Moherndran Archary
Dados Biográficos
| ID | 6806913 |
|---|---|
| NOME | Moherndran Archary |
| PRENOMES | Moherndran |
| SOBRENOME | Archary |
| ASSINATURA | ARCHARY M |
| AFILIAÇÕES | University of KwaZulu-Natal |
| ORCID | 0000-0003-3082-9234 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2020 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Preferred characteristics of long-acting injectable antiretroviral treatment for adolescents with HIV in KwaZulu-Natal, South Africa
Pathways of onward HIV disclosure in relationships among young people living with vertically acquired HIV receiving antiretroviral therapy
For young people living with HIV (YPLHIV) navigating their status since birth, managing onward disclosure of a potentially stigmatising condition in relationships is challenging, and may or may not lead to social support, with implications for wellbeing. In a clinical trial setting in KwaZulu-Natal, South Africa, we investigate how young people living with vertically acquired HIV navigate onward disclosure. Data were from the qualitative componen…
Severe, primary, and incidental Covid-19 in hospitalised children, South Africa
Background: Knowledge gaps persist regarding paediatric COVID-19 clinical presentation, treatment and outcomes in high HIV prevalence settings, with low COVID-19 vaccine coverage. Methods: An ambi-directional cohort study was conducted in 13 South African public sector hospitals. Hospitalised children with SARS-CoV-2 infection or post-infection syndrome were included. Main outcomes measures included severe disease and primary COVID-19 (hospitalis…
The role of parents and caregivers in motivating adolescents with HIV to participate in a long-acting injectable ART clinical trial in South Africa and Uganda
In this paper, we describe the central role of caregivers in shaping adolescent engagement with long-acting injectable antiretroviral therapy (LAI-ART) within the Long-Acting Treatment for Adolescents (LATA) trial conducted in South Africa and Uganda. Adolescents' participation in HIV care is embedded within emotional, moral, and cultural relationships rather than individual decision-making. Drawing on the bioecological model of human development…
The human cost of US foreign aid cuts
In early 2025, the abrupt suspension of U.S. foreign aid to South Africa - including funding from United States President's Emergency Plan for AIDS Relief (PEPFAR), the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH) - has triggered a multidimensional crisis in the country's HIV response. This paper synthesises emerging evidence on the hu…
“Now, I have no fear”
South Africa has the highest number of adolescents living with HIV (AHIV) globally, many of whom face disengagement and virologic failure when transitioning from pediatric to adult care. Using the Social-ecological Model of Adolescent and Young Adult Readiness to Transition (SMART) and the Technology Acceptance Model (TAM), we evaluated the acceptability, feasibility, and perceived effectiveness of an in-person and virtual adolescent support inte…
Living in the shadows
Young people living with HIV still face persistent HIV stigma and discrimination. • Practising secrecy can create barriers to care and support for youth. • Treatment adherence is inextricably linked to fears about disclosure. • Youth develop different strategies to maintain secrecy over time
WhatsApp-based sexual and reproductive health education for adolescents with perinatally acquired HIV
Adolescents with perinatally-acquired HIV in South Africa have limited access to relevant sexual and reproductive health (SRH) education. Mobile health (mHealth) can discreetly deliver such education but has not been tested with members of this population. In this study, we describe the effects of an mHealth intervention to support transition to adult care-Interactive Transition Support for Adolescents with HIV (InTSHA)-on SRH attitudes. Between …
Changes in the medical admissions and mortality amongst children in four South African hospitals following the Covid-19 pandemic
Vulnerable children from poor communities with high HIV and Tuberculosis(TB) burdens were impacted by COVID-19 lockdowns. Concern was raised about the extent of this impact and anticipated post-pandemic surges in mortality. Interrupted time series segmented regression analyses were done using routinely collected facility-level data of children admitted for medical conditions at four South African referral hospitals. Monthly admission and mortalit…
Acceptability, feasibility and preliminary effectiveness of the mHealth intervention, InTSHA, on retention in care and viral suppression among adolescents with HIV in South Africa
We describe the results of a pilot randomized clinical trial of a mobile phone-based intervention, InTSHA: Interactive Transition Support for Adolescents with HIV, compared to standard care. Encrypted, closed group chats delivered via WhatsApp provided peer support and improved communication between adolescents with HIV, their caregivers, and healthcare providers. We randomized 80 South African adolescents ages 15 to 19 years with perinatally-acq…
Predictors of stunting among children aged 6–59 months, Zimbabwe
Objective: Stunted children have an increased risk of diminished cognitive development, diabetes, degenerative and CVD later in life. Numerous modifiable factors decrease the risk of stunting in children. This study aimed to assess the role of the individual, household and social factors on stunting in Zimbabwean children. Design: A 1:2 unmatched case–control study. Setting: This study was conducted in two predominantly rural provinces (one with …
Development of a transition readiness score for adolescents living with perinatally-acquired HIV and transitioning to adult care
We created a transition readiness score for adolescents with perinatally-acquired HIV as they transition from pediatric to adult care. Of the 199 adolescents who transitioned to adult care, 84 (42%) had viral suppression (< 200 copies/ml) one year after transition. Adolescents on first-line ART, with documented HIV status disclosure, and higher rating on the HIV Adolescent Readiness to Transition Scale had significantly higher odds of viral suppr…
It was not okay because you leave your friends behind’
Improved preparation for transition by pediatric and adult clinical staff, including restructuring of care delivery, may improve successful transition of adolescents living with perinatally acquired HIV to adult care. Transition readiness assessments are needed to determine optimal timing of transition and which adolescents are ready to transition to adult care
Disclosure, Social Support, and Mental Health are Modifiable Factors Affecting Engagement in Care of Perinatally-HIV Infected Adolescents
Sem obras proeminentes nesta página.
Disclosure, Social Support, and Mental Health are Modifiable Factors Affecting Engagement in Care of Perinatally-HIV Infected Adolescents
It was not okay because you leave your friends behind’
Improved preparation for transition by pediatric and adult clinical staff, including restructuring of care delivery, may improve successful transition of adolescents living with perinatally acquired HIV to adult care. Transition readiness assessments are needed to determine optimal timing of transition and which adolescents are ready to transition to adult care
Development of a transition readiness score for adolescents living with perinatally-acquired HIV and transitioning to adult care
We created a transition readiness score for adolescents with perinatally-acquired HIV as they transition from pediatric to adult care. Of the 199 adolescents who transitioned to adult care, 84 (42%) had viral suppression (< 200 copies/ml) one year after transition. Adolescents on first-line ART, with documented HIV status disclosure, and higher rating on the HIV Adolescent Readiness to Transition Scale had significantly higher odds of viral suppr…
Predictors of stunting among children aged 6–59 months, Zimbabwe
Objective: Stunted children have an increased risk of diminished cognitive development, diabetes, degenerative and CVD later in life. Numerous modifiable factors decrease the risk of stunting in children. This study aimed to assess the role of the individual, household and social factors on stunting in Zimbabwean children. Design: A 1:2 unmatched case–control study. Setting: This study was conducted in two predominantly rural provinces (one with …
Changes in the medical admissions and mortality amongst children in four South African hospitals following the Covid-19 pandemic
Vulnerable children from poor communities with high HIV and Tuberculosis(TB) burdens were impacted by COVID-19 lockdowns. Concern was raised about the extent of this impact and anticipated post-pandemic surges in mortality. Interrupted time series segmented regression analyses were done using routinely collected facility-level data of children admitted for medical conditions at four South African referral hospitals. Monthly admission and mortalit…
Acceptability, feasibility and preliminary effectiveness of the mHealth intervention, InTSHA, on retention in care and viral suppression among adolescents with HIV in South Africa
We describe the results of a pilot randomized clinical trial of a mobile phone-based intervention, InTSHA: Interactive Transition Support for Adolescents with HIV, compared to standard care. Encrypted, closed group chats delivered via WhatsApp provided peer support and improved communication between adolescents with HIV, their caregivers, and healthcare providers. We randomized 80 South African adolescents ages 15 to 19 years with perinatally-acq…
Living in the shadows
Young people living with HIV still face persistent HIV stigma and discrimination. • Practising secrecy can create barriers to care and support for youth. • Treatment adherence is inextricably linked to fears about disclosure. • Youth develop different strategies to maintain secrecy over time
WhatsApp-based sexual and reproductive health education for adolescents with perinatally acquired HIV
Adolescents with perinatally-acquired HIV in South Africa have limited access to relevant sexual and reproductive health (SRH) education. Mobile health (mHealth) can discreetly deliver such education but has not been tested with members of this population. In this study, we describe the effects of an mHealth intervention to support transition to adult care-Interactive Transition Support for Adolescents with HIV (InTSHA)-on SRH attitudes. Between …
Preferred characteristics of long-acting injectable antiretroviral treatment for adolescents with HIV in KwaZulu-Natal, South Africa
Pathways of onward HIV disclosure in relationships among young people living with vertically acquired HIV receiving antiretroviral therapy
For young people living with HIV (YPLHIV) navigating their status since birth, managing onward disclosure of a potentially stigmatising condition in relationships is challenging, and may or may not lead to social support, with implications for wellbeing. In a clinical trial setting in KwaZulu-Natal, South Africa, we investigate how young people living with vertically acquired HIV navigate onward disclosure. Data were from the qualitative componen…
Severe, primary, and incidental Covid-19 in hospitalised children, South Africa
Background: Knowledge gaps persist regarding paediatric COVID-19 clinical presentation, treatment and outcomes in high HIV prevalence settings, with low COVID-19 vaccine coverage. Methods: An ambi-directional cohort study was conducted in 13 South African public sector hospitals. Hospitalised children with SARS-CoV-2 infection or post-infection syndrome were included. Main outcomes measures included severe disease and primary COVID-19 (hospitalis…
The role of parents and caregivers in motivating adolescents with HIV to participate in a long-acting injectable ART clinical trial in South Africa and Uganda
In this paper, we describe the central role of caregivers in shaping adolescent engagement with long-acting injectable antiretroviral therapy (LAI-ART) within the Long-Acting Treatment for Adolescents (LATA) trial conducted in South Africa and Uganda. Adolescents' participation in HIV care is embedded within emotional, moral, and cultural relationships rather than individual decision-making. Drawing on the bioecological model of human development…
The human cost of US foreign aid cuts
In early 2025, the abrupt suspension of U.S. foreign aid to South Africa - including funding from United States President's Emergency Plan for AIDS Relief (PEPFAR), the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH) - has triggered a multidimensional crisis in the country's HIV response. This paper synthesises emerging evidence on the hu…
“Now, I have no fear”
South Africa has the highest number of adolescents living with HIV (AHIV) globally, many of whom face disengagement and virologic failure when transitioning from pediatric to adult care. Using the Social-ecological Model of Adolescent and Young Adult Readiness to Transition (SMART) and the Technology Acceptance Model (TAM), we evaluated the acceptability, feasibility, and perceived effectiveness of an in-person and virtual adolescent support inte…
HIV/AIDS Research and Interventions (10 obras) · Medicine (8 obras) · Adolescent and Pediatric Healthcare (5 obras) · Adolescent Sexual and Reproductive Health (5 obras) · Family medicine (5 obras) · Human immunodeficiency virus (HIV) (4 obras) · Nursing (4 obras) · Psychological intervention (4 obras) · Qualitative research (4 obras) · Antiretroviral therapy (3 obras)