographic study in 2017-18. Data from workshops, in-de…

  • Patterns of engagement in HIV care during pregnancy and breastfeeding

    Open AccessDavid Etoori, Brian Rice et al.ARTICLEBMC Public Health2021

    Almost half of all pregnant women did not have optimal ART coverage during the MTCT risk period. Programmes need to focus on improving retention, and leveraging new pregnancies to re-engage HIV-positive women on ART

  • PrEP reminds me that I am the one to take responsibility of my life

    Open AccessPia Juul Bjertrup, Nqobile Mmema et al.ARTICLEBMC Public Health2021

    Unlike many prevention tools, PrEP enabled women to achieve a sense of control over their lives. Nevertheless, women's agency to continue and adhere to PrEP was influenced by social and structural factors including gender norms, family expectations of young women, relationship dynamics and stigma related to HIV. Future interventions should address these barriers to promote PrEP use among sexually-active women

  • Planning a family in Nairobi’s informal settlements

    Open AccessCatriona Towriss, Catriona A Towriss et al.ARTICLEJournal of Biosocial Science2020

    Childbearing intentions among women in high-fertility contexts are usually classified into those wanting to have a baby, those wanting to ‘space’ a birth and those wanting to ‘limit’ their family size. However, evidence from Africa increasingly suggests that women’s intentions are more complex than this classification suggests, and that there is fluidity in these intentions. This research explores women’s accounts of their childbearing intentions…

  • Misreporting of Patient Outcomes in the South African National HIV Treatment Database

    Open AccessDavid Etoori, Alison Wringe et al.ARTICLEFrontiers in Public Health2020

    Background: Monitoring progress toward global treatment targets using HIV programme data in sub-Saharan Africa has proved challenging. Constraints in routine data collection and reporting can lead to biased estimates of treatment outcomes. In 2010, South Africa introduced an electronic patient monitoring system for HIV patient visits, TIER.Net. We compare treatment status and outcomes recorded in TIER.Net to outcomes ascertained through detailed …

  • Challenges with tracing patients on antiretroviral therapy who are late for clinic appointments in rural South Africa and recommendations for future practice

    Open AccessDavid Etoori, Alison Wringe et al.ARTICLEGlobal Health Action2020

    Background: It is common practice for HIV programmes to routinely trace patients who are late for a scheduled clinic visit to ensure continued care engagement. In South Africa, patients who are late for a scheduled visit are identified from clinic registers, and called by telephone up to three times by designated clinic staff, with home visits conducted for those who are unreachable by phone. It is important to understand outcomes among late pati…

  • Critical Reflections on Individual Collages as a Research Method With Young Women Living With HIV in Zambia

    Open AccessConstance R Smackworth-Young, Alison Wringe et al.ARTICLEEmerging Adulthood2020

    Art-based research methods can enable young people to generate data that provide insights into their lives. We assessed the feasibility, value, and limitations of collages as a participatory research method to understand the experiences of young women living with HIV. Individual collages were created in participatory workshops, firstly in 2015 and secondly in 2017, by a cohort of young women living with HIV in Lusaka, Zambia. Collages were analyz…

  • Understanding the influence of health systems on women’s experiences of Option B

    Open AccessShannon M Williams, Jenny Renju et al.ARTICLEGlobal Public Health2020

    We explored women's experiences of Option B+ in sub-Saharan African health facility settings through a meta-ethnography of 32 qualitative studies published between 2010 and 2019. First and second-order constructs were identified from the data and authors' interpretations respectively. Using a health systems lens, third-order constructs explored how the health systems shaped women's experiences of Option B+ and their subsequent engagement in care.…

  • Exploring the evolution of policies for universal antiretroviral therapy and their implementation across three sub-Saharan African countries

    Open AccessMoses Kumwenda, Morten Skovdal et al.ARTICLEGlobal Public Health2020

    Universal antiretroviral therapy (ART) strategies have dramatically changed HIV programming across sub-Saharan Africa. We explored factors that influenced the development, adoption and implementation of universal ART policies in Tanzania, South Africa and Malawi. We conducted 26 key informant interviews and applied Kingdon's 'streams' model to explore how problems, policies and politics converged to provide a window of opportunity for universal A…

  • Understanding the health systems impacts of Universal Test and Treat in sub-Saharan Africa

    Open AccessJenny Renju, Janet Seeley et al.ARTICLEGlobal Public Health2020

    Sub-Saharan Africa has the highest burden of HIV globally, with 54% of the world’s people living with HIV (PLHIV) living in this region. By 2018 in East and Southern Africa there were 20.6 million

  • Cost variations in prevention of mother-to-child HIV transmission services integrated within maternal and child health services in rural Tanzania

    Open AccessSanchita Vya, Lameck Luwanda et al.ARTICLEGlobal Public Health2020

    We estimated the costs of Option B+ for HIV-infected pregnant women in 12 facilities in Morogoro Region, Tanzania, from a provider perspective. Costs of prevention of mother-to-child (PMTCT) HIV services were measured over 12 months to September 2017 to estimate the average costs per HIV testing episode, per HIV-positive case diagnosed, per patient-year on antiretroviral therapy (ART), and per neonatal HIV care. A one-way sensitivity analysis was…

  • Assessing the implementation of facility-based HIV testing policies in Malawi, South Africa and Tanzania from 2013–2018

    Open AccessLameck Luwanda, Sanchita Vya et al.ARTICLEGlobal Public Health2020

    National HIV testing policies aim to increase the proportion of people living with HIV who know their status. National HIV testing policies were reviewed for each country from 2013 to 2018, and compared with WHO guidance. Three rounds of health facility surveys were conducted to assess facility level policy implementation in Karonga (Malawi), uMkhanyakude (South Africa), and Ifakara (Tanzania). A policy 'implementation' score was developed and ap…

  • Investigating the implementation of differentiated HIV services and implications for pregnant and postpartum women

    Open AccessRujeko Samanthia Chimukuche, Alison Wringe et al.ARTICLEGlobal Public Health2020

    Universal antiretroviral therapy (ART) for pregnant and postpartum women in sub-Saharan Africa has required adaptations to service delivery. We compared national policies on differentiated HIV service delivery with facility-level implementation, and explored provider and user experiences in rural Malawi, Tanzania and South Africa. Four national policies and two World Health Organization guidelines on HIV treatment for pregnant and postpartum wome…

  • If the results are negative, they motivate us’. Experiences of early infant diagnosis of HIV and engagement in Option B

    Open AccessDavid Etoori, Jenny Renju et al.ARTICLEGlobal Public Health2020

    Few studies have explored the relationship between early infant diagnosis (EID) of HIV and mothers' engagement in care under Option B+. We conducted in-depth interviews with 20 women who initiated antiretroviral therapy (ART) under Option B+ in rural South Africa to explore the interactions between EID and maternal care engagement. Drawing on practice theory, we identified themes relating to Option B+ care engagement and EID. Women's practice of …

  • Implications of HIV treatment policies on the health workforce in rural Malawi and Tanzania between 2013 and 2017

    Open AccessJohn Songo, Alison Wringe et al.ARTICLEGlobal Public Health2020

    Effective implementation of policies for expanding antiretroviral therapy (ART) requires a well-trained and adequately staffed workforce. Changes in national HIV workforce policies, health facility practices, and provider experiences were examined in rural Malawi and Tanzania between 2013 and 2017. In both countries, task-shifting and task-sharing policies were explicit by 2013. In facilities, the cadre mix of providers varied by site and changed…

  • Implementation and experiences of integrated prevention of mother-to-child transmission services in Tanzania, Malawi and South Africa

    Open AccessFarida Hassan, Jenny Renju et al.ARTICLEGlobal Public Health2020

    Although integration of HIV and maternal health services is recommended by the World Health Organization, evidence to guide implementation is limited. We describe facility-level implementation of policies for integrating HIV care within maternal health services and explore experiences of service users and providers in rural Tanzania (Ifakara), South Africa (uMkhanyakude) and Malawi (Karonga). Policy in all countries included HIV testing during an…

  • Consequences of male partner engagement policies on HIV care-seeking in three African countries

    Open AccessAlbert Dube, Jenny Renju et al.ARTICLEGlobal Public Health2020

    We explored how strategies to promote male partner engagement influenced HIV care-seeking among men and women living with HIV. In-depth interviews were conducted with 25 health workers, 66 female service users and 10 male partners in Ifakara (Tanzania), Karonga (Malawi) and uMkhanyakude (South Africa) to elicit experiences of offering, providing or receiving HIV care in the context of antenatal care. Data were coded inductively and analysed thema…

  • Influence of evolving HIV treatment guidance on CD4 counts and viral load monitoring

    Open AccessJenny Renju, Brian Rice et al.ARTICLEGlobal Public Health2020

    Little is known about how CD4 and viral load testing have evolved following implementation of universal test and treat (UTT) in African settings. We reviewed World Health Organization (WHO) guidance from 2013 to 2018, and compared it against national HIV policies in Malawi, Tanzania and South Africa. Three surveys rounds were conducted in 2013, 2016 and 2017-2018 in 33 health facilities across the three settings to assess implementation of nation…

  • Secrets and Silence

    Constance R Smackworth-Young, Virginia Bond et al.ARTICLEMedical Anthropology2020Citada por: 7Referências: 48

    Drawing on a 12-month ethnography with young women living with HIV in Zambia, we explore their everyday strategies to avoid unintentional disclosure of their HIV status. Young women practiced secrecy with sexual partners, through hiding their antiretroviral therapy and using veiled language around HIV. Whilst remaining silent about their HIV status enabled them to maintain identities beyond HIV, this secrecy triggered feelings of guilt and anxiet…

  • Parental obligations, care and HIV treatment

    Open AccessMorten Skovdal, Rufurwokuda Maswera et al.ARTICLEJournal of Health Psychology2020Citada por: 1Referências: 36

    This article examines how parental obligations of care intersect with HIV treatment-seeking behaviours and retention. It draws on qualitative data from eastern Zimbabwe, produced from 65 interviews. Drawing on theories of practice and care ethics, our analysis revealed that norms of parental obligation and care acted as key motivators for ongoing engagement with HIV services and treatment. Parents' attentiveness to the future needs of their child…