A5045293289- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Global Maternal and Child Health
- Sex work and related issues
- Vaccine Coverage and Hesitancy
- HIV/AIDS Impact and Responses
- COVID-19 epidemiological studies
- Child Nutrition and Water Access
- HIV Research and Treatment
- Tuberculosis Research and Epidemiology
- Cervical Cancer and HPV Research
- Global Cancer Incidence and Screening
- Pneumonia and Respiratory Infections
- SARS-CoV-2 and COVID-19 Research
- Pneumocystis jirovecii pneumonia detection and treatment
- Poverty, Education, and Child Welfare
- COVID-19 Pandemic Impacts
- COVID-19 Impact on Reproduction
- Vibrio bacteria research studies
- Genital Health and Disease
- Reproductive Health and Contraception
- Mosquito-borne diseases and control
- Hemoglobinopathies and Related Disorders
- Salmonella and Campylobacter epidemiology
Makerere University
2016-2025
Busitema University
2020-2025
University of Veterinary Science
2023
Infectious Diseases Institute
2022
RAND Corporation
2022
Indiana University Bloomington
2022
San Diego State University
2022
Ministry of Health
2002-2021
African Field Epidemiology Network
2017-2018
Rakai Health Sciences Program
2002-2007
Untimely, incomplete and inaccurate data are common challenges in planning, monitoring evaluation of health sector performance, service delivery many sub-Saharan African settings. We document Uganda’s experience strengthening routine reporting through the roll-out District Health Management Information Software System version 2 (DHIS2). DHIS2 was adopted at national level January 2011. The system initially piloted 4 districts, before it rolled out to all 112 districts by July 2012. As part...
Despite the growing number of people on antiretroviral therapy (ART), there is limited information about virological non-suppression and its determinants among HIV-positive (HIV+) individuals enrolled in HIV care many resource-limited settings. We estimated proportion virologically non-suppressed patients, identified factors associated with non-suppression.We conducted a descriptive cross-sectional study using routinely collected program data from viral load (VL) samples across country for...
HIV prevalence among female sex workers (FSWs) in high burden countries sub-Saharan Africa varies between 24 and 72%, however their access to services remains limited. This study explored FSWs' perspectives of the barriers opportunities service Uganda. The cross-sectional qualitative was conducted October December 2013. Twenty-four focus group discussions were with 190 FSWs 12 districts. Data analysed using manifest content analysis, Atlas.ti software, based on socio-ecological model....
Despite the universal right to access same range, quality and standard of free or affordable health care programs as provided other persons, people with physical disabilities (PWPDs) continue experience challenges in accessing these services. This article presents faced by PWPDs sexual reproductive (SRH) services Kampala, Uganda. was a qualitative study that conducted male female Kampala 2007. Data on experienced SRH were collected using in-depth interviews 40 key informant 10 PWPDs'...
Recent trends in fertility rates indicate declines total rate (TFR) some sub-Saharan African countries. However, countries such as Uganda continue to have a persistently high TFR partly attributed strong preferences for large family sizes. We explored the factors that influence desire among married or cohabiting individuals Rakai, rural district southwestern Uganda. This cross-sectional study of (desire another child) was nested cluster-randomized demand-creation intervention trial promotion...
There is growing evidence of the challenges with adherence to COVID-19 prevention measures and effect on health populations in various parts world but limited documentation sub-Saharan Africa. We assessed awareness, adoption measures, effects lockdown mental status, socio-economic disruptions engagement unhealthy behaviours among 2500 in- out-of-school adolescent boys young men (ABYM) aged 10-24 years Kampala, Uganda. 74.8% (n = 1869) were in-school; nearly half (47.3%, n 1182) 15-19 years....
Objective: To assess the acceptance of voluntary HIV counseling and testing (VCT) effects VCT on sexual risk behavior acquisition in Rakai, Uganda. Methods: In a rural cohort, 10 694 consenting adults were interviewed, provided blood for offered free by community resident counselors. The proportions receiving adjusted ratio (adj. RR) estimated log binomial regression. Risk behaviors incidence per 100 person-years (PY) HIV-negative acceptors non-acceptors assessed prospectively. Results:...
On 6 February 2015, Kampala city authorities alerted the Ugandan Ministry of Health a “strange disease” that killed one person and sickened dozens. We conducted an epidemiologic investigation to identify nature disease, mode transmission, risk factors inform timely effective control measures. defined suspected case as onset fever (≥37.5 °C) for more than 3 days with abdominal pain, headache, negative malaria test or failed anti-malaria treatment, at least 2 following: diarrhea, nausea...
Although fishing communities have a significantly higher HIV prevalence than the general population, there is paucity of data on burden and service utilization, particularly among youth. We assessed utilization prevention treatment services youth in Kasensero community neighboring communities.Data were derived from Rakai Community Cohort Study (RCCS) surveys conducted between 2013 2014. The RCCS population-based household survey that collects annually individuals aged 15-49 years, resident...
Background: Human immunodeficiency virus (HIV)-infected women are at high risk of cervical cancer.Objective: This study assessed uptake and correlates screening among HIV-infected in care Uganda.Methods: A nationally representative cross-sectional survey was conducted from August to November 2016. Structured interviews were with 5198 aged 15–49 years, 245 HIV clinics. Knowledge human papillomavirus (HPV) vaccination determined. Correlates modified Poisson regression obtain prevalence ratios...
Despite the high HIV prevalence among men who have sex with (MSM) in sub-Saharan Africa, little is known about their access to services. This study assessed barriers and opportunities for expanding services MSM Uganda.
Introduction. While four in ten female sex workers (FSWs) sub-Saharan Africa are infected with HIV, only a small proportion is enrolled HIV care. We explored facilitators and barriers to linkage care among FSWs receiving testing services at community-based organization periurban Uganda. Methods. The cross-sectional qualitative study was conducted 28 positive from May July 2014. Key informant interviews were five project staff eleven peer educators. Data collected on for manually analyzed...
COVID-19 vaccination is the latest preventive intervention strategy in an attempt to control global pandemic. Its efficacy has come under scrutiny because of break through infections among vaccinated and need for booster doses. Besides, although health workers were prioritized vaccine most countries, anecdotal evidence points high levels reluctance take workers. We assessed hesitancy Dokolo district, northern Uganda.This was a mixed-method, cross-sectional descriptive study. A customised...
Background Unprotected sexual intercourse is a major risk factor for HIV transmission. Men who have sex with men (MSM) face challenges in accessing prevention services, including condoms. However, there limited in-depth assessment and documentation of the barriers to condom use among MSM sub-Saharan Africa. In this paper, we examine Uganda. Methods The data study were extracted from larger qualitative conducted 85 self-identified adult (>18 years) 11 districts Uganda between July December...
Introduction Uptake of couples’ HIV counselling and testing (couples’ HCT) can positively influence sexual risk behaviours improve linkage to care among HIV‐positive couples. However, less than 30% married couples have ever tested for together with their partners. We explored the motivations barriers HCT in Rakai, Uganda. Methods This was a qualitative study conducted individuals selected key informants between August October 2013. Married were categorized by prior status as: 1) both...
Introduction: lack of knowledge where to obtain correct family planning (FP) information and methods can be a critical barrier eventual uptake FP services. We assessed knowledge, sources use among women reproductive age in rural Uganda.
In May 2015, a cholera outbreak that had lasted 3 months and infected over 100 people was reported in Kasese District, Uganda, where multiple outbreaks occurred previously. We conducted an investigation to identify the mode of transmission guide control measures. defined suspected case as onset acute watery diarrhoea from 1 February 2015 onwards resident. A confirmed with Vibrio cholerae O1 El Tor, serotype Inaba cultured stool sample. reviewed medical records find cases. case-control study...
In 2012, Tororo District had the highest malaria burden in Uganda with community Plasmodium prevalence of 48%. To control district, Ministry Health introduced universal distribution long lasting insecticide-treated nets (LLINs) 2013 and added indoor residual spraying (IRS) 2014. This study assessed incidence, test positivity rates outpatient (OPD) attendance due to before after vector interventions. was based on analysis Management Information System (HMIS) secondary surveillance data...
In Uganda, HIV testing rates are approximately 90% among women in antenatal care, with male much lower. The World Health Organization has recommended self-testing (HIVST), and one promising model is for care to deliver HIVST kits their partners. We investigated the impact of this on partner rates.Three high-volume clinics central Uganda.We implemented a cluster-randomized controlled trial comparing standard intervention, primary outcome self-reported testing. Women partners were followed at...
Background While the proportion of HIV-positive children (under 15 years) enrolled on antiretroviral therapy (ART) has increased in recent years, up to 60% started ART do not achieve virological suppression. We set out determine factors associated with non-suppression among living HIV receiving at a peri-urban care clinic Kampala, Uganda. Method This was retrospective cohort study conducted pediatric HIV/AIDS Joint Clinical Research Centre (JCRC) Three hundred (300) (0–14 were randomly...
Background: Despite the potential efficacy of Pre-Exposure Prophylaxis (PrEP) in reducing HIV risk among at-risk populations, PrEP acceptability remains strikingly varied across populations. We assessed and associated factors HIV-negative young men Kagwara fishing community, Serere district. Methods: A cross-sectional quantitative study design was used. Data were collected 409 aged 15-24 years living between August October 2023. Quantitative data on socio-demographic characteristics,...
Social network-based interventions can improve uptake of health interventions. However, limited evidence exists on their feasibility and acceptability in fishing community settings. We assessed the feasibility, preliminary effects a social network-based, peer-led HIV self-testing (HIVST) intervention among men Uganda. The PEer-led HIVST for MEN (PEST4MEN) is pilot conducted Kalangala Buvuma districts. Baseline data were collected July 2022 follow-up September 2022. was implemented through 22...
Introduction Cervical cancer (CC) is the leading cause of cancer-related deaths among Uganda women, yet rates CC screening are very low. Training women who have recently screened to engage in advocacy for their social network a network-based strategy promoting information dissemination and uptake. Methods Drawing on Exploration, Preparation, Implementation Sustainment (EPIS) framework implementation science, this hybrid type 1 randomized controlled trial (RCT) peer-led, group training...