Uganda Christian University Digital Institutional Repository
Not a member yet
807 research outputs found
Sort by
Nabbubi, Nabbubi
Get PDFThis is a story of a cobweb defining its character and how it associates with other creatures.This is a story of a cobweb defining its character and how it associates with other creatures
The cost of commercial motorcycle accidents in Uganda
No full textThis book chapter is part of an edited book entitled "Economic Transformation for Poverty Reduction in Africa: A Multidimensional Approach"Road traffic accidents are among the leading causes of death and injuries globally. In Africa, road traffic accidents constitute 25 percent of all injury-related deaths which claim the most economically productive population. This book chapter is part of an edited volume which contains empirical studies on determinants of poverty and its reduction in Africa. It looks at multidimensional measures of poverty, production and productivity related factors, policies influencing poverty and random, hazardous but preventive
factors influencing poverty levels and their reduction
50 Years of Shared Responsibility with God-called Women in the Church of the Province of Uganda
Get PDFThis is a Keynote address on 50 Years of Shared Responsibility with God-called Women in the Church of the Province of Uganda presented at Uganda Christian University on 3rd May, 2017This is a Keynote address on the 50 Years of Shared Responsibility with God-called Women in the Church of the Province of Ugand
Factors Associated with Virological Non suppression among HIV-Positive Patients on Antiretroviral Therapy in Uganda
Get PDFThis article reports the growing number of people on antiretroviral therapy (ART), there is limited information about virological non-suppression and its determinants among HIV-positive (HIV+) individuals enrolled in HIV care in many resource-limited settings.Background: Despite the growing number of people on antiretroviral therapy (ART), there is limited information about virological non-suppression and its determinants among HIV-positive (HIV+) individuals enrolled in HIV care in many resource-limited settings. We estimated the proportion of virologically non-suppressed patients, and identified the factors associated with virological non-suppression.
Methods: We conducted a descriptive cross-sectional study using routinely collected program data from viral load
(VL) samples collected across the country for testing at the Central Public Health Laboratories (CPHL) in Uganda.
Data were generated between August 2014 and July 2015. We extracted data on socio-demographic, clinical and
VL testing results. We defined virological non-suppression as having ≥1000 copies of viral RNA/ml of blood for plasma or ≥5000 copies of viral RNA/ml of blood for dry blood spots. We used logistic regression to identify factors associated with virological non-suppression.
Results: The study was composed of 100,678 patients; of these, 94,766(94%) were for routine monitoring, 3492(4%) were suspected treatment failures while 1436(1%) were repeat testers after suspected failure. The overall proportion of non-suppression was 11%. Patients on routine monitoring registered the lowest (10%) proportion of non-suppressed patients. Virological non-suppression was higher among suspected treatment failures (29%) and repeat testers after suspected failure (50%). Repeat testers after suspected failure were six times more likely to have
Virological non-suppression (ORadj = 6.3, 95%CI = 5.5–7.2) when compared with suspected treatment failures
(ORadj = 3.3, 95%CI = 3.0–3.6). The odds of virological non-suppression decreased with increasing age, with children aged 0–4 years (ORadj = 5.3, 95%CI = 4.6–6.1) and young adolescents (ORadj = 4.1, 95%CI = 3.7–4.6) registering the highest odds. Poor adherence (ORadj = 3.4, 95%CI = 2.9–3.9) and having active TB (ORadj = 1.9, 95%CI = 1.6–2.4) increased the odds of virological non-suppression. However, being on second/third line regimens (ORadj = 0.86,
95%CI = 0.78–0.95) protected patients against Virological non-suppression.
Conclusion: Young age, poor adherence and having active TB increased the odds of Virological non-suppression while second/third line ART regimens were protective against non-suppression. We recommend close follow up and intensified targeted adherence support for repeat testers after suspected failure, children and adolescents
Determinants of fertility desire among married or cohabiting individuals in Rakai, Uganda: a cross-sectional study
Get PDFThis article presents a cross-sectional study of fertility desire (desire to have another child) was nested in a cluster randomized demand-creation intervention trial for the promotion of couples’ HIV counseling and testing uptake among married or cohabiting individuals that was conducted in Rakai district between March 1 and April 30, 2015.Background: Recent trends in fertility rates indicate declines in total fertility rate (TFR) in some sub-Saharan African countries. However, countries such as Uganda continue to have a persistently high TFR partly attributed to strong preferences for large family sizes. We explored the factors that influence fertility desire among married or cohabiting individuals in Rakai, a rural district in southwestern Uganda.
Methods: This cross-sectional study of fertility desire (desire to have another child) was nested in a cluster randomized demand-creation intervention trial for the promotion of couples’ HIV counseling and testing uptake among married or cohabiting individuals that was conducted in Rakai district between March 1 and April 30, 2015. A total of 1490 married or cohabiting individuals, resident in three study regions with differing background HIV prevalence, were enrolled into the study. Data were collected on socio-demographic, behavioral and fertility related characteristics. We used a modified Poisson regression model to generate prevalence ratio (PR) as a measure of association for factors that were independently associated with fertility desire. We adjusted for clustering at community level and used STATA version 14.0 for all analyses.
Results: Overall, fertility desire was high (63.1%, n = 940); higher in men (69.9%, n = 489) than women (57.1%, n = 451). More than three-quarters (78.8%, n = 1174) had 3+ biological children while slightly more than two thirds (68.5%, n = 1020) reported an ideal family size of 5+ children. Only 30% (n = 452) reported that they had attained their desired family size. After adjusting for potential and suspected confounders, the factors that were negatively associated with fertility desire were: age 30–39 (adjusted prevalence ratio [aPR] = 0.82, 95% CI: 0.78, 0.86) and 40+ years (aPR = 0.65, 95% CI: 0.60, 0.71); having six or more biological children (aPR = 0.88, 95% CI: 0.80, 0.97); being HIV-positive (aPR = 0.86, 95% CI: 0.78, 0.95) and ever use of any family planning methods (aPR = 0.93, 95% CI: 0.87, 0.99). Being male (aPR = 1.19, 95% CI: 1.07, 1.33); having primary education (aPR = 1.21, 95% CI: 1.01, 1.44) and having not yet attained the desired family size (aPR = 4.34, 95% CI: 3.50, 5.38) were positively associated with fertility desire.
Conclusion: Having not yet attained one’s desired family size, being male and having primary education were positively associated with fertility desire in this population. Targeting individuals who have not yet attained their desired family size, men and less educated individuals with fertility regulation interventions may help to reduce fertility desire in this population
Language, the Sustainable Development Goals, and Vulnerable Populations
Get PDFCultures that use indirect language today face the challenge of being misunderstood. Indirection is often associated with lack of self-esteem, zeal, truthfulness and sincerity. Yet, it is for some, a style of language communication intended to save face and keep peace. As such, people who use indirection may be misunderstood to the extent of being excluded, undermined, and dismissed as unsophisticated and disregarded by those who “speak straight to the point.” A case in point is the Basoga in the Eastern part of Uganda, whose language of communication is dominated by riddling and proverbiage. Defined by colonialists and neighbours as “abempwitu” meaning belligerent, their educational and economic performance is comparably dismal and deteriorating by the year largely because of language. Although many Basoga have served in high positions of power, authority and influence since 1910, their power of negotiation and influence has been low because their language of articulation of the matters of Busoga is engrossed in imagery. An understanding of such a people’s language and what it seeks to communicate calls for specific attention to language diversity. The Basoga, like many indigenous and African people, continue to lose out on many opportunities, because they are misunderstood by their partners in development also because they have a low self-concept. I have found out that the economic stagnation and social frustration of the people in Busoga is largely due to low levels of Lusoga language appreciation. Hence, their detached duty to and use of their direct resources both material and huma
Development and preliminary validation of a post-fistula repair reintegration instrument among Ugandan women
Get PDFThe study discusses Obstetric fistula is a debilitating and traumatic birth injury affecting 2–3 million women globally, mostly in sub-Saharan Africa and Asia. Affected women suffer physically, psychologically and socioeconomically.Background: Obstetric fistula is a debilitating and traumatic birth injury affecting 2–3 million women globally, mostly in sub-Saharan Africa and Asia. Affected women suffer physically, psychologically and socioeconomically. International efforts have increased access to surgical treatment, yet attention to a holistic outcome of post-surgical rehabilitation is nascent. We sought to develop and pilot test a measurement instrument to assess post-surgical family and community reintegration.
Methods: We conducted an exploratory sequential mixed-methods study, beginning with 16 in-depth interviews and four focus group discussions with 17 women who underwent fistula surgery within two previous years to inform measure development. The draft instrument was validated in a longitudinal cohort of 60 women recovering from fistula surgery. Qualitative data were analyzed through thematic analysis. Socio-demographic characteristics were described using one-way frequency tables. We used exploratory factor analysis to determine the latent structure of the scale, then tested the fit of a single higher-order latent factor. We evaluated internal consistency and temporal stability reliability through Raykov’s ρ and Pearson’s correlation coefficient, respectively. We estimated a series of linear regression models to explore associations between the standardized reintegration measure and validated scales representing theoretically related constructs.
Results: Themes central to women’s experiences following surgery included resuming mobility, increasing social interaction, improved self-esteem, reduction of internalized stigma, resuming work, meeting their own needs and the needs of dependents, meeting other expected and desired roles, and negotiating larger life issues. We expanded the Return to Normal Living Index to reflect these themes. Exploratory factor analysis suggested a four-factor structure, titled ‘Mobility and social engagement’, ‘Meeting family needs’, ‘Comfort with relationships’, and ‘General life satisfaction’, and goodness of fit statistics supported a higher-order latent variable of ‘Reintegration.’ Reintegration score correlated significantly with quality of life, depression, self-esteem, stigma, and social support in theoretically expected directions.
Conclusion: As more women undergo surgical treatment for obstetric fistula, attention to the post-repair period is imperative. This preliminary validation of a reintegration instrument represents a first step toward improving measurement of post-surgical reintegration and has important implications for the evidence base of post-surgical reintegration epidemiology and the development and evaluation of fistula programming
Langi
Get PDFThis book demonstrates the many beautiful colors of lifeThis book demonstrates the many beautiful colors of lif
Puusi Na Wambwa Bakuba Na Kusiiga
Get PDFThis is a children's story book.This is a children's story about the way children make drawings of animals like the cat and dog
A large and persistent outbreak of typhoid fever caused by consuming contaminated water and street-vended beverages: Kampala, Uganda, January – June 2015
Get PDFThis study explored On 6 February 2015, Kampala city authorities alerted the Ugandan Ministry of Health of a “strange disease” that killed one person and sickened dozens. We conducted an epidemiologic investigation to identify the nature of the disease, mode of transmission, and risk factors to inform timely and effective control measures.Background: On 6 February 2015, Kampala city authorities alerted the Ugandan Ministry of Health of a “strange disease” that killed one person and sickened dozens. We conducted an epidemiologic investigation to identify the nature of the disease, mode of transmission, and risk factors to inform timely and effective control measures.
Methods: We defined a suspected case as onset of fever (≥37.5 °C) for more than 3 days with abdominal pain, headache, negative malaria test or failed anti-malaria treatment, and at least 2 of the following: diarrhea, nausea or vomiting, constipation, fatigue. A probable case was defined as a suspected case with a positive TUBEX® TF test. A confirmed case had blood culture yielding Salmonella Typhi. We conducted a case-control study to compare exposures of 33 suspected case-patients and 78 controls, and tested water and juice samples.
Results: From 17 February–12 June, we identified 10,230 suspected, 1038 probable, and 51 confirmed cases.
Approximately 22.58% (7/31) of case-patients and 2.56% (2/78) of controls drank water sold in small plastic bags
(ORM-H = 8.90; 95%CI = 1.60–49.00); 54.54% (18/33) of case-patients and 19.23% (15/78) of controls consumed locally made drinks (ORM-H = 4.60; 95%CI: 1.90–11.00). All isolates were susceptible to ciprofloxacin and ceftriaxone. Water and juice samples exhibited evidence of fecal contamination.
Conclusion: Contaminated water and street-vended beverages were likely vehicles of this outbreak. At our recommendation authorities closed unsafe water sources and supplied safe water to affected areas