ALPHA Publications

6548455 1 apa 50 date desc year 1 1 1740 https://alpha.lshtm.ac.uk/wp-content/plugins/zotpress/
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Slaymaker, E., Calvert, C., Marston, M., Risher, K., Imai-Eaton, J. W., Moorhouse, L., Price, A., Abdul, R., Dube, A., Nabukalu, D., Obor, D., McLean, E., Tlhajoane, M., Tomlin, K., Urassa, M., Baisley, K., Crampin, A., Geubbels, E., Gregson, S., … the ALPHA Network. (2026). Individual and population-level risk factors for new HIV infections among adults in Eastern and Southern Africa. Nature Communications, 17(1), 1195. https://doi.org/10.1038/s41467-025-67966-0 Cite
Chu, Y., Marston, M., Dube, A., Festo, C., Geubbels, E., Gregson, S., Herbst, K., Kabudula, C., Kahn, K., Lutalo, T., Moorhouse, L., Newton, R., Nyamukapa, C., Makanga, R., Slaymaker, E., Urassa, M., Ziraba, A., Calvert, C., & Clark, S. J. (2024). Temporal changes in cause of death among adolescents and adults in six countries in eastern and southern Africa in 1995-2019: a multi-country surveillance study of verbal autopsy data. The Lancet. Global Health, 12(8), e1278–e1287. https://doi.org/10.1016/s2214-109x(24)00171-2 Cite
McLean, E., Sironi, M., Dube, A., Slaymaker, E., Crampin, A. C., & Sear, R. (2024). Transitions to adulthood in men and women in rural Malawi in the 21st century using sequence analysis: Some evidence of delay. Demographic Research, 51, 459–500. https://doi.org/10.4054/demres.2024.51.14 Cite
Calvert, C., Scott, R., Palmer, M., Dube, A., Marston, M., Wellings, K., & Slaymaker, E. (2023). Rates of sexual partner acquisition from nationally representative surveys: variation between countries and by age, sex, wealth, partner and HIV status. Sexual Health, 21(1), NULL. https://doi.org/10.1071/SH23134 Cite
McLean, E., Kalobekamo, F., Mwiba, O., Crampin, A. C., Slaymaker, E., Sear, R., & Dube, A. (2023). Family network and household composition: a longitudinal dataset derived from the Karonga Health and Demographic Surveillance System, in rural Malawi. Wellcome Open Research, 8, 573. https://doi.org/10.12688/wellcomeopenres.20406.2 Cite
McLean, E., Dube, A., Kalobekamo, F., Slaymaker, E., Crampin, A. C., & Sear, R. (2023). Local and long-distance migration among young people in rural Malawi: importance of age, sex and family. Wellcome Open Research, 8, 211. https://doi.org/10.12688/wellcomeopenres.19309.2 Cite
Ambia, J., Romero-Prieto, J. E., Kwaro, D., Risher, K., Khagayi, S., Calvert, C., Obor, D., Tlhajoane, M., Odongo, F., Marston, M., Slaymaker, E., Rice, B., Kabudula, C. W., Eaton, J. W., & Reniers, G. (2023). Comparison of programmatic data from antenatal clinics with population-based HIV prevalence estimates in the era of universal test and treat in western Kenya. PloS One, 18(6), e0287626-. https://researchonline.lshtm.ac.uk/id/eprint/4670517/ https://pmc.ncbi.nlm.nih.gov/articles/PMC10292704/pdf/pone.0287626.pdf Cite
Risher, K., Cori, A., Reniers, G., Marston, M., Calvert, C., Crampin, A., Dadirai, T., Dube, A., Gregson, S., Herbst, K., Lutalo, T., Moorhouse, L., Mtenga, B., Nabukalu, D., Newton, R., Price, A. J., Tlhajoane, M., Todd, J., Tomlin, K., … Network, A. (2021). Age patterns of HIV incidence in eastern and southern Africa: a collaborative analysis of observational general population cohort studies. LANCET HIV, 8(7). https://researchonline.lshtm.ac.uk/id/eprint/4660315/ Cite
Calvert, C., Marston, M., Slaymaker, E., Crampin, A. C., Price, A. J., Klein, N., Herbst, K., Michael, D., Urassa, M., Clark, S. J., Ronsmans, C., & Reniers, G. (2020). Direct maternal deaths attributable to HIV in the era of antiretroviral therapy: evidence from three population-based HIV cohorts with verbal autopsy. AIDS, 34(9), 1397–1405. (32590436). https://doi.org/10.1097/QAD.0000000000002552 Cite
Kanjala, C. (2020). Provenance of “after the fact” harmonised community-based demographic and HIV surveillance data from ALPHA cohorts [Doctoral, London School of Hygiene & Tropical Medicine]. https://researchonline.lshtm.ac.uk/id/eprint/4655994/ Cite
Mee, P., Rice, B., Lemsalu, L., Hargreaves, J., Sambu, V., Harklerode, R., Todd, J., & Somi, G. (2019). Changes in patterns of retention in HIV care and antiretroviral treatment in Tanzania between 2008 and 2016: an analysis of routinely collected national programme data. J Glob Health, 9(1), 010424. (30992984). https://doi.org/10.7189/jogh.09.010424 Cite
Jones, H., Wringe, A., Todd, J., Songo, J., Gomez-Olive, F. X., Moshabela, M., Geubbels, E., Nyamhagatta, M., Kalua, T., Urassa, M., Zaba, B., & Renju, J. (2019). Implementing prevention policies for mother-to-child transmission of HIV in rural Malawi, South Africa and United Republic of Tanzania, 2013-2016. Bull World Health Organ, 97(3), 200–212. (30992633). https://doi.org/10.2471/BLT.18.217471 Cite
Zaba, B., Slaymaker, E., Marston, M., Tomlin, K., & Reniers, G. (2018). Life table measures for comparing HIV incidence. IWHOD. Cite
Slaymaker, E., & Zaba, B. (2018). Visualising the HIV care continuum (poster). IWHOD. Cite
Rentsch, C. T., Reniers, G., Machemba, R., Mtenga, B., Michael, D., Kabudula, C. W., Natalis, R., Urassa, M., Todd, J., & Zaba, B. (2018). Time from HIV diagnosis to care by testing modality in a rural Tanzanian community. IWHOD. Cite
Risher, K. A., Slaymaker, E., Zaba, B., Eaton, J. W., Newton, R., Lutalo, T., Vandormael, A., Urassa, M., Gregson, S., Marston, M., Tomlin, K., Calvert, C., & Reniers, G. (2018). Age-specific seroconversion date imputation: assessing potential bias when ignoring age. IWHOD. Cite
Marston, M., McGrath, N., Gregson, S., Machemba, R., Kasamba, I., McLean, E., Obor, D., Kwaro, D., Slaymaker, E., & Zaba, B. (2018). Are conception rates in HIV positive women coming closer to those in the HIV negative in the era of antiretroviral treatment? AIDS 2018. Cite
Vyas, S., Songo, J., Dube, A., Guinness, L., Kalua, T., Renju, J., Crampin, A., Geiss, S., Todd, J., & Wringe, A. (2018). Reaching the first “90” in HIV testing: Implications for efficiency and resource allocation decisions in Malawi. AIDS 2018. Cite
Songo, J., Hassan, F., McLean, E., Dube, A., Vyas, S., Kalua, T., Geubbels, E., Crampin, A., Kajoka, D., Wringe, A., Todd, J., Mheta, E., & Renju, J. (2018). Understanding the impact of policies for delivering universal antiretroviral therapy on the health workforce in Tanzania and Malawi: Evidence from repeated health facility surveys from 2013-2017 and qualitative interviews. AIDS 2018. Cite
Songo, J., Renju, J., Hassan, F., McLean, E., Dube, A., Kalua, T., Kajoka, D., Geubbels, E., Todd, J., Crampin, A., & Wringe, A. (2018). Moving from CD4 counts to Viral load measures; policy, practice and patient experiences in rural Tanzania and Malawi. A mixed-methods case study. AIDS 2018. Cite
Slaymaker, E., Todd, J., Urassa, M., Herbst, A. J., McGrath, N., Newton, R., Nabukalu, D., Crampin, A., Nyamukapa, C., Tomlin, K., Risher, K. A., Reniers, G., & Zaba, B. (2018). HIV incidence trends among the general population in Eastern and Southern Africa 2000-2014. AIDS 2018. Cite
Hassan, F., Songo, J., Dube, A., Bonaventure, L., Geubbels, E., Kalua, T., Renju, J., Crampin, A., Mheta, E., & Wringe, A. (2018). Integration of prevention of mother-to-child transmission within antenatal and postnatal care, and its impact on HIV service delivery and utilization: a mixed methods study in rural Tanzania and Malawi. AIDS 2018. Cite
Etoori, D., Wringe, A., Reniers, G., Gomez-Olive, F. X., Renju, J., Ndlovu, V., Ndubana, S., & Sihlangu, E. (2018). Mothers’ experiences of early infant diagnosis for HIV in Option B+ programmes and the implications for their engagement in care: Qualitative evidence from South Africa. AIDS 2018. Cite
Dube, A., Geis, S., McLean, E., Songo, J., Hassan, F., Luwanda, L. B., Crampin, A., Kalua, T., Renju, J., & Wringe, A. (2018). Understanding and experiences of male partner engagement policies and guidelines in HIV care in the context of universal test and treat: A qualitative study in rural Malawi and Tanzania. AIDS 2018. Cite
Slaymaker, E., Risher, K. A., Reniers, G., Obor, D., Urassa, M., Herbst, A. J., Hosegood, V., Newton, R., Nabukalu, D., Price, A., Gregson, S., & Zaba, B. (2018). Exploring declines in mortality after ART initiation: evidence from seven sub-Saharan African population-based studies between 2005 and 2014. (poster). IWHOD. Cite
Risher, K. A., Calvert, C., Zaba, B., Slaymaker, E., Herbst, A. J., Nakiyingi-Miiro, J., Crampin, A., Urassa, M., Mtenga, B., & Reniers, G. (2018). TRENDS IN CAUSE-SPECIFIC MORTALITY ON THE HIV CARE CASCADE, SOUTHERN & EASTERN AFRICA. CROI. Cite
Rentsch, C. T., Reniers, G., Machemba, R., Mtenga, B., Kabudula, C. W., Michael, D., Urassa, M., Todd, J., & Zaba, B. (2018). Real-time record linkage between demographic surveillance and health facility data in rural Tanzania. International Population Conference 2017 (IUSSP). Cite
Luwanda, L. B., Hassan, F., Geubbels, E., McLean, E., Kajoka, D., Songo, J., Kalua, T., Vyas, S., Todd, J., Wringe, A., & Renju, J. (2018). (submitted) Investigating the translation of HIV testing policies into practice over time. A mixed-methods study to investigate progress between 2013-2017 in Malawi and Tanzania. AIDS 2018. Cite
Chimukuche, R. S., Moshabela, M., Kalua, T., Hassan, F., Geubbels, E., Songo, J., Church, K., Dasgupta, A., Gomez-Olive, F. X., Renju, J., Kajoka, D., Wringe, A., & Seeley, J. (2018). (submitted) Evolution in the adoption of national policies on the prevention of mother-to-child transmission in relation to World Health Organisation: A policy review from South Africa, Tanzania and Malawi from 2013-2017. AIDS 2018. Cite
Marston, M., Zaba, B., & Eaton, J. W. (2017). The relationship between HIV and fertility in the era of antiretroviral therapy in sub-Saharan Africa: evidence from 49 Demographic and Health Surveys. Trop Med Int Health, 22(12), 1542–1550. (28986949). https://doi.org/10.1111/tmi.12983 Cite
Ambia, J., Renju, J., Wringe, A., Todd, J., Geubbels, E., Nakiyingi-Miiro, J., Urassa, M., Lutalo, T., Crampin, A. C., Kwaro, D., Kyobutungi, C., Chimbindi, N., Gomez-Olive, F. X., Tlhajoane, M., Njamwea, B., Zaba, B., & Mee, P. (2017). From policy to practice: exploring the implementation of antiretroviral therapy access and retention policies between 2013 and 2016 in six sub-Saharan African countries. BMC Health Serv Res, 17(1), 758. (29162065). https://doi.org/10.1186/s12913-017-2678-1 Cite
Cawley, C., McRobie, E., Oti, S., Njamwea, B., Nyaguara, A., Odhiambo, F., Otieno, F., Njage, M., Shoham, T., Church, K., Mee, P., Todd, J., Zaba, B., Reniers, G., & Wringe, A. (2017). Identifying gaps in HIV policy and practice along the HIV care continuum: evidence from a national policy review and health facility surveys in urban and rural Kenya. Health Policy Plan, 32(9), 1316–1326. (28981667). https://doi.org/10.1093/heapol/czx091 Cite
Rentsch, C. T., Reniers, G., Kabudula, C., Machemba, R., Mtenga, B., Harron, K., Mee, P., Michael, D., Natalis, R., Urassa, M., Todd, J., & Zaba, B. (2017). Point-of-contact interactive record linkage (PIRL) between demographic surveillance and health facility data in rural Tanzania. Int J Popul Data Sci, 2(1), 3. (30613799). https://doi.org/10.23889/ijpds.v2i1.408 Cite
McLean, E., Price, A., Chihana, M., Kayuni, N., Marston, M., Koole, O., Zaba, B., Crampin, A., & Network, A. (2017). Changes in Fertility at the Population Level in the Era of ART in Rural Malawi. J Acquir Immune Defic Syndr, 75(4), 391–398. (28653969). https://doi.org/10.1097/QAI.0000000000001395 Cite
Mwangome, M. N., Geubbels, E., Wringe, A., Todd, J., Klatser, P., & Dieleman, M. (2017). A qualitative study of the determinants of HIV guidelines implementation in two south-eastern districts of Tanzania. Health Policy Plan, 32(6), 825–834. (28369374). https://doi.org/10.1093/heapol/czx023 Cite
Wringe, A., Renju, J., Seeley, J., Moshabela, M., & Skovdal, M. (2017). Bottlenecks to HIV care and treatment in sub-Saharan Africa: a multi-country qualitative study. Sex Transm Infect, 93(Suppl 3). (28736397). https://doi.org/10.1136/sextrans-2017-053172 Cite
Wringe, A., Moshabela, M., Nyamukapa, C., Bukenya, D., Ondenge, K., Ddaaki, W., Wamoyi, J., Seeley, J., Church, K., Zaba, B., Hosegood, V., Bonnington, O., Skovdal, M., & Renju, J. (2017). HIV testing experiences and their implications for patient engagement with HIV care and treatment on the eve of “test and treat”: findings from a multicountry qualitative study. Sex Transm Infect, 93(Suppl 3). (28736389). https://doi.org/10.1136/sextrans-2016-052969 Cite
Wamoyi, J., Renju, J., Moshabela, M., McLean, E., Nyato, D., Mbata, D., Bonnington, O., Seeley, J., Church, K., Zaba, B., & Wringe, A. (2017). Understanding the relationship between couple dynamics and engagement with HIV care services: insights from a qualitative study in Eastern and Southern Africa. Sex Transm Infect, 93(Suppl 3). (28736395). https://doi.org/10.1136/sextrans-2016-052976 Cite
Skovdal, M., Wringe, A., Seeley, J., Renju, J., Paparini, S., Wamoyi, J., Moshabela, M., Ddaaki, W., Nyamukapa, C., Ondenge, K., Bernays, S., & Bonnington, O. (2017). Using theories of practice to understand HIV-positive persons varied engagement with HIV services: a qualitative study in six Sub-Saharan African countries. Sex Transm Infect, 93(Suppl 3). (28736396). https://doi.org/10.1136/sextrans-2016-052977 Cite
Renju, J., Moshabela, M., McLean, E., Ddaaki, W., Skovdal, M., Odongo, F., Bukenya, D., Wamoyi, J., Bonnington, O., Seeley, J., Zaba, B., & Wringe, A. (2017). “Side effects” are “central effects” that challenge retention in HIV treatment programmes in six sub-Saharan African countries: a multicountry qualitative study. Sex Transm Infect, 93(Suppl 3). (28736390). https://doi.org/10.1136/sextrans-2016-052971 Cite
Ondenge, K., Renju, J., Bonnington, O., Moshabela, M., Wamoyi, J., Nyamukapa, C., Seeley, J., Wringe, A., & Skovdal, M. (2017). “I am treated well if I adhere to my HIV medication”: putting patient-provider interactions in context through insights from qualitative research in five sub-Saharan African countries. Sex Transm Infect, 93(Suppl 3). (28736392). https://doi.org/10.1136/sextrans-2016-052973 Cite
Moshabela, M., Bukenya, D., Darong, G., Wamoyi, J., McLean, E., Skovdal, M., Ddaaki, W., Ondeng’e, K., Bonnington, O., Seeley, J., Hosegood, V., & Wringe, A. (2017). Traditional healers, faith healers and medical practitioners: the contribution of medical pluralism to bottlenecks along the cascade of care for HIV/AIDS in Eastern and Southern Africa. Sex Transm Infect, 93(Suppl 3). (28736393). https://doi.org/10.1136/sextrans-2016-052974 Cite
McLean, E., Renju, J., Wamoyi, J., Bukenya, D., Ddaaki, W., Church, K., Zaba, B., & Wringe, A. (2017). “I wanted to safeguard the baby”: a qualitative study to understand the experiences of Option B+ for pregnant women and the potential implications for “test-and-treat” in four sub-Saharan African settings. Sex Transm Infect, 93(Suppl 3). (28736391). https://doi.org/10.1136/sextrans-2016-052972 Cite
Kielmann, K., & Cataldo, F. (2017). Engaging with HIV care systems: why space, time and social relations matter. Sex Transm Infect, 93(Suppl 3). (28736398). https://doi.org/10.1136/sextrans-2017-053173 Cite
Bukenya, D., Wringe, A., Moshabela, M., Skovdal, M., Ssekubugu, R., Paparini, S., Renju, J., McLean, E., Bonnington, O., Wamoyi, J., & Seeley, J. (2017). Where are we now? A multicountry qualitative study to explore access to pre-antiretroviral care services: a precursor to antiretroviral therapy initiation. Sex Transm Infect, 93(Suppl 3). (28615327). https://doi.org/10.1136/sextrans-2016-052970 Cite
Bonnington, O., Wamoyi, J., Ddaaki, W., Bukenya, D., Ondenge, K., Skovdal, M., Renju, J., Moshabela, M., & Wringe, A. (2017). Changing forms of HIV-related stigma along the HIV care and treatment continuum in sub-Saharan Africa: a temporal analysis. Sex Transm Infect, 93(Suppl 3). (28736394). https://doi.org/10.1136/sextrans-2016-052975 Cite
McRobie, E., Wringe, A., Nakiyingi-Miiro, J., Kiweewa, F., Lutalo, T., Nakigozi, G., Todd, J., Eaton, J. W., Zaba, B., & Church, K. (2017). HIV policy implementation in two health and demographic surveillance sites in Uganda: findings from a national policy review, health facility surveys and key informant interviews. Implement Sci, 12(1), 47. (28381264). https://doi.org/10.1186/s13012-017-0574-z Cite
Price, A. J., Glynn, J., Chihana, M., Kayuni, N., Floyd, S., Slaymaker, E., Reniers, G., Zaba, B., McLean, E., Kalobekamo, F., Koole, O., Nyirenda, M., & Crampin, A. C. (2017). Sustained 10-year gain in adult life expectancy following antiretroviral therapy roll-out in rural Malawi: July 2005 to June 2014. Int J Epidemiol, 46(2), 479–491. (28338707). https://doi.org/10.1093/ije/dyw208 Cite
Marston, M., Nakiyingi-Miiro, J., Kusemererwa, S., Urassa, M., Michael, D., Nyamukapa, C., Gregson, S., Zaba, B., & Eaton, J. W. (2017). The effects of HIV on fertility by infection duration: evidence from African population cohorts before antiretroviral treatment availability. Aids, 31(Suppl 1), S69–S76. (WOS:000398210100009). https://doi.org/10.1097/Qad.0000000000001305 Cite
Reniers, G., Blom, S., Calvert, C., Martin-Onraet, A., Herbst, A. J., Eaton, J. W., Bor, J., Slaymaker, E., Li, Z. R., Clark, S. J., Barnighausen, T., Zaba, B., & Hosegood, V. (2017). Trends in the burden of HIV mortality after roll-out of antiretroviral therapy in KwaZulu-Natal, South Africa: an observational community cohort study. Lancet HIV, 4(3), e113–e121. (27956187). https://doi.org/10.1016/S2352-3018(16)30225-9 Cite