Publications by authors named "Misinzo Moono"
Introduction: To provide evidence to improve cervical screening for women living with HIV (WLHIV), we assessed the accuracy of screening tests that can be used in low-resource settings and give results at the same visit.
Methods: We conducted a paired, prospective study among consecutive eligible WLHIV, aged 18-65 years, receiving cervical cancer screening at one hospital in Lusaka, Zambia. The histopathological reference standard was multiple biopsies taken at two time points.
Article Synopsis
- The study aimed to estimate the potential silent transfer of HIV among people newly presenting for care in Lusaka, Zambia, by measuring baseline viral loads.
- Conducting a cross-sectional study involving 248 individuals, the researchers found that a significant number had viral suppression at the time of care initiation, indicating potential silent transfer.
- Results showed older individuals (40+) and those with no formal education were more likely to experience silent transfer, suggesting issues like clinic shopping or being enrolled in multiple clinics for treatment.
Introduction: The simplest and cheapest method for cervical cancer screening is visual inspection after application of acetic acid (VIA). However, this method has limitations for correctly identifying precancerous cervical lesions (sensitivity) and women free from these lesions (specificity). We will assess alternative screening methods that could improve sensitivity and specificity in women living with humanimmunodeficiency virus (WLHIV) in Southern Africa.
View Article and Find Full Text PDFBackground: A shortage of skilled birth attendants and low quality of care in health facilities along with unattended home deliveries contribute to the high maternal and neonatal mortality in sub Saharan Africa. Identifying and addressing context-specific reasons for not delivering at health care facilities could increase births assisted by skilled attendants who, if required, can provide life-saving interventions.
Methods: We conducted 22 in-depth interviews (IDIs) with midwives at three health facilities in peri-urban communities and 24 semi-structured surveys with mothers in two areas served by health facilities with the highest number of reported home deliveries in Lusaka, Zambia.