Elizabeth A. Bukusi
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View article: Phone calls to enhance PrEP persistence among Kenyan women accessing postabortal care: a cluster randomized trial
Phone calls to enhance PrEP persistence among Kenyan women accessing postabortal care: a cluster randomized trial Open
Introduction In Kenya, young women face dual epidemics of HIV and unintended pregnancy, yet provision of HIV pre-exposure prophylaxis (PrEP) in reproductive health settings is uncommon. We aimed to estimate PrEP uptake and persistence when…
View article: Perspectives on App-Assisted Self-Testing Using Rapid Diagnostic Tests Among Community Members, Health Care Providers, and Public Health Leaders in Kenya, South Africa, and Zambia: Qualitative Study
Perspectives on App-Assisted Self-Testing Using Rapid Diagnostic Tests Among Community Members, Health Care Providers, and Public Health Leaders in Kenya, South Africa, and Zambia: Qualitative Study Open
Background Self-testing using rapid diagnostic tests (RDTs), integrated with mobile phone–based apps, offers potential to improve health outcomes in low-resource settings, including sub-Saharan Africa. Despite its advantages, uptake remain…
View article: Experiences around testing and linkage to HIV care among gay, bisexual and other men who have sex with men: qualitative findings from the patient-centered care project in the lake Victoria region of Kenya
Experiences around testing and linkage to HIV care among gay, bisexual and other men who have sex with men: qualitative findings from the patient-centered care project in the lake Victoria region of Kenya Open
Although the Kenyan Ministry of Health recognizes key populations in addressing the country's HIV epidemic, gay, bisexual, and other men who have sex with men (GBMSM) face challenges in HIV testing, linkage, and retention in care. This stu…
View article: Mentorship—A critical metric for career development and advancing global health
Mentorship—A critical metric for career development and advancing global health Open
Mentorship plays a critical role in promoting career development and generating impactful research and programs, yet it is typically considered an altruistic endeavor and a luxury. Mentorship programs are largely unfunded and unsupported, …
View article: Pathways between intimate partner violence and HIV care and treatment during pregnancy and postpartum: A qualitative study in southwestern Kenya
Pathways between intimate partner violence and HIV care and treatment during pregnancy and postpartum: A qualitative study in southwestern Kenya Open
Intimate partner violence (IPV) is associated with suboptimal HIV treatment behaviors and health outcomes among perinatal women. Less is known about the postpartum phase or how distinct types of perinatal IPV exposure may inhibit HIV-relat…
View article: Facilitators and barriers to using iris scanning for identification of mobile populations at high risk of HIV in fishing communities of Lake Victoria in East Africa.
Facilitators and barriers to using iris scanning for identification of mobile populations at high risk of HIV in fishing communities of Lake Victoria in East Africa. Open
The growing concern over participant identification in research, spurred on by flaws in conventional methods like name/date of birth-based identity cards, hospital cards and names, has led to adverse consequences, such as drug misadministr…
View article: Pathways between intimate partner violence and HIV care and treatment during pregnancy and postpartum: A qualitative study in southwestern Kenya
Pathways between intimate partner violence and HIV care and treatment during pregnancy and postpartum: A qualitative study in southwestern Kenya Open
Intimate partner violence (IPV) is associated with suboptimal HIV treatment behaviors and health outcomes among perinatal women. Less is known about the postpartum phase or how distinct types of perinatal IPV exposure may inhibit HIV-relat…
View article: Evaluating the effectiveness of a One-Stop PrEP Care model to enhance HIV prevention: a protocol for a cluster-randomised trial in Kisumu County, Kenya
Evaluating the effectiveness of a One-Stop PrEP Care model to enhance HIV prevention: a protocol for a cluster-randomised trial in Kisumu County, Kenya Open
Introduction Oral HIV pre-exposure prophylaxis (PrEP) is a highly effective biomedical intervention for HIV prevention, but its access and utilisation are challenging, especially in high-burden settings such as Kenya. For potential PrEP us…
View article: An in-depth interview study of women's perspectives on the effects of contraceptive use on future fertility in Ethiopia and Kenya
An in-depth interview study of women's perspectives on the effects of contraceptive use on future fertility in Ethiopia and Kenya Open
Infertility is a common perceived side effect of contraceptive use among women in sub-Saharan Africa, and fear of infertility can affect contraceptive choices. While no choice is inherently negative, it is critical that women have accurate…
View article: Cross-Cultural Adaptation of Scales Measuring Stigma Related to HPV, HIV, and Cervical Cancer Stigma for Use in a Kenyan Context
Cross-Cultural Adaptation of Scales Measuring Stigma Related to HPV, HIV, and Cervical Cancer Stigma for Use in a Kenyan Context Open
Objective To develop and validate a culturally adapted stigma scale to measure the levels and effects of human papillomavirus (HPV)- and cervical cancer-related stigma, especially as cervical cancer prevention strategies become globally av…
View article: Effectiveness and experiences with differentiated service delivery of HIV care in Kisumu County, Kenya: A mixed methods study, 2014–2021
Effectiveness and experiences with differentiated service delivery of HIV care in Kisumu County, Kenya: A mixed methods study, 2014–2021 Open
The adoption of the test and treat policy by the World Health Organization (WHO) in 2015 led to an unprecedented increase in the number of people living with HIV (PLHIV) enrolling into HIV treatment, thereby increasing the burden on HIV se…
View article: Evaluating the effectiveness of FlashDx for diagnosing STIs among PrEP users in Kenya: A pilot study on diagnostic accuracy and prevalence. (Preprint)
Evaluating the effectiveness of FlashDx for diagnosing STIs among PrEP users in Kenya: A pilot study on diagnostic accuracy and prevalence. (Preprint) Open
BACKGROUND The global impact of sexually transmitted infections (STIs) significantly affects low- and middle-income countries (LMICs)In Kenya, where access to STI diagnostics is limited, effective diagnostic solutions are critically neede…
View article: Correction: Attitudes towards and experiences with economic incentives for engagement in HIV care and treatment: Qualitative insights from a randomized trial in Kenya
Correction: Attitudes towards and experiences with economic incentives for engagement in HIV care and treatment: Qualitative insights from a randomized trial in Kenya Open
[This corrects the article DOI: 10.1371/journal.pgph.0000204.].
View article: Knowledge, confidence and social support: Kenyan women’s priority needs for contraceptive self-injection learning through a social cognitive theory lens
Knowledge, confidence and social support: Kenyan women’s priority needs for contraceptive self-injection learning through a social cognitive theory lens Open
Background Self-injectable contraceptives provide individuals the opportunity to prevent pregnancy with a self-controlled method that helps enhance self-care. Kenya is in the process of making self-injectable subcutaneous depot medroxyprog…
View article: An emerging TIMER-2C framework for addressing barriers to research culture and productivity among local healthcare providers in the Middle East and sub-Saharan Africa: a qualitative study and modified Delphi approach
An emerging TIMER-2C framework for addressing barriers to research culture and productivity among local healthcare providers in the Middle East and sub-Saharan Africa: a qualitative study and modified Delphi approach Open
Background Contributions from healthcare professionals in the Middle East and North Africa (MENA) and sub-Saharan Africa (SSA) to global health research remain disproportionately low. we conceptualized the TIMER-2C framework as emerging ap…
View article: Examining and classifying reasons for missing viral loads among adults living with HIV: An extended outcome investigation and ascertainment approach in Western Kenya
Examining and classifying reasons for missing viral loads among adults living with HIV: An extended outcome investigation and ascertainment approach in Western Kenya Open
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-lev…
View article: A modified pharmacy provider‐led delivery model of oral HIV pre‐ and post‐exposure prophylaxis in Kenya: a pilot study extension
A modified pharmacy provider‐led delivery model of oral HIV pre‐ and post‐exposure prophylaxis in Kenya: a pilot study extension Open
Introduction Private pharmacies in Africa reach individuals with ongoing and periodic HIV risk, yet few countries currently leverage pharmacies as an HIV service delivery platform. We conducted a 6‐month pilot to evaluate a model for pharm…
View article: Examining and classifying reasons for missing viral loads among adults living with HIV: An extended outcome investigation and ascertainment approach in Western Kenya
Examining and classifying reasons for missing viral loads among adults living with HIV: An extended outcome investigation and ascertainment approach in Western Kenya Open
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-lev…
View article: Metrics of Mobility by Sex are Associated with HIV Incidence in Rural Kenya and Uganda
Metrics of Mobility by Sex are Associated with HIV Incidence in Rural Kenya and Uganda Open
The complex and dynamic nature of human mobility requires use of multiple measures and sex-stratified analyses to fully understand its influence on HIV acquisition risk in specific populations and settings. Longitudinal population-based st…
View article: Supporting Contraceptive Decision-Making in the Intermediated Pharmacy Setting in Kenya
Supporting Contraceptive Decision-Making in the Intermediated Pharmacy Setting in Kenya Open
Adolescent girls and young women (AGYW) in sub-Saharan Africa face unique barriers to contraceptive access and lack AGYW-centered contraceptive decision-support resources. To empower AGYW to make informed choices and improve reproductive h…
View article: True and false positive HIV point of care test results in a prospective multinational study of at-risk African women: implications for large-scale repeat HIV testing in HIV prevention programs.
True and false positive HIV point of care test results in a prospective multinational study of at-risk African women: implications for large-scale repeat HIV testing in HIV prevention programs. Open
BACKGROUND: Accurate HIV point of care testing is the cornerstone of prevention and treatment efforts globally, though false (both negative and positive) results are expected to occur. SETTING: We assessed the spectrum of true and false po…
View article: Testing different models of pharmacy-based HIV pre- and post-exposure prophylaxis initiation and management in Kenya: protocol for a cluster-randomized controlled trial
Testing different models of pharmacy-based HIV pre- and post-exposure prophylaxis initiation and management in Kenya: protocol for a cluster-randomized controlled trial Open
Background: In Kenya, as in many African countries, private pharmacies are ubiquitous, frequently accessed, and underutilized for the delivery of HIV prevention services. Whether enabling private pharmacies to initiate and manage clients o…
View article: Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement: a qualitative study
Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement: a qualitative study Open
Background Conditional cash transfers (CCTs) have been shown to improve retention in HIV care while they are provided, but their long-term effectiveness remains uncertain and effects may be time-limited, with cessation resulting in HIV car…