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Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda
Get PDFThis was a qualitative study that was conducted with male and female PWPDs in Kampala in 2007. Data on the challenges experienced by PWPDs in accessing SRH services were collected using in-depth interviews with 40 PWPDs and key informant interviews with 10 PWPDs’ representatives, staff of agencies supporting PWPDs and health workers.Introduction: Despite the universal right to access the same range, quality and standard of free or affordable health care and programs as provided to other persons, people with physical disabilities (PWPDs) continue to experience challenges in accessing these services. This article presents the challenges faced by PWPDs in accessing sexual and reproductive health (SRH) services in Kampala, Uganda.
Methods: This was a qualitative study that was conducted with male and female PWPDs in Kampala in 2007. Data on the challenges experienced by PWPDs in accessing SRH services were collected using in-depth interviews with 40 PWPDs and key informant interviews with 10 PWPDs’ representatives, staff of agencies supporting PWPDs and health workers. All data were captured verbatim using an audio-tape recorder, entered into a Microsoft Word computer program and analyzed manually following a content thematic approach.
Results: The study findings show that PWPDs face a multitude of challenges in accessing SRH services including negative attitudes of service providers, long queues at health facilities, distant health facilities, high costs of services involved, unfriendly physical structures and the perception from able-bodied people that PWPDs should be asexual.
Conclusion: People with physical disabilities (PWPDs) face health facility-related (service provider and facility-related challenges), economic and societal challenges in accessing SRH services. These findings call for a need to sensitize service providers on SRH needs of PWPDs for better support and for the government to enforce the provision of PWPD-friendly services in all health facilities
Isaambo Isi Shishiilima Sheetsila Mu Shaalo Sha Opio
Get PDFThis book narrates a story of a young man who lived with his sister and their parents passed away.This book narrates a story of a young man who lived with his sister and their parents passed away
Communication between HIV-infected children and their caregivers about HIV medicines: a cross-sectional study in Jinja district, Uganda
Get PDFThis study sought to describe communication about medicine for HIV in quantitative terms from the perspectives of both children and caregivers. Thereafter, it established the factors associated with this communication and with children’s knowledge about their HIV medicines.Introduction: Knowledge of antiretroviral therapy (ART) among children with HIV depends on open communication with them about their health and medicines. Guidelines assign responsibility for communication to children’s home caregivers. Other research suggests that communication is poor and knowledge about ART is low among children on treatment in low-income countries. This study sought to describe communication about medicine for HIV in quantitative terms from the perspectives of both children and caregivers. Thereafter, it established the factors associated with this communication and with children’s knowledge about their HIV medicines.
Methods: We undertook a cross-sectional survey of a random sample of 394 children with HIV on treatment and their caregivers at nine health facilities in Jinja District, Uganda.We assessed reported frequency and content of communication regarding their medicines as well as knowledge of what the medicines were for. Logistic regression analysis was used to determine the factors associated with communication patterns and children’s knowledge of HIV medicines.
Results: Although 79.6% of the caregivers reported that they explained to the children about the medicines, only half (50.8%) of the children said they knew that they were taking medicines for HIV. Older children aged 15-17 years were less likely to communicate with a caregiver about the HIV medicines in the preceding month (OR 0.5, 95% CI 0.3-0.7, p-0.002). Children aged 11-14 years (OR 6.1, 95% CI 2.8-13.7, pB0.001) and 15-17 years (OR 12.6, 95% CI 4.6-34.3, pB0.001) were more likely to know they were taking medicines for HIV compared to the younger ones. The least common reported topic of discussion between children and caregivers was ‘‘what the medicines are for’’ while ‘‘the time to take medicines’’ was by far the most mentioned by children.
Conclusions: Communication about, and knowledge of, HIV medicines among children with HIV is low. Young age (less than 15 years) was associated with more frequent communication. Caregivers should be supported to communicate diagnosis and treatment to children with HIV. Age-sensitive guidelines about the nature and content of communication should be developed
Lusamba Lwa Kakayi Lwaburaawa
Get PDFThis is a story of two young sisters caring for each other.This is a story of two young sisters caring for each other
Walube Omuyala Ne Miziru Emika
Get PDFThis is a children's story book.This is a children's story narrating how the animal called a Fox behaves when its is very hungry
Nabulondela Ni Bukokho Busiinge (C)
Get PDFThis is a story about poultry farming in one of the homes being done by one young girl.This is a story about poultry farming in one of the homes being done by one young girl
Mulongo and the Ogre
Get PDFThis story narrates a situation where a people went to argue with the Wild animal which seemed to be understanding like human being.This story narrates a situation where a people went to argue with the Wild animal which seemed to be understanding like human being
Omusaadha Omuleeyi Einho
Get PDFThis is a children's story book.This is a children's story about a very tall man in the village whom everyone was wondering how he survives, because he needs everything to be unique of his height
Igi Lya Mwandu
Get PDFThis is a children's story book.It is a children's story about an egg which was meant for bride price but it got broken by mistake
Effectiveness of a Pre-treatment Snack on the Uptake of Mass Treatment for Schistosomiasis in Uganda: A Cluster Randomized Trial
Get PDFSchool-based mass treatment with praziquantel is the cornerstone for schistosomiasis control in school-aged
children.Background: School-based mass treatment with praziquantel is the cornerstone for schistosomiasis control in school-aged
children. However, uptake of treatment among school-age children in Uganda is low in some areas. The objective of the
study was to examine the effectiveness of a pre-treatment snack on uptake of mass treatment.
Methods and Findings: In a cluster randomized trial carried out in Jinja district, Uganda, 12 primary schools were
randomized into two groups; one received education messages for schistosomiasis prevention for two months prior to mass
treatment, while the other, in addition to the education messages, received a pre-treatment snack shortly before mass
treatment. Four weeks after mass treatment, uptake of praziquantel was assessed among a random sample of 595 children
in the snack schools and 689 children in the non-snack schools as the primary outcome. The occurrence of side effects and
the prevalence and mean intensity of Schistosoma mansoni infection were determined as the secondary outcomes. Uptake
of praziquantel was higher in the snack schools, 93.9% (95% CI 91.7%–95.7%), compared to that in the non-snack schools,
78.7% (95% CI 75.4%–81.7%) (p = 0.002). The occurrence of side effects was lower in the snack schools, 34.4% (95% CI
31.5%–39.8%), compared to that in the non-snack schools, 46.9% (95% CI 42.2%–50.7%) (p = 0.041). Prevalence and mean
intensity of S. mansoni infection was lower in the snack schools, 1.3% (95% CI 0.6%–2.6%) and 38.3 eggs per gram of stool
(epg) (95% CI 21.8–67.2), compared to that in the non-snack schools, 14.1% (95% CI 11.6%–16.9%) (p = 0.001) and 78.4 epg
(95% CI 60.6–101.5) (p = 0.001), respectively.
Conclusions: Our results suggest that provision of a pre-treatment snack combined with education messages achieves a
higher uptake compared to the education messages alone. The use a pre-treatment snack was associated with reduced side
effects as well as decreased prevalence and intensity of S. mansoni infection