Publications by authors named "Sylvia Nakami"

Background: Cervical cancer remains a significant but preventable threat to women's health throughout much of the developing world, including Uganda. Cervical cancer screening and timely treatment of pre-cancerous lesions is a cost-effective means of mitigating cervical cancer morbidity and mortality. However, only 5% of women in Uganda have ever been screened.

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Cervical cancer (CC) is the most common cancer among women in Uganda, yet lifetime CC screening is as low as 5%. Training women who have screened for CC to engage in peer advocacy could increase uptake of CC screening in social networks. We conducted a randomized controlled trial of a peer-facilitated, manualized, 7-session group intervention to train women to engage in CC prevention advocacy.

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Article Synopsis
  • - The Game Changers for Cervical Cancer Prevention (GC-CCP) program aimed to improve cervical cancer advocacy among participants and their social networks, showing positive effects in encouraging advocacy behaviors.
  • - In a study with 40 women, participants received either the GC-CCP intervention or were placed on a wait-list, with their social network members (up to 3 per participant) surveyed to assess advocacy and knowledge changes over time.
  • - The findings indicate that increased knowledge about cervical cancer among social network members (or "alters") helped enhance their engagement in advocacy, highlighting the importance of knowledge in spreading advocacy efforts within social networks.
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Article Synopsis
  • The study explores how women who have undergone cervical cancer screening can be empowered as advocates to encourage other women in their social networks to get screened, aiming to increase overall screening rates.* ! -
  • Researchers analyzed survey data from 40 women who had been screened and 103 women in their networks who had not, focusing on factors like cervical cancer knowledge, stigma, and self-efficacy to understand their influence on advocacy.* ! -
  • Results showed that higher advocacy engagement was linked to better cervical cancer knowledge and self-efficacy; additionally, age and prior positive screening experiences correlated with increased screening uptake and advocacy efforts.* !
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Introduction: Cervical cancer (CC) rates are high in Uganda, yet CC screening rates are very low. Our peer advocacy group intervention, Game Changers for Cervical Cancer Prevention (GC-CCP), was shown to increase CC screening uptake among social network members. In this secondary analysis, we examined mediators and moderators of this effect to better understand how and for whom the intervention was most successful in promoting CC screening.

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The 7th International African Palliative Care Conference and the 4th African Ministers of Health Meeting were held in Kampala from the 24th to 26th August 2022. The theme of the conference - - reflected the reality of palliative care provision on the continent, and the experience of patients and providers over the past 2 years. It was hosted by the African Palliative Care Association and the Worldwide Hospice Palliative Care Alliance with co-sponsors being the International Children's Palliative Care Network, the International Association of Hospice and Palliative Care, Global Partners in Care and Palliative care in Humanitarian Aid Situations and Emergencies.

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Introduction: Cervical cancer (CC) is the most common cancer and accounts for one quarter of all cancer-related deaths among women in Uganda, where lifetime CC screening is estimated to be as low as 5%. This study will evaluate the feasibility, acceptability, and preliminary efficacy of a social network-based group intervention designed to empower women who have received CC screening to encourage women in their social network to also screen.

Methods: Forty adult women (index participants) who have recently screened for CC will be recruited, 20 of whom will be randomly assigned to take part in the intervention and 20 to the wait-list control.

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