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

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...

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Vydáno v:Global health action Ročník 14; číslo 1; s. 1940763
Hlavní autoři: Logie, Carmen H., Okumu, Moses, Lukone, Simon Odong, Loutet, Miranda, McAlpine, Alyssa, Latif, Maya, Berry, Isha, Kisubi, Nelson, Mwima, Simon, Kyambadde, Peter, Neema, Stella, Small, Eusebius, Balyejjusa, Senkosi Moses, Musinguzi, Joshua
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Taylor & Francis 01.01.2021
Taylor & Francis Ltd
Taylor & Francis Group
Témata:
Adolescent
Attrition
Bystanders
Change agents
Clinical trials
Comics
Communicable Disease Control
Context
COVID-19
Design
Efficacy
Emotional abuse
Feasibility
Graphic medicine
Health care
Health care expenditures
Health care industry
Health education
Health promotion
Health services
Human settlements
Humanitarian intervention
Humanitarianism
Humans
Implementation
Intervention
Low income groups
Medical research
Medicine
Mental health
Narratives
Pilot Projects
Political risk
post-exposure prophylaxis
Prevention
Prevention programs
Prophylaxis
Rape
Rape - prevention & control
refugee
Refugees
SARS-CoV-2
Sex crimes
Sex Offenses
Sexual assault
Sexual violence
sexual violence prevention
Stability
Stigma
Study Design
Tests
Uganda
Violence
Young Adult
Youth
Uganda
Graphic medicine
Uganda
sexual violence prevention
post-exposure prophylaxis
refugee
ISSN:1654-9716, 1654-9880, 1654-9880
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Shrnutí: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.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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Trial registration: This trial is registered at ClinicalTrials.gov (#NCT04656522).
ISSN:1654-9716
1654-9880
1654-9880
DOI:10.1080/16549716.2021.1940763