Browsing by Author "Burke, Holly M."

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    Evaluation of the Obulamu? integrated health communication campaign in Uganda: results from a repeated cross-sectional household survey
    (Journal of Communication in Healthcare, 2021) Burke, Holly M.; Okumu, Eunice; Zikusooka, Amos; Batamwita, Richard; Nalukwago, Judith; Field, Samuel; Bernholc, Alissa; Martinez, Andres; Bufumbo, Leonard; Kimbowa, Musa; Coutinho, Sheila M.; Mack, Natasha; Alaii, Jane
    Uganda’s Obulamu? campaign delivered messages relevant to life stage to address evolving health needs of audiences at times they were likely to change behaviors. We estimated Obulamu?’s effects on HIV/AIDS, family planning, maternal and child health, tuberculosis, malaria, and nutrition behavioral outcomes. Methods: We conducted repeated cross-sectional household surveys with women, men, and children’s caregivers in 2015 and 2017 in 16 districts using multi-stage probability sampling weighted by population. Eleven pre-specified outcomes were evaluated in multivariable weighted regression models. Results: Survey 1 included 2,377 households with 4,012 individuals and survey 2 included 2,398 households with 3,563 individuals. After controlling for time and potentially confounding factors, we observed notable increases among people exposed to topicspecific messages in condom use with at least one non-marital, non-cohabiting partner in the last six months; recent male circumcision; seeking tuberculosis screening/testing for self; seeking tuberculosis screening/testing for child; delivery of baby in a facility; and caregiver seeking advice or treatment for child under five years with fever. Exposure did not appear to influence knowledge of antiretroviral therapy, delay sexual debut, breastfeeding infants and all of the household’s pregnant women/children less than five years sleeping under a net the night before the survey. Conclusion: Exposure to topic-specific messages was associated with improvements in six of the eleven outcomes. Across the health priority areas, we observed improvements in select HIV/AIDS, tuberculosis, and maternal and child health outcomes. We did not observe effects of exposure on select outcomes in the areas of family planning, malaria, or nutrition.
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    Provider acceptability of Sayana® Press: results from community health workers and clinic-based providers in Uganda and Senegal
    (Contraception, 2014) Burke, Holly M.; Mueller, Monique P.; Packer, Catherine; Perry, Brian; Bufumbo, Leonard; Mbengue, Daouda; Mamadou Daff, Bocar; Mbonye, Anthony
    Sayana® Press (SP), a subcutaneous formulation of depot medroxyprogesterone acetate (DMPA) in Uniject™, has potential to be a valuable innovation in family planning (FP) because it may overcome logistic and safety challenges in delivering intramuscular DMPA (DMPA IM). However, SP's acceptability is unknown. We measured acceptability of SP among clinic-based providers (Senegal only) and community health workers. Study design: This open-label observational study was conducted in clinics in three districts in Senegal and community-based services in two districts in Uganda. Providers administered SP to clients seeking reinjection of DMPA IM. We conducted in-depth interviews with 86 providers (52 in Senegal, 34 in Uganda) to assess their experiences providing SP to clients.
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    Socio-Cognitive Factors Associated With Condom Use, Multiple Sexual Partnerships, and Contraception Use Among Sexually-Active Adolescent Girls in Uganda
    (Global Journal of Health Science, 2018) Nalukwago, Judith; Crutzen, Rik; Borne, Bart van den; Bukuluki, Paul M.; Bufumbo, Leonard; Burke, Holly M.; Field, Samuel; Zikusooka, Amos; Fiedler, Anne A.; Alaii, Jane
    Many adolescent girls start sexual activity early which exposes them to health risks of HIV and unplanned pregnancies. However, adolescent girls are less likely than boys to initiate discussion or demand use of condoms. Multiple sexual partnerships among girls are reported to be on the rise with eminent transactional sex and pre-marital relationships. The unmet need for contraception among adolescent girls is also high. A cross-sectional survey covering 16 districts in Uganda assessed the socio-cognitive factors associated with condom use, multiple sexual partnerships and contraception use among sexually active adolescent girls (N=255). There were strong associations between feeling confident to discuss contraceptive methods with a partner (OR = 9.41, 95 % CI = 3.54, 25.06), being comfortable to use contraception (OR = 30.61, 95% CI = 4.10, 228.64), discussing contraception use with someone (OR = 10.53, 95% CI = 5.61, 19.78), and contraception use. Whereas knowledge was found to have no significant relationship with service uptake, information services remain important in clearing any misconceptions and addressing any health concerns. It is imperative to explore communication factors including skills development and providing adequate health information to guide dialogue among adolescents and their key influencers.