Ngutulu Kagwero (agents of change): study design of a participatory comic pilot study on sexual violence prevention and post-rape clinical care with refugee youth in a humanitarian setting in Uganda

Figures & data

Figure 1. Flowchart of study phases and participant involvement

Table 1. Scenarios on sexual violence and post-rape clinical care included in the comic book

Scenario	Description
Peer Support	Explores strategies for peer support following a sexual violence disclosure, and how peers can encourage each other to seek post-rape healthcare services.
Peer Gossip	Presents the negative impact that gossip has on survivors of sexual violence and how to interrupt gossip when it happens.
Confidentiality	Illustrates the importance for HCPs to maintain confidentiality and how HCPs can champion a work environment that prioritizes confidentiality.
Being a Support Health Care Provider	Provides dialogue about PEP awareness and counseling strategies to be used by HCPs.
Being a Supportive Police Officer	Involves trauma-informed communication strategies to be used by police officers when working with sexual violence survivors.
What Defines Us	Challenges gendered and stigmatizing beliefs about sexual violence survivors by transforming these attitudes into a strengths-based and resilient narrative.
Positive Masculinities	Explores how men can be an active part of the solution in anti-violence initiatives in the community.
The Family Talk	Addresses forced and early marriage expectations and how sexual violence survivors can initiate dialogue with community members (e.g. family and elders) to challenge inequitable cultural and gender norms.

Table 2. Workshop schedule and activity overview

Youth Workshop Activities	Healthcare Provider Activities
Participant introductions, consent forms, and pre-intervention surveys	Participant introductions, consent forms, and pre-intervention surveys
Group norms activity [60]	Group norms activity [60]
Activity 1: Understanding SGBV and its impacts [61] Activity 2: PEP knowledge and awareness [61,62]	Activity 1: Understanding SGBV and its impacts [61] Activity 2: PEP knowledge and awareness [61,62]
Activity 3: Reducing stigma towards SGBV survivors [61]	Discussion: Providing healthcare services to survivors of SGBV [62]
Activity 4: Introduction to bystander intervention and watching role-plays [63]	Activity 3: Reducing stigma towards SGBV survivors seeking health care [61]
Comic book reading and discussion	Activity 4: Introduction to bystander intervention and watching role-plays [63]
Comic book creation and sharing	Comic book reading and discussion
Closing circle	Comic book creation and sharing
Post intervention surveys	Closing circle
	Post intervention surveys

Jewkes R, N M, Jama N. Stepping Stones: a training manual for sexual and reproductive health communication and relationship skills. South Africa: Medical Research Council; 2010.

 Google Scholar

Michau L, S S. SASA! Faith: a training manual to prepare everyone involved in SASA! Faith. Kampala, Uganda: Raising Voices; 2016.

 Google Scholar

International Rescue Committee Inc. Clinical care for sexual assault survivors: a multimedia training tool facilitator’s guide. New York: International Rescue Committee Inc; 2014.

 Google Scholar

Hollaback. Bystander intervention training. [cited 2020 Dec 5] Available from: https://www.ihollaback.org/bystander-resources/

 Google Scholar