Search

Your search keyword '"Mbullo, Patrick"' showing total 18 results
Start Over Author "Mbullo, Patrick"
18 results on '"Mbullo, Patrick"'

1. Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya.

Author

Kibaara, Charles, Blat, Cinthia, Lewis-Kulzer, Jayne, Shade, Starley, Mbullo, Patrick, Cohen, Craig R, and Bukusi, Elizabeth A

Subjects
Clinical Sciences
Abstract

Background. Kenyan antiretroviral (ART) guidelines encourage treatment buddies (TBy) to maximize treatment adherence. This study examined the effect of TBys on clinic attendance in men and women on ART. Methods. This retrospective cohort study included all adult patients initiating ART from August 2007 to December 2011 at four health facilities in Kenya. Data were abstracted from electronic medical records and analyzed using Poisson regression. Results. Of 2,430 patients, 2,199 (91%) had a TBy. Relationship between TBy and clinic attendance differed in females and males (interaction p = 0.09). After demographic and clinic factor adjustment, females with a TBy were 28% more likely to adhere to all appointments than those without (adjusted aRR = 1.28; 95% CI 1.08-1.53), whereas males were no more likely to adhere (aRR = 1.01; 95% CI 0.76-1.32). Males reported partner/spouse (33%) or brother (11%) as the TBy while females reported sister (17%), partner/spouse (14%), or another family member (12%). Multivariable analysis found no association between clinic attendance and TBy relationship in either gender. Conclusion. Clinic attendance was higher among women with TBys but not men. Results support TBys to help women achieve ART success; alternate strategies to bolster TBy benefits are needed for men.

Published
2016

2. Mind the gaps for the best practices: Enhancing the management of Lake Victoria fisheries resources

Author

Aura, Christopher Mulanda, primary, Roegner, Amber, additional, Owiti, Horace, additional, Birungi, Dorothy, additional, Fiorella, Kathryn J., additional, Corman, Jessica, additional, Kayanda, Robert, additional, Mbullo, Patrick, additional, Nyamweya, Chrisphine S., additional, Mchau, Geofrey, additional, Daniels, Miles, additional, and Abila, Richard Oginga, additional

Published
2022
Full Text
View/download PDF

6. Cash water expenditures are associated with household water insecurity, food insecurity, and perceived stress in study sites across 20 low- and middle-income countries

Author

Stoler, Justin, primary, Pearson, Amber L., additional, Staddon, Chad, additional, Wutich, Amber, additional, Mack, Elizabeth, additional, Brewis, Alexandra, additional, Rosinger, Asher Y., additional, Adams, Ellis, additional, Ahmed, Jam Farooq, additional, Alexander, Mallika, additional, Balogun, Mobolanle, additional, Boivin, Michael, additional, Carrillo, Genny, additional, Chapman, Kelly, additional, Cole, Stroma, additional, Collins, Shalean M., additional, Escobar-Vargas, Jorge, additional, Freeman, Matthew, additional, Asiki, Gershim, additional, Ghattas, Hala, additional, Hagaman, Ashley, additional, Jamaluddine, Zeina, additional, Jepson, Wendy, additional, Maes, Kenneth, additional, Mathad, Jyoti, additional, Mbullo, Patrick, additional, Melgar-Quiñonez, Hugo, additional, Miller, Joshua, additional, Niesluchowski, Monet, additional, Omidvar, Nasrin, additional, Samayoa-Figueroa, Luisa, additional, Sánchez-Rodríguez, E. Cuauhtemoc, additional, Santoso, Marianne V., additional, Schuster, Roseanne C., additional, Sullivan, Andrea, additional, Tesfaye, Yihenew, additional, Triviño, Nathaly, additional, Trowell, Alex, additional, Tshala-Katumbay, Desire, additional, Tutu, Raymond A., additional, Young, Sera L., additional, and Zinab, Hassan, additional

Published
2020
Full Text
View/download PDF

7. Water sharing, reciprocity, and need: A comparative study of interhousehold water transfers in sub-Saharan Africa

Author

Brewis, Alexandra, Rosinger, Asher, Wutich, Amber, Adams, Ellis, Cronk, Lee, Pearson, Amber, Workman, Cassandra, Young, Sera, Balogun, Mobolanle, Boivin, Michael, Budds, Jessica, Collins, Shalean, Freeman, Matthew C., Gershim, Asiki, Harris, Leila, Jepson, Wendy, Maes, Kenneth, Mbullo, Patrick, Miller, Joshua, Staddon, Chad, Stoler, Justin, Tesfaye, Yihenew, Trowell, Alex, Tshala-Katumbay, Desire, and Tutu, Raymond

Abstract

Water sharing between households could crucially mitigate short‐term household water shortages, yet it is a vastly understudied phenomenon. Here we use comparative survey data from eight sites in seven sub‐Saharan African countries (Democratic Republic of the Congo, Ethiopia, Ghana, Kenya, Malawi, Nigeria, and Uganda) to answer three questions: With whom do households share water? What is expected in return? And what roles do need and affordability play in shaping those transfers? We find that water is shared predominantly between neighbors, that transfers are more frequent when water is less available and less affordable, and that most sharing occurs with no expectation of direct payback. These findings identify water sharing, as a form of generalized reciprocity, to be a basic and consistent household coping strategy against shortages and unaffordability of water in sub‐Saharan Africa.

Published
2019

18. "Men Are in Front at Eating Time, but Not When It Comes to Rearing the Chicken": Unpacking the Gendered Benefits and Costs of Livestock Ownership in Kenya.

Author

Dumas, Sarah E., Maranga, Abena, Mbullo, Patrick, Collins, Shalean, Wekesa, Pauline, Onono, Maricianah, and Young, Sera L.

Abstract

Background: Livestock can promote resilience in low-income communities through a number of pathways. Livestock development programs seek to amplify these benefits but often fail to consider the costs to intended beneficiaries or the effect of prevailing gender norms.Objective: To explore perceptions of livestock ownership among female smallholder livestock keepers in Nyanza Region, Kenya, and unpack how the distribution of livestock benefits and investments varies by gender within households.Methods: We used multiple ethnographic techniques, including Photovoice, a photo-elicitation interview method, focus group discussions, and pile sorts, with female smallholder livestock owners (n = 18) participating in an ongoing cohort study. Transcripts were coded using a combination of a priori constructs and grounded theory.Results: We found that livestock benefited households by providing financial security, food security, social benefits, and human time and labor savings. However, these benefits largely promoted long-term household resilience rather than immediate gains. Livestock ownership also had major costs to household time and labor, which were overwhelmingly borne by women and children. Despite this investment, women had limited livestock ownership rights, decision-making power, control over income, or access to meat.Conclusions: Our findings suggest that livestock ownership requires significant investments of household time and labor, which disproportionately burden women. Prevailing gender inequalities may therefore constrain the net benefit of livestock ownership for many women and their households in some contexts. Livestock development programs must assess both program benefits and costs at multiple levels to ensure that women's participation in livestock production leads to improved individual and household outcomes. [ABSTRACT FROM AUTHOR]

Published
2018
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results