Faculty of Nursing and Midwiferyhttp://ir.lirauni.ac.ug/xmlui/handle/123456789/4632024-03-29T06:12:29Z2024-03-29T06:12:29ZFemale-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda–A mixed-method study protocolKumakech, EdwardAcen, JoyMusinguzi, MarvinEbong, DorynOkello, Jameshttp://ir.lirauni.ac.ug/xmlui/handle/123456789/7602023-10-18T09:55:04Z2023-01-01T00:00:00ZFemale-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda–A mixed-method study protocol
Kumakech, Edward; Acen, Joy; Musinguzi, Marvin; Ebong, Doryn; Okello, James
Study background
The use of dual protection methods among young women living with HIV (YWLHIV) aged
15–24 years in sub-Saharan Africa (SSA) is poorly researched despite the double risk of
unintended pregnancy and HIV. Even more scanty is literature on the use of female-controlled dual protection methods. We propose to determine the female-controlled dual protection prevalence, and the predictors among YWLHIV in northern Uganda. The study will also
explore the YWLHIV’s experiences and perceptions regarding the female-controlled dual
protection methods.
Materials and methods
This study will employ a mixed-methods design. The study area will be Lira district and Lira
city located in northern Uganda. The setting for recruitment of participants will be the public
health facility–based anti-retroviral therapy (ART) clinics. These ART clinics serves a total of
about 1,771 YWLHIV. A sample of 425 YWLHIV will be selected by stratified random sampling from the ART clinic registers. The three strata of interest will be the YWLHIV attending
the ART clinic at referral hospitals, health centers level IV (primary healthcare centers), and
health centers level III (dispensaries). The primary outcome will be the use of the femalecontrolled dual protection methods. The outcome will be measured by asking the YWLHIV
‘what methods under their control as YWLHIV do they use to protect against both unintended pregnancy and HIV during sexual intercourse with their male partners.’ The questionnaire also has measures for the unintended pregnancy, HIV status, and the potential
predictors. Qualitative component of the study will be in-depth interviews of the participants
about their experiences and perceptions regarding the female-controlled dual protection. methods. Data collection was still ongoing at the time of first submission of this study protocol to the journal (14th March 2023). The Statistical Package for Social Sciences (SPSS)
version 23.0 will be used for the statistical analyses. Descriptive statistics, bivariate and multivariate regression analyses will be used to establish the prevalence, associated factors
and the predictors of the outcome respectively. The statistical significance level of 5% and
95% confidence interval will be considered. In-depth interviews will be manually analyzed
using a thematic analysis approach for codes, themes, and categories.
2023-01-01T00:00:00ZUptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern UgandaTumwesigye, RaymondKigongo, EustesNakiganga, StellaMbyariyehe, GodfredNabeshya, JoelKabunga, AmirMusinguzi, MarvinMigisha, Richardhttp://ir.lirauni.ac.ug/xmlui/handle/123456789/7242023-07-21T07:58:12Z2023-01-01T00:00:00ZUptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda
Tumwesigye, Raymond; Kigongo, Eustes; Nakiganga, Stella; Mbyariyehe, Godfred; Nabeshya, Joel; Kabunga, Amir; Musinguzi, Marvin; Migisha, Richard
Background: Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all
genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake
and associated factors in SSA, including Uganda, are limited. We determined the uptake and associated factors of male contraception
use in Lira City, Northern Uganda.
Methods: We conducted a community-based cross-sectional study from November 12, 2022, to December 12, 2022, among men aged
≥18 years. We used multi-stage sampling to select participants from 12 cells of Lira City divisions of East and West. Data were
collected using interviewer-administered structured questionnaires. We defined uptake in males who had used any contraceptive
method, including periodic abstinence, withdrawal, condoms, and vasectomy in the previous four weeks. We performed modified
Poisson regression to identify associated factors of male contraception uptake.
Results: We recruited 401 participants with mean age of 30.4 (±9.3) years. Male contraceptive uptake was 46.4%, 95% CI: 41.5–
51.3%. Ever heard about male contraception (adjusted prevalence ratio [aPR] =1.73, 95% CI: 1.172–2.539, p=0.006), willingness to
use novel methods (aPR=2.90, 95% CI: 1.337–6.293, p=0.007), both partners being responsible for contraception (aPR: 1.53, 95% CI:
1.113–2.119, p=0.009) were the factors associated with male contraception uptake.
Conclusion: We found that nearly half of the men surveyed had used male contraceptive methods in Lira City. Factors associated
with the uptake of male contraception included having heard about male contraception, joint couple decision regarding contraception,
and the use of novel methods of male contraception. We recommend comprehensive education and awareness campaigns to promote
male contraception, with a particular emphasis on encouraging shared decision-making within couples and introducing innovative
contraceptive options.
2023-01-01T00:00:00ZDepression, suicidality, substance-use and associated factors among people living with HIV the COVID-19 pandemic in UgandaRukundo, Godfrey ZariWakida, Edith K.Karungi, Christine K.Asasira, JenipherKumakech, EdwardObua, Celestinohttp://ir.lirauni.ac.ug/xmlui/handle/123456789/7232023-07-21T07:57:47Z2023-01-01T00:00:00ZDepression, suicidality, substance-use and associated factors among people living with HIV the COVID-19 pandemic in Uganda
Rukundo, Godfrey Zari; Wakida, Edith K.; Karungi, Christine K.; Asasira, Jenipher; Kumakech, Edward; Obua, Celestino
Background
Mental disorders are common in people living with HIV (PLHIV) but they are often unrecog nized and untreated. Furthermore, the COVID-19 pandemic has disrupted the already lim ited mental health services in low resource countries such as Uganda, and yet the extent to
which the COVID-19 mitigation measures have affected the mental health of PLHIV is not
fully known. We aimed to determine the burden of depression, suicidality, substance use
and associated factors among adult PLHIV who were seeking care at two HIV clinics in
northern and southwestern Uganda.
Methods
We conducted a phenomenological qualitative and quantitative cross-sectional study
among 431 PLHIV to determine the burden of depression, suicidality and substance-use
disorders at two HIV clinics, at Lira Regional Referral Hospital and Mbarara Regional Refer ral Hospital in northern and southwestern Uganda respectively, during the COVID-19 lock down. We used the Patient Health Questionnaire (PHQ-9) to assess for depression and
suicidality, and the Michigan Assessment-Screening Test for Alcohol and drugs (MAST-AD)
to assess for substance use disorder. We conducted descriptive statistics analysis to deter mine the burden of the disorders, and logistic regression to determine the associated fac tors. For the qualitative method we conducted in-depth interviews with 30 PLHIV and did
thematic analysis.
Results
Of the 431 PLHIV surveyed, mean age was 40.31 ± 12.20 years; 53.1% (n = 229) had
depression; 22.0% (n = 95) had suicidality; and 15.1% (n = 65) had substance-use disorder.
Female gender (PR = 1.073, 95%CI 1.004–1.148, P = 0.038), lack of formal education (PR0.859–0.994, P = 0.034) and suicidality (PR = 0.757, 95%CI 0.722–0.794, p = 0.000) were
associated with depression after adjusting for confounders. Further analysis showed that
being female (PR = 0.843, 95% CI 0.787–0.903, P = 0.000*) and having depression (PR =
0.927, 95% CI 0.876–0.981, P = 0.009) and owning a large business (PR = 0.886, 95% CI
0.834–0.941, p = 0.000*) were significantly associated with having a substance-use disor der. Only depression was independently associated with suicidality after adjusting for con founding factors (PR 0.108, 95%CI 0.054–0.218, p = 0.000*). For the qualitative results,
there were three apriori themes: a) Burden of depression, b) substance-use, and c) suicidal ity among the PLHIV during the COVID-19 containment measures.
Conclusion
There was high prevalence of depression, suicidality and substance-use disorder in adult
PLHIV in Uganda during the COVID-19 pandemic and the associated lockdown measures.
The three mental health problems seem to have bidirectional relationships and gender has
a lot of contribution to the relationships. Interventions aimed at any of the disorders should
consider these bidirectional relationships.
2023-01-01T00:00:00ZFactors associated with uptake of human papilloma virus vaccine among school girls aged 9–14 years in Lira City northern Uganda: a cross-sectional studyNakayita, Renniter MirembeBenyumiza, DeoNekesa, CatherineMisuk, IvanKyeswa, JuliusNalubuuka, AishaMurungi, TomUdho, SamsonKumakech, Edwardhttp://ir.lirauni.ac.ug/xmlui/handle/123456789/7222023-07-12T11:23:57Z2023-01-01T00:00:00ZFactors associated with uptake of human papilloma virus vaccine among school girls aged 9–14 years in Lira City northern Uganda: a cross-sectional study
Nakayita, Renniter Mirembe; Benyumiza, Deo; Nekesa, Catherine; Misuk, Ivan; Kyeswa, Julius; Nalubuuka, Aisha; Murungi, Tom; Udho, Samson; Kumakech, Edward
Abstract
Background Cervical cancer is the most common Human Papilloma Virus (HPV)-related disease among women.
Since 2008, HPV vaccination has been routinely recommended for pre-adolescent and adolescent girls in Uganda
as the primary preventive measure for cervical cancer. However, in Uganda, most especially in Lira district, there is
limited literature on HPV vaccination uptake and associated factors among girls aged 9-14years. This study assessed
the uptake of HPV vaccine and associated factors among in-school girls aged 9–14 years in Lira City, northern Uganda.
Methods A cross-sectional study was conducted among 245 primary school girls aged 9–14 years in Lira City,
northern Uganda. Multistage sampling technique was used to sample eligible participants and data was collected
using interviewer administered questionnaire. Data was analysed using SPSS version 23.0. Descriptive statistics and
multivariate logistic regression at 95% level of significance were used to identify the level of HPV vaccine uptake and
predictors respectively.
Results HPV vaccination uptake was at 19.6% (95% CI,14.8–25.1) among the school girls aged 9–14 years in Lira City,
northern Uganda. The mean age of the girls was 12.11 (±1.651) years. Predictors that were independently associated
with HPV vaccine uptake included; recommendation from health worker [aOR 9.09, 95% CI (3.19–25.88), P≤0.001],
taught about cervical cancer at school [aOR,12.56, 95% CI (4.60–34.28), P≤0.001], and exposure to outreach clinics
[aOR, 4.41, 95% CI (1.37–14.19), P=0.013].
Conclusion The study found that one in five of the school girls in Lira City, northern Uganda. received HPV vaccine.
Girls who were taught about cervical cancer at school, exposure to outreach clinics and received health worker
recommendation had more odds of receiving HPV vaccine than their counter parts. The Ministry of Health should
strengthen school based cervical cancer education, awareness raising about HPV vaccination and health worker
recommendations to improve HPV vaccine uptake among school girls in Uganda.
2023-01-01T00:00:00Z