Grace John‐Stewart

Dados Biográficos

ID6764295
NOMEGrace John‐Stewart
PRENOMESGrace
SOBRENOMEJohn‐Stewart
ASSINATURASTEWART G J
AFILIAÇÕESUniversity of Washington
ORCID0000-0002-4301-1573
VERIFICADOSim
TOTAL DE OBRAS53
TOTAL DE CITAÇÕES0
TOTAL COMO AUTOR53
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2004
ANO MAIS RECENTE DE PUBLICAÇÃO2026
ÍNDICE H0

  • Long-Acting HIV Pre-exposure Prophylaxis Preferences Through Pregnancy and the Postpartum Period Among Women in Kenya

    Open AccessTessa Concepcion, Salphine Watoyi et al.ARTICLEAIDS and Behavior2026

    Adherence to daily oral HIV PrEP wanes over pregnancy and postpartum and new long-acting injectable HIV PrEP (LAI-PrEP) methods may address barriers to effective use. Understanding changing LAI-PrEP preferences during the perinatal period could inform the integration into maternal healthcare. We used data from a randomized trial of pregnant women initiating daily oral HIV PrEP at five public maternal child health facilities in western Kenya, foll…

  • “When a man is stressed, it replicates in the house”

    Open AccessHellen Moraa, Joan Mutahi et al.ARTICLEPLOS Global Public Health2026

    Mental health conditions are a major public health concern in the African region, where women experience a high prevalence of maternal mental health conditions and limited access to adequate care. This issue is particularly severe among women living with HIV (WLHIV), who face a heightened risk of depression and anxiety. Despite the well-documented association between male partner-related factors and maternal/child health outcomes, their impact on…

  • Prevalence, severity and correlates of dysmenorrhea among postpartum women in Western Kenya

    Open AccessMadalitso Khwepeya, Jillian Pintye et al.ARTICLEPLOS Global Public Health2026

    Dysmenorrhea is the most common menstrual disorder globally, contributing the highest disease burden of any gynecological issue in low- and middle-income countries (LMICs). Yet, limited data exist on dysmenorrhea among women in LMICs, particularly in Sub-Saharan Africa, including countries like Kenya. We conducted a cross-sectional analysis using data from the PrIMA-Extension Study, a large prospective cohort study that enrolled women during preg…

  • Evaluating the safety of prenatal HIV PrEP use

    Open AccessBen Odhiambo, Joshua Stern et al.ARTICLEPLOS Global Public Health2026

    Existing data support the safety of daily oral tenofovir disoproxil fumarate (TDF)-based HIV pre-exposure prophylaxis (PrEP) use in pregnancy, yet ongoing monitoring is needed. We analyzed data from three recently completed HIV PrEP safety and implementation studies (PrIMA, PrIMA-X, and mWACh-PrEP) that enrolled women who were offered and/or initiated TDF-based HIV PrEP at routine health clinics in Western Kenya to summarize perinatal outcomes fo…

  • Effect of azithromycin on post-discharge growth in Kenyan children

    Open AccessHannah E Atlas, Polycarp Mogeni et al.ARTICLEBMJ Global Health2025

    INTRODUCTION: Children discharged following hospitalisation for acute illnesses in low- and middle-income settings are at increased risk of poor growth, particularly linear growth faltering. We aimed to determine the effect of azithromycin administered at hospital discharge on post-discharge growth. METHODS: Using data from the Toto Bora Trial (NCT02414399), a double-blind, placebo-controlled randomised trial of a 5-day course of azithromycin in …

  • Effect of diet video-drama and telephone messages on improving parental knowledge and diet diversity of malnourished children in Kenya

    Open AccessBeatrice C Mutai, Fred Were et al.ARTICLEPLOS Global Public Health2025

    Severe acute malnutrition (SAM) accounts for 1 million deaths globally each year. Ready-to-use Therapeutic Food (RUTF), recommended for treatment, is often replaced with low-nutrient home foods. We sought to determine the effect of enhanced caregiver counselling, using a dramatized video with contextualized demonstrations of local high-nutrient food (video-drama) and telephone messages on high-nutrient foods (SMS), on children’s dietary diversity…

  • Sustainability of an evidence-based intervention supporting transition to independent care for youth living with HIV in Kenya

    Open AccessAlina Metje, Sarah Shaw et al.ARTICLEPLOS Global Public Health2025

    Integrating and sustaining evidence-based interventions (EBIs) in routine care is crucial to improving HIV treatment outcomes among youth living with HIV (YLH). However, EBIs are often not sustained post clinical trial. An Adolescent Transition Package (ATP) delivered by health care workers (HCWs) and tested in Kenya in 2021 significantly improved YLH readiness to transition to independent care. Post-trial, participating clinics could continue us…

  • Cofactors of earlier uptake of modern postpartum family planning methods in Kenya

    Open AccessNancy Ngumbau, Damaris Kimonge et al.ARTICLEPLOS Global Public Health2025

    There are limited data on uptake of postpartum family planning (FP), particularly in high HIV prevalence settings. We assessed the timing of modern postpartum FP initiation and the cofactors of earlier uptake using longitudinal data from a clinical trial conducted in Kenya to assess two models of PrEP delivery among pregnant and postpartum women (NCT#03070600). Time to uptake of modern postpartum FP was estimated using survival analysis methods, …

  • Can audit and feedback improve health service readiness and delivery outcomes in a low-resource setting? Effectiveness results of the Ideas strategy from central Mozambique

    Open AccessAneth Dinis, Orvalho Augusto et al.ARTICLEPLOS Global Public Health2025

    Limited evidence exists on audit and feedback(A&F) in low-resource contexts. We tested the Integrated District Evidence-to-Action (IDEAs), a multicomponent A&F strategy in Mozambique’s maternal and child health (MCH) services. IDEAs include A&F meetings, readiness assessments, and facility support. We report the effectiveness results. IDEAs were implemented in 2016–2020 across two provinces, 12 districts, and 154 primary health facilities in Moza…

  • Multiple Adverse Childhood Experiences and Maternal Mental Health Outcomes Among Kenyan Mothers With and Without HIV

    Open AccessKendall A Lawley, Maureen King’e et al.ARTICLEAIDS and Behavior2025

  • Real-world performance of point-of-care vs. standard-of-care HIV viral load testing in western Kenya

    Open AccessJessica H Giang, Garoma Basha et al.ARTICLEPLOS Global Public Health2024

    Routine HIV viral load testing is important for evaluating HIV treatment outcomes, but conventional viral load testing has many barriers including expensive laboratory equipment and lengthy results return times to patients. A point-of-care viral load testing technology, such as GeneXpert HIV-1 quantification assay, could reduce these barriers by decreasing cost and turnaround time, however real-world performance is limited. We conducted a seconda…

  • “We can tell a good teacher who cares, understands, and can be confidential about it”

    Open AccessHellen Moraa, Irene Njuguna et al.ARTICLEFrontiers in Public Health2023

    Introduction: Disclosure of one's HIV status to others is often difficult due to the fear of stigma. However, disclosure may facilitate receiving social support. Many youth living with HIV (YLH) are enrolled in school as better treatments have improved the health and survival of children with HIV. There is no structured process for disclosure at school for YLH and their caregivers. We sought to understand school disclosure experiences among YLH a…

  • Adolescent experiences, perceptions, and preferences for the process of HIV status disclosure in Kenya

    Open AccessCyrus Mugo, Irene Njuguna et al.ARTICLEFrontiers in Public Health2023

    Introduction: Disclosure of HIV status to adolescents living with HIV has been associated with improved treatment outcomes. However, there are limited data regarding the experiences of, perceptions of, and preferences for the process of disclosure of HIV status among adolescents and young adults living with HIV (AYLH), especially in sub-Saharan Africa. Methods: Young adults living with HIV from 20 HIV clinics in Kenya who participated in a clinic…

  • ‘I feel that I should decide on my own….’

    Open AccessFerdinand C Mukumbang, Kristen Beima-Sofie et al.ARTICLEBMJ Global Health2023

    INTRODUCTION: Efforts to improve health outcomes among adolescents and young adults living with HIV (ALHs) are hampered by limited adolescent engagement in HIV-related research. We sought to understand the views of adolescents, caregivers and healthcare workers (HCWs) about who should make decisions regarding ALHs' research participation. METHODS: We conducted focus group discussions (FGDs) and in-depth interviews (IDIs) with ALHs (aged 14-24 yea…

  • Simulated patient training to improve youth engagement in HIV care in Kenya

    Open AccessPamela Kohler, Cyrus Mugo et al.ARTICLEPLOS Global Public Health2023

    Youth living with HIV (YLHIV) report that negative interactions with health care workers (HCWs) affects willingness to return to care. This stepped wedge randomized trial evaluated effectiveness of a standardized patient actor (SP) HCW training intervention on adolescent engagement in care in Kenya. HCWs caring for YLHIV at 24 clinics received training on adolescent care, values clarification, communication, and motivational interviewing, with 7 …

  • “Whenever you need support, you first turn to the group”

    Elise Healy, Gabrielle O’Malley et al.ARTICLEAIDS Care2023

    Social support is a critical component of achieving positive health outcomes for youth living with HIV (YLWH). Mobile health (mHealth) has significant potential for providing social support to YLWH. However, little is known about the domains of social support most needed by YLWH which mHealth interventions might address. Drawing on the spontaneous creation of WhatsApp support groups by YLWH in Nairobi, Kenya, we characterized Kenyan YLWH's social…

  • Identifying HIV-exposed uninfected children and adolescents in resource-limited settings

    Hellen Moraa, Maureen King’e et al.ARTICLEAfrican Journal of AIDS Research2023

    HIV-exposed uninfected (HEU) children and adolescents are at higher risk of poor outcomes compared to HIV-unexposed children (HUU). In program settings, it is critical to understand how to identify HEU for screening services. We describe our experience identifying HEU for a neurodevelopment and mental health screening study. We recruited mothers living with HIV (MLHIV) and mothers not living with HIV (MNHIV) and enrolled their HEU or HUU children…

  • When they are all grown, I will tell them”

    Open AccessCyrus Mugo, Olivia Firdawsi et al.ARTICLEBMC Public Health2023

    Child's age is a key consideration for parents to disclose their own HIV status to their children. While parents were open to disclosing their HIV status to their children, there is a need to address barriers including anticipated stigma, and fear that disclosure will cause distress to their children

  • Individual-, Interpersonal- and Institutional-Level Factors Associated with HIV Stigma Among Youth in Kenya

    Open AccessCyrus Mugo, Pamela Kohler et al.ARTICLEAIDS and Behavior2023

  • Fertility Desire and Associations with Condomless Sex, Antiretroviral Adherence, and Transmission Potential in a Cohort of Kenyan Women Living with HIV in Sero-discordant Relationships

    Open AccessMcKenna C Eastment, John Kinuthia et al.ARTICLEAIDS and Behavior2023

    For women living with HIV (WLH) in serodiscordant partnerships, decisions about childbearing can challenge condom use and antiretroviral adherence. In a prospective cohort of 148 WLH in serodiscordant partnerships, 58 (39%) wanted more children in the future but were not currently trying to conceive (fertility desire), and 32 (22%) were currently trying to become pregnant (fertility intent). Detection of prostate specific antigen (PSA) in vaginal…

  • Risk factors for stillbirth and neonatal mortality among participants in Mobile WACh NEO pilot, a two-way SMS communication program in Kenya

    Open AccessAnna B Hedstrom, Esther M Choo et al.ARTICLEPLOS Global Public Health2022

    Globally, 2.5 million neonates die and 2 million more are stillborn each year; the vast majority occur where access to life-saving care is limited. High quality, feasible interventions are needed to reach, educate and empower pregnant women and new mothers to improve care-seeking behaviors. Mobile WACh (Mobile solutions for Women’s and Children’s health) NEO is a human-computer hybrid mobile health (mHealth) system that allows for two-way short m…

  • Key influences on the decision to initiate PrEP among adolescent girls and young women within routine maternal child health and family planning clinics in Western Kenya

    Zoe Rogers, Jillian Pintye et al.ARTICLEAIDS Care2022

    We sought to understand influences on PrEP uptake among Kenyan adolescent girls and young women (AGYW) whose decision on PrEP use was misaligned with their risk for HIV acquisition. In-depth interviews were conducted with 47 Kenyan HIV-negative AGYW aged 15-24 years who were offered PrEP during routine maternal and child health and family planning services. AGYW were sampled from two groups (1) declined PrEP and had ≥1 sexual partner(s) of unknow…

  • “It’s about making adolescents in charge of their health”

    Katherine Shulock, Kristin Beima‐Sofie et al.ARTICLEAIDS Care2022

    The health care transition (HCT) from pediatric to adult care is a potential contributor to poor clinical outcomes among adolescents living with HIV (ALHIV). In sub-Saharan Africa (SSA), there is limited information on effective tools and processes to prepare and support ALHIV through this transition. This study elicited perspectives of policy-makers regarding barriers and facilitators to successful HCT among ALHIV in Kenya. Twenty in-depth inter…

  • Antenatal depressive symptoms in Kenyan women living with HIV

    Lusi Osborn, Keshet Ronen et al.ARTICLEAIDS Care2022

    Depression among pregnant women living with HIV (WLWH) in sub-Saharan Africa leads to poor pregnancy and HIV outcomes. This cross-sectional analysis utilized enrollment data from a randomized trial (Mobile WAChX, NCT02400671) in six Kenyan public maternal and child health clinics. Depressive symptoms were assessed with the Patient Health Questionnaire-9 (PHQ-9), stigma with the Stigma Scale for Chronic Illness, and intimate partner violence (IPV)…

  • Pediatric HIV Pre-test Informational Video is Associated with Higher Knowledge Scores Compared to Counselor-Delivered Information

    Open AccessYu Wang, Jillian Neary et al.ARTICLEAIDS and Behavior2022