Kukaa Salama (Staying Safe): a pre-post trial of an interactive informational mobile health intervention for increasing COVID-19 prevention practices with urban refugee youth in Uganda.

Publication date: Jul 17, 2023

Tailored coronavirus disease 2019 (COVID-19) prevention strategies are needed for urban refugee youth in resource-constrained contexts. We developed an 8-wk interactive informational mobile health intervention focused on COVID-19 prevention practices informed by the Risk, Attitude, Norms, Ability, Self-regulation-or RANAS-approach. We conducted a pre-post trial with a community-recruited sample of refugee youth aged 16-24 y in Kampala, Uganda. Data were collected before (T1) and immediately following (T2) the intervention, and at the 16-wk follow up (T3), to examine changes in primary (COVID-19 prevention self-efficacy) and secondary outcomes (COVID-19 risk awareness, attitudes, norms and self-regulation practices; depression; sexual and reproductive health [SRH] access; food/water security; COVID-19 vaccine acceptability). Participants (n=346; mean age: 21. 2 [SD 2. 6] y; cisgender women: 50. 3%; cisgender men: 48. 0%; transgender persons: 1. 7%) were largely retained (T2: n=316, 91. 3%; T3: n=302, 87. 3%). In adjusted analyses, COVID-19 prevention self-efficacy, risk awareness, attitudes and vaccine acceptance increased significantly from T1 to T2, but were not sustained at T3. Between T1 and T3, COVID-19 norms and self-regulation significantly increased, while community violence, water insecurity and community SRH access decreased. Digital approaches for behaviour change hold promise with urban refugee youth but may need booster messaging and complementary programming for sustained effects.

Concepts Keywords
Coronavirusdisease COVID-19
Safe global health
Transgender humanitarian health
Uganda intervention
water insecurity


Type Source Name
disease IDO intervention
disease MESH COVID-19
drug DRUGBANK Water
disease VO COVID-19 vaccine
disease VO vaccine
disease MESH violence

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