Publications by authors named "Namutundu Juliana"
Article Synopsis
- Voluntary medical male circumcision (VMMC) significantly reduces HIV transmission risk, but many men in Uganda resume sexual activity before the recommended 42-day healing period.
- A study analyzing data from 1,832 VMMC clients in Rakai, Uganda (2013-2020) found that early sex resumption (ESR) decreased from 45.1% to 14.9% over the years.
- Factors associated with higher ESR included being married and having multiple sexual partners, while those with primary education and younger age groups (15-19 years) were more likely to resume sex early compared to their counterparts with higher education and older age.
Prevalence, associated factors, barriers and facilitators for oral HIV self-testing among partners of pregnant women attending antenatal care clinics in Wakiso, Uganda.
AIDS Res Ther
November 2024
Article Synopsis
- Oral HIV self-testing (HIVST) among men in Sub-Saharan Africa is low, but providing testing kits through pregnant women's antenatal care visits shows promise for increasing male testing rates.
- A study with 380 participants found that 68.4% received an HIVST kit and 82.7% used it, with barriers including distrust of test results and fear of outcomes, while facilitators included convenience and prior awareness of their own HIV status.
- The findings suggest that using pregnant women to deliver HIVST kits can effectively engage men in testing and may help address their HIV status awareness.
Article Synopsis
- - The study examined the low uptake of cervical cancer screening services (below 50%) among women with HIV in East Central Uganda, identifying significant barriers and facilitators at multiple levels, including health facilities and individual circumstances.
- - Ten Focus Groups were conducted with rural women aged 25-49, analyzing their experiences with cervical cancer screening through thematic analysis based on the Integrated model of health literacy, which includes accessing, understanding, and applying information.
- - Key barriers identified included a lack of communication materials and difficulties in accessing information, while facilitators included effective information access at various levels and women's willingness to engage with the information provided during health education efforts.
Background: Oral HIV self-testing (HIVST) among men is relatively low and still inadequate in Sub-Saharan Africa. Delivering HIVST kits by pregnant women attending antenatal care to their partners is a promising strategy for increasing HIV testing among men. However, even amidst the interventions, most men do not know their HIV status.
View Article and Find Full Text PDFIntroduction: Preterm birth is a leading cause of under-5 mortality, with the greatest burden in lower-resource settings. Strategies to improve preterm survival have been tested, but strategy costs are less understood. We estimate costs of a highly effective Preterm Birth Initiative (PTBi) intrapartum intervention package (data strengthening, WHO Safe Childbirth Checklist, simulation and team training, quality improvement collaboratives) and active control (data strengthening, Safe Childbirth Checklist).
View Article and Find Full Text PDFUvulitis is the inflammation and swelling of the uvula, usually associated with infection of nearby structures. Uvulitis can be treated symptomatically, using medication or in some cases with uvulectomy, the uvula surgical removal or shortening. Traditional uvulectomy by traditional practitioners has been practiced in Africa for ages, associated with adverse outcomes.
View Article and Find Full Text PDFIntroduction: The introduction of Hepatitis B vaccination in the general community requires understanding the factors that determines its uptake. This is specifically essential for planning, implementation and evaluation of the effectiveness of the program. This study investigated the uptake and associated factors of Hepatitis B Vaccination among clients attending Budwale Health Center in Eastern Uganda.
View Article and Find Full Text PDFIntroduction: In Uganda, adult men living with HIV are more likely to present late for care; with a CD4 cell count below 350 cells/μl compared to women. Understanding why adult men present late for HIV care is important in improving early linkage to care. Studies across countries in Sub-Saharan Africa emphasize the role of masculinity norms; defined as social expectations about appropriate roles and behavior for men, in men's health behaviours particularly, in HIV care engagement.
View Article and Find Full Text PDFCost-effectiveness of GeneXpert Omni compared with GeneXpert MTB/Rif for point-of-care diagnosis of tuberculosis in a low-resource, high-burden setting in Eastern Uganda: a cost-effectiveness analysis based on decision analytical modelling.
BMJ Open
August 2022
Objective: To determine the cost-effectiveness of Xpert Omni compared with Xpert MTB/Rif for point-of-care diagnosis of tuberculosis among presumptive cases in a low-resource, high burden facility.
Design: Cost-effectiveness analysis from the provider's perspective.
Setting: A low-resource, high tuberculosis burden district in Eastern Uganda.
Background: Decision-makers need up to date information on risk factors for effective prevention and control of non-communicable diseases (NCDs). Currently available surveys are infrequent and costly to implement. The objective of the study was to explore perceptions on using an interactive voice response (IVR) survey for data collection on NCD risk factors.
View Article and Find Full Text PDFBackground: Cryptococcal meningitis (CCM) remains a leading cause of mortality amongst HIV infected patients in sub-Saharan Africa. When patients receive recommended therapy, mortality at 10 weeks has been reported to vary between 20 to 36%. However, mortality rate and factors affecting mortality after completing recommended therapy are not well known.
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