| People | Locations | Statistics |
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| Naji, M. |
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| Motta, Antonella |
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| Aletan, Dirar |
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| Mohamed, Tarek |
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| Ertürk, Emre |
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| Taccardi, Nicola |
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| Kononenko, Denys |
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| Petrov, R. H. | Madrid |
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| Alshaaer, Mazen | Brussels |
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| Bih, L. |
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| Casati, R. |
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| Muller, Hermance |
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| Kočí, Jan | Prague |
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| Šuljagić, Marija |
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| Kalteremidou, Kalliopi-Artemi | Brussels |
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| Azam, Siraj |
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| Ospanova, Alyiya |
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| Blanpain, Bart |
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| Ali, M. A. |
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| Popa, V. |
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| Rančić, M. |
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| Ollier, Nadège |
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| Azevedo, Nuno Monteiro |
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| Landes, Michael |
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| Rignanese, Gian-Marco |
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Kinuthia, John
University of South Wales
in Cooperation with on an Cooperation-Score of 37%
Topics
Publications (25/25 displayed)
- 2023Derivation and Internal Validation of a Risk Score for Predicting Chlamydia trachomatis Infection in Kenyan Women Planning Conception
- 2023Physico-Mechanical Evaluation of Geopolymer Concrete Activated by Sodium Hydroxide and Silica Fume-Synthesised Sodium Silicate Solutioncitations
- 2022Opportunities and Challenges to Emergency Department-Based HIV Testing Services and Self-Testing Programs: A Qualitative Study of Healthcare Providers and Patients in Kenyacitations
- 2022The cost of implementing the Systems Analysis and Improvement Approach for a cluster randomized trial integrating HIV testing into family planning services in Mombasa County, Kenyacitations
- 2022Effects of Lysinibacillus sphaericus on Physicomechanical and Chemical Performance of OPC Blended with Natural Tuff and Pulverized Fly Ash
- 2021Influences on Early Discontinuation and Persistence of Daily Oral PrEP Use Among Kenyan Adolescent Girls and Young Women: A Qualitative Evaluation From a PrEP Implementation Programcitations
- 2016Strength and environmental evaluation of stabilised Clay-PFA eco-friendly brickscitations
- 2016Unfired clay materials and constructioncitations
- 2016Engineering Properties of Concrete made with Brick Dust Waste
- 2015Heating and Cooling Scenario of Blended Concrete Subjected to 780 Degrees Celsius
- 2015Development of stabilised brick and mortar using biomass wastecitations
- 2015The Use of Palm Kernel Shell and Ash for Concrete Production
- 2012Stabilised unfired clay bricks for environmental and sustainable usecitations
- 2012Designed non-fired clay mixes for sustainable and low carbon usecitations
- 2010Freeze-thaw of stabilised clay brickcitations
- 2010Unfired clay masonry bricks incorporating slate wastecitations
- 2010Design thermal values for unfired clay brickscitations
- 2010Engineering properties of concrete made with slate wastecitations
- 2010Sustainable masonry mortar for brick joint and plaster in the UKcitations
- 2009Engineering properties of unfired clay masonry brickscitations
- 2009Compressive strength and microstructural analysis of unfired clay masonry brickscitations
- 2009Unfired clay bricks: from laboratory to industrial productioncitations
- 2008Using Slag for Unfired-Clay Masonry-Brickscitations
- 2008Innovative Building Materials: Manufactured Bricks Using By-products of an Industrial Process
- 2008Developing unfired stabilised building materials in the UKcitations
Places of action
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article
Influences on Early Discontinuation and Persistence of Daily Oral PrEP Use Among Kenyan Adolescent Girls and Young Women: A Qualitative Evaluation From a PrEP Implementation Program
Abstract
<jats:sec><jats:title>Background:</jats:title><jats:p>Discontinuation of daily oral pre-exposure prophylaxis (PrEP) is frequent among adolescent girls and young women (AGYW) in African settings. We explored factors influencing early PrEP discontinuation and persistence among Kenyan AGYW who accepted PrEP within a programmatic setting.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>We conducted in-depth interviews with AGYW (aged 15–24 years) who accepted PrEP from 4 maternal child health (MCH) and family planning (FP) clinics. AGYW were identified by nurses at routine clinic visits and purposively sampled based on 4 categories: (1) accepted PrEP pills, but never initiated PrEP use (eg, never swallowed PrEP pills), (2) discontinued PrEP <1 month after initiation, (3) discontinued PrEP within 1–3 months, and (4) persisted with PrEP use >3 months. Informed by the Stages of Change Model, thematic analysis characterized key influences on PrEP discontinuation/persistence.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>We conducted 93 in-depth interviews with AGYW who accepted pills. Median age was 22 years, 71% were married; 89% were from MCH, and 11% were from FP clinics. Early PrEP use was positively influenced by encouragement from close confidants and effective concealment of PrEP pill-taking when necessary to avoid stigma or negative reactions from partners. Pregnancy helped conceal PrEP use because pill-taking is normalized during pregnancy, but concealment became more difficult postpartum. AGYW found keeping up with daily PrEP pill-taking challenging, and many noted only episodic periods of the HIV risk. Frequently testing HIV-negative reassured AGYW that PrEP was working and motivated persistence.</jats:p></jats:sec><jats:sec><jats:title>Discussion:</jats:title><jats:p>As PrEP programs scale-up in MCH/FP, it is increasingly important to enhance protection-effective PrEP use through approaches tailored to AGYW, with special considerations during pregnancy and postpartum.</jats:p></jats:sec>