Browsing by Author "Ngabirano, Tom Denis"

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    Cervical Cancer Screening among HIV‑Positive Women in Urban Uganda: A Cross Sectional Study
    (BMC Women's Health, 2022) Najjuka, Sarah Maria; Olwit, Connie; Kaggwa, Mark Mohan; Nabirye, Rose Chalo; Ngabirano, Tom Denis
    Women living with Human Immunodeficiency Virus (HIV) are at a high risk for early development of cervical cancer. Adherence to cervical cancer prevention strategies in this population is vital for the early detection and treatment of cervical cancer. This study aimed to determine the prevalence and factors associated with cervical cancer screening among HIV-positive women attending an urban HIV care center in Uganda.This cross-sectional study included 205 HIV-positive women receiving care at an urban HIV care center. An interviewer-administered questionnaire was used to capture sociodemographic information, history of screening for cervical cancer, and reproductive health characteristics. Logistic regression analysis was used to determine the factors associated with cervical cancer screening.Of the 205 HIV-positive women with a mean age of 37.5 ± 8.87 that participated in the study, majority (n = 201, 98%) were aware of cervical cancer screening. Ninety participants (44%) had ever been screened for cervical cancer and only 33 (16.1%) had been screened in the past year. Obtaining information about cancer of the cervix and cervical cancer screening from health care professionals was significantly associated with higher levels of cervical cancer screening (adjusted odds ratio = 5.61, 95% confidence interval: 2.50–12.61, p value < 0.001).This study highlights the low prevalence of cervical cancer screening among HIV-positive women and underscores the role of health professionals as an effective source of information on cervical cancer and cervical cancer screening. Patient education programs in HIV prevention and care facilities should emphasize cervical cancer screening messages to enhance the uptake of screening services.
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    Increasing retention of HIV positive pregnant and breastfeeding mothers on option-b plus by upgrading and providing full time HIV services at a lower health facility in rural Uganda
    (BMC public health, 2019) Mirembe Masereka, Enosk; Ngabirano, Tom Denis; Osingada, Charles Peter; Sekaggya Wiltshire, Christine; Castelnuovo, Barbara; Kiragga, Agnes N.
    Despite advancement in Prevention of Mother to Child Transmission (PMTCT) services, the rate of MTCT of HIV in sub-Saharan Africa is still high. This is partly due to low retention of HIV positive mothers in HIV care. We sought to determine the level of retention and the factors associated with retention among HIV positive pregnant and breastfeeding mothers following accreditation of an antiretroviral therapy (ART) clinic to offer full time ART services in one of the lower health facilities in rural Western Uganda. This study was a mixed methods study conducted in 5 health centres in rural Western Uganda from 10th April to 10th May 2017. A total of 132 retained and non-retained HIV positive pregnant and breastfeeding mothers were recruited. A Mother was categorized as retained if she had not missed her ART appointments at antenatal or postnatal clinic for ≥3 consecutive months. Questionnaires were administered and four focus group discussions were held. We used descriptive statistics to understand characteristics of mothers and their levels of retention. Thematic analysis was used to analyze qualitative data.
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    Prevalence and Factors Associated with Undernutrition Among Pregnant Women in Lamwo District Northern Uganda
    (Researchsquare, 2022) Alanyo, Linda Grace; Ngabirano, Tom Denis; Ayebare, Elizabeth; Masereka, Enos Mirembe; Ndeezi, Grace; Tumwine, James K.
    Maternal undernutrition is one of the major causes of morbidity and mortality among pregnant women. While undernutrition is a common problem in Uganda, the magnitude of undernutrition especially among pregnant women in a post-conflict area where food may be scarce has not been documented. We determined the prevalence and factors associated with undernutrition among pregnant women in Lamwo District, Northern Uganda.