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About Lisa Mason, the Author
lisamasontheauthor
Lisa Mason, Fantasy and Science Fiction Author
Archives for posts with tag: Transcendental Tales From Asimov's (Donning Press)
Added to the List of Magazines and Anthologies I've Published Stories In, Daily Science Fiction! Lisa Mason #SFWApro #SFWAauthor #sciencefiction #fantasy #published stories #magazinestories #anthologystories
Here's the list of publications, including magazines and anthologies, I've published stories in:
OMNI, edited by Ellen Datlow
The Magazine of Fantasy and Science Fiction, edited by C.C. Finlay, earlier editions edited by Gordon Van Gelder, and an even earlier edition edited by Kristine Kathryn Rusch
Asimov's Science Fiction Magazine, edited by Gardner Dozois
Unique Magazine, edited by Tamara Sellman
Welcome to Dystopia, edited by Gordon Van Gelder
Not One of Us, edited by John Benson
Transcendental Tales From Asimov's, edited by Gardner Dozois
Year's Best Fantasy and Horror 5th Annual edition, edited by Ellen Datlow and Terri Windling
Full Spectrum 5, edited by Jennifer Hershey, Tom Dupree, and Janna Silverstein
The Shimmering Door, edited by Katharine Kerr
Fantastic Alice: More Stories from Underground, edited by Margaret Weis
David Copperfield's Tales of the Impossible, edited by David Copperfield and Janet Berliner
Peter S. Beagle's Immortal Unicorn, edited by Peter S. Beagle and Janet Berliner
Desire Burn: Women Writing from the Dark Side of Passion, edited by Janet Berliner
Universe 2, edited by Robert Silverberg and Karen Haber
Hayakawa Science Fiction (I can't read Japanese)
Unter Die Haut, edited by Karin Ivansics and Peter Hiess
Gogols Frau, edited by Wolfgang Jeschke
Cyberpunk, edited by John-Henri Holmberg
and now Daily Science Fiction, edited by Michele-Lee Barasso and Jonathan Laden!
(Doesn't seem like enough, does it?) Onward!
From the author of Summer of Love (a Philip K. Dick Award Finalist and San Francisco Chronicle Recommended Book). On BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, and Kobo. On Kindle worldwide in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands. BACK IN PRINT! Find the beautiful trade paperback at https://www.amazon.com/Summer-Love-Travel-Lisa-Mason/dp/1548106119/ or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/summer-of-love-a-time-travel-lisa-mason/1104160569.
The Gilded Age (a New York Times Notable Book and New York Public Library Recommended Book). On BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. On Kindle worldwide in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands. BACK IN PRINT! Find the beautiful trade paperback at https://www.amazon.com/Gilded-Age-Time-Travel/dp/1975853172/ or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/the-gilded-age-a-time-travel-lisa-mason/1106038566.
The Garden of Abracadabra ("Fun and enjoyable urban fantasy . . . I want to read more!) On BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. On Kindle worldwide in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands. NOW IN PRINT! Find the beautiful trade paperback at https://www.amazon.com/dp/1978148291/ or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/the-garden-of-abracadabra-lisa-mason/1108093507
Arachne (a Locus Hardover Bestseller) is an ebook on US Kindle, UK Kindle, Canada Kindle, Australia Kindle, Barnes and Noble, Apple, Kobo, and Smashwords. On Kindle worldwide in France Kindle, Germany Kindle, Italy Kindle, Netherlands Kindle, Spain Kindle, Mexico Kindle, Brazil Kindle, India Kindle, and Japan Kindle. Back in Print! Find the beautiful trade paperback at https://www.amazon.com/dp/198435602X or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/arachne-lisa-mason/1000035633.
Cyberweb (sequel to Arachne) is on US Kindle, BarnesandNoble, Apple, Kobo, and Smashwords. Also Kindle worldwide on UK Kindle, Canada Kindle, Australia Kindle, Brazil Kindle, France Kindle, Germany Kindle, India Kindle, Italy Kindle, Japan Kindle, Mexico Kindle, Netherlands Kindle, and Spain Kindle. Back in Print at https://www.amazon.com/dp/1984356941 or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/cyberweb-lisa-mason/1001932064
Strange Ladies: 7 Stories ("A must-read collection—The San Francisco Review of Books). On Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, and Kobo. On Kindle world wide in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands. NOW IN PRINT at https://www.amazon.com/Strange-Ladies-Stories-Lisa-Mason/dp/1981104380/ or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/strange-ladies-lisa-mason/1115861322.
One Day in the Life of Alexa ("Five stars! An appealing narrator and subtly powerful emotional rhythms"). On BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, and Kobo. On Kindle worldwide in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands. Order the beautiful trade paperback NOW IN PRINT at https://www.amazon.com/One-Life-Alexa-Lisa-Mason/dp/1546783091 or IN PRINT at Barnes and Noble at https://www.barnesandnoble.com/w/one-day-in-the-life-of-alexa-lisa-mason/1126431598.
Celestial Girl, The Omnibus Edition, A Lily Modjeska Mystery (Five stars) On Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, and Kobo. On Kindle worldwide in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands. SOON IN PRINT!
Shaken (in Asimov's Science Fiction Magazine) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands.
Hummers (in Fifth Annual Year's Best Fantasy and Horror) On BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, Mexico, Netherlands, and India.
Daughter of the Tao (in Peter S. Beagle's Immortal Unicorn) on US Kindle, Canada Kindle, UK Kindle, BarnesandNoble, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands.
Every Mystery Unexplained (in David Copperfield's Tales of the Impossible) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, Mexico, Netherlands, and India.
Tomorrow's Child (In Active Development at Universal Pictures) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, India, Mexico, and Netherlands.
The Sixty-third Anniversary of Hysteria (in Full Spectrum 5) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, Mexico, Netherlands, and India.
U F uh-O (Five Stars!) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, Mexico, Netherlands, and India.
Tesla, A Screenplay on US Kindle, Canada Kindle, UK Kindle, BarnesandNoble, Apple, Kobo, and Smashwords. Also on Kindle in Australia, France, Germany, Italy, Spain, Brazil, Japan, Mexico, Netherlands, and India.
My Charlotte: Patty's Story on Barnes and Noble, US Kindle, UK Kindle, Canada Kindle, Australia Kindle, Smashwords, Apple, and Kobo. On Kindle in France, Germany, Italy, Spain, Brazil, Japan, Netherlands, and Mexico.
"Illyria, My Love" is on US Kindle, Barnes and Noble, Apple, Kobo, and Smashwords. Also on UK Kindle, Canada Kindle, Australia Kindle, Germany Kindle, France Kindle, Spain Kindle, Italy Kindle, Netherlands Kindle, Japan Kindle, Brazil Kindle, Mexico Kindle, and India Kindle.
Please visit me at Lisa Mason's Official Website for all my books, ebooks, stories, and screenplays, reviews, interviews, and blogs, adorable cat pictures, forthcoming works, fine art and bespoke jewelry by my husband Tom Robinson, worldwide links, and more!
And on Lisa Mason's Blog, on my Facebook Author Page, on my Facebook Profile Page, on Amazon, on Goodreads, on LinkedIn, on Twitter at @lisaSmason, at Smashwords, at Apple, at Kobo, and at Science Fiction and Fantasy Writers of America.
If you would like to receive Lisa Mason's quarterly newsletter, New Book News, please respond by email to lisasmason@aol.com, enter "Add Me" on the subject line, and it shall be done. You may unsubscribe at any time.
If you enjoy a title, please "Like" it, add five stars, WRITE A REVIEW on the site where you bought it, Tweet it, blog it, post it, and share the word with your family and friends.
Your participation really matters.
Thank you for your readership!
Tags anthology, Anthology stories, Asimov's Science Fiction Magazine, cyberpunk, Daily Science Fiction, Fantastic Alice, Fantastic Alice: More Stories from Underground, Full Spectrum 5, Gogols Frau, Hayakawa Science Fiction, Immortal Unicorn (HarperPrism), Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, Lisa Mason on Twitter, Lisa Mason Romantic Suspense Author, Lisa Mason Screenwriter, Lisa Mason Urban Fantasy, Lisa Mason Urban Fantasy Author, Magazine of Fantasy and Science Fiction, Magazine stories, magazines, Not One of Us, Omni, Omni magazine, Omni story, Tales of the Impossible (HarperPrism), The Shimmering Door, Transcendental Tales From Asimov's (Donning Press), Unique Magazine, Universe 2, Universe 2 edited by Robert Silverberg, Unter Die Haut, Welcome to Dystopia, Year's Best Fantasy and Horror 5th Annual Collection (St. Martin's Press)
Categories "Aurelia" in the January-February 2018 of The Magazine of Fantasy and Science Fiction, "Bess" an SF flash story, "Bess" in Daily Science Fiction, "Dangerous", "Dangerous" in Welcome to Dystopia, "Destination", "Destination" in Strange Ladies: 7 Stories, "Felicitas", "Felicitas" in Strange Ladies: 7 Stories, "Guardian", "Stripper" in Strange Ladies: 7 Stories, "Taiga", "Taiga" an SF story, "The Bicycle Whisperer", "The Bicycle Whisperer" in May-June 2018 FandSF, "The Oniomancer", "Transformation and the Post-modern Identity Crisis", "Triad", 2019, an Omni story, Anthologies, Anything For You, Anything For You by Lisa Mason, Arachne the Omni story, Asimov's Science Fiction Magazine, Authors, Contemporary Fantasy, contemporary women, Daily Science Fiction, Dark modern fantasy, dark urban fantasy, Daughter of the Tao, David Copperfield's Tales of the Impossible (HarperPrism), Desire Burn (Carrol & Graf), Desire Burn Women Writing From the Dark Side of Passion, Desire Burn: Women Writing from the Dark Side of Passion (Carroll & Graf), Deus Ex Machina, Every Mystery Unexplained, Fantastic Alice, Fantastic Alice (Ace), Fantastic Alice: More Stories from Underground, Fantasy, Fiction, Full Spectrum 5 (Bantam), Full Spectrum5 (Bantam), Futuristic Fiction, Gogols Frau, Gordon Van Gelder, Guardian, Hummers, Immortal Unicorn (HarperPrism), January-February 2018 Magazine of Fantasy and Science Fiction, January-February 2018 The Magazine of Fantasy and Science Fiction, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author On Facebook, Lisa Mason Official Website, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Lisa Mason Screenwriter, Lisa Mason Urban Fantasy Author, Magazine of Fantasy and Science Fiction, Magazine of Fantasy and Science Fiction November-December 2015, Magazine Story, Magazines, May-June 2015 Magazine of Fantasy and Science Fiction, May-June 2018 Magazine of Fantasy and Science Fiction, modern fantasy, Nebula Award Short List, Not One of Us, Issue # 61, April 2019, Omni magazine, Omni Story, Philip K. Dick Award Finalist, Published Stories, Published Story, Riddle, Riddle by Lisa Mason, Riddle in The Magazine of Fantasy and Science Fiction, Runaways, San Francisco Chronicle Recommended Book, Science fiction, Sept-Oct 2017 Magazine of Fantasy and Science Fiction, September-October 2016 issue of The Magazine of Fantasy and Science Fiction, Short Stories, Short Story, Speculative Fiction, Strange Ladies: 7 Stories, The Bicycle Whisperer, The Bicycle Whisperer in May-June 2018 FandSF Magazine, The Oniomancer, The Shimmering Door, Tomorrow's Child, Tomorrow's Child published in Omni, Transcendental Tales from Asimov's (Donning Press), Unter Die Haut, Welcome to Dystopia, Year's Best Fantasy and Horror 5th Annual Collection (St. Martin's Press)
Earthquake in Piedmont? Yes, This Last Monday! Reminded Me of Shaken Published in Asimov's All Links Worldwide Lisa Mason #SFWApro
Yep, we had an earthquake this last Monday at about quarter to seven in the morning. A loud BANG, the seismic closet doors rattled vigorously, then it was over. The ones that last a second or so are much easier to take than the long rollers, which are pretty nerve-wracking. No damage was done aside from a picture that swung a bit askew. Athena ran and hid beneath my night table.
I remember when I moved to San Francisco from the Midwest to take a job as an attorney in a law firm. Our offices were on the twenty-second floor of Two Embarcadero. The very first day I nervously reported in to work, the San Francisco Chronicle ran a front-page story. Seems some wags down at Stanford University ran a computer simulation of what would happen to the city if the Big One struck. They reported that Two Embarcadero, and all of the Embarcadero Center, would sink in the landfill the skyscrapers were situated on up to the twenty-first floor. "Cool," the guys were joking. "We'll break the plate glass and just walk out."
That was so funny, I forgot to laugh.
The earthquake yesterday morning was only a four-pointer. The reason we felt it so strongly is that the epicenter was on the Hayward Fault in the Oakland Hills. Below Piedmont. Hilarious.
And reminded me of SHAKEN:
Emma J for Joy Pearce is at her editorial offices on the twenty-second floor of Three Embarcadero in downtown San Francisco when the long-dreaded next Great Earthquake devastates the Bay area.
Amid horrific destruction, she rescues a man trapped in the rubble. In the heat of survival, she swiftly bonds with him, causing her to question her marriage to her long-time boyfriend.
But Jason Gibb is not the charming photojournalist he pretends to be. As Emma discovers his true identity, his mission in the city, and the dark secrets behind the catastrophe, she finds the choices she makes may mean the difference between her own life or death.
SHAKEN is an ebook adaptation (and major expansion into short novel form) of Deus Ex Machina, published in Asimov's Science Fiction Magazine, republished in the anthology Transcendental Tales From Asimov's (Donning Press), and translated and republished in magazines worldwide.
A list of Sources is included in the ebook.
Of The Gilded Age, the New York Times Book Review said, "A winning mixture of intelligence and passion."
SHAKEN, a sexy Thriller, is on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, and Smashwords.
Shaken is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
From the author of Summer Of Love, A Time Travel (a Philip K. Dick Award Finalist and San Francisco Chronicle Recommended Book) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony.
Summer of Love, A Time Travel is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
The Gilded Age, A Time Travel on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords.
The Gilded Age, A Time Travel is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
The Garden of Abracadabra, Volume 1 of the Abracadabra Series, on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords.
The Garden of Abracadabra, Volume 1 of the Abracadabra Series, is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
Celestial Girl, The Omnibus Edition (A Lily Modjeska Mystery) includes all four books. On Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony;
Celestial Girl, The Omnibus Edition (A Lily Modjeska Mystery) is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
Strange Ladies: 7 Stories on Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony.
Strange Ladies: 7 Stories is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
My Charlotte: Patty's Story on Barnes and Noble, US Kindle, UK Kindle, Canada Kindle, Australia Kindle, Smashwords, Apple, and Kobo;
My Charlotte: Patty's Story is also on Amazon.com worldwide in France, Germany, Italy, Spain, Brazil, Japan, and Mexico.
Visit me at Lisa Mason's Official Website for books, ebooks, stories, and screenplays, reviews, interviews, and blogs, adorable pet pictures, forthcoming projects, fine art and bespoke jewelry, worldwide Amazon.com links for Brazil, France, Germany, India, Italy, Japan, and Spain, and more!
And on Lisa Mason's Blog, on my Facebook Author Page, on my Facebook Profile Page, on Amazon, on Goodreads, on LinkedIn, on Twitter at @lisaSmason, on Wikipedia, at Smashwords, at Apple, at Kobo, and at Science Fiction and Fantasy Writers of America.
If you enjoy a title, please "Like" it, add five stars, write a review on the site where you bought it, Tweet it, blog it, post it,, and share the word with your family and friends.
Tags Asimov's Science Fiction Magazine, authors, books, ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Lisa Mason Urban Fantasy Author, science fiction, science fiction thriller, Shaken, Transcendental Tales From Asimov's (Donning Press)
Categories Asimov's Science Fiction Magazine, Authors, Books, Disaster Fiction, Earthquakes, Ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author On Facebook, Lisa Mason Official Website, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Lisa Mason Screenwriter, Lisa Mason Urban Fantasy Author, San Francisco, Science fiction, Shaken, SHAKEN a Thriller
Ever Been in a Big Earthquake? Read SHAKEN Published in Asimov's, Transcendental Tales, and Worldwide All Links Lisa Mason #SFWApro
Huge sympathies to everyone in Napa, California. Have you ever been in a big earthquake? Read SHAKEN for one woman's experience.
From the author of Summer Of Love, A Time Travel (a Philip K. Dick Award Finalist and San Francisco Chronicle Recommended Book) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony. Summer of Love, A Time Travel is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
The Gilded Age, A Time Travel on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords. The Gilded Age, A Time Travel is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
The Garden of Abracadabra, Volume 1 of the Abracadabra Series, on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords. The Garden of Abracadabra, Volume 1 of the Abracadabra Series, is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
Celestial Girl, The Omnibus Edition (A Lily Modjeska Mystery) includes all four books. On Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony; Celestial Girl, The Omnibus Edition (A Lily Modjeska Mystery) is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
Strange Ladies: 7 Stories on Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony. Strange Ladies: 7 Stories is also on Amazon.com in France, Germany, Italy, Spain, Brazil, Japan, and India.
My Charlotte: Patty's Story on Barnes and Noble, US Kindle, UK Kindle, Canada Kindle, Australia Kindle, Smashwords, Apple, and Kobo; My Charlotte: Patty's Story is also on Amazon.com worldwide in France, Germany, Italy, Spain, Brazil, Japan, and Mexico.
Your participation really matters. Thank you for your readership!
Tags Asimov's Science Fiction Magazine, authors, books, Earthquakes, ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, Lisa Mason on Twitter, Lisa Mason Romantic Suspense Author, Lisa Mason Urban Fantasy Author, science fiction, science fiction thriller, Shaken, Shaken A Science Fiction Thriller, Shaken A Thriller, The Lisa Mason Official Website, The Net meets Conspiracy Theory, Transcendental Tales From Asimov's (Donning Press)
Categories a Thriller, Asimov's Science Fiction Magazine, Authors, Books, Disaster Fiction, Earthquakes, Ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author On Facebook, Lisa Mason Official Website, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Lisa Mason Screenwriter, Lisa Mason Urban Fantasy Author, San Francisco, Science fiction, Science Fiction Thriller, Shaken, SHAKEN a Thriller, The Net Meets Conspiracy Theory, Transcendental Tales from Asimov's (Donning Press)
SHAKEN, The Net Meets Conspiracy Theory with Earthquakes, All Links Worldwide Lisa Mason #SFWApro
Tags Asimov's Science Fiction Magazine, authors, books, ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, Lisa Mason on Twitter, Lisa Mason Romantic Suspense Author, Lisa Mason Screenwriter, Lisa Mason Urban Fantasy Author, science fiction, science fiction thriller, Shaken, Shaken A Science Fiction Thriller, Shaken A Thriller, The Official Lisa Mason Website, Transcendental Tales From Asimov's (Donning Press)
Categories Asimov's Science Fiction Magazine, Authors, Books, Ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Official Website, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Lisa Mason Screenwriter, Lisa Mason Urban Fantasy Author, Science fiction, Science Fiction Thriller, Shaken, SHAKEN a Thriller, Transcendental Tales from Asimov's (Donning Press), Worldwide
SHAKEN, The Net Meets Conspiracy Theory with Earthquakes, All Links, All Readers, Worldwide #SFWApro
SHAKEN, a sexy Thriller, is on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords.
From the author of Summer Of Love, A Time Travel (a Philip K. Dick Award Finalist and San Francisco Chronicle Recommended Book) on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony;
The Gilded Age, A Time Travel is on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords;
The Garden of Abracadabra, Volume 1 of the Abracadabra Series, on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords;
Celestial Girl (A Lily Modjeska Mystery) on Nook, US Kindle, Canada Kindle, UK Kindle, Smashwords, Apple, Kobo, and Sony;
Tomorrow's Child on BarnesandNoble, US Kindle, Canada Kindle, UK Kindle, Apple, Kobo, Sony, and Smashwords, and
For urban fantasy, science fiction, fantasy, romantic suspense, humor, and a screenplay, visit the Virtual Bookstore! All Lisa Mason Titles, All Links, All Readers, Worldwide. NYT Notable Book Author https://lisamasontheauthor.com/2013/08/31/virtual-bookstore-fantasy-science-fiction-urban-fantasy-romantic-suspense-literary-screenplay-sfwapro/
Visit me at Lisa Mason's Official Website for books, ebooks, stories, and screenplays, forthcoming projects and more, on my Facebook Author Page, on Amazon, on my Facebook Profile Page, on Goodreads, on LinkedIn, on Twitter at @lisaSmason, at Smashwords, and at Science Fiction and Fantasy Writers of America.
If you enjoy a work, please "Like" it, add five stars, write a review on the site where you acquired it, blog it, Tweet it, post it, and share the word with your family and friends.
Tags Asimov's Science Fiction Magazine, authors, books, ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Shaken, Shaken A Thriller, Transcendental Tales From Asimov's (Donning Press)
Categories 2013, a Thriller, Asimov's Science Fiction Magazine, Books, Earthquakes, Ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author On Facebook, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Published Worldwide, San Francisco, Shaken, SHAKEN a Thriller, Transcendental Tales from Asimov's (Donning Press), Transcental Tales from Asimov's (Donning Press), Worldwide
Now on Smashwords! SHAKEN, The Net Meets Conspiracy Theory with Earthquakes
Shaken, a sexy thriller, is on Nook, Kindle, Smashwords and UK Kindle.
Emma J for Joy Pearce is at her editorial offices on the twenty-second floor of Three Embarcadero in downtown San Francisco when the long-dreaded next Great Earthquake devastates the Bay area. Amid horrific destruction, she rescues a man trapped in the rubble. In the heat of survival, she swiftly bonds with him, causing her to question her marriage to her long-time boyfriend.
This is an ebook adaptation (and major expansion into short novel form) of Deus Ex Machina, published in Asimov's Science Fiction Magazine, republished in the anthology Transcendental Tales From Asimov's (Donning Press), and translated and republished worldwide.
Shaken is on Nook, Kindle, Smashwords and UK Kindle.
From the author of The Garden of Abracadabra, Volume 1 of the Abracadabra Series, on Nook, Kindle, Smashwords, and UK Kindle, Summer of Love, A Time Travel (a Philip K. Dick Award Finalist and San Francisco Chronicle Recommended Book) on Nook, Kindle, Smashwords, and UK Kindle, and The Gilded Age, A Time Travel (a New York Times Notable Book and New York Public Library Recommended Book) on Nook, Kindle, Smashwords, and UK Kindle.
If you enjoy a title, please "Like" it, add stars, write a review, blog it, and spread the word to your friends. Your participation really matters.
Tags Asimov's Science Fiction Magazine, authors, books, Earthquakes, ebooks, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, San Francisco, science fiction, science fiction thriller, Shaken, Transcendental Tales From Asimov's (Donning Press), Worldwide
Categories 2013, Asimov's Science Fiction Magazine, Authors, BarnesandNoble.com, Bast Books, Books, Disaster Fiction, Earthquakes, Ebooks, Ereaders, Fiction, Kindle book, Kobo, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author On Facebook, Lisa Mason on Facebook, Lisa Mason Romantic Suspense Author, Literature, Nook book, San Francisco, Science fiction, Science Fiction Thriller, Shaken, SHAKEN a Thriller, Smashwords, Smashwords Links, Thrillers, Transcendental Tales from Asimov's (Donning Press)
#Writing SHAKEN, A #Thriller With Romantic Suspense
February 19, 2013 //
Like my plucky heroine, Emma "J" for Joy Pearce, I moved to San Francisco from the Midwest after completing my education at the University of Michigan, and I well remember my first earthquake. A five-pointer-plus. Like Emma, I'd just moved to the penthouse of a cool old apartment building on what turned out to be landfill and, wow, the place shook around.
Everything that is the first time of just about anything in life tends to be terrifying, so was I terrified? You better believe it!
Like Emma, I moved to solid bedrock—the famous Telegraph Hill. I felt safe living there, but I still worked downtown in a skyscraper on landfill. During my very first days at work, the big front-page news was of a study the brainiacs at Stanford University had worked up. They'd concocted a computer model of what would happen to downtown San Francisco if (and when) the Big One struck. Whole entire skyscrapers–the model said—would sink into the landfill beneath them up to the twentieth floor. The office wits joked, "Well, we're on the twenty-first floor, so we'll be fine. We'll punch out some plate glass and walk out onto the beach."
Ha ha. Very funny.
It was then that I began my research about earthquakes and what people could expect when disaster struck. I discovered that modern science doesn't completely understand how earthquakes occur or why or predicting when. To this day, several conflicting theories exist and, if someone wanted to invent a device to prevent or mitigate a big earthquake, that invention would have to produce an effect depending on what the inventor believes.
Not what the truth may be. What he or she believes.
Which harkens back to the Heisenberg Uncertainty Principle in quantum physics. A photon—the basic unit of light—appears as a wave or a particle depending on how the experimenter sets up the recording apparatus. Which leads to the further speculation—what is reality, anyway?
I explore these ideas in my two time travels, Summer of Love and The Gilded Age, but the ambiguity of science—hard science that affects the world—informs my earthquake story, as well, and leads to an exploration of truth and lies, morality and evil, in the drama of a dark romance.
Shaken, a Thriller with romantic suspense, is on Nook, Kindle, and UK Kindle.
This is my ebook adaptation (and major expansion into short novel form) of Deus Ex Machina, published in Asimov's Science Fiction Magazine, republished in the anthology Transcendental Tales From Asimov's (Donning Press), and translated and republished worldwide.
From the author of The Garden of Abracadabra, Volume 1 of the Abracadabra Series, on Nook, Kindle, and UK Kindle, Summer of Love, A Time Travel (a Philip K. Dick Award Finalist and San Francisco Chronicle Recommended Book) on Nook, Kindle, and UK Kindle, and The Gilded Age, A Time Travel (a New York Times Notable Book and New York Public Library Recommended Book) on Nook, Kindle, and UK Kindle.
New! Celestial Girl, Book 1: The Heartland (A Lily Modjeska Mystery) is on Nook, Kindle, and UK Kindle! If you love romantic suspense or historical mystery, this is both. Please give Lily Modjeska a try!
Visit me at Lisa Mason's Official Website for books, ebooks, stories, and screenplays, forthcoming projects and more. And on my Facebook Author Page, on Amazon, on my Facebook Profile Page, on Goodreads, on LinkedIn, on Twitter at @lisaSmason, and at Science Fiction and Fantasy Writers of America.
If you enjoy a work, please "Like" it, add some stars, write a review on Amazon or Barnes & Noble, and spread the word to your friends. Your response really matters.
More bargains for your reading enjoyment:
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Thriller Fans! The Net Meets Conspiracy Theory With Earthquakes, SHAKEN
Shaken, a sexy Thriller, is on Nook, Kindle, and UK Kindle.
Shaken is on Nook, Kindle, and UK Kindle.
Summer of Love is available free on Kindle Prime until March 1, 2013. Begin with Summer of Love Serial 1 through 7.
And don't miss The Story That Sold To The Movies. TOMORROW'S CHILD began as a medical documentary, then got published in Omni Magazine as a lead story, and finally sold to Universal Pictures, where the project is now in development. On Nook, Kindle, and UK Kindle.
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Opening of SHAKEN, A #Thriller, by the #newyorktimesnotableauthor
From SHAKEN
Emma J for Joy Pearce is on the twenty-second floor of Three Embarcadero when the birds begin to twitter. She is sipping her first cup of coffee and watching the rush-hour traffic crawl across the Bay Bridge into downtown San Francisco. A five-car pileup has blocked the Fremont off-ramp for ages, and she shakes her head, savoring her breakfast blend and feeling just a little bit smug. She doesn't have to deal with that commute, thank her lucky stars. Living on Telegraph Hill and hiking ten blocks to the office is the way to go. She wouldn't live anyplace else on the planet.
The birds, a flock of lively sparrows, swarm outside her window. Which is sort of odd. Emma just doesn't see the tiny birds flying so high. Sparrows tend to be ground-bound, pecking at cookie crumbs outside a café on the mezzanine level. Odder still, they are diving and swooping, forming strange frantic patterns against the pink light of the rising sun. They begin to twitter in earnest now, almost screeching, in a weird frenzy. Sounding not like birds anymore, but some other feral creature, weasels or rats.
The birds rouse Emma out of her morning grogginess into mild surprise.
She had spent the night with Timothy and, half smiling, half frowning, has been mulling over what he'd said. She loves him, of course, but she just isn't sure. No, wait. That isn't right. It's insane, what he's asking. When they're both so set in their ways. Things going so well, for the both of them, just the way they are.
She'd bounced out of bed with the completely genuine plea of a very hairy deadline. Buzzed into the office an hour early before the first of the flex-timers. Timothy. Dear sweet wonderful Timothy, but after five years, who would have thought? She sets her cup down, stands and stretches. She isn't quite ready to start tearing apart the manuscript for Genes: Why I'm Me and Not You, Thank Goodness. The first chapter is a mess with lapidary moments, like the rest of the manuscripts Nigel Fontaine has turned in over the years.
More mess than brilliance in his projects these days. She must have a heart-to-heart huddle with the old coot sometime soon. She checks her calendar. Maybe lunch next week?
What's with the birds?
A hollow booming rises out of the westward fog. Her windows begin rattling. Suddenly, flagpoles are tossing to and fro on the tops of high-rises.
The earthquake strikes.
Copyright © 2011 by Lisa Mason
Shaken, a Thriller, is on Nook and Kindle!
An ebook adaptation of Deus Ex Machina, published in Asimov's Science Fiction Magazine, republished in the anthology Transcendental Tales From Asimov's (Donning Press), and translated and republished worldwide.
Shaken is on Nook and Kindle!
From the author of The Garden of Abracadabra, Volume 1 of the Abracadabra Series, on Nook and Kindle, Summer of Love, A Time Travel (a Philip K. Dick Award finalist and San Francisco Chronicle Recommended Book) on Nook and Kindle, and The Gilded Age, A Time Travel (a New York Times Notable Book and New York Public Library Recommended Book) on Nook and Kindle.
New! The Garden of Abracadabra, Volume 1 of the Abracadabra Series is also available as The Garden of Abracadabra Trilogy so you can read in three affordable installments.
In Book 1, Life's Journey, Abby arrives in Berkeley, filled with hope and promise, hoping to land a new job and start magic college, when she stumbles upon a supernatural multiple murder scene. On Nook and Kindle.
In Book 2, In Dark Woods, Abby is drawn into a dangerous murder investigation and torn between three men, Daniel Stern, her ex-fiance, Jack Kovac, an enigmatic FBI agent, and Prince Alastor, a potent supernatural man who lives in the penthouse and may be a suspect. On Nook and Kindle.
In Book 3: The Right Road, Abby uncovers ancient supernatural secrets behind the murders and faces dangers and challenges ahead. On Nook and Kindle.
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About #Writing Shaken, A #Thriller, #thenet meets #conspiracytheory
Like my plucky heroine, Emma "J" for Joy Pearce, I moved to San Francisco from the Midwest after completing my Bachelor of Arts and Juris Doctorate degrees at the University of Michigan, and I well remember my first earthquake. A five-pointer-plus. Like Emma, I'd just moved to the penthouse of a cool old apartment building on what turned out to be landfill and, wow, the place shook around.
Like Emma, I moved to solid bedrock—the famous Telegraph Hill. I felt safe living there, but I still worked downtown in a huge skyscraper on landfill. During my very first days at work, the big front-page news was of a study the brainiacs at Stanford University had worked up. They'd concocted a computer model of what would happen to downtown San Francisco if (and when) the Big One struck. Whole entire skyscrapers–the model said—would sink into the landfill beneath them up to the twentieth floor. The office wits joked, "Well, we're on the twenty-first floor, so we'll be fine. We'll punch out some plate glass and walk out onto the beach."
Shaken, a Thriller, by a New York Times Notable Author, is on Nook and Kindle!
New! Summer of Love Serials 1 through 7 are free exclusively on Kindle Prime but only till March 1, 2013!
Tags Asimov's Science Fiction Magazine, authors, books, Dark romance, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author on Facebook, Lisa Mason on Facebook, literature, science fiction, science fiction thriller, Shaken, Transcendental Tales From Asimov's (Donning Press)
Categories a Thriller, Asimov's Science Fiction Magazine, Authors, BarnesandNoble.com, Bast Books, Books, Dark Romance, Disaster Fiction, Ebooks, Fiction, Futuristic Fiction, Kindle book, Lisa Mason, Lisa Mason Fantasy and Science Fiction Author, Lisa Mason Fantasy and Science Fiction Author On Facebook, Literature, San Francisco, Science fiction, Science Fiction Thriller, Shaken, SHAKEN a Thriller, Transcendental Tales from Asimov's (Donning Press)


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text:
in: Technology
Heisenberg Device in the films
The Heisenberg Device is the official name for the Atomic Bomb in the The Man in the High Castle timeline. It derives its name from that of its creator, Dr. Werner Heisenberg.
John and Helen witness the Heisenberg Device destroy Washington D.C.
The Greater Nazi Reich became the first country to develop an atomic bomb in 1945, as the Reich and the Japanese Empire conducted concurrent invasions of the United States of America on both coasts. The Nazis dropped a Heisenberg Device on Washington D.C. on December 11, 1945, destroying the city, the United States government, and much of its military leadership. However, victory was not declared until September 18, 1947, when the last of the American Resistance capitulated.
By 1962, the Greater Nazi Reich remains the only country with atomic weapons. The Japanese Empire lagged behind the Germans technologically and their own atomic weapons program was anemic. However, through the hard work of Trade Minister Tagomi and Rudolph Wegener, the Japanese obtained the schematics to build their own atomic bombs and began producing them in secret in San Francisco.
Japanese successfully detonate their first atomic bomb, designed from the Heisenberg Device, in their Monument Valley testing site.
At the same time, tensions between the Japanese and Germans had intensified due to Martin Heusmann's machinations and World War III was on the verge of erupting; as only the Germans had functioning atomic bombs, the Japanese would have been defeated within days, if not hours.
Conflict was only avoided because the Nazis came to believe the Japanese possessed their own atomic arsenal plus a stockpile of more powerful Hydrogen Bombs. In 1963, the Japanese successfully detonated their first atomic bomb at Monument Valley, Utah. While this meant that the Japanese had finally achieved technological parity with the Germans, it was believed likely that the Germans would analyze data from the weapon test and realize that the Japanese lacked Hydrogen Bombs. This would trigger an arms race which the Japanese could not financially sustain for long due in part to an undeclared oil embargo that the Reich was imposing.

redpajama_set_name: RedPajamaCommonCrawl


text:
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bundler: failed to load command: middleman (/usr/local/bundle/bin/middleman)
/usr/local/bundle/gems/rb-inotify-0.10.1/lib/rb-inotify/notifier.rb:69:in initialize': Function not implemented - Failed to initialize inotify (Errno::ENOSYS) from /usr/local/bundle/gems/listen-3.0.8/lib/listen/adapter/linux.rb:31:in new'
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redpajama_set_name: RedPajamaStackExchange


text:
Non-Randomized Study Protocols and Methods (Non-eHealth) (350) Engagement with and Adherence to Digital Health Interventions, Law of Attrition (288) Health Services in Resource-Poor Settings and LMICs (212) HIV/AIDS/STI Prevention and Care (496) Public Health Training, Education and Capacity Building (22) Behavior Change (382) Risky Sexual Behavior (79)
Published on 25.1.2021 in Vol 10, No 1 (2021): January
Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/19384, first published April 15, 2020 .
Improving Treatment Adherence and Retention of HIV-Positive Women Through Behavioral Change Interventions Aimed at Their Male Partners: Protocol for a Prospective, Controlled Before-and-After Study
Stefano Orlando 1 ; Ilaria Palla 2 ; Fausto Ciccacci 3 ; Isotta Triulzi 2 ; Darlington Thole 4 ; Hawa Mamary Sangaré 4 ; Maria Cristina Marazzi 5 ; Karin Nielsen-Saines 6 ; Giuseppe Turchetti 2 ; Leonardo Palombi 1
Article Authors Cited by Tweetations (4) Metrics
Stefano Orlando1, PhD ;
Ilaria Palla2, MSc ;
Fausto Ciccacci3, MD ;
Isotta Triulzi2, PharmD ;
Darlington Thole4, MD ;
Hawa Mamary Sangaré4, MD ;
Maria Cristina Marazzi5, Prof Dr ;
Karin Nielsen-Saines6, Prof Dr ;
Giuseppe Turchetti2, Prof Dr ;
Leonardo Palombi1, Prof Dr
1Department of Biomedicine, University of Tor Vergata, Rome, Italy
2Institute of Management, Scuola Superiore Sant'Anna, PIsa, Italy
3Unicamillus, Saint Camillus International University of Health Sciences, Rome, Italy
4DREAM programme, Community of Sant'Egidio, Balaka, Malawi
5Libera Università degli Studi Maria Ss Assunta di Roma, Rome, Italy
6David Geffen UCLA School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
Stefano Orlando, PhD
University of Tor Vergata
Via Montpellier 1
Rome, 00133
Phone: 39 067259 ext 6798
Email: stefano.orlando@uniroma2.it
Background: According to the World Health Organization, in 2018, 37.9 million people were living with HIV globally. More than two-thirds were residing in sub-Saharan Africa, where the HIV prevalence in the adult population (aged 15-49 years) was 3.9%. This population included 1.3 million pregnant women, of whom 82% had received antiretroviral therapy (ART) for the prevention of HIV mother-to-child transmission. In these countries, one challenge is an insufficient level of treatment adherence, particularly in HIV-positive pregnant women. Among the causes, the lack of involvement from a male partner is a significant contributor to the problem. This issue has strongly emerged in Malawi, one of the countries with the highest HIV prevalence in the world: 9.2% of its adult population were living with HIV in 2018.
Objective: This study aims to assess 3 interventions that are aimed at improving ART adherence and retention among HIV-positive women through engagement with their male partners in 4 Malawian health care centers.
Methods: The prospective, controlled before-and-after study is conducted in 3 phases (total duration: 24 months): preintervention, intervention, and postintervention analyses. The number of selected clusters (clinical centers) is limited to 4: one for each intervention, plus a cluster where no intervention is performed (control arm). The interventions are as follows: opening the facility on one Saturday per month only for men, defined as a special day; testing peer-to-peer counseling among men, male champions; and providing a noneconomic incentive to all women who are accompanied by their partners to the facility, nudge. The primary outcome of the study is to evaluate the differences in retention in care and adherence to therapeutic protocols among women; the intermediate outcome is the assessment of differences in male involvement. The level of male involvement in the health of their partners (intermediate outcome) will be evaluated through a dedicated questionnaire administered at baseline and in the postintervention phase. Data will be collected at the clinical centers and stored in 2 electronic databases managed using 2 different types of software.
Results: The analysis of data collected in the 4 centers during the preintervention phase is ongoing, as enrollment ended on March 31, 2020. The total number of patients enrolled was 452 (Namandanje: 133; Kapeni: 78; Kapire: 75; and Balaka: 166). Meanwhile, several meetings have been conducted to organize the intervention phase.
Conclusions: The study will identify the best intervention that enhances the involvement of male partners in women's health, using an approach that considers a broad spectrum of behaviors. An important aspect is the use of educational tools focused on messages, thereby initiating a reflective discussion of stereotypes and false beliefs related to the idea of masculinity present in the Malawian culture.
JMIR Res Protoc 2021;10(1):e19384
retention in care; therapeutic adherence and compliance; men's role; acquired immunodeficiency syndrome; AIDS; HIV; behavior; intervention study; health education; community health education; Malawi; mother-to-child transmission; health-related behavior; social ecology
According to the World Health Organization, in 2018, 37.9 million people were living with HIV globally [1]. The impact of this disease varies considerably across countries and regions. More than two-thirds of people living with HIV are in sub-Saharan Africa (SSA), where HIV prevalence in the adult population is 3.9%. Globally, there were 1.3 million pregnant women living with HIV in 2018 in the region, of whom 82% had received antiretroviral therapy (ART) for the prevention of HIV mother-to-child transmission (PMTCT).
In 2014, the Joint United Nations Programme on HIV/AIDS launched the 90-90-90 program. According to this ambitious plan, 90% of all people living with HIV would know their HIV status, 90% of all HIV people would receive ART, and 90% of all people receiving ART would have viral suppression by 2020 [2]. In most SSA countries, however, the level of adherence is suboptimal, particularly in HIV-positive pregnant women, among whom the adherence rate varies considerably across different settings, both within and across countries, ranging from 35% to 93.5% [3]. There are several barriers to medication adherence that are often linked to different individual factors (sociodemographic and knowledge base), therapy-related factors (complexity of therapy and side effects), social and economic factors, and health care provider and health system–related factors. Stigma and discrimination at the community level and the fear of disclosure of one's HIV status to their partner are more significant barriers than others [4]. In this scenario, a critical issue is represented by the lack of male partner involvement along the continuum of HIV health care services. This issue represents one of the main reasons for treatment refusal, delayed enrollment, dropout, and low retention of pregnant and breastfeeding women [5-8]. The partner's lack of involvement, on the contrary, is due to cultural, societal, and gender factors, socioeconomic factors, health service barriers, and policy gaps [9]. Barriers operate at different levels: community (gender issues, role on reproductive health, and stigma), health system (health services tailored to women's needs and negative attitude of professionals), interpersonal (discordant couples and disclosure issues), and individual (scarce maternal knowledge of child health and fear of stigma) [9]. Therefore, an important challenge is to attain the support of male partners in promoting the health of their female partners. This process includes attending clinics, testing for HIV, and treatment adherence.
Studies have demonstrated that many countries have highly gender-specific and women-centered sexual and reproductive health programs and services [10]. Therefore, men see health-seeking in a maternal setting to be a woman's task and the antenatal clinics as a space for women, and believe that the activities performed are outside their area of responsibility [11]. They perceive that visiting the antenatal clinic would be unmanly and they fear stigmatization by other men [11]. The norms related to masculinity discourage men from acceding to health facilities, in particular, to participate in antenatal care (ANC) [12].
Although the importance of male involvement and potential barriers to male involvement are well known, it is not yet clear which public health interventions are effective for attaining male involvement in the health of their female partners, resulting in positive health outcomes for women. There is currently a lack of high-quality studies evaluating the effect of male involvement on women's health [9]. A 2012 Cochrane review identified only one eligible study pertaining to this issue [13], and a more recent review identified only 12 studies, 6 of which were observational [14]. A limitation of the studies conducted so far on the topic is that they are generally not framed in a theory, model, or framework. Only one of the aforementioned studies designed interventions based on a theoretical model [15]; however, the theory was not considered in the evaluation of results. The use of a theoretical framework allows researchers and health care professionals to be able to design and evaluate interventions by analyzing elements that may favor or decrease the effectiveness of each intervention. This improves the potential for reproducibility of the most effective interventions in different contexts (also known as external validity) [16].
Design of the Study and Theoretical Framework
In this way, a prospective controlled study is more suitable for the evaluation of promising interventions to improve male involvement and enhance maternal adherence to HIV PMTCT.
For this study, we adopted a framework based on the ecological model [17] adapted by Kaufman et al [18] to health behaviors in HIV prevention. This model considers not only the PMTCT programs that HIV-positive women are engaged with but also the way they live and their relationship with their families and communities. According to the ecological model of health behavior, these are influenced by someone's living environment, and this influence is articulated at multiple levels. This model, unlike models such as the Health Belief Model [19], does not focus only on individuals and their choices but tries to intervene on all external causes that support or limit positive individual actions [20-22]. In our study, this model aims to overcome the limitations of various adherence support programs that are exclusively based on health education and awareness-raising activities. In many cases, even though HIV-positive women know the importance of adhering to their ART regimens, external elements are preventing them from complying with their prescriptions. These include the attitude of their partner [23], the stigmatization by their community, and the lack of needed resources, both physical and mental.
According to the ecological model, many factors affect male involvement in women's health care processes at different levels. In this study, we focused on the level presented in Figure 1, namely, individual level, interpersonal and network (eg, family and peers), community, health system (health facility level), and structural level (eg, access to transportation). These critical issues have strongly emerged in Malawi, one of the countries with the highest prevalence of HIV in the world: 9.2% of the adult population (aged 15-49 years) were living with HIV in 2018, and 59.8% of them were women. In 2018, 1 million Malawians were living with HIV, and 13,000 Malawians died from AIDS-related illnesses in the same year [24]. In July 2011, Malawi became the first country to implement the Option B+ approach, which means that all pregnant women living with HIV are offered antiretroviral treatment for life, irrespective of their CD4 count [25]. Between 2011 and 2018, the proportion of female adults with HIV who were diagnosed ranged from 49% to 94% [26]; the proportion of pregnant women with HIV who were virally suppressed jumped from 2% to 48%. The impact of this program has been huge, with a drastic reduction in HIV mother-to-child transmission (MTCT) rates; however, the percentage of male involvement in MTCT and maternal-child health services is still considerably low, ranging from 3.2% to 23% [27].
Figure 1. Effect of multiple integrated component interventions on the social ecological model.
View this figure
Aim of the Study
This study aims to evaluate 3 interventions focused on different levels, as described in the ecological model. The primary outcome will be retention and adherence in the care of HIV-positive women, whereas the secondary outcome will be the involvement of male partners in the care of their partners.
Strategy of the Study
The objective of the study is to evaluate 3 different interventions aimed at improving adherence and retention to ART therapy among HIV-positive women through engagement with their life partner. The interventions are (1) testing peer-to-peer counseling and community-level health education sessions delivered by men, male champions; (2) opening the facility once a month, only for men, special day; and (3) providing incentive to all women accompanied by their partners at the facility, nudge or incentive.
The different interventions to be implemented and evaluated in the research plan are designed to assess male involvement at the following levels, as depicted in the model represented in Figure 1. The activities that act on the individual and interpersonal or at the social network level common to past studies are transversal to all 3 interventions. At the individual level, both women and their male partners will receive educational content on the importance of retention and adherence to treatments, but also messages that contradict stereotypes and false myths related to masculinity, health, and gender violence. With regard to the interpersonal or social network level, all interventions will include support activities that are aimed at the family (couples counseling).
Intervention 1 (Male Champions) will act at the community level, providing educational interventions that are aimed at territorial communities and religious groups.
Intervention 2 (Special Day) will act at the health system level, delivering activities based on health facilities that are aimed at reshaping the clinic as male-friendly.
Intervention 3 (Nudge) will also act at the structural level by providing incentives to support the cost of transportation and other costs that reduce a male partner's ability to access the service.
The study has 3 phases: preintervention (baseline), intervention, and postintervention analyses, as shown in Figure 2.
In the preintervention analysis, the baseline situation of the 3 participating centers will be evaluated. The aim of this phase is to set a starting point to weigh the relative effect of each intervention to be studied. For that purpose, baseline data of each study site will be collected. To evaluate the effect of the interventions, the same indicators will be measured during the pre- and postintervention phases, as described above. The preintervention phase will last 9 months. During this period, data will be collected at each site and included in a database.
Figure 2. General structure of the study.
Setting and Participants
The study was performed in Malawi within the Disease Relief through Excellent and Advanced Means (DREAM) program. DREAM is a health program managed by the Community of Sant'Egidio in 11 African countries [28]. The program delivers a number of health services: HIV care, HIV PMTCT, malnutrition prevention and control, care of noncommunicable diseases, tuberculosis diagnosis and treatment, cervical cancer screening, and treatment of early lesions [29-33]. The DREAM program in Malawi runs 13 health centers and 3 laboratories in collaboration with the Ministry of Health. Currently, the DREAM program in Malawi has cared for over 86,000 patients and assisted over 12,000 HIV-positive pregnant women in the prenatal care and delivery of HIV-uninfected babies. In addition, the DREAM program aims to address health inequalities related to HIV, along with barriers experienced by women in accessing services. For this purpose, an expert client model aimed at improving retention in care and facilitating the inclusion of social aspects in the clinical process was launched [34]. However, activities involving male partners with the goal of improving access of their partners to services have never been tested in this model.
Given the limited resources available for the study and the practical difficulties related to the disadvantaged context in which the study was conducted, sample size calculations and criteria for assigning interventions were based on a pragmatic approach. The number of selected clusters is limited to 4, one for each intervention plus a cluster where no intervention will be performed as a control arm. The number of participants enrolled for data collection is given by the number of patients attending the selected clinical centers during the pre- and postintervention phases. Therefore, the main unit of analysis of the study is the cluster, which is the clinical center. Thus, the interventions will target each health facility.
The following criteria were followed to select the 4 centers included in the intervention:
The centers represented the Malawian population. As Malawi is a country where 83% of the population resides in rural or semirural environments [35], rural clinics were selected.
Centers that only provided maternal services were excluded because it was not possible to use a male-friendly approach in a center that is designed to accommodate only women.
The remaining centers with the highest number of female patients were selected.
The special day intervention was assigned to the center of Balaka (Balaka district). At this site, health care staff are available to offer the planned services. The male champion intervention was assigned to the Kapire center (Machinga district), where there are patients available to engage themselves as male champions who have sufficient levels of education necessary to perform the task assigned to them and communicate with the researchers. The nudge intervention was assigned to the Kapeni center (Blantyre district), where the number of women being treated was consistent with the available budget necessary for the provision of noneconomic incentives.
Although the unit of analysis is the clinical center, and therefore all patients who are referred, the study focuses on the population of adult females and the influence of male partners on the health practices of women. Therefore, data will be collected from this specific population. Eligibility criteria for women included the following: being HIV positive; inclusion in an HIV/AIDS prevention and treatment program; aged 18 years or older; and living at home with a male partner.
There are several possible criteria for defining a partnership relationship. In the Malawian context, the concept of marriage is understood in many different ways depending on local tradition or different religious practices [36]. Furthermore, mobility is quite high and there are situations in which the married partner spends longer periods away from the family or abroad; therefore, there is no possibility of directly influencing his wife's health practices. Hence, in this study, it was decided to consider the man who resides in the same house with the woman as a partner, regardless of religious or legal bonds between the two.
The enrollment of participants will be consecutively based on the order of patient appointments. Recruitment will be entrusted to doctors and clinical officers responsible for the medical visits of women participating in HIV treatment programs, who interact with patients during every visit to the clinical center. All women who met the eligibility criteria and agreed to participate in the study will be enrolled. Recruitment will be conducted before the medical examination: the software used for patient management reports to the clinician whether patients aged less than 18 years are enrolled, allowing the clinician to check entry criteria and invite eligible participants for study participation with the provision of informed consent.
Data Collection and Storage
Data will be collected at the clinical centers and will be stored in 2 electronic databases managed through 2 different types of software:
Clinical and medical service data are routinely collected through an electronic DREAM program health record software used routinely at the clinical centers named DREAM_S [37].
Data on health behaviors reported by patients who participate in the study will be collected through the software created specifically for the study, also respecting rules for patient privacy and data security.
In the preintervention phase, data will be collected at the medical visit immediately after the enrollment visit to evaluate the partner's acceptance of the invitation to come to the clinical center for testing and counseling in the company of the patient. In the postintervention phase, data will be collected 2 months from enrollment to allow for a wash-out period where the effects of the interventions would be expressed.
There are several strategies and/or interventions to improve male involvement in the PMTCT process described in the literature. These include psychosocial approaches, verbal encouragement, invitation letters, community education, and sensitization. A review performed by Takah et al [38] showed that psychosocial approaches and complex community interventions are more effective, whereas invitation letters are ineffective. Our review of the literature showed that home visits are one of the most effective single interventions, whereas multicomponent approaches could improve male involvement [14]. After a meticulous analysis of the literature on possible interventions, 3 different types of interventions were selected: (1) community sensitization through male champions; (2) special day for a male-friendly clinic; and (3) incentive to attend the clinical center addressing structural barriers. Each intervention will be performed in a selected center (Table 1).
Table 1. The interventions.
Centers Intervention Ecological model levels Activities
Kapire Male Champions
Interpersonal or social network
Individual counseling for men attending DREAMa centers
Home care for defaulting male patients
Sensitization campaigns in local communities
Sensitization campaigns in public spaces (churches, markets, clubs, and bars)
Balaka Special Day
Basic health services:
HIV testing and counseling
Counseling regarding cardiovascular disease
Blood glucose measurement and counseling for diabetes
Nutritional evaluation and counseling
Group educational activities
2 educational sessions using the drama technique
Kapeni Nudge
Woman with partner:
Food integration is given and an invitation card is delivered. If partners come for the second visit, they receive a second food integration
Food integration is not given, but an invitation card is delivered, and if the male partner comes to the second visit, then the family receives a food pack
Woman without a partner:
Delivery food integration and registration that she has no partner
Second visit with partner
If the partner accompanies the woman to the center, the personnel will give a food package and offer couples counseling. The man can take advantage of individual services as educational contents
aDREAM: Disease Relief through Excellent and Advanced Means.
These strategies will be implemented according to standard clinical practices in Malawi with some modifications based on the international experiences described in the literature.
The male champion is a figure present in a few settings that conducts home visits with men and couples and follows up with men who did not accompany their partners to ANC visits [39]. Usually, this role is covered by the female expert clients, namely HIV-positive patients working in the organization as volunteers after appropriate training. Some men among patients who are receiving treatment will be identified and trained to cover this role [40]. The intervention called male champion aims to change the beliefs and attitudes of men, not intervening directly on individuals but upon entire communities and particularly involving community leaders.
The special day is a practice that is becoming increasingly common to facilitate access to health facilities by vulnerable groups such as adolescents [41,42]. In this study, we target men. The special day takes place with an extraordinary opening of the clinical center once a month on a prefestive day (Saturday). During this day, access will be reserved exclusively for men, including those who are not on treatment for HIV. The center will offer free health promotion services to all participants. This intervention aims to remove the attitude linked to beliefs regarding masculinity, in which the male partners see access to health centers as an activity suitable only for women. The special day aims to make the clinical center more male-friendly and therefore attempts to overcome the social pressure that pushes men to have only sporadic attendance.
The intervention based on the use of incentives (nudge) [43] to men who follow the prevention and treatment program aims to evaluate whether this action is effective in guiding behavior change toward the test, treatment, involvement, and adherence to therapy approach. The intervention defined as budget aims to remove the obstacles of a structural or a material nature, which supports the costs related to transportation to health care facilities and time taken away from work through a noneconomic incentive.
The educational tools developed for these interventions are based on standards adopted in the country for couples counseling on HIV/AIDS. To these standard guidelines, messages were added to initiate a reflective discussion of stereotypes and false beliefs related to the idea of masculinity in the Malawian culture. All staff involved in the delivery of these interventions were provided with a guide (included in Multimedia Appendix 1) on the contents to be delivered. They also participated in a one-day training of the themes of the project. The guide was developed by study investigators and Malawian health care staff. The guide was based on tools developed and applied in other contexts with the purpose of increasing men's access to health care services and to reduce stereotypes and gender-based violence. It was also based on the ecological model [44-49].
The educational content will be delivered using 3 different approaches. The special day arm will address the community in the catchment area of the clinical center, but the intervention will take place at the facility level. Through visibility activities such as leaflet distributions or information campaigns with audio messages, men living in the communities surrounding the treatment center will be invited to an extraordinary opening day at the center dedicated only to men. During the special day, the center's clinical staff will offer basic health care services such as HIV testing and counseling, blood pressure measurement and counseling on cardiovascular disease, blood glucose measurement and counseling on diabetes, and nutritional evaluation and counseling. During the morning, group educational activities led by male community health care workers together with the doctors of the center and 2 educational sessions using drama techniques will be conducted. In the male champions arm, the intervention will be conducted at the level of regional and religious communities, with group educational sessions and use of the male champions. Male champions will be selected from patients receiving treatment for HIV for more than a year at the local DREAM centers. The educational sessions, based on an interactive approach with questions and answers both from the audience and the male champions, will last between 30 min to an hour. The male champion will be allowed to prolong the intervention if the audience requests it. Meetings will be planned and implemented in communities where at least five patients who receive treatment at DREAM centers reside, including religious communities in those regions. In the nudge arm, the intervention will be directed to individuals or to male partners of female patients being treated at DREAM centers. Women who agree to participate in the study will be asked to invite their male partners to the center for a health education session, and male partners who agree to participate will receive an incentive in the form of a food package, approximately worth US $8. At the second visit, the couple will be given a health education session based on educational materials prepared for the study.
The geographical locations of the 4 centers are shown in Figure 3. The centers are located at a distance that was considered sufficient to avoid geographical contamination. The 2 closest centers, Kapire and Balaka, are located at a distance of about 50 km; therefore, it can be reasonably excluded that patients can participate in both interventions. In any case, patients registered in the DREAM program and their family members are merged into a single database; therefore, the duplication of registration can be excluded.
Figure 3. Geographical location of the 4 clusters.
Outcomes and Statistical Methods
The outcomes will be divided into 2 levels: (1) evaluation of the variations in retention in care and women's adherence to therapeutic protocols (primary outcome) and (2) assessment of the variations in male involvement (intermediate outcome).
Retention in care and adherence to treatment protocols are primary outcomes. Retention in care will be measured as the cumulative proportion of dropouts from the treatment program at 6 months, 1 year, and 2 years (excluding patients transferred to another center or those who died). Adherence will be measured through the following indicators: (1) the cumulative proportion of medical appointments missed in a month in the center; (2) the cumulative proportion of appointments for drug delivery missed in a month in the center; (3) the cumulative proportion of women who suppressed viral load; and (4) the cumulative proportion of women with a suppressed viral load that has a rebound in viremia.
To evaluate the level of male involvement in the health of female partners (intermediate outcome), a dedicated questionnaire will be delivered to female partners at baseline (preintervention) and in the postintervention phase. The survey measures the following outcomes related to male involvement: (1) proportion of women accompanied by partners at the facility after receiving an invitation card; (2) proportion of men accepting HIV testing and counseling (if not yet received in the last 6 months); (3) level of partner involvement in the care process measured through a score scale based on health practices reported by the female partners; and (4) level of gender-based violence in the family measured through a score scale based on violent or negative practices reported by female partners.
Some indicators will be collected to monitor the delivery of the intervention and possibly evaluate correlations with the dose of delivery of the 3 interventions, as outlined in Textbox 1.
The primary and secondary indicators of effectiveness are the same for all interventions, hence making it possible to assess the differential impact of the community, health system, and structural-level interventions, particularly with respect to interventions based only on individual and interpersonal levels. These interventions will be compared with the usual services offered at the fourth center.
Data will be presented as mean (SD) for normally distributed data, median with IQR in case of nonnormally distributed variables, or percentage frequencies; within-patient comparisons will be made using an unpaired t test and chi-square test, as appropriate, at significance levels of P=.04. Statistical tests for the comparison of groups include the Mann-Whitney U and Kruskal-Wallis H tests for continuous variables, whereas the chi-square test will be used for categorical variables. Logistic regression models will be used to compare variables in bivariate and multivariate analyses. Relative risk with 95% CIs will be used to assess the strength of associations. Multivariate survival analysis evaluating retention in care as outcomes will be performed using Cox regression models.
Indicators for each intervention.
Male champions (community level)
Number of meetings in the communities
Duration of meetings
Number of participants in each meeting
Qualitative report of male champions on each meeting (qualitative data)
Special day (health-system level)
Number of men attending the special day
Basic data on men attending the special day:
Family status
Level of satisfaction of the intervention
Number of partners of women accessing the health facilitys
Number of men receiving services offered during the special day (HIV test and counseling; blood pressure measurement; blood glucose; nutrition; health talks; drama)
Nudge (structural level)
Number of couples eligible for intervention
Number of incentives and counseling sessions delivered
Textbox 1. Indicators for each intervention.
The enrollment of patients in the preintervention phase started in July 2019 and ended on March 31, 2020. There is an ongoing analysis of preliminary data collected at the 4 centers during the preintervention phase. In total, 452 female participants were enrolled in the preintervention phase, with the following distribution: Namandanje (n=133); Kapeni (n=78); Kapire (n=75); and Balaka (n=166). Several meetings have been performed at the centers to organize the intervention phase. As of August 1, 2020, the interventions were initiated at the 3 centers and by September 2020 were ongoing.
Study Strengths
This study aims to assess interventions targeted at enhancing the involvement of males in women antenatal health care in Malawi. Male involvement in prenatal care is still one of the lowest in the world in Malawi, ranging from 3.2% to 23% [27]. There are multiple reasons for the limited role of male partners in women's health initiatives. Instead of addressing singular factors supposed to directly cause limited male involvement, the approach of our study is based on an ecological model [17]. The decision to base interventions on a theoretical framework is one of the strengths of this study. In fact, a theory-based approach allows us to better understand the reasons for failure or success of an intervention, develop better strategies, and evaluate their external validity [16,50]. In particular, the ecological model was chosen for this study because it considers not only the beneficiaries (HIV-positive women and their partners) and ART adherence as done in other studies [15] but also the social context that can facilitate or hinder the adoption of healthy practices, namely retention in care and adherence to therapy for HIV PMTCT. All the interventions being evaluated act on individual and interpersonal elements, through couple health education. In addition, each intervention addresses other elements such as the health structure, the community, or the structural level linked to transportation costs. This design allows us to understand how the different levels affect behaviors within the target group and, therefore, health outcomes. Another strength of these interventions is the implementation of these activities in a real-life setting, with the use of personnel already active in the center. This is a significant strength of this study, as it provides reproducible information to other sites.
The study design has some limitations. First, the nonrandomized assignment of the interventions based on feasibility criteria could be a possible selection bias. All patients were enrolled in a high-quality program delivered by an international nongovernmental organization, and the results could be different in other settings such as public health facilities. Second, the interventions are designed based on evaluations conducted in different countries and in a potentially different context. This poses the question of their applicability to the Malawian context. Third, the number of studies conducted on male involvement in Malawi is limited and, in many cases, outdated, which do not allow us to have current data at hand on male involvement in Malawi to compare with our ongoing analysis.
If the study is successful in identifying an effective intervention that enhances male involvement and reduces attrition of HIV-positive women in Malawi, then the resulting strategy can be implemented in many other sites in the country as well as in other countries. The results of the study will be shared with local and central health institutions in the country to disseminate our study findings and enhance good practices fostering improved outcomes for families living with HIV.
The study is funded by the Italian Ministry of Foreign Affairs through the Italian Agency for International Cooperation within the Global Fund 5% program aimed at providing evidence on how to improve the interventions of the Global Fund against tuberculosis, HIV, and malaria in the countries where the fund operates.
Guide on educational contents for staff involved in the project.
PDF File (Adobe PDF File), 151 KB
Global Health Observatory (GHO) data. World Health Organization. 2018. URL: https://www.who.int/gho/hiv/en/ [accessed 2020-12-29]
90-90-90: An ambitious treatment target to help end the AIDS epidemic. Joint United Nations Programme on HIV. 2017. URL: https://www.unaids.org/en/resources/documents/2017/90-90-90 [accessed 2020-12-29]
Adeniyi OV, Ajayi AI, Ter Goon D, Owolabi EO, Eboh A, Lambert J. Factors affecting adherence to antiretroviral therapy among pregnant women in the Eastern Cape, South Africa. BMC Infect Dis 2018 Apr 13;18(1):175 [FREE Full text] [CrossRef] [Medline]
Omonaiye O, Kusljic S, Nicholson P, Manias E. Medication adherence in pregnant women with human immunodeficiency virus receiving antiretroviral therapy in sub-Saharan Africa: a systematic review. BMC Public Health 2018 Jun 27;18(1):805 [FREE Full text] [CrossRef] [Medline]
Byamugisha R, Tumwine JK, Semiyaga N, Tylleskär T. Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey. Reprod Health 2010 Jun 23;7:12 [FREE Full text] [CrossRef] [Medline]
Adelekan AL, Edoni ER, Olaleye OS. Married men perceptions and barriers to participation in the prevention of mother-to-child hiv transmission care in Osogbo, Nigeria. J Sex Transm Dis 2014;2014:680962 [FREE Full text] [CrossRef] [Medline]
Manjate Cuco RM, Munguambe K, Bique Osman N, Degomme O, Temmerman M, Sidat MM. Male partners' involvement in prevention of mother-to-child HIV transmission in sub-Saharan Africa: A systematic review. Sahara J 2015;12:87-105. [CrossRef] [Medline]
Nyondo AL, Chimwaza AF, Muula AS. Stakeholders' perceptions on factors influencing male involvement in prevention of mother to child transmission of HIV services in Blantyre, Malawi. BMC Public Health 2014 Jul 7;14:691 [FREE Full text] [CrossRef] [Medline]
Aliyu MH, Sam-Agudu NA, Shenoi S, Goga AE, Ramraj T, Vermund SH, et al. Increasing male engagement in the prevention of vertical transmission of HIV: what works in sub-Saharan Africa? Br Med J 2019 Jun 6;365:l1965 [FREE Full text] [CrossRef] [Medline]
World Health Organization. Male involvement in the prevention of mother-to-child transmission of HIV.: World Health Organization; 2012. URL: https://www.who.int/reproductivehealth/publications/rtis/9789241503679/en/ [accessed 2021-01-19]
Matseke MG, Ruiter RA, Rodriguez VJ, Peltzer K, Setswe G, Sifunda S. Factors associated with male partner involvement in programs for the prevention of mother-to-child transmission of HIV in rural south Africa. Int J Environ Res Public Health 2017 Nov 1;14(11):- [FREE Full text] [CrossRef] [Medline]
Katirayi L, Chadambuka A, Muchedzi A, Ahimbisibwe A, Musarandega R, Woelk G, et al. Echoes of old HIV paradigms: reassessing the problem of engaing men in HIV testing and treatment through women's perspectives. Reprod Health 2017 Oct 5;14(1):124 [FREE Full text] [CrossRef] [Medline]
Brusamento S, Ghanotakis E, Tudor Car L, van-Velthoven MH, Majeed A, Car J. Male involvement for increasing the effectiveness of prevention of mother-to-child HIV transmission (PMTCT) programmes. Cochrane Database Syst Rev 2012 Oct 17;10:CD009468 [FREE Full text] [CrossRef] [Medline]
Triulzi I, Palla I, Ciccacci F, Orlando S, Palombi L, Turchetti G. The effectiveness of interventions to involve men living with HIV positive pregnant women in low-income countries: a systematic review of the literature. BMC Health Serv Res 2019 Dec 09;19(1):943 [FREE Full text] [CrossRef] [Medline]
Weiss SM, Peltzer K, Villar-Loubet O, Shikwane ME, Cook R, Jones DL. Improving PMTCT uptake in rural South Africa. J Int Assoc Provid AIDS Care 2014;13(3):269-276 [FREE Full text] [CrossRef] [Medline]
Davidoff F, Dixon-Woods M, Leviton L, Michie S. Demystifying theory and its use in improvement. BMJ Qual Saf 2015 Mar;24(3):228-238 [FREE Full text] [CrossRef] [Medline]
Sallis JF, Owen N, Fisher EB. Ecological models of health behavior. In: Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass; 2008:465-482.
Kaufman MR, Cornish F, Zimmerman RS, Johnson BT. Health behavior change models for HIV prevention and AIDS care: practical recommendations for a multi-level approach. J Acquir Immune Defic Syndr 2014 Aug 15;66 Suppl 3:S250-S258 [FREE Full text] [CrossRef] [Medline]
Champion VL, Skinner CS. The health belief model. In: Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass; 2008:45-65.
Bronfenbrenner U. The ecology of human development. In: Experiments by Nature and Design. Cambridge: Harvard University Press; 1979.
Green LW, Richard L, Potvin L. Ecological foundations of health promotion. Am J Health Promot 1996;10(4):270-281. [CrossRef] [Medline]
Hovell M, Wahlgren D, Adams M. The logical and empirical basis for the behavioral ecological model. In: Emerging Theories in Health Promotion Practice and Research. San Francisco: Jossey-Bass; 2009.
Tokhi M, Comrie-Thomson L, Davis J, Portela A, Chersich M, Luchters S. Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions. PLoS One 2018;13(1):e0191620 [FREE Full text] [CrossRef] [Medline]
Country factsheet 2018 - Malawi. UNAIDS. 2019. URL: https://www.unaids.org/en/regionscountries/countries/malawi [accessed 2020-12-29]
Haas AD, Tenthani L, Msukwa MT, Tal K, Jahn A, Gadabu OJ, et al. Retention in care during the first 3 years of antiretroviral therapy for women in Malawi's option B+ programme: an observational cohort study. Lancet HIV 2016 Apr;3(4):e175-e182 [FREE Full text] [CrossRef] [Medline]
HIV and AIDS in Malawi - HIV prevention programmes in Malawi. Global information and education on HIV and AIDS. 2020. URL: https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/malawi [accessed 2020-12-29]
Nyondo-Mipando AL, Chimwaza AF, Muula AS. A descriptive study on demographic and behavioral characteristics of males and their responses to a male involvement intervention in Blantyre, Malawi. Pan Afr Med J 2016;25:229 [FREE Full text] [CrossRef] [Medline]
Community of Sant'Egidio. DREAM. www.santegidio.org. 2019. URL: https://dream.santegidio.org [accessed 2020-12-29]
Ciccacci F, Tolno VT, Doro Altan AM, Liotta G, Orlando S, Mancinelli S, et al. Noncommunicable diseases burden and risk factors in a Cohort of HIV+ elderly patients in Malawi. AIDS Res Hum Retroviruses 2019;35(11-12):1106-1111. [CrossRef] [Medline]
Floridia M, Ciccacci F, Andreotti M, Hassane A, Sidumo Z, Magid NA, et al. Tuberculosis case finding with combined rapid point-of-care Assays (Xpert MTB/RIF and determine TB LAM) in HIV-positive individuals starting antiretroviral therapy in Mozambique. Clin Infect Dis 2017 Nov 13;65(11):1878-1873. [CrossRef] [Medline]
Giuliano M, Andreotti M, Liotta G, Jere H, Sagno J, Maulidi M, et al. Maternal antiretroviral therapy for the prevention of mother-to-child transmission of HIV in Malawi: maternal and infant outcomes two years after delivery. PLoS One 2013;8(7):e68950 [FREE Full text] [CrossRef] [Medline]
Liotta G, Mancinelli S, Nielsen-Saines K, Gennaro E, Gennaro E, Scarcella P, et al. Reduction of maternal mortality with highly active antiretroviral therapy in a large cohort of HIV-infected pregnant women in Malawi and Mozambique. PLoS One 2013;8(8):e71653 [FREE Full text] [CrossRef] [Medline]
Mancinelli S, Nielsen-Saines K, Germano P, Guidotti G, Buonomo E, Scarcella P, et al. Who will be lost? Identifying patients at risk of loss to follow-up in Malawi. The DREAM Program Experience. HIV Med 2017 Sep;18(8):573-579 [FREE Full text] [CrossRef] [Medline]
Kielmann K, Cataldo F. Tracking the rise of the "expert patient" in evolving paradigms of HIV care. AIDS Care 2010;22 Suppl 1:21-28. [CrossRef] [Medline]
Rural population (% of total population) - Malawi. The World Bank Data. 2018 Mar 20. URL: https://data.worldbank.org/indicator/SP.RUR.TOTL.ZS?locations=MW [accessed 2020-12-29]
Reniers G. Divorce and remarriage in rural Malawi. Demogra Res 2003 Sep 19;Special 1:175-106. [CrossRef]
Nucita A, Bernava GM, Bartolo M, Masi FDP, Giglio P, Peroni M, et al. A global approach to the management of EMR (electronic medical records) of patients with HIV/AIDS in sub-Saharan Africa: the experience of DREAM software. BMC Med Inform Decis Mak 2009 Sep 11;9:42 [FREE Full text] [CrossRef] [Medline]
Takah NF, Kennedy ITR, Johnman C. The impact of approaches in improving male partner involvement in the prevention of mother-to-child transmission of HIV on the uptake of maternal antiretroviral therapy among HIV-seropositive pregnant women in sub-Saharan Africa: a systematic review and meta-analysis. BMJ Open 2017 Nov 25;7(11):e018207 [FREE Full text] [CrossRef] [Medline]
Audet CM, Blevins M, Chire YM, Aliyu MH, Vaz LME, Antonio E, et al. Engagement of men in antenatal care services: increased HIV testing and treatment uptake in a community participatory action program in Mozambique. AIDS Behav 2016 Sep;20(9):2090-2100 [FREE Full text] [CrossRef] [Medline]
UNICEF. Innovative approaches for eliminating mother-to-child transmission of HIV. Experiences from Côte d'Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda. 2018. URL: https://www.childrenandaids.org/sites/default/files/2018-11/Composite%20Report%20all%20countries%203.pdf [accessed 2020-01-02]
Teasdale CA, Alwar T, Chege D, Fayorsey R, Hawken MP, Abrams EJ. Impact of youth and adolescent friendly services on retention of 10-24-year-olds in HIV care and treatment programs in Nyanza, Kenya. J Acquir Immune Defic Syndr 2016 Feb 01;71(2):e56-e59 [FREE Full text] [CrossRef] [Medline]
Adolescent friendly health services An agenda for change. An agenda for change. Geneva: World Health Organization; 2003. URL: https://apps.who.int/iris/bitstream/handle/10665/67923/WHO_FCH_CAH_02.14.pdf?sequence=1&isAllowed=y [accessed 2020-01-02]
McCoy SI, Njau PF, Fahey C, Kapologwe N, Kadiyala S, Jewell NP, et al. Cash vs. food assistance to improve adherence to antiretroviral therapy among HIV-infected adults in Tanzania. AIDS 2017 Mar 27;31(6):815-825 [FREE Full text] [CrossRef] [Medline]
Ricardo C, Verani F. Engaging men and boys in gender equality and health. In: A global toolkit for action. New York: UNFPA; 2010:1-98.
Integrating gender into HIV/AIDS programmes in the health sector: tool to improve responsiveness to women's needs. In: Bulletin of the World Health Organization. Geneva: World Health Organization; 2009.
Ricardo C, Nascimento M, Fonseca V, Segundo M. Program H and Program Mngaging young men and empowering young women to promote gender equality and health. Pan American Health Organization 2010:E [FREE Full text]
Engaging Men in HIV and AIDS at the Service Delivery Level: A Manual for Service Providers. 2008. URL: https://promundoglobal.org/resources/engaging-men-in-hiv-and-aids-at-the-service-delivery-level-a-manual-for-service-providers/ [accessed 2020-12-29]
Engaging boys and men in gender transformation: the group education manual. The ACQUIRE Project/EngenderHealth, Promundo. 2008. URL: https://promundoglobal.org/resources/engaging-boys-and-men-in-gender-transformation-the-group-education-manual/ [accessed 2020-12-29]
Needs assessment package for male engagement programming. The ACQUIRE Project/EngenderHealth, Promundo. 2008. URL: https://promundoglobal.org/resources/needs-assessment-package-for-male-engagement-programming/ [accessed 2020-12-29]
Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci 2015 Apr 21;10:53 [FREE Full text] [CrossRef] [Medline]
ANC: antenatal care
ART: antiretroviral therapy
DREAM: Disease Relief through Excellent and Advanced Means
MTCT: mother-to-child transmission
PMTCT: prevention of mother-to-child transmission
SSA: sub-Saharan Africa
Edited by G Eysenbach; submitted 15.04.20; peer-reviewed by FC Payton, A Iblasi, C Nweneka; comments to author 21.08.20; revised version received 16.10.20; accepted 26.10.20; published 25.01.21
©Stefano Orlando, Ilaria Palla, Fausto Ciccacci, Isotta Triulzi, Darlington Thole, Hawa Mamary Sangaré, Maria Cristina Marazzi, Karin Nielsen-Saines, Giuseppe Turchetti, Leonardo Palombi. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 25.01.2021.
Orlando S, Palla I, Ciccacci F, Triulzi I, Thole D, Sangaré HM, Marazzi MC, Nielsen-Saines K, Turchetti G, Palombi L


man as a sinner in need of salvation.
In the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His vicarious and atoning death, in His miracles, in His bodily resurrection, in His ascension to the right hand of the Father, in His personal future return to this earth in power and glory.
In the baptism of the Holy Spirit according to Acts 2:4 is given to those who ask for it.
In the gifts of the Holy Spirit in operation in the church. These gifts being: prophecy, tongues and interpretation of tongues, words of wisdom and knowledge, discerning of spirits, faith, healings and miracles.
We have included some biblical passages to help you understand our views on some common Christian concepts below.
The presence and the work of the Holy Spirit in a person's life.
Worship— Worship is perhaps best summed up in the Westminster Shorter Catechism: "What is the chief end of man? To glorify God and enjoy Him forever."
Significance of the Shofar— The shofar is a powerful symbol in the worship of the Jewish people, and continues to be so at Tabernacle of Hope.
Our Mission— A scriptural basis for our common calling to bring glory to the Lord.


text:
NASCAR Sprint Cup Series: The Championship Chase Tightens In Charlotte
The NASCAR Sprint Cup Series championship race tightened up a bit last week, as leader Matt Kenseth struggled, Kevin Harvick won and a few other drivers have at least moved into striking distance as the circuit gets set for Saturday night's Bank of America 500 at Charlotte Motor Speedway (7:30 PM ET, ABC).
Kenseth still holds the lead, and Jimmie Johnson is still in hot pursuit, at just three points back. But Harvick's win moved him into third place, and while he's still (-25) back, Harvick now just needs one good combo race–a win, along with Kenseth and JJ getting caught up in trouble–to put him at the top. More realistically, he still has a few opportunities to keep grinding away at the lead.
Jeff Gordon is also on the move, within (-32) of the lead and in fourth place. Gordon has earned the pole on Saturday night in Charlotte, presenting him with a tailor-made opportunity to carve further into that margin.
Kyle Busch was running neck-and-neck with Kenseth and Johnson as recently as a couple weeks ago. He's down to fifth, and is further expecting that Brad Keselowski may take a grudge the two drivers have going over a dustup in a Nationwide Series race, and look to cause Kyle some troubles on Saturday night.
These five drivers are the ones with the best chance at winning the Cup in November. The Charlotte Motor Speedway is the place where the stars come out each May for an All-Star race. Now they're all racing for the real thing.
Kenseth is the betting favorite on Saturday night, at 4-1. Johnson and Kyle Busch are right behind at 5-1 and 6-1 respectively. Harvick and Gordon are sitting on a 10-1 chance to win and further change the whole dynamic of the Chase For The Cup.
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