Policy Briefs & Reports
We have created a number of policy briefs in association with UNICEF. They can be found here: External Link
All other policy briefs and working papers can be found below:
Policy Brief: ‘Cash plus care’ halves adolescent HIV-risk behaviours
Policy Brief: Social Protection and the Sustainable Development Goals
Policy Brief: TB in children with AIDS-affected caregivers
Policy Brief: Long-term mental health impacts of AIDS-orphanhood
Policy Brief: Positive parenting in families affected by HIV and AIDS
Working Paper: De Stone, S., Meinck, F., Sherr, L., Cluver, L., Doubt, J., Orkin, F.M., Kuo, C., Sharma, A.D., Hensels, I., Skeen, S., Redfern, A., Tomlinson, M. (2016). Factors Associated with Good and Harsh Parenting of Pre-Adolescents and Adolescents in Southern Africa, Innocenti Working Papers no. IWP_2016_20, UNICEF Office of Research - Innocenti, Florence
Cluver, L, Pantelic, M, Orkin, M, Toska, E, Medley, S, Sherr, L (2018) Sustainable Survival: Which SDGs protect against mortality risk for adolescents living with HIV? Journal of the International AIDS Society.
Hodes, R, Doubt, J, Toska, E, Vale, B, Zungu, N, Cluver, L (2018) The stuff that dreams are made of: using participatory research to explore interlinkages in HIV - positive adolescents’ aspirations for development. Journal of the International AIDS Society.
Sherr, L., & Cluver, L. (2017). World Health Day focus on HIV and depression – a comorbidity with specific challenges. Journal of the International AIDS Society, 20(1), 21956. doi: 10.7448/IAS.20.1.21956.
Toska, E. Cluver, L. Pantelic, M. & Hodes, R. (2017). To know or not to know? HIV-status disclosure and protective sexual practices among adolescent girls and boys in South Africa. CSSR Working Paper No. 402. Cape Town: University of Cape Town.
Pantelic, M., Boyes, M., Cluver, L., & Meinck, F. (2017). HIV, violence, blame and shame: pathways of risk to internalized HIV stigma among South African adolescents living with HIV. Journal of the International AIDS Society, 20(1), 21771. doi: 10.7448/IAS.20.1.21771.
Natukunda, H., Cluver, L., Toska, E., Musiime, V., & Yakubovich, A. (2017). Beyond clinical trials: Cross-sectional associations of combination antiretroviral therapy with reports of multiple symptoms and non-adherence among adolescents in South Africa. South African Medical Journal, 107(11), 965-975. doi: 10.7196/SAMJ.2017.v107i11.12405.
Carty, CR., Hodes, R., Cluver, L., Bhardwaj S. (2017). Symptom or Sentiment?: Considerations for mHealth Interventions Designed for HIV+ Adolescents. In Proceedings of the 2017 International Conference on Digital Health Jul 2 2017, 227-228. doi: 10.1145/3079452.3079479.
Hodes, R. Price, I. Bungane, N. Toska, E. & Cluver, L. (2017). How frontline healthcare workers respond to stock-outs of essential medicines in the Eastern Cape. South African Medical Journal 107(9): 738-740. doi: 10.7196/SAMJ.2017.v107i9.12476.
Vale, B., Hodes, R., Cluver, L. and Thabeng, M. (2017). Bureaucracies of Blood and Belonging: Documents, HIV-positive Youth and the State in South Africa. Development and Change, 48: 1287–1309. doi: 10.1111/dech.12341
Meinck, F., Fry, D., Ginindza, C., Wazny, K., Elizalde, A., Spreckelsen, T.F., Maternowska, M.C. & Dunne M.P. (2017) Emotional abuse of girls in Swaziland: prevalence, perpetrators, risk and protective factors and health outcomes. Journal of Global Health. 7(2): 1-2. doi: 10.7189/jogh.07.010410
Toska, E., Pantelic, M., Meinck, F., Keck, K., Haghighat, R. & Cluver, L. (2017) Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa. PLoS ONE 12(6): e0178106.
Woollett, N., Brahmbhatt, H., Dodd, K., Booth, M., Berman, H. & Cluver, L. (2017) Revealing the impact of loss: Exploring mental health through the use of drawing/writing with HIV positive adolescents in Johannesburg. Children and Youth Services Review.
Boyes, M., Berg, V. & Cluver, L. (2017) Poverty moderates the association between gender and school dropout in South African adolescents. Vulnerable Children and Youth Studies. DOI: 10.1080/17450128.2017.1308613
Ameli, V., Meinck, F., Munthali, A., Ushie, B. & Langhaug, L. (2017) Associations between adolescent experiences of violence in Malawi and gender-based attitudes, internalizing, and externalizing behaviors. Child Abuse & Neglect 67: 305–314
Woollett, N., Cluver, L., Bandeira, M. & Brahmbhatt, H. (2017) Identifying risks for mental health problems in HIV positive adolescents accessing HIV treatment in Johannesburg. Journal of Child & Adolescent Mental Health.pp: 1-7. DOI: 10.2989/17280583.2017.1283320
Radford, L., Lombard, N., Meinck, F., Katza, E. & Mahati, S. (2017) Researching violence with children: Experiences and lessons from the UK and South Africa. Families, Relationships and Societies. DOI: https://doi.org/10.1332/204674317X14861128190401.
Meinck, F., Cluver, L.D., Loening-Voysey, H., Bray, R., Doubt, J., Casale, M. & Sherr L. (2017) Disclosure of physical, emotional and sexual child abuse, help-seeking and access to abuse response services in two South African Provinces. Psychology, Health & Medicine, DOI: 10.1080/13548506.2016.1271950
Sherr, L., Macedo, A., Cluver, L. D. , Meinck, F., Skeen, D., Hensels, I. S., Sherr, L. T. S., Roberts, K. J. & Tomlinson M. (2017) Parenting, the other oldest profession in the world – a cross-sectional study of parenting and child outcomes in South Africa and Malawi. Health Psychology and Behavioral Medicine. 5(1): 145-165. DOI: 10.1080/21642850.2016.1276459
Cooper, D. Harries, J. Moodley, J. Constant, D. Hodes, R. Mathews, C. & Hoffman, M. (2016). Coming of age? Women’s sexual and reproductive health after twenty-one years of democracy in South Africa. Reproductive Health Matters 24(48): 79–89. doi: 10.1016/j.rhm.2016.11.010.
Woollett, N., Cluver, L.D., Brahmnhatt, H. & Hatcher, A. (2016) "To be HIV positive is not the end of the world": Resilience amongst perinatally infected HIV positive adolescents in Johannesburg. Children and Youth Services Review. 70 268-275.
Kuo, C., Atujuna, M., Mathews, C., Stein, D., Hoare, J., Beardslee, W., Operario, D., Cluver, L. & Brown, L. (2016). Developing family interventions for adolescent HIV prevention in South Africa. AIDS Care. 28 (S1): 106–110
Tomlinson, M., Skeen, S., Marlow, M., Cluver, L., Cooper, P., Murray, L., Mofokeng, S., Morley, N., Makhetha, M., Gordon, S., Esterhuizen, T. & Sherr, L. (2016) Improving early childhood care and development, HIV testing, treatment and support, and nutrition in Mokhotlong, Lesotho: a cluster randomized control trial of an integrated intervention. Trials. 17:538
Steinert, J.I., Cluver, L.D., Melendez-Torres, G.J.& Volmer, S. (2016) One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa. Social Indicators Research. DOI: 10.1007/s11205-016-1540-x
Cluver, L., Meinck, F., Yakubovich, A., Doubt, J., Redfern, A., Ward, C., Salah, N., De Stone, S., Petersen, T., Mpimpilashe, P., Romero, R.H., Ncobo, L., Lachman, J., Tsoanyane, S., Shenderovich, Y., Loening, H., Byrne, J., Sherr, L., Kaplan, L., & Gardner, F. (2016) Reducing child abuse amongst adolescents in low- and middle-income countries: A pre-post trial in South Africa. BMC Public Health. 16:567
Sherr, L., Yakubovich, A.R., Skeen, S., Cluver, L.D., Hensels, I.S., Macedo, A. & Tomlinson, M. (2016) How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. PLoS ONE 11(3): e0151305. doi:10.1371/ journal.pone.0151305
Pantelic, M., Boyes, M., Cluver, L. & Thabeng M. (2016) ‘They Say HIV is a Punishment from God or from Ancestors’: Cross-Cultural Adaptation and Psychometric Assessment of an HIV Stigma Scale for South African Adolescents Living with HIV (ALHIV-SS). Child Indicators Research. pp. 1-17
Meinck, F., Cluver, L.D., Orkin, F.M., Kuo, C., Sharma, A.D., Hensels, I.S. & Sherr, L. (2016) Pathways From Family Disadvantage via Abusive Parenting and Caregiver Mental Health to Adolescent Health Risks in South Africa. Journal of Adolescent Health. 1-8
Yakubovich. A.R., Cluver, L.D. & Gie. R. (2016) Are socioeconomic conditions associated with asthma prevalence, severity, and treatment access? A cross-sectional study of children living in low-income South African communities. J Epidemiol Community Health. 70:A20-A21.
Toska, E., Cluver, L.D., Boyes, M.E., Isaacsohn, M., Hodes, R. & Sherr L. (2016) School, Supervision and Adolescent-Sensitive Clinic Care: Combination Social Protection and Reduced Unprotected Sex Among HIV-Positive Adolescents in South Africa. AIDS and Behavior. 1-14
Cluver, L.D., Meinck, F., Shenderovich, Y., Ward, C.L., Romero, R.H., Redfern A., Lombard, C., Doubt, J., Steinert, J.I., Catanho, R., Wittesaele, C., Stone, S., Salah, N., Mpimpilashe, P., Lachman, J., Loening, H., Gardner, F., Blanc, D., Nocuza, M., & Lechowicz, M. (2016) A parenting programme to prevent abuse of adolescents in South Africa: study protocol for a randomised controlled trial. Trials. 17(328)
Toska, E., Gittings, L., Hodes, R., Cluver, L.D., Govender, K., Chademana, K.E. & Gutiérrez, V.E. (2016) Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa. African Journal of AIDS Research. 15(2): 123-140
Cluver, L. D., Toska, E., Orkin, F. M., Meinck, F., Hodes, R., Yakubovich, A. R. & Sherr L. (2016) Achieving equity in HIV-treatment outcomes: can social protection improve adolescent ART-adherence in South Africa?. AIDS Care, 28:sup2, 73-82
Yakubovich, A.R., Sherr, L., Cluver, L.D., Skeen, S., Hensels, I.S., Macedo, A. & Tomlinson, M. (2016) Community-based organizations for vulnerable children in South Africa: Reach, psychosocial correlates, and potential mechanisms. Children and Youth Services Review. 62: 58-64
Cluver, L.D., Lachman, J.M., Ward, C.L., Gardner, F, Petersen, T, Hutchings, J.M., Mikton, C., Meinck, F., Tsoanyane, S., Doubt, J., Boyes, M. & Redfern, A. (2016). Development of a Parenting Support Program to Prevent Abuse of Adolescents in South Africa: Findings from a Pilot Pre-Post Study. Research on Social Work Practice. 26:1-9.
Lachman, J.M., Sherr, L., Cluver, L., Ward, C., Hutchings, J. & Gardner, F. (2016). Integrating Evidence and Context to Develop a Parenting Program for Low-Income Families in South Africa. Journal of Child and Family Studies. 1-16.
Meinck, F., Cluver, L., Boyes, M. & Loening-Voysey, H. (2016). Physical, emotional and sexual adolescent abuse victimisation in South Africa: prevalence, incidence, perpetrators and locations. Journal of Epidemiology and Community Health. 1-7.
Shenderovich, Y., Eisner, M., Mikton, C., Gardner, F., Liu, J., & Murray, J. (2016) Methods for conducting systematic reviews of risk factors in low- and middle-income countries. BMC Medical Research Methodology. 16: 32.
Yakubovich, A.R., Cluver, L.D. & Gie, R. (2016) Socioeconomic factors associated with asthma prevalence and severity among children living in low-income South African communities. The South African Medical Journal. 106(4): 404-412.
Cluver, L.D., Orkin, F.M., Meinck, F., Boyes, M.E. & Sherr, L. (2016) Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents. Journal of the International AIDS Society. 19:20646
Lachman, J.M., Kelly, J., Cluver, L.D., Ward, C.L., Hutchings, J. & Gardner, F. (2016) Process Evaluation of a Parenting Program for Low-Income Families in South Africa. Research on Social Work Practice. (Published online before print) 1-5
Steinert, J.I., Cluver, L.D., Melendez-Torres, G.J. & Romero, R.H. (2016) Relationships between poverty and AIDS Illness in South Africa: an investigation of urban and rural households in KwaZulu-Natal, Global Public Health. (Published online before print)
Cluver, L., Hodes, R, Sherr, L, Orkin, M, Meinck, F, Ken, P, Winder-Rossi, N, Wolfe, J, Vicari, M. (2015) Social Protection: Potential for Improving HIV Outcomes Among Adolescents. Journal of the International AIDS Society. 18 (Suppl 6): 20260
Li, X, Chi, P, Sherr, L, Cluver L, Stanton, B (2015). Psychological Resilience Among Children Affected by Parental HIV/AIDS: A Conceptual Framework. Health Psychology and Behavioral Medicine. 3(1): 217-235.
Casale, M, Wild, L, Kuo, C, Cluver, L (2015). Social support as a protective factor for depression among women caring for children in HIV-endemic South Africa. Journal of Behavioral Medicine. 38:17-27.
Collishaw, S, Gardner, F, Aber, JL, Cluver, L (2015). Predictors of Mental Health Resilience in Children who Have Been Parentally Bereaved by AIDS in Urban South Africa. Journal of Abnormal Child Psychology.
Cluver, L, Hodes, R, Toska, E, Kidia, K, Orkin, M, Sherr, L, Meinck, F (2015). ‘HIV is like a tsotsi. ARVs are your guns’: Associations between HIV-disclosure and adherence to antiretroviral treatment among adolescents in South Africa. AIDS. 29(Suppl 1): S57-S65.
Cluver, L, Orkin, M, Boyes, M, Sherr, L (2015). Child and adolescent suicide attempts, suicidal behavior and Adverse Childhood Experiences in South Africa: a prospective study. Journal of Adolescent Health.
Meinck, F, Cluver, L, Boyes, M (2015) Household illness, poverty and physical and emotional child abuse victimisation: Findings from South Africa's first prospective cohort study. BMC Public Health. 15: 444
Boyes, M, Cluver, L (2015). Relationships Between Familial HIV/AIDS & Symptoms of Anxiety & Depression: The Mediating Effect of Bullying Victimization in a Prospective Sample of South African Children. Journal of Youth & Adolescence. 44: 847-859. (IF 2.3)
Sharer, M, Cluver, L; Shields, J (2015). Mental Health of Youth Orphaned due to HIV in South Africa: Biological and Supportive Links to Caregivers. J Vulnerable Children and Youth Studies. 10(2): 141-152.
Toska, E, Cluver, L, Boyes, M, Pantelic, M & Kuo, C (2015). From “sugar daddies” to “sugar babies”: Quantitatively testing the pathway between inequitable sexual relationships, condom use, and adolescent pregnancy in South Africa. Sexual Health (IF 1.4).
Casale, M; Cluver, L; Crankshaw, T, Kuo, C, Lachman, J, Wild, L. (2015). Direct and indirect effects of caregiver social support on child psychological outcomes in South Africa. American Journal of Community Psychology. 55: 336-346. (IF1.9)
Becker, E, Kuo, C, Cluver, L, Operario, D & Moshabela, M (2015) Measuring child awareness for adult symptomatic HIV using a verbal assessment tool: Concordance between adult-child dyads on adult HIV symptoms. Sexually Transmitted Infections. (IF 3.1)
Lane, T, Cluver, L, Operario, D (2015). Young carers in South Africa: Tasks undertaken by children in households affected by HIV-infection & other illness. Vulnerable Children & Youth Studies. 10(1): 55-66. (journal awaiting IF)
Meinck, F., Cluver, L., Boyes, M. E., & Mhlongo, E. (2015). Risk and protective factors for physical, emotional, and sexual abuse of children and adolescents in Africa: A literature review and implications for practice. Trauma, Violence, and Abuse. (IF 2.9)
Waller, R, Gardner, F, Cluver, L (2014). Shared & unique predictors of antisocial substance use behavior among a nationally representative sample of South African youth. Aggression & Violent Behavior (IF 2.1).
Anstey-Watkins, J, Sello, M, Cluver, L, Boyes, M, Kaplan, L (2014) At school I got myself a certificate": HIV/AIDS orphanhood and secondary education: A qualitative study of risk and protective factors. Global Social Welfare. Volume 1, (3) p111-121. (journal awaiting IF)
Boyes, M, Cluver, L, Bowes, L, Ward, C, Badock, N (2014) Bullying victimisation, internalising symptoms, and conduct problems in South African children adolescents: A longitudinal investigation. Journal of Abnormal Child Psychology. 42(8):1313-24 (IF 3.2)
Pantelic, M, Cluver, L, Boyes, M, Toska, E, Kuo, C, Moshabela, M (2014) Medical pluralism predicts non-ART use among parents in need of ART: A community survey in KwaZulu-Natal, South Africa. AIDS and Behavior. Epub ahead of print. (IF 3.3)
Ward, C L, Mikton, C, Cluver, L, Cooper, P, Gardner, P, Hutchings, J, McLaren Lachman, J, Muray, L, Tomlinson, M, Wessels, I M (2014) Parenting for Lifelong Health: from South Africa to other low and middle income countries. Early Childhood Matters. (journal awaiting IF)
Kuo, C, Cluver, L, Casale, M, Lane, T (2014) Cumulative effects of HIV illness and caring for children orphaned by AIDS on anxiety symptoms among adults caring for children in HIV-endemic South Africa. AIDS Patient Care and STDs. 28(6):318-26 (IF3.6)
Casale, M, Wild, L, Kuo, C & Cluver, L (2014) The relationship between social support and anxiety among caregivers of children in HIV-endemic South Africa. Psychology, Health and Medicine. 19(4):490-503 (IF1.5)
Kidia, K, Mupambireyi Z, Cluver, L, Ndhlovu, C, Borok, M, Ferrand, R (2014). HIV Status Disclosure to Perinatally-Infected Adolescents in Zimbabwe: A Qualitative Study of Adolescent and Healthcare Worker Perspectives. PLOS One. DOI: 10.1371/journal.pone.0087322. (IF 3.5).
Cluver, L, Boyes, M, Orkin, M, Pantelic, M, Molwena, T & Sherr, L (2013) Child-focused state cash transfers and adolescent HIV-infection risks: A prospective multi-site study in South Africa. The Lancet: Global Health. 1. E362-70. (no IF as new journal. Lancet IF 39.2)
Cluver, L, Orkin, M, Boyes, M, Sherr, L, Nikelo, J & Makhasi, D (2013). Pathways from parental AIDS to child psychological, educational and sexual risk: Developing an empirically-based interactive theoretical model. Social Science and Medicine, 87. 185-193. (IF 2.6)
Cluver, L, Orkin, M, Moshabela, M, Kuo, C, Boyes, M (2013) The hidden harm of Home-Based Care: Pulmonary tuberculosis symptoms among children providing home medical care to HIV/AIDS-affected adults in South Africa. AIDS Care. 25 (6) 748-55. (IF 2.2)
Casale, M, Lane, T, Sello, L, Kuo, C and Cluver, L (2013) Conducting health survey research in a deep rural South African community: challenges and adaptive strategies. Health Research Policy and Systems. 11 (14). (IF 1.9)
Boyes, M.E., Cluver, L. (2013) Relationships among HIV/AIDS-orphanhood, stigma, and symptoms of anxiety and depression in South African youth: A longitudinal investigation using a path analysis framework. Clinical Psychological Science. 1. 323-330. (journal awaiting IF)
Knerr, W, Gardner, F & Cluver, L (2013). Improving positive parenting skills and reducing harsh and abusive parenting and increasing positive parenting in low- and middle-income countries: a systematic review. Prevention Science. 14 (4) 352-65 (IF 2.8)
Kuo, C, Reddy, M, Operario, D, Cluver, L, Stein, D (2013) Posttraumatic stress symptoms amongst adults caring for orphaned children in HIV-endemic South Africa. AIDS and Behavior. 17(5):1755-63 (IF 3.3)
Boyes, M. E. & Cluver, L. (2013). Performance of the Revised Children's Manifest Anxiety Scale in a sample of children and adolescents from poor urban communities in Cape Town. European Journal of Psychological Assessment. 29 (2) 113-120. (IF 1.3)
Cluver, L, Orkin, M, Boyes, M & Gardner, F (2012) ‘AIDS-orphanhood and caregiver HIV/AIDS sickness status: effects on psychological symptoms in South African youth’ Journal of Pediatric Psychology. (IF 2.5)
Boyes, M. E., Cluver, L., & Gardner F. (2012). The Child PTSD Checklist in a South African sample: Reliability, convergent validity, and an examination of PTSD symptom structure. Plos One, 7, e46905. (IF 3.5)
Cluver, L, Orkin, M, Boyes, M, Gardner, F, & Meinck, F (2011) ‘Transactional Sex amongst AIDS-orphaned and AIDS-Affected Adolescents Predicted by Abuse and Extreme Poverty’. JAIDS 58 (3) 336-43 (IF 4.4)
Operario, D, Underhill, K, Chuong, C, Cluver, L. (2011) HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis. Journal of the International AIDS Society, 14, 25. (IF 4.2)
Cluver, L & Orkin, M (2009). Cumulative risk and AIDS-orphanhood: Interactions of stigma, bullying and poverty on child mental health in South Africa. Social Science and Medicine. 69 (8) 1186-1193 (IF 2.6)
Cluver, L, Finch, D & Seedat, S (2009). Posttraumatic Stress in AIDS-Orphaned Children Exposed to High Levels of Trauma: The Protective Role of Perceived Social Support. Journal of Traumatic Stress, 22 (2) 106-113. (IF 2.1)
Cluver, L, Gardner, F & Operario, D (2009). Parental illness, caregiving factors and psychological distress among children orphaned by acquired immune deficiency syndrome (AIDS) in South Africa. 4(3)185-199. (journal awaiting IF)
Operario, D, Cluver, L, Pettifor, A, MacPhail, C and Rees, H (2008) Orphanhood and Completion of Compulsory School Education Among Young People in South Africa. Journal of Research on Adolescence 18(1), 173-186. (IF 2.5)
Cluver, L, Gardner, F & Operario, D (2007). Psychological distress amongst AIDS-orphaned children in urban South Africa. Journal of Child Psychiatry & Psychology & Allied Disciplines 48(8) 755-763 (IF 4.4)
Operario, D, Pettifor, A, Cluver, L, MacPhail, C & Rees, H (2007), Prevalence of Parental Death among young people in South Africa & Risk for HIV Infection: Results from a National Representative Sample. J. of Acquired Immune Deficiency Syndromes (JAIDS) 44, 93-98. (IF 4.4)