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Norma Ware, PhD

Associate Professor of Medicine, Brigham and Women's Hospital
Associate Professor of Global Health and Social Medicine, Harvard Medical School

Norma C. Ware is a medical anthropologist and associate professor in the Department of Global Health and Social Medicine, Harvard Medical School. Dr. Ware conducts research on social and behavioral dimensions of HIV treatment and prevention in sub-Saharan Africa. She is particularly interested in the use of qualitative research on user experiences to explain the dynamics of interventions to improve delivery of health care. Current research topics include: (1) a mobile outreach approach to delivering health services to Lake Victoria fishing communities in western Kenya; (2) evaluation of community-based HIV testing and ART delivery in South Africa and Uganda; (3) use of HIV self-testing and PrEP to facilitate linkage to HIV treatment and prevention services for male partners of HIV-infected pregnant women in Uganda; (4) qualitative evaluation of integrated delivery of PrEP and ART to HIV serodiscordant couples in Ugandan public health clinics; and (5) influences on uptake and adherence to periconception PrEP to reduce HIV risk in S. African women. In carrying out her research, Dr. Ware partners with the Center for Global Health at Massachusetts General Hospital, Boston, MA; the International Clinical Research Center at the University of Washington, Seattle, WA; the Infectious Diseases Institute of Makerere University, Kampala, Uganda; Mbarara University of Science and Technology, Mbarara, Uganda; Kenya Medical Research Institute, Nairobi, Kenya; and the Lake Victoria Consortium for Health Research, Entebbe, Uganda. Dr. Ware teaches at Harvard Medical School and collaborates widely with colleagues interested in the application of qualitative methods to research on health. She also mentors junior investigators.

Affiliations:
Associate Professor, Department of Medicine, Division of Global Health Equity, Brigham and Women’s Hospital

Assistant:
Emily Pisarski

Dr. Ware conducts research on the delivery of HIV prevention and treatment services in sub-Saharan Africa. This research evaluates interventions aimed at improving service delivery, by examining intervention implementation processes. Current and recent projects focus on: (1) understanding implementation of real-time, point-of-care viral load testing by Ugandan public health care providers as an antiretroviral medication adherence intervention for pregnant women living with HIV; (2) explaining how Ugandan pregnant women living with HIV deliver and use HIV self-testing kits intended to promote testing among their male partners of unknown HIV status; (3) examining how Ugandan HIV care providers adapted a novel program of integrated HIV prevention and treatment services to promote feasibility and acceptability; and (4) investigating the impact of COVID-19 lockdowns on continuing access to HIV care in Uganda.

Beyond HIV prevention: everyday life priorities and demand for PrEP among Ugandan HIV serodiscordant couples.
Authors: Authors: Nakku-Joloba E, Pisarski EE, Wyatt MA, Muwonge TR, Asiimwe S, Celum CL, Baeten JM, Katabira ET, Ware NC.
J Int AIDS Soc
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Health System Factors Constrain HIV Care Providers in Delivering High-Quality Care: Perceptions from a Qualitative Study of Providers in Western Kenya.
Authors: Authors: Genberg B, Wachira J, Kafu C, Wilson I, Koech B, Kamene R, Akinyi J, Knight J, Braitstein P, Ware N.
J Int Assoc Provid AIDS Care
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Acceptability and Feasibility of Real-Time Antiretroviral Therapy Adherence Interventions in Rural Uganda: Mixed-Method Pilot Randomized Controlled Trial.
Authors: Authors: Musiimenta A, Atukunda EC, Tumuhimbise W, Pisarski EE, Tam M, Wyatt MA, Ware NC, Haberer JE.
JMIR Mhealth Uhealth
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Integrated delivery of antiretroviral treatment and pre-exposure prophylaxis to HIV-1 serodiscordant couples in East Africa: a qualitative evaluation study in Uganda.
Authors: Authors: Ware NC, Pisarski EE, Nakku-Joloba E, Wyatt MA, Muwonge TR, Turyameeba B, Asiimwe SB, Heffron RA, Baeten JM, Celum CL, Katabira ET.
J Int AIDS Soc
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A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda.
Authors: Authors: O'Laughlin KN, Rouhani SA, Kasozi J, Greenwald KE, Perkons NR, Faustin ZM, Bassett IV, Ware NC.
Confl Health
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Retention in Differentiated Care: Multiple Measures Analysis for a Decentralized HIV Care and Treatment Program in North Central Nigeria.
Authors: Authors: Agaba PA, Genberg BL, Sagay AS, Agbaji OO, Meloni ST, Dadem NY, Kolawole GO, Okonkwo P, Kanki PJ, Ware NC.
J AIDS Clin Res
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Messaging Circumstances and Economic Pressures as Influences on Linkage to Medical Male Circumcision following Community-Based HIV Testing for Men in Rural Southwest Uganda: A Qualitative Study.
Authors: Authors: Gilbert HN, Wyatt MA, Asiimwe S, Turyamureeba B, Tumwesigye E, Van Rooyen H, Barnabas RV, Celum CL, Ware NC.
AIDS Res Treat
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Pre-exposure prophylaxis for HIV-negative persons with partners living with HIV: uptake, use, and effectiveness in an open-label demonstration project in East Africa.
Authors: Authors: Heffron R, Ngure K, Odoyo J, Bulya N, Tindimwebwa E, Hong T, Kidoguchi L, Donnell D, Mugo NR, Bukusi EA, Katabira E, Asiimwe S, Morton J, Morrison S, Haugen H, Mujugira A, Haberer JE, Ware NC, Wyatt MA, Marzinke MA, Frenkel LM, Celum C, Baeten JM.
Gates Open Res
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The Technology Acceptance Model for Resource-Limited Settings (TAM-RLS): A Novel Framework for Mobile Health Interventions Targeted to Low-Literacy End-Users in Resource-Limited Settings.
Authors: Authors: Campbell JI, Aturinda I, Mwesigwa E, Burns B, Santorino D, Haberer JE, Bangsberg DR, Holden RJ, Ware NC, Siedner MJ.
AIDS Behav
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The role of social support on HIV testing and treatment adherence: A qualitative study of HIV-infected refugees in southwestern Uganda.
Authors: Authors: Rouhani SA, O'Laughlin KN, Faustin ZM, Tsai AC, Kasozi J, Ware NC.
Glob Public Health
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