Jenny Renju

Dados Biográficos

ID7561852
NOMEJenny Renju
PRENOMESJenny
SOBRENOMERenju
ASSINATURARENJU J
AFILIAÇÕESLondon School of Hygiene & Tropical Medicine
ORCID0000-0001-5650-1902
VERIFICADOSim
TOTAL DE OBRAS22
TOTAL DE CITAÇÕES0
TOTAL COMO AUTOR22
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2010
ANO MAIS RECENTE DE PUBLICAÇÃO2024
ÍNDICE H0

  • Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004–2016

    Open AccessSophia Kagoye, Ola Jahanpour et al.ARTICLEPLOS Global Public Health2024

    Unintended pregnancy at a young age can lead to poor reproductive health, social and economic outcomes. The high rate of unintended teenage pregnancies in Tanzania is indicative of inadequate availability and uptake of modern contraception. Determining trends and determinants of unmet need for modern contraception among adolescent girls and young women (AGYW) in Tanzania will help address the burden of unintended pregnancies. An analytical cross-…

  • 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…

  • 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

  • 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 …

  • The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania

    Open AccessMelissa H Watts, Melissa H Watt et al.ARTICLEEvaluation and Program Planning2020

  • 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…

  • 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…

  • Pilot Outcomes of Maisha

    Open AccessMelissa H Watts, Linda Minja et al.ARTICLEAIDS and Behavior2020

  • “He was no longer listening to me”

    Open AccessRobert Ssekubugu, Jenny Renju et al.ARTICLEAIDS Care2019

    In the era of widespread antiretroviral therapy, few studies have explored the perspectives of the relatives involved in caring for people living with HIV (PLHIV) during periods of ill-health leading up to their demise. In this analysis, we explore the process of care for PLHIV as their death approached, from their relatives' perspective. We apply Tronto's care ethics framework that distinguishes between care-receiving among PLHIV on the one hand…

  • The rebellious man

    Open AccessMorten Skovdal, Robert Ssekubugu et al.ARTICLEGlobal Public Health2019

    The HIV response is hampered by many obstacles to progression along the HIV care cascade, with men, in particular, experiencing different forms of disruption. One group of men, whose stories remain untold, are those who have succumbed to HIV-related illness. In this paper, we explore how next-of-kin account for the death of a male relative. We conducted 26 qualitative after-death interviews with family members of male PLHIV who had recently died …

  • “It is good to take her early to the doctor” – mothers’ understanding of childhood pneumonia symptoms and health care seeking in Kilimanjaro region, Tanzania

    Open AccessFlorida Muro, Judith Meta et al.ARTICLEBMC International Health and…2017

    BACKGROUND: Pneumonia is among the leading causes of avoidable deaths for young children globally. The main burden of mortality falls on children from poor and rural families who are less likely to obtain the treatment they need, highlighting inequities in access to effective care and treatment. Caretakers' illness perceptions and care-seeking practices are of major importance for children with pneumonia to receive adequate care. This study quali…

  • Dusty discos and dangerous desires

    Pieter Remes, Jenny Renju et al.ARTICLECulture Health & Sexuality2010

    This paper presents villagers' assessments of young people's sexual and reproductive health vulnerability and of community-based interventions that may reduce both vulnerability and risk in rural Mwanza, Tanzania. The primary methods used were 28 group discussions and 18 in-depth interviews with representatives of various social groups in four villages. The majority of participants attributed young people's sexual and reproductive health risks to…