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Characterizing Mobility and its Association with HIV Outcomes in Refugee Settlements in Uganda Cover

Characterizing Mobility and its Association with HIV Outcomes in Refugee Settlements in Uganda

Open Access
|Mar 2024

Figures & Tables

Figure 1

Data collection timeline.

Table 1

Mobility definitions.

DEFINITIONCHARACTERISTICS CAPTUREDSOURCE
Long-term mobilitySpending ≥1 continuous month away from home in the past yearDurationIntake survey at enrollment
General mobilityAny of the following during any follow-up month:
  • Taking ≥2 trips

  • Traveling outside the district or further

  • Spending >1 week to 2 weeks (8–14 nights) away from home

Frequency
Distance
Duration
Monthly phone survey (answers aggregated across 5 survey time points)
Table 2

Participant characteristics.

PARTICIPANT TOTAL (N = 479)
DEMOGRAPHIC CHARACTERISTICS1
Female, N (%)326 (68%)
Age in years, mean (SD)41 (12)
Relationship status, N (%)
            Married and cohabiting239 (50%)
            Married and living apart33 (7%)
            Cohabiting but not married94 (20%)
            Living apart and not married97 (20%)
            Divorced/separated14 (3%)
Highest level of education, N (%)
            Never attended school342 (71%)
            Some primary school113 (24%)
            Completed primary school11 (2%)
            Some secondary school12 (3%)
Food insecure,2 N (%)123 (26%)
Refugee status, N (%)
            Refugee269 (56%)
            Asylum seeker4 (1%)
            Ugandan national not internally displaced186 (39%)
            Ugandan national internally displaced20 (4%)
Country of origin, N (%)
            Uganda205 (43%)
            Rwanda98 (21%)
            Democratic Republic of the Congo (DRC)69 (14%)
            Burundi61 (13%)
            South Sudan35 (7%)
            Sudan5 (1%)
            Kenya3 (1%)
            Ethiopia2 (0.4%)
            Tanzania1 (0.2%)
Place of residence, N (%)
            Nakivale refugee settlement279 (58%)
            Palorinya refugee settlement23 (5%)
            Adjumani refugee settlement16 (3%)
            Outside of the settlement154 (32%)
Years lived in refugee settlement, Median (IQR)7 (5–12)
Years lived in the district (for those living outside the refugee settlement), Median (IQR)20 (9–33)
Travel time to clinic in minutes (one-way), median (IQR)60 (30–120)
HIV CHARACTERISTICS
Newly diagnosed (diagnosed in past 90 days), N (%)24 (5%)
Diagnosed >90 days prior, N (%)455 (95%)

[i] 1 Percentage of total number of participants reported (N = 479). For each demographic characteristic, percentages, including missingness (not reported in this table), total 100%.

2 Participants were considered food insecure if at any time in the past 4 weeks there was no food to eat of any kind in their household because of a lack of resources, or if their household went to sleep at night hungry because there was not enough food at least 3–10 times.

Table 3

Mobility at baseline.

PARTICIPANT TOTAL (N = 479)
Number of times home changed in the past 10 years, N (%)
            Once138 (29%)
            Twice51 (11%)
            Three times15 (3%)
            Four times13 (3%)
            Five or more times6 (1%)
            No home change220 (46%)
Home change concerned move to a different country, N (% of those who reported a home change)79 (35%)
Long-term mobility: spent ≥1 month away from home in the past year, N (%)67 (14%)
Reasons for spending ≥1 month away, N (% of those who spent ≥1 month away)
            Employment or trade39 (58%)
            To be with partner or children, or visiting extended family or friends13 (19%)
            Farming or looking for food9 (13%)
            Education or studies2 (3%)
            Touring2 (3%)
            Attending a function (e.g. funeral, wedding)1 (2%)
            Other1 (2%)

[i] 1 Percentage of total number of participants reported (N = 479). For each demographic characteristic, percentages, including missingness (not reported in this table), total 100%.

Table 4

Prospectively collected mobility.

PARTICIPANT TOTAL (N = 307)1
Mobile (meet any of the criteria below), N (%)185 (60%)
            Frequency: took ≥2 trips during ANY month, N (%)150 (49%)
            Distance: travelled outside the district or further during ANY month, N (%)68 (22%)
            Duration: Spent >1 week to 2 weeks (8–14 nights) away in ANY month, N (%)69 (23%)

[i] 1 Of the 479 study participants, 307 (64%) answered monthly mobility survey questions about travel frequency, distance, or duration.

Figure 2

Alluvial plot showing the relationship between various travel characteristics for 319 recent trips reported by participants (N = 273).

* All travel characteristics are mutually exclusive.

Table 5

HIV care outcomes.

PARTICIPANT TOTAL (N = 479)
Retention in HIV care (≥1 clinic visit/6 month follow-up), N (%)
            Retained417 (87%)
            Not retained62 (13%)
HIV care linkage (≥1 clinic visit in 90 days following diagnosis), N (%) for newly diagnosed index clients
            Linked17 (71%)
            Did not link to care7 (29%)
Viral suppression (viral load < 1,000 copies/mL)
            Suppressed173 (36%)
            Non-suppressed3 (0.6%)
            Missing303 (63%)
DOI: https://doi.org/10.5334/aogh.4367 | Journal eISSN: 2214-9996
Language: English
Submitted on: Nov 28, 2023
Accepted on: Feb 10, 2024
Published on: Mar 25, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Robin E. Klabbers, Canada Parrish, Patient Iraguha, Marcel Kambale Ntuyenabo, Scovia Ajidiru, Valentine Nshimiyimana, Kampire Caroline, Zikama Faustin, Elinor M. Sveum, Timothy R. Muwonge, Kelli N. O’Laughlin, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.