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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.

A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study.
Authors: Authors: O'Laughlin KN, Greenwald K, Rahman SK, Faustin ZM, Ashaba S, Tsai AC, Ware NC, Kambugu A, Bassett IV.
AIDS Behav
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Correlates of HIV Status Nondisclosure by Pregnant Women Living With HIV to Their Male Partners in Uganda: A Cross-Sectional Study.
Authors: Authors: Bulterys MA, Sharma M, Mugwanya K, Stein G, Mujugira A, Nakyanzi A, Twohey-Jacobs L, Ware NC, Heffron R, Celum C.
J Acquir Immune Defic Syndr
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Community-based antiretroviral therapy versus standard clinic-based services for HIV in South Africa and Uganda (DO ART): a randomised trial.
Authors: Authors: Barnabas RV, Szpiro AA, van Rooyen H, Asiimwe S, Pillay D, Ware NC, Schaafsma TT, Krows ML, van Heerden A, Joseph P, Shahmanesh M, Wyatt MA, Sausi K, Turyamureeba B, Sithole N, Morrison S, Shapiro AE, Roberts DA, Thomas KK, Koole O, Bershteyn A, Ehrenkranz P, Baeten JM, Celum C.
Lancet Glob Health
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Conceptual model for pluralistic healthcare behaviour: results from a qualitative study in southwestern Uganda.
Authors: Authors: Sundararajan R, Mwanga-Amumpaire J, King R, Ware NC.
BMJ Open
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Influences on Adherence to Antiretroviral Therapy (ART) in Early-Stage HIV Disease: Qualitative Study from Uganda and South Africa.
Authors: Authors: Ware NC, Wyatt MA, Pisarski EE, Bwana BM, Orrell C, Asiimwe S, Amanyire G, Musinguzi N, Bangsberg DR, Haberer JE.
AIDS Behav
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Women's Choice to Deliver at Home: Understanding the Psychosocial and Cultural Factors Influencing Birthing Choices for Unskilled Home Delivery among Women in Southwestern Uganda.
Authors: Authors: Atukunda EC, Mugyenyi GR, Obua C, Musiimenta A, Agaba E, Najjuma JN, Ware NC, Matthews LT.
J Pregnancy
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When Women Deliver at Home Without a Skilled Birth Attendant: A Qualitative Study on the Role of Health Care Systems in the Increasing Home Births Among Rural Women in Southwestern Uganda.
Authors: Authors: Atukunda EC, Mugyenyi GR, Obua C, Musiimenta A, Najjuma JN, Agaba E, Ware NC, Matthews LT.
Int J Womens Health
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Qualitative Contributions to Implementation Research on HIV Prevention and Treatment.
Authors: Authors: Ware NC.
J Acquir Immune Defic Syndr
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PrEP Discontinuation and Prevention-Effective Adherence: Experiences of PrEP Users in Ugandan HIV Serodiscordant Couples.
Authors: Authors: Gilbert HN, Wyatt MA, Pisarski EE, Muwonge TR, Heffron R, Katabira ET, Celum CL, Baeten JM, Haberer JE, Ware NC.
J Acquir Immune Defic Syndr
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Protocol for a longitudinal study to evaluate the use of tenofovir-based PrEP for safer conception and pregnancy among women in South Africa.
Authors: Authors: Matthews LT, Jaggernath M, Kriel Y, Smith PM, O'Neil K, Haberer JE, Hendrix C, Baeten JM, Ware NC, Wirth K, Psaros C, Bangsberg DR, Smit JA.
BMJ Open
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