A5039656450- HIV/AIDS Research and Interventions
- Viral Infections and Outbreaks Research
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Impact and Responses
- Migration, Health and Trauma
- Global Health and Surgery
- Adolescent Sexual and Reproductive Health
- Poverty, Education, and Child Welfare
- Child Nutrition and Water Access
- HIV Research and Treatment
- Child Abuse and Trauma
- Antibiotic Use and Resistance
- Ethics in Clinical Research
- Health and Medical Research Impacts
- Tuberculosis Research and Epidemiology
- Sex work and related issues
- Global Security and Public Health
- Mosquito-borne diseases and control
- Meta-analysis and systematic reviews
- Intimate Partner and Family Violence
- Health Policy Implementation Science
- Pneumocystis jirovecii pneumonia detection and treatment
- COVID-19 epidemiological studies
Makerere University
2016-2025
MUJHU Research Collaboration
2020-2023
Case Western Reserve University
2011-2021
Center for Social Sciences
2021
Ministry of Health
2021
World Health Organization - Pakistan
2021
Uganda National Council for Science and Technology
2014
Medical Research Council
2001
<b>Sara Cooper and colleagues</b> argue that a better understanding of the complex sociopolitical drivers distrust in vaccination will increase potential social media to rebuild vaccine confidence
Community health worker (CHW) programmes have received much attention since the 1978 Declaration of Alma-Ata, with many initiatives established in developing countries. However, CHW often suffer high attrition once initial enthusiasm volunteers wanes. In 2002, Uganda began implementing a national programme called village teams (VHTs), but their performance has been poor communities. It is argued that community involvement selection CHWs affects embeddedness communities and success. The...
Use of evidence in health policymaking plays an important role, especially resource-constrained settings where informed decisions on resource allocation are paramount. Several knowledge translation (KT) models have been developed, but few applied to low income countries. If KT expected explain uptake and implementation, or lack it, they must be contextualized take into account the specificity countries for example, strong influence donors. The main objective this research is elaborate a...
AbstractRecently HIV has been framed as a 'manageable' chronic disease in contexts which access to effective care is reliable. The paradigm emphasizes self-care, biomedical management, social normalization, and uncertainty. Data from longitudinal study of patients (N = 949) at two sites Uganda, collected through semistructured interviews ethnographic data, permit examination the salience this model high burden, low resource context struggling achieve promise manageable epidemic. Our data...
Introduction Alcohol use by persons living with HIV/AIDS (PLWHA) negatively impacts the public health benefits of antiretroviral therapy (ART). Using a standardized alcohol assessment tool, we estimate prevalence use, identify associated factors, and test association misuse sexual risk behaviors among PLWHA in Uganda. Methods A cross-section Kampala were interviewed regarding their behavior self-reported consumption previous 6 months. was assessed using disorders identification (AUDIT)....
Community-based programmes, particularly community health workers (CHWs), have been portrayed as a cost-effective alternative to the shortage of in low-income countries. Usually, literature emphasises how easily CHWs link and connect communities formal care services. There is little evidence Uganda support or dispute such claims. Drawing from linking social capital framework, this paper examines claim that village teams (VHTs), an example CHWs, with Data were collected through ethnographic...
We evaluated the efficacy of a brief motivational intervention (MI) counseling in reducing alcohol consumption among persons living with HIV/AIDS Kampala, Uganda. Persons Alcohol Use Disorders Identification Tool (AUDIT) score ≥3 points were randomized to either standardized positive prevention alone or combination MI counseling. The mean change AUDIT-C scores over 6 months was compared by treatment arm. (standard deviation [SD]) 6.3 (2.3) and 6.8 for control arms ( P = .1) at baseline,...
<sec><title>BACKGROUND</title>Sputum culture is the gold standard for diagnosing TB disease and confirming treatment outcomes. However, turnaround time 6–8 weeks, which leads to delays in decision-making regarding care of patients.</sec><sec><title>OBJECTIVE</title>To evaluate isoniazid hair drug levels as a predictor sputum conversion at 8 weeks treatment.</sec><sec><title>METHODS</title>We enrolled 56 patients started them...
Failure to translate women’s desire into increased sterilisation use has been associated with inequitable social norms in patriarchal contexts that grant men control and decision-making authority relate womanhood motherhood child care. This study adopted a multiple case design explore the experiences of women living HIV(WLHIV) negotiating implement decisions on getting sterilised. The integrated social-ecological framework was utilised understand how may intersect contextual factors limit or...
Anecdotal evidence shows that unprofessional conduct is becoming a common occurrence amongst health workers in Uganda. The development of appropriate professional values, attitudes and behaviors continuum starts when student joins training institution as such professionals need to be exposed the essence professionalism. We sought explore undergraduate professions students' perceptions experiences learning professionalism preliminary step addressing problem Eight focus group discussions were...
This qualitative study of task shifting examined tuberculosis (TB) therapy under modified community-based directly observed treatment short-course (CB-DOTS) in Kampala, Uganda. New TB patients selected one two strategies: home-based DOTS and clinic-based DOTS. Relevant socio-economic characteristics, treatment-seeking experiences outcomes were assessed over eight months follow-up. Of 107 recruited, 89 (83%) Sixty-two (70%) 16 (89%) had successful following completion therapy. Treatment...
Since the 1994 International Conference on Population and Development, male involvement in reproductive health issues has been advocated as a means to improve maternal child outcomes, but date, providers have failed achieve successful pregnancy care especially rural remote areas where majority of underserved populations live. In an effort enhance community participation maternity care, TBAs were trained equipped ensure better quick referral. 1997, after advent World Health Organization's...
A major challenge to outbreak control lies in early detection of viral haemorrhagic fevers (VHFs) local community contexts during the critical initial stages an epidemic, when risk spreading is its highest ("the first mile"). In this paper we document how a Ebola effort central Uganda 2012 was experienced from perspective community. We ask what extent became resource for detection, and identify problems encountered with health worker social mobilization strategies. Analysis based on...
Genetic results are usually not returned to research participants in Uganda despite their increased demand. We report on researchers' perceptions and experiences of return individual genetic results. The study involved 15 in-depth interviews investigators genetics and/or genomic research. A thematic approach was used interpret the four themes that emerged from data were need for including incidental findings, community engagement consenting process, implications challenges While researchers...
In preparation for HIV vaccine trials, knowledge about vaccines, willingness to participate in a study, and motivations participation must be assessed. The Preparation AIDS Vaccine Evaluation study assessed vaccines trials hypothetical trial 1,182 Ugandan military men (aged 18-30 years). Participants received education were interviewed during 24 months of follow-up observation. Its key findings are that: 1) throughout follow-up, most participants expressed trial; 2) familiar with but do not...
Makerere University College of Health Sciences (MakCHS) in Uganda is undergoing a major reform to become more influential force society. It important that its medicine and nursing graduates are equipped best address the priority health needs Ugandan population, as outlined government's Sector Strategic Plan (HSSP). The assessment identifies critical gaps core competencies MakCHS ways overcome them order achieve HSSP goals. Documents from Ministry were reviewed, curricula analyzed. Nineteen...
Stakeholder roles in the application of evidence are influenced by context, nature evidence, policy development process, and stakeholder interactions. Past research has highlighted role stakeholders knowledge translation (KT) without paying adequate attention to peculiarities low-income countries. Here we identify roles, relations, interactions among key involved KT Uganda challenges that they face. This study employed qualitative approaches examine links various KT. In-depth interviews were...
Background: Uganda, like the rest of Africa, is faced with serious health challenges including human immunodeficiency virus infection/acquired syndrome (HIV/AIDS), other infectious diseases and increasing non-communicable diseases, yet it has a significant shortage workers. Even few workers available may lack desired competencies required to address current future challenges. Reducing Uganda's disease burden addressing requires Ugandan medical schools produce necessary competencies. This...
It has been realised that there is need to have medical training closer communities where the majority of population lives in order orient trainees' attitudes towards future practice such communities. Although community based education (CBE) increasingly integrated into health professions curricula since 1990s, contribution students make service delivery during CBE remains largely undocumented. In this study, we examined undergraduate students' primary care their placements. This was a...
Background Cross-border movements between districts bordering Uganda and the Democratic Republic of Congo (DRC) are common due to interdependence populations on either side, though this increases risk international spread infectious diseases. Due nature their work, boda drivers (motorcycle taxis), taxis truck continue cross border during epidemics. However, perceived contracting spreading communicable diseases may be influenced by several factors such as level education, packaging perception...
Increasing trends of antimicrobial resistance are observed around the world, driven in part by excessive use antimicrobials. Limited access to diagnostics, particularly low- and middle-income countries, contributes diagnostic uncertainty, which may promote unnecessary antibiotic use. We investigated whether introducing a package tools, clinical algorithm, training-and-communication messages could safely reduce prescribing compared with current standard-of-care for febrile patients presenting...
Antiretroviral treatment programs, despite biomedical emphases, require social understanding and transformations to be successful. In this article, we draw from a qualitative study of HIV seeking examine the drug-taking routines health-related subjectivities men women on antiretroviral (ART) at two sites in Uganda. We show that while not all participants ART programs understand clinical protocols terms, they adopt treatment-taking strategies integrate medication into daily practices spaces....