Health, wellbeing and care

Understandings and experiences of health and wellbeing, care seeking and provision.

Research paper

Addressing the Syndemics of HIV, Mental Health, and COVID-19 Using the Health and Human Rights Framework among Youth Living with HIV, in Uganda: an Interpretive Phenomenological Study

Stigma and discrimination negatively impact the prevention, treatment, and care of HIV. The COVID-19 pandemic increased this complexity and created a cluster of synergistic health contexts, wherein the physiological aspects of HIV and the social and environmental conditions increased the…
Central and East Africa Hub
Springer Nature
2022
Research paper

Help-seeking and challenges faced by transwomen following exposure to gender-based violence; a qualitative study in the Greater Kampala Metropolitan Area, Uganda

The high prevalence of gender-based violence (GBV) among transwomen is a human rights and public health challenge. Nonetheless, there is limited evidence of sources of GBV support services and the challenges faced by transwomen while help-seeking, especially in transphobic settings…
Central and East Africa Hub
BioMed Central
2022
Research paper

After all, we are all sick: multi-stakeholder understanding of stigma associated with integrated management of HIV, diabetes and hypertension at selected government clinics in Uganda

Integrated care is increasingly used to manage chronic conditions. In Uganda, the integration of HIV, diabetes and hypertension care has been piloted, to leverage the advantages of well facilitated and established HIV health care provision structures. This qualitative study aimed…
Central and East Africa Hub
BioMed Central
2023
Research paper

Challenges and commonly used countermeasures in the implementation of lifelong antiretroviral therapy for PMTCT in Central Uganda: Health providers’ perspective

Uganda has implemented lifelong antiretroviral therapy for the prevention of mother-to-child HIV transmission since September 2012. Implementation of this strategy has been met with health provider and client challenges which have persisted up to date. This study explored providers’ perspectives…
Central and East Africa Hub
PLoS ONE
2023
Research paper

Reproductive materialism and justice for women with abortion care needs in Uganda.

While reproductive health justice is often assumed to be inherent in reproductive health interventions, the nature of injustices, and the reasons for and mechanisms of concealment, are often unclear. In this article, we draw on an ethnography of priority setting…
Central and East Africa Hub
Taylor & Francis Online
2022
Research paper

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

There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting information.
Central and East Africa Hub
Taylor & Francis Online
2022
Research paper

Him Leaving Me – That is My Fear Now: A Mixed Methods Analysis of Relationship Dissolution Between Ugandan Pregnant and Postpartum Women Living with HIV and Their Male Partners

High rates of relationship dissolution among pregnant women living with HIV (PWLHIV) and their male partners might increase mothers’ and children’s vulnerability to financial hardship and poor health outcomes. This mixed methods analysis identified factors associated with separation between PWLHIV…
Central and East Africa Hub
Springer Nature
2022
Research paper

Psychosocial health in adolescent unmarried motherhood in rural Uganda: Implications for community-based collaborative mental health education, and empowerment strategies in the prevention of depression and suicide

Using co-produced Open Space and ethnographic methods, we examined the psychosocial impact of unmarried motherhood on girls and their communities, and explored problem-solving with key local stakeholders. Findings indicate that girls experience extreme stress, social exclusion and rejection by their…
Central and East Africa Hub
SAGE Publications
2023
Research paper

Sensing Sleeping Sickness: Local Symptom-Making in South Sudan

Programs for neglected tropical diseases (NTDs) such as sleeping sickness increasingly involve patients and community workers in syndromic case detection with little exploration of patient understandings of symptoms. Drawing on concepts from sensorial anthropology, I investigate peoples’ experiences of sleeping…
Central and East Africa Hub
Taylor & Francis Online
2020
Research paper

A qualitative study to explore dietary knowledge, beliefs, and practices among pregnant women in a rural health zone in the Democratic Republic of Congo

This paper shows that various social, economic, and environmental factors within the local community influenced dietary practices among pregnant women in rural DRC. A comprehensive approach is required to improve nutrition, and address food insecurity, cultural practices and improve the…
Central and East Africa Hub
BioMed Central
2022
Research paper

Task shifting for tuberculosis control: A qualitative study of community-based directly observed therapy in urban Uganda

This qualitative study of task shifting examined tuberculosis (TB) therapy under modified community-based directly observed treatment short-course (CB-DOTS) in Kampala, Uganda. The authors recommend an intervention evaluating this modified DOTS strategy on a larger scale in TB high-burden, resource-poor urban…
Central and East Africa Hub
Global Public Health
2011
Research paper

National policy development for cotrimoxazole prophylaxis in Malawi, Uganda and Zambia: the relationship between Context, Evidence and Links

Several frameworks exist to analyse factors which influence the uptake of evidence into policy processes in resource poor settings, yet empirical analyses of health policy making in these settings are relatively rare. National policy making for cotrimoxazole preventive therapy in…
Central and East Africa Hub
Health Research Policy and Systems
2011
Research paper

Data value and care value in the practice of health systems: A case study in Uganda

In anthropology, interest in how values are created, maintained and changed has been reinvigorated. We interrogate concerns about relationships between data collection and patient care by following a pilot study in Kayunga, Uganda aimed at improving the collection of health…
Central and East Africa Hub
Science Direct
2018
Research paper

Unsafe “crossover-use” of chloramphenicol in Uganda: importance of a One Health approach in antimicrobial resistance policy and regulatory action

Since the introduction of antibiotics into mainstream health care, resistance to these drugs has become increasingly widespread. Policy decisions to mitigate the development of antimicrobial resistance (AMR) are hampered by a lack of surveillance data on antibiotic availability and use…
Central and East Africa Hub
Journal of Antibiotics
2021
Research paper

The Ambiguity Imperative: “Success” in a Maternal Health Program in Uganda

Global health programs are compelled to demonstrate impact on their target populations. We study an example of social franchising – a popular healthcare delivery model in low/middle-income countries – in the Ugandan private maternal health sector. The discrepancies between the…
Central and East Africa Hub
Taylor & Francis Online
2021
Research paper

Aspirations for quality health care in Uganda: How do we get there?

Despite significant investments and reforms, health care remains poor for many in Africa. To design an intervention to improve access and quality of health care at health facilities in eastern Uganda, we aimed to understand local priorities for qualities in…
Central and East Africa Hub
BMC Human Resources for Health
2013
Research paper

Histories of Antibiotics: A One Health account of the arrival of antimicrobial drugs to Zimbabwe, Malawi and Uganda. Report for the Improving Human Health Flagship Initiative, Agriculture for Nutrition and Health research programme, CGIAR

The overall aim of this short project is to uncover some of the socio-historical roots of antibiotic use in humans and non-humans outside of the European and American histories that are now well understood. We provide an historical account of…
Central and East Africa Hub
London School of Hygiene and Tropical Medicine
2020
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