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Hellen Siril
Muhimbili University of Health and Allied Sciences
NursingHealth carePsychological interventionTanzaniaMedicine
17Publications
6H-index
78Citations
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Publications 21
Newest
#1Hellen SirilH-Index: 6
#2M. C. Smith Fawzi (Harvard University)H-Index: 26
Last. Sylvia KaayaH-Index: 31
view all 9 authors...
BACKGROUND: Hope or hopefulness enhances coping and improves quality of life in persons with chronic or incurable illnesses. Lack of hope is associated with depression and anxiety, which impact negatively on quality of life. In Tanzania, where HIV prevalence is high, the rates of depression and anxiety are over four times higher among people living with HIV (PLH) compared to persons not infected and contribute annual mortality among PLH. Tanzania has a shortage of human resources for mental heal...
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#1M. C. Smith Fawzi (Harvard University)H-Index: 26
Last. Anna MinjaH-Index: 3
view all 15 authors...
BACKGROUND: Perinatal women accessing prevention of mother-to-child transmission of HIV (PMTCT) services are at an increased risk of depression; however, in Tanzania there is limited access to services provided by mental health professionals. This paper presents a protocol and baseline characteristics for a study evaluating a psychosocial support group intervention facilitated by lay community-based health workers (CBHWs) for perinatal women living with HIV and depression in Dar es Salaam. METHO...
1 CitationsSource
Despite the numerous benefits of the postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it is underutilized in many resource-constrained settings, including Tanzania. We conducted in-depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care in 2016-2017 and 27 postpartum women who had a PPIUD inserted in 2018 to understand reasons for use versus nonuse and continuation versus discontinuation. Prim...
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#1M. C. Smith Fawzi (Harvard University)H-Index: 26
#2Hellen SirilH-Index: 6
Last. Sylvia Kaaya (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 31
view all 17 authors...
Introduction NAMWEZA is a novel intervention that focuses on preventing HIV and promoting sexual and reproductive health and rights by addressing underlying factors related to vulnerability of acquiring HIV, such as depression, intimate partner violence (IPV) and stigma. The goal of the study was to evaluate the effect of the NAMWEZA intervention on risk behaviour as well as factors potentially contributing to this vulnerability for people living with HIV and their network members. Methods A ste...
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#1Hellen Siril (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 6
#2Anna KaaleH-Index: 3
Last. M. C. Smith Fawzi (Harvard University)H-Index: 26
view all 9 authors...
AbstractAlthough a number of HIV prevention programs have been implemented, such as mass media campaigns, high rates of unprotected and concurrent sexual partnerships, as well as low uptake HIV testing and limited HIV knowledge, persist in Tanzania. We examined the effect and predicting factors of HIV prevention communication among people living with HIV (PLH) exposed to NAMWEZA intervention, and their at-risk social network members (NMs) Quantitative data were collected from 326 participants at...
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#1Pascal Geldsetzer (Harvard University)H-Index: 11
#2Eric MboggoH-Index: 2
Last. Till Bärnighausen (Harvard University)H-Index: 11
view all 21 authors...
Background Home delivery and late and infrequent attendance at antenatal care (ANC) are responsible for substantial avoidable maternal and pediatric morbidity and mortality in sub-Saharan Africa. This cluster-randomized trial aimed to determine the impact of a community health worker (CHW) intervention on the proportion of women who (i) visit ANC fewer than 4 times during their pregnancy and (ii) deliver at home. Methods and findings As part of a 2-by-2 factorial design, we conducted a cluster-r...
2 CitationsSource
#1Elysia Larson (Harvard University)H-Index: 11
#2Pascal Geldsetzer (Harvard University)H-Index: 11
Last. Till Bärnighausen (Heidelberg University)H-Index: 11
view all 20 authors...
Background There is a dearth of evidence on the causal effects of different care delivery approaches on health system satisfaction. A better understanding of public satisfaction with the health system is particularly important within the context of task shifting to community health workers (CHWs). This paper determines the effects of a CHW program focused on maternal health services on public satisfaction with the health system among women who are pregnant or have recently delivered.
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#1M. C. Smith Fawzi (Harvard University)H-Index: 26
#2Fileuka Ngakongwa (MUHAS: Muhimbili University of Health and Allied Sciences)
Last. Sylvia Kaaya (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 31
view all 7 authors...
Abstract Background Major depression has a significant impact on years lived with disability (YLD) globally. In resource-limited countries, depression may accompany daily challenges of economic security that people face, hence there is a critical need to develop depression screening tools at primary levels of health care. The overall goal of the study is to validate the PHQ-9 in Tanzania. Methods A validation study was conducted from August to October 2014 among adults accessing primary health c...
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#1Hellen SirilH-Index: 6
#2M. C. Smith FawziH-Index: 26
Last. Sylvia KaayaH-Index: 31
view all 9 authors...
Objectives: People living with HIV/AIDS (PLH) in resource-limited settings have high and often unrecognized prevalence of mood disorders, with adverse implications for medication adherence and engagement in transmission risk reduction behaviors. Working in HIV treatment and care provision, we observed lack of common understandings between PLH and health care workers (HW) of the words msongo and sonona (Swahili) intended to mean stress and depression, respectively. This gap in psychosocial health...
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#1Hellen Siril (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 6
#2Sylvia Kaaya (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 31
Last. Jim Todd (NIMR: National Institute for Medical Research)H-Index: 67
view all 10 authors...
Psychosocial factors have been linked with loss to follow-up (LTFU) and clinical outcomes among people living with HIV (PLH), however little is known about the effect of psychosocial support on LTFU among PLH in treatment and care. The purpose of this study was to explore the effect of NAMWEZA (“Yes, together we can”) friends’ psychosocial support intervention on clinical outcomes and LTFU among PLH. NAMWEZA is based on a novel program using “appreciative inquiry”, positive psychology approaches...
5 CitationsSource
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