Emmy Kageha Igonya
Datos Biográficos
| ID | 226020 |
|---|---|
| NOMBRE | Emmy Kageha Igonya |
| NOMBRES | Emmy Kageha |
| APELLIDO | Igonya |
| FIRMA | IGONYA E K |
| AFILIACIONES | African Population and Health Research Center |
| ORCID | 0000-0001-7155-3786 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 23 |
| TOTAL DE CITAS | 16 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Phenomenological analysis of lived experiences within the LGBTQ+ community in Rwanda
Despite the existence of laws protecting human rights in Rwanda, lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people continue to face discrimination with its roots in cultural, religious, and moral beliefs. This study explored the lived experiences of LGBTQ+ individuals using a phenomenological design. Data were collected through in-depth interviews, focus group discussions, and digital storytelling with 57 participants from six distri…
Women's empowerment and mental well-being
Perinatal mental health is a significant concern globally, especially in low- and middle-income countries. Women's mental well-being is essential for managing daily stresses and positively contributing to their communities. Empowering women can enhance their health and that of their families. This paper explores how women's empowerment(WE) in rural Kenyan communities affects their maternal mental well-being and discusses the challenges and lesson…
“Your behavior is not welcome here…”
There can be little doubt that sexual and gender minorities face stigma and discrimination across levels of the socioecological model, and that in most cases, there has been multiplied grievances and anti- LGBTQ+ activities instigating serial forced migration. Forced serial displacement of sexual and gender minorities in Kenya requires research attention, and it might be better served if examined through the lens of "forced migration," given the …
Hustling and suffering
Participating in and working for HIV interventions is both a source of both pride and suffering for many men who have sex with men (MSM) who engage in low-paying sex work in Kenya. Drawing on ongoing intermittent ethnographic research conducted among MSM sex workers since 2010, we analyse the relationship between hope and resilience on one hand, and narratives of suffering and hustling on the other. We show how HIV technologies that provide space…
Association between family and social support and alcohol consumption among LGBTQ + people in Kenya and Rwanda
This study reveals the importance of family-accepting behaviors to mitigate against the effects of stressors that LGBTQ + individuals potentially face
Heterosexual ‘situationships’ and HIV exposure for sexual and gender minority persons assigned female at birth in the Western Kenyan context
Sexual and gender minority persons assigned female at birth (hereafter referred to as lesbian, bisexual, queer, transgender, intersex, gender non-conforming, non-binary and other sexual and gender minority persons, or LBQT+ persons) experience extreme vulnerabilities to negative sexual health outcomes due to intersectional stigma in the Western Kenyan context. To navigate the structural violence created by this intersectional stigma, many LBQT+ p…
Sexual and gender minority stigma and motivating beliefs among the general public in Rwanda
Most Rwandans sampled have non-discriminatory attitudes, however the acceptance of LGBTQ+ persons and beliefs that being LGBTQ+ is innate remains low. As non-discriminatory beliefs improve so does acceptance of LGBTQ+ and the belief that it is an innate identity. The findings suggest that educational and sensitivity efforts might be worth exploring as they could potentially improve attitudes toward perceptions and acceptance toward LGBTQ+ individ…
Othering and Marginalizing the “Queer” in Rwanda
Introduction The multidimensionality of stigma that LGBT people experience globally necessitates research to explore the processes at work. The study aimed to quantify the level of othering and explore the process of LGBT othering in Rwanda. Methods We conducted a sequential cross-sectional mixed-methods study of LGBT lived experiences in Rwanda. We recruited 499 participants to complete the LGBT-specific survey and 1254 for the non-LGBT survey. …
Complementarity of formal and informal actors and their networks in support of vulnerable populations in informal settlements
Introduction: Beyond several interests and speculations on the relationship between formal and informal actors and their networks in support of vulnerable populations, most studies do not conclusively establish whether the two types of support are substitutes or complements. While informal care and formal care may be substitutes in general, they are complements among the vulnerable groups. Despite how some studies have described complementarity, …
After-Crisis
In the early 2000s, massive economic and technical resources accompanied the framing of HIV as a humanitarian and global health crisis in much of the Global South. These resources and framing combined to produce and enhance a wide range of HIV-related structures, skills, and knowledge with afterlives that have exceeded the crisis period in Kenya and elsewhere. Drawing on ethnographic fieldwork among HIV support groups in Nairobi, Kenya, conducted…
After-Crisis
In the early 2000s, massive economic and technical resources accompanied the framing of HIV as a humanitarian and global health crisis in much of the Global South. These resources and framing combined to produce and enhance a wide range of HIV-related structures, skills, and knowledge with afterlives that have exceeded the crisis period in Kenya and elsewhere. Drawing on ethnographic fieldwork among HIV support groups in Nairobi, Kenya, conducted…
Covid- 19 and human right to food
The government's COVID-19 restrictive measures exacerbated the already existing vulnerability of the urban poor to food insecurity and violated their human right to food. Future response measures should be executed in ways that respect the human right to food and protect marginalized people from resultant vulnerabilities
Using Economic Diaries in an Ethnographic Study
This article has two objectives: first, to contribute to the academic understanding of the relationship of money with sex work by going beyond purely instrumentalist conceptualizations; and second, to inform interventions aiming to empower sex workers’ economically. Qualitative research was conducted to better understand the financial lives of sex workers in Mombasa, Kenya. The article draws largely on a participatory method using 12 economic dia…
Co-created research agenda to support advocacy toward social inclusion for sexual and gender minorities in sub-Saharan Africa
Advocacy actors play a unique role in promoting changes in policy, legal, and social environments for sexual and gender minorities in sub-Saharan Africa (SSA). However, their efforts may be hampered by limited incorporation of evidence because there is a massive gulf between what researchers focus on and what evidence users need. Together with fifty key stakeholders across SSA, we—a team of researchers and policy engagement specialists—co-created…
Cocreated regional research agenda for evidence-informed policy and advocacy to improve adolescent sexual and reproductive health and rights in sub-Saharan Africa
box The sub-Saharan Africa (SSA) region has one of the poorest adolescent sexual and reproductive health (SRH) indicators, and a multiplicity of structural and sociocultural factors contribute to these poor adolescent SRH outcomes.1–3 Prevailing sociocultural and religious beliefs characterise adolescent sexuality as a taboo.4 5 As a result, interventions or policies aiming to improve adolescent SRH outcomes face significant opposition.6
Qualitative Analysis of Community Support to Methadone Access in Kenya
BACKGROUND: Methadone, as part of Medically Assisted Therapy (MAT) for treatment of opioid dependence and supporting HIV prevention and treatment, has been recently introduced in Kenya. Few low income settings have implemented methadone, so there is little evidence to guide ongoing scale-up across the region. We specifically consider the role of community level access barriers and support. OBJECTIVES: To inform ongoing MAT implementation we imple…
‘Sometimes I feel like the other life on heroin was better’
In 2014 methadone as part of Medically Assisted Therapy (MAT) was introduced in Kenyan public health facilities as part of a comprehensive approach to HIV prevention and treatment. This paper explores the transition experiences for people moving from the use of heroin to MAT. The paper reports on a qualitative study conducted in an urban setting in Kenya in 2015. Findings show that transitioning from the use of heroin to methadone can both be a l…
Women’s Autonomy in Infant Feeding Decision-Making
Integrated and differentiated methadone and HIV care for people who use drugs
Integrating methadone and HIV care is a priority in many low- and middle-income settings experiencing a growing challenge of HIV epidemics linked to injecting drug use. There is as yet little understanding of how to integrate methadone and HIV care in these settings and how such services can be implemented; such a gap reflects, in part, limitations in theorizing an implementation science of integrated care. In response, we qualitatively explored …
Queering the evidence
Until recently, HIV in Africa was presumed to be driven by poverty, gender inequality and poor governance. The last decade has seen a shift in global and national public health discourses, especially in eastern Africa where new statistical evidence is used to justify prevention efforts to target Key Populations, i.e. men who have sex with men (MSM), injecting drug users, and sex workers. In this article, we focus on Kenya to examine state, NGO an…
When families fail
The availability of free antiretroviral treatment in public health facilities since 2004 has contributed to the increasing biomedicalization of AIDS care in Kenya. This has been accompanied by a reduction of funding for community-based care and support organizations since the 2008 global economic crisis and a consequent donor divestment from HIV projects in Africa. This paper explores the ways that HIV interventions, including support groups, hom…
Putting sex on the table
Psychosocial support groups offer an important space for people living with HIV to pursue greater wellbeing as they learn how to accept and live with their HIV status. They are critical for the cultivation of responsible and adherent patients. Occasionally, support groups provide spaces where members are encouraged to discuss sexual struggles related to being HIV-positive, including sexual performance issues, sexual relationships, fertility desir…
The duty to disclose in Kenyan health facilities
Disclosure of HIV status is routinely promoted as a public health measure to prevent transmission and enhance treatment adherence support. While studies show a range of positive and negative outcomes associated with disclosure, it has also been documented that disclosing is a challenging and ongoing process. This article aims to describe the role of health-care workers in Central and Nairobi provinces in Kenya in facilitating disclosure in the co…
When families fail
The availability of free antiretroviral treatment in public health facilities since 2004 has contributed to the increasing biomedicalization of AIDS care in Kenya. This has been accompanied by a reduction of funding for community-based care and support organizations since the 2008 global economic crisis and a consequent donor divestment from HIV projects in Africa. This paper explores the ways that HIV interventions, including support groups, hom…
Othering and Marginalizing the “Queer” in Rwanda
Introduction The multidimensionality of stigma that LGBT people experience globally necessitates research to explore the processes at work. The study aimed to quantify the level of othering and explore the process of LGBT othering in Rwanda. Methods We conducted a sequential cross-sectional mixed-methods study of LGBT lived experiences in Rwanda. We recruited 499 participants to complete the LGBT-specific survey and 1254 for the non-LGBT survey. …
The duty to disclose in Kenyan health facilities
Disclosure of HIV status is routinely promoted as a public health measure to prevent transmission and enhance treatment adherence support. While studies show a range of positive and negative outcomes associated with disclosure, it has also been documented that disclosing is a challenging and ongoing process. This article aims to describe the role of health-care workers in Central and Nairobi provinces in Kenya in facilitating disclosure in the co…
Putting sex on the table
Psychosocial support groups offer an important space for people living with HIV to pursue greater wellbeing as they learn how to accept and live with their HIV status. They are critical for the cultivation of responsible and adherent patients. Occasionally, support groups provide spaces where members are encouraged to discuss sexual struggles related to being HIV-positive, including sexual performance issues, sexual relationships, fertility desir…
The duty to disclose in Kenyan health facilities
Disclosure of HIV status is routinely promoted as a public health measure to prevent transmission and enhance treatment adherence support. While studies show a range of positive and negative outcomes associated with disclosure, it has also been documented that disclosing is a challenging and ongoing process. This article aims to describe the role of health-care workers in Central and Nairobi provinces in Kenya in facilitating disclosure in the co…
When families fail
The availability of free antiretroviral treatment in public health facilities since 2004 has contributed to the increasing biomedicalization of AIDS care in Kenya. This has been accompanied by a reduction of funding for community-based care and support organizations since the 2008 global economic crisis and a consequent donor divestment from HIV projects in Africa. This paper explores the ways that HIV interventions, including support groups, hom…
Queering the evidence
Until recently, HIV in Africa was presumed to be driven by poverty, gender inequality and poor governance. The last decade has seen a shift in global and national public health discourses, especially in eastern Africa where new statistical evidence is used to justify prevention efforts to target Key Populations, i.e. men who have sex with men (MSM), injecting drug users, and sex workers. In this article, we focus on Kenya to examine state, NGO an…
Integrated and differentiated methadone and HIV care for people who use drugs
Integrating methadone and HIV care is a priority in many low- and middle-income settings experiencing a growing challenge of HIV epidemics linked to injecting drug use. There is as yet little understanding of how to integrate methadone and HIV care in these settings and how such services can be implemented; such a gap reflects, in part, limitations in theorizing an implementation science of integrated care. In response, we qualitatively explored …
Cocreated regional research agenda for evidence-informed policy and advocacy to improve adolescent sexual and reproductive health and rights in sub-Saharan Africa
box The sub-Saharan Africa (SSA) region has one of the poorest adolescent sexual and reproductive health (SRH) indicators, and a multiplicity of structural and sociocultural factors contribute to these poor adolescent SRH outcomes.1–3 Prevailing sociocultural and religious beliefs characterise adolescent sexuality as a taboo.4 5 As a result, interventions or policies aiming to improve adolescent SRH outcomes face significant opposition.6
Qualitative Analysis of Community Support to Methadone Access in Kenya
BACKGROUND: Methadone, as part of Medically Assisted Therapy (MAT) for treatment of opioid dependence and supporting HIV prevention and treatment, has been recently introduced in Kenya. Few low income settings have implemented methadone, so there is little evidence to guide ongoing scale-up across the region. We specifically consider the role of community level access barriers and support. OBJECTIVES: To inform ongoing MAT implementation we imple…
‘Sometimes I feel like the other life on heroin was better’
In 2014 methadone as part of Medically Assisted Therapy (MAT) was introduced in Kenyan public health facilities as part of a comprehensive approach to HIV prevention and treatment. This paper explores the transition experiences for people moving from the use of heroin to MAT. The paper reports on a qualitative study conducted in an urban setting in Kenya in 2015. Findings show that transitioning from the use of heroin to methadone can both be a l…
Women’s Autonomy in Infant Feeding Decision-Making
After-Crisis
In the early 2000s, massive economic and technical resources accompanied the framing of HIV as a humanitarian and global health crisis in much of the Global South. These resources and framing combined to produce and enhance a wide range of HIV-related structures, skills, and knowledge with afterlives that have exceeded the crisis period in Kenya and elsewhere. Drawing on ethnographic fieldwork among HIV support groups in Nairobi, Kenya, conducted…
After-Crisis
In the early 2000s, massive economic and technical resources accompanied the framing of HIV as a humanitarian and global health crisis in much of the Global South. These resources and framing combined to produce and enhance a wide range of HIV-related structures, skills, and knowledge with afterlives that have exceeded the crisis period in Kenya and elsewhere. Drawing on ethnographic fieldwork among HIV support groups in Nairobi, Kenya, conducted…
Covid- 19 and human right to food
The government's COVID-19 restrictive measures exacerbated the already existing vulnerability of the urban poor to food insecurity and violated their human right to food. Future response measures should be executed in ways that respect the human right to food and protect marginalized people from resultant vulnerabilities
Using Economic Diaries in an Ethnographic Study
This article has two objectives: first, to contribute to the academic understanding of the relationship of money with sex work by going beyond purely instrumentalist conceptualizations; and second, to inform interventions aiming to empower sex workers’ economically. Qualitative research was conducted to better understand the financial lives of sex workers in Mombasa, Kenya. The article draws largely on a participatory method using 12 economic dia…
Co-created research agenda to support advocacy toward social inclusion for sexual and gender minorities in sub-Saharan Africa
Advocacy actors play a unique role in promoting changes in policy, legal, and social environments for sexual and gender minorities in sub-Saharan Africa (SSA). However, their efforts may be hampered by limited incorporation of evidence because there is a massive gulf between what researchers focus on and what evidence users need. Together with fifty key stakeholders across SSA, we—a team of researchers and policy engagement specialists—co-created…
Complementarity of formal and informal actors and their networks in support of vulnerable populations in informal settlements
Introduction: Beyond several interests and speculations on the relationship between formal and informal actors and their networks in support of vulnerable populations, most studies do not conclusively establish whether the two types of support are substitutes or complements. While informal care and formal care may be substitutes in general, they are complements among the vulnerable groups. Despite how some studies have described complementarity, …
Othering and Marginalizing the “Queer” in Rwanda
Introduction The multidimensionality of stigma that LGBT people experience globally necessitates research to explore the processes at work. The study aimed to quantify the level of othering and explore the process of LGBT othering in Rwanda. Methods We conducted a sequential cross-sectional mixed-methods study of LGBT lived experiences in Rwanda. We recruited 499 participants to complete the LGBT-specific survey and 1254 for the non-LGBT survey. …
Women's empowerment and mental well-being
Perinatal mental health is a significant concern globally, especially in low- and middle-income countries. Women's mental well-being is essential for managing daily stresses and positively contributing to their communities. Empowering women can enhance their health and that of their families. This paper explores how women's empowerment(WE) in rural Kenyan communities affects their maternal mental well-being and discusses the challenges and lesson…
“Your behavior is not welcome here…”
There can be little doubt that sexual and gender minorities face stigma and discrimination across levels of the socioecological model, and that in most cases, there has been multiplied grievances and anti- LGBTQ+ activities instigating serial forced migration. Forced serial displacement of sexual and gender minorities in Kenya requires research attention, and it might be better served if examined through the lens of "forced migration," given the …
Hustling and suffering
Participating in and working for HIV interventions is both a source of both pride and suffering for many men who have sex with men (MSM) who engage in low-paying sex work in Kenya. Drawing on ongoing intermittent ethnographic research conducted among MSM sex workers since 2010, we analyse the relationship between hope and resilience on one hand, and narratives of suffering and hustling on the other. We show how HIV technologies that provide space…
Association between family and social support and alcohol consumption among LGBTQ + people in Kenya and Rwanda
This study reveals the importance of family-accepting behaviors to mitigate against the effects of stressors that LGBTQ + individuals potentially face
Heterosexual ‘situationships’ and HIV exposure for sexual and gender minority persons assigned female at birth in the Western Kenyan context
Sexual and gender minority persons assigned female at birth (hereafter referred to as lesbian, bisexual, queer, transgender, intersex, gender non-conforming, non-binary and other sexual and gender minority persons, or LBQT+ persons) experience extreme vulnerabilities to negative sexual health outcomes due to intersectional stigma in the Western Kenyan context. To navigate the structural violence created by this intersectional stigma, many LBQT+ p…
Sexual and gender minority stigma and motivating beliefs among the general public in Rwanda
Most Rwandans sampled have non-discriminatory attitudes, however the acceptance of LGBTQ+ persons and beliefs that being LGBTQ+ is innate remains low. As non-discriminatory beliefs improve so does acceptance of LGBTQ+ and the belief that it is an innate identity. The findings suggest that educational and sensitivity efforts might be worth exploring as they could potentially improve attitudes toward perceptions and acceptance toward LGBTQ+ individ…
Phenomenological analysis of lived experiences within the LGBTQ+ community in Rwanda
Despite the existence of laws protecting human rights in Rwanda, lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people continue to face discrimination with its roots in cultural, religious, and moral beliefs. This study explored the lived experiences of LGBTQ+ individuals using a phenomenological design. Data were collected through in-depth interviews, focus group discussions, and digital storytelling with 57 participants from six distri…
Sociology (16 obras) · Medicine (15 obras) · HIV/AIDS Research and Interventions (14 obras) · Political science (12 obras) · African Sexualities and LGBTQ+ Issues (10 obras) · Psychology (10 obras) · Economic growth (9 obras) · Qualitative research (9 obras) · Family medicine (8 obras) · Gender Studies (8 obras)