Improving Viral Load Suppression Among Men and Children Active in Care Through Community-Designed and Led Solutions: Protocol for Retrospective Closed Cohort Study in Eastern Uganda

Odom, Krista; Ottosson, Amanda; Draru, Joyce; Komujuni, Harriet; Nkolo, Esther Karungi Karamagi; Faramand, Taroub Harb

doi:10.2196/32784

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…The highly adaptable iDARE methodology can provide this framework to donors, implementers, governments, and communities themselves to identify bottlenecks and barriers to achieving an intended outcome and design culturally and contextually appropriate solutions to complex social and system issues. 3 …”

Section: Discussionmentioning

confidence: 99%

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Applying the iDARE Methodology in Uganda, Kenya, and Tanzania to Improve Health Outcomes During the COVID-19 Pandemic

Ottosson¹,

Draru²,

Mwanzi³

et al. 2022

Glob Health Sci Pract

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Section: Discussionmentioning

confidence: 99%

“…With gender equity and social inclusion (GESI) at its core, iDARE is used to build capacity, drive locally designed and led solutions, and ensure data use and accountability. 3 …”

Section: Introductionmentioning

confidence: 99%

Applying the iDARE Methodology in Uganda, Kenya, and Tanzania to Improve Health Outcomes During the COVID-19 Pandemic

Ottosson¹,

Draru²,

Mwanzi³

et al. 2022

Glob Health Sci Pract

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“…This study was implemented by the United States Agency for International Development (USAID)-funded Social and Behavior Change Activity (SBCA) in Uganda, a 2020-2025 program managed by the Johns Hopkins University Center for Communication Programs that envisions a Uganda where individuals and communities are healthy, resilient, and supported by strong and adaptable systems and institutions to lead productive lives (29). The program provides social and behavior change (SBC)-related technical assistance to the Ministry of Health and other stakeholders to design and implement SBC initiatives that contribute towards a healthy nation.…”

Section: Overviewmentioning

confidence: 99%

What does your partner want? Using a gender equality lens to assess partner support and involvement in Family Planning in Uganda

Olapeju

Passaniti²,

Odeke³

et al. 2022

Preprint

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Background: While partner involvement in health-related decision-making is linked with positive health behaviors, a key gap in the literature exists on how this construct should be measured and the specific ways men and women in Uganda perceive partner support in the context of family planning. The USAID-funded Social and Behavior Change Activity (SBCA) in Uganda explored the differences in male versus female priorities in the decision-making considerations and preferred measures of partner support related to family planning in order to design contextually relevant solutions. Methods: Cross -sectional study using a nationally representative telephone survey among 1177 men and women aged 18-49 years old in sexual partnerships. Key measures included current family planning use (Are you or your partner currently doing anything to prevent or delay becoming pregnant?); family planning decision-making considerations (In your experience, which of the following are the three most important considerations as you make family planning decisions?); and preferred partner support (What level of involvement would you like to see from your partner in your family planning decisions?). Multivariable logistic regressions explored factors associated with decision-making priorities and preferred partner support, adjusting for sociodemographic confounders. Results: Two-thirds (66%) of men and women wanted a high level of involvement from their partner, which was associated with higher odds of using family planning (aOR: 2.46, 95% CI: 1.87 - 3.24). Specific ways partners could be involved included accompanying them to health services (39%), permitting them to get family planning services (26%), and jointly discussing family planning options (23%). Of note, more women wanted their partner to accompany them (45%) than men (33%) while more men (29%) wanted to jointly discuss options than women (15%). Conclusions: Partner support needs to be operationalized differently for men and women; therefore, social and behavior change (SBC) interventions should employ a gender lens when implementing family planning programs. The project used these insights to implement a health campaign that leverages the views of key audiences; explicitly encourages partner dialogue across the various life stages; and empowers women with knowledge and skills to have honest conversations with their partners about when to have children and how many to have.

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“…Over four decades since the outbreak of HIV, the virus continues to be a danger to humanity [10]. According to the World Health Organisation (WHO), there were 38.4 million HIV infections worldwide in 2021, with 1.5 million new cases [16].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Repeated Measurements of HIV Viral Load as a Continuous Variable while Accounting for Missing Values

Sendege,

Omala,

Wandiembe

et al. 2024

Preprint

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Background Recent HIV research predominantly uses Single Measure Frameworks (SMF), focusing solely on the latest viral load data and overlooking missing values. Methods This study explored repeated measures frameworks to assess factors affecting viral load copies while accounting for missing data. The analysis involved 1670 records of HIV patients,using the generalized linear mixed models (GLMM). All variables, except for treatment regimen changes and adherence rating, were recorded at patients’ treatment enrollment. A GLMM was applied to data before and after imputation accounting for the repeated nature of the HIV viral load copies over time. Results The best-fitting model, selected for discussion, was the GLMM fitted to multiply imputed data. Gender and adherence rating did not significantly affect viral load copies. The analysis included other variables such as patient age, marital status, treatment duration, WHO clinical stages, and facility ownership. Results show that viral load copies were higher among currently or formerly married individuals but lower among patients that were accessing treatment from a private facility and spent longer time on treatment. Conclusion and Recomendation The study highlights the significance of recognizing repeated data patterns in longitudinal settings and addressing missing values in health research. It proposes a similar investigation in controlled environments to evaluate SMF and RMF in presence of missing values.

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Improving Viral Load Suppression Among Men and Children Active in Care Through Community-Designed and Led Solutions: Protocol for Retrospective Closed Cohort Study in Eastern Uganda

Cited by 3 publications

References 14 publications

Applying the iDARE Methodology in Uganda, Kenya, and Tanzania to Improve Health Outcomes During the COVID-19 Pandemic

Applying the iDARE Methodology in Uganda, Kenya, and Tanzania to Improve Health Outcomes During the COVID-19 Pandemic

What does your partner want? Using a gender equality lens to assess partner support and involvement in Family Planning in Uganda

Analysis of Repeated Measurements of HIV Viral Load as a Continuous Variable while Accounting for Missing Values

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