Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian setting in Uganda

There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting informat...

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Vydáno v:Global public health Ročník 18; číslo 1; s. 2092178
Hlavní autoři: Logie, Carmen H., Okumu, Moses, Loutet, Miranda, Berry, Isha, Lukone, Simon Odong, Kisubi, Nelson, Mwima, Simon, Kyambadde, Peter
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Taylor & Francis 01.01.2023
Taylor & Francis Ltd
Taylor & Francis Group
Témata:
Acceptance
Adolescents
Bystanders
Change agents
Comics
Coping
Efficacy
Empathy
Feedback
Gender-based violence
Graphic medicine
Health education
Health promotion
HIV
Human immunodeficiency virus
Humanitarian intervention
Humanitarianism
Intervention
Knowledge
Literacy
Low income groups
Pilot projects
post-exposure prophylaxis
Prevention
Prevention programs
Preventive medicine
Prophylaxis
Rape
refugee
Refugees
Sex crimes
Sexual abuse
Sexual violence
sexual violence prevention
Skill development
Stigma
Survivor
Test pilots
Uganda
Violence
Workshops
Youth
Uganda
Graphic medicine
stigma
refugee
Uganda
sexual violence prevention
post-exposure prophylaxis
youth
ISSN:1744-1692, 1744-1706, 1744-1706
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Shrnutí:There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting information. We evaluated a participatory comic intervention to increase post-exposure prophylaxis (PEP) knowledge and acceptance, and prevent sexual and gender-based violence, in Bidi Bidi refugee settlement, Uganda. Following a formative qualitative phase, we conducted a pre-test post-test pilot study with refugee youth (aged 16-24 years) (n = 120). Surveys were conducted before (t0), after (t1), and two-months following (t2) workshops. Among participants (mean age: 19.7 years, standard deviation: 2.4; n = 60 men, n = 60 women), we found significant increases from t0 to t1, and from t0 to t2 in: (a) PEP knowledge and acceptance, (b) bystander efficacy, and (c) resilient coping. We also found significant decreases from t0 to t1, and from t0 to t2 in sexual violence stigma and depression. Qualitative feedback revealed knowledge and skills acquisition to engage with post-rape care and violence prevention, and increased empathy to support survivors. Survivor-informed participatory comic books are a promising approach to advance HIV prevention through increased PEP acceptance and reduced sexual violence stigma with refugee youth. Trial registration: ClinicalTrials.gov identifier: NCT04656522.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1744-1692
1744-1706
1744-1706
DOI:10.1080/17441692.2022.2092178