Sarah Iguna
Dados Biográficos
| ID | 7765381 |
|---|---|
| NOME | Sarah Iguna |
| PRENOMES | Sarah |
| SOBRENOME | Iguna |
| ASSINATURA | IGUNA S |
| AFILIAÇÕES | Kenya Medical Research Institute |
| ORCID | 0000-0001-9019-6032 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 6 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 6 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2022 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
“ I feel like a guest on the other side ”
Adolescents and young adults living with HIV (AYAH) face significant challenges when transitioning from adolescent to adult HIV services. Up to 50% of AYAH do not remain engaged in care after transition, which may result in virological failure. We sought to understand challenges to clinic transitions and youth-identified solutions to optimize health outcomes. We conducted three focus group discussions (FGDs) (n = 33) and a 4-day participatory, hu…
Enhancing engagement in HIV care among adolescents and young adults
Structural, psychological, and clinical barriers to HIV care engagement among adolescents and young adults living with HIV (AYAH) persist globally despite gains in HIV epidemic control. Phone-based peer navigation may provide critical peer support, increase delivery flexibility, and require fewer resources. Prior studies show that phone-based navigation and automated text messaging interventions improve HIV care engagement, adherence, and retenti…
Examining and classifying reasons for missing viral loads among adults living with HIV
Gaps in HIV RNA monitoring persist globally impeding the ability to determine clinical progress and outcomes. This study systematically evaluated provider (e.g., guideline non-adherence), system (e.g., laboratory error) and participant-level (e.g., refusal) drivers of missed viral load (VL) monitoring measurements among people with HIV in Kenya. Adults aged 18–65 years were followed across five health facilities in Kenya as part of a clinical tri…
Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement
CCTs do not appear to exert their effects through motivation, but instead act through creating opportunities for better care engagement. This study helps us better understand the durability of financial incentives for HIV care engagement and support the idea that careful consideration be exercised when implementing incentives for sustainable engagement effects
User-informed tailoring of electronic and in-person peer navigation strategies to improve retention in HIV care for adolescents and young adults
Poor adherence and retention in HIV care remain a major challenge among adolescents and young adults (AYA) living with HIV in sub-Saharan Africa (SSA). Strategies are urgently required to support AYA to remain in care for better health outcomes. We explored AYA preferences regarding the format and delivery of electronic and in-person peer navigation to improve HIV care outcomes. This formative qualitative study was conducted among AYA enrolled in…
Attitudes towards and experiences with economic incentives for engagement in HIV care and treatment
Growing literature has shown heterogenous effects of conditional cash incentives (CCIs) on HIV care retention. The field lacks insights into reasons why incentives impact various patients in different ways–differences that may be due to variations in psychological and social mechanisms of effect. A deeper understanding of patients’ perceptions and experiences of CCIs for retention may help to clarify these mechanisms. We conducted a qualitative s…
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Attitudes towards and experiences with economic incentives for engagement in HIV care and treatment
Growing literature has shown heterogenous effects of conditional cash incentives (CCIs) on HIV care retention. The field lacks insights into reasons why incentives impact various patients in different ways–differences that may be due to variations in psychological and social mechanisms of effect. A deeper understanding of patients’ perceptions and experiences of CCIs for retention may help to clarify these mechanisms. We conducted a qualitative s…
User-informed tailoring of electronic and in-person peer navigation strategies to improve retention in HIV care for adolescents and young adults
Poor adherence and retention in HIV care remain a major challenge among adolescents and young adults (AYA) living with HIV in sub-Saharan Africa (SSA). Strategies are urgently required to support AYA to remain in care for better health outcomes. We explored AYA preferences regarding the format and delivery of electronic and in-person peer navigation to improve HIV care outcomes. This formative qualitative study was conducted among AYA enrolled in…
Enhancing engagement in HIV care among adolescents and young adults
Structural, psychological, and clinical barriers to HIV care engagement among adolescents and young adults living with HIV (AYAH) persist globally despite gains in HIV epidemic control. Phone-based peer navigation may provide critical peer support, increase delivery flexibility, and require fewer resources. Prior studies show that phone-based navigation and automated text messaging interventions improve HIV care engagement, adherence, and retenti…
Examining and classifying reasons for missing viral loads among adults living with HIV
Gaps in HIV RNA monitoring persist globally impeding the ability to determine clinical progress and outcomes. This study systematically evaluated provider (e.g., guideline non-adherence), system (e.g., laboratory error) and participant-level (e.g., refusal) drivers of missed viral load (VL) monitoring measurements among people with HIV in Kenya. Adults aged 18–65 years were followed across five health facilities in Kenya as part of a clinical tri…
Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement
CCTs do not appear to exert their effects through motivation, but instead act through creating opportunities for better care engagement. This study helps us better understand the durability of financial incentives for HIV care engagement and support the idea that careful consideration be exercised when implementing incentives for sustainable engagement effects
“ I feel like a guest on the other side ”
Adolescents and young adults living with HIV (AYAH) face significant challenges when transitioning from adolescent to adult HIV services. Up to 50% of AYAH do not remain engaged in care after transition, which may result in virological failure. We sought to understand challenges to clinic transitions and youth-identified solutions to optimize health outcomes. We conducted three focus group discussions (FGDs) (n = 33) and a 4-day participatory, hu…
HIV/AIDS Research and Interventions (6 obras) · Medicine (5 obras) · Qualitative research (5 obras) · Adolescent Sexual and Reproductive Health (4 obras) · Nursing (4 obras) · Family medicine (3 obras) · Focus group (3 obras) · Psychology (3 obras) · Thematic analysis (3 obras) · Computer Science (2 obras)