A5059785269- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Reforms
- HIV, Drug Use, Sexual Risk
- Health and Conflict Studies
- Sex work and related issues
- Global Health Care Issues
- HIV/AIDS Impact and Responses
- Human Rights and Development
- Poverty, Education, and Child Welfare
- Viral Infections and Outbreaks Research
- Reproductive Health and Contraception
- Global Public Health Policies and Epidemiology
- Child Nutrition and Water Access
- Sex and Gender in Healthcare
- Rabies epidemiology and control
- Sexual Assault and Victimization Studies
- Medication Adherence and Compliance
- African Sexualities and LGBTQ+ Issues
- Agriculture, Land Use, Rural Development
- HIV, TB, and STIs Epidemiology
- Social Media and Politics
- Climate change impacts on agriculture
- Diagnosis and treatment of tuberculosis
Makerere University
2015-2024
Infectious Diseases Research Collaboration
2018-2022
Gender Studies
2020-2022
East African University
2021
Mulago Hospital
2019
University of Southampton
2018
Infectious Diseases Institute
2011
Gender-the socially constructed roles, behaviours, activities and attributes that a given society considers appropriate for males, females other genders-affects how people live, work relate to each at all levels, including in relation the health system. Health systems research (HSR) aims inform more strategic, effective equitable interventions, programs policies; inclusion of gender analysis into HSR is core part endeavour. We outline what can be incorporated content, process outcomes...
Voluntary HIV counselling and testing (VCT) is one of the key strategies in prevention control HIV/AIDS Uganda. However, utilization VCT services particularly among men low Kasese district. We therefore conducted a study to determine prevalence factors associated with use Bukonzo West health sub-district, district.A population-based cross-sectional employing both quantitative qualitative techniques data collection was between January April 2005. Using cluster sampling, 780 aged 18 years...
Curative interventions delivered by community health workers (CHWs) were introduced to increase access services for children less than five years and have previously targeted single illnesses. However, CHWs in the integrated case management of childhood illnesses strategy adopted Uganda 2010 will manage multiple There is little documentation about performance This study compared managing malaria pneumonia with alone eastern factors influencing performance. A mixed methods was conducted among...
Most studies of HIV disclosure in Africa have focused on to spouses and sexual partners, particularly among women. Few examined family, friends, others. Understanding the reasons for nondisclosure how these differ by target is needed effective prevention interventions. Using a case study design content analysis, this explored whether decisions nature relationship target. Semistructured interviews were conducted with 40 clients Kampala, even stratification gender age. (95%) respondents...
Disclosure of HIV status supports risk reduction and facilitates access to prevention care services, but can be inhibited by the fear negative repercussions. We explored short long-term outcomes disclosure among clients attending an urban clinic in Uganda.Qualitative semi-structured interviews were administered a purposeful sample 40 adult that was stratified gender. The information elicited included their lived experiences long term. A text data management software (ATLAS.ti) used for...
Mobility in sub-Saharan Africa links geographically-separate HIV epidemics, intensifies transmission by enabling higher-risk sexual behavior, and disrupts care. This population-based observational cohort study measured complex dimensions of mobility rural Uganda Kenya. Survey data were collected every 6 months beginning 2016 from a random sample 2308 adults 12 communities across three regions, stratified intervention arm, baseline residential stability status. Analyses survey-weighted sex,...
Advocacy for equity in health service utilization and access, including Family Planning (FP) continues to be a cornerstone increasing universal coverage. Inequities planning are highlighted by the differences reproductive outcomes or distribution of resources among different population groups. In this study we examine inequities use modern contraceptives with respect Socio-economic Education dimensions seven sub-regions Uganda.The data were obtained from baseline cross-sectional statistical...
Ebola seems to be a particular risk in conflict affected contexts. All three of the countries most by 2014-15 outbreak have complex conflict-affected recent history. Other major outbreaks past, Northern Uganda and Democratic Republic Congo are similarly afflicted although also occurred stable settings. Although West Africa has received more attention than almost any other public health issue months, very little that focused on interaction between its aftermath implications for systems,...
There are significant knowledge gaps concerning complex forms of mobility emergent in sub-Saharan Africa, their relationship to sexual behaviours, HIV transmission, and how sex modifies these associations. This study, within an ongoing test-and-treat trial (SEARCH, NCT01864603), sought measure effects diverse metrics on with attention gender.Cross-sectional data were collected 2016 from 1919 adults 12 communities Kenya Uganda, examine (labour/non-labour-related travel), migration (changes...
Development of resistance to first line antimalarials led recommendation artemisinin based combination therapies (ACTs). High adherence ACTs provided by community health workers (CHWs) gave reassurance that interventions did not increase the risk drug resistance. Integrated case management illnesses (ICCM) is now recommended through which children will access both antibiotics and from CHWs. Increased number medicines has been shown lower adherence.To compare alone versus combined with under...
Tuberculosis (TB) care could be considered as a continuum from symptom recognition, decision to seek care, diagnosis, treatment initiation and completion, with along the influenced by several factors. Gender dimensions influence TB indeed, more men than women are diagnosed each year. The study was done identify social stratifiers that intersect gender care.
Introduction This study examines rabies incidence and associated risk factors at the interface between wildlife human communities near Pian-Upe game reserve in Eastern Uganda. We hypothesized that settlements closer proximity to would exhibit higher compared those located further away. Methods Using a standard questionnaire, households within <4, 4-14, >14 km from Pian Upe Bukedea District were interviewed. Data on socio-demographic characteristics, recent rabid animal bites,...
We compared use of community medicine distributors (CMDs) and drug under integrated case management home-based strategies in children 6–59 months age eastern Uganda. A cross-sectional study with 1,095 was nested a cluster randomized trial (CMDs treating malaria pneumonia) as the intervention only malaria) control. Care-seeking from CMDs higher areas (31%) than control (22%; P = 0.01). Prompt appropriate treatment (18%) (12%; 0.03) among CMD users (37%) other health providers (9%). The mean...
Abstract Background Uganda has registered an increased investment in family planning (FP) programs, which contributed to improvement knowledge of modern contraceptive methods being nearly universal. However, this not matched the uptake or reduction unmet need for FP. This may be explained by different influences include health workers, family, and friends. Due limited methods, a program on improving awareness, access to, contraceptives is implemented selected regions Uganda. We, therefore,...
The dearth of knowledge about what life was like for different women and men, communities institutions during conflict has caused many post-conflict developers to undertake reconstruction using standardised models that may not always reflect the realities affected populations. There is a need engage with understand experiences, transformations social concerns people by before, after in order develop appropriate context embedded strategies. This article discusses how histories were deployed...
HIV prevention efforts to date have not explored the potential for persons living with act as change agents behaviour in their social networks. Using egocentric network analysis, this study examined prevalence and correlates of advocacy behaviours (discussing general; encouraging abstinence or condom use, testing, seeking care) enacted by 39 clients Uganda. Participants engaged each roughly 50–70% members network. The strongest determinant engaging more one’s was having a greater proportion...
Background Despite the national roll-out of free HIV medicines in Uganda and other sub-Saharan African countries, many positive patients on antiretroviral therapy (ART) are at risk non-adherence due to poverty structural health system related constraints. However, several exhibit resilience by attaining sustaining high levels adherence amid adversity. Social capital, defined as resources embedded within social networks, is key facilitating but mechanism through which it operates remains...
Non-disclosure of human immunodeficiency virus (HIV) status can hinder optimal health outcomes for people living with HIV (PLHIV). We sought to explore experiences and correlates disclosure among PLHIV participating in a study population mobility. Survey data were collected from 1081 2015–16 12 communities Kenya Uganda test-and-treat trial (SEARCH, NCT#01864603). Pooled sex-stratified multiple logistic regression models examined associations risk behaviors controlling covariates community...
We examined sex-specific associations of partner age disparity and relationship concurrency with Neisseria gonorrhoeae and/or Chlamydia trachomatis (NG/CT) infection, higher-risk relationships, condom use as proxies for HIV risk.Data were collected in 2016 from 2179 adults 12 communities Uganda Kenya. Logistic regression models NG/CT use, (commercial sex other higher-risk) relationships the past 6 months, controlling covariates.Partner associated infection women but not men. Relative to...
Introduction: syphilis and its outcomes remain a healthcare system burden with adverse consequences such as stillbirths, neonatal deaths spontaneous abortions among others. The situation might have worsened because the COVID-19 pandemic has caused major attention drift from other diseases. Additionally, testing for pregnant mothers is not routine practice at tertiary health care centres in our setting. A study to determine prevalence of an urban poor setting warranted.
To explore how people living with HIV (PLHIV) and in care encourage others to adopt HIV-protective behaviours, we conducted in-depth interviews a purposive sample of 40 clinic patients Kampala, Uganda. Content analysis was used examine the message content, trigger events, outcomes HIV-prevention advocacy events initiated by clients members their social networks. The content themes included encouraging specific such as testing treatment, condom use non-promiscuity, well more general...