Sian Floyd

Dados Biográficos

ID	3880103
NOME	Sian Floyd
PRENOMES	Sian
SOBRENOME	Floyd
ASSINATURA	FLOYD S
AFILIAÇÕES	London School of Hygiene & Tropical Medicine
ORCID	0000-0002-8615-7601
VERIFICADO	Sim
TOTAL DE OBRAS	43
TOTAL DE CITAÇÕES	46
TOTAL COMO AUTOR	43
TOTAL COMO EDITOR	0
PRIMEIRO ANO DE PUBLICAÇÃO	2007
ANO MAIS RECENTE DE PUBLICAÇÃO	2026
ÍNDICE H	2

Migration and its impact on universal HIV testing and treatment in the HPTN 071 (PopART) study communities
Open AccessDavid Macleod, Sian Floyd et al.ARTICLEPLOS Global Public Health2026
Migrants have been identified as a population left behind by the AIDS (Acquired Immune Deficiency Syndrome) response, with evidence showing poorer HIV (Human Immunodeficiency Virus) outcomes and reduced intervention effectiveness in mobile populations. We used data from the HPTN 071 (PopART) trial (ClinicalTrials.gov number, NCT01900977) to investigate migration and HIV-related indicators, assessing whether community migration influenced PopART t…
Does enhanced HIV prevention, diagnosis, and linkage to care reduce hospitalisation in high HIV-burden communities in Zambia and South Africa? findings from the HPTN 071 (PopART) randomised trial
Open AccessRonelle Burger, Nomtha Bell‐Mandla et al.ARTICLEPLOS Global Public Health2025
The objective of this study is to explore if a community-based HIV combination prevention intervention reduced inpatient hospitalisations in Zambia and South Africa by diagnosing HIV and TB in earlier stages of disease progression, thereby preventing severe disease and new infections. As part of the HIV Prevention Trials Network (HPTN) 071 trial, hospitalisation data from a cohort of 16 968 consenting randomly sampled adults aged 18–44 years were…
Clinical outcomes of participants of a TB prevalence survey with an abnormal chest X-ray but no evidence of TB disease after a median follow-up of 9 months in Zambia and South Africa
Open AccessMaría Rupérez, Jacob Busang et al.ARTICLEPLOS Global Public Health2025
WHO recommends computer-aided detection (CAD) in chest X-ray (CXR) for systematic screening of TB. Increased detection of individuals with high CAD score but without bacteriologically confirmed TB can be expected, requiring guidance on their clinical management. We followed participants of a TB prevalence survey (TBPS) in Zambia and South Africa with a high CAD score but no bacteriologically confirmed TB over a median time of 9 months and assesse…
What combination of interventions can optimise HIV prevention for adolescent girls and young women? Cohort analysis of DREAMS participation in urban and rural Kenya
Open AccessFaith Magut, Sarah Mulwa et al.ARTICLEPLOS Global Public Health2025
Comprehensive intervention packages are recommended to address multiple sources of HIV risk for adolescent girls and young women (AGYW). DREAMS is a multi-component HIV prevention program designed to reduce HIV incidence among AGYW. We conducted a prospective cohort study among AGYW aged 13–22 years, randomly selected in rural Gem and urban Nairobi informal settlements followed from 2017/2018–2019. AGYW were classified into three groups: (1) invi…
Impact of a multilevel HIV prevention programme on adolescent girls and young women’s empowerment for risk reduction
Open AccessElizabeth Kemigisha, Jane Osindo et al.ARTICLEPLOS Global Public Health2025
Empowerment is key to person-centered HIV prevention. This study aims to evaluate the extent to which the Determined, Resilient, Empowered, AIDS-free, Mentored, Safe (DREAMS) Partnership promotes empowerment of adolescent girls and young women (AGYW) in Kenya. We conducted a mixed-methods study to examine DREAMS influence on empowerment precursors (resources, agency, institutional structures) and outcomes, guided by Kabeer’s framework for women’s…
Uptake of multi-level HIV interventions and HIV-related behaviours among young people in rural South Africa
Open AccessNondumiso Mthiyane, M Shahmanesh et al.ARTICLEPLOS Global Public Health2024
Combination HIV prevention packages have reduced HIV incidence and improved HIV-related outcomes among young people. However, there is limited data on how package components interact to promote HIV-related prevention behaviours. We described the uptake of HIV prevention interventions supported by Determined, Resilient, Empowered, AIDS-free, Motivated and Safe (DREAMS) Partnership and assessed the association between uptake and HIV-related behavio…
Self-reported uptake of STI testing services among adolescents and young people aged 15–24 years
Open AccessB Hensen, Mwelwa Phiri et al.ARTICLEPLOS Global Public Health2024
There is little evidence regarding community-based delivery of STI testing and treatment for youth aged 15–24 (AYP) in Zambia. In a cluster-randomised trial, we evaluated whether offering syndromic STI screening through community-based, peer-led sexual and reproductive health services (Yathu Yathu) with referral to a local health facility for testing, increased self-reported testing for STIs (other than HIV) among AYP. Two communities in Lusaka w…
Comparing patterns of recent and remote Mycobacterium tuberculosis infection determined using the QuantiFeron-TB Gold Plus assay in a high TB burden setting
Open AccessModupe Amofa-Sekyi, Ab Schaap et al.ARTICLEPLOS Global Public Health2024
One quarter of the world’s population is estimated to be infected with Mycobacterium tuberculosis. Identifying recent TB infection (TBI) offers an avenue to targeted TB preventative therapy provision, and prevention to disease progression. However, detecting recent TBI remains challenging. The QuantiFERON-TB Gold Plus assay (QFT-Plus) claims to have improved sensitivity in detecting recent TBI, by the addition of the TB2 antigen tube to the TB1 t…
Impact of DREAMS interventions on attitudes towards gender norms among adolescent girls and young women
Open AccessKate Andrews Nelson, Faith Magut et al.ARTICLEPLOS Global Public Health2024
The DREAMS partnership aims to deliver a comprehensive package to reduce HIV incidence among adolescent girls and young women (AGYW), including through shifting gender norms. We evaluate DREAMS’ effect on attitudes towards gender norms in two Kenyan settings. AGYW aged 15–22 in Nairobi (n = 852) and Gem (n = 761) were randomly selected for cohort enrolment in 2017–18 and followed-up to 2019. We described the proportion of AGYW and their male peer…
The impact of an innovative community-based peer-led intervention on uptake and coverage of sexual and reproductive health services among adolescents and young people 15–24 years old
Open AccessMwelwa Phiri, Mwelwa Muleba Phiri et al.ARTICLEBMC Public Health2024
ISRCTN75609016 (11/10/2021), clinicaltrials.gov number NCT04060420 (19/08/2019); retrospectively registered
Factors associated with use of community-based, peer-led sexual and reproductive health services by adolescent boys and young men aged 18–24 in Lusaka, Zambia
Open AccessMwelwa Phiri, B Hensen et al.ARTICLEPLOS Global Public Health2023
Introduction Adolescents and young people (AYP) aged 15–24 years have the least access to facility-based sexual and reproductive health (SRH) services, including HIV services. The Yathu-Yathu cluster-randomized trial (CRT) in Zambia tested whether a novel peer-led community-based approach increased knowledge of HIV status amongst AYP. In this nested case-control study, we aimed to identify factors associated with non-attendance to the Yathu Yathu…
The impact of a combined TB/HIV intervention on the incidence of TB infection among adolescents and young adults in the HPTN 071 (PopART) trial communities in Zambia and South Africa
Open AccessKwame Shanaube, Ab Schaap et al.ARTICLEPLOS Global Public Health2023
Background HPTN071 (PopART) was a cluster randomized trial conducted in Zambian and South African (SA) communities, between 2013–2018. The PopART intervention (universal HIV-testing and treatment (UTT) combined with population-level TB symptom screening) was implemented in 14 communities. The TREATS study (2017–2021) was conducted to evaluate the impact of the PopART intervention on TB outcomes. We report on the impact of the combined TB/HIV inte…
Population-level viremia predicts HIV incidence at the community level across the Universal Testing and Treatment Trials in eastern and southern Africa
Open AccessJoseph Larmarange, Pamela Bachanas et al.ARTICLEPLOS Global Public Health2023
Universal HIV testing and treatment (UTT) strategies aim to optimize population-level benefits of antiretroviral treatment. Between 2012 and 2018, four large community randomized trials were conducted in eastern and southern Africa. While their results were broadly consistent showing decreased population-level viremia reduces HIV incidence, it remains unclear how much HIV incidence can be reduced by increasing suppression among people living with…
Prevalence and risk factors of M tuberculosis infection in young people across 14 communities in Zambia and South Africa
Open AccessModupe Amofa-Sekyi, Ab Schaap et al.ARTICLEPLOS Global Public Health2023
Background From 2018–2021 the TB Reduction through Expanded Antiretroviral Treatment and TB Screening (TREATS) project took place in 21 Zambian and South African communities. The TREATS Incidence of TB Infection Cohort Study was conducted in adolescents and young people (AYP), aged 15–24 years in 14 communities. We describe the baseline prevalence and risk factors of Mycobacterium tuberculosis ( M . tuberculosis) infection among this cohort and e…
Impact of DREAMS interventions on experiences of violence among adolescent girls and young women
Open AccessElvis Omondi Achach Wambiya, Annabelle Gourlay et al.ARTICLEPLOS Global Public Health2023
DREAMS aims to reduce HIV incidence among adolescent girls and young women (AGYW) by tackling drivers of HIV risk including gender-based violence. We evaluate the impact of DREAMS on recent experiences of violence perpetuated by men against AGYW. AGYW cohorts were randomly selected from demographic platforms in South Africa (rural KwaZulu-Natal) and Kenya (Nairobi informal settlements and rural Gem sub-county). AGYW aged 13–22 years were enrolled…
Creating access to Sars-CoV-2 screening and testing through community-based Covid-19 case-finding, observations from cross-sectional studies in Lesotho and Zambia
Open AccessEveline Klinkenberg, Bulemba Katende et al.ARTICLEBMC Public Health2023
In conclusion, in this project we learned that implementing COVID-19 screening and testing by lay health workers in the community is possible. Characteristics of the population screened, tested, and identified to have SARS-CoV-2 are described to help guide development of future testing strategies
Impact of the DREAMS Partnership on social support and general self-efficacy among adolescent girls and young women
Open AccessAnnabelle Gourlay, Sian Floyd et al.ARTICLEBMJ Global Health2022
INTRODUCTION: The Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) Partnership aimed to influence psychosocial processes that promote empowerment among adolescent girls and young women (AGYW), and reduce HIV incidence. We estimated the impact of DREAMS on aspects of AGYW's collective and individual agency (specifically, social support and self-efficacy), in three settings where DREAMS was implemented from 2016 until at leas…
A socio-ecological approach to understanding experiences and perceptions of a multilevel HIV prevention intervention
Open AccessThembelihle Zuma, Janet Seeley et al.ARTICLESSM - Qualitative Research in…2022
Antiretroviral therapy based HIV prevention targeting young women who sell sex
Open AccessNatsayi Chimbindi, Nondumiso Mthiyane et al.ARTICLEAIDS Care2022
Pre-Exposure Prophylaxis (PrEP) is a potential game-changer for HIV. We used PrEP introduction for Young Women Who Sell Sex (YWSS) in a rural South Africa district to understand community norms and PrEP coverage in YWSS. Between 2017 and 2018, we measured awareness and uptake of PrEP in a representative cohort of 2184 Adolescent Girls and Young Women (AGYW) aged 13-22. We conducted group discussions with young people and community members (19); k…
Access to menstrual hygiene products through incentivised, community-based, peer-led sexual and reproductive health services before and during the Covid-19 pandemic
Open AccessB Hensen, Hensen B et al.ARTICLEBMC Public Health2022
Availability of MHP through Yathu Yathu provided a large number of AGYW with access to these products. Hubs seemed particularly important for adolescent girls. Community-based, peer-led hubs should be considered as spaces to provide AGYW access to affordable and effective MHP
Intimate Partner Violence (IPV) and Associated Factors in HPTN 071 (PopART) Study Communities in Zambia and South Africa—A Comparison by HIV Status
Open AccessKalpana Sabapathy, Heidi Stöckl et al.ARTICLEAIDS and Behavior2022
The HPTN 071(PopART) study was a community-randomised trial in Zambia and South Africa, examining the impact of combination-prevention including universal testing and treatment (UTT), on HIV-incidence. This sub-study evaluated factors associated with IPV (physical and/or sexual) to identify differences by HIV status. During 2015-16, a random subset of adults who participated in the first year of the PopART intervention were recruited and standard…
Early impact of the DREAMS partnership on young women’s knowledge of their HIV status
Open AccessIsolde Birdthistle, Deborah J Carter et al.ARTICLEJournal of Epidemiology and…2022Referências: 20
BACKGROUND: Knowledge of one's HIV status is the gateway to treatment and prevention, but remains low among young people. We investigated the early impact (2016-2017) of Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS), a multisectoral HIV prevention package, on knowledge of HIV status among adolescent girls and young women (AGYW). METHODS: In 2017, randomly selected AGYW were enrolled into surveys, N=1081 aged 15-22 years …
The impact of the DREAMS partnership on HIV incidence among young women who sell sex in two Zimbabwean cities
Open AccessSungai T Chabata, B Hensen et al.ARTICLEBMJ Global Health2021
INTRODUCTION: Young women who sell sex (YWSS) in Zimbabwe remain at high risk of HIV infection. Effective HIV prevention strategies are needed. Through support to access a combination of evidence-based interventions, including oral pre-exposure prophylaxis (PrEP), the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) partnership aimed to reduce new HIV infections among adolescent girls and young women by 40% over 24 months. …
Reaching early adolescents with a complex intervention for HIV prevention
Open AccessSarah Mulwa, Jane Osindo et al.ARTICLEBMC Public Health2021
Uptake of DREAMS interventions among a representative sample of EAG was high and quickly increased over the implementation period. The majority accessed multiple interventions, indicating that it is feasible to integrate and deliver a package of interventions to EAG in a challenging informal context
Common mental disorders and HIV status in the context of DREAMS among adolescent girls and young women in rural KwaZulu-Natal, South Africa
Open AccessNondumiso Mthiyane, Guy Harling et al.ARTICLEBMC Public Health2021
We found high prevalence of probable CMD among AGYW in rural South Africa, but it was only associated with HIV serostatus when not controlling for HIV acquisition risk factors. Our findings highlight that improving mental health service access for AGYW at high risk for HIV acquisition might protect them. Interventions already reaching AGYW with CMD, such as DREAMS, can be used to deliver mental health services to reduce both CMD and HIV risks. Th…

The social and economic impact of parental HIV on children in northern Malawi
Sian Floyd, Amelia C Crampin et al.ARTICLEAIDS Care2007
From population-based surveys in the 1980s in Karonga district, northern Malawi, 197 'index individuals' were identified as HIV-positive. 396 HIV-negative 'index individuals' were selected as a comparison group. These individuals, and their spouses and children, were followed up in 1998-2000. 582 of 593 index individuals were traced. 487 children of HIV-positive, and 1493 children of HIV-negative, parents were included in analyses. Rates of pater…
The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa
Victoria Hosegood, Sian Floyd et al.ARTICLEPopulation Studies2007Citada por: 28Referências: 25
Using longitudinal data from three demographic surveillance systems (DSS) and a retrospective cohort study, we estimate levels and trends in the prevalence and incidence of orphanhood in South Africa, Tanzania, and Malawi in the period 1988-2004. The prevalence of maternal, paternal, and double orphans rose in all three populations. In South Africa - where the HIV epidemic started later, has been very severe, and has not yet stabilized - the inci…
From affected to infected? Orphanhood and HIV risk among female adolescents in urban Zimbabwe
Isolde Birdthistle, Isolde J Birdthistle et al.ARTICLEAIDS2008
BACKGROUND: Despite the 15 million children orphaned by AIDS, and fears of sexual vulnerability, little is known about the link between orphanhood and HIV risk. METHODS: A random sample of 1283 15 to 19-year-old girls in a high-density suburb of Harare was identified in a cross-sectional survey in 2004. A total of 863 agreed to be interviewed and 839 provided a specimen for HIV and herpes simplex virus type-2 (HSV-2) testing. Sexual health outcom…
Is education the link between orphanhood and HIV/HSV-2 risk among female adolescents in urban Zimbabwe
Open AccessIsolde Birdthistle, Sian Floyd et al.ARTICLESocial Science & Medicine2009Citada por: 18Referências: 19
Child sexual abuse and links to HIV and orphanhood in urban Zimbabwe
Isolde Birdthistle, Isolde J Birdthistle et al.ARTICLEJournal of Epidemiology and…2011Referências: 23
BACKGROUND: Evidence of a link between sexual violence and HIV is growing; however, studies among children are scarce. The authors sought to characterise child sexual abuse in Harare, Zimbabwe, and explore its links with HIV and orphanhood. METHODS: Records for new clients attending a child sexual abuse clinic from July 2004 to June 2005 were computerised and reviewed. Information on characteristics, medical examinations, laboratory tests and per…
Non-consensual Sex and Association with Incident HIV Infection Among Women
Open AccessIsolde Birdthistle, Billy N Mayanja et al.ARTICLEAIDS and Behavior2012
Non-consensual sex is associated with HIV infection in Africa, but there is little longitudinal data on this association. We describe reported non-consensual sex among women over two decades in southwest Uganda, including associations with incident HIV infection. Between 1990 and 2008, individuals in a population cohort who recently seroconverted to HIV were enrolled into a clinical cohort, along with randomly selected HIV-negative controls. Part…
Reproductive Preferences and Contraceptive Use
Open AccessAngela Baschieri, J Cleland et al.ARTICLEJournal of Biosocial Science2013
There is now widespread agreement on the importance of men's role in reproductive decision-making. Several studies have argued that fertility preferences and their translation into behaviour differ between polygamous and monogamous unions. Studies investigating the dominance of men's preferences over women's preferences, in cases of couple disagreement, found mixed evidence of the effect of polygamy. However, an often cited limitation of these st…
Estimating the extent of household contact misclassification with index cases of disease in longitudinal studies using a stochastic simulation model
Open AccessTobias Chirwa, Sian Floyd et al.ARTICLEGlobal Health Action2013
BACKGROUND: Household contact with an index case of an infectious disease is a known risk factor for infection transmission. However, such contact may be underestimated due to the dynamic nature of households, particularly in longitudinal studies. Such studies generally begin with contact defined at a single point in time ('snap-shot'), leading to contact misclassification for some individuals who actually experienced contact before and after the…
Unintended Childbearing and Child Growth in Northern Malawi
Open AccessAngela Baschieri, Kazuyo Machiyama et al.ARTICLEMaternal and Child Health Journal2016
Objective The study aims to assess whether unintended children experience slower growth than intended children. Methods We analysed longitudinal data linked to the Karonga Health and Demographic Surveillance Site collected over three rounds between 2008 and 2011 on women's fertility intentions and anthropometric data of children. Using the prospective information on fertility intention we assessed whether unintended children are more likely to be…
Evaluating the impact of the DREAMS partnership to reduce HIV incidence among adolescent girls and young women in four settings
Open AccessIsolde Birdthistle, B Schaffnit et al.ARTICLEBMC Public Health2018
DREAMS is, to date, the most ambitious effort to scale-up combinations or 'packages' of multi-sectoral interventions for HIV prevention. Evidence of its effectiveness in reducing HIV incidence among AGYW, and demonstrating which aspects of the lives of AGYW were changed, will offer valuable lessons for replication
Evaluating the impact of DREAMS on HIV incidence among young women who sell sex
Open AccessB Hensen, Julian Hargreaves et al.ARTICLEBMC Public Health2018
HIV prevention products of known efficacy are available. Innovative studies are needed to provide evidence of how to optimise product use through combination interventions to achieve population impact within different contexts. We describe the design of such a study
Understanding the Time Needed to Link to Care and Start ART in Seven HPTN 071 (PopART) Study Communities in Zambia and South Africa
Open AccessThe HPTN study team, Janet Seeley et al.ARTICLEAIDS and Behavior2018
To achieve UNAIDS 90:90:90 targets at population-level, knowledge of HIV status must be followed by timely linkage to care, initiation and maintenance of antiretroviral therapy (ART) for all people living with HIV (PLHIV). Interpreting quantitative patterns using qualitative data, we investigate time taken to link to care and initiate ART amongst individuals aware of their HIV-status in high HIV-prevalence urban communities in the HPTN 071 (PopAR…
Awareness and uptake of layered HIV prevention programming for young women
Open AccessAnnabelle Gourlay, Isolde Birdthistle et al.ARTICLEBMC Public Health2019
In representative population-based samples, awareness and uptake of DREAMS were high after 1 year of implementation. Evidence of 'layering' (receiving multiple interventions from the DREAMS core package), particularly among more socio-economically vulnerable AGYW, indicate that intervention packages can be implemented at scale, for intended recipients, in real-world contexts. Challenges remain for higher coverage and greater 'layering', including…
Changes Over Time in HIV Prevalence and Sexual Behaviour Among Young Female Sex-Workers in 14 Sites in Zimbabwe, 2013–2016
Open AccessSungai T Chabata, B Hensen et al.ARTICLEAIDS and Behavior2019
Young female sex-workers (FSW) aged 18-24 are at high risk of HIV due to high numbers of sexual partners, difficulty negotiating condom use, increased risk of gender-based violence, and limited access to services. Here we describe changes in sexual behaviours among young FSW across Zimbabwe between 2013 and 2016, and risk factors for prevalent HIV in 2013 and 2016. FSW ≥ 18 years were recruited using respondent-driven sampling in 14 sites across …
Young people’s experiences of sexual and reproductive health interventions in rural KwaZulu-Natal, South Africa
Open AccessThembelihle Zuma, Janet Seeley et al.ARTICLEInternational Journal of…2020
Despite efforts to address HIV-infection, adolescents and young peoples' (AYP) engagement in interventions remains suboptimal. Guided by a risk protection framework we describe factors that support positive and negative experiences of HIV and SRH interventions among AYP in rural KwaZulu-Natal, South Africa, using data from: community mapping; repeat semi-structured individual interviews (n= 58 in 2017, n=50 in 2018, n=37 in 2019-2020); and group …
The impact of the DREAMS partnership on HIV incidence among young women who sell sex in two Zimbabwean cities
Open AccessSungai T Chabata, B Hensen et al.ARTICLEBMJ Global Health2021
INTRODUCTION: Young women who sell sex (YWSS) in Zimbabwe remain at high risk of HIV infection. Effective HIV prevention strategies are needed. Through support to access a combination of evidence-based interventions, including oral pre-exposure prophylaxis (PrEP), the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) partnership aimed to reduce new HIV infections among adolescent girls and young women by 40% over 24 months. …
Reaching early adolescents with a complex intervention for HIV prevention
Open AccessSarah Mulwa, Jane Osindo et al.ARTICLEBMC Public Health2021
Uptake of DREAMS interventions among a representative sample of EAG was high and quickly increased over the implementation period. The majority accessed multiple interventions, indicating that it is feasible to integrate and deliver a package of interventions to EAG in a challenging informal context
Common mental disorders and HIV status in the context of DREAMS among adolescent girls and young women in rural KwaZulu-Natal, South Africa
Open AccessNondumiso Mthiyane, Guy Harling et al.ARTICLEBMC Public Health2021
We found high prevalence of probable CMD among AGYW in rural South Africa, but it was only associated with HIV serostatus when not controlling for HIV acquisition risk factors. Our findings highlight that improving mental health service access for AGYW at high risk for HIV acquisition might protect them. Interventions already reaching AGYW with CMD, such as DREAMS, can be used to deliver mental health services to reduce both CMD and HIV risks. Th…
Uptake of HIV Testing Services Through Novel Community-Based Sexual and Reproductive Health Services
Open AccessB Hensen, Mwelwa Phiri et al.ARTICLEAIDS and Behavior2021
Acceptability and Preferences of Two Different Community Models of ART Delivery in a High Prevalence Urban Setting in Zambia
Open AccessMohammed Limbada, Chiti Bwalya et al.ARTICLEAIDS and Behavior2021
Community delivery of Antiretroviral therapy (ART) is a novel innovation to increase sustainable ART coverage for People living with HIV (PLHIV) in resource limited settings. Within a nested cluster-randomised sub-study in two urban communities that participated in the HPTN 071 (PopART) trial in Zambia we investigated individual acceptability and preferences for ART delivery models. Stable PLHIV were enrolled in a cluster-randomized trial of thre…
Community-based health workers implementing universal access to HIV testing and treatment
Open AccessLario Viljoen, Tila Mainga et al.ARTICLEHealth Policy and Planning2021
The global expansion of HIV testing, prevention and treatment services is necessary to achieve HIV epidemic control and promote individual and population health benefits for people living with HIV (PLHIV) in sub-Saharan Africa. Community-based health workers (CHWs) could play a key role in supporting implementation at scale. In the HPTN 071 (PopART) trial in Zambia and South Africa, a cadre of 737 study-specific CHWs, working closely with governm…
Impact of the DREAMS Partnership on social support and general self-efficacy among adolescent girls and young women
Open AccessAnnabelle Gourlay, Sian Floyd et al.ARTICLEBMJ Global Health2022
INTRODUCTION: The Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) Partnership aimed to influence psychosocial processes that promote empowerment among adolescent girls and young women (AGYW), and reduce HIV incidence. We estimated the impact of DREAMS on aspects of AGYW's collective and individual agency (specifically, social support and self-efficacy), in three settings where DREAMS was implemented from 2016 until at leas…
A socio-ecological approach to understanding experiences and perceptions of a multilevel HIV prevention intervention
Open AccessThembelihle Zuma, Janet Seeley et al.ARTICLESSM - Qualitative Research in…2022
Antiretroviral therapy based HIV prevention targeting young women who sell sex
Open AccessNatsayi Chimbindi, Nondumiso Mthiyane et al.ARTICLEAIDS Care2022
Pre-Exposure Prophylaxis (PrEP) is a potential game-changer for HIV. We used PrEP introduction for Young Women Who Sell Sex (YWSS) in a rural South Africa district to understand community norms and PrEP coverage in YWSS. Between 2017 and 2018, we measured awareness and uptake of PrEP in a representative cohort of 2184 Adolescent Girls and Young Women (AGYW) aged 13-22. We conducted group discussions with young people and community members (19); k…
Access to menstrual hygiene products through incentivised, community-based, peer-led sexual and reproductive health services before and during the Covid-19 pandemic
Open AccessB Hensen, Hensen B et al.ARTICLEBMC Public Health2022
Availability of MHP through Yathu Yathu provided a large number of AGYW with access to these products. Hubs seemed particularly important for adolescent girls. Community-based, peer-led hubs should be considered as spaces to provide AGYW access to affordable and effective MHP