Sungai T. Chabata
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Author Swipe
View article: HIV Prevalence, Virological Suppression, and Consistent Condom Use among Social Venue-Going Men in Zimbabwe: Insights from the 2022 Priorities for Local AIDS Control Efforts (PLACE) Surveys
HIV Prevalence, Virological Suppression, and Consistent Condom Use among Social Venue-Going Men in Zimbabwe: Insights from the 2022 Priorities for Local AIDS Control Efforts (PLACE) Surveys Open
Introduction Men attending social venues face barriers to accessing HIV prevention and care services. These venues—such as bars, guesthouses, nightclubs, and transport hubs—facilitate new sexual partnerships but lack cohesive social networ…
View article: The impact of the PEPFAR funding freeze on HIV deaths and infections: a mathematical modelling study of seven countries in sub-Saharan Africa
The impact of the PEPFAR funding freeze on HIV deaths and infections: a mathematical modelling study of seven countries in sub-Saharan Africa Open
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: Condomless sexual encounters among female sex workers included in a longitudinal coital diary study in Zimbabwe
Condomless sexual encounters among female sex workers included in a longitudinal coital diary study in Zimbabwe Open
Condomless sex was common and varied based on FSW age, partner type, experiencing violence during sex, and KP programme contact. These findings emphasize the need for continued condom promotion, counseling, violence mitigation, and trainin…
View article: Preventing HIV in women in Africa
Preventing HIV in women in Africa Open
View article: High Prevalence of Sexually Transmitted Infections and Poor Sensitivity and Specificity of Screening Algorithms for Chlamydia and Gonorrhea Among Female Sex Workers in Zimbabwe: Analysis of Respondent-Driven Sampling Surveys in 3 Communities
High Prevalence of Sexually Transmitted Infections and Poor Sensitivity and Specificity of Screening Algorithms for Chlamydia and Gonorrhea Among Female Sex Workers in Zimbabwe: Analysis of Respondent-Driven Sampling Surveys in 3 Communities Open
Background Effective strategies to reduce sexually transmitted infection burden and transmission among female sex workers (FSWs) and their networks are needed. We report sexually transmitted infection prevalence among FSWs in Zimbabwe and …
View article: Condomless sexual encounters among female sex workers included in a longitudinal coital diary study in Zimbabwe
Condomless sexual encounters among female sex workers included in a longitudinal coital diary study in Zimbabwe Open
Background: Compared with the general female population, female sex workers (FSWs) experience a greater burden of STIs, including HIV. Consistent condom use reduces HIV risk; however, while many FSWs are aware of condom efficacy, this know…
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
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: Aetiology of vaginal discharge, urethral discharge, and genital ulcer in sub-Saharan Africa: A systematic review and meta-regression
Aetiology of vaginal discharge, urethral discharge, and genital ulcer in sub-Saharan Africa: A systematic review and meta-regression Open
Background Syndromic management is widely used to treat symptomatic sexually transmitted infections in settings without aetiologic diagnostics. However, underlying aetiologies and consequent treatment suitability are uncertain without regu…
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: How Can Programs Better Support Female Sex Workers to Avoid HIV Infection in Zimbabwe? A Prevention Cascade Analysis
How Can Programs Better Support Female Sex Workers to Avoid HIV Infection in Zimbabwe? A Prevention Cascade Analysis Open
Background:"HIV prevention cascades" have been proposed to support programs by identifying gaps in demand for, access to, and capability to adhere to HIV prevention tools, but there are few empirical examples to guide development. We apply…
View article: Aetiology of vaginal discharge, urethral discharge, and genital ulcer in sub-Saharan Africa: systematic review and meta-regression
Aetiology of vaginal discharge, urethral discharge, and genital ulcer in sub-Saharan Africa: systematic review and meta-regression Open
Introduction Syndromic management is widely used to treat symptomatic sexually transmitted infections in settings lacking aetiologic diagnostics. However, heterogeneity in underlying aetiologies and consequent treatment suitability are unc…
View article: 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
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 Open
BACKGROUND: National-level population size estimates (PSEs) for hidden populations are required for HIV programming and modelling. Various estimation methods are available at the site-level, but it remains unclear which are optimal and how…
View article: Temporal trends in, and risk factors for, HIV seroconversion among female sex workers accessing Zimbabwe's national sex worker programme, 2009–19: a retrospective cohort analysis of routinely collected HIV testing data
Temporal trends in, and risk factors for, HIV seroconversion among female sex workers accessing Zimbabwe's national sex worker programme, 2009–19: a retrospective cohort analysis of routinely collected HIV testing data Open
View article: Aetiology of Vaginal Discharge, Urethral Discharge and Genital Ulcer in Sub-Saharan Africa: Systematic Review and Meta-Regression
Aetiology of Vaginal Discharge, Urethral Discharge and Genital Ulcer in Sub-Saharan Africa: Systematic Review and Meta-Regression Open
View article: Temporal Trends and Risk Factors for HIV Seroconversion Among Female Sex Workers Accessing Zimbabwe's National Sex Worker Programme: An Analysis of Routinely Collected HIV Testing Data between 2009 and 2019
Temporal Trends and Risk Factors for HIV Seroconversion Among Female Sex Workers Accessing Zimbabwe's National Sex Worker Programme: An Analysis of Routinely Collected HIV Testing Data between 2009 and 2019 Open
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: 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: Interpreting declines in HIV test positivity: an analysis of routine data from Zimbabwe's national sex work programme, 2009–2019
Interpreting declines in HIV test positivity: an analysis of routine data from Zimbabwe's national sex work programme, 2009–2019 Open
Introduction Early diagnosis of HIV is critical for epidemic control. To achieve this, successful testing programmes are essential and test positivity is often used as a marker of their performance. The aim of this study was to analyse tre…
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: No increased HIV risk in general population near sex work sites: A nationally representative cross‐sectional study in Zimbabwe
No increased HIV risk in general population near sex work sites: A nationally representative cross‐sectional study in Zimbabwe Open
Objectives Sex work sites have been hypothesised to be at the root of the observed heterogeneity in HIV prevalence in sub‐Saharan Africa. We determined if proximity to sex work sites is associated with HIV prevalence among the general popu…
View article: Differentiated prevention and care to reduce the risk of HIV acquisition and transmission among female sex workers in Zimbabwe: study protocol for the ‘AMETHIST’ cluster randomised trial
Differentiated prevention and care to reduce the risk of HIV acquisition and transmission among female sex workers in Zimbabwe: study protocol for the ‘AMETHIST’ cluster randomised trial Open
View article: Proximity to sex work sites is not associated with higher HIV prevalence in the general population in Zimbabwe
Proximity to sex work sites is not associated with higher HIV prevalence in the general population in Zimbabwe Open
In Zimbabwe, as in other East and Southern African countries, HIV prevalence is largely geographically heterogeneous. We determined if, and to what extent, this heterogeneity is associated with proximity to sex work sites by type of site (…
View article: Differentiated Prevention And Care To Reduce The Risk of HIV Acquisition And Transmission Among Female Sex Workers In Zimbabwe: Study Protocol For The ‘AMETHIST’ Cluster Randomised Trial
Differentiated Prevention And Care To Reduce The Risk of HIV Acquisition And Transmission Among Female Sex Workers In Zimbabwe: Study Protocol For The ‘AMETHIST’ Cluster Randomised Trial Open
Background: Female sex workers (FSW) in sub-Saharan Africa are disproportionately affected by HIV and are critical to engage in both HIV prevention and care. Here we describe our approach to evaluation of the AMETHIST intervention for FSW,…
View article: Innovative demand creation strategies to increase voluntary medical male circumcision uptake: a pragmatic randomised controlled trial in Zimbabwe
Innovative demand creation strategies to increase voluntary medical male circumcision uptake: a pragmatic randomised controlled trial in Zimbabwe Open
Introduction Reaching men aged 20–35 years, the group at greatest risk of HIV, with voluntary medical male circumcision (VMMC) remains a challenge. We assessed the impact of two VMMC demand creation approaches targeting this age group in a…
View article: How Can We Support the Use of Oral PrEP Among Young Women who Sell Sex? A PrEP Cascade Analysis
How Can We Support the Use of Oral PrEP Among Young Women who Sell Sex? A PrEP Cascade Analysis Open
Background: We constructed self-reported pre-exposure prophylaxis (PrEP) cascades and explored factors associated with and barriers to PrEP use to inform efforts to support PrEP use among young women who sell sex. Methods: Using self-repor…
View article: Potential reduction in female sex workers’ risk of contracting HIV during coronavirus disease 2019
Potential reduction in female sex workers’ risk of contracting HIV during coronavirus disease 2019 Open
Female sex workers’ livelihoods in Zimbabwe have been severely impacted by the coronavirus disease 2019 pandemic due to closure of entertainment venues. Competition over fewer clients has reduced ability to negotiate condom use. At the sam…
View article: The impact of the DREAMS partnership on HIV incidence among young women who sell sex in two Zimbabwean cities: results of a non-randomised study
The impact of the DREAMS partnership on HIV incidence among young women who sell sex in two Zimbabwean cities: results of a non-randomised study Open
Introduction Young women who sell sex (YWSS) in Zimbabwe remain at high risk of HIV infection. Effective HIV prevention strategies are needed. Through support to access a combination of evidence-based interventions, including oral pre-expo…