Publication

We have a strong commitment to strengthening research capacity among Zimbabwean graduates and we achieve this through a team of 3 strong PHD scientists who lead our research and publication.

2020 PUBLICATIONS

Title: Estimating the Population Size of Female Sex Workers in Zimbabwe: Comparison of Estimates Obtained Using Different Methods in Twenty Sites and Development of a National-Level Estimate

Authors:

Elizabeth Fearon, PhD,a Sungai T. Chabata, MSc, Sitholubuhle Magutshwa, MSW, Tendayi Ndori-Mharadze, MSc, Sithembile Musemburi, BSc,b Henry Chidawanyika, MSc, Absolom Masendeke, MA,c Sue Napierala, PhD,d Elizabeth Gonese, MPH,e Amy Herman Roloff, PhD, Beth A. Tippett Barr, DrPH,e Peter H. Kilmarx, MD,e Ramona Wong-Gruenwald, MPH,f Samson Chidiya, MSc,g Mutsa Mhangara, MD,g Dagmar Hanisch, MPH,h Jessie K. Edwards, PhD, Brian Rice, PhD,j Isaac Taramusi, MPH,k Tendai Mbengeranwa, MSc,k Portia Manangazira, MPH,l Owen Mugurungi, MD,l James R. Hargreaves, PhD,j and Frances M. Cowan, MDb,m

ABSTRACT

Female sex workers (FSW) in sub-Saharan Africa carry a heavy burden of HIV infection. Commercial sex plays an important role in driving and sustaining the epidemic, even in generalized epidemics. To support HIV prevention and care programs, resource allocation, and policy-making, estimates of the number of FSW and the locations where they work and access services are required. A variety of methods are available to estimate the size of stigmatized and/or criminalized populations, but there is no gold standard. Uncertainty is high, and there is limited evidence as to systematic biases by method. Further challenges include heterogeneity in types and volume of sex work that women selling sex are involved in.

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Title: Assessing Bias in Population Size Estimates Among Hidden Populations When Using the Service Multiplier Method Combined With Respondent-Driven Sampling Surveys: Survey Study

Authors:

Sungai T Chabata1, MSc ; Elizabeth Fearon2, MSc, PhD ; Emily L Webb3, MSc, PhD ; Helen A Weiss3, MSc, DPhil ; James R Hargreaves4, MSc, PhD ; Frances M Cowan1,5, MSc, MD

ABSTRACT

In sub-Saharan Africa, female sex workers (FSWs) are at increased risk of HIV acquisition compared with the general population . The Joint United Nations Programme on HIV/AIDS recommends targeted HIV surveillance among FSWs and other highly at-risk yet socially marginalized populations . Population size estimates (PSEs) of these key populations are important for the design and evaluation of public health policy and serve as the basis for allocation of resources for treatment and prevention programs as well as informing modeled estimates of the epidemic . However, there is no gold standard population size estimation method; estimates are subject to a range of different biases, and studies employing multiple approaches can show a wide variance in the estimates from each method. Methods and standards for investigating and reporting assumptions and likely biases would improve the ability of policymakers to interpret and utilize PSEs appropriately.

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Title: Data driven HIV prevention: the HIV prevention cascade and beyond

Authors:

Guest Editors: James R Hargreaves, Judith D Auerbach, Bernadette Hensen, Simon Gregson
Supplement Editors: Marlène Bras, Elisa de Castro Alvarez

Abstract:

It is heartening to learn from recent data in multiple settings that decreasing community viral load through “universal test and treat” programmes is having a significant impact on HIV morbidity, mortality and the rate of new HIV infections in some settings. However, focusing only on preventing transmission from a person already living with HIV to one who is not, is only half of the equation and will by itself not “end HIV.” A crucial focus remains preventing acquisition of HIV infection among people at risk. Achieving this requires that we strengthen primary HIV prevention programmes because HIV incidence declines attributable to treatment may be slower than required to meet global goals [4]; treatment as prevention may have less impact where a high proportion of transmission involves those in early stage HIV infection [5]; and, critically, because it is essential that individuals and communities have the autonomy to avoid acquiring HIV if at all possible

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Title: Inequalities in uptake of HIV testing despite scale-up

Authors:

Euphemia L Sibanda, Miriam Taegtmeyer

Abstract

HIV testing is an essential aspect of HIV prevention and treatment services. Since 2008, large-scale initiatives have aimed to increase access to, and uptake of, HIV testing in untested populations at risk. Strategies have included provider-initiated HIV testing and counselling, community-based approaches, and partner notifi-cation. Sub-Saharan Africa, the region worst affected by the HIV epidemic, is also the region most in need of these initiatives. Similar to findings for other health interventions, inequalities in uptake of HIV testing have been recorded, and these inequalities might persist despite intensification of HIV testing efforts and scale-up of treatment.

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Title: Male involvement interventions and improved couples’ emotional relationships in Tanzania and Zimbabwe: ‘When we are walking together, I feel happy’

Authors:

Liz Comrie-Thomson, Webster Mavhu, Christina Makungu, Quamrun Nahar, Rasheda Khan, Jessica Davis, Erica Stillo, Saadya Hamdani, Stanley Luchters & Cathy Vaughan

Abstract:

Male involvement in maternal and child health is recognised as a valuable strategy to improve care-seeking and uptake of optimal home care practices for women and children in low- and middle-income settings. However, the specific mechanisms by which involving men can lead to observed behaviour change are not well substantiated. A qualitative study conducted to explore men’s and women’s experiences of male involvement interventions in Tanzania and Zimbabwe found that, for some women and men, the interventions had fostered more loving partner relationships. Both male and female participants identified these changes as profoundly meaningful and highly valued. Our findings illustrate key pathways by which male involvement interventions were able to improve couples’ emotional relationships. Findings also indicate that these positive impacts on couple relationships can motivate and support men’s behaviour change, to improve care-seeking and home care practices. Men’s and women’s subjective experiences of partner relationships following male involvement interventions have not been well documented to date. Findings highlight the importance of increased love, happiness and emotional intimacy in couple relationships – both as a wellbeing outcome valued by men and women, and as a contributor to the effectiveness of male involvement interventions.

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Title: Three lessons for the COVID-19 response from pandemic HIV

Author:

*James Hargreave etal

Abstract:

The HIV pandemic provides lessons for the response to the novel coronavirus disease 2019 (COVID-19) pandemic: no vaccine is available for either and there are no licensed pharmaceuticals for COVID-19, just as there was not for HIV infection in the early years. Population behaviour will determine the pandemic trajectory of COVID-19, just as it did for HIV

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Title: Costs and economies of scale in the accelerated program for prevention of mother-to-child transmission of HIV in Zimbabwe

Authors
IOchoa-Moreno, S. Bautista-Arredondo, S. I. McCoy, R. Buzdugan, C. Mangenah, N. S. Padian, F. M. Cowan

Abstract:

Despite a growing body of literature on HIV service costs in sub-Saharan Africa, only a few studies have estimated the facility-level cost of prevention of Mother-to-Child Transmission (PMTCT) services, and even fewer provide insights into the variation of MTCT costs across facilities. In this study, we present the first empirical costs estimation of the accelerated program for the prevention of mother-to-child transmission of HIV in Zimbabwe and investigate the determinants of heterogeneity of the facility-level average cost per service. To understand such variation, we explored the association between average costs per service and supply-and demand-side characteristics, and quality of services. One aspect of the supply-side we explore carefully is the scale of production—which we define as the annual number of women tested or the yearly number of HIV-positive women on prophylaxis

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Title: Effect of a differentiated service delivery model on virological failure in adolescents with HIV in Zimbabwe (Zvandiri): a cluster-randomised controlled trial

Authors:

Webster Mavhu, Nicola Willis, Juliet Mufuka, Sarah Bernays, Maureen Tshuma, Collin Mangenah, Hendramoorthy Maheswaran, Walter Mangezi, Tsitsi Apollo, Ricardo Araya, Helen A Weiss, Frances M Cowan

Abstract:

Adolescents living with HIV face challenges to their wellbeing and antiretroviral therapy adherence and have poor treatment outcomes. We aimed to evaluate a peer-led differentiated service delivery intervention on HIV clinical and psychosocial outcomes among adolescents with HIV in Zimbabwe.

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2019 PUBLICATIONS

Title: Changes Over Time in HIV Prevalence and Sexual Behaviour Among Young Female Sex‑Workers in 14 Sites in Zimbabwe, 2013–2016

Authors: Sungai T. Chabata · Bernadette Hensen · Tarisai Chiyaka · Phillis Mushati · Sibongile Mtetwa ·
Dagmar Hanisch · Sue Napierala · Joanna Busza · Sian Floyd · Elizabeth Fearon · Isolde Birdthistle ·
James R. Hargreaves · Frances M. Cowan

Abstract
Young female sex-workers (FSW) aged 18–24 are at high risk of HIV due to high numbers of sexual partners, difficulty negotiating condom use, increased risk of gender-based violence, and limited access to services. Here we describe changes in sexual behaviours among young FSW across Zimbabwe between 2013 and 2016, and risk factors for prevalent HIV in 2013 and 2016. FSW ≥ 18 years were recruited using respondent-driven sampling in 14 sites across Zimbabwe in 2013 and 2016 as part of the SAPPH-IRe trial

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Title: Protocol for the evaluation of the population-level impact of Zimbabwe’s prevention of mother-to-child HIV transmission program option B+: a community based serial cross-sectional study

Authors: Aybuke Koyuncu, Mi-Suk Kang Dufour, Sandra Irene McCoy, Sergio Bautista-Arredondo, Raluca Buzdugan, Constancia Watadzaushe, Jeffrey Dirawo, Angela Mushavi, Agnes Mahomva, Frances Cowan and Nancy Padian

Abstract

WHO recommends that HIV infected women receive antiretroviral therapy (ART) minimally during pregnancy and breastfeeding (“Option B”), or ideally throughout their lives regardless of clinical stage (“Option B+”) (Coovadia et al., Lancet 379:221–228, 2012). Although these recommendations were based on clinical trials demonstrating the efficacy of ART during pregnancy and breastfeeding, the population-level effectiveness of Option B+ is unknown.

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Title: Economy, migrant labour and sex work: interplay of HIV epidemic drivers in Zimbabwe over three decades

Authors: Richard Steena, Jan A.C. Honteleza, Owen Mugurungi, Amon Mpofu, Suzette M. Matthijsse, Sake J. de Vlasa, Gina A. Dallabetta and Frances M. Cowan

Abstract

HIV took off rapidly in Zimbabwe during the 1980s. Yet, between 1998 and 2003, as the economy faltered, HIV prevalence declined abruptly and without clear explanation.

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Title: Effects of parenting classes and economic strengthening for caregivers on the cognition of HIV-exposed infants: a pragmatic cluster randomised controlled trial in rural Zimbabwe

Authors: Helen Mebrahtu, Victoria Simms, Zivai Mupambireyi,Andrea M Rehman,Rudo Chingono, Edward Matsikire,Rickie Malaba, Helen A Weiss, Patience Ndlovu, Frances M Cowan, Lorraine Sherr

Abstract

HIV-exposed children show signs of developmental delay. We assessed the impact of a pragmatic multicomponent intervention for caregivers of HIV-exposed children aged 0–2 years in Zimbabwe.

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Title: Cluster randomised controlled trial to determine the effect of peer delivery HIV self-testing to support linkage to HIV prevention among young women in rural KwaZulu-Natal, South Africa: a study protocol

Authors: Oluwafemi Atanda Adeagbo ,Nondumiso Mthiyane, Carina Herbst, Paul Mee, Melissa Neuman,Jaco Dreyer,Natsayi Chimbindi,Theresa Smit,Nonhlanhla Okesola, Cheryl Johnson, Karin Hatzold,Janet Seeley, Frances Cowan, Liz Corbett, Maryam Shahmanesh

Abstract

A cluster randomised controlled trial (cRCT) to determine whether HIV self-testing (HIVST) delivered by peers either directly or through incentivised peer-networks, could increase the uptake of antiretroviral therapy and pre-exposure prophylaxis (PrEP) among young women (18 to 24 years) is being undertaken in an HIV hyperendemic area in KwaZulu-Natal, South Africa.

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Title:The impact and cost-effectiveness of community-based HIV self-testing in sub-Saharan Africa: a health economic and modelling analysis

Authors: Valentina Cambiano, Cheryl C Johnson, Karin Hatzold, Fern Terris-Prestholt, Hendy Maheswaran, Harsha Thirumurthy, Carmen Figueroa, Frances M Cowan, Euphemia L Sibanda, Getrude Ncube, Paul Revill, Rachel C Baggaley, Elizabeth L Corbett, Andrew Phillips for Working Group on Cost Effectiveness of HIV self-testing in Southern Africa

Abstract

The prevalence of undiagnosed HIV is declining in Africa, and various HIV testing approaches are finding lower positivity rates. In this context, the epidemiological impact and cost-effectiveness of community-based HIV self-testing (CBHIVST)
is unclear. We aimed to assess this in different sub-populations and across scenarios characterized by different adult HIV prevalence and antiretroviral treatment programmes in sub-Saharan Africa.

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Title: Applying user preferences to optimize the contribution of HIV self-testing to reaching the “first 90” target of UNAIDS Fast-track strategy: results from discrete choice experiments in Zimbabwe

Authors: Euphemia L Sibanda, Marc d’Elbee, Galven Maringwa, Nancy Ruhode, Mary Tumushime, Claudius Madanhire, Jason J Ong, Pitchaya Indravudh, Constancia Watadzaushe, Cheryl C Johnson, Karin Hatzold7, Miriam Taegtmeyer, James R Hargreaves, Elizabeth L Corbett, Frances M Cowan and Fern Terris-Prestholt

Abstract

New HIV testing strategies are needed to reach the United Nations’ 90-90-90 target. HIV self-testing (HIVST) can increase uptake, but users’ perspectives on optimal models of distribution and post-test services are uncertain. We used discrete choice experiments (DCEs) to explore the impact of service characteristics on uptake along the testing cascade.

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Title: Strengthening the scale-up and uptake of effective interventions for sex workers for population impact in Zimbabwe

Authors: Frances M Cowan , Sungai T Chabata , Sithembile Musemburi , Elizabeth Fearon , Calum Davey ,Tendayi Ndori-Mharadze , Loveleen Bansi-Matharu , Valentina Cambiano , Richard Steen , Joanna Busza , Raymond Yekeye, Owen Mugurungi, James R Hargreaves and Andrew N Phillips

Abstract

UNAIDS’ goal of ending AIDS by 2030 is unreachable without better targeting of testing, prevention and care. Female sex workers (FSW) in Zimbabwe are at high risk of HIV acquisition and transmission. Here, we report on collated programme and research data from Zimbabwe’s national sex work programme. We also assess the potential for wider population impact of FSW programmes by modelling the impact on HIV incidence of eliminating transmission through FSW (i.e. calculate the population attributable fraction of incidence attributable to sex work).

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Title: HIV risk among young women who sell sex by whether they identify as sex workers: analysis of respondent-driven sampling surveys, Zimbabwe, 2017

Authors: Bernadette Hensen , Sungai T Chabata , Sian Floyd, Tarisai Chiyaka, Phillis Mushati, Joanna Busza, Isolde Birdthistle , James R Hargreaves and Frances M Cowan

Abstract

Across sub-Saharan Africa, selling sex puts young women at high risk of HIV. Some young women who sell sex (YWSS) may self-identify as sex workers, while others may not, having implications for how to reach them with HIV prevention. We describe characteristics, sexual behaviours and health service use of YWSS in Zimbabwe, comparing women who identified as female sex workers (FSW) and women who did not (non-identifying-YWSS), and explore factors associated with HIV infection.

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Title: Is the PrePex device an alternative for surgical male circumcision in adolescents ages 13–17 years? Findings from routine service delivery during active surveillance in Zimbabwe

Authors: Webster Mavhu, Karin Hatzold, Ngonidzashe Madidi, Brian Maponga,Roy Dhlamini, Malvern Munjoma, Sinokuthemba Xaba, Getrude Ncube,Owen Mugurungi, Frances M. Cowan

Abstract

Male circumcision devices have the potential to accelerate adolescent voluntary medical male circumcision roll-out. Here, we present findings on safety, acceptability and satisfaction from active surveillance of PrePex implementation among 618 dolescent males (13–17 years) circumcised in Zimbabwe.

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2018 PUBLICATIONS

Title: Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe

Authors: Nicola Willis, Webster Mavhu, Carol Wogrin, Abigail Mutsinze, Ashraf Kagee

Abstract

Studies have found that adolescents living with HIV are at risk of depression, which in turn affects adherence to medication. This study explored the experience and manifestation of depression in adolescents living with HIV in Zimbabwe in order to inform intervention development.

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Title: Zvandiri—Bringing a Differentiated Service Delivery Program to Scale for Children, Adolescents, and Young People in Zimbabwe

Authors: Nicola Willis, BN (Hons), MPhil,* Tanyaradzwa Napei, BSc, BSS, MSc,* Alice Armstrong, BScN, MSc,† Helen Jackson, BA (Hons), Dip Hum Biol, MSc,Tsitsi Apollo, MBChB, MPH, MBA, Angela Mushavi, MBChB, MMed (Pediatrics), Getrude Ncube, MIH,§ and Frances M. Cowan, MBBS, MRCP, MSc, MD, FRCP, FRCPE

Abstract

Since 2004, there has been a dramatic shift in the HIV response for children, adolescents, and young people in low resource settings. Previous programs and services were largely orientated to adults.

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Title: “Well, not me, but other women do not register because”- Barriers to seeking antenatal care in the context of prevention of mother-to-child transmission of HIV among Zimbabwean women: a mixed methods study

Authors: Euphemia L. Sibanda , Sarah Bernays , Ian V. D. Weller , James G. Hakim5 and Frances M. Cowan

Abstract

While barriers to uptake of antenatal care (ANC) among pregnant women have been explored, much less is known about how integrating prevention of mother-to-child transmission (PMTCT) programmes within ANC services affects uptake.

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Title: Changes in engagement in HIV prevention and care services among female sex workers during intensified community mobilization in 3 sites in Zimbabwe, 2011 to 2015

Authors: Tendayi Ndori-Mharadze, Elizabeth Fearon, Joanna Busza, Jeffrey Dirawo, Sithembile Musemburi, Calum Davey, Xeno Acharya, Sibongile Mtetwa, James R Hargreaves and Frances Cowan

Abstract

Sisters with a Voice’, Zimbabwe’s nationally scaled comprehensive programme for female sex workers (FSWs), intensified community mobilization activities in three sites to increase protective behaviours and utilization of clinical services.

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Title: Sexual behavior experiences and characteristics of male-female partnerships among HIV positive adolescent girls and young women: Qualitative findings from Zimbabwe

Authors: Webster Mavhu, Elizabeth Rowley, Ibou Thior, Natalie Kruse-Levy, Owen Mugurungi, Getrude Ncube, Suzanne Leclerc-Madlala

Abstract

New HIV infections among sub-Saharan Africa’s adolescent girls and young women (AGYW, ages 15–24) greatly exceed those of their male peers. In addition, AGYW tend to acquire HIV at a much earlier age.

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Title: Evaluating the impact of DREAMS on HIV incidence among young women who sell sex: protocol for a non-randomised study in Zimbabwe

Authors: Bernadette Hensen, James R. Hargreaves, Tarisai Chiyaka, Sungai Chabata, Phillis Mushati, Sian Floyd, Isolde Birdthistle, Joanna Busza and Frances Cowan

Abstract

Determined, Resilient, AIDS-free, Mentored and Safe” (DREAMS) is a package of biomedical, social and economic interventions offered to adolescent girls and young women aged 10–24 years with the aim of reducing HIV incidence.

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Title: Targeted combination prevention to support female sex workers in Zimbabwe accessing and adhering to antiretrovirals for treatment and prevention of HIV (SAPPH-IRe): A cluster-randomised trial

Authors: Frances M Cowan, Calum Davey, Elizabeth Fearon, Phillis Mushati, Jeffrey Dirawo, Sungai Chabata, Valentina Cambiano, Sue Napierala, Dagmar Hanisch, Ramona Wong-Gruenwald, Nyasha Masuka, Travor Mabugo, Karin Hatzold, Owen Mugurungi, Joanna Busza, Andrew Phillips, James R Hargreaves

Abstract

Strengthening engagement of female sex workers with health services is needed to eliminate HIV. We assessed the efficacy of a targeted combination intervention for female sex workers in Zimbabwe.

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Title: Reaching young women who sell sex: Methods and results of social mapping to describe and identify young women for DREAMS impact evaluation in Zimbabwe

Authors: Tarisai Chiyaka, Phillis Mushati, Bernadette Hensen, Sungai Chabata, James R. Hargreaves, Sian Floyd, Isolde J. Birdthistle, Frances M. Cowan, Joanna R. Busza

Abstract

Young women (aged 15–24) who exchange sex for money or other support are among the highest risk groups for HIV acquisition, particularly in high prevalence settings.

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Title: Evaluating the effectiveness of a multicomponent intervention on early childhood development in paediatric HIV care and treatment programmes: A randomized controlled trial

Authors: R. Chingono, H. Mebrahtu, Z. Mupambireyi, V. Simms, H. A. Weiss, P. Ndlovu, F. Charasika, M. Tomlinson, L.D. Cluver, F. M. Cowan and L. Sherr

Abstract

HIV infection in a family may affect optimum child development. Our hypothesis is that child development outcomes among HIV-exposed infants will be improved through a complex early childhood stimulation (ECS) programme, and income and loans saving programme for HIV positive parents.

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Title: Evaluating the impact of the DREAMS partnership to reduce HIV incidence among adolescent girls and young women in four settings: A study protocol

Authors: Isolde Birdthistle, Susan B. Schaffnit, Daniel Kwaro, Maryam Shahmanesh, Abdhalah Ziraba, Caroline W. Kabiru, Penelope Phillips-Howard, Natsayi Chimbindi, Kenneth Ondeng, Annabelle Gourlay, Frances M. Cowan, James R. Hargreaves, Bernadette Hensen, Tarisai Chiyaka , Judith R. Glynn and Sian Floyd

Abstract

HIV risk remains unacceptably high among adolescent girls and young women (AGYW) in southern and eastern Africa, reflecting structural and social inequities that drive new infections.

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2017 PUBLICATIONS

Title: Effect of non-monetary incentives on uptake of couples’ counselling and testing among clients attending mobile HIV services in rural Zimbabwe: A cluster-randomised trial

Authors: Euphemia L Sibanda, Mary Tumushime, Juliet Mufuka, Sue Napierala Mavedzenge, Stephano Gudukeya, Sergio Bautista-Arredondo, Karin Hatzold, Harsha Thirumurthy, Sandra I McCoy, Nancy Padian, Andrew Copas, Frances M Cowan

Abstract

Couples’ HIV testing and counselling (CHTC) is associated with greater engagement with HIV prevention and care than individual testing and is cost-effective, but uptake remains suboptimal.

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Title: Acceptability and feasibility of early infant male circumcision for HIV prevention in Malawi

Authors: Charles Chilimampunga, Simeon Lijenje, Judith Sherman, Kelvin Nindi, Webster Mavhu

Abstract

Voluntary medical male circumcision (VMMC) has been successfully implemented in 14 countries as an additional HIV prevention intervention. As VMMC programs mature in most countries, the focus is now on how to sustain the HIV prevention gains realised from VMMC.

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Title: The HIV Care Cascade Among Female Sex Workers in Zimbabwe: Results of a Population-Based Survey From the Sisters Antiretroviral Therapy Programme for Prevention of HIV, an Integrated Response (SAPPH-IRe) Trial

Authors: Frances M. Cowan, MD, Calum B. Davey, MSc, Elizabeth Fearon, PhD, Phillis Mushati, MSc, Jeffrey Dirawo, Valentina Cambiano, PhD, Sue Napierala Mavedzenge, DPhil, Dagmar Hanisch, MPH, Ramona Wong-Gruenwald, MPH, Milton Chemhuru, MD, MPH, Nyasha Masuka, MBChB, MPH, Karin Hatzold, MD, Owen Mugurungi, MD, Joanna Busza, MSc, Andrew N. Philips, PhD, and James R. Hargreaves, PhD

Abstract

Female sex workers (FSW) in sub-Saharan Africa have a higher prevalence of HIV than other women of reproductive age. Social, legal, and structural barriers influence their access to care. Little is known about the HIV diagnosis and care cascade in most countries in Southern Africa.

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Title: Good news for sex workers in Zimbabwe: how a court order improved safety in the absence of decriminalization

Authors: Joanna Busza, Sibongile Mtetwa, Elizabeth Fearon, David Hofisi, Tinashe Mundawarara, Raymond Yekeye, Tapuwa Magure, Owen Mugurungi and Frances Cowan

Abstract

As highlighted in the JIAS special issue on the role of police in the global HIV pandemic, legal policy and its enforcement both reflect and shape social attitudes toward key populations including sex workers, men who have sex with men, drug users and other marginalized groups.

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Title: Overlapping HIV and sex-work stigma among female sex workers recruited to 14 respondent driven sampling surveys across Zimbabwe, 2013

Authors: J. R. Hargreaves, J. Busza, P. Mushati, E. Fearon & F. M. Cowan

Abstract

HIV stigma can inhibit the uptake of HIV testing and antiretroviral therapy as well as negatively affect mental health. Efforts to reduce discrimination against people living with HIV (LWH) have contributed to greater acceptance of the infection.

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Title: Effect of non-monetary incentives on uptake of couples’ counseling and testing among clients attending mobile HIV services in rural Zimbabwe: A cluster-randomised trial

Authors: Euphemia L Sibanda, Mary Tumushime, Juliet Mufuka, Sue Napierala Mavedzenge, Stephano Gudukeya, Sergio Bautista-Arredondo, Karin Hatzold, Harsha Thirumurthy, Sandra I McCoy, Nancy Padian, Andrew Copas, Frances M Cowan

Abstract

Couples’ HIV testing and counselling (CHTC) is associated with greater engagement with HIV prevention and care than individual testing and is cost-effective, but uptake remains suboptimal.

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Title: Costs of facility-based HIV testing in Malawi, Zambia and Zimbabwe

Author: Lawrence Mwenge, Linda Sande, Collin Mangenah, Nurilign Ahmed, Sarah Kanema, Marc d’Elbe, Euphemia Sibanda, Thokozani Kalua, Gertrude Ncube, Cheryl C. Johnson, Karin Hatzold, Frances M. Cowan, Elizabeth L. Corbett2, Helen Ayles, Hendramoorthy Maheswaran, Fern Terris-Prestholt

Abstract

Providing HIV testing at health facilities remains the most common approach to ensuring access to HIV treatment and prevention services for the millions of undiagnosed HIVinfected individuals in sub-Saharan Africa.

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Title: Evaluating a multi-component, community based program to improve adherence and retention in care among adolescents living with HIV in Zimbabwe: study protocol for a cluster randomized controlled trial

Authors: Webster Mavhu, Nicola Willis, Juliet Mufuka, Collin Mangenah, Kudzanayi Mvududu, Sarah Bernays, Walter Mangezi, Tsitsi Apollo, Ricardo Araya, Helen A. Weiss and Frances M. Cowan

Abstract

World Health Organization (WHO) adolescent HIV-testing and treatment guidelines recommend community-based interventions to support antiretroviral therapy (ART) adherence and retention in care while acknowledging that the evidence to support this recommendation is weak.

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Title: Unpacking early infant male circumcision decision-making using qualitative findings from Zimbabwe

Authors: Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Roy Dhlamini, Owen Mugurungi, Ismail Ticklay and Frances M. Cowan

Abstract

Early infant male circumcision (EIMC) has been identified as a key HIV prevention intervention. Exploring the decision-making process for adoption of EIMC for HIV prevention among parents and other key stakeholders is critical for designing effective demand creation interventions to maximize uptake, roll out and impact in preventing HIV.

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Title: Voluntary medical male circumcision among adolescents: a missed opportunity for HIV behavioral interventions

Authors: Michelle R. Kaufmana , Kim H. Damb , Lynn M. Van Lithb , Karin Hatzoldc , Webster Mavhud , Catherine Kahabukae , Lusanda Mahlaselaf , Arik V. Marcellg , Eshan U. Patell , Maria Elena Figueroab , Emmanuel Njeuhmelih , Kim Seifert-Ahandah , Getrude Ncubei , Gissenge Lijaj , Collen Bonnecwek and Aaron A.R. Tobian

Abstract

Voluntary medical male circumcision (VMMC) is one of the first opportunities for adolescent males in African countries to interact with the healthcare system. This study explored the approaches used during adolescent VMMC counseling and whether these strategies maximize broader HIV prevention opportunities.

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Title: ‘I will choose when to test, where I want to test’: investigating young people’s preferences for HIV self-testing in Malawi and Zimbabwe

Authors: Pitchaya P. Indravudha , Euphemia L. Sibandab, Marc d’Elbe´e , Moses K. Kumwenda , Beate Ringwald , Galven Maringwa , Musonda Simwinga , Lot J. Nyirenda , Cheryl C. Johnson , Karin Hatzold , Fern Terris-Prestholt and Miriam Taegtmeyer

Abstract

The current study identifies young people’s preferences for HIV self-testing (HIVST) delivery, determines the relative strength of preferences and explores underlying behaviors and perceptions to inform youth-friendly services in southern Africa.

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Title: Sample Size Calculations for Population Size Estimation Studies Using Multiplier Methods With Respondent-Driven Sampling Surveys

Author: Elizabeth Fearon, MSc, PhD; Sungai T Chabata, MSc; Jennifer A Thompson, MSc; Frances M Cowan, MBBS, MSc, MD, FRCPE; James R Hargreaves, MSc, PhD

Abstract

While guidance exists for obtaining population size estimates using multiplier methods with respondent-driven sampling surveys, we lack specific guidance for making sample size decisions.

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Title: The HIV Care Cascade Among Female Sex Workers in Zimbabwe: Results of a Population-Based Survey From the Sisters Antiretroviral Therapy Programme for Prevention of HIV, an Integrated Response (SAPPH-IRe) Trial

Author: Frances M. Cowan, MD, Calum B. Davey, MSc, Elizabeth Fearon, PhD, Phillis Mushati, MSc, Jeffrey Dirawo, Valentina Cambiano, PhD, Sue Napierala Mavedzenge, DPhil, Dagmar Hanisch, MPH, Ramona Wong-Gruenwald, MPH, Milton Chemhuru, MD, MPH, Nyasha Masuka, MBChB, MPH, Karin Hatzold, MD, Owen Mugurungi, MD, Joanna Busza, MSc, Andrew N. Philips, PhD, and James R. Hargreaves, PhD

Abstract

Female sex workers (FSW) in sub-Saharan Africa have a higher prevalence of HIV than other women of reproductive age. Social, legal, and structural barriers influence their access to care

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Title: Acceptability and feasibility of early infant male circumcision for HIV prevention in Malawi

Authour: Charles Chilimampunga , Simeon Lijenje, Judith Sherman, Kelvin Nindi, Webster Mavhu

Abstract

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Title: Good news for sex workers in Zimbabwe: how a court order improved safety in the absence of decriminalization

Authors: Joanna Busza, Sibongile Mtetwa, Elizabeth Fearon, David Hofisi, Tinashe Mundawarara, Raymond Yekeye, Tapuwa Magure, Owen Mugurungi and Frances Cowan

Abstract

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2016 PUBLICATIONS

Title: Underage and underserved: reaching young women who sell sex in Zimbabwe

Authors: Joanna Busza, Sibongile Mtetwa, Rumbidzo Mapfumo, Dagmar Hanisch, Ramona Wong-Gruenwald & Frances Cowan

Abstract

Young women who sell sex (YWSS) in Southern Africa are highly vulnerable to HIV, as the risks of being young and female in a high prevalence setting coalesce with those of commercial sex. YWSS are less able to negotiate safe sex, more likely to have higher risk partners, and less likely to use available health services compared to older sex workers.

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Title: Targeting elimination of mother-to-child HIV transmission efforts using geospatial analysis of mother-to-child HIV transmission in Zimbabwe

Authors: Sandra I. McCoy, Carolyn Fahey, Raluca Buzdugan , Angela Mushavi, Agnes Mahomva, Nancy S. Padian and Frances M. Cowan,

Abstract

We assessed Zimbabwe’s progress toward elimination of mother-to-child HIV transmission (MTCT) under Option A.

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2015 PUBLICATIONS

Title: What am I ‘living’ with? Growing up with HIV in Uganda and Zimbabwe

Authors: Sarah Bernays, Janet Seeley, Tim Rhodes and Zivai Mupambireyi

Abstract

As paediatric HIV treatment has become increasingly available across the world, the global perinatally infected cohort is ageing. However, we know surprisingly little about what it is like to grow up with HIV in resource-stretched settings.

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Title: Providing comprehensive health services for young key populations: needs, barriers and gaps

Author: Sinead Delany-Moretlwe, Frances M Cowan, Joanna Busza, Carolyn Bolton-Moore, Karen Kelley and Lee Fairlie

Abstract

Adolescence is a time of physical, emotional and social transitions that have implications for health. In addition to being at high risk for HIV, young key populations (YKP) may experience other health problems attributable to high-risk behaviour or their developmental stage, or a combination of both.

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Title: Safety and Acceptability of the PrePex Device When Used in Routine Male Circumcision Service Delivery During Active Surveillance in Zimbabwe

Authors: Webster Mavhu, PhD, Karin Hatzold, MD, MPH, Getrude Ncube, MIH, Sinokuthemba Xaba, MSc, Ngonidzashe Madidi, MBCHB, Jo Keatinge, MBCHB, MPH, Efison Dhodho, MD, Christopher A. Samkange, MBCHB Chir, MA, FRCSEd, FCS-ECSA, Mufuta Tshimanga, MD, MPH, Tonderayi Mangwiro, MD, MMED, Owen Mugurungi, MD, MSc, Emmanuel Njeuhmeli, MD, MPH, MBA, and Frances M. Cowan, MBBS, MRCP, MSc, MD, FRCPE, FRCP

Abstract

Male circumcision devices have the potential to accelerate voluntary medical male circumcision roll-out, with PrePex being one promising device.

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2014 PUBLICATIONS

Title: HIV Status Disclosure to Perinatally-Infected Adolescents in Zimbabwe: A Qualitative Study of Adolescent and Healthcare Worker Perspectives

Author: Khameer K. Kidia, Zivai Mupambireyi, Lucie Cluver, Chiratidzo E. Ndhlovu, Margaret Borok, Rashida A. Ferrand

Abstract

Due to the scale-up of antiretroviral therapy, increasing numbers of HIV-infected children are living into adolescence. As these children grow and surpass the immediate threat of death, the issue of informing them of their HIV status arises.

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Title: “My story”—HIV positive adolescents tell their story through film

Authors: N. Willis, L. Frewin, A. Miller, C. Dziwa, W. Mavhu, F. Cowan

Abstract

The global commitment to universal access for people in need of antiretroviral therapy has transformed the lives of adolescents with HIV. In contrast, there has been limited commitment at policy or service level to the need for effective therapeutic interventions which can help them to cope with their life experiences.

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Title: Systematic Monitoring of Voluntary Medical Male Circumcision Scale-Up: Adoption of Efficiency Elements in Kenya, South Africa, Tanzania, and Zimbabwe

Authors: Jane T. Bertrand, Dino Rech, Dickens Omondi Aduda, Sasha Frade, Mores Loolpapit, Michael D. Machaku, Mathews Oyango, Webster Mavhu, Alexandra Spyrelis, Linnea Perry, Margaret Farrell, Delivette Castor, Emmanuel Njeuhmeli

Abstract

SYMMACS is the first study to provide data on the implementation of VMMC programs and adoption of elements of surgical efficiency

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Title: Barriers and Motivators to Voluntary Medical Male Circumcision Uptake among Different Age Groups of Men in Zimbabwe: Results from a Mixed Methods Study

Authors: Karin Hatzold, Webster Mavhu, Phineas Jasi, Kumbirai Chatora, Frances M. Cowan, Noah Taruberekera, Owen Mugurungi, Kim Ahanda, Emmanuel Njeuhmeli

Abstract

We conducted quantitative and qualitative studies to explore barriers and motivating factors to VMMC for HIV prevention, and to assess utilization of existing VMMC communication channels.

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Title: Work Experience, Job-Fulfillment and Burnout among VMMC Providers in Kenya, South Africa, Tanzania and Zimbabwe

Authors: Linnea Perry, Dino Rech, Webster Mavhu, Sasha Frade, Michael D. Machaku, Mathews Onyango, Dickens S. Omondi Aduda, Bennett Fimbo, Peter Cherutich, Delivette Castor, Emmanuel Njeuhmeli, Jane T. Bertrand

Abstract

Human resource capacity is vital to the scale-up of voluntary medical male circumcision (VMMC) services. VMMC providers are at risk of ‘‘burnout’’ from performing a single task repeatedly in a high volume work environment that produces long work hours and intense work effort.

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Title: Provider Attitudes toward the Voluntary Medical Male Circumcision Scale-Up in Kenya, South Africa, Tanzania and Zimbabwe

Authors: Webster Mavhu, Sasha Frade, Ann-Marie Yongho, Margaret Farrell, Karin Hatzold, Michael Machaku, Mathews Onyango, Owen Mugurungi, Bennett Fimbo, Peter Cherutich, Dino Rech, Delivette Castor, Emmanuel Njeuhmeli, Jane T. Bertrand

Abstract

Countries participating in voluntary medical male circumcision (VMMC) scale-up have adopted most of six elements of surgical efficiency, depending on national policy. However, effective implementation of these elements largely depends on providers’ attitudes and subsequent compliance.

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Title: Triple jeopardy: Adolescent experiences of sex work and migration in Zimbabwe

Authors: Joanna Busza, Sibongile Mtetwa, Petronella Chirawu, Frances Cowan

Abstract

Adolescence, migration and sex work are independent risk factors for HIV and other poor health outcomes. They are usually targeted separately with little consideration on how their intersection can enhance vulnerability.

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Title: “I don’t feel shy because I will be among others who are just like me…”: The role of support groups for children perinatally infected with HIV in Zimbabwe

Authors: Zivai Mupambireyi, Sarah Bernays, Mutsa Bwakura-Dangarembizi, Frances M. Cowan

Abstract

As access to paediatric antiretroviral therapy (ART) continues to improve in sub-Saharan Africa, a new historically specific cohort of HIV-perinatally infected children surviving into adolescent has emerged.

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Title: Lessons Learned From Scale-Up of Voluntary Medical Male Circumcision Focusing on Adolescents: Benefits, Challenges, and Potential Opportunities for Linkages With Adolescent HIV, Sexual, and Reproductive Health Services

Authors: Emmanuel Njeuhmeli,Karin Hatzold,Elizabeth Gold, MA,Hally Mahler, Katharine Kripke, Delivette Castor, Webster Mavhu, Owen Mugurungi, Gertrude Ncube, Sifuni Koshuma, Shanti R. Conly, Susan Kasedde

Abstract

This article discusses why efforts to scale up VMMC should prioritize adolescent men, drawing from new evidence and experiences at the international, country, and service delivery levels.

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Title: Unmet Need for Family Planning, Contraceptive Failure, and Unintended Pregnancy among HIV-Infected and HIV-Uninfected Women in Zimbabwe

Authors: Sandra I. McCoy, Raluca Buzdugan, Lauren J. Ralph, Angela Mushavi, Agnes Mahomva, Anna Hakobyan, Constancia Watadzaushe , Jeffrey Dirawo, Frances M. Cowan, Nancy S. Padian

Abstract

Prevention of unintended pregnancies among women living with HIV infection is a strategy recommended by the World Health Organization for prevention of mother-to-child transmission of HIV (PMTCT).

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Title: Population-Level Impact of Zimbabwe’s National Behavioral Change Programme

Authors: Raluca Buzdugan, Clemens Benedikt, Lisa Langhaug, Andrew Copas, Oscar Mundida, Owen Mugurungi, Constancia Watadzaushe, Jeffrey Dirawo, Basile O. Tambashe, Samson Chidiya, Godfrey Woelk, Frances M. Cowan,

Abstract

We conducted the first impact evaluation of a NBCP and found positive effects of program exposure on key behaviors among certain gender and age groups.

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Title: Factors Associated with Parental Non-Adoption of Infant Male Circumcision for HIV Prevention in Sub-Saharan Africa: A Systematic Review and Thematic Synthesis

Authors: Webster Mavhu, Zivai Mupambireyi, Graham Hart, Frances M. Cowan

Abstract

Infant male circumcision (IMC) may be more effective at preventing HIV than adult male circumcision as the procedure is carried out before the individual becomes sexually active

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2013 PUBLICATIONS

Title: Antiretrovirals for HIV prevention and treatment among Zimbabwean sex workers

Authors: Dr Frances Cowan, Ms Joanna Busza, Dr Chemhuru, Ms Dagmar Hanisch, Dr James Hargreaves, Dr Karin Hatzold, Dr Sue Napierala Mavedzenge, Mr Travor Mabugu, Dr Nyasha Masuka, Dr Owen Mugurungi, Dr Andrew Phillips

Abstract

Our research seeks to simultaneously enhance HIV treatment and prevention among sex workers (SW) attending mobile clinics in Zimbabwe by enhancing the existing targeted sex work services to increase the uptake and frequency of HIV testing.

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Title: ‘How Poor Are You?’ – A Comparison of Four Questionnaire Delivery Modes for Assessing SocioEconomic Position in Rural Zimbabwe

Authors: Sophie J. S. Pascoe, James R. Hargreaves, Lisa F Langhaug, Richard J. Hayes, Frances M. Cowan

Abstract

Assessing socio-economic position can be difficult, particularly in developing countries. Collection of socioeconomic data usually relies on interviewer-administered questionnaires, but there is little research exploring how questionnaire delivery mode (QDM) influences reporting of these indicators.

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Title: Engagement with HIV Prevention Treatment and Care among Female Sex Workers in Zimbabwe: a Respondent Driven Sampling Survey

Authors: Frances M. Cowan, Sibongile Mtetwa2,3, Calum Davey, Elizabeth Fearon, Jeffrey Dirawo, Ramona Wong-Gruenwald, Theresa Ndikudze, Samson Chidiya, Clemens Benedikt, Joanna Busza, James R. Hargreaves

Abstract

To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare.

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Title: The magnitude of loss to follow-up of HIV-exposed infants along the prevention of mother-to-child HIV transmission continuum of care: a systematic review and meta-analysis

Author: Euphemia L. Sibandaa,b, Ian V.D. Wellerb , James G. Hakimc and Frances M. Cowan

Abstract

Although prevention of mother-to-child HIV transmission (PMTCT) programs are widely implemented, many children do not benefit from them because of loss to follow-up (LTFU). We conducted a systematic review to determine the magnitude of infant/baby LTFU along the PMTCT cascade.

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Title: Preventing HIV among young people: research priorities for the future

Author:

Audrey Pettifor¹, Linda-Gail Bekker, Sybil Hosek, Ralph DiClemente, Molly Rosenberg, Sheana S Bull, Susannah Allison, Sinead Delany-Moretlwe, Bill G Kapogiannis, Frances Cowan, HIV Prevention Trials Network (HPTN) Adolescent Scientific Committee

Abstract

A disproportionate burden of HIV infections falls on adolescents, a developmental stage marked by unique neural, biological, and social transition. Successful interventions are critical to prevent the spread of HIV in this vulnerable population.

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Tittle:

Enhancing Psychosocial Support for HIV Positive Adolescents in Harare, Zimbabwe

Authors:

Webster Mavhu ,Jessica Berwick,Petronella Chirawu, Memory Makamba,Andrew Copas,Jeffrey Dirawo,Nicola Willis, Ricardo Araya, Melanie A. Abas, Elizabeth L. Corbett, Stanley Mungofa, Susan M. Laver, Frances M. Cowan

Abstract

There is a recognized gap in the evidence base relating to the nature and components of interventions to address the psycho-social needs of HIV positive young people. We used mixed methods research to strengthen a community support group intervention for HIV positive young people based in Harare, Zimbabwe.

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Title: “You are wasting our drugs”: Health Service Barriers to HIV Treatment for Sex Workers in Zimbabwe.

Authors

Sibongile Mtetwa, Joanna Busza, Samson Chidiya,
Stanley Mungofa & Frances Cowan, BMC Public Health

Abstract

Although disproportionately affected by HIV, sex workers (SWs) remain neglected by efforts to expand access to antiretroviral treatment (ART). In Zimbabwe, despite the existence of well-attended services targeted to female SWs, fewer than half of women diagnosed with HIV took up referrals for assessment and ART initiation; just 14% attended more than one appointment. We conducted a qualitative study to explore the reasons for non-attendance and the high rate of attrition.

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Title: Estimating the Population Size of Female Sex Workers in Zimbabwe: Comparison of Estimates Obtained Using Different Methods in Twenty Sites and Development of a National-Level Estimate

Authors:

ABSTRACT

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Title: Assessing Bias in Population Size Estimates Among Hidden Populations When Using the Service Multiplier Method Combined With Respondent-Driven Sampling Surveys: Survey Study

Authors:

Sungai T Chabata1, MSc ; Elizabeth Fearon2, MSc, PhD ; Emily L Webb3, MSc, PhD ; Helen A Weiss3, MSc, DPhil ; James R Hargreaves4, MSc, PhD ; Frances M Cowan1,5, MSc, MD

ABSTRACT

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Title: Data driven HIV prevention: the HIV prevention cascade and beyond

Authors:

Guest Editors: James R Hargreaves, Judith D Auerbach, Bernadette Hensen, Simon GregsonSupplement Editors: Marlène Bras, Elisa de Castro Alvarez

Abstract:

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Title: Inequalities in uptake of HIV testing despite scale-up

Authors:

Euphemia L Sibanda, Miriam Taegtmeyer

Abstract

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Title: Male involvement interventions and improved couples’ emotional relationships in Tanzania and Zimbabwe: ‘When we are walking together, I feel happy’

Authors:

Liz Comrie-Thomson, Webster Mavhu, Christina Makungu, Quamrun Nahar, Rasheda Khan, Jessica Davis, Erica Stillo, Saadya Hamdani, Stanley Luchters & Cathy Vaughan

Abstract:

Title: Three lessons for the COVID-19 response from pandemic HIV

Author:

*James Hargreave etal

Abstract:

Title: Costs and economies of scale in the accelerated program for prevention of mother-to-child transmission of HIV in Zimbabwe

AuthorsIOchoa-Moreno, S. Bautista-Arredondo, S. I. McCoy, R. Buzdugan, C. Mangenah, N. S. Padian, F. M. Cowan

Abstract:

Title: Effect of a differentiated service delivery model on virological failure in adolescents with HIV in Zimbabwe (Zvandiri): a cluster-randomised controlled trial

Authors:

Webster Mavhu, Nicola Willis, Juliet Mufuka, Sarah Bernays, Maureen Tshuma, Collin Mangenah, Hendramoorthy Maheswaran, Walter Mangezi, Tsitsi Apollo, Ricardo Araya, Helen A Weiss, Frances M Cowan

Abstract:

Title: Changes Over Time in HIV Prevalence and Sexual Behaviour Among Young Female Sex‑Workers in 14 Sites in Zimbabwe, 2013–2016

Authors: Sungai T. Chabata · Bernadette Hensen · Tarisai Chiyaka · Phillis Mushati · Sibongile Mtetwa ·Dagmar Hanisch · Sue Napierala · Joanna Busza · Sian Floyd · Elizabeth Fearon · Isolde Birdthistle ·James R. Hargreaves · Frances M. Cowan

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Title: Protocol for the evaluation of the population-level impact of Zimbabwe’s prevention of mother-to-child HIV transmission program option B+: a community based serial cross-sectional study

Authors: Aybuke Koyuncu, Mi-Suk Kang Dufour, Sandra Irene McCoy, Sergio Bautista-Arredondo, Raluca Buzdugan, Constancia Watadzaushe, Jeffrey Dirawo, Angela Mushavi, Agnes Mahomva, Frances Cowan and Nancy Padian

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Title: Economy, migrant labour and sex work: interplay of HIV epidemic drivers in Zimbabwe over three decades

Authors: Richard Steena, Jan A.C. Honteleza, Owen Mugurungi, Amon Mpofu, Suzette M. Matthijsse, Sake J. de Vlasa, Gina A. Dallabetta and Frances M. Cowan

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Title: Effects of parenting classes and economic strengthening for caregivers on the cognition of HIV-exposed infants: a pragmatic cluster randomised controlled trial in rural Zimbabwe

Authors: Helen Mebrahtu, Victoria Simms, Zivai Mupambireyi,Andrea M Rehman,Rudo Chingono, Edward Matsikire,Rickie Malaba, Helen A Weiss, Patience Ndlovu, Frances M Cowan, Lorraine Sherr

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Title: Cluster randomised controlled trial to determine the effect of peer delivery HIV self-testing to support linkage to HIV prevention among young women in rural KwaZulu-Natal, South Africa: a study protocol

Authors: Oluwafemi Atanda Adeagbo ,Nondumiso Mthiyane, Carina Herbst, Paul Mee, Melissa Neuman,Jaco Dreyer,Natsayi Chimbindi,Theresa Smit,Nonhlanhla Okesola, Cheryl Johnson, Karin Hatzold,Janet Seeley, Frances Cowan, Liz Corbett, Maryam Shahmanesh

Title:The impact and cost-effectiveness of community-based HIV self-testing in sub-Saharan Africa: a health economic and modelling analysis

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Title: Applying user preferences to optimize the contribution of HIV self-testing to reaching the “first 90” target of UNAIDS Fast-track strategy: results from discrete choice experiments in Zimbabwe

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Title: Strengthening the scale-up and uptake of effective interventions for sex workers for population impact in Zimbabwe

Authors: Frances M Cowan , Sungai T Chabata , Sithembile Musemburi , Elizabeth Fearon , Calum Davey ,Tendayi Ndori-Mharadze , Loveleen Bansi-Matharu , Valentina Cambiano , Richard Steen , Joanna Busza , Raymond Yekeye, Owen Mugurungi, James R Hargreaves and Andrew N Phillips

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Title: HIV risk among young women who sell sex by whether they identify as sex workers: analysis of respondent-driven sampling surveys, Zimbabwe, 2017

Authors: Bernadette Hensen , Sungai T Chabata , Sian Floyd, Tarisai Chiyaka, Phillis Mushati, Joanna Busza, Isolde Birdthistle , James R Hargreaves and Frances M Cowan

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Title: Is the PrePex device an alternative for surgical male circumcision in adolescents ages 13–17 years? Findings from routine service delivery during active surveillance in Zimbabwe

Authors: Webster Mavhu, Karin Hatzold, Ngonidzashe Madidi, Brian Maponga,Roy Dhlamini, Malvern Munjoma, Sinokuthemba Xaba, Getrude Ncube,Owen Mugurungi, Frances M. Cowan

Title: Understanding the experience and manifestation of depression in adolescents living with HIV in Harare, Zimbabwe

Authors: Nicola Willis, Webster Mavhu, Carol Wogrin, Abigail Mutsinze, Ashraf Kagee

Abstract

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Title: Zvandiri—Bringing a Differentiated Service Delivery Program to Scale for Children, Adolescents, and Young People in Zimbabwe

Abstract

Title: “Well, not me, but other women do not register because”- Barriers to seeking antenatal care in the context of prevention of mother-to-child transmission of HIV among Zimbabwean women: a mixed methods study

Authors: Euphemia L. Sibanda , Sarah Bernays , Ian V. D. Weller , James G. Hakim5 and Frances M. Cowan

Abstract

Title: Changes in engagement in HIV prevention and care services among female sex workers during intensified community mobilization in 3 sites in Zimbabwe, 2011 to 2015

Authors: Tendayi Ndori-Mharadze, Elizabeth Fearon, Joanna Busza, Jeffrey Dirawo, Sithembile Musemburi, Calum Davey, Xeno Acharya, Sibongile Mtetwa, James R Hargreaves and Frances Cowan

Abstract

Title: Sexual behavior experiences and characteristics of male-female partnerships among HIV positive adolescent girls and young women: Qualitative findings from Zimbabwe

Authors: Webster Mavhu, Elizabeth Rowley, Ibou Thior, Natalie Kruse-Levy, Owen Mugurungi, Getrude Ncube, Suzanne Leclerc-Madlala

Abstract

Title: Evaluating the impact of DREAMS on HIV incidence among young women who sell sex: protocol for a non-randomised study in Zimbabwe

Authors: Bernadette Hensen, James R. Hargreaves, Tarisai Chiyaka, Sungai Chabata, Phillis Mushati, Sian Floyd, Isolde Birdthistle, Joanna Busza and Frances Cowan

Abstract

Title: Targeted combination prevention to support female sex workers in Zimbabwe accessing and adhering to antiretrovirals for treatment and prevention of HIV (SAPPH-IRe): A cluster-randomised trial

Guest Editors: James R Hargreaves, Judith D Auerbach, Bernadette Hensen, Simon Gregson
Supplement Editors: Marlène Bras, Elisa de Castro Alvarez

Authors
IOchoa-Moreno, S. Bautista-Arredondo, S. I. McCoy, R. Buzdugan, C. Mangenah, N. S. Padian, F. M. Cowan

Authors: Sungai T. Chabata · Bernadette Hensen · Tarisai Chiyaka · Phillis Mushati · Sibongile Mtetwa ·
Dagmar Hanisch · Sue Napierala · Joanna Busza · Sian Floyd · Elizabeth Fearon · Isolde Birdthistle ·
James R. Hargreaves · Frances M. Cowan