Webster Mavhu
Dados Biográficos
| ID | 6357151 |
|---|---|
| NOME | Webster Mavhu |
| PRENOMES | Webster |
| SOBRENOME | Mavhu |
| ASSINATURA | MAVHU W |
| AFILIAÇÕES | Liverpool School of Tropical Medicine |
| ORCID | 0000-0003-1881-4398 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAÇÕES | 15 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Theories and Frameworks Used in Research on Fatherhood and Men’s Antenatal Care Participation in Rural Sub-Saharan Africa
Sub-Saharan Africa (SSA) has the worst maternal and newborn health outcomes, especially in rural areas. Men’s antenatal care (ANC) participation is often promoted to improve these outcomes, yet little is known about theories or frameworks guiding research on these issues. This scoping review aimed to identify, categorize, and critically examine theories and frameworks used in research on fatherhood and men’s ANC participation in rural SSA. Follow…
Cost-effectiveness of Zvandiri, a community-based support intervention to reduce virological failure in adolescents living with HIV in Zimbabwe
Improving antiretroviral therapy (ART) adherence among adolescents living with HIV (ALHIV) improves outcomes, but with resource implications. We conducted a cost-effectiveness analysis extrapolating the costs and benefits of a community-based peer-support intervention (Zvandiri) among ALHIV in Zimbabwe. We used a de-novo multistate Markov decision-analytic model that simulated Zvandiri lifetime costs and benefits on viral suppression, death rates…
Exploring gender stereotypes and norms among peri-urban very young adolescents in Zimbabwe using participatory and qualitative approaches
Gender stereotypes and norms shape very young adolescents’ (VYAs, 10–14 years old) behaviours, including in relation to sexual and reproductive health (SRH). This formative study sought to determine and prioritise the stereotypes and norms to be targeted as part of work to co-develop a gender-transformative intervention for VYAs in Zimbabwe to promote positive masculinities and SRH. In 2023, we collected data from VYAs, using participatory worksh…
“Now that I took TPT, it’s affecting my ART adherence, viral load, even my wellbeing in the community”. Exploring acceptability and experience of Tuberculosis Preventive Treatment among adolescents li…
Tuberculosis preventive treatment (TPT) is increasingly offered to people living with HIV in high-burden settings, including adolescents and young people (AYPLHIV). Evidence demonstrates that AYPLHIVs’ HIV treatment engagement is improved by the provision of tailored support. How to effectively adapt this support to accommodate multimorbidity care, such as TPT alongside ART, warrants attention to deliver sustained optimal outcomes. We conducted q…
Physical activity prevalence and associated factors among Zimbabwean undergraduate students
Many university students worldwide are physically inactive, negatively affecting their mental health and academic performance. Group-based physical activity (GBPA) can effectively increase physical activity levels. This study assessed the physical activity (PA) levels and related factors, knowledge, attitudes and perceptions of GBPA in a cross-sectional study of 1217 Zimbabwean undergraduates from three universities. Data were collected using the…
Exploring the contribution of self-help groups to sexual and reproductive health and HIV outcomes for female sex workers in sub-Saharan Africa
Self-help groups (SHGs) have been effective in improving the health and wellbeing of women generally but there is little evidence on whether and how they improve HIV and sexual and reproductive health (SRH) outcomes among female sex workers (FSWs), particularly in sub-Saharan Africa. This scoping review attempted to address this gap by identifying and analysing literature on SHGs for FSWs in sub-Saharan Africa. The review followed the 5-step fram…
Relational contexts and men’s responsibilities informing men’s participation in antenatal care in rural sub-Saharan Africa
Men’s participation is critical to improving antenatal care (ANC) and maternal and child health outcomes in sub-Saharan Africa (SSA), the region where these outcomes are the worst globally. Many current studies employ narrow, biomedical definitions that focus on men’s direct involvement in ANC. Little is known about how fatherhood and men’s participation in ANC are conceived or experienced in specific sociocultural contexts in SSA. We aimed to sy…
Mental health and other clinical and social characteristics of young mothers living with HIV in Zimbabwe
Young women living with HIV (YWLHIV) experience numerous stressors including treatment management and poor parent modelling. We investigated YWLHIV’s mental health and other clinical and social characteristics to inform tailored support. YWLHIV (15–24 years old) participating in a peer-support model tailored for young mothers (Young Mentor Mum intervention) completed a self-administered interview and had clinical and psychological assessments in …
Interventions to reduce self-stigma among people living with HIV
Over 4 decades into the global HIV pandemic, HIV-related self-stigma—a mindset of negative beliefs, thoughts, and behaviors a person holds about themselves—remains a major barrier to HIV treatment, management, and care. HIV-related self-stigma is a persistent public health threat and leads to depression and other mental health problems, lowers adherence to antiretroviral medication, and acts as a barrier to health services. Not enough is known ab…
How do social norms influence the sexual and reproductive health-related attitudes and behaviours of very young adolescents in Sub-Saharan Africa? A scoping review
Scoping review findings affirm the importance of intervening in very young adolescence to positively influence social and gender norms. The review underscores the importance of tailored, multifaceted, culturally sensitive, gender-responsive/gender-transformative interventions to improve young adolescents' SRH-related attitudes and behaviours in Sub-Saharan Africa
Sociocultural Factors Shaping Fatherhood and Men's Participation in Antenatal Care in Rural Sub‐Saharan Africa
Men's participation is critical to improving antenatal care (ANC) utilisation and mother and child health in sub‐Saharan Africa (SSA). Additionally, current reviews typically examine sociocultural determinants narrowly as barriers or facilitators of men's direct involvement in biomedical ANC activities. We aimed to consolidate existing literature on sociocultural factors shaping fatherhood and men's participation in ANC in rural SSA to inform tai…
Reported impact of creativity in the Wakakosha (‘You’re Worth It’) internal stigma intervention for young people living with HIV in Harare, Zimbabwe
Internal stigma (negative judgements towards oneself) continues to be a barrier to HIV treatment, management and care, and has global public health consequences. People living with HIV (PLHIV) who report internal stigma are less likely to seek care, adhere to treatment and can experience increased depression and lower quality of life. The Wakakosha (‘You’re Worth It’) programme sought to reduce internal stigma among young PLHIV using inquiry-base…
Leaving no one behind? Addressing inequitable HIV outcomes by attending to diversity
Leaving nobody behind in the fight to end the HIV epidemic as a public health threat depends on addressing inequities in optimal HIV outcomes. Consistently overlooked in research, policy and programming are young lesbian, gay, bisexual, transgender, queer/questioning and intersex (LGBTQI+) people who are living with HIV. This study engaged young LGBTQI+ people in Zimbabwe to better understand their experiences of living with HIV and the support t…
A conceptualization and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV
Introduction Sub-Saharan Africa bears the greatest burden of HIV, with comorbid mental conditions highly prevalent in people living with HIV. It is important to evaluate the mental health of adolescents and young adults living with HIV (AYALHIV) comprehensively by measuring both negative and positive psychological constructs. There has been a proliferation of interest in positive psychological outcome measures, but the evidence of their psychomet…
Wakakosha “You are Worth it”
Introduction Self-stigma—negative self-judgements or core beliefs—can result in feelings of shame, worthlessness and self-blame, and impacts social interaction, mental health and health service utilization among people living with HIV (PLHIV). Few interventions target self-stigma among PLHIV and, to our knowledge, none until now for adolescents and young people LHIV (AYPLHIV) in sub-Saharan Africa. We present qualitative findings on the perceived…
Discharge instructions given to women following delivery by cesarean section in Sub-Saharan Africa
Objective A scoping review of discharge instructions for women undergoing cesarean section (c-section) in sub-Saharan Africa (SSA). Method Studies were identified from PubMed, Globus Index Medicus, NiPAD, EMBASE, and EBSCO databases. Eligible papers included research based in a SSA country, published in English or French, and containing information on discharge instructions addressing general postnatal care, wound care, planning of future births,…
Innovative demand creation strategies to increase voluntary medical male circumcision uptake
INTRODUCTION: Reaching men aged 20-35 years, the group at greatest risk of HIV, with voluntary medical male circumcision (VMMC) remains a challenge. We assessed the impact of two VMMC demand creation approaches targeting this age group in a randomised controlled trial (RCT). METHODS: We conducted a 2×2 factorial RCT comparing arms with and without two interventions: (1) standard demand creation augmented by human-centred design (HCD)-informed app…
Relative efficiency of demand creation strategies to increase voluntary medical male circumcision uptake
BACKGROUND: Supply and demand-side factors continue to undermine voluntary medical male circumcision (VMMC) uptake. We assessed relative economic costs of four VMMC demand creation/service-delivery modalities as part of a randomised controlled trial in Zimbabwe. METHODS: Interpersonal communication agents were trained and incentivised to generate VMMC demand across five districts using four demand creation modalities (standard demand creation (SD…
I was trying to get there, but I couldn’t’
Increasing facility-based delivery rates is pivotal to reach Sustainable Development Goals to improve skilled attendance at birth and reduce maternal and neonatal mortality in low- and middle-income countries (LMICs). The translation of global health initiatives into national policy and programmes has increased facility-based deliveries in LMICs, but little is known about the impact of such policies on social norms from the perspective of women w…
Male involvement interventions and improved couples’ emotional relationships in Tanzania and Zimbabwe
Male involvement in maternal and child health is recognised as a valuable strategy to improve care-seeking and uptake of optimal home care practices for women and children in low- and middle-income settings. However, the specific mechanisms by which involving men can lead to observed behaviour change are not well substantiated. A qualitative study conducted to explore men's and women's experiences of male involvement interventions in Tanzania and…
Sociodemographic inequities in cervical cancer screening, treatment and care amongst women aged at least 25 years
This study revealed few variations in the participation of women in cervical cancer screening and treatment explained only by religious affiliations and usage of health facilities. Strengthening of health education in communities including churches and universal healthcare coverage are recommended strategies to improve uptake of screening and treatment of cervical cancer
Unpacking early infant male circumcision decision-making using qualitative findings from Zimbabwe
BACKGROUND: Early infant male circumcision (EIMC) has been identified as a key HIV prevention intervention. Exploring the decision-making process for adoption of EIMC for HIV prevention among parents and other key stakeholders is critical for designing effective demand creation interventions to maximize uptake, roll out and impact in preventing HIV. This paper describes key players, decisions and actions involved in the EIMC decision-making proce…
My story”—HIV positive adolescents tell their story through film
The global commitment to universal access for people in need of antiretroviral therapy has transformed the lives of adolescents with HIV. In contrast, there has been limited commitment at policy or service level to the need for effective therapeutic interventions which can help them to cope with their life experiences. It is imperative that the scale up of antiretroviral therapy programmes is accompanied by evidence-based therapeutic approaches i…
A novel tool to assess community norms and attitudes to multiple and concurrent sexual partnering in rural Zimbabwe
Concurrent sexual partnerships are important in understanding the evolution and maintenance of the HIV heterosexual epidemic in sub-Saharan Africa. While it is possible to measure individual attitudes around sensitive behaviours through questionnaire surveys, studies suggest that responses may be subject to social desirability bias and may not reflect community norms. This study used a novel tool to collect data on community norms relating to the…
Acceptability and challenges of implementing voluntary counselling and testing (VCT) in rural Zimbabwe
Voluntary counselling and testing (VCT) is an important component of HIV prevention and care. Little research exists on its acceptability and feasibility in rural settings. This paper examines the acceptability and feasibility of providing VCT using data from two sub-studies: (1) client-initiated VCT provided in rural health centres (RHCs) and (2) researcher-initiated VCT provided in a non-clinic community setting. Nurses provided client-initiate…
Reproductive Decision Making and the HIV/Aids Epidemic in Zimbabwe
The fertility-stimulating effect of high rates of child mortality on reproductive decision making (RDM) is a central tenet of population studies, yet the effects of the HIV/AIDS epidemic on RDM have not been thoroughly explored in the literature. This paper investigates how RDM is articulated in the context of high HIV/AIDS prevalence in Zimbabwe. Using qualitative methods (35 focus groups and 46 in-depth interviews), we found that childbearing i…
My story”—HIV positive adolescents tell their story through film
The global commitment to universal access for people in need of antiretroviral therapy has transformed the lives of adolescents with HIV. In contrast, there has been limited commitment at policy or service level to the need for effective therapeutic interventions which can help them to cope with their life experiences. It is imperative that the scale up of antiretroviral therapy programmes is accompanied by evidence-based therapeutic approaches i…
Reproductive Decision Making and the HIV/Aids Epidemic in Zimbabwe
The fertility-stimulating effect of high rates of child mortality on reproductive decision making (RDM) is a central tenet of population studies, yet the effects of the HIV/AIDS epidemic on RDM have not been thoroughly explored in the literature. This paper investigates how RDM is articulated in the context of high HIV/AIDS prevalence in Zimbabwe. Using qualitative methods (35 focus groups and 46 in-depth interviews), we found that childbearing i…
What is ‘sex’ exactly? Using cognitive interviewing to improve the validity of sexual behaviour reporting among young people in rural Zimbabwe
Self-reporting of sensitive data is often unreliable, particularly when questions are asked about culturally or socially censured behaviours. This study aimed to improve the validity of questionnaire responses through cognitive interviewing of young people in Zimbabwe to better understand their underlying thought processes when responding to sexual behaviour questions. A questionnaire was developed in English and translated into Shona. Three roun…
Acceptability and challenges of implementing voluntary counselling and testing (VCT) in rural Zimbabwe
Voluntary counselling and testing (VCT) is an important component of HIV prevention and care. Little research exists on its acceptability and feasibility in rural settings. This paper examines the acceptability and feasibility of providing VCT using data from two sub-studies: (1) client-initiated VCT provided in rural health centres (RHCs) and (2) researcher-initiated VCT provided in a non-clinic community setting. Nurses provided client-initiate…
A novel tool to assess community norms and attitudes to multiple and concurrent sexual partnering in rural Zimbabwe
Concurrent sexual partnerships are important in understanding the evolution and maintenance of the HIV heterosexual epidemic in sub-Saharan Africa. While it is possible to measure individual attitudes around sensitive behaviours through questionnaire surveys, studies suggest that responses may be subject to social desirability bias and may not reflect community norms. This study used a novel tool to collect data on community norms relating to the…
My story”—HIV positive adolescents tell their story through film
The global commitment to universal access for people in need of antiretroviral therapy has transformed the lives of adolescents with HIV. In contrast, there has been limited commitment at policy or service level to the need for effective therapeutic interventions which can help them to cope with their life experiences. It is imperative that the scale up of antiretroviral therapy programmes is accompanied by evidence-based therapeutic approaches i…
Unpacking early infant male circumcision decision-making using qualitative findings from Zimbabwe
BACKGROUND: Early infant male circumcision (EIMC) has been identified as a key HIV prevention intervention. Exploring the decision-making process for adoption of EIMC for HIV prevention among parents and other key stakeholders is critical for designing effective demand creation interventions to maximize uptake, roll out and impact in preventing HIV. This paper describes key players, decisions and actions involved in the EIMC decision-making proce…
Sociodemographic inequities in cervical cancer screening, treatment and care amongst women aged at least 25 years
This study revealed few variations in the participation of women in cervical cancer screening and treatment explained only by religious affiliations and usage of health facilities. Strengthening of health education in communities including churches and universal healthcare coverage are recommended strategies to improve uptake of screening and treatment of cervical cancer
Male involvement interventions and improved couples’ emotional relationships in Tanzania and Zimbabwe
Male involvement in maternal and child health is recognised as a valuable strategy to improve care-seeking and uptake of optimal home care practices for women and children in low- and middle-income settings. However, the specific mechanisms by which involving men can lead to observed behaviour change are not well substantiated. A qualitative study conducted to explore men's and women's experiences of male involvement interventions in Tanzania and…
Innovative demand creation strategies to increase voluntary medical male circumcision uptake
INTRODUCTION: Reaching men aged 20-35 years, the group at greatest risk of HIV, with voluntary medical male circumcision (VMMC) remains a challenge. We assessed the impact of two VMMC demand creation approaches targeting this age group in a randomised controlled trial (RCT). METHODS: We conducted a 2×2 factorial RCT comparing arms with and without two interventions: (1) standard demand creation augmented by human-centred design (HCD)-informed app…
Relative efficiency of demand creation strategies to increase voluntary medical male circumcision uptake
BACKGROUND: Supply and demand-side factors continue to undermine voluntary medical male circumcision (VMMC) uptake. We assessed relative economic costs of four VMMC demand creation/service-delivery modalities as part of a randomised controlled trial in Zimbabwe. METHODS: Interpersonal communication agents were trained and incentivised to generate VMMC demand across five districts using four demand creation modalities (standard demand creation (SD…
I was trying to get there, but I couldn’t’
Increasing facility-based delivery rates is pivotal to reach Sustainable Development Goals to improve skilled attendance at birth and reduce maternal and neonatal mortality in low- and middle-income countries (LMICs). The translation of global health initiatives into national policy and programmes has increased facility-based deliveries in LMICs, but little is known about the impact of such policies on social norms from the perspective of women w…
Discharge instructions given to women following delivery by cesarean section in Sub-Saharan Africa
Objective A scoping review of discharge instructions for women undergoing cesarean section (c-section) in sub-Saharan Africa (SSA). Method Studies were identified from PubMed, Globus Index Medicus, NiPAD, EMBASE, and EBSCO databases. Eligible papers included research based in a SSA country, published in English or French, and containing information on discharge instructions addressing general postnatal care, wound care, planning of future births,…
Wakakosha “You are Worth it”
Introduction Self-stigma—negative self-judgements or core beliefs—can result in feelings of shame, worthlessness and self-blame, and impacts social interaction, mental health and health service utilization among people living with HIV (PLHIV). Few interventions target self-stigma among PLHIV and, to our knowledge, none until now for adolescents and young people LHIV (AYPLHIV) in sub-Saharan Africa. We present qualitative findings on the perceived…
Reported impact of creativity in the Wakakosha (‘You’re Worth It’) internal stigma intervention for young people living with HIV in Harare, Zimbabwe
Internal stigma (negative judgements towards oneself) continues to be a barrier to HIV treatment, management and care, and has global public health consequences. People living with HIV (PLHIV) who report internal stigma are less likely to seek care, adhere to treatment and can experience increased depression and lower quality of life. The Wakakosha (‘You’re Worth It’) programme sought to reduce internal stigma among young PLHIV using inquiry-base…
Leaving no one behind? Addressing inequitable HIV outcomes by attending to diversity
Leaving nobody behind in the fight to end the HIV epidemic as a public health threat depends on addressing inequities in optimal HIV outcomes. Consistently overlooked in research, policy and programming are young lesbian, gay, bisexual, transgender, queer/questioning and intersex (LGBTQI+) people who are living with HIV. This study engaged young LGBTQI+ people in Zimbabwe to better understand their experiences of living with HIV and the support t…
A conceptualization and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV
Introduction Sub-Saharan Africa bears the greatest burden of HIV, with comorbid mental conditions highly prevalent in people living with HIV. It is important to evaluate the mental health of adolescents and young adults living with HIV (AYALHIV) comprehensively by measuring both negative and positive psychological constructs. There has been a proliferation of interest in positive psychological outcome measures, but the evidence of their psychomet…
Cost-effectiveness of Zvandiri, a community-based support intervention to reduce virological failure in adolescents living with HIV in Zimbabwe
Improving antiretroviral therapy (ART) adherence among adolescents living with HIV (ALHIV) improves outcomes, but with resource implications. We conducted a cost-effectiveness analysis extrapolating the costs and benefits of a community-based peer-support intervention (Zvandiri) among ALHIV in Zimbabwe. We used a de-novo multistate Markov decision-analytic model that simulated Zvandiri lifetime costs and benefits on viral suppression, death rates…
Exploring gender stereotypes and norms among peri-urban very young adolescents in Zimbabwe using participatory and qualitative approaches
Gender stereotypes and norms shape very young adolescents’ (VYAs, 10–14 years old) behaviours, including in relation to sexual and reproductive health (SRH). This formative study sought to determine and prioritise the stereotypes and norms to be targeted as part of work to co-develop a gender-transformative intervention for VYAs in Zimbabwe to promote positive masculinities and SRH. In 2023, we collected data from VYAs, using participatory worksh…
“Now that I took TPT, it’s affecting my ART adherence, viral load, even my wellbeing in the community”. Exploring acceptability and experience of Tuberculosis Preventive Treatment among adolescents li…
Tuberculosis preventive treatment (TPT) is increasingly offered to people living with HIV in high-burden settings, including adolescents and young people (AYPLHIV). Evidence demonstrates that AYPLHIVs’ HIV treatment engagement is improved by the provision of tailored support. How to effectively adapt this support to accommodate multimorbidity care, such as TPT alongside ART, warrants attention to deliver sustained optimal outcomes. We conducted q…
Physical activity prevalence and associated factors among Zimbabwean undergraduate students
Many university students worldwide are physically inactive, negatively affecting their mental health and academic performance. Group-based physical activity (GBPA) can effectively increase physical activity levels. This study assessed the physical activity (PA) levels and related factors, knowledge, attitudes and perceptions of GBPA in a cross-sectional study of 1217 Zimbabwean undergraduates from three universities. Data were collected using the…
Exploring the contribution of self-help groups to sexual and reproductive health and HIV outcomes for female sex workers in sub-Saharan Africa
Self-help groups (SHGs) have been effective in improving the health and wellbeing of women generally but there is little evidence on whether and how they improve HIV and sexual and reproductive health (SRH) outcomes among female sex workers (FSWs), particularly in sub-Saharan Africa. This scoping review attempted to address this gap by identifying and analysing literature on SHGs for FSWs in sub-Saharan Africa. The review followed the 5-step fram…
Relational contexts and men’s responsibilities informing men’s participation in antenatal care in rural sub-Saharan Africa
Men’s participation is critical to improving antenatal care (ANC) and maternal and child health outcomes in sub-Saharan Africa (SSA), the region where these outcomes are the worst globally. Many current studies employ narrow, biomedical definitions that focus on men’s direct involvement in ANC. Little is known about how fatherhood and men’s participation in ANC are conceived or experienced in specific sociocultural contexts in SSA. We aimed to sy…
Mental health and other clinical and social characteristics of young mothers living with HIV in Zimbabwe
Young women living with HIV (YWLHIV) experience numerous stressors including treatment management and poor parent modelling. We investigated YWLHIV’s mental health and other clinical and social characteristics to inform tailored support. YWLHIV (15–24 years old) participating in a peer-support model tailored for young mothers (Young Mentor Mum intervention) completed a self-administered interview and had clinical and psychological assessments in …
Interventions to reduce self-stigma among people living with HIV
Over 4 decades into the global HIV pandemic, HIV-related self-stigma—a mindset of negative beliefs, thoughts, and behaviors a person holds about themselves—remains a major barrier to HIV treatment, management, and care. HIV-related self-stigma is a persistent public health threat and leads to depression and other mental health problems, lowers adherence to antiretroviral medication, and acts as a barrier to health services. Not enough is known ab…
How do social norms influence the sexual and reproductive health-related attitudes and behaviours of very young adolescents in Sub-Saharan Africa? A scoping review
Scoping review findings affirm the importance of intervening in very young adolescence to positively influence social and gender norms. The review underscores the importance of tailored, multifaceted, culturally sensitive, gender-responsive/gender-transformative interventions to improve young adolescents' SRH-related attitudes and behaviours in Sub-Saharan Africa
Adolescent Sexual and Reproductive Health (15 obras) · Medicine (14 obras) · HIV/AIDS Research and Interventions (13 obras) · Psychology (13 obras) · Qualitative research (10 obras) · Focus group (9 obras) · Psychological intervention (9 obras) · Environmental health (7 obras) · Global Maternal and Child Health (7 obras) · Psychiatry (7 obras)