Publications by authors named "Grace Kakoola Nalukwago"

Article Synopsis
  • In Uganda, people who inject drugs (PWID) face significant barriers to healthcare and have a high risk of HIV, highlighting the need for integrated pre-exposure prophylaxis (PrEP) and harm reduction services to better meet their needs.* -
  • The study involved semi-structured interviews with 41 PWID in Kampala from May 2021 to March 2023, focusing on their experiences with harm reduction services and motivations for using them, employing purposive and snowball sampling methods.* -
  • Findings showed that while participants were aware of their HIV risk and knew about harm reduction services like sterile needle distribution, many struggled with treatment adherence, and awareness of PrEP was limited; however, they supported its integration into existing services
View Article and Find Full Text PDF

Introduction: Peer delivery is a client-centred approach that could maximize the coverage and impact of HIV services for transgender women (TGW). We conducted qualitative interviews to examine how peer-delivered HIV self-testing (HIVST), sexually transmitted infection self-sampling (STISS) and oral pre-exposure prophylaxis (PrEP) influenced prevention choices among TGW and their intimate partners in Uganda.

Methods: Within a cluster randomized trial of peer-delivered HIVST, STISS and PrEP among HIV-negative TGW (NCT04328025), we conducted 55 qualitative interviews with 30 TGW, 15 intimate partners and 10 TGW peers (August 2021-February 2022).

View Article and Find Full Text PDF
Article Synopsis
  • The study examined the effects of standardized training on healthcare workers’ (HCWs) knowledge and attitudes toward HIV pre-exposure prophylaxis (PrEP) service delivery in Uganda, finding that awareness and support for PrEP increased after training.
  • Despite improvements in knowledge and preparedness among HCWs, significant gaps remained, and knowledge tended to wane over time, highlighting the need for ongoing education.
  • Results also showed that while HCWs recognized PrEP as an effective HIV prevention method, they expressed concerns about patient adherence, infrastructure issues, and the clinic's capacity to deliver PrEP services effectively.
View Article and Find Full Text PDF

Introduction: In Kampala Uganda, female sex workers (FSWs) have high HIV prevalence (33%). Oral PrEP is a novel HIV prevention intervention that offers hope to decrease HIV incidence in key populations especially among FSWs. Studies have shown that with poor adherence, oral PrEP has no efficacy, and therefore adherence to PrEP is critical among FSWs to maximize HIV prevention.

View Article and Find Full Text PDF