The hidden harm of home-based care: pulmonary tuberculosis symptoms among children providing home medical care to HIV/AIDS-affected adults in South Africa. by Cluver, L, Orkin, M, Moshabela, M, Kuo, C, Boyes, M

“…These findings identify the risk of tuberculosis among children providing home medical care to their unwell caregivers, and suggest that there are gaps in the health system to screen and detect these cases of paediatric tuberculosis. …”

Violence prevention accelerators for children and adolescents in South Africa: a path analysis using two pooled cohorts by Cluver, L, Rudgard, W, Toska, E, Zhou, S, Campeau, L, Shenderovich, Y, Orkin, M, Desmond, C, Butchart, A, Taylor, H, Meinck, F, Sherr, L

“…Positive parenting, parental monitoring and supervision, and food security at home, were each associated with lower odds of three or more violence outcomes (p<0.05). …”

"I Can't Go to School and Leave Her in So Much Pain": Educational Shortfalls Among Adolescent 'Young Carers' in the South African AIDS Epidemic by Cluver, L, Operario, D, Lane, T, Kganakga, M

“…In quantitative analyses, living in an AIDS-affected home predicted all these three outcomes (p&gt;.001) compared to homes affected by other sickness and to healthy homes, and independent of sociodemographic cofactors. …”

Risk and protective factors for bullying victimization among AIDS-affected and vulnerable children in South Africa. by Cluver, L, Bowes, L, Gardner, F

“…Children victimized at home or in the community are more likely to be bullied, suggesting a cycle of violence.…”

HIV status disclosure to perinatally-infected adolescents in Zimbabwe: a qualitative study of adolescent and healthcare worker perspectives by Kidia, K, Mupambireyi, Z, Cluver, L, Ndhlovu, C, Borok, M, Ferrand, R

“…Disclosure to this age group in a healthcare setting may help overcome some of the barriers associated with caregivers disclosing in the home environment and make the HIV status seem more credible to an adolescent. …”

Early intervention: A foundation for lifelong violence prevention by Skeen, S, Tomlinson, M, Ward, CL, Cluver, L, Lachman, JM

“…Exposure to violence starts early, in both the home and community. There are high levels of physical abuse of children and the national under-five homicide rate is more than double that of other low- and middle-income countries. …”

Can supportive parenting protect against school delay amongst violence-exposed adolescents in South Africa? by Herrero Romero, R, Hall, J, Cluver, L, Meinck, F

“…Adolescents’ exposure to violence at home, in school and in their communities can lead to detrimental outcomes in education. …”

Process evaluation of a parenting program for low-income families in South Africa by Lachman, JM, Kelly, J, Cluver, L, Ward, CL, Hutchings, J, Gardner, F

“…</p> <p><strong>Method:</strong> Quantitative measures included attendance registers, fidelity checklists, satisfaction surveys, and engagement in home practice activities. Qualitative data included parent interviews, facilitator focus groups, and transcripts from parent groups and facilitator supervision sessions.…”

Adaptations and staff experiences in delivering parenting programmes and other family support services in three community-based organisations in Cape Town, South Africa during the... by Shenderovich, Y, Sacolo-Gwebu, H, Fang, Z, Lachman, J, Cluver, L, Ward, C

“…Third, the pandemic brought new responsibilities for staff, and both the challenges of working from home and the health risks of in-person work.…”

Identifying risks for mental health problems in HIV positive adolescents accessing HIV treatment in Johannesburg by Cluver, L, Woollett, N, Brahmbhatt, H, Bandeira, M

“…Additionally, not feeling safe at home or in the community increased risk for all mental health disorders. …”

Evaluating the effectiveness of a multi-component intervention on early childhood development in paediatric HIV care and treatment programmes: a randomised controlled trial by Chingono, R, Mebrahtu, H, Mupambireyi, Z, Simms, V, Weiss, H, Ndlovu, P, Charasika, F, Tomlinson, M, Cluver, L, Cowan, F, Sherr, L

“…The CHIDO intervention comprises three elements: a group ECS parenting programme, an internal savings and lending scheme (ISALS) and case-management home visits by village health workers. The intervention was aimed at caregiver-child dyads (child aged 0-24 months) where the infant was HIV exposed or infected. …”

Shared and unique predictors of antisocial and substance use behavior among a nationally representative sample of South African youth by Waller, R, Gardner, F, Cluver, L

“…In particular, both harsh home and community environments were related to the development of youth antisocial and substance use behavior outcomes. …”

Delivering a parenting program in South Africa: the impact of implementation on outcomes by Shenderovich, Y, Eisner, M, Cluver, L, Doubt, J, Berezin, M, Majokweni, S, Murray, A

“…This may be due to limited variation in dosage as home visits were comprehensively provided when participants could not attend group sessions, and fidelity was monitored by the implementers and researchers. …”

Multitype violence exposures and adolescent antiretroviral nonadherence in South Africa by Cluver, L, Meinck, F, Toska, E, Orkin, M, Hodes, R, Sherr, L

“…Conclusion: Violence exposures at home, school, and clinic are major and cumulating risks for adolescent antiretroviral nonadherence. …”

Sex in the shadow of HIV: factors associated with sexual risk among adolescents in a community-traced sample in South Africa by Toska, E

“…<p><strong>Background:</strong> Sub-Saharan Africa is home to 85% of the world’s HIV-positive adolescents: an estimated 1.3-2.2 million 10-19 year olds. …”

Exposure to violence, teacher support, and school delay amongst adolescents in South Africa. by Herrero Romero, R, Hall, J, Cluver, L

“…</p> <h4>Sample</h4> <p>High-risk sample of 503 adolescents aged 10–18 exposed to multiple types of violence and socio-economic disadvantage at home, in school, and in their communities.</p> <h4>Methods</h4> <p>Multilevel aggregated structural equation modelling was applied to pre/post- RCT data. …”

Prevalence of parental death among young people in South Africa and risk for HIV infection. by Operario, D, Pettifor, A, Cluver, L, MacPhail, C, Rees, H

“…Parental death was disproportionately associated with black ethnicity, impoverished household living conditions, lack of an adult guardian in the home, and not completing compulsory education levels. …”

Violence, socioeconomic disadvantage and interpersonal protective factors for adolescents’ resilience in education in the Eastern Cape, South Africa by Herrero-Romero, R

“…<p><b>Background:</b> many adolescents from socioeconomically disadvantaged communities in South Africa are exposed to multiple types of violence at home, in school and in their communities. To date, little is known in this context about the effects of this violence on the adolescents’ educational outcomes, nor is much known about the protective factors contributing to adolescents’ resilience in education. …”

How effective is help on the doorstep? A longitudinal study of the impact of community-based organisation support on child behaviour and mental health by Sherr, L, Yakubovich, A, Cluver, L, Skeen, S, Hensels, I, Macedo, A, Tomlinson, M

“…Multivariate regression analyses revealed that children attending CBOs had lower odds of experiencing weekly domestic conflict between adults in their home (OR 0.17; 95% CI 0.09, 0.32), domestic violence (OR 0.22; 95% CI 0.08, 0.62), or abuse (OR 0.11; 95% CI 0.05, 0.25) at follow-up compared to participants without CBO contact. …”

Community-based organisations for vulnerable children in South Africa: Reach, psychosocial correlates, and potential mechanisms by Yakubovich, A, Sherr, L, Cluver, L, Skeen, S, Hensels, I, Macedo, A, Tomlinson, M

“…Mediation analysis was conducted to test whether more positive home environments mediated the association between CBO attendance and significantly higher psychological wellbeing. …”