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  1. Home
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Browsing by Subject "Recruitment"

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    Drought, Climate change and Vegetation response in the succulent karoo, South Africa
    (2009) Hoffman, M T; Carrick, P J; Gillson, L; West, A G
    For the winter-rainfall region of South Africa, the frequency of drought is predicted to increase over the next 100 years, with dire consequences for the vegetation of this biodiversity hotspot. We analysed historical 20th century rainfall records for six rainfall stations within the succulent karoo biome to determine if the signal of increasing drought frequency is already apparent, and whether mean annual rainfall is decreasing. We found no evidence for a decrease either in mean annual rainfall or in the incidence of drought, as measured by the Standardised Precipitation Index (SPI) over the 20th century. Evidence points to a drying trend from 1900-1950 while no significant trend in rainfall and drought was found at most stations from 1951-2000. In a second analysis we synthesised the information concerning the response of adult succulent karoo biome plants and seedlings to extended drought conditions. General findings are that responses to drought differ between species, and that longevity is an important life history trait related to drought survival. Growth form is a poor predictor of drought response across the biome. There was a range of responses to drought among adult plants of various growth forms, and among non-succulent seedlings. Leaf-succulent seedlings, however, exhibited phenomenal drought resistance, the majority surviving drought long after all the experimentally comparative non-succulent seedlings had died. Our synthesis showed that previous studies on the impact of drought on succulent karoo biome plants differ greatly in terms of their location, sampling design, measured values and plant responses. A suite of coordinated long-term field observations, experiments and models are therefore needed to assess the response of succulent karoo biome species to key drought events as they occur over time and to integrate this information into conservation planning.
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    Factors influencing adolescent girls and young women’s participation in a combination HIV prevention intervention in South Africa
    (2021-02-27) McClinton Appollis, Tracy; Duby, Zoe; Jonas, Kim; Dietrich, Janan; Maruping, Kealeboga; Abdullah, Fareed; Slingers, Nevilene; Mathews, Catherine
    Background For interventions to reach those they are intended for, an understanding of the factors that influence their participation, as well as the facilitators and barriers of participation are needed. This study explores factors associated with participation in a combination HIV prevention intervention targeting adolescent girls and young women (AGYW) aged 15–24-years-old, as well as the perspectives of AGYW, intervention implementers, and facilitators who participated in this intervention. Methods This study used mixed-methods approach with quantitative household survey data from 4399 AGYW aged 15–24-years-old in six of the ten districts in which the intervention was implemented. In addition, qualitative methods included a total of 100 semi-structured in-depth interviews and 21 focus group discussions in five of the ten intervention districts with 185 AGYW who participated in one or more of the key components of the intervention, and 13 intervention implementers and 13 facilitators. Thematic analysis was used to explore the perspectives of participating and implementing the intervention. Results Findings reveal that almost half of AGYW (48.4%) living in the districts where the intervention took place, participated in at least one of the components of the intervention. For both 15–19-year-olds and 20–24-year-olds, factors associated with increased participation in the intervention included being HIV negative, in school, never been pregnant, and having had a boyfriend. Experiencing intimate partner violence (IPV) and/or sexual violence in the past 12 months was associated with increased levels of participation in the intervention for 20–24-year-olds only. In our analysis of the qualitative data, facilitators to participation included motivating participants to join the interventions through explaining the benefits of the programme. Barriers included misguided expectations about financial rewards or job opportunities; competing responsibilities, interests or activities; family responsibilities including childcare; inappropriate incentives; inability to disrupt the school curriculum and difficulties with conducting interventions after school hours due to safety concerns; miscommunication about meetings; as well as struggles to reach out-of-school AGYW. Conclusion Designers of combination HIV prevention interventions need to address the barriers to participation so that AGYW can attend without risking their safety and compromising their family, childcare and schooling responsibilities. Strategies to create demand need to include clear communication about the nature and potential benefits of such interventions, and the inclusion of valued incentives.
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    Re-recruiting postpartum women living with HIV into a follow-up study in Cape Town, South Africa
    (2019-07-26) Mogoba, Phepo; Gomba, Yolanda; Brittain, Kirsty; Phillips, Tamsin K; Zerbe, Allison; Myer, Landon; Abrams, Elaine J
    Abstract Objective Recruitment and retention present major challenges to longitudinal research in maternal and child health, yet there are few insights into optimal strategies that can be employed in low-resource settings. Following prior participation in a longitudinal study following women living with HIV through pregnancy and breastfeeding in Cape Town, women were re-contacted at least 18 months after the last study contact and were invited to attend an additional follow-up visit. We describe lessons learnt and offer recommendations for a multiphase recruitment approach. Results Using telephone calls, home visits, clinic tracing and Facebook/WhatsApp messages, we located 387 of the 463 eligible women and successfully enrolled 353 (91% of those contacted). Phone calls were the most successful strategy, yielding 67% of enrolments. Over half of the women had changed their contact information since participation in the previous study. We recommend that researchers collect multiple contact details and use several recruitment strategies in parallel from the start of a study. Participants in longitudinal studies may require frequent contact to update contact information, particularly in settings where mobility is common.
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