Nelly Mugo

Biographic Data

ID	5992515
NAME	Nelly Mugo
GIVEN NAMES	Nelly
FAMILY NAME	Mugo
SIGNATURE	MUGO N
AFFILIATIONS	University of Washington
ORCID	0000-0002-2347-006X
VERIFIED	Yes
TOTAL WORKS	37
TOTAL CITATIONS	2
AUTHOR COUNT	37
EDITOR COUNT	0
FIRST PUBLICATION YEAR	2012
LATEST PUBLICATION YEAR	2025
H-INDEX	1

Barriers and facilitators to implementing a single-visit, screen-and-treat approach with thermal ablation for cervical cancer prevention in Kenya
Open AccessHarriet Fridah Adhiambo, Emmah Owidi et al.ARTICLEPLOS Global Public Health2025
Cervical cancer continues to be a major global threat to women's health, with approximately 660,000 women diagnosed annually, 94% of whom are in low- and middle-income countries (LMICs). The high disease burden in LMICs is partly due to suboptimal adoption and widespread implementation of effective preventive interventions. This study explored drivers of implementation success and failure for a future single-visit, screen, and treat approach with…
Low HIV-risk aligned discontinuation among HIV pre-exposure prophylaxis users within public HIV clinics in Kenya
Open AccessNjeri Wairimu, Kenneth Ngure et al.ARTICLEPLOS Global Public Health2025
Adherence to oral HIV pre-exposure prophylaxis (PrEP) is crucial for its effectiveness, however, studies have shown that PrEP use wanes within the first six months. We sought to understand reasons for discontinuation among individuals previously accessing PrEP from HIV clinics. Between November 2020 – January 2023, we conducted a mixed methods sub-study within a programmatic study to improve the efficiency of PrEP delivery in four public HIV clin…
Acceptability and feasibility of a urine-based tenofovir adherence assay for monitoring and providing feedback on PrEP adherence in Kenya
Phelix Okello, Jennifer Velloza et al.ARTICLEAIDS Care2025
Objective measures of oral PrEP adherence - especially point-of-care (POC) measures that enable real-time assessment, intervention, and feedback - have the potential to improve adherence. Our team previously developed and validated a novel urine-based POC metric of PrEP adherence. In this study, we sought to determine whether this assay is acceptable and feasible among women taking PrEP and PrEP providers in Kenya. We conducted a trial comparing …
Expanding the reach of HIV pre-exposure prophylaxis (PrEP) among Kenyan adolescent girls and young women
Edinah Casmir, Njeri Wairimu et al.ARTICLEAIDS Care2025
Adolescent girls and young women (AGYW) seeking post-abortal care (PAC) remain at risk of unintended pregnancies and HIV due to infrequent condom use. Integrating HIV prevention services, such as PrEP, into PAC services offers an opportunity to enhance reach, uptake, and efficiency, particularly in high-burden settings like Kenya. However, data on acceptability, feasibility, and sustainability of PAC clinics as entry points for PrEP is limited. A…
Acceptability of secondary distribution of HIV self-testing kits in central Kenya
Catherine Kiptinness, Marianne W Mureithi et al.ARTICLEAIDS Care2025
The secondary distribution of HIV self-testing (HIVST) kits has the potential to improve access and uptake of HIV testing. This study assessed the acceptability of secondary distribution of HIVST by people living with HIV (PLHIV) to their sexual partners in Central Kenya and explored the broader perspectives on this strategy. Conducted between November 2019 and April 2023, the study was nested within an interventional study that implemented two a…
Exploring Adolescents’ Contraceptive Preferences and Trade‐Offs
Open AccessElizabeth K Harrington, Dismas Congo Ouma et al.ARTICLEStudies in Family Planning2025References: 67
A focus on contraceptive preferences is essential to the provision of person‐centered care. Adolescent girls and young women (AGYW) in the WHO African Region experience disparities in contraceptive access and use and reproductive health outcomes. Despite increasing recognition of AGYW needs as unique, their preferences are understudied, limiting strategies to improve contraceptive care access and quality among marginalized youth populations. We d…
The Effect of Stigma on Family Planning and HIV Pre-exposure Prophylaxis Decisions of Young Women Accessing Post-Abortion Care in Kenya
Open AccessYasaman Zia, Lydia Etyang et al.ARTICLEAIDS and Behavior2024
Adolescent girls and young women (AGYW) in Eastern and Southern Africa face parallel epidemics of unintended pregnancy and HIV. Their sexual health decisions are often dominated by intersecting stigmas. In an implementation science project integrating delivery of daily, oral pre-exposure prophylaxis (PrEP) for HIV prevention into 14 post-abortion care (PAC) clinics in Kenya, we enrolled a subset of PrEP initiating AGYW (aged 15 to 30 years) into …
Confirmatory Factor Analysis and Validation of the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults in Kenya
Open AccessYasaman Zia, Ushma D Upadhyay et al.ARTICLEStudies in Family Planning2024Cited by: 2References: 40
Understanding the levels of power that adolescent girls and young women exercise in their sexual and reproductive lives is imperative to inform interventions to help them meet their goals. We implemented an adapted version of the Sexual and Reproductive Health Empowerment (SRE) Scale for Adolescents and Young Adults among 500 adolescent girls and young women aged 15–20 in Kisumu, Kenya. We used confirmatory factor analysis (CFA) to assess factor …
Adaptation of the sexual and reproductive empowerment scale for adolescents and young adults in Kenya
Open AccessElizabeth K Harrington, Ouma Congo et al.ARTICLEPLOS Global Public Health2023
Measuring empowerment is critical to understanding the level of control adolescents and young adults (AYA) have over their sexual and reproductive health (SRH) behaviors, and could provide a key window into addressing their unique SRH needs. We adapted the Sexual and Reproductive Empowerment (SRE) scale for AYA for use in an East African context. This multi-method qualitative study sampled 15–23 year-old female adolescents and young adults in Kis…
Performance of Multiple Adherence Measures for pre-exposure Prophylaxis (PrEP) Among Young Women in Kenya
Open AccessNicholas Musinguzi, Kenneth Ngure et al.ARTICLEAIDS and Behavior2023
Using an on-site modular training approach to amplify prep service delivery in public health facilities in Kenya
Open AccessElizabeth Irungu, Moses Musau et al.ARTICLEPLOS Global Public Health2022
Delivery of oral PrEP, a potent HIV prevention intervention, has begun within public health systems in many countries in Africa. Training as many health providers as possible expeditiously is necessary to efficiently and rapidly scale up PrEP delivery among at risk populations and thereby realize the greatest impact of PrEP. We designed and implemented an innovative on-site modular training approach delivered in five two-hour modules. The modules…
Trajectories of Oral PrEP Adherence Among Young Kenyan Women
Open AccessNicholas Musinguzi, Maria Pyra et al.ARTICLEAIDS and Behavior2022
Yes, I’m reminded, but it doesn’t mean I’m taking them”
Open AccessVallery Ogello, Kenneth Ngure et al.ARTICLEAIDS and Behavior2022
Multi-level Factors Driving Pre-exposure Prophylaxis Non-initiation Among Young Women at High Risk for HIV in Kenya
Open AccessIngrid T Katz, Kenneth Ngure et al.ARTICLEAIDS and Behavior2022
A Framework for Cervical Cancer Elimination in Low-and-Middle-Income Countries
Open AccessMichelle Shin, Michelle B Shin et al.ARTICLEFrontiers in Public Health2021
The World Health Organization announced an ambitious call for cervical cancer elimination worldwide. With existing prevention and treatment modalities, cervical cancer elimination is now within reach for high-income countries. Despite limited financing and capacity constraints in low-and-middle-income countries (LMICs), prevention and control efforts can be supported through integrated services and new technologies. We conducted this scoping revi…
Protection at First Sexual Intercourse Among Adolescent Girls and Young Women in Kenya
Open AccessEdinah Casmir, Afkera Kesete Daniel et al.ARTICLEArchives of Sexual Behavior2021
“Now that PrEP is reducing the risk of transmission of HIV, why then do you still insist that we use condoms?” the condom quandary among PrEP users and health care providers in Kenya
Elizabeth Irungu, Kenneth Ngure et al.ARTICLEAIDS Care2021
Communication around condom use in the context of PrEP services presents a potential conundrum for patients and providers. Within the Partners Scale-Up Project, which supports integration of PrEP delivery in HIV care clinics, we interviewed 41 providers and 61 PrEP users and identified themes relating to condom messaging and use. Most providers counselled PrEP initiators to always use both PrEP and condoms, except when trying to conceive. However…
Perceived Social Influences on Women's Decisions to use Medications not Studied in Pregnancy. A Qualitative Ethical Analysis of Preexposure Prophylaxis Implementation Research in Kenya
Open AccessKenneth Ngure, Susan Brown Trinidad et al.ARTICLEJournal of Empirical Research on…2021References: 3
Implementation research ethics can be particularly challenging when pregnant women have been excluded from earlier clinical stages of research given greater uncertainty about safety and efficacy in pregnancy. The evaluation of human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) during pregnancy offered an opportunity to understand important ethical considerations and social influences shaping women's decisions to participate in the …
Sexually Transmitted Infections Among Kenyan Adolescent Girls and Young Women With Limited Sexual Experience
Open AccessTiffany Yuh, Murugi Micheni et al.ARTICLEFrontiers in Public Health2020
Objectives Globally, the highest rates of sexually transmitted infections (STIs) are among the 15-24 age group. Studying adolescent girls and young women (AGYW) pre-sexual debut could identify risk factors for STI acquisition. Methods We recruited a prospective cohort of low-risk AGYW aged 16-20 in Kenya. Participants were HIV and HSV-2 seronegative and reported no history of sexual intercourse or reported sex with one partner. Participants under…
Adherence to recommendations for ART and targeted PrEP use among HIV serodiscordant couples in East Africa
Open Accesson behalf of the Partners Demonstration Project Team, Nicholas Musinguzi et al.ARTICLEBMC Public Health2020
Half of participants completed the PrEP as a bridge to ART strategy and the majority stopped PrEP as recommended. These findings suggest that targeting PrEP to periods of risk is a promising approach; however, tailoring counseling around aligning PrEP use and HIV risk will be important for optimal strategy implementation
Sexual Behavior and Perceived HIV Risk Among HIV-Negative Members of Serodiscordant Couples in East Africa
Open Accessthe Partners Demonstration Project Team, Valentine Wanga et al.ARTICLEAIDS and Behavior2020
Training health care providers to provide PrEP for HIV serodiscordant couples attending public health facilities in Kenya
Open AccessElizabeth Irungu, Kenneth Ngure et al.ARTICLEGlobal Public Health2019
To catalyse national scale up of PrEP for HIV serodiscordant couples in public health facilities in Kenya, the Partners Scale-Up Project, using a two-day case-based interactive curriculum, trained health care providers working in 24 high volume facilities in central and western Kenya on PrEP service delivery. Using a standardised test with questions about PrEP and antiretroviral-based HIV prevention we assessed gain in knowledge and confidence ga…
Safer conception among HIV-1 serodiscordant couples in East Africa
Kerry Hancuch, Jared M Baeten et al.ARTICLEAIDS Care2018
For HIV-1 serodiscordant couples, HIV-1 exposure and risk of transmission is heightened during pregnancy attempts, but safer conception strategies can reduce risk. As safer conception programs are scaled up, understanding couples' preferences and experiences can be useful for programmatic recommendations. We followed 1013 high-risk, heterosexual HIV-1 serodiscordant couples from Kenya and Uganda for two years in an open-label delivery study of in…
Short Message Service (SMS) Surveys Assessing Pre-exposure Prophylaxis (PrEP) Adherence and Sexual Behavior are Highly Acceptable Among HIV-Uninfected Members of Serodiscordant Couples in East Africa
Open Accessthe Partners Mobile Adherence to PrEP Team, Timothy R Muwonge et al.ARTICLEAIDS and Behavior2018
Patterns of Oral PrEP Adherence and HIV Risk Among Eastern African Women in HIV Serodiscordant Partnerships
Open Accessfor the Partners Demonstration Project Team, Maria Pyra et al.ARTICLEAIDS and Behavior2018