Peter Kyambadde
Biographic Data
| ID | 4218394 |
|---|---|
| NAME | Peter Kyambadde |
| GIVEN NAMES | Peter |
| FAMILY NAME | Kyambadde |
| SIGNATURE | KYAMBADDE P |
| AFFILIATIONS | Mulago Hospital |
| ORCID | 0000-0002-9606-218X |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 3 |
| WORKS AS AUTHOR | 28 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2019 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Psychosocial stressors related to extreme weather events and multiple resource insecurities
Extreme weather events (EWE) contribute to heightened psychosocial stressors through complex pathways, including by worsening resource insecurities. Refugee settlements globally are disproportionately exposed to EWE compared with host national populations, yet refugees' experiences of resource insecurity-related psychosocial stressors in low-income humanitarian settings are understudied. Our study focused on understanding the lived experiences of…
Multilevel Determinants of HIV Prevention Among Urban Refugee Youth in Uganda
While urban refugee youth face HIV vulnerabilities spanning socio-ecological levels, knowledge gaps persist in HIV prevention outcomes. We conducted a baseline analysis of a cohort enrolled in Tushirikiane-4-Uthabiti, an intervention focused on HIV testing practices among urban refugee youth aged 16-24 in Kampala, Uganda (N = 330). Using regression models, we examined the societal, community, and interpersonal factors associated with condom use s…
EHealth literacy and digital health interventions
During and after displacement, many displaced youth face increased vulnerability to poor mental health and can encounter inaccurate or confusing health information. Digital tools create new opportunities to reach more of these youth with mental health interventions. Yet maximizing these tools' effectiveness among displaced youth requires understanding their eHealth literacy (eHEALS; i.e., the ability to find, understand, and appraise health infor…
Experiences of drought, heavy rains, and flooding and linkages with refugee youth sexual and reproductive health in a humanitarian setting in Uganda
Climate-related extreme weather events (EWE) exacerbate resource insecurities that, in turn, shape sexual and reproductive health (SRH). Refugee settlements face increased EWE exposure yet are understudied in EWE research. We explored experiences of climate change and SRH among refugee youth aged 16-24 in Bidi Bidi Refugee Settlement, Uganda. This qualitative study involved walk-along individual youth interviews and key informant (KI) service pro…
Associations Between Forced Sexual Initiation, Post-exposure Prophylaxis Cascades and Subsequent Violence Experiences Among Displaced Young Women in Ugandan Informal Urban Settlements
Along their displacement trajectory, displaced adolescent girls and young women (AGYW) face elevated HIV risk early in their sexual life course, often due to forced sexual initiation (FSI), marking the beginning of cycles of violence. However, knowledge gaps exist regarding FSI prevalence rates and the association between FSI, violence experiences, and post-exposure prophylaxis (PEP) cascades (awareness, access and uptake) among displaced AGYW in…
Evaluating a mobile health intervention to increase Covid-19 prevention
Background: Displaced populations in resource-constrained settings require tailored COVID-19 prevention strategies, and mobile health (mHealth) emerges as a cost-effective approach. This study aimed to evaluate engagement and learning outcomes of the Kukaa Salama – Staying Safe – mHealth intervention for enhancing COVID-19 prevention practices among urban refugee youth. Method: This mixed-methods analysis used cross-sectional data from refugee yo…
Findings from the Tushirikiane-4-MH (supporting each other for mental health) mobile health–supported virtual reality randomized controlled trial among urban refugee youth in Kampala, Uganda
Virtual reality (VR) for mental health promotion remains understudied in low-income humanitarian settings. We examined the effectiveness of VR in reducing depression with urban refugee youth in Kampala, Uganda. This randomized controlled trial assessed VR alone (Arm 1), VR followed by Group Problem Management Plus (GPM+) (Arm 2) and a control group (Arm 3), with a peer-driven and convenience sample of refugee youth aged 16–25 in Kampala. The prim…
Refugee Youth Parenthood in Uganda
There are knowledge gaps regarding the wellbeing of adolescent parents in humanitarian settings, particularly in relation to HIV vulnerabilities. We estimated associations between parenthood and sexual and mental health outcomes using baseline study data among refugee youth aged 16 to 24 in Bidi Bidi Refugee Settlement, Uganda. We conducted unadjusted and adjusted logistic and linear regression analyses to examine associations between parenthood …
Applying the Index of Vulnerability approach to understand water insecurity and other social-ecological factors associated with depression among urban refugee youth in Kampala, Uganda
Water insecurity and other social-ecological factors may be associated with depression in low and middle-income contexts (LMICs). This is understudied among urban refugee youth in LMICs, who experience multiple forms of marginalization. We conducted a cross-sectional survey with a peer-driven sample of urban refugee youth aged 16–24 in Kampala, Uganda. We explored: the prevalence of depression (moderate, moderately severe); associations between s…
Exploring a syndemic of poverty, cumulative violence, and HIV vulnerability among refugee youth
Synergistic associations between social inequities and HIV vulnerabilities – known as a syndemic – are understudied with youth in humanitarian settings. We explored refugee youths’ HIV prevention needs in Bidi Bidi Refugee Settlement, Uganda. This multi-methods study involved 6 focus groups and 12 in-depth individual interviews (IDI) with refugee youth (n = 60) aged 16–24, and IDI with refugee elders (n = 8) and healthcare providers (n = 8). We t…
Sociodemographic factors associated with trajectories of depression among urban refugee youth in Kampala, Uganda
The chronicity of depression highlights the critical need for early depression screening with urban refugee youth in Kampala. Addressing multilevel depression drivers prompts age and gender-tailored strategies and considering social determinants of health
Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda
HIV incidence remains alarmingly high among female sex workers (FSWs) in Uganda, necessitating targeted interventions. This study aimed to identify individual and provider-level barriers and facilitators to primary HIV prevention among FSWs in an urban setting. Focus groups involving FSWs and healthcare providers (HCPs) were conducted to inform the development of tailored prevention interventions. Results revealed that all participants had mobile…
Contextualizing HIV testing experiences within the HIV prevention cascade
Complex, multi-level factors shape motivation for, access to, and effective use of HIV testing among refugee youth in Bidi Bidi. Findings align with the HIV prevention cascade framework that helps to identify gaps to inform intervention development with youth in humanitarian settings. HIV testing approaches tailored for refugee youth in contexts such as Bidi Bidi can foster HIV prevention and treatment literacy, gender equity, gender-based violen…
Exploring ecosocial contexts of alcohol use and misuse during the Covid-19 pandemic among urban refugee youth in Kampala, Uganda
Urban refugees may be disproportionately affected by socio-environmental stressors that shape alcohol use, and this may have been exacerbated by additional stressors in the COVID-19 pandemic. This multi-method study aimed to understand experiences of, and contextual factors associated with, alcohol use during the pandemic among urban refugee youth in Kampala, Uganda. We conducted a cross-sectional survey ( n = 335), in-depth individual interviews…
Sexual violence stigma experiences among refugee adolescents and youth in Bidi Bidi refugee settlement, Uganda
There are over 100 million forcibly displaced persons who experience elevated risks for sexual violence. Sexual violence stigma can have immediate and long-lasting effects on social and health outcomes among survivors. There is a dearth of information on the experiences of sexual violence stigma among refugee adolescents and youth, particularly in low and middle-income contexts where most forcibly displaced persons are hosted. Our study focuses o…
A syndemic of inequitable gender norms and intersecting stigmas on condom self-efficacy and practices among displaced youth living in urban slums in Uganda
Displaced youth living in urban slums exhibited low consistent condom use. Intersecting stigmas were associated with lower condom self-efficacy-a protective factor linked with increased consistent condom use. Findings highlight the importance of gender transformative and intersectional stigma reduction approaches to increase sexual agency and safer sex practices among Kampala's slum-dwelling displaced youth
Multi-method findings on Covid-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda
Scant studies have explored COVID-19 vaccine acceptability among refugees. However, contexts of forced migration may elevate COVID-19 vulnerabilities, and suboptimal refugee immunisation rates are reported for other vaccine-preventable diseases. We conducted a multi-methods study to describe COVID-19 vaccine acceptability among urban refugee youth in Kampala, Uganda. This study uses cross-sectional survey data from a cohort study with refugees ag…
HIV Vulnerabilities Associated with Water Insecurity, Food Insecurity, and Other Covid-19 Impacts Among Urban Refugee Youth in Kampala, Uganda
Qualitative Comic Book Mapping
Sexual and gender-based violence (SGBV) is a persistent concern in humanitarian contexts, yet there is a dearth of SGBV prevention and post-rape clinical care interventions tailored for refugee youth. Graphic medicine, the use of images and text such as in comic books, has been employed to depict lived experiences to promote health, wellbeing, and education. Comic books provide a low-cost, youth-friendly approach to health promotion that is acces…
Health Care Worker Perspectives of HIV Pre-exposure Prophylaxis Service Delivery in Central Uganda
Background: Scale-up of HIV pre-exposure prophylaxis (PrEP) services in Uganda is ongoing. However, health care workers (HCWs) may not be aware of PrEP nor what offering this service entails. We explored the impact of standardized HCW training on the knowledge and perspectives of PrEP service delivery in Uganda. Methods: We recruited HCWs from facilities that offered HIV-related services in Central Uganda. Using the Uganda Ministry of Health curr…
Examining the substance use, violence, and HIV and Aids (Sava) syndemic among urban refugee youth in Kampala, Uganda
BACKGROUND: Interactions between substance use, violence, HIV and AIDS, known as the 'SAVA' syndemic, are understudied among refugee youth. We assessed the synergistic effects of frequent alcohol use, depression and violence on HIV vulnerability among urban refugee youth aged 16-24 years in Kampala, Uganda. METHODS: We conducted a cross-sectional survey between January and April 2018 with a convenience sample of refugee youth aged 16-24 years liv…
Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian settin…
There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting information. We evaluated a participatory comic intervention to increase post-exposure prophylaxis (PEP) knowledge and acceptance, and prevent sexual and gend…
Relational Factors and HIV Testing Practices
Despite the global phenomenon of refugee urbanization, little is known of relational contexts that shape HIV testing among urban refugee youth. We explored perspectives, experiences, and preferences for social support in HIV testing among refugee youth aged 16-24 in Kampala, Uganda. We conducted five focus groups with refugee youth (n = 44) and five in-depth key informant interviews. Participant narratives signaled relational contexts shaping HIV…
Ngutulu Kagwero (agents of change)
With over 1.4 million refugees, Uganda is Sub-Saharan Africa's largest refugee-hosting nation. Bidi Bidi, Uganda's largest refugee settlement, hosts over 230,000 residents. There is a dearth of evidence-based sexual violence prevention and post-rape clinical care interventions in low- and middle-income humanitarian contexts tailored for refugee youth. Graphic medicine refers to juxtaposing images and narratives, often through using comics, to con…
Gender, transactional sex, and HIV prevention cascade engagement among urban refugee and displaced adolescents and youth in Kampala, Uganda
88) aged 16-24 living in Kampala's informal settlements. We conducted gender-disaggregated multivariable linear and logistic regressions to examine associations between past 12-month transactional sex and: lifetime HIV testing, condom self-efficacy, and recent [past 3-month] consistent condom use. Among the 27% of young women reporting transactional sex, 63% reported HIV testing. In multivariable analyses with young women, transactional sex was a…
Qualitative Comic Book Mapping
Sexual and gender-based violence (SGBV) is a persistent concern in humanitarian contexts, yet there is a dearth of SGBV prevention and post-rape clinical care interventions tailored for refugee youth. Graphic medicine, the use of images and text such as in comic books, has been employed to depict lived experiences to promote health, wellbeing, and education. Comic books provide a low-cost, youth-friendly approach to health promotion that is acces…
Social ecological factors associated with experiencing violence among urban refugee and displaced adolescent girls and young women in informal settlements in Kampala, Uganda
Findings suggest that YAV and IPV polyvictimization require urgent attention among forcibly displaced AGYW in Kampala. Multi-level strategies are required to address intrapersonal e.g. (depression), interpersonal (e.g. childhood abuse, sexual relationship power) and community (e.g. adolescent SRH stigma, food insecurity) factors associated with experiencing violence. Future research can tailor approaches to advance health, agency and human rights…
Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda
Findings reveal widespread depression among urban refugee and displaced youth in Kampala, disproportionately impacting young women. Contextual factors, including food insecurity and violence, increase depression risks. Strategies that reduce gender-based violence and food insecurity, and increase social support networks, have the potential to promote mental health among urban refugee and displaced youth
Ngutulu Kagwero (agents of change)
With over 1.4 million refugees, Uganda is Sub-Saharan Africa's largest refugee-hosting nation. Bidi Bidi, Uganda's largest refugee settlement, hosts over 230,000 residents. There is a dearth of evidence-based sexual violence prevention and post-rape clinical care interventions in low- and middle-income humanitarian contexts tailored for refugee youth. Graphic medicine refers to juxtaposing images and narratives, often through using comics, to con…
Gender, transactional sex, and HIV prevention cascade engagement among urban refugee and displaced adolescents and youth in Kampala, Uganda
88) aged 16-24 living in Kampala's informal settlements. We conducted gender-disaggregated multivariable linear and logistic regressions to examine associations between past 12-month transactional sex and: lifetime HIV testing, condom self-efficacy, and recent [past 3-month] consistent condom use. Among the 27% of young women reporting transactional sex, 63% reported HIV testing. In multivariable analyses with young women, transactional sex was a…
Exploring resource scarcity and contextual influences on wellbeing among young refugees in Bidi Bidi refugee settlement, Uganda
Resource scarcity produced pervasive stressors among refugee adolescents and youth. Findings signal the importance of gender transformative approaches to SGBV prevention that integrate attention to resource scarcity. These may be particularly relevant in the COVID-19 pandemic. Findings signal the importance of developing health enabling social contexts with and for refugee adolescents and youth
Health Care Worker Perspectives of HIV Pre-exposure Prophylaxis Service Delivery in Central Uganda
Background: Scale-up of HIV pre-exposure prophylaxis (PrEP) services in Uganda is ongoing. However, health care workers (HCWs) may not be aware of PrEP nor what offering this service entails. We explored the impact of standardized HCW training on the knowledge and perspectives of PrEP service delivery in Uganda. Methods: We recruited HCWs from facilities that offered HIV-related services in Central Uganda. Using the Uganda Ministry of Health curr…
Examining the substance use, violence, and HIV and Aids (Sava) syndemic among urban refugee youth in Kampala, Uganda
BACKGROUND: Interactions between substance use, violence, HIV and AIDS, known as the 'SAVA' syndemic, are understudied among refugee youth. We assessed the synergistic effects of frequent alcohol use, depression and violence on HIV vulnerability among urban refugee youth aged 16-24 years in Kampala, Uganda. METHODS: We conducted a cross-sectional survey between January and April 2018 with a convenience sample of refugee youth aged 16-24 years liv…
Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian settin…
There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting information. We evaluated a participatory comic intervention to increase post-exposure prophylaxis (PEP) knowledge and acceptance, and prevent sexual and gend…
Relational Factors and HIV Testing Practices
Despite the global phenomenon of refugee urbanization, little is known of relational contexts that shape HIV testing among urban refugee youth. We explored perspectives, experiences, and preferences for social support in HIV testing among refugee youth aged 16-24 in Kampala, Uganda. We conducted five focus groups with refugee youth (n = 44) and five in-depth key informant interviews. Participant narratives signaled relational contexts shaping HIV…
Sexual violence stigma experiences among refugee adolescents and youth in Bidi Bidi refugee settlement, Uganda
There are over 100 million forcibly displaced persons who experience elevated risks for sexual violence. Sexual violence stigma can have immediate and long-lasting effects on social and health outcomes among survivors. There is a dearth of information on the experiences of sexual violence stigma among refugee adolescents and youth, particularly in low and middle-income contexts where most forcibly displaced persons are hosted. Our study focuses o…
A syndemic of inequitable gender norms and intersecting stigmas on condom self-efficacy and practices among displaced youth living in urban slums in Uganda
Displaced youth living in urban slums exhibited low consistent condom use. Intersecting stigmas were associated with lower condom self-efficacy-a protective factor linked with increased consistent condom use. Findings highlight the importance of gender transformative and intersectional stigma reduction approaches to increase sexual agency and safer sex practices among Kampala's slum-dwelling displaced youth
Multi-method findings on Covid-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda
Scant studies have explored COVID-19 vaccine acceptability among refugees. However, contexts of forced migration may elevate COVID-19 vulnerabilities, and suboptimal refugee immunisation rates are reported for other vaccine-preventable diseases. We conducted a multi-methods study to describe COVID-19 vaccine acceptability among urban refugee youth in Kampala, Uganda. This study uses cross-sectional survey data from a cohort study with refugees ag…
HIV Vulnerabilities Associated with Water Insecurity, Food Insecurity, and Other Covid-19 Impacts Among Urban Refugee Youth in Kampala, Uganda
Qualitative Comic Book Mapping
Sexual and gender-based violence (SGBV) is a persistent concern in humanitarian contexts, yet there is a dearth of SGBV prevention and post-rape clinical care interventions tailored for refugee youth. Graphic medicine, the use of images and text such as in comic books, has been employed to depict lived experiences to promote health, wellbeing, and education. Comic books provide a low-cost, youth-friendly approach to health promotion that is acces…
Applying the Index of Vulnerability approach to understand water insecurity and other social-ecological factors associated with depression among urban refugee youth in Kampala, Uganda
Water insecurity and other social-ecological factors may be associated with depression in low and middle-income contexts (LMICs). This is understudied among urban refugee youth in LMICs, who experience multiple forms of marginalization. We conducted a cross-sectional survey with a peer-driven sample of urban refugee youth aged 16–24 in Kampala, Uganda. We explored: the prevalence of depression (moderate, moderately severe); associations between s…
Exploring a syndemic of poverty, cumulative violence, and HIV vulnerability among refugee youth
Synergistic associations between social inequities and HIV vulnerabilities – known as a syndemic – are understudied with youth in humanitarian settings. We explored refugee youths’ HIV prevention needs in Bidi Bidi Refugee Settlement, Uganda. This multi-methods study involved 6 focus groups and 12 in-depth individual interviews (IDI) with refugee youth (n = 60) aged 16–24, and IDI with refugee elders (n = 8) and healthcare providers (n = 8). We t…
Sociodemographic factors associated with trajectories of depression among urban refugee youth in Kampala, Uganda
The chronicity of depression highlights the critical need for early depression screening with urban refugee youth in Kampala. Addressing multilevel depression drivers prompts age and gender-tailored strategies and considering social determinants of health
Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda
HIV incidence remains alarmingly high among female sex workers (FSWs) in Uganda, necessitating targeted interventions. This study aimed to identify individual and provider-level barriers and facilitators to primary HIV prevention among FSWs in an urban setting. Focus groups involving FSWs and healthcare providers (HCPs) were conducted to inform the development of tailored prevention interventions. Results revealed that all participants had mobile…
Contextualizing HIV testing experiences within the HIV prevention cascade
Complex, multi-level factors shape motivation for, access to, and effective use of HIV testing among refugee youth in Bidi Bidi. Findings align with the HIV prevention cascade framework that helps to identify gaps to inform intervention development with youth in humanitarian settings. HIV testing approaches tailored for refugee youth in contexts such as Bidi Bidi can foster HIV prevention and treatment literacy, gender equity, gender-based violen…
Exploring ecosocial contexts of alcohol use and misuse during the Covid-19 pandemic among urban refugee youth in Kampala, Uganda
Urban refugees may be disproportionately affected by socio-environmental stressors that shape alcohol use, and this may have been exacerbated by additional stressors in the COVID-19 pandemic. This multi-method study aimed to understand experiences of, and contextual factors associated with, alcohol use during the pandemic among urban refugee youth in Kampala, Uganda. We conducted a cross-sectional survey ( n = 335), in-depth individual interviews…
EHealth literacy and digital health interventions
During and after displacement, many displaced youth face increased vulnerability to poor mental health and can encounter inaccurate or confusing health information. Digital tools create new opportunities to reach more of these youth with mental health interventions. Yet maximizing these tools' effectiveness among displaced youth requires understanding their eHealth literacy (eHEALS; i.e., the ability to find, understand, and appraise health infor…
Experiences of drought, heavy rains, and flooding and linkages with refugee youth sexual and reproductive health in a humanitarian setting in Uganda
Climate-related extreme weather events (EWE) exacerbate resource insecurities that, in turn, shape sexual and reproductive health (SRH). Refugee settlements face increased EWE exposure yet are understudied in EWE research. We explored experiences of climate change and SRH among refugee youth aged 16-24 in Bidi Bidi Refugee Settlement, Uganda. This qualitative study involved walk-along individual youth interviews and key informant (KI) service pro…
Associations Between Forced Sexual Initiation, Post-exposure Prophylaxis Cascades and Subsequent Violence Experiences Among Displaced Young Women in Ugandan Informal Urban Settlements
Along their displacement trajectory, displaced adolescent girls and young women (AGYW) face elevated HIV risk early in their sexual life course, often due to forced sexual initiation (FSI), marking the beginning of cycles of violence. However, knowledge gaps exist regarding FSI prevalence rates and the association between FSI, violence experiences, and post-exposure prophylaxis (PEP) cascades (awareness, access and uptake) among displaced AGYW in…
Evaluating a mobile health intervention to increase Covid-19 prevention
Background: Displaced populations in resource-constrained settings require tailored COVID-19 prevention strategies, and mobile health (mHealth) emerges as a cost-effective approach. This study aimed to evaluate engagement and learning outcomes of the Kukaa Salama – Staying Safe – mHealth intervention for enhancing COVID-19 prevention practices among urban refugee youth. Method: This mixed-methods analysis used cross-sectional data from refugee yo…
Findings from the Tushirikiane-4-MH (supporting each other for mental health) mobile health–supported virtual reality randomized controlled trial among urban refugee youth in Kampala, Uganda
Virtual reality (VR) for mental health promotion remains understudied in low-income humanitarian settings. We examined the effectiveness of VR in reducing depression with urban refugee youth in Kampala, Uganda. This randomized controlled trial assessed VR alone (Arm 1), VR followed by Group Problem Management Plus (GPM+) (Arm 2) and a control group (Arm 3), with a peer-driven and convenience sample of refugee youth aged 16–25 in Kampala. The prim…
Refugee (23 works) · Medicine (22 works) · Environmental health (17 works) · Psychology (17 works) · Migration, Health and Trauma (14 works) · Sociology (14 works) · Geography (13 works) · Political science (12 works) · Population (12 works) · Sex work and related issues (11 works)