Carolyne Njue is a Chancellor's Postdoctoral Research Fellow at the School of Public Health, and a member of the Australian Centre for Public and Population Health Research. She is currently undertaking research in maternal and child health service delivery.
Carolyne is a public health social scientist and demographer by training. Prior to joining UTS, she worked with the Population Council undertaking research in reproductive health among priority populations, including women in low income countries, women with female genital mutilation, adolescents and those with HIV/AIDS. She is passionate about improving health access and supporting research scholarship.
Can supervise: YES
Her main interests include public and global policy research particularly in the area of maternal child health, refugee and migrant health, adolescent health, health systems strengthening and policy analysis.
Global Public Health
Sexual and Reproductive Health and rights (SRHR)
Monitoring, Evaluation and Learning
Health Policy Analysis
Ameyaw, E, Njue, C, Tran, NT & Dawson, A 2020, 'The quality of and women's satisfaction with maternal referral practices in Sub-Saharan African low and lower-middle income countries: A systematic review.', BMC P, vol. Accepted for publication.
Njue, C, Hayen, A & Dawson, A 2020, 'Models of maternal and child healthcare for African refugees: protocol for an exploratory, mixed-methods study', BMJ Open, vol. 10.View/Download from: Publisher's site
Njue, C, Karumbi, J, Esho, T, Varol, N & Dawson, A 2019, 'Preventing female genital mutilation in high income countries: a systematic review of the evidence.', Reproductive health, vol. 16, no. 1.View/Download from: Publisher's site
BACKGROUND:Female genital mutilation (FGM) is prevalent in communities of migration. Given the harmful effects of the practice and its illegal status in many countries, there have been concerted primary, secondary and tertiary prevention efforts to protect girls from FGM. However, there is paucity of evidence concerning useful strategies and approaches to prevent FGM and improve the health and social outcomes of affected women and girls. METHODS:We analysed peer-reviewed and grey literature to extract the evidence for FGM prevention interventions from a public health perspective in high income countries by a systematic search of bibliographic databases and websites using appropriate keywords. Identified publications were screened against selection criteria, following the PRISMA guidelines. We examined the characteristics of prevention interventions, including their programmatic approaches and strategies, target audiences and evaluation findings using an apriori template. FINDINGS:Eleven documents included in this review described primary and secondary prevention activities. High income countries have given attention to legislative action, bureaucratic interventions to address social injustice and protect those at risk of FGM, alongside prevention activities that favour health persuasion, foster engagement with the local community through outreach and the involvement of community champions, healthcare professional training and capacity strengthening. Study types are largely process evaluations that include measures of short-term outcomes (pre- and post-changes in attitude, knowledge and confidence or audits of practices). There is a dearth of evaluative research focused on empowerment-oriented preventative activities that involve individual women and girls who are affected by FGM. Beattie's framework provides a useful way of articulating negotiated and authoritative prevention actions required to address FGM at national and local levels. CONCLUSION:FGM is a comple...
Shell-Duncan, B, Njue, C & Muteshi-Stratchan, J 2017, 'Medicalization of female genital mutilation/cutting: What do the data reveal? (Meeting abstract)', BMC Reproductive Health, vol. 14, no. suppl.2.View/Download from: Publisher's site
Njue, C, Voeten, HACM, Ohuma, E, Looman, C, Habbema, DF & Askew, I 2015, 'Findings of an evaluation of community and school-based reproductive health and HIV prevention programs in Kenya', Etude de la Population Africaine, vol. 29, no. 2, pp. 1934-1953.View/Download from: Publisher's site
© 2015, Union for African Population Studies. All rights reserved. Improving knowledge, attitudes, delaying onset of sexual activity and decreasing high-risk of sexual behaviour of young people are central components in strategic planning for RH programming. This paper presents findings of an evaluation of a public multi-sectoral adolescent reproductive health and HIV prevention program in rural Kenya. Study design was a community-randomized controlled trial. Crosssectional baseline and endline surveys were conducted to evaluate the impact of the interventions with regard to knowledge, attitude and practices. Results in intervention sites A and B as compared to the control site showed large impact on knowledge of sexual and reproductive health issues, a less significant impact regarding attitude, and a small but significant impact on sexual behaviour. The community-based intervention had a significant impact on knowledge and sexual behaviour. Adding a school-based intervention component didn't have a sustained improvement across board as anticipated. These findings underscore the need to strengthen capacities of public sector staff and enhance the robustness of strategy implementation.
Njue, C, Voeten, HACM, Ohuma, E, Habbema, DF & Askew, I 2014, 'Njue C., Voeten HACM, Ohuma E., Looman C., HAbbema D.F, & I. Askew. Findings of an evaluation of community and school-based reproductive health and HIV prevention programs in Kenya. African Population Studies 29(2), 2014,1934-1953.'.
Njue, C, Ahlberg, BM & Voeten, HACM 2011, 'Njue C., Ahlberg BM, Voeten HACM. 'Youth in a void': Sexuality, HIV/AIDS and communication in Kenyan public schools.' Sex Education: Sexuality, Society and Learning. 2011; 11(4)'.
Njue, C, Voeten, H & Ahlberg, BM 2011, ''Youth in a void': Sexuality, HIV/AIDS and communication in Kenyan public schools', Sex Education, vol. 11, no. 4, pp. 459-470.View/Download from: Publisher's site
The disappearance of traditional sex education during rites of passage in African societies has left many youth uncertain of where to look for information. Against this backcloth, the objectives of this study were to identify knowledge gaps amongst adolescents in Kenya regarding sexuality, HIV/AIDS and reproductive health. A thematic analysis was conducted of questions posed by 735 school youth aged 12-18 years from Meru and Kajiado Districts. Results show that many questions showed curiosity and anxiousness. Knowledge appeared to be fragmented and sometimes revealed misconceptions, which may put youth at risk. The raised themes differed by gender and age. Questions on saying no to sex, sexual violence and female circumcision were a great concern for girls. Boys were more concerned with managing boy-girl relationships, preventing STI/HIV infection, and condoms. Concern about transition to adulthood, sexuality, STI and HIV/AIDS, myths and misconceptions, and intergenerational communication cut across both genders. Older teens were more concerned with questions on boy-girl relationships, norms and values regarding sexuality, and STI. Younger teens (< 15 years) wanted to know about reproduction, saying no to sex, HIV/AIDS, condoms, sexual violence and female circumcision. Compounding these challenges was the lack of intergenerational communication. The study identified important knowledge and communication gaps in sexual and reproductive health among in-school adolescents in Kenya. There is a need for sex education interventions for different age groups and genders. These interventions should work with parents, teachers and health professionals. © 2011 Copyright Taylor and Francis Group, LLC.
Njue, C, Voeten, HACM & Remes, P 2011, 'Njue C, Voeten HACM, Remes P. Porn video shows, local brew and transactional sex: HIV risk among youth in Kisumu, Kenya. BMC Public Health 2011; 11:635doi:10.1186/1471-2458-11-635'.
Njue, C, Nzioka, C, Ahlberg, BM, Pertet, AM & Voeten, HACM 2009, 'Njue C, Nzioka C, Ahlberg BM, Pertet AM, Voeten HACM. "If you don't abstain, you will die of AIDS": AIDS education in Kenyan public schools. AIDS Educ.Prev. 2009; 21(2):156-167.'.
Njue, C, Nzioka, C, Ahlberg, B-M, Pertet, AM & Voeten, HACM 2009, '"IF YOU DON'T ABSTAIN, YOU WILL DIE OF AIDS": AIDS EDUCATION IN KENYAN PUBLIC SCHOOLS', AIDS EDUCATION AND PREVENTION, vol. 21, no. 2, pp. 169-179.View/Download from: Publisher's site
Njue, C, Voeten, HA & Remes, P 2009, 'Njue C, Voeten HA, Remes P. Disco funerals: a risk situation for HIV infection among youth in Kisumu, Kenya. AIDS. 2009; 23;505-9'.
Njue, C & Golaz, V 2005, 'Golaz, Valérie and Njue C. 2005. Population policy in Kenya, in Graziella Caselli, Jacques Vallin and Guillaume Wunsch (Eds.) Demography: Analysis and Synthesis. Institut National d'Etudes Démographiques, chapter115. Publishers: Academic Press, CA' in Demography: Analysis and Synthesis., Academic Press, CA.
Njue, C, Askew, I & Chege, J 2005, 'Njue, C, I. Askew & J. Chege. 2005. "Non-consensual sexual experiences of young people in Kenya: boys as perpetrators and victims", in Jejeebhoy, S, I. Shah & S. Thapa (editors) Sex Without Consent: Young People in Developing Countries Zed Books, New York'.
Njue, C, Galas, N, Nadar, N, Latanik, M & Dawson, A 2019, 'The role of the Maternity Liaison Officer in provision of primary health care: A values-based service model', 11th Health Services and Policy Research Conference, Auckland, New Zealand.
Background: A policy directive of the New South Wales government focused on ensuring that all ethnic groups within the community have appropriate and equitable access to services led to the introduction of the maternity liaison officer (MLO) program in the late 1990s. The role of the MLO is to work alongside health professionals to provide education, social support and counselling to pregnant refugee and migrant women of culturally and linguistically diverse backgrounds (CALD).
Methods: We reviewed reports and policy documents from 2008 to examine the attributes of this hospital-based service model and share insights into how the MLOs deliver care to meet the needs of mothers and babies.
Findings: Maternity liaison officers have readily assumed the responsibility of maintaining current knowledge and building competency in improving the health and wellbeing of refugee and migrant women and newborns. They act as important bridge between women and the health system enabling vulnerable women to competently navigate their maternity journey, gynaecological care and the care of newborn infants in a culturally sensitive and appropriate manner.
Discussion and conclusion: This service model offers an acceptable way to support the delivery of maternity care to women and include those from refugee and CALD- backgrounds. Investment in the rigorous evaluation of this service is needed to provide strong evidence to optimise service delivery and guide future decision making.
Janssen-Frank, G 2019, 'NEST-not even a safe territory', WOMEN AND BIRTH, ELSEVIER, pp. S33-S33.View/Download from: Publisher's site
Shell-Duncan, B, Njue, C & Muteshi, J 2017, 'Medicalization of Female Genital Mutilation/Cutting: what do the data reveal?', REPRODUCTIVE HEALTH, BIOMED CENTRAL LTD.
Shell-Duncan, B, Njue, C & Moore, Z 2018, Trends in medicalisation of female genital mutilation/cutting: what do the data reveal?, New York.
Njue, C, Esho, T & Karumbi, J 2017, Esho T., Karumbi J., and Njue C. January 2017. "Rapid Evidence Assessment: Quality of Studies Assessing Interventions to Support FGM/C Abandonment." Evidence to End FGM/C Programme: Research to Help Girls and Women Thrive. New York: Population Council. March 2017, Report.
Njue, C, Shell-Duncan, B & Moore, Z 2017, Bettina Shell-Duncan, Carolyne Njue and Zhuzhi Moore" The Medicalisation of Female Genital Mutilation /Cutting: What do the Data Reveal?" February 2017," Evidence to End FGM/C: Research to Help Women Thrive. New York: Population Council. March 2017., Report.
Njue, C, Muteshi, J & Kimani, S 2016, Kimani S., Muteshi J., and Njue C. Health Impact of FGM/C: A Synthesis of the Evidence and implication for health system strengthening. Evidence to End FGM/C Programme: Research to Help Girls and Women Thrive. New York: Population Council. October, 2016., Report.
Njue, C, Evelia, H, Sheikh, M & Askew, I 2007, Evelia H., M. Sheikh, C. Njue, I. Askew. 2007. Contributing to efforts towards the abandonment of FGM/C in Kenya: A situation analysis. Population Council, GOK/UNFPA: Nairobi, Kenya, Report.
Njue, C & Askew, I 2006, Njue C., and I. Askew. 2006. Assessment of the Community-Based Distributors (FP) and Youth Counselors Projects of the Kenya/German Reproductive Health Programme. Deutsche Gesellscaft Fuer Technische Zusammenarbeit (GTZ) GTZ: Nairobi, Kenya, Report.
Njue, C, Jaldesa, G, Askew, I & Wanjiru, M 2006, Jaldesa, G., I. Askew, C. Njue, and M. Wanjiru. 2005. Female Genital Cutting among the Somali of Kenya and Management of its Complications, Population Council: Nairobi, Kenya, Report.
Njue, C & Askew, I 2004, Njue, C. and I. Askew. 2004. Medicalization of Female Genital Cutting among the Abagusii in Nyanza Province, Kenya, Population Council: Nairobi, Kenya, Report.
Njue, C, Askew, I, Chege, C & Radeny, S 2004, Askew, I., J. Chege, C. Njue, and S. Radeny. 2004. A Multi-Sectoral Approach to Providing Reproductive Health Information and Services to Young People in Western Kenya: The Kenya Adolescent Reproductive Health Project, Population Council: Nairobi, Kenya, Report.
NSW Refugee Health Service