Scholars@Duke
Kearsley A Stewart

Kearsley A Stewart

Professor of the Practice of Global Health
Duke Global Health Institute
k.stewart@duke.edu
90519, Duke Global Health Institute, Durham, NC 27708
Box 90519, 310 Trent Drive, Durham, NC 27708

Selected Publications

“Everyone is fighting their own battles”: A qualitative study to explore the context of suicidal ideation among people with HIV (PWH) in Kilimanjaro, Tanzania

Journal Article PLOS Mental Health · May 20, 2025 Tanzania faces significant HIV-related challenges with 1.4 million people currently living with HIV, 33,000 new infections, and 22,000 AIDS-related deaths annually. Suicide is a leading cause of death among People with HIV (PWH), with one-quarter o ... Full text Cite

Exploring supportive roles for global north investigators in global health research.

Journal Article PLOS Glob Public Health · 2025 Many academics are increasingly pushing for solutions to address inequitable partnership dynamics in global health research and practice. Efforts to improve equity in collaborations have prompted academic institutions to grapple with promotion and tenure c ... Full text Link to item Cite

The feasibility, appropriateness, and usability of mobile neuro clinics in addressing the neurosurgical and neurological demand in Uganda.

Journal Article PLoS One · 2024 INTRODUCTION: Uganda has a high demand for neurosurgical and neurological care. 78% of the over 50 million population reside in rural and remote communities where access to neurosurgical and neurological services is lacking. This study aimed to determine t ... Full text Link to item Cite

"I am not alone with tears": embodying stigma and longing among youth living with perinatally acquired HIV in Tanzania through a collaborative arts-based approach.

Journal Article Med Humanit · September 2023 It is estimated that 4 million youth aged 15-24 years live with HIV globally, 85% of whom live in sub-Saharan Africa. For youth living with perinatally acquired HIV (YPHIV), stigma is frequently linked with negative health outcomes. YPHIV face distinct HIV ... Full text Link to item Cite

Conducting caregiver focus groups on autism in the context of an international research collaboration: Logistical and methodological lessons learned in South Africa.

Journal Article Autism · April 2023 Most of the autism research to date has been conducted in high-income countries, with children and families typically from White, upper-middle-income backgrounds. However, we know there are significant inequalities that exist which influence how autistic i ... Full text Link to item Cite

Exploring the intersection of critical disability studies, humanities and global health through a case study of scarf injuries in Bangladesh.

Journal Article Med Humanit · June 2022 This article puts critical disability studies and global health into conversation around the phenomenon of scarf injury in Bangladesh. Scarf injury occurs when a woman wearing a long, traditional scarf called an orna rides in a recently introduced autorick ... Full text Open Access Link to item Cite

Keepers of the House: A documentary.

Journal Article Clin Teach · February 2022 BACKGROUND: Our documentary, Keepers of the House, highlights ways that hospital housekeepers, typically unnoticed care team members, provide emotional support for patients and their families. This film addresses a gap in education by emphasizing the impor ... Full text Open Access Link to item Cite

"Pain is Subjective": A Mixed-Methods Study of Provider Attitudes and Practices Regarding Pain Management in Sickle Cell Disease Across Three Countries.

Journal Article J Pain Symptom Manage · March 2021 CONTEXT: Sickle cell disease (SCD), an autosomal recessive blood disorder, affects millions of people worldwide. Approximately 80% of all cases are located in Africa. OBJECTIVES: This cross-national, interdisciplinary, collaborative study investigated prov ... Full text Link to item Cite

Sickle cell disease is a global prototype for integrative research and healthcare.

Journal Article Adv Genet (Hoboken) · March 2021 Differences in health outcomes and treatment responses within and between global populations have been well documented. There is growing recognition of the need to move beyond simple inventories and descriptions of these differences and our linear explanat ... Full text Open Access Link to item Cite

Experiences of Family Caregivers After an Acute Neurological Event.

Journal Article Neurocrit Care · February 2021 BACKGROUND: Family of patients hospitalized in an intensive care unit (ICU) often immediately assume the role of caregiver to an individual with significant health care needs. The transition into this caregiver role may be sudden and unexpected; their expe ... Full text Link to item Cite

Adolescents' and caregivers' perceptions of caregiver-provided testing and HIV self-testing using oral mucosal transudate tests in Zimbabwe: a short report.

Journal Article AIDS care · January 2021 Uptake of HIV testing remains lower among children and adolescents compared to adults. This study explored adolescents' perceptions of HIV self-testing (HIVST) and caregivers' perceptions of testing their children using an oral mucosal transudate (OMT) rap ... Full text Open Access Cite

Youth-friendly HIV self-testing: Acceptability of campus-based oral HIV self-testing among young adult students in Zimbabwe.

Journal Article PloS one · January 2021 BackgroundTargeted HIV testing strategies are needed to reach remaining undiagnosed people living with HIV and achieve the UNAIDS' 95-95-95 goals for 2030. HIV self-testing (HIVST) can increase uptake of HIV testing among young people, but user pe ... Full text Cite

Reciprocity in Quarantine: Observations from Wuhan's COVID-19 Digital Landscapes.

Journal Article Asian bioethics review · December 2020 The 2003 SARS pandemic heralded the return of quarantine as a vital part of twenty-first century public health practice. Over the last two decades, MERS, Ebola, and other emerging infectious diseases each posed unique challenges for applying quarantine eth ... Full text Open Access Cite

Salient practices of award-winning undergraduate research mentors–balancing freedom and control to achieve excellence

Journal Article Studies in Higher Education · July 2, 2020 This paper contributes to research on teaching excellence by extending the current body of literature pertaining to mentoring pedagogies in undergraduate research settings across diverse social, institutional and disciplinary contexts. Our data comes from ... Full text Open Access Cite

Confidentiality and Consent in Health Research With Youth Living in Zimbabwe: Ethical Challenges for the Responsible Conduct of Health Research Using Social Media in Africa

Conference · June 19, 2020 BACKGROUND: The explosive growth of mobile telephone ownership and social media use in Africa introduces new modes of communication, education, information sharing, and opportunities for research and data generation. COVID-19 physical distancing, quarantin ... Open Access Cite

Transforming Undergraduate Global Health Education Through a Humanities-Focused Curriculum

Journal Article Pedagogy in Health Promotion · March 1, 2020 Global health needs the humanities today as medicine needed the humanities in the 1970s. When new biomedical technologies threatened to undermine the physician in their primary role of healing the patient, the field of medical humanities emerged to rehuman ... Full text Open Access Cite

How Should Clinicians Integrate Mental Health Into Epidemic Responses?

Journal Article AMA journal of ethics · January 2020 The 2014 Ebola epidemic in Sierra Leone and the current outbreak that began in 2018 in the Democratic Republic of the Congo generated numerous mental health crises that remain unaddressed by global standard infectious disease protocols. This article explor ... Full text Open Access Cite

Brief Report: Diagnostic Accuracy of Oral Mucosal Transudate Tests Compared with Blood-Based Rapid Tests for HIV Among Children Aged 18 Months to 18 Years in Kenya and Zimbabwe.

Journal Article Journal of acquired immune deficiency syndromes (1999) · December 2019 BackgroundGaps persist in HIV testing for children who were not tested in prevention of mother-to-child HIV transmission programs. Oral mucosal transudate (OMT) rapid HIV tests have been shown to be highly sensitive in adults, but their performanc ... Full text Open Access Cite

Challenges and facilitators of transition from adolescent to adult HIV care among young adults living with HIV in Moshi, Tanzania.

Journal Article J Int AIDS Soc · October 2019 INTRODUCTION: Scale up of anti-retroviral therapy has enabled millions of children infected with HIV to survive into adulthood, requiring transition of care to the adult HIV clinic. This transition period is often met with anxiety and reluctance. Youth who ... Full text Open Access Link to item Cite

How is the Caregiver Doing? Capturing Caregivers’ Experiences with a Reflective Toolkit

Journal Article Journal of Medical Internet Research: Mental Health · 2019 Open Access Cite

Qualitative Analysis of Palliative Care for Pediatric Patients With Cancer at Bugando Medical Center: An Evaluation of Barriers to Providing End-of-Life Care in a Resource-Limited Setting.

Journal Article J Glob Oncol · July 2018 Purpose Palliative care remains an urgent, neglected need in the developing world. Global disparities in end-of-life care for children, such as those with advanced cancers, result from barriers that are complex and largely unstudied. This study describes t ... Full text Open Access Link to item Cite

The Hidden Curricula of Medical Education: A Scoping Review.

Journal Article Academic medicine : journal of the Association of American Medical Colleges · April 2018 PurposeTo analyze the plural definitions and applications of the term "hidden curriculum" within the medical education literature and to propose a conceptual framework for conducting future research on the topic.MethodThe authors conducte ... Full text Open Access Cite

Mentor perspectives on the place of undergraduate research mentoring in academic identity and career development: an analysis of award winning mentors

Journal Article International Journal for Academic Development · January 2, 2018 This study examines how Undergraduate Research (UR) mentoring fits into the career profile of award-winning UR mentors and the factors that motivate engagement as UR mentors. Twenty-four award-winning UR mentors in four countries were interviewed about the ... Full text Open Access Cite

Using archival materials, art and poetry to improve sexual and reproductive global health training and programs (D5 Knowledge translation and dissemination of research and programme outcomes)

Conference · 2018 Background: Since 2000, critiques of international clinical research have emphasized the need to prevent unnecessary duplication, reduce wastage of results and learn from the past. This also applies to global health research and work. A university course n ... Link to item Cite

Antibiotic overuse for acute respiratory tract infections in Sri Lanka: a qualitative study of outpatients and their physicians.

Journal Article BMC Fam Pract · March 16, 2017 BACKGROUND: Acute respiratory tract infections (ARTIs) are a common reason for antibiotic overuse worldwide. We previously showed that over 80% of outpatients presenting to a tertiary care hospital in Sri Lanka with influenza-like illness received antibiot ... Full text Open Access Link to item Cite

Anthropological Perspectives in Bioethics

Journal Article International Encyclopedia of Public Health · 2017 Open Access Link to item Cite

Award-winning Mentors See Democratization as the Future of Undergraduate Research

Journal Article CUR Quarterly: Undergraduate Research and Higher Education of the Future. · 2017 Full text Open Access Link to item Cite

Teaching the Ethical Conduct of Global Health Research Through Archived Grey Literature

Conference · 2017 Numerous authors have critiqued the unnecessary duplication of previous research as ‘perversely unethical;’ a waste of resources. Ethical modes of using existing research material include increasing value and reducing waste. One form of ‘waste’ is the pote ... Link to item Cite

Conducting Focus Group Discussions on Autism Spectrum Disorders in South Africa: Challenges and Ethical Issues

Conference · 2017 Autism spectrum disorder (ASD) is a growing public health concern in low- and middle-income countries (LMIC). Evidence-based early autism intervention can significantly enhance cognitive abilities and adaptive behaviors and improve quality of life for chil ... Link to item Cite

Global health humanities: defining an emerging field.

Journal Article Lancet (London, England) · November 2016 Full text Open Access Cite

The Challenge of Community Representation.

Journal Article Journal of empirical research on human research ethics : JERHRE · October 2016 Although community advisory boards (CABs) are widely used in clinical research, there is limited data regarding their composition and structure, especially in Africa. Our research provides the first qualitative study of the membership practices, selection ... Full text Open Access Cite

Long shadow of fear in an epidemic: fearonomic effects of Ebola on the private sector in Nigeria.

Journal Article BMJ global health · January 2016 BackgroundThe already significant impact of the Ebola epidemic on Guinea, Liberia and Sierra Leone, was worsened by a fear of contagion that aggravated the health crisis. However, in contrast to other Ebola-affected countries, Nigeria fared signif ... Full text Open Access Cite

Teaching corner: the prospective case study : a pedagogical innovation for teaching global health ethics.

Journal Article Journal of bioethical inquiry · March 2015 Over the past decade, global health has emerged as one of the fastest growing academic programs in the United States. Ethics training is cited widely as an essential feature of U.S. global health programs, but generally it is not deeply integrated into the ... Full text Open Access Cite

Ten salient practices of undergraduate research mentors: A review of the literature

Journal Article Mentoring and Tutoring Partnership in Learning · January 1, 2015 This paper identifies salient practices of faculty mentors of undergraduate research (UR) as indicated in the extensive literature of the past two decades on UR. The well-established benefits for students involved in UR are dependent, first and foremost, o ... Full text Open Access Cite

AIDS Denialism: Conspiratorial Ideation and the Internet

Journal Article Journal of Global Health (Columbia University) · 2015 Link to item Cite

The undergraduate field-research experience in Global Health: Study abroad, service learning, professional training or 'none of the above'?

Journal Article Learning and Teaching · June 1, 2013 Interest in short-term international placements in global health training for U.S.-based medical students is growing; the trend is mirrored for global health undergraduate students. Best practices in field-based global health training can increase ... Full text Open Access Cite

AIDS and AIDS Programs in Africa

Other Cultural Sociology of the Middle East, Asia and Africa, Volume 2, Africa · 2012 Cite

Malaria in Africa

Other Cultural Sociology of the Middle East, Asia and Africa, Volume 2, Africa · 2012 Cite

Values in global health governance

Journal Article · January 1, 2011 Introduction Over the past several decades, political conflicts, economic volatility and large-scale cultural and social changes have strongly influenced not only global health problem and solution frameworks, but the very way we conceive of global health ... Full text Open Access Cite

University leadership for innovation in global health and HIV/AIDS diagnostics.

Journal Article Global public health · January 2010 Medical products used in the developed world often fail to adequately serve resource-limited settings where electricity, transportation and health care workers are not readily available. We suggest that the problem is not only a lack of coordinated financi ... Full text Open Access Cite

Anthropology, knowledge-flows and global health.

Journal Article Global public health · January 2010 Global health programmes are damaged by blockages in the upward flow of information from localities and regional centres about realities of professional practice and about patients' lives and conditions of treatment. Power differentials between local actor ... Full text Open Access Cite

Okukkera Ng'omuzungu (lost in translation): understanding the social value of global health research for HIV/AIDS research participants in Uganda.

Journal Article Global public health · January 2010 As major global governance entities begin to re-assess the structure and goals of health research in resource-poor settings, social science can make a vital contribution by expanding the traditional field of research ethics to include new concepts such as ... Full text Open Access Cite

Anthropological perspectives in bio-ethics

Journal Article · December 1, 2008 The intersection of the theories and practices of public health, anthropology, and bioethics is a recent trend. It reflects new public health challenges posed by the globalization of health research, the global spread of health technologies, epidemics of n ... Full text Open Access Cite

Children and Health in Uganda

Other Greenwood Encyclopedia of Children’s Issues Worldwide · 2008 Cite

UGANDA

Chapter · January 1, 2007 Cite

Can a human rights framework improve biomedical and social scientific HIV/AIDS research for African women?

Journal Article Human Rights Review · December 1, 2006 In most countries in Africa, the epidemiologic profile of HIV/AIDS is significantly different from that of the USA or Europe. Women in Africa are as likely to be HIV positive as men, while young women are significantly more likely to be HIV positive than y ... Full text Cite

Pastoral care following pregnancy loss: the role of ritual.

Journal Article The journal of pastoral care & counseling : JPCC · March 2004 The authors propose a model for different ways in which clergy of diverse denominations ritualize pregnancy loss through excerpts from 23 interviews with Chicago-area religious leaders. These clergy either do not ritualize pregnancy loss at all, adapt exis ... Full text Cite

Toward a historical perspective on sexuality in Uganda: The reproductive lifeline technique for grandmothers and their daughters

Journal Article Africa Today · January 1, 2001 Current health research on HIV-AIDS in Uganda is predominantly ahistorical and acultural. This is an inadequate analysis of a profoundly social epidemic, especially as the burden of disease shifts from adults to adolescents. As well, many Ugandan adults ho ... Cite

New Perspectives on African Feminism and the History of African Women

Other Women's Studies International Forum · 1999 Cite

Research on Adolescents and HIV/AIDS in Uganda: A Field Report

Other AIDS and Anthropology Bulletin · 1999 Cite

Sheena Duncan

Other Women in World History: A Biographical Encyclopedia Volume 4 · 1999 Cite

Ruth First

Other Women in World History: A Biographical Encyclopedia Volume 5 · 1999 Cite

Ellen Kuzwayo

Other Women in World History: A Biographical Encyclopedia Volume 8 · 1999 Cite

Recent Publications on Sexual Health in Africa

Other African Studies Review · 1998 Cite

An Interview with Claire Elizabeth Sterk

Other AIDS and Anthropology Bulletin · 1998 Cite

Iron Age ceramic studies in Great Lakes eastern Africa: a critical and historiographical review

Journal Article African Archaeological Review · December 1, 1993 The influence of Merrick Posnansky's work on the development of Iron Age Great Lakes ceramic studies is traced and an historiographical analysis of the published material of associated African, American, Belgian and British Iron Age Africanist archaeologis ... Full text Cite

A Further Note on Research in Burundi

Other History in Africa · 1989 Cite