11 research outputs found
Re-imagining Indigenous knowledge in a post-COVID-19 social work in Uganda
No full textLocal responses to Covid-19 pandemic in Uganda have included the revamping of Indigenous knowledge and practices like Ryemo Gemo and creative arts to reach the communities. However, the resistance against these practices by a section of political actors aligned to pushing the Ministry of Health and WHO messages, coupled with the clear push for Covid-19 messages packaged and communicated in a biomedical and western package, reveals the strong influence of the western hegemony. We show how the pandemic presents an opportunity to revamp the debate about decolonisation in the context of emergency response. While steering clear of linear solutions, we argue that the pandemic is a reminder for social workers to challenge the predominant enlightenment modernity thinking and western colonialism that devalues Indigenous practices, knowledges, and languages
Deconstructing the psychosexual myths of female circumcision among the Pokot in Eastern Uganda: hints for public health campaigns
No full textSexualization of the woman’s body has for years been used to promote the
practice of female circumcision in practicing communities. In this study, we
provide an insight into the constructive psychosexual experiences of uncir-
cumcised Pokot women in Eastern Uganda. This phenomenological study
was based on thirty-five In-depth interviews with uncircumcised women.
A thematic analysis revealed six constructive psychosexual experiences;
less exposure to early marriages, fewer complications during menstrual
periods, amplified sexual pleasure, ease to reach orgasms, less exposure to
sexually transmitted infections, and good reception by men from non-female
circumcision communities. These experiences provide grounds for public
health campaigns against female circumcision and fighting stigmatization
of uncircumcised women
Comparing condom use with different types of partners : evidence from national HIV surveys in Africa
No full textBased on nationally representative samples from 13 Sub-Saharan African countries, this paper reinforces and expands previous findings that condom use in general is low in this region, men report using condoms more frequently than women, and unmarried individuals report they use condoms more frequently than married individuals with their spouse. Based on descriptive, bivariate, and multivariate analyses, the authors also demonstrate to a degree not previously shown in the current literature that married men from most countries report using condoms with extramarital partners about as frequently as unmarried men. However, married women from most countries included use condoms with extramarital partners less frequently than unmarried women. This result is especially troubling because marriage usually ensures regular sexual intercourse, providing more opportunities to pass HIV from extramarital partner to spouse than an unmarried person who may also have multiple partners but not as regular sexual intercourse.Population Policies,Gender and Health,Adolescent Health,HIV AIDS,Gender and Law
Stock Assessment of Lates niloticus in Upper Victoria Nile and its Impact on Uganda’s Economy
No full textThis study investigated the growth, mortality, recruitment, and catch estimates of Nile perch, Lates niloticus (Linnaeus, 1758), in Upper Victoria Nile, basing on total catches and length-frequency data collected between 2008 and 2018. The asymptotic length (L∞) had a value of 93.45 cm TL, growth curvature (K) was 0.446 year-1, total mortality (Z) was 1.85year-1, natural mortality (M) was 0.79 year-1, fishing mortality (F) was 1.09 year-1, exploitation rate (E) was 0.59 and growth performance index(ᴓ) of (L∞) was 3.604. There were two peaks recruitment period, a minor one in March and a major one in August. These respectively accounted for 12.8 and 26.3 percent of the total catch. The optimum sustainable yield (E0.5), maximum sustainable yield (Emax) and, economic yield (E0.1) was 0.278, 0.421 and 0.355 respectively. The findings suggest that there is a decline in the population of Lates niloticus in Upper Victoria Nile. Therefore, strict management of the fishery by adhering to the recommended slot size of 50-85 cm TL and curtailing use of illegal gears is needed. This will be possible through enforcement of regulations, monitoring, control and surveillance in order to ensure sustainability of the Nile perch fishery and ecosystem restoration in the Upper VictoriaNile.Keywords: Lates niloticus; Catch rates; Growth parameters, Upper Victoria Nile
Saving the endangered Native Victoria Tilapia, Oreochromis variabilis Boulenger (1906), in Upper Victoria Nile
No full textThis study investigated the catch estimates, mortality, growth, food and feeding habits, and water parameters of Oreochromis variabilis in Upper Victoria Nile (UVN) from 2008 to 2019. Catch rates ranged 0.32±0.08 to 3.42±1.13 kg, boat-1, day-1 with the length-weight relationship indicating Isometric growth. Growth parameters obtained were L∞=36.75, K=0.44 yr-1, t0=-0.4540, tmax=6.4years, ØL=2.774, ØW=-0.301. Total mortality (Z) was 1.74yr-1, natural mortality (M) =0.95yr-1 using riverine surface temperature (RST) of 26oC giving a fishing mortality F of 0.79 yr-1 and exploitation ratio (E) of 0.4504 showing that growth parameters concurs with annual estimates and yield (F=6.589; P±=0.05). Catch estimates correlated with water parameters that indicated a significant difference. Mortality parameters showed that the fishery could be experiencing exploitation pressure. Although growth rates revealed that the fish is a long-lived species, if managed properly, its population could recover. Therefore, culturing the species and restocking in rivers and lakes in which this specie was not observed in the East African region are recommended
UvA-DARE (Digital Academic Repository) Traditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness: insights from a rural community in Uganda
No full textTraditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness Insights from a rural community in Uganda General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: https://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Download date: 01 Jul 2019 R E S E A R C H Open Access Traditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness: insights from a rural community in Uganda Abstract Background: Since the 1994 International Conference on Population and Development, male involvement in reproductive health issues has been advocated as a means to improve maternal and child health outcomes, but to date, health providers have failed to achieve successful male involvement in pregnancy care especially in rural and remote areas where majority of the underserved populations live. In an effort to enhance community participation in maternity care, TBAs were trained and equipped to ensure better care and quick referral. In 1997, after the advent of the World Health Organization's Safe Motherhood initiative, the enthusiasm turned away from traditional birth attendants (TBAs). However, in many developing countries, and especially in rural areas, TBAs continue to play a significant role. This study explored the interaction between men and TBAs in shaping maternal healthcare in a rural Ugandan context
The first mile: community experience of outbreak control during an Ebola outbreak in Luwero District, Uganda
No full textAbstract Background A major challenge to outbreak control lies in early detection of viral haemorrhagic fevers (VHFs) in local community contexts during the critical initial stages of an epidemic, when risk of spreading is its highest (“the first mile”). In this paper we document how a major Ebola outbreak control effort in central Uganda in 2012 was experienced from the perspective of the community. We ask to what extent the community became a resource for early detection, and identify problems encountered with community health worker and social mobilization strategies. Methods Analysis is based on first-hand ethnographic data from the center of a small Ebola outbreak in Luwero Country, Uganda, in 2012. Three of this paper’s authors were engaged in an 18 month period of fieldwork on community health resources when the outbreak occurred. In total, 13 respondents from the outbreak site were interviewed, along with 21 key informants and 61 focus group respondents from nearby Kaguugo Parish. All informants were chosen through non-probability sampling sampling. Results Our data illustrate the lack of credibility, from an emic perspective, of biomedical explanations which ignore local understandings. These explanations were undermined by an insensitivity to local culture, a mismatch between information circulated and the local interpretative framework, and the inability of the emergency response team to take the time needed to listen and empathize with community needs. Stigmatization of the local community – in particular its belief in amayembe spirits – fuelled historical distrust of the external health system and engendered community-level resistance to early detection. Conclusions Given the available anthropological knowledge of a previous outbreak in Northern Uganda, it is surprising that so little serious effort was made this time round to take local sensibilities and culture into account. The “first mile” problem is not only a question of using local resources for early detection, but also of making use of the contextual cultural knowledge that has already been collected and is readily available. Despite remarkable technological innovations, outbreak control remains contingent upon human interaction and openness to cultural difference
Linking communities to formal health care providers through village health teams in rural Uganda: lessons from linking social capital
No full textAbstract
Background
Community-based programmes, particularly community health workers (CHWs), have been portrayed as a cost-effective alternative to the shortage of health workers in low-income countries. Usually, literature emphasises how easily CHWs link and connect communities to formal health care services. There is little evidence in Uganda to support or dispute such claims. Drawing from linking social capital framework, this paper examines the claim that village health teams (VHTs), as an example of CHWs, link and connect communities with formal health care services.
Methods
Data were collected through ethnographic fieldwork undertaken as part of a larger research program in Luwero District, Uganda, between 2012 and 2014. The main methods of data collection were participant observation in events organised by VHTs. In addition, a total of 91 in-depth interviews and 42 focus group discussions (FGD) were conducted with adult community members as part of the larger project. After preliminary analysis of the data, we conducted an additional six in-depth interviews and three FGD with VHTs and four FGD with community members on the role of VHTs. Key informant interviews were conducted with local government staff, health workers, local leaders, and NGO staff with health programs in Luwero. Thematic analysis was used during data analysis.
Results
The ability of VHTs to link communities with formal health care was affected by the stakeholders\u2019 perception of their roles. Community members perceive VHTs as working for and under instructions of \u201cothers\u201d, which makes them powerless in the formal health care system. One of the challenges associated with VHTs\u2019 linking roles is support from the government and formal health care providers. Formal health care providers perceived VHTs as interested in special recognition for their services yet they are not \u201cexperts\u201d. For some health workers, the introduction of VHTs is seen as a ploy by the government to control people and hide its inability to provide health services. Having received training and initial support from an NGO, VHTs suffered transition failure from NGO to the formal public health care structure. As a result, VHTs are entangled in power relations that affect their role of linking community members with formal health care services. We also found that factors such as lack of money for treatment, poor transport networks, the attitudes of health workers and the existence of multiple health ..
Ignorance in the time of AIDS: what we do, and do not know about the ABC message in Uganda
No full textThe reduction of the HIV prevalence rate in Uganda during the early 1990s is often attributed to the introduction of an ABC policy. The Ugandan government is thought to have maintained a consistent message that suggested behaviour change in response to the HIV epidemic - encouraging citizens to Abstain, Be faithful, and/or use Condoms. It is thought that such a policy provides individuals with behavioural 'options', allowing them to choose a manner of protecting themselves against HIV infection. Although often used as an example of a successful social policy, many questions regarding the case are still unanswered. This dissertation establishes what is and is not known about the decline in prevalence in Uganda, as well as the role played by the ABC policy in that decline. The dissertation takes the form of a literature survey using key terms relating to the case. The ABC concept and the issues relevant to its implementation are initially discussed on an abstract level. The dissertation then turns to the implementation of the ABC policy in Uganda and the alleged success thereof. Three key topics are discussed in relation to the case: 1) the available statistical evidence pertaining to HIV/AIDS rates, 2) the available statistical evidence of behaviour change in Uganda, and 3) the national policy employed by the Ugandan government during the past three decades. The ideological debate surrounding the current Ugandan policy is also discussed. From the analysis of the available literature on the ABC policy and the Ugandan case, it becomes evident that certain things are known about the topic while others are not. The literature shows that a decline in prevalence did indeed take place, but that the extent and timing of this decline are unclear. The literature also shows that prevention messages in the country did suggest a change in behaviour in response to the threat of HIV, but that the content of these messages was not consistent on a national level. 6 Most importantly, the literature does not support a clear link between the implementation of an ABC policy and behaviour change in Uganda, nor does it clearly support a link between an ABC policy and a decline in HIV prevalence. Further research on the effectiveness and potential negative impact of the ABC concept is necessary before it is widely implemented in other countries
Towards Promotion of Community rewards to Volunteer Community Health Workers? Lessons from Experiences of Village Health Teams in Luwero, Uganda
No full textIn the debate regarding volunteer Community Health Workers (CHWs) some argue that lack of remuneration is exploitation while others caution that any promise to pay volunteers will decrease the volunteer spirit. In this paper we discuss the possibility of community rewards for CHWs. Ethnographic fieldwork that lasted 18 months utilised methods including participant observation, FGDs, in-depth interviews and key informant interviews to gain insight into the dynamic relationship between volunteer CHWs known as Village Health Teams (VHTs) and the community. Contextual transcription was done and data was thematically analysed. Findings show that community members are willing to reward volunteer CHWs with cash, material and symbolic rewards in appreciation for their help. Factors crucial for this gesture included: care and recognition of the VHTs’ work by medical staff, fulfilment of the promises made to the community by government and exemplary behaviour by CHWs. Therefore, effort should be made to facilitate volunteer CHWs to be seen as helpful to their communities. Especially, there needs to be a smooth operation at the intersection between the VHTs, local government and medical structures. Community rewards could be a more sustainable way of motivating CHWs while a solution to health personnel shortage is sought
