Nazarius Mbona Tumwesigye
Biographic Data
| ID | 6461498 |
|---|---|
| NAME | Nazarius Mbona Tumwesigye |
| GIVEN NAMES | Nazarius Mbona |
| FAMILY NAME | Tumwesigye |
| SIGNATURE | TUMWESIGYE N M |
| AFFILIATIONS | Makerere University |
| ORCID | 0000-0001-7085-8780 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 29 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Service user and healthcare-worker perspectives on Substance Use Disorder treatment journeys, relapse, and recovery in Sub-Saharan Africa
Substance Use Disorder (SUD) treatment in sub-Saharan Africa remains poorly understood from the perspectives of those who deliver and receive it. We integrated the perspectives of service users (SUs) and front-line health care workers (HCWs) within a single analytic frame to map SUD treatment trajectories and identify multilevel barriers and facilitators shaping treatment and recovery outcomes in Uganda. We conducted a qualitative study nested wi…
Assessing progress toward the World Health Organization’s Global action plan alcohol reduction target in Sub-Saharan Africa 2010–2019
The World Health Organization (WHO) Global Action Plan for the Prevention and Control of Noncommunicable Diseases calls for a 10% relative reduction in the harmful use of alcohol by 2025. We assessed progress across 45 sub-Saharan African countries between 2010 and 2019 using WHO data on alcohol per capita consumption (APC) and heavy episodic drinking (HED). Trends were analysed for both the total population and past-year drinkers, using populati…
Modeling the incidence rate of hospital re-admissions within 30 days and associated factors among patients with advanced HIV disease in Uganda
Advanced HIV Disease (AHD) remains a major driver of HIV-related morbidity, readmissions, and mortality, particularly in Sub-Saharan Africa. AHD affects People Living with HIV (PLHIV) with CD4 < 200 cells/mm3 and/or WHO stage 3 or 4, or all children under five years living with HIV. Globally, approximately 18% of AHD patients are readmitted within 30 days post-discharge; rates in Sub-Saharan Africa have been found to reach up to 52.9%. In Uganda,…
Tobacco use patterns and associated factors among youth in Kampala’s informal settlements
Tobacco use remains a major global public health challenge, in Uganda it is notably higher among the youth, especially those in informal settlements. Despite periodic national surveys, recent data on this high-risk group is scarce. In this study, we aimed to assess tobacco use patterns and associated factors among the youth in informal settlements, focusing on daily tobacco smoking and smokeless tobacco use. We conducted a cross-sectional study u…
Competing coalitions in alcohol policymaking in Malawi
This analysis demonstrates how public health advocates successfully countered industry interference through evidence-based advocacy, community engagement, and strategic coalition-building. The Malawi case offers valuable lessons for other African countries considering similar alcohol control measures, highlighting the role of coalitions, the importance of framing alcohol regulations as public health protections, and of developing robust implement…
Developing middle-range theories within a realist evaluation of how health committees support community capacity for health
Health committees link formalised health services and the community. However, ‘how, why, and for whom’ health committees work warrants further exploration. This article presents the development of a middle-range theory for how health committees work for building community capacity for health. Resulting programme theories from a realist evaluation in Uganda were synthesised for demi-regularities and supplemented by four key informant interviews – …
Nutrition education effects on food and nutrition security for women living with HIV/Aids in Uganda
Excreta Disgust and Adaptive Use of Ecological Sanitation By-Products
Ecological sanitation (Ecosan) by-products are inherently limited in their potential use as excreta resources. Disgust behind human excreta and derivatives continues to challenge the further use of Ecosan-by products. Although treated excreta, including Ecosan by-products, have gradually been adopted worldwide, diverse perspectives among users hinder their use in agro-practices. This study explored perceptions of the use of Ecosan-by products as …
Effect of Midwife-Provided Orientation of Birth Companions on Maternal Anxiety and Coping during Labor
The study aimed to assess the effect of midwife-provided orientation of birth companions on maternal anxiety and coping during labor. A stepped wedge cluster randomized trial design was conducted among 475 participants (control n = 240), intervention n = 235) from four clusters. Midwives in the intervention period provided an orientation session for the birth companions on supportive labor techniques. Coping was assessed throughout labor and anxi…
Heavy drinking and problem drinking among youth in Uganda
Social media use and alcohol consumption among students in Uganda
BACKGROUND: Globally, alcohol use significantly contributes to the disease burden. Alcohol consumption in Uganda is related to several health consequences among young people, including university students. Social media is commonly used by students to share academic information and create social networks. Among young people in high-income countries, previous studies have also shown that social media use can have negative health outcomes related to…
Abortion-related near-miss morbidity and mortality in 43 health facilities with differences in readiness to provide abortion care in Uganda
INTRODUCTION: With a view to inform policy for improved postabortion care, we describe abortion-related near-miss and mortality by sociodemographic risk factors and management options by pregnancy trimester in Uganda. METHODS: This secondary data analysis used an adapted WHO near-miss methodology to collect cross-sectional maternal near-miss and abortion complications data at 43 health facilities in Central and Eastern Uganda in 2016-2017. We com…
Alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in fishing communities of Lake Victoria, Uganda
Interventions to promote consistent condom use and fewer sexual partnerships are critical for young people in the fishing communities in Uganda
Prevalence and factors associated with major depression among female sex workers in post-conflict Gulu district
There is a high prevalence of major depression among female sex workers in post-conflict Gulu. The high prevalence of major depression underscores the need for government and development partners to urgently and adequately address the mental health needs of female sex workers
Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda
Approximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important ve…
I felt very small and embarrassed by the health care provider when I requested to be tested for syphilis”
HIV programs are likely to be important entry points for syphilis testing among FSW. Multi-level interventions to address testing barriers should consider focusing on these service delivery points. Extending the dual syphilis and HIV testing approach to FSW may improve testing uptake for both infections at public health facilities and decrease population-level incidence
The Prevalence and Context of Alcohol Use, Problem Drinking and Alcohol-Related Harm among Youth Living in the Slums of Kampala, Uganda
The high prevalence of alcohol use and problem drinking among youth, as well as alcohol-related harm, warrant urgent alcohol prevention and intervention strategies, particularly among these underserved girls
Psychosocial correlates of self-reported HIV among youth in the slums of Kampala
Youth living in the slums of Kampala, Uganda have a high prevalence of HIV. These youth are in dire need of interventions which address both alcohol use behaviors and sexual risk behaviors to reduce further complications of their existing health conditions, including HIV
Exploring the Potential of Savings-Led Economic Strengthening HIV Interventions Among High-Risk Economically Vulnerable Fishing Communities in Uganda
Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda
This paper examines problem drinking, alcohol-related violence, and homelessness among youth living in the slums of Kampala—an understudied population at high-risk for both alcohol use and violence. This study is based on a cross-sectional survey conducted in 2014 with youth living in the slums and streets of Kampala, Uganda ( n = 1134), who were attending Uganda Youth Development Link drop-in centers. The analyses for this paper were restricted …
Comparing performance of methods used to identify pregnant women, pregnancy outcomes, and child mortality in the Iganga-Mayuge Health and Demographic Surveillance Site, Uganda
BACKGROUND: In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify pregnancies and retrospectively capture pregnancy outcomes to provide data for decision making. However, little is known about th…
Forecast analysis of any opportunistic infection among HIV positive individuals on antiretroviral therapy in Uganda
While the prevalence of any OI among HIV positive individuals on HAART in Uganda is expected to decrease overall, it's unlikely that OIs will be completely eliminated in the foreseeable future. There is therefore need for continued efforts in prevention and control of opportunistic infections in all HIV/AIDS care programmes in these settings
Modelling the potential impact and cost of scaling-up male circumcision in resource poor settings
This study modelled estimates of the cost and impact of male circumcision (MC) under different scenarios using the Decision Maker's Program Planning Tool on data from Uganda. Results showed that the number of new adult HIV infections could be reduced by 23 000 if MC could be increased from the current 25% to 80% by 2015. The incidence of HIV could be reduced by 0.2 percentage points over the same period. If a scale up programme is to meet a targe…
Fertility and contraceptive decision-making and support for HIV infected individuals
These findings show the need to expand family planning services for PLHIV to provide more contraceptive options and information as well as expand support for those who want to have children
Prevalence and Motivations of Vaginal Practices in Tete Province, Mozambique
Vaginal practices have been linked with an increase in risk for HIV transmission and other harms. In 2007, a household survey of 919 women was conducted in Tete province, Mozambique, as part of the World Health Organization Multicountry Study on Gender, Sexuality, and Vaginal Practices. Women aged 18 to 60 years old were interviewed to determine prevalence and motivations for vaginal practices. A large range of frequently used practices was ident…
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Acceptability of male circumcision for prevention of HIV infection among men and women in Uganda
In the last decade, three randomized controlled trials in Kenya, South Africa, and Uganda have shown that medical male circumcision (MMC) reduces the sexual transmission of HIV from women to men. Objectives of this assessment were to measure acceptability of adult MMC and circumcision of children to inform policies regarding whether and how to promote MMC as an HIV prevention strategy. This mixed-method study, conducted across four Ugandan distri…
The new female condom (FC2) in Uganda
The new version of the female condom (FC2) was introduced in Uganda in October 2009, following an unsuccessful female condom programme begun in 1998. The failure of the earlier programme was partly attributed to low acceptance of the first type of female condom (FC1). We evaluated the acceptability of FC2 and the experiences of users and their sexual partners. This was a qualitative cross-sectional evaluation. We conducted 16 in-depth interviews …
Prevalence and Motivations of Vaginal Practices in Tete Province, Mozambique
Vaginal practices have been linked with an increase in risk for HIV transmission and other harms. In 2007, a household survey of 919 women was conducted in Tete province, Mozambique, as part of the World Health Organization Multicountry Study on Gender, Sexuality, and Vaginal Practices. Women aged 18 to 60 years old were interviewed to determine prevalence and motivations for vaginal practices. A large range of frequently used practices was ident…
Problem drinking and physical intimate partner violence against women
Problem drinking among male partners is a strong determinant of PIPV among women in Uganda. PIPV prevention measures should address reduction of problem drinking among men. Longerterm prevention measures should address empowerment of women including ensuring higher education, employment and increased income
Alcohol consumption and risky sexual behaviour in the fishing communities
Alcohol consumption is strongly correlated with having multiple sexual partners, sex with non-regular partner and engagement in transactional sex but not with consistent condom use at fish landing sites. However, the pattern and strength of this correlation differs by occupation. HIV risk reduction programs targeting the fishing communities should address alcohol consumption, particularly alcohol consumption before sexual contact. Different occup…
Modelling the potential impact and cost of scaling-up male circumcision in resource poor settings
This study modelled estimates of the cost and impact of male circumcision (MC) under different scenarios using the Decision Maker's Program Planning Tool on data from Uganda. Results showed that the number of new adult HIV infections could be reduced by 23 000 if MC could be increased from the current 25% to 80% by 2015. The incidence of HIV could be reduced by 0.2 percentage points over the same period. If a scale up programme is to meet a targe…
Fertility and contraceptive decision-making and support for HIV infected individuals
These findings show the need to expand family planning services for PLHIV to provide more contraceptive options and information as well as expand support for those who want to have children
Forecast analysis of any opportunistic infection among HIV positive individuals on antiretroviral therapy in Uganda
While the prevalence of any OI among HIV positive individuals on HAART in Uganda is expected to decrease overall, it's unlikely that OIs will be completely eliminated in the foreseeable future. There is therefore need for continued efforts in prevention and control of opportunistic infections in all HIV/AIDS care programmes in these settings
Comparing performance of methods used to identify pregnant women, pregnancy outcomes, and child mortality in the Iganga-Mayuge Health and Demographic Surveillance Site, Uganda
BACKGROUND: In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify pregnancies and retrospectively capture pregnancy outcomes to provide data for decision making. However, little is known about th…
Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda
This paper examines problem drinking, alcohol-related violence, and homelessness among youth living in the slums of Kampala—an understudied population at high-risk for both alcohol use and violence. This study is based on a cross-sectional survey conducted in 2014 with youth living in the slums and streets of Kampala, Uganda ( n = 1134), who were attending Uganda Youth Development Link drop-in centers. The analyses for this paper were restricted …
Psychosocial correlates of self-reported HIV among youth in the slums of Kampala
Youth living in the slums of Kampala, Uganda have a high prevalence of HIV. These youth are in dire need of interventions which address both alcohol use behaviors and sexual risk behaviors to reduce further complications of their existing health conditions, including HIV
Exploring the Potential of Savings-Led Economic Strengthening HIV Interventions Among High-Risk Economically Vulnerable Fishing Communities in Uganda
The Prevalence and Context of Alcohol Use, Problem Drinking and Alcohol-Related Harm among Youth Living in the Slums of Kampala, Uganda
The high prevalence of alcohol use and problem drinking among youth, as well as alcohol-related harm, warrant urgent alcohol prevention and intervention strategies, particularly among these underserved girls
Abortion-related near-miss morbidity and mortality in 43 health facilities with differences in readiness to provide abortion care in Uganda
INTRODUCTION: With a view to inform policy for improved postabortion care, we describe abortion-related near-miss and mortality by sociodemographic risk factors and management options by pregnancy trimester in Uganda. METHODS: This secondary data analysis used an adapted WHO near-miss methodology to collect cross-sectional maternal near-miss and abortion complications data at 43 health facilities in Central and Eastern Uganda in 2016-2017. We com…
Alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in fishing communities of Lake Victoria, Uganda
Interventions to promote consistent condom use and fewer sexual partnerships are critical for young people in the fishing communities in Uganda
Prevalence and factors associated with major depression among female sex workers in post-conflict Gulu district
There is a high prevalence of major depression among female sex workers in post-conflict Gulu. The high prevalence of major depression underscores the need for government and development partners to urgently and adequately address the mental health needs of female sex workers
Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda
Approximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important ve…
I felt very small and embarrassed by the health care provider when I requested to be tested for syphilis”
HIV programs are likely to be important entry points for syphilis testing among FSW. Multi-level interventions to address testing barriers should consider focusing on these service delivery points. Extending the dual syphilis and HIV testing approach to FSW may improve testing uptake for both infections at public health facilities and decrease population-level incidence
Heavy drinking and problem drinking among youth in Uganda
Social media use and alcohol consumption among students in Uganda
BACKGROUND: Globally, alcohol use significantly contributes to the disease burden. Alcohol consumption in Uganda is related to several health consequences among young people, including university students. Social media is commonly used by students to share academic information and create social networks. Among young people in high-income countries, previous studies have also shown that social media use can have negative health outcomes related to…
Excreta Disgust and Adaptive Use of Ecological Sanitation By-Products
Ecological sanitation (Ecosan) by-products are inherently limited in their potential use as excreta resources. Disgust behind human excreta and derivatives continues to challenge the further use of Ecosan-by products. Although treated excreta, including Ecosan by-products, have gradually been adopted worldwide, diverse perspectives among users hinder their use in agro-practices. This study explored perceptions of the use of Ecosan-by products as …
Effect of Midwife-Provided Orientation of Birth Companions on Maternal Anxiety and Coping during Labor
The study aimed to assess the effect of midwife-provided orientation of birth companions on maternal anxiety and coping during labor. A stepped wedge cluster randomized trial design was conducted among 475 participants (control n = 240), intervention n = 235) from four clusters. Midwives in the intervention period provided an orientation session for the birth companions on supportive labor techniques. Coping was assessed throughout labor and anxi…
Developing middle-range theories within a realist evaluation of how health committees support community capacity for health
Health committees link formalised health services and the community. However, ‘how, why, and for whom’ health committees work warrants further exploration. This article presents the development of a middle-range theory for how health committees work for building community capacity for health. Resulting programme theories from a realist evaluation in Uganda were synthesised for demi-regularities and supplemented by four key informant interviews – …
Nutrition education effects on food and nutrition security for women living with HIV/Aids in Uganda
Modeling the incidence rate of hospital re-admissions within 30 days and associated factors among patients with advanced HIV disease in Uganda
Advanced HIV Disease (AHD) remains a major driver of HIV-related morbidity, readmissions, and mortality, particularly in Sub-Saharan Africa. AHD affects People Living with HIV (PLHIV) with CD4 < 200 cells/mm3 and/or WHO stage 3 or 4, or all children under five years living with HIV. Globally, approximately 18% of AHD patients are readmitted within 30 days post-discharge; rates in Sub-Saharan Africa have been found to reach up to 52.9%. In Uganda,…
Medicine (25 works) · Environmental health (23 works) · Demography (12 works) · Population (12 works) · Public health (12 works) · Biostatistics (10 works) · Family medicine (9 works) · HIV/AIDS Research and Interventions (9 works) · Adolescent Sexual and Reproductive Health (8 works) · Demography (8 works)