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Tosobola kunzula!
Get PDFThis is a story of a young girl who kept on hiding and she was found by her fellow friends after searching for her so much.This is a story of a young girl who kept on hiding and she was found by her fellow friends after searching for her so much
“When they know that you are a sex worker, you will be the last person to be treated”: Perceptions and experiences of female sex workers in accessing HIV services in Uganda
Get PDFThis study explored FSWs’ perspectives of the barriers and opportunities to HIV service access in Uganda.Background: HIV prevalence among female sex workers (FSWs) in high burden countries in sub-Saharan Africa varies between 24 and 72%, however their access to HIV services remains limited. This study explored FSWs’ perspectives of the barriers and opportunities to HIV service access in Uganda.
Methods: The cross-sectional qualitative study was conducted between October and December 2013. Twenty-four focus group discussions were conducted with 190 FSWs in 12 districts. Data were analysed using manifest content analysis, using Atlas.ti software, based on the socio-ecological model.
Results: FSWs indicated that HIV services were available and these included condoms, HIV testing and treatment, and management of sexually transmitted infections. However, access to HIV services was affected by several individual, societal, structural, and policy related barriers. Individual level factors included limited awareness of some prevention services, fears, and misconceptions while societal stigma was prominent. Structural and policy level barriers included inconvenient hours of operation of the clinics, inflexible facility based distribution of condoms, interruptions in the supply of condoms and other commodities, and limited package of services with virtually no access to lubricants, HIV pre- and post-exposure prophylaxis, and support following client perpetrated violence.
Policies such as partner testing and involvement at antenatal care, and using only one facility for antiretroviral drug refills hindered HIV service uptake and retention in care. FSWs had major concerns with the quality of services especially discrimination and rude remarks from providers, denial or delay of services, and potential for breach of confidentiality. However, some FSWs reported positive experiences including interface with friendly providers and participated in formal and informal FSW groups, which supported them to access health services.
Conclusion: Despite availability of services, FSWs faced major challenges in access to services. Comprehensive multilevel interventions targeting individual, societal, structural and policy level barriers are required to increase access to HIV services among FSWs in Uganda. Policy and institutional adjustments should emphasize quality friendly services and expanding the package of services to meet the needs of FSWs
Lumasaaba: P - - Ts African Storybook
Get PDFThis book demonstrates reading of different objects and living things in Lumasaba language.This book demonstrates reading of different objects and living things in Lumasaba language
No Peace, No War: Protection of Civilians in the Great Lakes Region of Africa
No full textThis is a Conference paper presented at International Conference of the Great Lakes Region and published at Pretoria University Law Press. 2017Africa’s Great Lakes Region (GLR) has experienced protracted armed conflicts with severe humanitarian consequences. The dynamics of armed conflicts are often complex and their epicentre shifts from one locus to another, as they expand geographically. The brutality upon innocent civilians caused either by their government’s forces or rebels include sexual violence, forced population displacement and extrajudicial, and summary or arbitrary executions. In a majority of cases, incumbent governments fail in their constitutional mandates and international obligations to protect civilians from such atrocities. While the principle of responsibility to protect (R2P) has been invoked by the United Nations Security Council to protect civilians from atrocities in Libya, it remains unclear as to the criteria used to invoke this process. That inevitably poses constraints on the operationalization of protection of civilian mandates. The Chapter adopts a functionalist approach to probe the effectiveness of the responsibility to protect, by examining its role in the protection of civilians in the Great Lakes Region. Apart from identifying gaps between lack of clarity in conceptualization and operationalization; the discussion notes that there is need for clear normative standards on when and how responsibility to protect can be invoked for future protection missions.
Introduction The Great Lakes Region (GLR)1 in Africa consists of countries that essentially coalesce around Lake Victoria, the largest lake in Africa and other smaller lakes in East and Central Africa. These countries are organised under a regional body, the International Conference of the Great Lakes Region (ICGLR). Within the region, there are also other organisations with more or less similar objectives as the ICGLR, such as the East African Community (EAC), the Economic Community of Central African States (ECCAS), the Economic Community of the Great Lakes Countries (CEPGL), the Intergovernmental Authority on
Development (IGAD), and the Common Market for Eastern and Southern. For purposes of this paper, Great Lakes Region (GLR) refers to the member states of the International Conference of the Great Lakes Region (ICGLR)
Kwo Na
Get PDFThis book demonstrates a story of famous people in the society indicating what has made them famousThis book demonstrates a story of famous people in the society indicating what has made them famou
Ani alya byonna
No full textThis is a story about eating everything and you do not mind about others.This is a story about eating everything and you do not mind about others
Retention in care among HIV-infected pregnant and breastfeeding women on lifelong antiretroviral therapy in Uganda: A retrospective cohort study.
Get PDFThe study conducted a retrospective cohort analysis of data abstracted from records of 2,169 women enrolled on Option B+ between January and March 2013 from a representative sample of 145 health facilities in all 24 districts of the Central region of Uganda.Background: In 2013, Uganda updated its prevention of maternal-to-child transmission of HIV program to Option B+, which requires that all HIV-infected pregnant and breastfeeding women be started on lifelong antiretroviral therapy (ART) regardless of CD4 count. We describe retention in care and factors associated with loss to follow-up (LTFU) among women initiated on Option B+ as part of an evaluation of the effectiveness of the national program.
Methods: We conducted a retrospective cohort analysis of data abstracted from records of 2,169 women enrolled on Option B+ between January and March 2013 from a representative sample of 145 health facilities in all 24 districts of the Central region of Uganda. We defined retention as ªbeing alive and receiving ART at the last clinic visitº. We used Kaplan-Meier analysis to estimate retention in care and compared differences between women retained in care and those LTFU using the chi-squared test for dichotomized or categorical variables.
Results: The median follow-up time was 20.2 months (IQR 4.2±22.5). The proportion of women retained in HIV care at 6, 12 and 18 months post-ART initiation was 74.2%, 66.7% and
62.0%, respectively. Retention at 18 months varied significantly by level of health facility and ranged from 70.0% among those seen at hospitals to 56.6% among those seen at lower level health facilities. LTFU was higher among women aged less than 25 years, 59.3% compared to those aged 25 years and above, 40.7% (p = 0.02); among those attending care at lower level facilities, 44.0% compared to those attending care at hospitals, 34.1% (p = 0.01), and among those who were not tested for CD4 cell count at ART initiation, 69.4% compared to those who were tested, 30.9% (p = 0.002).
Conclusion: Retention of women who were initiated on Option B+ during the early phases of roll-out was only moderate, and could undermine the effectiveness of the program. Identifying reasons why women drop out and designing targeted interventions for improved retention should be a priority
Modifiable risk factors for typhoid intestinal perforations during a large outbreak of typhoid fever, Kampala Uganda, 2015
Get PDFThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background: Between January and June, 2015, a large typhoid fever outbreak occurred in Kampala, Uganda, with 10,230 suspected cases. During the outbreak, area surgeons reported a surge in cases of typhoid intestinal perforation (TIP), a complication of typhoid fever. We conducted an investigation to characterize TIP cases and identify modifiable risk factors for TIP.
Methods: We defined a TIP case as a physician-diagnosed typhoid patient with non-traumatic terminal ileum perforation. We identified cases by reviewing medical records at all five major hospitals in Kampala from 2013 to 2015. In a matched case-control study, we compared potential risk factors among TIP cases and controls; controls were typhoid patients diagnosed by TUBEX TF, culture, or physician but without TIP, identified from the outbreak line-list and matched to cases by age, sex and residence. Cases and controls were interviewed using a standard questionnaire from 1st -23rd December 2015. We used conditional logistic regression to assess risk factors for TIP and control for confounding.
Results: Of the 88 TIP cases identified during 2013–2015, 77% (68/88) occurred between January and June, 2015; TIPs sharply increased in January and peaked in March, coincident with the typhoid outbreak. The estimated risk of TIP was 6.6 per 1000 suspected typhoid infections (68/10,230). The case-fatality rate was 10% (7/68). Cases sought care later than controls; Compared with 29% (13/45) of TIP cases and 63% (86/137) of controls who sought treatment within 3 days of onset, 42% (19/45) of cases and 32% (44/137) of controls sought treatment 4–9 days after illness onset (ORadj = 2.2, 95%CI = 0.83–5.8), while 29% (13/45) of cases and 5.1% (7/137) of controls sought treatment ≥10 days after onset (ORadj = 11, 95%CI = 1.9–61). 68% (96/141) of cases and 23% (23/100) of controls had got treatment before being treated at the treatment centre (ORadj = 9.0, 95%CI = 1.1–78).
Conclusion: Delay in seeking treatment increased the risk of TIPs. For future outbreaks, we recommended aggressive community case-finding, and informational campaigns in affected communities and among local healthcare providers to increase awareness of the need for early and appropriate treatment
The structure of news in Community Audio Towers
Get PDFThis article draws attention to the current sensational modernist conceptualization of news as conflict and prominence to argue that news among the poor be understood as activities happening in a village.This article draws attention to the current sensational modernist conceptualization of news as conflict and prominence to argue that news among the poor be understood as activities happening in a village. Findings obtained through observation at two Community Audio Towers (CATs), plus ten key informant interviews with Uganda’s CAT stakeholders at community and national levels, suggest that the global media logic, supported by massive media structures that dictate what news is, finds no relevance in critical local news methodologies. Using the Critical theory, this article concludes that the counter-ideological events redefine the concept of news from conflict and prominence obtained through professional news making cultures to whatever information the village members take to the towers
Information needs and information seeking behaviour of women refugees in Uganda; Public Libraries’ Role
Get PDFThis work was conference paper presented in IFLA WLIC 2017 – Wrocław, Poland – Libraries. Solidarity. Society.Information is an important resource for individual growth and survival. Libraries support Sustainable Development Goals (SDGs) by closing gaps in access to information and helping government, civil society and business to understand local information needs better. With the war in South Sudan, Democratic Republic of Congo, Burundi, Somali and other countries, a number of refugees have sought shelter in Uganda. This paper examines the information needs and the information seeking behaviour of the women refugees and the role of public libraries. The objectives of the research were to; examine the information needs and information seeking behaviour of the women refugees; the challenges they face in accessing information; the role of public libraries in providing information to refugees; propose measures on improving access of information by refugees. Twenty women refugee and two public librarians were purposively sampled. A semi-structured questionnaire and interview schedule were administer to solicit for responses. Ms. Excel was used for data analysis and simple tables used for presentation. The research found out that 75% of women refugees were in the age group (31-40) and 45% of them were from South Sudan. The most needed information is on health services (95%) and the majority of the women refugees relied on local authorities for information because they are not aware of availability of information in public libraries. The major challenge they face is lack of money to acquire gadgets to access information. The recommendation therefore was that public libraries should be able to provide information in their locations as well as sensitise them on their services.IFL