Jovita Amurwon
A5024124122- HIV Research and Treatment
- HIV/AIDS Research and Interventions
- HIV/AIDS drug development and treatment
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Poverty, Education, and Child Welfare
- Intergenerational Family Dynamics and Caregiving
- Global Public Health Policies and Epidemiology
- HIV/AIDS Impact and Responses
- Global Health Care Issues
- Adolescent Sexual and Reproductive Health
- Pharmaceutical Economics and Policy
Uganda Virus Research Institute
2010-2018
Swedish University of Agricultural Sciences
2015-2018
University of Bergen
2015
Medical Research Council
2010
Abstract Good adherence is critical for antiretroviral therapy (ART) in sub-Saharan Africa. We report on the characteristics of medicine companions (MCs) chosen by Ugandan patients enrolling ART, and how MCs were chosen, what roles they played. Baseline data 1453 participants a randomized controlled trial comparing facility home-based delivery ART Jinja, Uganda analyzed. Textual experience with collected through in-depth interviews among subsample 40 equally divided sex arm. Significantly...
In a randomized comparison of nevirapine or abacavir with zidovudine plus lamivudine, routine viral load monitoring was not performed, yet 27% individuals failure at week 48 experienced resuppression by 96 without switching. This supports World Health Organization recommendations that suspected should trigger adherence counseling and repeat measurement before treatment switch is considered.
Background Despite funding constraints for treatment programmes in Africa, the costs and economic consequences of routine laboratory monitoring efficacy toxicity antiretroviral therapy (ART) have rarely been evaluated. Methods Cost-effectiveness analysis was conducted DART trial (ISRCTN13968779). Adults Uganda/Zimbabwe starting ART were randomised to clinically-driven (CDM) or clinical (LCM); individual patient data on healthcare resource utilisation outcomes valued with primary utilities....
Understanding individuals' experience of accessing care and tending to various other needs during chronic illness in a rural context is important for health systems aiming increase access healthcare protect poor populations from unreasonable financial hardship. This study explored the impact on households free how they managed meet illness. Rich data life stories individuals 22 south-western Uganda collected 2009 were analysed. The revealed that depend heavily their social relations order...
We investigated phenotypic and genotypic resistance after 2 years of first-line therapy with two HIV treatment regimens in the absence virological monitoring. NORA [Nevirapine OR Abacavir study, a sub-study Development AntiRetroviral Therapy Africa (DART) trial] randomized 600 symptomatic HIV-infected Ugandan adults (CD4 cell count <200 cells/mm3) to receive zidovudine/lamivudine plus abacavir (cABC arm) or nevirapine (cNVP arm). All tests were performed retrospectively, including on week 96...
Individual households remain important for elderly care and support in resource-limited settings. Factors such as availability of young people ownership assets are the elderly. This article examines changing trends accessing a context socioeconomic changes increasing school attendance outmigration youth from rural areas. Rich data life stories individuals 22 Uganda collected 2009-2010 were analyzed. The lacking support, experienced schooling outmigration. loss adults HIV infection deprived...
Predicting the household’s ability to cope with adult illness and death can be complicated in low-income countries high HIV prevalence multiple other stressors shocks. This study explored link between stage of household life cycle capacity adults rural Uganda. Interviews focusing on histories were combined observations during monthly visits 22 households throughout 2009, recorded livelihood activities responses events. For analysis, categorised into three stages (‘Young’, ‘Middle-aged’...