TY  - JOUR
PY  - 2021//
TI  - 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
JO  - Global health action
A1  - Logie, Carmen H.
A1  - Okumu, Moses
A1  - Lukone, Simon Odong
A1  - Loutet, Miranda
A1  - McAlpine, Alyssa
A1  - Latif, Maya
A1  - Berry, Isha
A1  - Kisubi, Nelson
A1  - Mwima, Simon
A1  - Kyambadde, Peter
A1  - Neema, Stella
A1  - Small, Eusebius
A1  - Balyejjusa, Senkosi Moses
A1  - Musinguzi, Joshua
SP  - e1940763
EP  - e1940763
VL  - 14
IS  - 1
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1654-9716
UR  - http://dx.doi.org/10.1080/16549716.2021.1940763
ID  - ref1
ER  -