The Amagugu intervention: a conceptual framework for increasing HIV disclosure and parent-led communication about health among HIV-Infected parents with HIV-uninfected primary school-aged children

Advances in access to HIV prevention and treatment have reduced vertical transmission of HIV, with most children born to HIV-infected parents being HIV-uninfected themselves. A major challenge that HIV-infected parents face is disclosure of their HIV status to their predominantly HIV-uninfected children. Their children enter middle childhood and early adolescence facing many challenges associated with parental illness and hospitalization, often exacerbated by stigma and a lack of access to health education and support. Increasingly, evidence suggests that primary school-aged children have the developmental capacity to grasp concepts of health and illness, including HIV, and that in the absence of parent-led communication and education about these issues, HIV-exposed children may be at increased risk of psychological and social problems. The Amagugu intervention is a six-session home-based intervention, delivered by lay counselors, which aims to increase parenting capacity to disclose their HIV status and offer health education to their primary school-aged children. The intervention includes information and activities on disclosure, health care engagement, and custody planning. An uncontrolled pre–post-evaluation study with 281 families showed that the intervention was feasible, acceptable, and effective in increasing maternal disclosure. The aim of this paper is to describe the conceptual model of the Amagugu intervention, as developed post-evaluation, showing the proposed pathways of risk that Amagugu aims to disrupt through its intervention targets, mechanisms, and activities; and to present a summary of results from the large-scale evaluation study of Amagugu to demonstrate the acceptability and feasibility of the intervention model. This relatively low-intensity home-based intervention led to: increased HIV disclosure to children, improvements in mental health for mother and child, and improved health care engagement and custody planning for the child. The intervention model demonstrates the potential for disclosure interventions to include pre-adolescent HIV education and prevention for primary school-aged children

Statistical Communication Theory

Contains reports on three research projects

Shock wave-boundary layer interactions in laminar transonic flow.

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76478/1/AIAA-1973-239-112.pd

Assessing Riparian Floristic Diversity and Vegetation Dynamics in the Vamanapuram River Basin, Kerala: A Comprehensive Analysis

The Vamanapuram River Basin (VRB) is home to a diverse range of plant species, including 152 distinct species from 50 botanical families. Poaceae, Leguminosae, Araceae, and Aseraceae are the most abundant, with 13 species. Euphorbiaceae, Acanthaceae, Apocynaceae, and Rubiaceae also contribute to the biodiversity hotspots. The VRB’s vegetation profile is characterized by a dynamic interplay of plant forms and ecological niches, with 74 herbs, 30 shrubs, 12 grasses, 1 liana, and 35 towering trees. The Poaceae family thrives in this environment due to hydrological factors. The sampling sites P6 and P5 exhibit high relative frequency and density, with key species like Macaranga peltata, Ficus hispida, and Swietenia macrophylla. Diversity indices like the Shannon-Wiener diversity index reaffirm the VRB’s tropical forest character. Beta-diversity patterns reveal unique plant species distribution dynamics among different panchayaths, emphasizing their ecological complexities. The study emphasizes the demand for specialized management and conservation techniques in this environmentally active region