Tiny Masupe

Tiny Masupe
University of Botswana | UB · School of Medicine

Bachelor of Medicine Bachelor of Surgery; MPH; Msc Occupational medicine

About

50
Publications
10,482
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451
Citations
Introduction
Currently working on self-management of type 2 diabetes and hypertension in resource limited settings and proposing a radical model for self-management based on my research findings. I use both qualitative and quantitative methods but more comfortable wit qualitative research methods. I am also looking at mental health issues among healthcare workers during COVID-19
Additional affiliations
January 2012 - October 2015
University of Botswana
Position
  • Lecturer in Public Health Medicine

Publications

Publications (50)
Article
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Introduction: Coronavirus disease 2019 (COVID-19) has been associated with mental health outcomes and healthcare workers (HCWs) are at the highest risk. The aim of this study was to determine the prevalence and predictors of depression, anxiety and stress, among frontline HCWs at COVID-19 isolation and treatment sites in Gaborone, Botswana. Metho...
Article
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Background: In March 2019, students at Lempu Secondary School in Kweneng District, Botswana displayed symptoms including headache, abnormal leg movements and difficulty walking. Within days, 133 students were admitted to Scottish Livingstone Hospital where mass psychogenic illness (MPI) was diagnosed. Aim: To identify predictors of this illness....
Article
PURPOSE High-level investment in cancer prevention and control in low- and middle-income countries is urgently needed to address the predicted surge in cancer incidence, yet few assessments of health systems have systematically identified gaps in infrastructure, training, and patient care in sub-Saharan Africa. In Botswana, we evaluated the current...
Article
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Background The COVID-19 disease burden continues to be high worldwide and vaccines continue to be developed to help combat the pandemic. Acceptance and risk perception for COVID-19 vaccines is unknown in Botswana despite the government's decision to roll out the vaccine nationally.Objectives This study aims to assess the acceptance rate and risk pe...
Article
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Background: Child mortality is a core indicator for child health and wellness. Botswana reported an under-five-year-old children (UFC) mortality rate of 48 deaths per 1000 live births in 2017 against 152 deaths per 1000 live births in 1971. This was a commendable accomplishment. However, given the current country situation whereby 23% of children...
Article
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Background: Policy changes are often necessary to contain the detrimental impact of epidemics such as those brought about by coronavirus disease (COVID-19). In the earlier phases of the emergence of COVID-19, China was the first to impose strict restrictions on movement (lockdown) on January 23rd, 2020. A strategy whose effectiveness in curtailing...
Article
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Background Health research governance is an essential function of national health research systems. Yet many African countries have not developed strong health research governance structures and processes. This paper presents a comparative analysis of national health research governance in Botswana, Kenya, Uganda and Zambia, where health sciences r...
Article
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Background: South Africa established chronic disease management programmes (CDMPs) called ‘clubs’ to ensure quality diabetes care. However, the effectiveness of these clubs remains unclear in terms of disease risk factor monitoring and complication prevention. Aim: We assessed risk factor monitoring, prevalence and determinants of diabetes related...
Article
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COVID-19 was declared a Public Health Emergency of International Concern (PHEIC) in January 2020 and a pandemic in March 2020. Botswana reported its first case on 30th March 2020 and as of 31st January 2021 had 21,293 cases and 46 deaths. The University of Botswana Public Health Medicine Unit has made significant contributions to the national prepa...
Article
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The May Measurement Month (MMM) 2019 campaign aimed to raise awareness of the health issues surrounding raised blood pressure (BP) among the general public. It also sought to identify and facilitate reduction of BPs of participants who require intervention to lower their BP according to current country treatment guidelines. Participants aged ≥18 ye...
Preprint
Full-text available
Background: Health research governance is an essential function of national health research systems. Yet many African countries have not developed strong health research governance structures and processes. This paper presents a comparative analysis of national health research governance in Botswana, Kenya, Uganda, and Zambia where health sciences...
Article
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During the May Measurement Month 2018 (MMM18) campaign, we aimed to raise hypertension awareness and measure blood pressure (BP) across different communities in Botswana. Study sites included four large villages and Gaborone (capital city). Screening sites were shopping malls, train stations, churches, and workplaces. Individuals aged ≥18 years wer...
Article
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The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted many lives worldwide. Training programmes in academic institutions have also been affected by the pandemic. Teaching and learning family medicine and public health medicine in the COVID-19 era require adjustments to training activities. At the University of Botswana, the pandemic...
Preprint
Full-text available
Background Policy changes are often necessary to contain the detrimental impact of epidemics such as the coronavirus disease (COVID-19). China imposed strict restrictions on movement on January 23 rd , 2020.Interrupted time series methods were used to study the impact of the lockdown on the incidence of COVID-19. Methods The number of cases of COVI...
Article
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Objectives To determine the prevalence and sociodemographic predictors of HIV among pregnant women in Botswana. Methods This was a cross-sectional study of randomly enrolled women aged 18 to 49 years, attending 7 health facilities in Botswana. Data were gathered from November 2017 to March 2018 and analyzed using SPSS version 24. Result Of the 42...
Article
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Introduction: Hypertension is a leading risk factor for cardiovascular mortality and an emerging public health concern in sub-Saharan Africa. Few studies have examined performance on the management of hypertension in this region, where the context may be distinct from other developing regions. Objectives: We aimed to determine the prevalence and...
Article
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Background: Intentional poisoning is becoming an important public health concern particularly among young women globally. Consequently, there is a need to analyse this further within countries to establish pertinent policies to reduce current incidence rates. This includes sub-Saharan African countries where there has been a scarcity of information...
Article
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Background: Intentional poisoning is becoming an important public health concern particularly among young women globally. Consequently, there is a need to analyse this further within countries to establish pertinent policies to reduce current incidence rates. This includes sub-Saharan African countries where there has been a scarcity of information...
Article
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Background: Factors associated with overweight/obesity among antiretroviral therapy (ART) recipients have not been sufficiently studied in Botswana. Objectives: To: (i) estimate the prevalence and trends in overweight/obesity by duration of exposure to ART among recipients, (ii) assess changes in BMI categories among ART recipients between their...
Article
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Objective: To undertake a comprehensive assessment of socioeconomic and behavioural determinants of overweight/obesity among adult population in Botswana. Design: The study adopted a cross-sectional design by selecting adult respondents in 3 cities and towns, 15 urban villages and 15 rural areas across Botswana using a multistage probability sam...
Article
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Background: The epidemiologic transition and double disease burden from chronic infections and Non-communicable diseases (NCDs) worldwide requires re-engineering of healthcare delivery systems. Healthcare workers (HCWs) need to adapt to new integrated disease management approaches and change from current disease-specific management. Objectives:...
Article
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Background: CNS infections are a leading cause of HIV-related deaths in sub-Saharan Africa, but causes and outcomes are poorly defined. We aimed to determine mortality and predictors of mortality in adults evaluated for meningitis in Botswana, which has an estimated 23% HIV prevalence among adults. Methods: In this prevalent cohort study, patien...
Article
على الرغم من ارتفاع عبء الأمراض غير المعدية، إلا أن الحصول على الخدمات اللامركزية ذات الجودة العالية للأمراض المعدية ظل محدوداً في العديد من الدول منخفضة الدخل ومتوسطة الدخل. نحن هنا نصف الاستراتيجيات التي استعنا بها لدفع العملية من مرحلة التكيف إلى مرحلة التأييد الوطني وتنفيذ إرشادات الرعاية الصحية الأولية للبالغين في بوتسوانا لعام 2016 . وشملت ال...
Article
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Objectives Exposure to combination antiretroviral therapy (cART) is associated with the development of diabetes mellitus related comorbidities (DRCs). This study aims to: (i) estimate the incidence of DRCs among cART recipients, (ii) assess the time-to-event (development of DRC) and, (iii) compare survival function between recipients on first-line...
Article
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Background: Increased blood pressure is the biggest contributor to the global burden of disease and mortality. Data suggest that less than half of the population with hypertension is aware of it. May Measurement Month was initiated to raise awareness of the importance of blood pressure and as a pragmatic interim solution to the shortfall in screen...
Article
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Background: Combination antiretroviral therapy (cARTs) regiments are known to prolong the recipients' life even though they are risk factors for diabetes mellitus-related comorbidities (DRCs). We sought to: (i) examine cART relationship with DRCs among patients attending HIV clinics in Gaborone, Botswana (which cART regimens are associated with sh...
Article
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The colliding epidemics of non-communicable diseases including diabetes with chronic infectious diseases in Sub-Saharan Africa requires contextualized innovative disease management strategies. This qualitative study conducted in a peri-urban township near Cape Town, South Africa aimed to identify and gain in-depth understanding of contextual and en...
Poster
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Botswana introduced the controversial 30% alcohol levy in 2008 as a public health measure to curb alcohol misuse and related disorders. Currently the levy stands at 55%. The study aimed to assess the impact of this levy on drinking patterns. The objectives were: to examine the pattern of drinking behaviors among alcohol consumers in Gaborone and to...
Conference Paper
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Background: An association between combination antiretroviral therapy (cART) and diabetes-related comorbidities (DRCs) has been found in some countries. However, data on the incidence of DRCs among cART recipients in Botswana are not available. The objectives of this study were to estimate the incidence of DRCs among cART recipients, assess the tim...
Article
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Background: human immune virus and acquired immunodeficiency syndrome (HIV/AIDS) have been recognized in Botswana for the last three decades, however, combination anti-retroviral therapy (cART) was only introduced after 2000. Facility-based historical data of the burden of HIV/AIDS- related conditions pre-cART have so far not been analyzed. Objecti...
Article
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Objective: To measure the association between the number of doctors, nurses and hospital beds per 10,000 people and individual HIV-infected patient outcomes in Botswana. Design: Analysis of routinely collected longitudinal data from 97,627 patients who received ART through the Botswana National HIV/AIDS Treatment Program across all 24 health dis...
Conference Paper
69 Background One of the challenges to addressing the growing burden of cancer in low- and middle-income countries is insufficient data and limitations in quality of cancer registries. The Botswana National Cancer Registry (BNCR), first established in 1999, is an IARC-endorsed population-based registry covering a population of 2.1 million. Here we...
Article
Background: Since the UN Human Rights Council's recognition on the subject in 2011, the right to access the Internet and information is now considered one of the most basic human rights of global citizens [1,2]. Despite this, an information gap between developed and resource-limited countries remains, and there is scant research on actual informat...
Article
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The issue of borderline p-value seems to divide health scientists into two schools of thought. One school of thought argues that when the p-value is greater than or equal to the statistical significance cut-off level of 0.05, it should not be considered statistically significant and the null hypothesis should be accepted no matter how close the p-v...
Article
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Objectives: To determine the incidence and risk factors of mortality for all HIV-infected patients receiving antiretroviral treatment at public and private healthcare facilities in the Botswana National HIV/AIDS Treatment Programme. Design: We studied routinely collected data from 226 030 patients enrolled in the Botswana National HIV/AIDS Treat...
Article
Objective: To evaluate the variation in all-cause attrition (mortality and loss to follow-up (LTFU)) among HIV-infected individuals in Botswana by health district during the rapid and massive scale-up of the National Treatment Program. Methods: Analysis of routinely collected longitudinal data from 226,030 patients who received ART through the B...
Conference Paper
Epidemic modeling of a disease like diarrhea help in understanding the dynamics of the disease as well as preventing it. According to the pathogenesis, models for Shigella and Salmonella have been formulated and the basic reproduction number (R0) has been evaluated. These models have been built up into a user-friendly graphical user interface that...
Article
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Diarrhea contributed for 17.6% of under-five deaths in Botswana. Oral rehydration salt (ORS) therapy has been the cornerstone in the control of morbidity and mortality secondary to diarrheal diseases. The study was aimed at assessing the household availability of ORS following the nationwide campaign of availing ORS at household level. A cross sect...
Article
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Background Historically, many prospective employees in Great Britain have undergone pre-employment health screening (PEHS) assessments before a job offer. Section 60 of the Equality Act 2010 stipulates that PEHS assessments before a job offer may contravene the disability provisions of the Act except under specific circumstances. PEHS assessments i...
Article
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Disclosure of one’s Human Immunodeficiency Virus (HIV) status to a sexual partner has increasingly gained prominence in the management of the HIV/AIDS pandemic. Policies are based on the premise that if those infected with HIV disclose their status, it will lead to safer sex and therefore reduced rates of HIV transmission. A qualitative study, util...

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Projects

Projects (3)
Archived project
Project
To test the effectiveness of community-based support for the prevention and self-management of type-2 diabetes in addition to facility based care in a low-, medium- and high-income country setting.
Project
The objective of the study is to investigate patterns of chronic non-communicable diseases and their risk factors, healthcare utilization and health expenditure.