Joanna Busza
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Author Swipe
View article: How and why do young people engage in STI screening, treatment, and partner notification? A qualitative positive deviance study in Zimbabwe
How and why do young people engage in STI screening, treatment, and partner notification? A qualitative positive deviance study in Zimbabwe Open
Young people have a high burden of sexually transmitted infections (STIs) but low uptake of and high attrition from services. We adopted a positive deviance approach to explore uptake of STI screening, treatment, and partner notification w…
View article: Risk differentiated microplanning among female sex workers in Zimbabwe: a mixed methods evaluation guided by the RE-AIM framework
Risk differentiated microplanning among female sex workers in Zimbabwe: a mixed methods evaluation guided by the RE-AIM framework Open
Introduction Globally, female sex workers (FSW) are nine times more likely to acquire HIV than women in the wider population. “Microplanning”, an enhanced peer outreach approach, has demonstrated effectiveness in engaging FSWs in HIV servi…
View article: Exploring the Interplay of Social and Physical Factors in Risk Dynamics and Transitions Across the Life-Course of Female Sex Workers in Blantyre, Malawi: A Longitudinal Narrative Study
Exploring the Interplay of Social and Physical Factors in Risk Dynamics and Transitions Across the Life-Course of Female Sex Workers in Blantyre, Malawi: A Longitudinal Narrative Study Open
Sexual risk amongst female sex workers (FSW) varies across the life-course and is influenced by socio-economic and interpersonal factors that affect behavioural choices and engagement in HIV/STI care. We explored transitions in the life-co…
View article: What happened with preexposure prophylaxis uptake among female sex workers in Zimbabwe? Implications for future prevention programmes
What happened with preexposure prophylaxis uptake among female sex workers in Zimbabwe? Implications for future prevention programmes Open
After much optimism surrounding the introduction of oral pre-exposure prophylaxis (PrEP) there have been many disappointments around its unrealised promise, particularly for high-risk women in sub-Saharan Africa. Even when uptake has been …
View article: Preventing HIV in women in Africa
Preventing HIV in women in Africa Open
View article: Improving measures of context in process evaluations: development and use of the Context Tracker tool
Improving measures of context in process evaluations: development and use of the Context Tracker tool Open
Background Process evaluations are increasingly integrated into randomised controlled trials (RCTs) of complex interventions to document their delivery and interactions with local systems and dynamics, helping understand observed health ou…
View article: Effect of a community-based intervention for sexually transmitted infections on population-level prevalence among youth in Zimbabwe (STICH): a cluster-randomised trial
Effect of a community-based intervention for sexually transmitted infections on population-level prevalence among youth in Zimbabwe (STICH): a cluster-randomised trial Open
Medical Research Council, Economic and Social Research Council, Department for International Development, National Institute for Health and Care Research, and the Wellcome Trust.
View article: Factors Influencing Decision-making for Institutional Delivery in Rural Nepal: A Qualitative Study
Factors Influencing Decision-making for Institutional Delivery in Rural Nepal: A Qualitative Study Open
Maternal mortality is a critical global issue, with approximately 800 preventable deaths occurring daily in 2020, predominantly in low and lower middle-income countries. Nepal, recording 151 maternal deaths per 100,000 live births in 2021,…
View article: Improving measures of context in process evaluations: Development and use of the Context Tracker tool
Improving measures of context in process evaluations: Development and use of the Context Tracker tool Open
Background Process evaluations are increasingly integrated into randomised controlled trials (RCTs) of complex interventions to document their delivery and interactions with local systems and dynamics, helping understand observed health ou…
View article: The effect on HIV transmission and cost-effectiveness of programmes for female sex workers in East, Central, and Southern Africa: a modelling study
The effect on HIV transmission and cost-effectiveness of programmes for female sex workers in East, Central, and Southern Africa: a modelling study Open
View article: A risk-differentiated, community-led intervention to strengthen uptake and engagement with HIV prevention and care cascades among female sex workers in Zimbabwe (AMETHIST): a cluster randomised trial
A risk-differentiated, community-led intervention to strengthen uptake and engagement with HIV prevention and care cascades among female sex workers in Zimbabwe (AMETHIST): a cluster randomised trial Open
For the Shona and Ndebele translations of the abstract see Supplementary Materials section.
View article: Using a Programme Science approach to substantially reduce the risk of HIV transmission and acquisition in sex transactions among female sex workers in Zimbabwe
Using a Programme Science approach to substantially reduce the risk of HIV transmission and acquisition in sex transactions among female sex workers in Zimbabwe Open
Introduction We used a Programme Science platform, to generate evidence to support the implementation of programmes for sex workers in Africa. Female sex workers are estimated to make up 1.6% (1.3%–1.8%) of the population of women aged 15−…
View article: Risk factors for curable sexually transmitted infections among youth: findings from the STICH population survey in Zimbabwe
Risk factors for curable sexually transmitted infections among youth: findings from the STICH population survey in Zimbabwe Open
Objectives Youth are at high risk of sexually transmitted infections (STIs) in Africa. We aimed to determine the risk factors for curable STIs in youth in Zimbabwe. Methods A population-based survey was conducted among randomly selected 18…
View article: We carried her in a wheelbarrow to the clinic”: Process evaluation of the AMETHIST intervention combining microplanning with self-help groups to improve HIV prevention and treatment among female sex workers in Zimbabwe
We carried her in a wheelbarrow to the clinic”: Process evaluation of the AMETHIST intervention combining microplanning with self-help groups to improve HIV prevention and treatment among female sex workers in Zimbabwe Open
Background The Adapted Microplanning to Eliminate Transmission of HIV in Sex Transactions (AMETHIST) randomized controlled trial tested a combination of Microplanning (peer-led risk-differentiated support) and self-help groups (SHGs) to re…
View article: Safe inhalation pipe provision (SIPP): protocol for a mixed-method evaluation of an intervention to improve health outcomes and service engagement among people who use crack cocaine in England
Safe inhalation pipe provision (SIPP): protocol for a mixed-method evaluation of an intervention to improve health outcomes and service engagement among people who use crack cocaine in England Open
Background Over 180,000 people use crack cocaine in England, yet provision of smoking equipment to support safer crack use is prohibited under UK law. Pipes used for crack cocaine smoking are often homemade and/or in short supply, leading …
View article: Accidental traffickers: qualitative findings on labour recruitment in Ethiopia
Accidental traffickers: qualitative findings on labour recruitment in Ethiopia Open
Background The growth of labour migration and associated risks of human trafficking and exploitation remain significant global human rights and health challenges. There is increasing policy interest in addressing structural determinants of…
View article: The impact of community-based integrated HIV and sexual and reproductive health services for youth on population-level HIV viral load and sexually transmitted infections in Zimbabwe: protocol for the CHIEDZA cluster-randomised trial
The impact of community-based integrated HIV and sexual and reproductive health services for youth on population-level HIV viral load and sexually transmitted infections in Zimbabwe: protocol for the CHIEDZA cluster-randomised trial Open
Background Youth have poorer HIV-related outcomes when compared to other age-groups. We describe the protocol for a cluster randomised trial (CRT) to evaluate the effectiveness of community-based, integrated HIV and sexual and reproductive…
View article: Accidental traffickers: Qualitative findings on labour recruitment in Ethiopia
Accidental traffickers: Qualitative findings on labour recruitment in Ethiopia Open
Background The growth of labour migration and associated risks of human trafficking and exploitation remain significant global human rights and health challenges. There is increasing policy interest in addressing structural determinants of…
View article: Evaluation of a community-based aetiological approach for sexually transmitted infections management for youth in Zimbabwe: intervention findings from the STICH cluster randomised trial
Evaluation of a community-based aetiological approach for sexually transmitted infections management for youth in Zimbabwe: intervention findings from the STICH cluster randomised trial Open
View article: Facilitators and barriers to engaging with the DREAMS initiative among young women who sell sex aged 18–24 in Zimbabwe: a qualitative study
Facilitators and barriers to engaging with the DREAMS initiative among young women who sell sex aged 18–24 in Zimbabwe: a qualitative study Open
Background Adolescent girls and young women (AGYW) are at high risk of contracting HIV and exchanging sex for financial or material support heightens their risk. In Zimbabwe, the DREAMS initiative integrated education and employment opport…
View article: Fidelity, Feasibility and Adaptation of a Family Planning Intervention for Young Women in Zimbabwe: Provider Perspectives and Experiences
Fidelity, Feasibility and Adaptation of a Family Planning Intervention for Young Women in Zimbabwe: Provider Perspectives and Experiences Open
The CHIEDZA (Community-based Interventions to improve HIV outcomes in youth: a cluster randomised trial in Zimbabwe) trial evaluated an integrated package of HIV and sexual and reproductive health services for young people aged 16–24 years…
View article: AMETHIST – A Risk-Differentiated, Community-Led Intervention to Strengthen Uptake and Engagement with HIV Prevention and Care Cascades Among Female Sex Workers in Zimbabwe: The Results of a Cluster Randomised Trial
AMETHIST – A Risk-Differentiated, Community-Led Intervention to Strengthen Uptake and Engagement with HIV Prevention and Care Cascades Among Female Sex Workers in Zimbabwe: The Results of a Cluster Randomised Trial Open
View article: Evaluation of a Community-Based Aetiological Approach for Sexually Transmitted Infections Management for Youth in Zimbabwe
Evaluation of a Community-Based Aetiological Approach for Sexually Transmitted Infections Management for Youth in Zimbabwe Open
View article: Facilitators and barriers to engaging with the DREAMS initiative among young women who sell sex aged 18-24 in Zimbabwe: a qualitative study
Facilitators and barriers to engaging with the DREAMS initiative among young women who sell sex aged 18-24 in Zimbabwe: a qualitative study Open
Background Adolescent girls and young women are at high risk of contracting HIV and exchanging sex for financial or material support heightens their risk. In Zimbabwe, the DREAMS initiative integrated education and employment opportunities…
View article: Migrant Women’s Health and Safety: Why Do Ethiopian Women Choose Irregular Migration to the Middle East for Domestic Work?
Migrant Women’s Health and Safety: Why Do Ethiopian Women Choose Irregular Migration to the Middle East for Domestic Work? Open
Background: Low-wage labour migration is an increasing determinant of global health, associated with risks of exploitation, abuse, and unsafe conditions. Despite efforts to prevent irregular migration and initiatives to warn individuals of…
View article: Strategies to Identify and Reach Young Women Who Sell Sex With HIV Prevention and Care Services: Lessons Learnt From the Implementation of DREAMS Services in Two Cities in Zimbabwe
Strategies to Identify and Reach Young Women Who Sell Sex With HIV Prevention and Care Services: Lessons Learnt From the Implementation of DREAMS Services in Two Cities in Zimbabwe Open
Background Young women who sell sex (YWSS), are underserved by available HIV prevention and care services. The Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) Partnership aimed to reduce the risk of HIV acquisition …
View article: Engagement in HIV services over time among young women who sell sex in Zimbabwe
Engagement in HIV services over time among young women who sell sex in Zimbabwe Open
Introduction Young female sex workers (FSW) are disproportionately vulnerable to HIV. Zimbabwe data show higher HIV incidence and lower engagement in services compared to older FSW. Utilizing data from a combination HIV prevention and trea…
View article: Interrupted Access to and Use of Family Planning Among Youth in a Community‐Based Service in Zimbabwe During the First Year of the COVID‐19 Pandemic
Interrupted Access to and Use of Family Planning Among Youth in a Community‐Based Service in Zimbabwe During the First Year of the COVID‐19 Pandemic Open
The COVID‐19 pandemic has had serious impacts on economic, social, and health systems, and fragile public health systems have become overburdened in many countries, exacerbating existing service delivery challenges. This study describes th…
View article: Family Planning Experiences and Needs of Young Women Living With and Without HIV Accessing an Integrated HIV and SRH Intervention in Zimbabwe-An Exploratory Qualitative Study
Family Planning Experiences and Needs of Young Women Living With and Without HIV Accessing an Integrated HIV and SRH Intervention in Zimbabwe-An Exploratory Qualitative Study Open
Background People living with HIV have higher unmet family planning needs compared to those without HIV. This is heightened for young people. However, the provision of family planning for young people within HIV programmes is uncommon. We …
View article: ‘I was in need of somewhere to release my hurt:’ Addressing the mental health of vulnerable adolescent mothers in Harare, Zimbabwe, through self-help groups
‘I was in need of somewhere to release my hurt:’ Addressing the mental health of vulnerable adolescent mothers in Harare, Zimbabwe, through self-help groups Open
Participants believed involvement in interactive self-help groups improved their mental health by strengthening peer support and engendering hope for the future. Although reduced mental distress cannot be attributed to the programme, the p…