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1

DiBiase, Rebecca Marie, Rachel Marie E. Salas, Charlene E. Gamaldo, et al. "Training in Neurology: Implementation and Evaluation of an Objective Structured Clinical-Examination Tool for Neurology Postgraduate Trainees in Lusaka, Zambia." Neurology 97, no. 7 (2021): e750-e754. http://dx.doi.org/10.1212/wnl.0000000000012134.

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BackgroundWe established Zambia's first neurology residency program at the University of Zambia School of Medicine and the University Teaching Hospital in Lusaka.ObjectiveTo evaluate the feasibility and effectiveness of a modified objective structured clinical examination (OSCE) to assess clinical skills.MethodsThe neurology training program's 3 participants completed the OSCE exercise in February 2019. We used smartphones to videotape trainees performing a physical examination and oral presentation in the neurology clinic. Trainees and faculty reviewed the videos independently using a standar
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2

Prager, S., J. Neukom, P. Gupta, et al. "Introduction of post placental/partum IUD insertion in Lusaka, Zambia: feasibility of training nurse midwives." Contraception 80, no. 2 (2009): 213–14. http://dx.doi.org/10.1016/j.contraception.2009.05.073.

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Sheyo, Ninza, Bellington Vwalika, and John Kinnear. "Changes in selected electrolytes in adult intensive care patients at the University Teaching Hospital, Lusaka, Zambia." University of Zambia Journal of Agricultural and Biomedical Sciences 4, no. 1 (2020): 28–34. http://dx.doi.org/10.53974/unza.jabs.4.1.357.

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Background: The importance of regulating electrolyte levels is well recognized in most Intensive Care Units (ICU). Various institutions across the globe have found varying figures on the extent and causes of electrolytes derangements in ICUs. The extent of electrolyte and fluid imbalance in patients being admitted and already admitted to the Main ICU (MICU) at the University Teaching Hospital (UTH) Lusaka Zambia is unknown. This study aimed to explore the 24hour changes in sodium and potassium in adult MICU patients at the UTH, Lusaka, Zambia. Methods: This was a prospective cohort study of th
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Prager, S., J. Neukom, P. Gupta, et al. "O759 Introduction of post placental/partum IUD insertion (PPIUD) in Lusaka, Zambia: Feasibility of training nurse midwives." International Journal of Gynecology & Obstetrics 107 (October 2009): S309—S310. http://dx.doi.org/10.1016/s0020-7292(09)61132-2.

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5

Zama, Mary T., Mardieh Dennis, Jessica Price, and Stephanie M. Topp. "Assessing the feasibility of police initiation of HIV post-exposure prophylaxis for sexual violence survivors in Lusaka, Zambia." BMC Proceedings 9, Suppl 4 (2015): A3. http://dx.doi.org/10.1186/1753-6561-9-s4-a3.

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6

Himwaze, Cordilia Maria, Viktor Telendiy, Fred Maate, et al. "Post-mortem examination of Hospital Inpatient COVID-19 Deaths in Lusaka, Zambia - A Descriptive Whole-body Autopsy Series." International Journal of Infectious Diseases 108 (July 2021): 363–69. http://dx.doi.org/10.1016/j.ijid.2021.06.013.

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7

Chakana, Collins, J. Kinnear, and D. Bould. "Anaesthetic Related Peri-Operative Complications During Caesarean Delivery at the University Teaching Hospital, Lusaka, Zambia." University of Zambia Journal of Agricultural and Biomedical Sciences 4, no. 4 (2020): 1–4. http://dx.doi.org/10.53974/unza.jabs.4.4.344.

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Background: Caesarean deliveries are increasingly performed at the University Teaching Hospital (UTH), Lusaka, with a 2012 audit report indicating a rate of 17.8%.The procedure is a major surgical intervention and results in higher morbidity than vaginal delivery. Part of this morbidity and mortality during caesarean delivery is that resulting from the anaesthesia relating to the surgery. However, information on the extent of anaesthetic related complications associated with caesarean deliveries in low resource settings such as at UTH is lacking. This study endeavored to explore this aspect. O
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Phiri, A. M., N. M. Mudenda, M. Luwe, and I. G. K. Phiri. "Use of bait containing triclabendazole against Fasciola gigantica in a herd of captive wild impala (Aepyceros melampus)." Journal of Helminthology 91, no. 3 (2016): 376–79. http://dx.doi.org/10.1017/s0022149x16000304.

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AbstractAlthough the efficacy of triclabendazole treatment against Fasciola gigantica has been shown before in cattle and buffaloes, there appears to be no published report on the efficacy of triclabendazole in impala or other antelope species. As part of a health monitoring programme at Mulungushi International Conference Centre, Lusaka, Zambia, a coprological examination was undertaken to investigate the helminthological status of captive impala (Aepyceros melampus). Of 39 fresh coprological samples, 46% contained F. gigantica. The source of infection was identified to be a fountain within t
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Compion, Sara, and Lisa Cliggett. "The Gift of Volunteering." Sociology of Development 4, no. 4 (2018): 374–93. http://dx.doi.org/10.1525/sod.2018.4.4.374.

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Foreign aid to southern Africa has triggered the growth of a nonprofit sector that increasingly provides welfare and social support for needy populations. However, largely absent from research on this sector are substantive analyses of the contribution of voluntarism and interpersonal exchange to broader welfare development and social cohesion. This paper employs theories of gift exchange to analyze volunteer practices and localized interpretations of volunteering within the welfare structure of post-colonial Pretoria, South Africa, and Lusaka, Zambia. The analysis of ethnographic data pertain
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10

Macha, S., M. Muyuni, and S. Nkonde. "I220 INCREASING POST ABORTION CONTRACEPTION AS PART OF AN INITIATIVE TO REDUCE UNSAFE ABORTIONS AT THE UNIVERSITY TEACHING HOSPITAL, LUSAKA, ZAMBIA." International Journal of Gynecology & Obstetrics 119 (October 2012): S216. http://dx.doi.org/10.1016/s0020-7292(12)60250-1.

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11

Banda, Mickey, Caswell Hachabizwa, Joseph Hainza, Sikhanyiso Mutemwa, and Krikor Erzingastian. "Anatomical variations of the superior cerebellar artery: A cadaveric study at the University Teaching Hospitals, Lusaka, Zambia." Anatomy Journal of Africa 9, no. 2 (2020): 1789–96. http://dx.doi.org/10.4314/aja.v9i2.198925.

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The superior cerebellar artery usually arises from the terminal end of the basilar artery. It may also originate from the posterior cerebral artery and or from a common trunk with the posterior cerebral artery. The anatomical variations of superior cerebellar artery show ethnic differences, but there are few reports on African populations in particular none from Zambia. Variations of the superior cerebellar artery might cause compression symptoms of cranial nerves III, IV and V. Furthermore, the presence of such variations has been considered to be a factor in the aetiology of aneurysms and th
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12

Mwaba, Angela C. "Factors Associated to Utilization of Post-Natal Care At 48 Hours: A Case Study of Kanyama 1st Level Hospital in Lusaka, Zambia." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 7, no. 4 (2019): 290–307. http://dx.doi.org/10.21522/tijph.2013.07.04.art030.

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13

Mpabalwani, Evans M., Chileshe Lukwesa-Musyani, Akakambama Imamba, et al. "Declines in Pneumonia and Meningitis Hospitalizations in Children Under 5 Years of Age After Introduction of 10-Valent Pneumococcal Conjugate Vaccine in Zambia, 2010–2016." Clinical Infectious Diseases 69, Supplement_2 (2019): S58—S65. http://dx.doi.org/10.1093/cid/ciz456.

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Abstract Background Pneumococcus is a leading cause of pneumonia and meningitis. Zambia introduced a 10-valent pneumococcal conjugate vaccine (PCV10) in July 2013 using a 3-dose primary series at ages 6, 10, and 14 weeks with no booster. We evaluated the impact of PCV10 on meningitis and pneumonia hospitalizations. Methods Using hospitalization data from first-level care hospitals, available at the Ministry of Health, and from the largest pediatric referral hospital in Lusaka, we identified children aged <5 years who were hospitalized with pneumonia or meningitis from January 2010–December
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14

Oldfield, Sophie, Netsai Sarah Mathsaka, Elaine Salo, and Ann Schlyter. "In bodies and homes: Gendering citizenship in Southern African cities." Urbani izziv Supplement, no. 30 (2019): 37–51. http://dx.doi.org/10.5379/urbani-izziv-en-2019-30-supplement-003.

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How do the everyday contexts in which ordinary women struggle to access and maintain a place on the peripheries of the city shape experiences of citizenship? This paper explores this question in George, a periurban Lusaka neighbourhood in Zambia and through experiences of Zimbabwean migrant women’s negotiation of a place on the peri-urban edges of Khayelitsha, Cape Town, South Africa. In the logics of citizen-subjects, the experiences of these groups of women should be poles apart, the first with rights imbued in citizenship, the second migrants without. Here instead, we demonstrate the ways i
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15

Kaunda, Eugine, Yusuf Ahmed, and Bellington Vwalika. "Patterns of Sexual Assault victims presenting to the University Teaching Hospital in Lusaka, Zambia: a Cross-Sectional Study." University of Zambia Journal of Agricultural and Biomedical Sciences 4, no. 1 (2020): 22–27. http://dx.doi.org/10.53974/unza.jabs.4.1.353.

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Background: Sexual assault, which encompasses defilement and rape, is a public health and public safety problem with the majority of victims being women and children. The consequences of sexual assault include physical injuries, psychological trauma, depression, suicide or suicide attempt and post-traumatic stress disorder (PTSD) as a long-term consequence. Others are unwanted pregnancies and risk of acquiring sexually transmitted infections including the Human Immunodeficiency Virus (HIV). There is little information about the conditions under which sexual assault occurs. The aim of this stud
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16

Syamuleya, Vivienne Nambule, Isaac Sing’ombe, Fridah Mutalife, Sikhanyiso Mutemwa, Elliot Kafumukache, and Krikor Erzingatsian. "The anatomy of the Lamina terminalis and Cisterna Chiasmatica: A cadaveric study at the University Teaching Hospital, Lusaka, Zambia." Anatomy Journal of Africa 8, no. 1 (2019): 1452–59. http://dx.doi.org/10.4314/aja.v8i1.183966.

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The Lamina Terminalis represents an important neuroanatomical structure by which third Ventriculostomy could be performed into the subarachnoid space through the Cisterna Chiasmatica. Recent studies have indicated a role for Lamina Terminalis fenestration in approaching pathologies of the third ventricle. However, there is limited knowledge on the anatomical features, variations and the vasculature of the Lamina Terminalis in a Zambian population. This study was aimed to explore the anatomy of the Lamina Terminalis, the Cisterna Chiasmatica and its neurovascular relationships as seen in a Zamb
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17

Bwakura-Dangarembizi, Mutsa, Beatrice Amadi, Claire D. Bourke, et al. "Health Outcomes, Pathogenesis and Epidemiology of Severe Acute Malnutrition (HOPE-SAM): rationale and methods of a longitudinal observational study." BMJ Open 9, no. 1 (2019): e023077. http://dx.doi.org/10.1136/bmjopen-2018-023077.

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IntroductionMortality among children hospitalised for complicated severe acute malnutrition (SAM) remains high despite the implementation of WHO guidelines, particularly in settings of high HIV prevalence. Children continue to be at high risk of morbidity, mortality and relapse after discharge from hospital although long-term outcomes are not well documented. Better understanding the pathogenesis of SAM and the factors associated with poor outcomes may inform new therapeutic interventions.Methods and analysisThe Health Outcomes, Pathogenesis and Epidemiology of Severe Acute Malnutrition (HOPE-
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18

Patel, Archana A., Leah Wibecan, Owen Tembo, Prisca Kalyelye, Manoj Mathews, and Ornella Ciccone. "Improving paediatric epilepsy management at the first level of care: a pilot education intervention for clinical officers in Zambia." BMJ Open 9, no. 7 (2019): e029322. http://dx.doi.org/10.1136/bmjopen-2019-029322.

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ObjectiveEpilepsy affects approximately 50 million people globally, with approximately 80% living in low/middle-income countries (LMIC), where access to specialist care is limited. In LMIC, primary health workers provide the majority of epilepsy care, despite limited training in this field. Recognising this knowledge gap among these providers is an essential component for closing the epilepsy treatment gap in these regions.SettingIn Zambia, the vast majority of healthcare is provided by clinical officers (COs), primary health providers with 3 years post-secondary general medical education, who
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19

James, Philip, Henrik Friis, Susannah Woodd, et al. "Minimal impact of an iron-fortified lipid-based nutrient supplement on Hb and iron status: a randomised controlled trial in malnourished HIV-positive African adults starting antiretroviral therapy." British Journal of Nutrition 114, no. 3 (2015): 387–97. http://dx.doi.org/10.1017/s0007114515001920.

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Anaemia, redistribution of Fe, malnutrition and heightened systemic inflammation during HIV infection confer an increased risk of morbidity and mortality in HIV patients. We analysed information on Fe status and inflammation from a randomised, double blind, controlled phase-III clinical trial in Lusaka, Zambia and Mwanza, Tanzania. Malnourished patients (n 1815) were recruited at referral to antiretroviral therapy (ART) into a two-stage nutritional rehabilitation programme, randomised to receive a lipid-based nutrient supplement with or without added micronutrients. Fe was included in the inte
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20

Yamba, Kaunda, Evans Mpabalwani, Ruth Nakazwe, et al. "The Burden of Invasive Bacterial Disease and the Impact of 10-Valent Pneumococcal Conjugate Vaccine in Children <5 years hospitalized for Meningitis in Lusaka, Zambia, 2010–2019." Journal of Infectious Diseases 224, Supplement_3 (2021): S275—S284. http://dx.doi.org/10.1093/infdis/jiab193.

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Abstract Background Despite the availability of vaccines, invasive bacterial diseases remain a public health concern and cause childhood morbidity and mortality. We investigated the characteristics of etiological agents causing bacterial meningitis in children &amp;lt;5 years in the years pre- (2010–2012) and post- (2014–2019) 10-valent pneumococcal conjugate vaccine (PCV10) introduction in Zambia. Methods Streptococcus pneumoniae (Spn), Haemophilus influenzae (Hi), and Neisseria meningitidis (Nm) from cerebrospinal fluid (CSF) were identified by microbiological culture and/or real-time polyme
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21

Sing`ombe, Isaac, Vivienne Nambule, Fridah Mutalife, Sikhanyiso Mutemwa, Elliot Kafumukache, and Krikor Erzingastian. "Retracted: Cadaveric study on variations of the cystic artery in a Zambian population." Anatomy Journal of Africa 7, no. 2 (2018): 1298–303. http://dx.doi.org/10.4314/aja.v7i2.177639.

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This article has been retracted by the authors. An incorrect dataset was used, therefore the resullts are misleading.The main source of blood supply to the gall bladder is the cystic artery which is a branch of the right hepatic artery. Anatomical variations of the cystic artery are frequent. Thus, careful dissection of the Calot`s triangle is necessary for conventional and laparoscopic cholecystectomy. The knowledge of variations of the origin, course, and length of the cystic artery is important for the surgeon as bleeding from the cystic artery during cholecystectomy can lead to death. Fort
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22

Lusaka, Mildred, and Talitha Crowley. "Administering human immunodeficiency virus post-exposure prophylaxis: challenges experienced by mothers in Lusaka, Zambia." Southern African Journal of HIV Medicine 22, no. 1 (2021). http://dx.doi.org/10.4102/sajhivmed.v22i1.1183.

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23

Kanguya, T., M. Vinkoor, A. Sharma, et al. "Mental Health Comorbidity In HIV-positive Zambian Adults Who Consume Alcohol." European Journal of Public Health 30, Supplement_5 (2020). http://dx.doi.org/10.1093/eurpub/ckaa165.688.

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Abstract Background Alcohol abuse is common in Zambia and a growing threat to achieving the 90 90 90 treatment target to ending the HIV epidemic. Brief counselling is offered but has limited effectiveness possibly because it does not address the mental health issues that underpin drinking behavior. We assessed the frequency and nature of comorbid mental health issues in HIV-positive drinkers in Zambia. Methods As part of an ongoing randomized control trial (NCT03966885), we recruited HIV positive adults on ART who reported at least 1 alcoholic drink in the previous 3 months from two clinics in
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Bulawayo, Maio, Adam Silumbwe, Margarate Nzala Munakampe, et al. "A needs assessment for postgraduate training in selected public health disciplines: evidence from health services organisations in Lusaka, Zambia." BMC Health Services Research 20, no. 1 (2020). http://dx.doi.org/10.1186/s12913-020-05935-7.

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Abstract Background As most low and middle-income countries seek to achieve universal health coverage targets, there is an ever-increasing need to train human resources with the required core skills and competencies. This study reports on a needs assessment conducted among health services organisations (HSOs) to understand postgraduate training needs and service gaps for selected public health disciplines – Health Policy and Systems, Health Economics, and Healthcare Management and Planning – at the University of Zambia. Methods The study adopted a cross-sectional design, comprising qualitative
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25

Prust, Morgan L., Aparna Nutakki, Gloria Habanyama, et al. "Aspiration Pneumonia in Adults Hospitalized With Stroke at a Large Academic Hospital in Zambia." Neurology: Clinical Practice, July 1, 2021, 10.1212/CPJ.0000000000001111. http://dx.doi.org/10.1212/cpj.0000000000001111.

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AbstractIntroduction:Preventing complications of stroke such as post-stroke aspiration pneumonia (PSAP) may improve stroke outcomes in resource-limited settings. We investigated the incidence and associated mortality of PSAP in Zambia.Methods:We conducted a prospective cohort study of adults with stroke at University Teaching Hospital (Lusaka, Zambia) between 12/2019-3/2020. NIH Stroke Scale, Glasgow Coma Scale, Modified Rankin Scale scores, and nine indicators of possible PSAP were collected serially over each participant’s admission. PSAP was defined as ≥4 indicators present, and possible PS
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26

Gill, Christopher John, Lawrence Mwananyanda, William B. MacLeod, et al. "Infant Deaths Due to Respiratory Syncytial Virus: Results From a Three-Year Prospective Post-Mortem Surveillance Study in Lusaka, Zambia." SSRN Electronic Journal, 2021. http://dx.doi.org/10.2139/ssrn.3844883.

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27

M'soka, Namakau C., Langalibalele H. Mabuza, and Deidre Pretorius. "Cultural and health beliefs of pregnant women in Zambia regarding pregnancy and child birth." Curationis 38, no. 1 (2015). http://dx.doi.org/10.4102/curationis.v38i1.1232.

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Background: Health beliefs related to pregnancy and childbirth exist in various cultures globally. Healthcare practitioners need to be aware of these beliefs so as to contextualise theirpractice in their communities.Objectives: To explore the health beliefs regarding pregnancy and childbirth of womenattending the antenatal clinic at Chawama Health Center in Lusaka Zambia.Method: This was a descriptive, cross-sectional survey of women attending antenatal care(n = 294) who were selected by systematic sampling. A researcher-administered questionnairewas used for data collection.Results: Results i
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28

Sing`ombe, Isaac, Vivienne Nambule, Fridah Mutalife, Sikhanyiso Mutemwa, Elliot Kafumukache, and Krikor Erzingastian. "A cadaveric study on variations of the cystic artery in the department of pathology, at the University Teaching Hospitals, Lusaka, Zambia." Anatomy Journal of Africa 8, no. 1 (2019). http://dx.doi.org/10.4314/aja.v8i1.183951.

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The main source of blood supply to the gall bladder is the cystic artery which is a branch of the right hepatic artery. Anatomical variations of the cystic artery are frequent. Thus, careful dissection of the Calot`s triangle is necessary for conventional and laparoscopic cholecystectomy. The knowledge of variations of the origin, course, and length of the cystic artery is important for the surgeon as bleeding from the cystic artery during cholecystectomy can lead to death. Thirty-two post-mortem human cadavers at the University Teaching Hospitals, Pathology Department, Lusaka were dissected a
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29

Simuyaba, Melvin, Bernadette Hensen, Mwelwa Phiri, et al. "Engaging young people in the design of a sexual reproductive health intervention: Lessons learnt from the Yathu Yathu (“For us, by us”) formative study in Zambia." BMC Health Services Research 21, no. 1 (2021). http://dx.doi.org/10.1186/s12913-021-06696-7.

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Abstract Background Meeting the sexual and reproductive health (SRH) needs of adolescents and young people (AYP) requires their meaningful engagement in intervention design. We describe an iterative process of engaging AYP to finalise the design of a community-based, peer-led and incentivised SRH intervention for AYP aged 15–24 in Lusaka and the lessons learnt. Methods Between November 2018 and March 2019, 18 focus group discussions, eight in-depth interviews and six observations were conducted to assess AYP’s knowledge of HIV/SRH services, factors influencing AYP’s sexual behaviour and elicit
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