WorldCat Identities

Macwan'gi, Mubiana

Overview
Works: 20 works in 27 publications in 1 language and 135 library holdings
Genres: Statistics‡vMedical  Dissertations, Academic 
Roles: Author
Classifications: HV887.Z33, 362.76096894
Publication Timeline
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Most widely held works by Mubiana Macwan'gi
Street children in Zambia : a situation analysis by Geoffrey Lungwangwa( Book )
5 editions published between 1996 and 2004 in English and held by 54 WorldCat member libraries worldwide
Abortion in Zambia : a silent problem by Mubiana Macwan'gi( Book )
1 edition published in 1993 in English and held by 12 WorldCat member libraries worldwide
A situation analysis of young people with HIV/AIDS in Lusaka, Zambia by Mubiana Macwan'gi( Book )
2 editions published in 1993 in English and held by 11 WorldCat member libraries worldwide
Revitalization of primary health care in Zambia : exploratory phase by Mubiana Macwan'gi( Book )
1 edition published in 1996 in English and held by 10 WorldCat member libraries worldwide
Report, Primary Health Care Programme, Western Province : 1997 review, community health interventions by Mubiana Macwan'gi( Book )
2 editions published in 1997 in English and held by 9 WorldCat member libraries worldwide
Women's participation and representation : reflections on the 2006 Zambia tripartite elections by Mubiana Macwan'gi( Book )
1 edition published in 2006 in English and held by 8 WorldCat member libraries worldwide
Women and AIDS in Zambia : a situation analysis and options for HIV/AIDS survival assistance by Mubiana Macwan'gi( Book )
1 edition published in 1994 in English and held by 6 WorldCat member libraries worldwide
Baseline survey for interventions to improve the efficiency of through-flows at large urban health centres (UHCs) in Lusaka, Zambia by Mubiana Macwan'gi( Book )
1 edition published in 1997 in English and held by 4 WorldCat member libraries worldwide
Annotated review of studies on HIV, AIDS, STIs and TB, Zambia, 2001-2007 by Mubiana Macwan'gi( Book )
1 edition published in 2008 in English and held by 4 WorldCat member libraries worldwide
Household baseline study for the heads of households and older orphans in Matero Compound, Lusaka, Zambia by Mubiana Macwan'gi( Book )
1 edition published in 1998 in English and held by 3 WorldCat member libraries worldwide
Community perceptions of health reforms in Zambia by Mubiana Macwan'gi( Book )
1 edition published in 1999 in English and held by 3 WorldCat member libraries worldwide
Zambia Health and Population Sector Aid : Lusaka Urban Health Project : baseline study, 1995 ( Book )
1 edition published in 1996 in English and held by 2 WorldCat member libraries worldwide
Effects of husband-wife communication on family planning intentions and behavior : a cross-sectional study of husbands and wives living in union in Lusaka, Zambia by Mubiana Macwan'gi( Book )
2 editions published in 1990 in English and held by 2 WorldCat member libraries worldwide
Health reforms and the quality of health care in Zambia by Jolly Kamwanga( Book )
1 edition published in 1999 in English and held by 2 WorldCat member libraries worldwide
Effect of voluntary counselling and testing and a negative HIV result on risk behaviour : a qualitative longitudinal study in a Zambian mining community by Janet Precious Banda Sikasote( )
1 edition published in 2010 in English and held by 1 WorldCat member library worldwide
Background: Countries in sub-Saharan Africa are scaling up access to Voluntary Counselling and Testing (VCT) services as a strategy for HIV prevention, treatment, care and support. The international and national push to achieve targets for anti-retroviral therapy scale up has emphasised VCT as an entry point to treatment, with follow-up mostly directed at those who test positive. Yet over 60% of those testing are HIV negative. Limited understanding of how HIV voluntary counselling and testing, and receipt of a negative result impact on sexual behaviour has resulted in underdeveloped support for those testing HIV negative. Aims: To gain the perspective of those who have tested HIV-negative on the following: (1) the decision making process that precedes attendance for voluntary counselling and testing; (2) how voluntary counselling and a negative test result influence sexual behavioural intentions and reported subsequent behaviour; and (3) support systems and networks that would enhance the respondent's ability to remain HIV negative. Method: Qualitative longitudinal study utilising semi-structured interviews, six months apart, with people who have tested negative and three one-off focus group discussions with counsellors. Participants were purposively sampled from VCT centres in two mining towns in Zambia. Interviews were digitally recorded, transcribed verbatim and analysed thematically with the aid of the qualitative data analysis software, Nvivo7. Cross-sectional analysis of all data sets was conducted and paired transcripts were analysed longitudinally to assess change over time. Results: Forty-two HIV-negative people were interviewed, with thirty-one returning for the follow-up interview (74% return rate). VCT was perceived as 'testing for HIV'. Before attending VCT most participants had gone through a protracted period of angst, resulting in a resolution to reduce number of partners, use condoms or abstain from sex. Counselling affirmed life choices, rather than initiating them. Although perception of the risk of HIV increased, misconceptions about HIV transmission persisted post-counselling. The negative test result provided impetus and resolve to implement or maintain life change. Themes identified were: (1) recognising personal susceptibility to HIV infection; (2) emotional and cognitive engagement with the problem of testing; (3) a driving need to know status (regardless of test result); and (4) empowerment and being in control providing the ability to plan for the future. Analysis of post-test support needs revealed two further themes: (1) reinforcement of behaviour change through additional knowledge, supportive networks, and life-skills training; and (2) access to recreational activities. There was no reported post-test increase in unsafe sexual behaviour among those that returned for the follow-up interview. Focus group findings reinforced those from interviews. Conclusions: This study has shown that in this population of people who tested HIV-negative: 1. the majority made life changes before attending VCT and used VCT to know their status 2. counselling consolidated pre-test decisions about risk behaviour and testing provided motivation to adopt safer behaviour and to maintain previous low- or no-risk behaviour and 3. there is a felt need for post-testing recreational activities, further HIV/AIDS education and participation in HIV prevention activities. Recommendations include: (1) the promotion of community-based interactive one-to-one and group information, education and communication (IEC) (to aid understanding and progression to the point where testing appears to be of optimum benefit) ; (2) referral to post-test support options such as support groups and inclusion on a text messaging list should be made available; and (3) post-test intervention strategies, for example, provision of result-specific IEC materials and active involvement in prevention activities should be developed and evaluated
IAS working papers ( )
in English and held by 1 WorldCat member library worldwide
The referral process and urban health care in sub-Saharan Africa : the case study of Lusaka, Zambia by Sarah Atkinson( )
1 edition published in 1999 in English and held by 1 WorldCat member library worldwide
Substance report for Population Council (PC) activities in Zambia : April-September 1992 by Mubiana Macwan'gi( Book )
1 edition published in 1992 in English and held by 1 WorldCat member library worldwide
Reforming health care provision in Lusaka, Zambia by Mathilda Ruwe( )
1 edition published in 1996 in English and held by 1 WorldCat member library worldwide
Revitalization of primary health care research project : evaluative phase report by Mubiana Macwan'gi( Book )
1 edition published in 1997 in English and held by 0 WorldCat member libraries worldwide
 
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Alternative Names
Macawan'gi, Mubiana
Languages
English (27)