Lynn Atuyambe
Dados Biográficos
| ID | 5722155 |
|---|---|
| NOME | Lynn Atuyambe |
| PRENOMES | Lynn |
| SOBRENOME | Atuyambe |
| ASSINATURA | ATUYAMBE L |
| AFILIAÇÕES | Makerere University |
| ORCID | 0000-0001-5886-5080 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAÇÕES | 7 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2010 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Opening the black box of agency in contraceptive decision-making
Facilitators and barriers for completion of the diagnostic process among people with presumed tuberculosis in Central Uganda
Uganda has improved its tuberculosis (TB) diagnostic processes over the years since the scale up of the Xpert MTB/RIF testing in 2012. However, there are continued delays in diagnosis and missing people with TB who are either not diagnosed or notified. We explored facilitators and barriers for completion of the TB diagnostic process among people with presumed TB in selected health facilities in Central Uganda. This was a qualitative exploration i…
Understanding the organization and delivery of health services following the repatriation of South Sudanese refugees from the West Nile districts in Uganda
Refugee repatriation disrupted health service delivery in the refugee hosting districts, leading to a reduction in funding; inadequate skilled health workers and equipment; and the closure of some facilities. To ensure the continuity of health services, government and aid agencies should plan for repatriation and establish strategies to sustain health services in refugee-hosting areas
Multilevel drivers of tobacco use among people living with HIV in West Nile and Karamoja Regions in Uganda
Tobacco cessation strategies should be mode-specific and context-sensitive. In West Nile, where smoking and dual use are common, interventions should target men with low tobacco-related knowledge. In Karamoja, where smokeless tobacco is culturally entrenched and enforcement of existing bans is weak, cessation requires community-based education, facility-based treatment, and post-care support. Addressing multi-level drivers is essential for tobacc…
Influence of social networks on women’s contraceptive decision-making and action
Our study highlights how different types of social support from partners, relatives, and peers can either bolster or undermine women's agency in making contraceptive decisions. Informational support from relatives and peers can boost women's certainty in their intentions, while emotional support from partners boosts their confidence to act on these intentions. Multipronged approaches targeting these networks are necessary to promote women's agenc…
Development and Validation of the Agency in Contraceptive Decisions Scale in Uganda and Nigeria
To fill a gap in measures of empowered contraceptive decision‐making, we developed the Agency in Contraceptive Decisions Scale in Uganda and Nigeria. We developed an item pool drawing on the previously published Contraceptive Agency framework. We refined items through cognitive interviews ( N = 80) and expert feedback and piloted a reduced item pool via surveys ( N = 3002). Exploratory factor analysis using a random half of the sample suggested a…
Factors associated with family planning use among refugee and host populations in Adjumani district, West Nile, Uganda
Our findings revealed low FP use amongst both populations in Adjumani district. The main factors associated with FP use amongst refugee populations included marital status, level of education, type of occupation, and duration of stay in the study area whereas amongst the host is the marital status. Main reasons for not using FP methods included fear of side effects by hosts and not wanting to use FP by refugees. There is need to sensitize both co…
Prevalence and factors associated with hepatitis b vaccination uptake and completion among communities targeted for mass vaccination in gulu
Low Hepatitis B vaccine uptake and completion rates were observed in Gulu. To enhance vaccination coverage, future initiatives should prioritize awareness, education, and dispelling of vaccination myths. Additionally, increased government investment in training health workers can serve as a valuable strategy to improve information dissemination and awareness among the population
Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception
Implementing self‐injection (SI) of subcutaneous depot‐medroxyprogesterone acetate (DMPA‐SC) is a key self‐care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences—including those with and without experience using SI—view the benefits and …
Sustainability of health services in refugee hosting districts
Our study showed that while humanitarian health services are not designed for sustainability, several interventions continued at the end of the refugee emergency in the three districts. The embeddedness of the refugee health services in the district health systems ensured health services continued through public service delivery structures. It is important to strengthen the capacity of the local service delivery structures and ensure health assis…
Analyzing fast and slow
Much of the methodological literature on rapid qualitative analysis describes processes used by a relatively small number of researchers focusing on one study site and using rapid analysis to replace a traditional analytical approach. In this paper, we describe the experiences of a transnational research consortium integrating both rapid and traditional qualitative analysis approaches to develop social theory while also informing program design. …
Barriers to HIV care in Uganda and implications for universal test-and-treat
Achieving universal HIV test-and-treat will require targeted interventions for those with worse outcomes, including advanced HIV. We conducted qualitative, semi-structured interviews with healthcare workers (HCWs) and people living with HIV (PLWH) at 5 HIV clinics in Kampala, Uganda, to understand barriers to care. PLWH enrolled started/restarted on HIV treatment ≤3 months prior. PLWH were grouped as 1) "ART-experienced" or those restarted therap…
Drivers of Solid Waste Segregation and Recycling in Kampala Slums, Uganda
Solid-waste management is a challenge in many cities, especially in low-income countries, including Uganda. Simple and inexpensive strategies such as solid-waste segregation and recycling have the potential to reduce risks associated with indiscriminate waste management. Unfortunately, these strategies have not been studied and adopted in slums in low-income countries. This cross-sectional qualitative study, therefore, used the behavioral-centere…
Endure and excuse’
Intimate partner violence and HIV remain significant health challenges among women living with HIV. Intimate partner violence has been linked to negative health outcomes and poorer HIV care engagement. This study examined intimate partner violence among Ugandan women living with HIV, their experiences disclosing such violence and how culturally normative factors affected disclosure-related outcomes. In a mixed-methods study conducted in Uganda in…
Integration of health services, access and utilization by refugees and host populations in West Nile districts, Uganda
Prolonged civil war and unrest has dominated the short history of South Sudan resulting in the long-term displacement of millions of people since the 1990s. Since December 2013, over one million South Sudanese refugees have fled into Uganda. International and national responses to the refugee influx in the country has been managed through parallel and integrated care and assistance mechanisms. In order to enhance effectiveness and responsiveness …
Prevalence and factors associated with utilization of rehabilitation services among people with physical disabilities in Kampala, Uganda. A descriptive cross sectional study
The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Uganda. Factors that were significantly associated with utilization of rehabilitation services included; age, socioeconomic status, education level and awareness of the participants about the services. Therefore, the government and other relevant stake holders should increase sensitization and awareness …
Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices
BACKGROUND: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services. OBJECTIVES: This study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices. METHODS: The quasi-experimental pre- and post-comparison design had two main components: community mobilization and empowerment, and health provider c…
Maternal and neonatal implementation for equitable systems. A study design paper
BACKGROUND: Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability. OBJECTIVES: The study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach. METHODS: The study consisted of a quasi-experimental design, w…
Applying Deliberative Democracy in Africa
Practical experiments with deliberative democracy, instituted with random samples of the public, have had success in many countries. But this approach has never before been tried in Sub-Saharan Africa. Reflecting on the first two applications in Uganda, we apply the same criteria for success commonly used for such projects in the most advanced countries. Can this approach work successfully with samples of a public low in literacy and education? C…
The promise of Mama Kits
There is growing interest in the use of incentives to increase the utilisation of maternal health services globally, including the use of in-kind goods. As part of the Saving Mothers, Giving Life (SMGL) programme, pregnant women in three districts in Uganda were incentivised to deliver in a facility by the promise of 'Mama Kits' - clean delivery kits augmented with goods for newborns. We collected and analysed qualitative data from 18 focus group…
Postnatal Care Experiences and Barriers to Care Utilization for Home- and Facility-Delivered Newborns in Uganda and Zambia
Factors influencing modes of transport and travel time for obstetric care
Transportation is an important barrier to accessing obstetric care for many pregnant and postpartum women in low-resource settings, particularly in rural areas. However, little is known about how pregnant women travel to health facilities in these settings. We conducted 1633 exit surveys with women who had a recent facility delivery and 48 focus group discussions with women who had either a home or a facility birth in the past year in eight distr…
A comparison of sexual risk behaviours and HIV seroprevalence among circumcised and uncircumcised men before and after implementation of the safe male circumcision programme in Uganda
There was higher prevalence of SRBs among circumcised men in both surveys, but the only significant change from 2004 to 2011 was a lower prevalence of condom use among the circumcised. Nevertheless, HIV prevalence was lower among circumcised men. Targeted messages for circumcised men and their sexual partners to continue using condoms even after circumcision should be enhanced to avoid risk compensation
Examining the actions of faith-based organizations and their influence on HIV/Aids-related stigma
BACKGROUND: Stigma and discrimination are widely recognized as factors that fuel the HIV/AIDS epidemic. Uganda's success in combating HIV/AIDS has been attributed to a number of factors, including political, religious and societal engagement and openness - actors that combat stigma and assist prevention efforts. OBJECTIVES: Our study aimed to explore perceptions of Uganda-based key decision-makers about the past, present and optimal future roles …
Faith in action
Applying Deliberative Democracy in Africa
Practical experiments with deliberative democracy, instituted with random samples of the public, have had success in many countries. But this approach has never before been tried in Sub-Saharan Africa. Reflecting on the first two applications in Uganda, we apply the same criteria for success commonly used for such projects in the most advanced countries. Can this approach work successfully with samples of a public low in literacy and education? C…
Factors influencing modes of transport and travel time for obstetric care
Transportation is an important barrier to accessing obstetric care for many pregnant and postpartum women in low-resource settings, particularly in rural areas. However, little is known about how pregnant women travel to health facilities in these settings. We conducted 1633 exit surveys with women who had a recent facility delivery and 48 focus group discussions with women who had either a home or a facility birth in the past year in eight distr…
Analyzing fast and slow
Much of the methodological literature on rapid qualitative analysis describes processes used by a relatively small number of researchers focusing on one study site and using rapid analysis to replace a traditional analytical approach. In this paper, we describe the experiences of a transnational research consortium integrating both rapid and traditional qualitative analysis approaches to develop social theory while also informing program design. …
Social Networks of PLHA in Uganda
The organization and implementation of community-based education programs for health worker training institutions in Uganda
BACKGROUND: Community-based education (CBE) is part of the training curriculum for most health workers in Uganda. Most programs have a stated purpose of strengthening clinical skills, medical knowledge, communication skills, community orientation of graduates, and encouragement of graduates to work in rural areas. This study was undertaken to assess the scope and nature of community-based education for various health worker cadres in Uganda. METH…
Research translation to inform national health policies
BACKGROUND: Research and evidence can have an impact on policy and practice, resulting in positive outcomes. However, research translation is a complex, dynamic and non-linear process. Although universities in Africa play a major role in generating research evidence, their strategic approaches to influence health policies and decision making are weak. This study was conducted with the aim of understanding the process of translating research into …
Perception and valuations of community-based education and service by alumni at Makerere University College of Health Sciences
BACKGROUND: Training of health professionals can be deliberately structured to enhance rural recruitment by exposing the trainees to the realities of rural life and practice through Community-Based Education and Service (COBE) programs. Few studies have surveyed the alumni of these programs to establish their post-university views and whether the positive impact of COBE programs endures into the post-university life. This study surveyed the alumn…
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 …
An exploratory study of HIV-prevention advocacy by persons in HIV care in Uganda
To explore how people living with HIV (PLHIV) and in care encourage others to adopt HIV-protective behaviours, we conducted in-depth interviews with a purposive sample of 40 HIV clinic patients in Kampala, Uganda. Content analysis was used to examine the message content, trigger events, and outcomes of HIV-prevention advocacy events initiated by the HIV clients with members of their social networks. The content themes included encouraging specifi…
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…
Recognition and home care of low birth weight neonates
Recognition of low birth weight is still poor. This leads to inappropriate home care practices for these high risk newborns. Mothers' knowledge and care practices can be improved through health education, and this should be extended to the community to reach mothers that deliver at home. Mechanisms to support mothers to sustain good practices should be put in place by taking advantage of existing village health teams and social support
A comparison of sexual risk behaviours and HIV seroprevalence among circumcised and uncircumcised men before and after implementation of the safe male circumcision programme in Uganda
There was higher prevalence of SRBs among circumcised men in both surveys, but the only significant change from 2004 to 2011 was a lower prevalence of condom use among the circumcised. Nevertheless, HIV prevalence was lower among circumcised men. Targeted messages for circumcised men and their sexual partners to continue using condoms even after circumcision should be enhanced to avoid risk compensation
Use of mobile phone consultations during home visits by Community Health Workers for maternal and newborn care
Current Controlled Trials NCT02084680. Registered 14 March 2014
The promise of Mama Kits
There is growing interest in the use of incentives to increase the utilisation of maternal health services globally, including the use of in-kind goods. As part of the Saving Mothers, Giving Life (SMGL) programme, pregnant women in three districts in Uganda were incentivised to deliver in a facility by the promise of 'Mama Kits' - clean delivery kits augmented with goods for newborns. We collected and analysed qualitative data from 18 focus group…
Postnatal Care Experiences and Barriers to Care Utilization for Home- and Facility-Delivered Newborns in Uganda and Zambia
Factors influencing modes of transport and travel time for obstetric care
Transportation is an important barrier to accessing obstetric care for many pregnant and postpartum women in low-resource settings, particularly in rural areas. However, little is known about how pregnant women travel to health facilities in these settings. We conducted 1633 exit surveys with women who had a recent facility delivery and 48 focus group discussions with women who had either a home or a facility birth in the past year in eight distr…
Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices
BACKGROUND: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services. OBJECTIVES: This study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices. METHODS: The quasi-experimental pre- and post-comparison design had two main components: community mobilization and empowerment, and health provider c…
Maternal and neonatal implementation for equitable systems. A study design paper
BACKGROUND: Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability. OBJECTIVES: The study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach. METHODS: The study consisted of a quasi-experimental design, w…
Applying Deliberative Democracy in Africa
Practical experiments with deliberative democracy, instituted with random samples of the public, have had success in many countries. But this approach has never before been tried in Sub-Saharan Africa. Reflecting on the first two applications in Uganda, we apply the same criteria for success commonly used for such projects in the most advanced countries. Can this approach work successfully with samples of a public low in literacy and education? C…
Integration of health services, access and utilization by refugees and host populations in West Nile districts, Uganda
Prolonged civil war and unrest has dominated the short history of South Sudan resulting in the long-term displacement of millions of people since the 1990s. Since December 2013, over one million South Sudanese refugees have fled into Uganda. International and national responses to the refugee influx in the country has been managed through parallel and integrated care and assistance mechanisms. In order to enhance effectiveness and responsiveness …
Prevalence and factors associated with utilization of rehabilitation services among people with physical disabilities in Kampala, Uganda. A descriptive cross sectional study
The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Uganda. Factors that were significantly associated with utilization of rehabilitation services included; age, socioeconomic status, education level and awareness of the participants about the services. Therefore, the government and other relevant stake holders should increase sensitization and awareness …
Barriers to HIV care in Uganda and implications for universal test-and-treat
Achieving universal HIV test-and-treat will require targeted interventions for those with worse outcomes, including advanced HIV. We conducted qualitative, semi-structured interviews with healthcare workers (HCWs) and people living with HIV (PLWH) at 5 HIV clinics in Kampala, Uganda, to understand barriers to care. PLWH enrolled started/restarted on HIV treatment ≤3 months prior. PLWH were grouped as 1) "ART-experienced" or those restarted therap…
Drivers of Solid Waste Segregation and Recycling in Kampala Slums, Uganda
Solid-waste management is a challenge in many cities, especially in low-income countries, including Uganda. Simple and inexpensive strategies such as solid-waste segregation and recycling have the potential to reduce risks associated with indiscriminate waste management. Unfortunately, these strategies have not been studied and adopted in slums in low-income countries. This cross-sectional qualitative study, therefore, used the behavioral-centere…
Endure and excuse’
Intimate partner violence and HIV remain significant health challenges among women living with HIV. Intimate partner violence has been linked to negative health outcomes and poorer HIV care engagement. This study examined intimate partner violence among Ugandan women living with HIV, their experiences disclosing such violence and how culturally normative factors affected disclosure-related outcomes. In a mixed-methods study conducted in Uganda in…
Sustainability of health services in refugee hosting districts
Our study showed that while humanitarian health services are not designed for sustainability, several interventions continued at the end of the refugee emergency in the three districts. The embeddedness of the refugee health services in the district health systems ensured health services continued through public service delivery structures. It is important to strengthen the capacity of the local service delivery structures and ensure health assis…
Analyzing fast and slow
Much of the methodological literature on rapid qualitative analysis describes processes used by a relatively small number of researchers focusing on one study site and using rapid analysis to replace a traditional analytical approach. In this paper, we describe the experiences of a transnational research consortium integrating both rapid and traditional qualitative analysis approaches to develop social theory while also informing program design. …
Examining the actions of faith-based organizations and their influence on HIV/Aids-related stigma
BACKGROUND: Stigma and discrimination are widely recognized as factors that fuel the HIV/AIDS epidemic. Uganda's success in combating HIV/AIDS has been attributed to a number of factors, including political, religious and societal engagement and openness - actors that combat stigma and assist prevention efforts. OBJECTIVES: Our study aimed to explore perceptions of Uganda-based key decision-makers about the past, present and optimal future roles …
Faith in action
Medicine (27 obras) · Environmental health (18 obras) · Global Maternal and Child Health (18 obras) · Nursing (17 obras) · Public health (14 obras) · Qualitative research (12 obras) · Political science (11 obras) · Adolescent Sexual and Reproductive Health (10 obras) · Population (10 obras) · Economic growth (9 obras)