Maurice Musheke
Dados Biográficos
| ID | 7768501 |
|---|---|
| NOME | Maurice Musheke |
| PRENOMES | Maurice |
| SOBRENOME | Musheke |
| ASSINATURA | MUSHEKE M |
| AFILIAÇÕES | Centre for Infectious Disease Research in Zambia |
| ORCID | 0000-0001-9968-7540 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 10 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 10 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Enhancing PrEP persistence
Introduction Globally, women who engage in sex work (WESW) have a 21-fold greater risk of HIV acquisition than the general population, yet persistence on HIV pre-exposure prophylaxis (PrEP) remains low. The role of stigma and discrimination in early PrEP discontinuation is poorly understood. We examined the association between stigma, discrimination and early PrEP discontinuation among WESW in Lusaka, Zambia. Methods Using a prospective cohort de…
Applying human-centered design to adapt a multifaceted implementation strategy for integrating HIV and NCD services in Lusaka, Zambia
There has been limited research reporting approaches used in the adaptation of implementation strategies for integrating HIV and NCD services that involve healthcare providers in low- and middle-income country (LMIC) settings. This paper describes how human-centered design (HCD) was used to 1) adapt a multifaceted implementation strategy for integrating HIV and NCD services through end-user engagement and 2) share insights from the specific sugge…
Beyond the pill
Women engaging in sex work (WESW) in low- and middle-income countries face a disproportionately high risk of HIV infection. This study explores enablers and barriers to the uptake and persistence of oral pre-exposure prophylaxis (PrEP) and long-acting injectable PrEP (LAI-PrEP) among WESW in Lusaka, Zambia. We evaluated Capability, Opportunity, and Motivation behavioral domains, using the COM-B model, which affectied behavioral engagement with Pr…
An exploration of multi-level factors affecting routine linkage to HIV care in Zambia’s Pepfar-supported treatment program in the treat all era
Multiple steps from HIV diagnosis to treatment initiation and confirmed engagement with the health system are required for people living with HIV to establish full linkage to care in the modern treat all era. We undertook a qualitative study to gain an in-depth understanding of the impeding and enabling factors at each step of this linkage pathway. In-depth interviews were conducted with fifty-eight people living with HIV recruited from ten routi…
Intersections of financial agency, gender dynamics, and HIV risk
Objectives : Recent research demonstrates that economic interventions may positively effect HIV risk among adolescent girls and young women (AGYW) in sub-Saharan Africa. Some evidence reveals potential associations between financial decision-making and bargaining power in sexual relationships. However, this evidence is mixed, nuanced, and limited. This paper explores how AGYW in Zambia understand financial agency and its effect on intimate relati…
Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia
HTC uptake among Zambian youth improved considerably by 2018 and reached 65 and 49% tested in the last 12 months for women and men, respectively. However, achieving the goal of 95% envisioned by 2020 will require sustaining the success gained through government health centres, and scaling up the community-led approaches that have proven acceptable and effective in reaching young men and adolescent girls who are less easy to reach through the gove…
Quality of care and HIV service utilization among key populations in Zambia
HIV epidemic control requires improving access and uptake of HIV services by key populations (KPs). In Zambia, the behaviors of female sex workers (FSWs), men who have sex with men (MSM), and people of who use drugs (PWUD) are criminalized, and little information exists about their HIV/STI service use. Using a quality of care (QOC) framework, we compared barriers to and opportunities for HIV/STI service access and uptake among the three KPs. We c…
Why do marital partners of people living with HIV not test for HIV? A qualitative study in Lusaka, Zambia
Improving uptake of HIV testing requires a multi-pronged approach that addresses self-stigma, lay risk perceptions, negative treatment and health beliefs and the perceived psychological burden of living with HIV. Strengthening couple HIV testing services, including addressing conflict and addressing gendered power relationships are also warranted to facilitate joint knowledge, acceptance and management of HIV status in marital relationships
Sex differentials in the uptake of antiretroviral treatment in Zambia
This study explores socio-structural factors that influence uptake of antiretroviral treatment (ART) in Zambia and assess differences between men and women. We conducted a case-control study nested in a community- and health facility-based survey, between September 2010 and February 2011. Cases were defined as HIV-positive individuals who, while eligible, never started ART and controls were HIV-positive individuals who were on ART. Cases and cont…
A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa
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A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa
Sex differentials in the uptake of antiretroviral treatment in Zambia
This study explores socio-structural factors that influence uptake of antiretroviral treatment (ART) in Zambia and assess differences between men and women. We conducted a case-control study nested in a community- and health facility-based survey, between September 2010 and February 2011. Cases were defined as HIV-positive individuals who, while eligible, never started ART and controls were HIV-positive individuals who were on ART. Cases and cont…
Why do marital partners of people living with HIV not test for HIV? A qualitative study in Lusaka, Zambia
Improving uptake of HIV testing requires a multi-pronged approach that addresses self-stigma, lay risk perceptions, negative treatment and health beliefs and the perceived psychological burden of living with HIV. Strengthening couple HIV testing services, including addressing conflict and addressing gendered power relationships are also warranted to facilitate joint knowledge, acceptance and management of HIV status in marital relationships
Quality of care and HIV service utilization among key populations in Zambia
HIV epidemic control requires improving access and uptake of HIV services by key populations (KPs). In Zambia, the behaviors of female sex workers (FSWs), men who have sex with men (MSM), and people of who use drugs (PWUD) are criminalized, and little information exists about their HIV/STI service use. Using a quality of care (QOC) framework, we compared barriers to and opportunities for HIV/STI service access and uptake among the three KPs. We c…
Intersections of financial agency, gender dynamics, and HIV risk
Objectives : Recent research demonstrates that economic interventions may positively effect HIV risk among adolescent girls and young women (AGYW) in sub-Saharan Africa. Some evidence reveals potential associations between financial decision-making and bargaining power in sexual relationships. However, this evidence is mixed, nuanced, and limited. This paper explores how AGYW in Zambia understand financial agency and its effect on intimate relati…
Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia
HTC uptake among Zambian youth improved considerably by 2018 and reached 65 and 49% tested in the last 12 months for women and men, respectively. However, achieving the goal of 95% envisioned by 2020 will require sustaining the success gained through government health centres, and scaling up the community-led approaches that have proven acceptable and effective in reaching young men and adolescent girls who are less easy to reach through the gove…
An exploration of multi-level factors affecting routine linkage to HIV care in Zambia’s Pepfar-supported treatment program in the treat all era
Multiple steps from HIV diagnosis to treatment initiation and confirmed engagement with the health system are required for people living with HIV to establish full linkage to care in the modern treat all era. We undertook a qualitative study to gain an in-depth understanding of the impeding and enabling factors at each step of this linkage pathway. In-depth interviews were conducted with fifty-eight people living with HIV recruited from ten routi…
Beyond the pill
Women engaging in sex work (WESW) in low- and middle-income countries face a disproportionately high risk of HIV infection. This study explores enablers and barriers to the uptake and persistence of oral pre-exposure prophylaxis (PrEP) and long-acting injectable PrEP (LAI-PrEP) among WESW in Lusaka, Zambia. We evaluated Capability, Opportunity, and Motivation behavioral domains, using the COM-B model, which affectied behavioral engagement with Pr…
Enhancing PrEP persistence
Introduction Globally, women who engage in sex work (WESW) have a 21-fold greater risk of HIV acquisition than the general population, yet persistence on HIV pre-exposure prophylaxis (PrEP) remains low. The role of stigma and discrimination in early PrEP discontinuation is poorly understood. We examined the association between stigma, discrimination and early PrEP discontinuation among WESW in Lusaka, Zambia. Methods Using a prospective cohort de…
Applying human-centered design to adapt a multifaceted implementation strategy for integrating HIV and NCD services in Lusaka, Zambia
There has been limited research reporting approaches used in the adaptation of implementation strategies for integrating HIV and NCD services that involve healthcare providers in low- and middle-income country (LMIC) settings. This paper describes how human-centered design (HCD) was used to 1) adapt a multifaceted implementation strategy for integrating HIV and NCD services through end-user engagement and 2) share insights from the specific sugge…
HIV/AIDS Research and Interventions (8 obras) · Medicine (7 obras) · Adolescent Sexual and Reproductive Health (6 obras) · Family medicine (5 obras) · HIV, Drug Use, Sexual Risk (5 obras) · Political science (4 obras) · Qualitative research (4 obras) · Environmental health (3 obras) · Gerontology (3 obras) · Health care (3 obras)