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This study was conducted to determine the level and feasibility of use of information and communication technology ICT and social media for research and service delivery among young female sex workers YFSWs in Kampala, Uganda. We analysed baseline data from YFSWs in Kampala ages 15—24 y participating in a randomized controlled trial testing a cognitive behavioural human immunodeficiency virus prevention intervention. Mobile phone ownership Computer use experience and internet access were low. The coronavirus disease pandemic has upended medical prevention, care and research, especially studies engaged in ongoing data collection.
Lockdowns, transport curbs and physical distancing have led to restrictions on in-person meetings, interrupting research activities. Although information and communications technology ICT access in low- and middle-income countries has been steadily improving, telehealth technologies can be rudimentary, as is also the case in some settings in high-income countries.
Among these marginalised groups are young female sex workers YFSWs. Young women are about three times less likely to have ever used the internet and about half as likely to own a mobile phone compared with young men. We interviewed YFSWs with a mean age of About 6. The proportion of YFSWs who reported having some computer use experience was In contrast, The internet was mainly accessed for Facebook by The proportion who reported using short message service SMS daily was These findings reveal that while the reported mobile phone access and internet use among YFSWs in Kampala are moderate, social media use is very low.
The reported education level and mobile phone ownership among YFSWs were comparable to Ugandan women in the general population. On the other hand, internet access was similar, reflecting the generally restricted penetration of the internet in Kampala. Uganda introduced a social media tax on the use of 60 mobile social media apps, including Facebook and WhatsApp, in This could limit the reach of telehealth operational programmes and research interventions.
The disproportionate access to ICT and social media by YFSWs ages 15—19 y may limit their access to and propagation of health information within their networks. It could also make it harder to cultivate social ties and to cope. RK and JS conceived the study and deed the study Sex hookers Rockville. All authors implemented the study. FXK wrote the first draft of the manuscript. All authors wrote, read and approved the final manuscript.
RK and JS are the guarantors of the paper. All adult participants gave informed consent and so did participants 15—17 y of age per the Mature and Emancipated Minors clause of Uganda's National Guidelines for Research Involving Humans as Research Participants The data underlying this article cannot be shared publicly to protect the privacy of individuals that participated in the study.
The data will be shared upon reasonable request to the corresponding author. COVID and readjusting clinical trials. Google Scholar.
Health Policy Technol. Uganda Demographic and Health Survey Google Preview. Silverman JG. Adolescent female sex workers: invisibility, violence and HIV. Arch Dis Child. Oliver RMatthew S. The mobile gender gap report London : GSM Association ; High mobile phone ownership but low internet access and use among young adults attending an urban HIV clinic in Uganda.
Vulnerable Child Youth Stud. Oxford University Press is a department of the University of Oxford.
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Ethical approval. Data availability. Information and communications technology use among young female sex workers participating in a randomised human immunodeficiency virus prevention trial in Kampala, Uganda Francis X KasujjaFrancis X Kasujja. Kasujja mrcuganda. Oxford Academic.
Hillary Mutabazi. Eva Muhanguzi. Janet Seeley. Rachel King. Revision received:. Select Format Select format. Permissions Icon Permissions. Abstract Background. Table 1. Open in new tab. Google Scholar Crossref. Search. Issue Section:. Download all slides. Comments 0. Add comment Close comment form modal. I agree to the terms and conditions. You must accept the terms and conditions. Add comment Cancel. Submit a comment. Comment title. You have entered an invalid code.
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