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ItemUnintended socio-economic and health consequences of COVID-19 among slum dwellers in Kampala, Uganda(BMC Public Health, 2022)Abstract Background: To reduce the spread of COVID-19, several countries in Africa instituted countrywide lockdowns and other public health measures. Whereas lockdowns contributed to the control of the pandemic, there were concerns about the unintended consequences of these measures especially in the most vulnerable populations. We assessed unintended socio-economic and health consequences due to the COVID-19 pandemic and the mitigation measures among slum dwellers in Kampala to inform the on-going and future pandemic response strategies. Methods: This was a mixed methods cross-sectional study conducted in Bwaise I and Bwaise III slums of Kawempe division, Kampala Uganda from October to December 2020. We used systematic sampling to randomly select 425 household heads for the face-to-face quantitative interviews. We also conducted six focus group discussions (FGDs) with slum dwellers and used photovoice among eight Community Health Workers (CHWs) to document unintended socio-economic and health consequences. Quantitative data were imported into STATA version 14.0 for analysis, while qualitative data were analysed thematically using NVivo version 12. Modified Poisson regression analysis was conducted to establish factors associated with impact on access to food. Results: Most respondents reported limited access to food (71.1%; 302/425); disruption in education (77.1%; 270/350); drop in daily income and wages (86.1%; 329/382) and loss of employment (63.1; 125/198). Twenty five percent of the respondents (25.4%; 86/338) reported domestic violence as one of the challenges. Seven themes emerged from the qualitative findings on the impact of COVID-19 including: limited access to food; negative impact on children’s rights (child labour and teenage pregnancies) and education; poor housing and lack of accommodation; negative social behaviours; negative impact on family and child care; reduced income and employment; and negative impact on health and access to health care services. Conclusion: The slum dwellers of Bwaise I and Bwaise III experienced several negative socio-economic and health consequences of COVID-19 and its prevention measures that severely affected their wellbeing. Children experienced severe consequences such as child labour and teenage pregnancies among the girls. Response activities should be contextualised to different settings and protocols to protect the vulnerable groups in the community such as children and women should be developed and mainstreamed in response activities.
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ItemToll-Like Receptor-Induced Immune Responses During Early Childhood and Their Associations With Clinical Outcomes Following Acute Illness Among Infants in Sub-Saharan Africa(Frontiers in Immunology, 2022)Severely ill children in low- and middle-income countries (LMICs) experience high rates of mortality from a broad range of infectious diseases, with the risk of infection-related death compounded by co-existing undernutrition. How undernutrition and acute illness impact immune responses in young children in LMICs remains understudied, and it is unclear what aspects of immunity are compromised in this highly vulnerable population. To address this knowledge gap, we profiled longitudinal whole blood cytokine responses to Toll-like receptor (TLR) ligands among severely ill children (n=63; 2-23 months old) with varied nutritional backgrounds, enrolled in the CHAIN Network cohort from Kampala, Uganda, and Kilifi, Kenya, and compared these responses to similar-aged well children in local communities (n=41). Cytokine responses to ligands for TLR-4 and TLR-7/8, as well as Staphylococcus enterotoxin B (SEB), demonstrated transient impairment in T cell function among acutely ill children, whereas innate cytokine responses were exaggerated during both acute illness and following clinical recovery. Nutritional status was associated with the magnitude of cytokine responses in all stimulated conditions. Among children who died following hospital discharge or required hospital re-admission, exaggerated production of interleukin-7 (IL-7) to all stimulation conditions, as well as leukopenia with reduced lymphocyte and monocyte counts, were observed. Overall, our findings demonstrate exaggerated innate immune responses to pathogen-associated molecules among acutely ill young children that persist during recovery. Heightened innate immune responses to TLR ligands may contribute to chronic systemic inflammation and dysregulated responses to subsequent infectious challenges. Further delineating mechanisms of innate immune dysregulation in this population should be prioritized to identify novel interventions that promote immune homeostasis and improve outcomes.
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ItemIn utero activation of natural killer cells in congenital cytomegalovirus Iinfection(The Journal of Infectious Disease, 2022)Background. Congenital cytomegalovirus (CMV) infection is the most common infectious cause of birth defects and neurological damage in newborns. Despite a well-established role for natural killer (NK) cells in control of CMV infection in older children and adults, it remains unknown whether fetal NK cells can sense and respond to CMV infection acquired in utero. Methods. Here, we investigate the impact of congenital CMV infection on the neonatal NK-cell repertoire by assessing the frequency, phenotype, and functional profile of NK cells in cord blood samples from newborns with congenital CMV and from uninfected controls enrolled in a birth cohort of Ugandan mothers and infants. Results. We find that neonatal NK cells from congenitally CMV infected newborns show increased expression of cytotoxic mediators, signs of maturation and activation, and an expansion of mature CD56− NK cells, an NK-cell subset associated with chronic viral infections in adults. Activation was particularly prominent in NK cell subsets expressing the Fcγ receptor CD16, indicating a role for antibody-mediated immunity against CMV in utero. Conclusions. These findings demonstrate that NK cells can be activated in utero and suggest that NK cells may be an important component of the fetal and infant immune response against CMV.
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ItemPerceptions and experiences of Mulago School of Nursing and Midwifery students about preceptorship(Makerere University, 2024)Preceptorship is a widely used teaching strategy by different nursing institutions in clinical education. Preceptorship provides students and novice nurses and midwives with reality-based knowledge, transferring theoretical knowledge into practical knowledge alongside acquiring skills, confidence, and professional socialization. Two individuals are involved in a professional relationship; an experienced staff member teaches an inexperienced student to acquire professional knowledge and skills. Objective: The study objective was to explore the perceptions and experiences of Mulago School of Nursing and Midwifery students about preceptorship. A qualitative, exploratory study design, was used to collect data among Mulago School of Nursing and Midwifery students in their final year of study. Six focus group discussions were conducted. Transcribed data were analyzed using a deductive thematic approach. Four themes emerged from students' perceptions, revealing four key themes—including communication, contribution, competence, and confidence. Students reported that effective communication with preceptors, clear instructions, and constructive feedback were crucial for success. The data highlights the importance of communication, active engagement, skill development, and growing confidence in their roles. Additionally, three themes emerged from students' preceptorship experiences: collaboration, confidence, and competence with seven sub-themes. Students reported that collaboration emphasized teamwork, confidence developed through support from preceptors, and competence evolved through the practical application of classroom knowledge. These findings highlight the importance of preceptorship programs for students’ comprehensive professional growth. The study comprehensively summarizes students' perceptions and experiences in preceptorship programs. The results indicate that students found preceptorship beneficial in enhancing their communication skills, sense of contribution, competence, and confidence. These positive aspects highlight the program's role in fostering student development and professional readiness. However, students also expressed concerns, particularly the need for more consistent and effective supervision by preceptors. These findings suggest that while preceptorship programs are valuable, there is room for improvement in supervision efforts. The implications for curriculum development and training strategies are significant, pointing towards necessary enhancements to support student learning and professional growth.
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ItemStakeholders’ Perspectives Towards Pharmacy Based Delivery of Injectable Pre-Exposure Prophylaxis to Key Populations, Adolescent Girls And Young Women in Kampala, Uganda(Makerere University, 2026-01-12)Background: In Uganda, key populations (KP) and adolescent girls and young women (AGYW) (15–24 years) face high HIV incidence, with 5,900 infections in 2023. Oral PrEP is hindered by adherence, stigma, and access. Long-acting injectable PrEP (LAI-PrEP) offers an alternative, and pharmacies could serve as decentralized delivery points. Methodology: A mixed-methods study in Kampala surveyed 119 AGYW, 119 KP, 150 pharmacy staff, and 9 key informants (KI). Pharmacy readiness was assessed with Proctor framework, factors with consolidated framework for implementation research (CFIR), KI data thematically analysed, and quantitative data analysed in STATA 14. Results: Category 1 (KP and AGYW): Among the 238 AGYW and KP (77.7% female), 33.5% (77/230) reported no condom use in the past month, 88.4% (199/225) had ≥2 partners, and 27.7% (64/230) knew their partner’s HIV status. PrEP Knowledge and Awareness: PrEP knowledge was 79.8% (186/233), mainly from health workers (81.2%; 151/186). Awareness was reported as oral only in 90.5% (172/190) of participants, LAI only in 1.6% (3/190), and both oral and LAI in 7.9% (15/190). PrEP use willingness: Willingness to use PrEP was 79.2% (183/231), with 65.6% (120/183) preferring LAI-PrEP; 85.3% (102/120) favoured lenacapavir over cabotegravir. KP were more willing than AGYW (PR=10.32, 95% CI: 5.656–18.824, p<0.001), and HIV status-aware participants were more willing (PR=2.26, 95% CI: 1.04–4.94, p=0.039). Over half (54.3%; 115/212) were willing to receive LAI-PrEP at pharmacies, citing accessibility (57.7%) and fast service (31.5%). About 49.8% (112/225) believed pharmacies could administer it, and 65.9% (151/229) were willing to pay (<$1: 34.5%; $1-$2: 31.8%; $2-$14: 31.8%). Category 2 (Pharmacy staff): Pharmacy staff (n=150): mean age 27, 59.3% male, 79.7% diploma holders. Two (1.3%) routinely administered injections. Most (90.0%; 135) had customers ask about PrEP, mainly oral (89.7%; 122/136). While 60.7% (85/140) had PrEP training, 99.3% were willing to train in both forms. Pharmacy readiness: Mean acceptability, appropriateness and feasibility scores were 3.9, 3.9, and 3.8 (out of 5). Recommended preparations included staff training/education (29.1%), policy changes (17.5%), and infrastructure (7.8%). Category 3 (Key Informants): Qualitative findings showed benefits of better access, less stigma, and service integration. Challenges were staffing gaps, lack of infrastructure, unclear policies, and stigma. Enablers were training, policy changes, and health system linkages. Conclusion: Pharmacy-based LAI-PrEP delivery is feasible and acceptable for KP and AGYW in Kampala. Willingness to receive LAI-PrEP from pharmacies was high, especially among KP, driven by access and privacy. Pharmacies demonstrated moderate–high readiness despite limited injection experience. Stakeholders supported the model, citing policy, training, infrastructure, and financing as key requirements for implementation.