- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Malaria Research and Control
- Adolescent Sexual and Reproductive Health
- Child Nutrition and Water Access
- Hemoglobinopathies and Related Disorders
- Iron Metabolism and Disorders
- Healthcare Systems and Reforms
- HIV, Drug Use, Sexual Risk
- Chronic Disease Management Strategies
- Disability Rights and Representation
- Genital Health and Disease
- Menstrual Health and Disorders
- Global Cancer Incidence and Screening
- Asthma and respiratory diseases
- HIV/AIDS oral health manifestations
- Delphi Technique in Research
- HIV Research and Treatment
- Heavy Metal Exposure and Toxicity
- Food Security and Health in Diverse Populations
- Infant Development and Preterm Care
- Healthcare Policy and Management
- Sex work and related issues
- Trace Elements in Health
- Health Systems, Economic Evaluations, Quality of Life
Uganda Virus Research Institute
2020-2025
London School of Hygiene & Tropical Medicine
2022-2025
Makerere University
2016-2024
Stellenbosch University
2024
Faculty of Public Health
2023-2024
Lung Institute
2023
Indiana University
2020
Indiana University School of Medicine
2020
University School
2020
University of Bahrain
2015
Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy. Few studies have explored adolescents and young people's perspectives toward PrEP. We conducted 24 group discussions 60 in-depth interviews with males females aged 13-24 years in Uganda, Zimbabwe, South Africa between September 2018 February 2019. used the framework approach to generate themes key concepts for analysis following social ecological model. Young people expressed a willingness use PrEP identified potential...
Much of our basic understanding cognitive and social processes in infancy relies on measures looking time, specifically infants’ visual preference for a novel or familiar stimulus. However, despite being the foundation many behavioral tasks infant research, determinants preferences are poorly understood, differences expression can be difficult to interpret. In this large-scale study, we test predictions from Hunter Ames model infants' preferences. We investigate effects three factors...
The efficacy of on-demand HIV pre-exposure prophylaxis (PrEP) for men in sub-Saharan Africa has not been evaluated, and the PrEP dosing requirement insertive sex remains unknown.
Abstract Background Approximately 1.3 billion people worldwide face barriers in accessing inclusive healthcare due to disabilities, leading worse health outcomes, particularly low and middle-income countries (LMIC). However, there is a lack of training workers about disability, both globally Uganda. Objectives To use mixed research methods develop comprehensive program with standardisedelements for Uganda, focusing on improving their knowledge, attitudes, skills inproviding care...
The aim of mentorship is to build the mentees capacity, enhance their skills and improve ability produce desired outcomes. However, mentoring relationship vulnerable a number challenges that may undermine its effectiveness sustainability. We aimed explore experiences perceptions student junior faculty senior mentors at Makerere University College Health Sciences identify key factors defined by as necessary for successful program. A qualitative design involving focus group discussions (FGDs)...
Exposure to environmental heavy metals is common among African children. Although many of these are known neurotoxicants, date, monitoring this exposure limited, even in countries such as Uganda that undergoing rapid industrialization. An assessment the burden and potential causes metal a critical first step gauging public health guiding its elimination.In May 2016, we enrolled 100 children between ages 6 59 months living Katanga urban settlement Kampala, Uganda. We measured whole blood...
Abstract Introduction Understanding factors that affect the decisions of caregivers African children to enroll their in clinical trials would lead more fully informed consent. Methods During NOHARM study (NCT 01976416), a placebo‐controlled trial hydroxyurea for Ugandan with sickle cell anemia (SCA), 206 were given semistructured questionnaire about influenced participation and perceptions benefits risks. Factors further assessed focus group discussions. Results Caregivers identified...
Abstract The link between weather elements and mental disorders is often described in high-income countries, with hardly any data from low-and middle-income countries where the resources to cope negative health impacts of climate change are extremely constrained. In this paper, we examined association incident presentation a disorder at Butabika National Referral Mental Hospital. We used secondary two datasets: i) set collated all patients presenting Hospital 2019; ii) climatic dataset for...
Community participation is a promising strategy for addressing local health needs through identification of context-specific challenges and developing sustainable solutions. However, its feasibility persons with disabilities, who are often marginalized excluded from participation, remains uncertain. Our study examines barriers facilitators to community group in improving healthcare access disabilities Uganda. Semi-structured interviews 27 purposively selected Luuka district, Eastern Uganda...
Abstract Background People with disabilities experience barriers to healthcare, resulting in poorer health outcomes. There is limited disability training for healthcare workers globally. A was co-developed people and pilot-tested Uganda. Objective To use qualitative methods understand co-learning experiences, identify strengths areas improvement, explore a training’s effect on practices Methods We conducted two-day Train-the-Trainer programme September 2023 ten trainers (5 disabilities, 5...
The appropriate use of the Partograph allows early identification labour related complications and prevents deaths. We, therefore, sought to determine level completion healthcare worker perspectives towards its utilization.This study had two components; a hospital-based cross-sectional descriptive chart review at Mulago National Referral Hospital, Kampala, Uganda qualitative involving four Focus Group Discussions (FGDs) with ward nurses, midwives postgraduate residents. Data from FGDs were...
Adolescent girls face social, psychological, and physical problems managing menstruation in schools low-resource settings. This study aimed to evaluate the social menstrual health environment of secondary Wakiso Kalungu districts, Uganda, preparation for a subsequent intervention trial improve education, wellbeing. We conducted qualitative rapid assessment 75 Uganda. involved conducting in-depth interviews with 150 head/senior teachers 274 students, 26 Focus Group Discussions 13 transect...
Introduction Globally, 180 million young people aged 10–24 live with a physical or mental health disability. Their rights to sexual and reproductive have been denied often overshadowed by the societal negative knowledge, beliefs, attitudes. This study sough explore challenges among adolescents spina bifida hydrocephalus disability in Uganda. Methods was an exploratory community based cross-sectional qualitative We conducted 60 semi structured interviews, 30 Adolescents caregivers between...
Severe anaemia (SA) is a common reason for hospitalisation of children in sub-Saharan Africa but the extent to which blood transfusion used appropriately management severe anemia has hitherto remained unknown. We report on use anemic two hospitals Uganda.Inpatient records 0-5 years age admitted Lira and Jinja regional referral Uganda were reviewed selected days between June 2016 May 2017. Data was extracted results, if any, pre-transfusion hemoglobin (Hb) level, whether or not given...
Pre-exposure prophylaxis (PrEP), antiretroviral medication for prevention of HIV-acquisition, is part biomedical HIV strategies recommended people at risk HIV-infection. A decision to take PrEP depends on an assessment 'being risk' either by individual, or healthcare provider. In this paper, we draw the concept 'candidacy' examine different ways in which women attending a dedicated clinic Kampala, Uganda, infection (including sex workers), assessed their suitability PrEP. We conducted...
Background The COVID-19 pandemic has brought many health systems in low resource settings to their knees. had crippling effects on the already strained provision of maternal and newborn healthcare. With travel restrictions, social distancing associated with containment theCOVID-19 pandemic, healthcare providers could be faced challenges accessing work stations, risked burnout as they offered services. This study sought understand experiences perceptions at frontline during first phase...
Abstract Background HIV remains a major public health issue, especially in Eastern and Southern Africa. Pre-exposure prophylaxis is highly effective when adhered to, but its effectiveness limited by cost, user acceptability uptake. The cost of non-inferiority phase III trial likely to be prohibitive, thus, it essential select the best possible drug, dose schedule advance. aim this study, Combined Adolescent PrEP Prevention Study (CHAPS), investigate pre-exposure (PrEP) required for...
Introduction On average, people with disabilities face many difficulties in accessing healthcare and experience worse health outcomes. Yet, evidence on how to overcome these barriers is lacking. Participatory approaches are gaining prominence as they can generate low-cost, appropriate scalable solutions. This study protocol for the pilot testing of co-created Learning Action Disability (PLA-D) groups assess feasibility. Methods analysis We will test PLA-D five Luuka district, Uganda during...
Background HIV remains a leading contributor to the disease burden in sub-Saharan Africa, with adolescents and young people disproportionately affected. Optimising pre-exposure prophylaxis (PrEP) uptake has predominantly focused on women adult men who have sex men. We explore adolescent boys men’s PrEP preferences South Uganda, Zimbabwe. Methods A cross-sectional sequential exploratory mixed-methods study amongst males aged 13–24 years was conducted between April September 2019 as part of...
Abstract Background The uptake and adherence of daily oral PrEP has been poor in high-risk populations South Africa including young people. We used qualitative research methods to explore user preferences for on-demand use among Africans, inform the identification critical attributes attribute-levels quantitative analysis preferences, i.e. a discrete choice experiment (DCE). Methods Data were collected between September November 2018 from eight group discussions 20 in-depth interviews with...
Abstract Background Menstrual health is an increasingly recognised public issue, defined as complete physical, mental, and social well-being in relation to the menstrual cycle. The MENISCUS trial aims assess whether a multi-component intervention addressing physical emotional aspects of improves educational attainment, mental problems, management, self-efficacy, quality life among girls secondary school Uganda. Methods study parallel-arm cluster-randomised controlled with 60 schools...