Evidence map›Paper›PMID 36747149›Full record

ArticleBMC public health2023

"It gives you a road map of what to do to solve your problems": acceptability of a combination HIV prevention intervention among adolescent girls in Uganda.

Ozge Sensoy Bahar, Proscovia Nabunya, Flavia Namuwonge, Satabdi Samtani, Vicent Ssentumbwe, Florence Namuli, Natasja Magorokosho, Fred M Ssewamala

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03307226 (Suubi4Her), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT03307226 nacompletednot on this map

Suubi4Her: A Combination Intervention Addressing HIV Risk Behaviors Among Older Adolescent Girls Transitioning Into Adulthood in Uganda

TypeinterventionalSponsorWashington University School of MedicineRan2018 to 2021Enrolled1,260ConditionsHIV/AIDSArmsYouth Development Accounts (YDA), YDA + Multiple Family Groups (MFG)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
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

8 authors.

Ozge Sensoy BaharBrown School, Washington University in St. Louis, St. Louis, MO, USA. Ozge.sensoybahar@wustl.edu.
Proscovia NabunyaBrown School, Washington University in St. Louis, St. Louis, MO, USA.
Flavia NamuwongeBrown School, Washington University in St. Louis, St. Louis, MO, USA.
Satabdi SamtaniInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, St. Louis, MO, USA.
Vicent SsentumbweBrown School, Washington University in St. Louis, St. Louis, MO, USA.
Florence NamuliInternational Center for Child Health and Development Field Office, Masaka, Uganda.
Natasja MagorokoshoInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, St. Louis, MO, USA.
Fred M SsewamalaBrown School, Washington University in St. Louis, St. Louis, MO, USA.

Funding

Suubi4HER Round 2: Examining the Long-term Impact of A Combination Interventionon HIV Prevention, Care and Mental Health for Adolescents and Young Women in UgandaR01MH113486 · NIMH · WASHINGTON UNIVERSITY · PI Noeline Nakasujja, FRED M SSEWAMALA · 2017 to 2026
$5.8M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
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 R01 MH113486NIMH NIH HHS R25 MH067127NIMH NIH HHS R25 MH118935
6 · The paper itself

Abstract

backgroundThe HIV burden remains a critical public health concern and adolescent girls are at significantly higher risk compared to the general adult population. Similar to other sub-Saharan African countries, Uganda reports high HIV prevalence among adolescent girls and young women. Yet, both evidence-based HIV prevention interventions and their acceptability among adolescent girls have not been widely studied. In this study, we examined the acceptability of the Suubi4Her intervention, an evidence-based combination intervention aimed at reducing HIV risk among adolescent girls in Uganda.

methodsWe conducted semi-structured in-depth interviews with 25 adolescent girls upon intervention completion to explore their experiences with the Suubi4Her intervention that was tested in a clinical trial in Uganda (2017-2023). Specifically, we explored their decision-making process for participating in the intervention, experiences with program attendance, and their feedback on specific intervention characteristics. Informed by the Theoretical Framework of Acceptability, the data were analyzed using thematic analysis.

resultsThe main motivation for participation was access to health-related information, including information on STIs, HIV, and pregnancy as well as information on banking, saving, and income-generating activities. Though many participants did not have any initial concerns, mistrust of programs, initial paperwork, caregiver's ability to commit time, concerns about ability to save, and HIV/STI and pregnancy testing were raised by some participants. Facilitators to session attendance included motivation to learn information, caregiver commitment, reminder calls, and incentives received for participation. The main challenges included household responsibilities and obligations, difficulty raising transport money, and weather challenges. Adolescent girls appreciated the group format and found the location and times of the sessions convenient. They also found the content relevant to their needs and noted positive changes in their families.

conclusionsThe results showed high intervention acceptability among adolescent girls. These findings have important programmatic and policy implications in Uganda, especially given the higher HIV prevalence among adolescent girls in the country.

trial registrationNCT03307226 (Registered: 10/11/17).

Indexed as

HIV InfectionsSexually Transmitted DiseasesAdolescentAdultFemaleHumansIncomeMotivationPregnancyUgandaAdolescent girlsCombination interventionHIV preventionIntervention acceptabilityQualitativeSub-Saharan Africa

Identifiers

PMID36747149
PMCPMC9901100

What OpenQuestion holds

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Registered trials

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.