Proscovia Nabunya
Datos Biográficos
| ID | 145493 |
|---|---|
| NOMBRE | Proscovia Nabunya |
| NOMBRES | Proscovia |
| APELLIDO | Nabunya |
| FIRMA | NABUNYA P |
| AFILIACIONES | Washington University in St. Louis |
| ORCID | 0000-0002-9088-5839 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 73 |
| TOTAL DE CITAS | 30 |
| TOTAL COMO AUTOR | 73 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
HIV disclosure in Ugandan schools
Adolescents living with HIV (ALHIV) spend much of their daily lives in school environments, yet little research has examined how HIV-related disclosure unfolds within educational institutions. Most studies focus on disclosure decisions within families or clinical settings, leaving limited understanding of how schools encounter and manage knowledge of students' HIV status. This study examines how educators learn about and respond to the presence o…
Knowledge and perception of the implementation of the policy against sexual harassment at Makerere University, Uganda
Sexual misconduct and harassment are prevalent at higher education institutions. Makerere University introduced a Policy and Regulations against Sexual Harassment in 2006, which was revised in 2018 following institutional investigations and recommendations. However, the extent to which the revised policy has been effectively implemented has not been formally evaluated. This study evaluated the implementation of Makerere University's policy agains…
Correlates of willingness to use pre-exposure prophylaxis (PrEP) among young people impacted by HIV in Uganda
We assessed the correlates of willingness to use PrEP among young people (YP) impacted by HIV in Uganda. This cross-sectional study included 905 YP aged 18-21 years, orphaned to AIDS and participating in a longitudinal study in Uganda. Willingness to use PrEP, the primary outcome, was measured using a hypothetical scenario. "If PrEP were safe, effective, free, and used by few people around you, how likely would you be willing to use it?" Independ…
HIV-related stigma and academic outcomes
Among Adolescents living with HIV (ALHIV) in Uganda, pathways linking HIV-related stigma to mental health (depression, hopelessness and self-esteem) and academic engagement (school satisfaction and self-concept) are under-examined. Using cross-sectional data from 833 ALHIV (ages 10–17), we first estimated a fully latent structural equation model to assess these pathways. Model fit was excellent (χ2[21] = 45.16, p = .002; CFI = .987; RMSEA = .037;…
The direct and indirect pathways through which gender norms influences decision-making autonomy among young women and men in Southern Uganda. A mediation analysis
Adapting a U.S.-based micro-savings program for Uganda
“It’s a secret for the family…it never goes out because they will spread it.”
Adolescents living with HIV/AIDS and their families continue to feel the brunt of the HIV pandemic in low-resource settings such as Uganda. However, little is still known about how adolescents and their families use their internal resources to deal with HIV-associated stigma. Using the Social Positioning theory, we qualitatively explore how adolescents and their caregivers use secrecy as a tool to deal with HIV stigma within their families and co…
Social Determinants of Mental Health Outcomes Among Refugee Adolescents and Youth Living with HIV in Refugee Settlements in Uganda
Sex Work Stigma as a Partial Mediator Between Social Support and Depressive Symptoms Among Vulnerable Women Engaged in Sex Work in Southern Uganda
Preliminary Impact of Public Health Messaging on HPV Vaccine Uptake Among Adolescent Girls and Young Women Living with HIV in Central Uganda
The Impact of a Family Economic Empowerment Intervention on Cultural Gender Norm Beliefs Among HIV-Orphaned Adolescents in Southern Uganda
Impact of Covid-19-Related Disruptions on Antiretroviral Therapy Adherence Among Young Adults Living with HIV in Southern Uganda
The Impact of an Economic Empowerment Intervention on Economic Security among Aids-Orphaned Adolescents in Southern Uganda
She Is a Guest in My House
Traditional values and beliefs perpetuate gender inequalities and marginalize women in many societies worldwide by limiting their access to economic resources and decision‐making abilities. In‐depth interviews were conducted among 53 young women and men to explore the barriers to asset development and decision‐making autonomy among adolescent girls transitioning into young women in southern Uganda. Five themes emerged from the participants’ narra…
Addressing Psychosocial Outcomes among Vulnerable Adolescent Girls
Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022
Objectives. To assess the cost-effectiveness of an economic empowerment and family intervention on mental health outcomes among school-going adolescent girls in Uganda from 2017 to 2022. Methods. We randomized adolescent girls aged 14 to 17 years into 3 arms: (1) health and sex education (usual care; n = 408), (2) youth development accounts (YDAs; n = 471), and (3) a combination intervention (YDA plus multiple family group [MFG]; n = 381). We fit…
Preliminary impact of the say no to stigma intervention on attitudes toward mental illness
Preliminary impact of a combination intervention on intention to migrate and school absence among adolescent girls
School absenteeism during menstruation among adolescent girls in Southern Uganda
The intersection of caregiving and financial vulnerability
The long-term impact of family economic empowerment on viral suppression and mental health outcomes among adolescents living with HIV in low-income settings
Examining the Intrapersonal, Interpersonal and Community Level Correlates of Access to Medical Care Among Women Employed by Sex Work in Southern Uganda
Preliminary Impact of Group-Based Interventions on Stigma and the Mental Health of Caregivers of Adolescents Living with HIV in Uganda
Feasibility and Acceptability of Group-Based Stigma Reduction Interventions for Adolescents Living with HIV and Their Caregivers
A Cluster-Randomized Controlled Trial of an Economic Strengthening Intervention to Enhance Antiretroviral Therapy Adherence among Adolescents Living with HIV
Strengthening Universal Primary Education in Uganda
Child development accounts (CDAs)
This study explores an innovative intervention for orphaned children in Uganda. It combines standard health care with an economic empowerment component. We refer to this combination as a family asset-based intervention, which provides each child with a child development account (CDA), a matched savings account for secondary schooling; financial education; and a mentor. This article examines the educational outcomes of the girls in this study. The…
Evaluating potential mediators for the impact of a family-based economic intervention (Suubi+Adherence) on the mental health of adolescents living with HIV in Uganda
The Effects of parental loss on the psychosocial wellbeing of Aids-orphaned children living in Aids-impacted communities
Family economic strengthening and parenting stress among caregivers of Aids-orphaned children
Assessing the impact of an asset-based intervention on educational outcomes of orphaned children and adolescents
This paper examines the effect of an asset-based intervention on academic performance and school transition among orphaned and vulnerable children in Uganda. Participants were randomly assigned to either the control arm or two treatment arms receiving an asset-based intervention. Participants in the treatment arms scored better grades; and had higher odds of transitioning to post-primary education relative to the control arm. Programmes which tar…
Perceived social support and psychological wellbeing of children orphaned by HIV/Aids in Southwestern Uganda
Evidence points to a correlation between perceived social support and children's psychological well-being globally. However, only a few studies have examined the relationship between perceived social support (PSS) from multiple sources and children's psychological outcomes. Even fewer studies have examined the relationship between perceived social support from multiple sources and the psychological outcomes of children orphaned by HIV/AIDS in Sub…
Social support and school outcomes of adolescents orphaned and made vulnerable by HIV/Aids living in South Western Uganda
The goal of this study is to examine the role of social support from multiple sources, including the extended family, caregivers, classmates, peers and teachers, in improving the school outcomes (grades and attendance) of children orphaned by AIDS in Uganda. Data for this study comes from a 4-year randomized control trial, called Suubi-Maka (Hope for families), conducted in the Southwestern part of Uganda from 2008 to 2012. Using multivariate reg…
Examining the relationship of social support and family cohesion on ART adherence among HIV-positive adolescents in southern Uganda
Several studies in sub-Saharan Africa have linked social support to better ART (antiretroviral therapy) adherence among adults living with HIV. Less is known about the role of social support and family cohesion in ART adherence among children below 18 years. This paper focuses on HIV-infected adolescents as they transition through the vulnerable developmental stage of adolescence to examine the association between family cohesion and social suppo…
Examining the nonkin support networks of orphaned adolescents participating in a family‐based economic‐strengthening intervention in Uganda
In this study, we examined the nonkin support networks of orphaned adolescents participating in a family‐based economic‐strengthening intervention in HIV‐impacted communities in Uganda. We analyzed data from a cluster randomized experimental study for orphaned adolescents aged 11–17 years. Participants were randomly assigned to either the control condition, which received bolstered standard of care (BSOC) services, or the treatment condition, whi…
The Potential of Youth Savings Accounts in Three East African Countries
This paper explores the potential of expanding a youth-focused asset-based intervention program for poor communities heavily affected by HIV and AIDS-currently underway in one East African country, Uganda-into similar communities in the other two East African countries: Kenya and Tanzania. This concept paper is informed by prior work on youth-focused asset-based programs first proposed in the United States of America and now successfully implemen…
Imagining the future
Strengthening Universal Primary Education in Uganda
Imagining the future
The Potential of Youth Savings Accounts in Three East African Countries
This paper explores the potential of expanding a youth-focused asset-based intervention program for poor communities heavily affected by HIV and AIDS-currently underway in one East African country, Uganda-into similar communities in the other two East African countries: Kenya and Tanzania. This concept paper is informed by prior work on youth-focused asset-based programs first proposed in the United States of America and now successfully implemen…
The Effects of parental loss on the psychosocial wellbeing of Aids-orphaned children living in Aids-impacted communities
Family economic strengthening and parenting stress among caregivers of Aids-orphaned children
Reprint of “Family economic strengthening and parenting stress among caregivers of Aids-orphaned children
Child development accounts (CDAs)
This study explores an innovative intervention for orphaned children in Uganda. It combines standard health care with an economic empowerment component. We refer to this combination as a family asset-based intervention, which provides each child with a child development account (CDA), a matched savings account for secondary schooling; financial education; and a mentor. This article examines the educational outcomes of the girls in this study. The…
Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda
Improving economic resources of impoverished youth may alter intentions to engage in sexual risk behaviors by motivating positive future planning to avoid HIV risk and by altering economic contexts contributing to HIV risk. Yet, few studies have examined the effect of economic-strengthening on economic and sexual behaviors of orphaned youth, despite high poverty and high HIV infection in this population. Hierarchal longitudinal regressions were u…
Equity in adherence to antiretroviral therapy among economically vulnerable adolescents living with HIV in Uganda
Studies from sub-Saharan Africa indicate that children made vulnerable by poverty have been disproportionately affected by HIV with many exposed via mother-to-child transmission. For youth living with HIV, adherence to life-saving treatment regimens are likely to be affected by the complex set of economic and social circumstances that challenge their families and also exacerbate health problems. Using baseline data from the National Institute of …
Social support and school outcomes of adolescents orphaned and made vulnerable by HIV/Aids living in South Western Uganda
The goal of this study is to examine the role of social support from multiple sources, including the extended family, caregivers, classmates, peers and teachers, in improving the school outcomes (grades and attendance) of children orphaned by AIDS in Uganda. Data for this study comes from a 4-year randomized control trial, called Suubi-Maka (Hope for families), conducted in the Southwestern part of Uganda from 2008 to 2012. Using multivariate reg…
Assessing the impact of an asset-based intervention on educational outcomes of orphaned children and adolescents
This paper examines the effect of an asset-based intervention on academic performance and school transition among orphaned and vulnerable children in Uganda. Participants were randomly assigned to either the control arm or two treatment arms receiving an asset-based intervention. Participants in the treatment arms scored better grades; and had higher odds of transitioning to post-primary education relative to the control arm. Programmes which tar…
Perceived social support and psychological wellbeing of children orphaned by HIV/Aids in Southwestern Uganda
Evidence points to a correlation between perceived social support and children's psychological well-being globally. However, only a few studies have examined the relationship between perceived social support (PSS) from multiple sources and children's psychological outcomes. Even fewer studies have examined the relationship between perceived social support from multiple sources and the psychological outcomes of children orphaned by HIV/AIDS in Sub…
Examining the relationship of social support and family cohesion on ART adherence among HIV-positive adolescents in southern Uganda
Several studies in sub-Saharan Africa have linked social support to better ART (antiretroviral therapy) adherence among adults living with HIV. Less is known about the role of social support and family cohesion in ART adherence among children below 18 years. This paper focuses on HIV-infected adolescents as they transition through the vulnerable developmental stage of adolescence to examine the association between family cohesion and social suppo…
Examining the nonkin support networks of orphaned adolescents participating in a family‐based economic‐strengthening intervention in Uganda
In this study, we examined the nonkin support networks of orphaned adolescents participating in a family‐based economic‐strengthening intervention in HIV‐impacted communities in Uganda. We analyzed data from a cluster randomized experimental study for orphaned adolescents aged 11–17 years. Participants were randomly assigned to either the control condition, which received bolstered standard of care (BSOC) services, or the treatment condition, whi…
Factors Associated With HIV Disclosure and HIV-Related Stigma Among Adolescents Living With HIV in Southwestern Uganda
HIV-related stigma has been documented as one of the greatest obstacles to reducing HIV spread, engagement in HIV treatment, and poor mental health functioning among people living with HIV (PLWH). Although disclosure is important for people to receive social support, the fear of stigma and discrimination prevents PLWH from disclosing their status. For children and adolescents growing up with HIV -with no opportunity for normal transition through …
Prevalence and correlates of depressive symptoms among high school adolescent girls in southern Uganda
This trial was prospectively registered with ClinicalTrials.gov (registration number: NCT03307226 ) on 11 October 2017
The role of family factors in antiretroviral therapy (ART) adherence self-efficacy among HIV-infected adolescents in southern Uganda
This trial was registered with ClinicalTrials.gov (registration number: NCT01790373) on 13 February 2013
Access and utilization of financial services among poor HIV-impacted children and families in Uganda
Child Mental Health in HIV-Impacted Low-Resource Settings in Developing Countries-Global Research Fellowship
Background: Uganda has one of the highest HIV/AIDS rates and poor mental health services. Children and adolescents in communities with persistent poverty, disease (including HIV/AIDS), and violence, are more likely to suffer from chronic mental health problems. Combined, these characteristics negatively impact communities' response to HIV and mental health beginning with children, adolescents, and young adults. Yet, there is limited research capa…
Training Leaders to Accelerate Global Mental Health Disparities Research (Lead) Program
Background: There is a critical need to address mental health needs across the globe, especially in low and middle-income countries where mental health disparities are pervasive, including among children. The global mental health disparities suggest an imperative for culturally and contextually-congruent mental health services models that expand upon the existing services and interventions for these groups. Rigorous research is a key tool in prov…
The impact of discomfort with HIV status and hopelessness on depressive symptoms among adolescents living with HIV in Uganda
Introduction: Discomfort with and reluctance to disclose HIV status can lead to depression, social isolation, and poor medication adherence; we examined relationships among these variables within a sample of adolescents living with HIV in Uganda. Methods: We used baseline data from the Suubi + Adherence study, which recruited a total of 702 adolescents (ages 10–16 years) living with HIV in southwestern Uganda. Structural equation models were cond…
Gender, HIV knowledge and prevention attitudes among adolescents living with HIV participating in an economic empowerment intervention in Uganda
HIV disproportionately affect adolescent girls and young women in sub-Saharan Africa. In Uganda, the HIV prevalence is four times higher in adolescent girls compared to boys. This study examined gender, HIV general and clinical knowledge, and prevention attitudes among adolescents living with HIV in Uganda. Data from a cluster randomized clinical trial were analyzed. A total of 702 adolescents (average age of 12.4) were randomized to either a con…
Working with economically vulnerable women engaged in sex work
ClinicalTrials.gov identifier: NCT03583541
Suubi+Adherence-Round 2
ClinicalTrials.gov , ID: NCT01790373
Relationship Between Mental Health and HIV Transmission Knowledge and Prevention Attitudes Among Adolescents Living with HIV
Medicine (56 obras) · Poverty, Education, and Child Welfare (44 obras) · Psychology (44 obras) · Psychiatry (35 obras) · Adolescent Sexual and Reproductive Health (32 obras) · HIV/AIDS Research and Interventions (30 obras) · Environmental health (28 obras) · Psychological intervention (26 obras) · Public health (24 obras) · Nursing (23 obras)