Ngutulu Kagwero (agents of change): study design of a participatory comic pilot study on sexual violence prevention and post-rape clinical care with refugee youth in a humanitarian setting in Uganda

Logie, Carmen H.; Okumu, Moses; Lukone, Simon Odong; Loutet, Miranda; McAlpine, Alyssa; Latif, Maya; Berry, Isha; Kisubi, Nelson; Mwima, Simon; Kyambadde, Peter; Neema, Stella; Small, Eusebius; Balyejjusa, Senkosi Moses; Musinguzi, Joshua

doi:10.1080/16549716.2021.1940763

Cited by 13 publications

(21 citation statements)

References 65 publications

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“…50,51 For YW, access to YFHS may serve as a secondary prevention (eg, providing postgender-based violence care/counselling) or provided other services (eg, PrEP and family planning) 52,53 that reduced conflict within intimate partnerships. 54 For nonpartner sexual violence pathways, we find that SAB is key intervention. AG were less likely to experience nonpartner sexual violence if they had completed the SAB; YW experienced a similar benefit from SAB, when paired with access to Educ.…”

Section: Discussionmentioning

confidence: 88%

Which Intervention Synergies Maximize AGYW's HIV Outcomes? A Classification and Regression Tree Analysis of Layered HIV Prevention Programming

Mathur,

Mahapatra,

Mishra

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction: Intersecting behavioral, social, and structural factors increase adolescent girls' (AG) and young women's (YW) HIV vulnerability. Yet, understanding of optimal intervention synergies remains limited. We identified intervention combinations that statistically maximized reductions in AGYW's HIV-related risk. Methods: Using data collected in 2018 with Zambian AG (n = 487, aged 15–19 years) and YW (n = 505, aged 20–25 years) after 12–14 months exposure to Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (multisectoral HIV program), we used classification and regression trees to explore relationships between interventions (safe space/social asset building [SAB] and provision of/linkage to youth-friendly health services [YFHS], education social protection [Educ], economic social protection [Econ]) and HIV-related outcomes (HIV testing, consistent condom use, transactional sex, and sexual violence experience from partners and nonpartners). Results: Overall, 59.9% completed SAB and 81.5%, 35.4%, and 29.6% received YHFS, Educ, and Econ, respectively. For AG, HIV testing improved (from 73% to 83%) with exposure to all interventions, condom use improved with Econ (from 33% to 46%), transactional sex reduced with SAB + Educ, and sexual violence from partners and nonpartners reduced with Educ and SAB, respectively. For YW, HIV testing increased with Educ (from 77% to 91%), condom use increased with SAB + YFHS (from 36% to 52%), transactional sex reduced with combinations of all interventions, and sexual violence from partners reduced with YFHS and from nonpartners with SAB + Econ. Conclusions: Tailored interventions might be more effective than uniform combination intervention packages in reducing AGYW's HIV risk. AG benefitted most from SAB and/or Educ while YFHS, Educ, and/or SAB reduced YW's HIV-related risk. Educational and asset-building interventions could have the greatest impact on AGYW's HIV risk.

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Section: Discussionmentioning

confidence: 88%

Which Intervention Synergies Maximize AGYW's HIV Outcomes? A Classification and Regression Tree Analysis of Layered HIV Prevention Programming

Mathur,

Mahapatra,

Mishra

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…They will meet with the peer navigator to review and discuss the comic themes and will be provided with a blank version to complete on their own. This approach to edutainment comics provides a participatory component whereby participants can contextualise the comic themes within their own lives and experiences 52. In addition to the comic, the participants in arms 1 and 3 will also have linkages to peer navigators and URDMC for support accessing confirmatory testing and care.…”

Section: Methodsmentioning

confidence: 99%

Todurujo na Kadurok (empowering youth): study protocol of an HIV self-testing and edutainment comic cluster randomised trial among refugee youth in a humanitarian setting in Uganda

et al. 2022

Self Cite

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IntroductionRefugees experience HIV vulnerabilities due to the confluence of displacement, violence and poverty. HIV self-testing, understudied with refugees, is a promising method to increase testing uptake, yet challenges remain with linkages to confirmatory testing following a positive HIV self-test. This study aims to evaluate the effectiveness of HIV self-testing kits and ‘edutainment’ comics in increasing HIV testing and HIV status knowledge among refugee youth aged 16–24 years in Bidi Bidi Refugee Settlement, Uganda.Methods and analysisThis study will be conducted in Bidi Bidi. We conducted a qualitative formative phase with focus groups (n=40) to generate knowledge of barriers and facilitators of HIV prevention, testing and care among refugee youth (aged 16–24) in Bidi Bidi. These findings were used to create comic scenarios aligning with edutainment approaches to health promotion and inform a four-arm cluster randomised controlled trial in Bidi Bidi using a 2×2 factorial design: (1) HIV self-testing alongside edutainment comics, (2) HIV self-testing alone, (3) edutainment comic alone and (4) standard of care. The target sample size will be 120 youth (30 per arm), who will be enrolled in the trial and followed for 3 months. Data will be collected at baseline and 3 months after enrolment. The primary outcomes (HIV testing frequency, HIV status knowledge) and secondary outcomes (linkage to confirmatory HIV testing, HIV care linkage, HIV self-test kit use, HIV-related stigma, HIV knowledge, safer sex efficacy, condom use, adolescent sexual and reproductive health (SRH) stigma, sexual relationship power, access to SRH services) will be evaluated using descriptive statistics and regression analyses.Ethics and disseminationThis study was approved by the University of Toronto Research Ethics Board, Mildmay Uganda Research Ethics Committee and the Uganda National Council for Science and Technology. Results will be shared in peer-reviewed publications and community knowledge sharing.Trial registration numberNCT05213689.

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“…Disasters OR Emergencies OR catastrophe OR "catastrophic accident" OR catastrophic* OR Calamity OR "Events with Potential for Injury Creation" OR Tragedies OR Sinister* OR Urgence* OR Urgency* OR "Mass Casualty Incidents" OR "Mass Casualty Incident" OR "Mass Casualties" OR "Mass Casualty" and 3) will be used, following the Joanna Briggs Institute (JBI) (16) methodology. For the use of this instrument, a pilot test will be carried out on three sources, seeking familiarity with searching, selecting, and extracting data and identifying and making any necessary adjustments.…”

Section: Data Extractionmentioning

confidence: 99%

“…Thus, the International Council of Nurses (ICN), together with the World Health Organization (WHO), pointed out certain challenges regarding the performance of nursing professionals in the health-disaster-care process, which leads to the need for research, discussion, and dissemination of information about essential nursing competencies to act in the different stages of disasters (8,9,11) . Among the subareas that can bring substantial contributions to support nursing competencies in disasters there is forensic nursing, as it is understood that, in the care process in such situations, problems inherent to forensic aspects emerge, such as cases of unidentified dead victims, presence of remains, abandonment of the elderly, neglect of care for children and people with special needs, injuries, the existence of multiple forensic traces, sexual violence against victims of wars and refugees, and interpersonal violence in temporary shelters and field hospitals, in addition to the need to provide care based on local, regional or national laws (12)(13)(14)(15)(16) . Forensic nursing comprises a new nursing specialty in Brazil, and its formal recognition occurred within the Federal Nursing Council (COFEN) through Resolution number 389, 2011.…”

Section: Introductionmentioning

confidence: 99%

Competências da enfermagem forense em situações de desastres: protocolo de revisão de escopo

Silva¹,

Haberland²,

Kneodler³

et al. 2023

Online braz j nurs

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Objetivo: mapear fontes de informação técnico-científica sobre as competências da enfermagem forense em situações de desastres. Método: protocolo de revisão de escopo, desenvolvido em conformidade com a metodologia Joanna Briggs Institute (JBI). A busca será realizada em três etapas, por dois revisores, de maneira independente, em bases de dados selecionadas e na literatura cinzenta, por meio das palavras-chaves e dos descritores. A seleção, inicialmente, será por meio de títulos, resumos e descritores, observando os critérios de inclusão. Posteriormente, os textos serão arquivados em pastas digitais e lidos na íntegra por dois pesquisadores com o apoio de instrumento. Após a extração dos dados, será procedida a análise de conteúdo. A síntese dos resultados será apresentada na forma de gráficos, diagramas, tabelas e fluxos, buscando-se os devidos alinhamentos com o objetivo e a pergunta de pesquisa.

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Ngutulu Kagwero (agents of change): study design of a participatory comic pilot study on sexual violence prevention and post-rape clinical care with refugee youth in a humanitarian setting in Uganda

Cited by 13 publications

References 65 publications

Which Intervention Synergies Maximize AGYW's HIV Outcomes? A Classification and Regression Tree Analysis of Layered HIV Prevention Programming

Which Intervention Synergies Maximize AGYW's HIV Outcomes? A Classification and Regression Tree Analysis of Layered HIV Prevention Programming

Todurujo na Kadurok (empowering youth): study protocol of an HIV self-testing and edutainment comic cluster randomised trial among refugee youth in a humanitarian setting in Uganda

Competências da enfermagem forense em situações de desastres: protocolo de revisão de escopo

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