Talitha Crowley
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Health services’ responses to transitioning adolescents to adult HIV care in South Africa Open
Background: Adolescents living with human immunodeficiency virus (HIV) aged 10–19 years account for 1.7 million globally, with 82% residing in sub-Saharan Africa. Older adolescents (15-19 years) assume greater responsibility for their own …
Losing Their Way: A Cohort Analysis of Retention in Care Among Adolescents on Antiretroviral Therapy in Lusaka District, Zambia Open
Background Retention in antiretroviral therapy (ART) is crucial for adherence, viral suppression, and preventing drug resistance. Adolescents (10-19 years) face retention challenges, affecting progress toward 95% viral suppression. Data on…
Patterns of Transition of Adolescents in an HIV Care Programme in Peri-Urban Cape Town, South Africa: A Photovoice Study Open
Successful transition from paediatric to adult HIV care programme is a critical developmental milestone in the care trajectory of adolescents living with HIV (ALHIV). The transition process involves a shift from a structured, caregiver-sup…
Reflections of Resilience and Vulnerability of Adolescents Living with HIV During COVID-19: A Photovoice Study in Peri-Urban Cape Town, South Africa Open
Background: Adolescents living with HIV (ALHIV) in low socio-economic contexts face challenges related to physical development and health, stigma, and economic instability. The onset of the COVID-19 pandemic exacerbated these vulnerabiliti…
Lived Experiences of Nursing Students and Educators on Self-Management in Teaching and Learning in Ghana: An Interpretive Phenomenological Study Open
Introduction As students enter nursing education, they shift away from parental control and school support, taking responsibility for themselves and their academic performance. This independence requires self-management abilities. However,…
Community leaders’ experiences of hepatitis E in a Namibian informal settlement: A qualitative study Open
Background: The hepatitis E virus (HEV) is a major global health concern, with an estimated one-third of the human population infected. It is particularly prevalent in developing countries, especially in informal settlements where inadequa…
Preferences of South African Adolescents Living with HIV in the Western Cape Province Regarding the Use of Digital Technology for Self-Management Open
Adolescents living with HIV (ALHIV) face significant challenges in self-managing their chronic condition. Digital health technology (DHT) has become increasingly common and understanding ALHIVs’ preferences is essential for developing inte…
Health literacy of undergraduate students at a university in the Western Cape: A survey Open
Background: Health literacy is critical in the lives of young people such as university students to ensure that they can access information about health risks and implement appropriate health promotion and disease prevention strategies. Ai…
Mapping health policies for optimum service delivery to adolescents on HIV treatment in Zambia: a document review Open
Zambian health policies and guidelines align with global recommendations to optimize health service delivery for ALHIV in four of the six WHO Health Systems building blocks, as evidenced in the relevant global health policies. However, sig…
Experiences of Adolescents Living with HIV on Transitioning from Pediatric to Adult HIV Care in Low- and Middle-Income Countries: A Qualitative Evidence Synthesis Open
(1) Background: Adolescents living with HIV (ALHIVs) experience significant challenges in adhering to treatment and remaining engaged in care as they transition from pediatric to adult HIV care programs. The aim of this qualitative evidenc…
“I-We-I”: Visualizing Adolescents’ Perceptions and Apprehension to Transition to Adult HIV Care at a Supportive Transition Facility in the Cape Town Metropole, South Africa Open
Adolescents living with HIV (ALHIV) (10–19 years) make up approximately 4.2% (320,000) of people living with HIV in South Africa. Adolescence is a developmental period characterized by pervasive biological, social and psychological changes…
Tracking viral control in adolescents on antiretroviral therapy in Lusaka, Zambia: A retrospective cohort analysis Open
Background: In 2023, an estimated 39.9 million people globally were living with HIV, of which 1.55 million were adolescents aged 10–19 years. The 2021 Zambia HIV Impact Assessment revealed lower viral suppression rates in adolescents (15–2…
Transition of adolescents from paediatric to adult HIV care in South Africa: A policy review Open
The successful roll-out and improved delivery of antiretroviral therapy (ART) services has led to paediatric HIV patients surviving to reach adolescence. Adolescents living with HIV (ALHIV) are challenged when transitioning to adult HIV ca…
COVID-19 and Emergency Remote Learning and Teaching: A Mixed Methods Analysis of the Mental Well-Being of Academics at a Higher Education Institution in South Africa Open
The purpose of this study was to investigate how academics at a South African higher education institution (HEI) adapted to emergency remote learning during the COVID–19 pandemic and how it affected their mental well–being. Using a concurr…
Digital Health Interventions for Adolescents with Long-Term Health Conditions in South Africa: A Scoping Review Open
Adolescents with long-term health conditions may benefit from digital health interventions (DHIs) to support self-management. The study aimed to map the current research on DHIs for adolescents with long-term conditions in South Africa, fo…
Mapping the Transition of Adolescents to Adult HIV Care: A Mixed-Methods Perspective from the Cape Town Metropole, South Africa Open
(1) Background: Globally, an estimated 1.7 million adolescents (aged 10–19 years) were living with HIV in 2023, with 82% residing in sub-Saharan Africa. For ALHIV, transitioning to adult care involves assuming responsibility for their own …
Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa Open
Background: Significant strides have been made globally and in South Africa (SA) in the policy and biomedical management of multidrug-resistant tuberculosis (MDR-TB). However, MDR-TB remains a significant public health threat.Aim: This pol…
Digital health interventions for adolescents living with HIV in low- and middle-income countries: A narrative review and logic model Open
The development of digital health interventions for adolescents living with HIV (ALHIV) in low- and middle-income countries (LMICs) remains poorly understood due to limited research. This narrative review applies a logic model to synthesiz…
Illustrations of Coping and Mental Well-Being of Adolescents Living with HIV in Cape Town, South Africa During COVID: A Photovoice Study Open
Adolescents living with HIV (ALHIV) are the fastest-growing population living with HIV globally. The COVID-19 pandemic disrupted health systems, thereby negatively affecting the quality and availability of HIV care and support services. Th…
Eco-nursing competencies for nurses: A scoping review Open
Amidst growing concerns about climate change, nurses are increasingly tasked with preparing to mitigate its health impacts through the delineation of eco-nursing competencies. These competencies will equip nurses to effectively tackle the …
Mapping Health Policies for Optimum Service Delivery to Adolescents on HIV treatment in Zambia: a document review Open
Introduction Adolescents living with HIV (ALHIV) are a highly vulnerable population in HIV care, facing unique service delivery challenges due to their developmental stage, psychosocial needs, and various barriers to accessing comprehensiv…
View article: Nurse prescribing and dispensing in South Africa: Gaps in the current legislative framework
Nurse prescribing and dispensing in South Africa: Gaps in the current legislative framework Open
The contribution of this article lies in its advocacy for changes to the regulatory framework to further enable nurses to deliver safe and comprehensive health care.
Cardiovascular risk among community members in three communities in the Cape Metropole of the Western Cape Open
Nearly a fifth of the participants had a significant probability of developing heart disease or experiencing a stroke over the next 10 years.Contribution: There is an urgent need for comprehensive health promotion and behaviour change inte…
Health Workers’ Responses to COVID-19 Pandemic’s Impact on Service Delivery to Adolescents in HIV Treatment in Cape Town, South Africa: A Qualitative Study Open
Adolescents living with HIV (ALHIVs) are considered a priority population in the fight against HIV, requiring dedicated services. The COVID-19 pandemic and subsequent disruptions deprived ALHIVs on antiretroviral therapy (ART) of the care …
Personal factors influencing female students’ condom use at a higher education institution Open
The findings depict average levels of the use of condoms among female students. Prevention efforts should concentrate on educating female students to strengthen condom use and self-efficacy.Contribution: This study, supporting existing lit…
Experiences of adolescents living with HIV on transitioning from pediatric to adult HIV care in low and middle-income countries: A Qualitative Evidence Synthesis Protocol Open
In South Africa, it is estimated that approximately 320,000 adolescents living with HIV (ALHIV) will transition from pediatric to adult antiretroviral treatment (ART) by 2028. However, the age period of 10–19 years is accompanied by a myri…
A Meta-Methods Analysis of Academics’ Challenges Affecting Research Productivity During COVID-19: Insights from a South African University Open
The purpose of this research study was to examine challenges experienced by academics at Stellenbosch University that hinder their research productivity during the COVID-19 pandemic, involving 248 academics who completed an online question…
Effectiveness, acceptability, and feasibility of technology-enabled health interventions for adolescents living with HIV in low- and middle-income countries: A systematic review protocol Open
Adolescents living with chronic conditions such as HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology offers a promising platform to deliver behaviour-change interventions to adolescents. The largest proporti…
Effectiveness, Acceptability and Feasibility of Technology-Enabled Health Interventions for Adolescents Living with HIV in Low- and Middle-Income Countries: A Systematic Review Open
Background: Adolescents living with HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology-enabled interventions can be used to optimize healthcare delivery to adolescents. The largest proportion of ALHIV resides…