Evidence map›Paper›PMID 34402763›Full record

ArticleGlobal health action2021

Ngutulu Kagwero (agents of change): study design of a participatory comic pilot study on sexual violence prevention and post-rape clinical care with refugee youth in a humanitarian setting in Uganda.

Carmen H Logie, Moses Okumu, Simon Odong Lukone, Miranda Loutet, Alyssa McAlpine, Maya Latif, Isha Berry, Nelson Kisubi, Simon Mwima, Peter Kyambadde and 4 more

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
34.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 3 countries.

Carmen H LogieFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-8035-433X
Moses OkumuSchool of Social Work, University of North Carolina Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0003-2555-3077
Simon Odong LukoneUganda Refugee and Disaster Management Council, Yumbe, Uganda.
Miranda LoutetDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-6293-3047
Alyssa McAlpineFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-1591-4107
Maya LatifFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Isha BerryDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3138-664X
Nelson KisubiUganda Refugee and Disaster Management Council, Yumbe, Uganda.
Simon MwimaSchool of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0003-2745-2026
Peter KyambaddeNational AIDS Coordinating Program, Ugandan Ministry of Health, Kampala, Uganda.ORCID 0000-0002-9606-218X
Stella NeemaDepartment of Anthropology & Sociology, Makerere University, Kampala, Uganda.ORCID 0000-0001-8687-1525
Eusebius SmallSchool of Social Work, University of Texas Arlington, Arlington, TX, USA.ORCID 0000-0001-9027-3632
Senkosi Moses BalyejjusaDepartment of Sociology and Social Administration, Kyambogo University, Kampala, Uganda.ORCID 0000-0001-7121-0855
Joshua MusinguziNational AIDS Coordinating Program, Ugandan Ministry of Health, Kampala, Uganda.
University of Toronto · CAMinistry of Health · UGKyambogo University · UGMakerere University · UGThe University of Texas at Arlington · USUniversity of Illinois Urbana-Champaign · USUniversity of North Carolina at Chapel Hill · US

Funding

Strengthening Child Health Research Capacity in Resource Constrained Settings: Researcher Resilience Training (RRT)R25MH118935 · NIMH · WASHINGTON UNIVERSITY · PI SEAN JOE, Mary McKernan McKay · 2018 to 2026
$1.5M
NIMH NIH HHS R25 MH118935
6 · The paper itself

Abstract

With over 1.4 million refugees, Uganda is Sub-Saharan Africa's largest refugee-hosting nation. Bidi Bidi, Uganda's largest refugee settlement, hosts over 230,000 residents. There is a dearth of evidence-based sexual violence prevention and post-rape clinical care interventions in low- and middle-income humanitarian contexts tailored for refugee youth. Graphic medicine refers to juxtaposing images and narratives, often through using comics, to convey health promotion messaging. Comics can offer youth-friendly, low-cost, scalable approaches for sexual violence prevention and care. Yet there is limited empirical evaluation of comic interventions for sexual violence prevention and post-rape clinical care. This paper details the study design used to develop and pilot test a participatory comic intervention focused on sexual violence prevention through increasing bystander practices, reducing sexual violence stigma, and increasing post exposure prophylaxis (PEP) knowledge with youth aged 16-24 and healthcare providers in Bidi Bidi. Participants took part in a single-session peer-facilitated workshop that explored social, sexual, and psychological dimensions of sexual violence, bystander interventions, and post-rape clinical care. In the workshop, participants completed a participatory comic book based on narratives from qualitative data conducted with refugee youth sexual violence survivors. This pilot study employed a one-group pre-test/post-test design to assess feasibility outcomes and preliminary evidence of the intervention's efficacy. Challenges included community lockdowns due to COVID-19 which resulted in study implementation delays, political instability, and attrition of participants during follow-up surveys. Lessons learned included the important role of youth facilitation in youth-centred interventions and the promise of participatory comics for youth and healthcare provider engagement for developing solutions and reducing stigma regarding SGBV. The Ngutulu Kagwero (Agents of change) project produced a contextually and age-tailored comic intervention that can be implemented in future fully powered randomized controlled trials to determine effectiveness in advancing sexual violence prevention and care with youth in humanitarian contexts.

Indexed as

COVID-19RapeRefugeesSex OffensesAdolescentCommunicable Disease ControlHumansPilot ProjectsSARS-CoV-2UgandaYoung AdultGraphic medicinepost-exposure prophylaxisrefugeesexual violence preventionUganda

Identifiers

PMID34402763
PMCPMC8381980
OpenAlexW3193296368

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.