Browsing by Author "Nannungi, Annet"

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    Assessing the Management and Administration in Public Health Facilities of Uganda and the Implications for the Healthcare Service Delivery and Utilization Evidence from the CODES Project
    (ACODE Health Policy Research Series, 2016) Mukundane, Moses; Nannungi, Annet; Bataringaya, Dennis; Aryaija-Karemani, Adelaine; Ssesanga, Patrick; Muhwezi, Winstons W.
    ACODE is pleased to publish yet another policy research paper from the demand-side component of the ‘Community and District Empowerment for Scale-up (CODE) project which it implements under a consortium of the CODES project partners. We are very grateful to UNICEF for managing the funding of this project. The financial resources invested in the whole project and production of this research report is massive. To this end, ACODE Management and Board of Trustees are once again grateful to the Bill and Melinda Gates Foundation through the United States Fund for UNICEF and UNICEF Uganda for funding the CODES project. ACODE is heavily indebted to the Ministry of Health and the District Health Management Teams within each of the 13 CODES Project intervention districts, for their continued support and collaboration. In that same spirit, ACODE is grateful to the hundreds of individuals who participated in the baseline study and a series of community dialogues through offering candid views about their own experiences in seeking, receiving, and providing health services for children under-five years of age. During the course of research and production of this research paper, the authors were supported by a number of individuals, particularly Dr. Arthur Bainomugisha, Executive Director of ACODE; Dr. Flavia Mpanga Kaggwa, the Principal Investigator of the CODES project at UNICEF; and Robert Byabasheija, the CODES Project Manager at UNICEF. In a special way, the authors extend special thanks to Allen Elizabeth for the great insights she shared in the course of conceptualizing this paper. A vote of thanks also goes to Sherie Tumwebaze who was essential to the administrative activities of this study. We also offer a heartfelt thanks to the many district-based research assistants and dialogue facilitators from partner CSOs who were responsible for conducting the fieldwork that served as the basis for this report. While various people contributed to this study in essential ways, the views expressed here are those of the authors, who take sole responsibility for any errors or omissions. The authors hope that this health policy research paper will contribute to improvements in Uganda’s health sector by providing new insights and setting the agenda for further research, policy, and advocacy.
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    An exploratory study of HIV-prevention advocacy by persons in HIV care in Uganda
    (African Journal of AIDS Research, 2012) Tumwine, Christopher; Nannungi, Annet; Ssegujja, Eric; Nekesa, Nicolate; Ssali, Sarah; Atuyambe, Lynn; Ryan, Gery; Wagner, Glenn
    People living with HIV (PLHIV) play a crucial role in reducing the spread of HIV as they are the primary vectors of HIV transmission. Recent HIV-prevention programmes have focused on counselling HIV-positive individuals to reduce their own risk behaviour as a way to limit transmission of the virus (Gerbert, Danley, Herzig, Clanon, Ciccarone, Gilbert & Allerton, 2006; Gilbert, Ciccarone, Gansky, Bangsberg, Clanon, McPhee et al., 2008; Samayoa, Anderson, O’Sullivan, Patricia, Pacheco, Matos et al., 2010). Other HIV-prevention programmes have focused on helping HIV-negative persons avoid infection (Abdool Karim, Sibeko & Baxter, 2010).
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    Reasons for Disclosure of HIV Status by People Living with HIV/AIDS and in HIV Care in Uganda: An Exploratory Study
    (AIDS patient care and STDs, 2010) Ssali, Sarah N.; Atuyambe, Lynn; Tumwine, Christopher; Segujja, Eric; Nekesa, Nicolate; Nannungi, Annet; Ryan, Gery; Wagner, Glenn; Tumwine, Christopher; Segujja, Eric; Nekesa, Nicolate; Nannungi, Annet; Ryan, Gery; Wagner, Glenn
    Most studies of HIV disclosure in Africa have focused on disclosure to spouses and sexual partners, and particularly among women. Few have examined disclosure to family, friends, and others. Understanding the reasons for disclosure and nondisclosure and how these reasons differ by disclosure target is needed for effective prevention interventions. Using a case study design and content analysis, this study explored whether the reasons for disclosure decisions differ by the nature of the relationship to the disclosure target. Semi structured interviews were conducted with 40 HIV clients in Kampala, with even stratification by gender and age. Most (95%) respondents reported disclosing to someone; among these, 84% disclosed to family members, 63% to friends, 21% to workplace colleagues, and 18% to others. Of the 24 participants who had a spouse, 13 (54%) reported disclosing to a spouse. The most common reasons for disclosure were to receive support (76%), associated with disclosure to family members; relationship ties (76%), associated with disclosure to all target types; explaining change in behavior or appearance (61%), associated with disclosing to family and friends; and HIV prevention (50%), associated with disclosure to spouse/partner and friends. The most common reasons for nondisclosure were: fear of abandonment, particularly among young women disclosing to spouse/partner; inaccessibility to the disclosure target; and not wanting to worry/upset the disclosure target. This exploratory analysis suggests that reasons for disclosure and nondisclosure differ depending on the targets of disclosure, highlighting the need for tailoring interventions for improving disclosure decisions making and outcomes.