Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-4 (of 4 Records) |
Query Trace: Ndubani P[original query] |
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Effects of the Gama Cuulu radio serial drama on HIV-related behavior change in Zambia
Kraft JM , Hill Z , Membe I , Zhang Y , Meassick EO , Monsour M , Maumbi M , Ndubani P , Manengu JM , Mwinga A . J Health Commun 2012 17 (8) 929-45 The Gama Cuulu radio serial drama is written and produced in Zambia's Southern Province. It promotes behavior change and service use to prevent HIV transmission. The authors evaluated the effects of Gama Cuulu on intermediate outcomes (e.g., perceived norms), as well as number of sexual partners, condom use, and HIV testing in the past year among adults between 18 and 49 years of age. The authors used a pretest/posttest assessment with a comparison group design, with Southern Province as the intervention area and Western Province as the comparison area. Approximately 1,500 in-person interviews were conducted in both provinces in 2006 (pretest), 2007, and 2008. Regression models included terms for province, time, and the interaction of the two. Outcomes improved in both provinces (e.g., by 2008, 37.6% of participants in Southern Province and 28.3% participants in Western Province tested for HIV in the past year). Pretest-to-posttest changes in condom use (from 20.2% to 29.4% in Southern Province) and 5 intermediate outcomes were significantly different in the 2 provinces. However, changes in condom use were not associated with listening to Gama Cuulu and changes in other outcomes were similar in both provinces. Weak intervention effects might be attributable to implementation challenges or the saturation of HIV programs in Zambia. |
Age, poverty and alcohol use as HIV risk factors for women in Mongu, Zambia
Singh K , Buckner B , Tate J , Ndubani P , Kamwanga J . Afr Health Sci 2011 11 (2) 204-10 BACKGROUND: Age, poverty and alcohol use are seen as risk factors for HIV among women in sub-Saharan Africa. OBJECTIVE: The objective of this study was to understand the influence of socioeconomic factors (including age and poverty) as well as alcohol use on risky sexual behaviors among women in Mongu, Zambia. METHODS: This study examines these factors in the local context of Mongu, Zambia using the Priorities for Local AIDS Control Efforts (PLACE) methodology. This methodology allows for the study of risky behaviors while taking into consideration local factors. The two outcome variable studied were transactional sex in the past year and having two or more sexual partners in the past year. RESULTS: In this study age was not a significant factor, but alcohol use and poverty/desire for economic advancement were significant factors. CONCLUSION: Programs and policies need to address the influence of alcohol on risky sexual behaviors and also the important but complex influence of poverty. |
The current availability of antiepileptic drugs in Zambia: implications for the ILAE/WHO "Out of the Shadows" campaign
Chomba EN , Haworth A , Mbewe E , Atadzhanov M , Ndubani P , Kansembe H , Birbeck GL . Am J Trop Med Hyg 2010 83 (3) 571-4 Recent concerns regarding antiepileptic drug (AED) availability in Zambia led us to conduct a study in the Lusaka and Southern Provinces to quantify the availability and cost of AEDs and assess determinants. Among 111 pharmacies, almost one-half did not carry AEDs (N = 54; 49.1%). Available AEDs were phenobarbitone (21; 18.9%), carbamazepine (27; 24.3%), valproic acid (4; 3.6%), and phenytoin (3; 2.7%). Adult out-of-pocket monthly costs ranged from US $7 to $30. Pediatric syrups were universally unavailable. Interviews revealed several barriers to AED provision, including that handling phenobarbitone (historically the most affordable AED) has become increasingly difficult because of newly enforced regulatory requirements. Personal communications with epilepsy-care providers in other low income countries suggest that this problem may be widespread. Improved enforcement of existing drug regulations may be contributing to the AED shortage. Social programs aimed at encouraging people with epilepsy to come "out of the shadows" must be preceded by improved AED access. |
Measurement of HIV prevention indicators: a comparison of the PLACE method and a household survey in Zambia
Tate J , Singh K , Ndubani P , Kamwanga J , Buckner B . AIDS Behav 2010 14 (1) 209-17 Reaching populations at greatest risk for acquiring HIV is essential for efforts to combat the epidemic. This paper presents, the Priorities for Local AIDS Control Efforts (PLACE) method which focuses on understanding the venues where people are meeting new sexual partners and behaviors which put people at risk. A comparison of data from two PLACE studies in Zambia with a national household survey, the Zambia Sexual Behavior Survey 2005, indicated that the PLACE population was at greater risk of acquiring HIV. Respondents in the two PLACE studies were significantly more likely to report 1+ new partners in the past 4 weeks, 2+ partners in the past 12 months, 1+ new partner in the past 12 months and transactional sex. Data from the PLACE method is important for targeting interventions for those most likely to acquire and transmit HIV. |
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