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Garvey, Brian. "Education and the State in Uganda." Journal of Educational Administration and History 28, no. 1 (January 1996): 58–69. http://dx.doi.org/10.1080/0022062960280104.
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LaBranche, Jillian. "Thinking Beyond the Escape: Evaluating the Reintegration of Child Soldiers in Uganda." Slavery Today Journal 3, no. 1 (August 2016): 100–122. http://dx.doi.org/10.22150/stj/pyoq6835.
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While the Lord’s Resistance Army has gained notoriety for its brutal tactics and abduction of Ugandan children, little attention has been given to the return and reintegration of these formerly abducted child soldiers. The absence of a formal reintegration program in Uganda has placed the burden of reintegration on international NGOs, but reliance on non-local organizations to successfully reintegrate child soldiers has proven challenging. This paper seeks to evaluate whether the process of reintegration in Uganda has been successful. With an overwhelming lack of up to date and methodologically sound research, variables such as PTSD, domestic violence, alcoholism, violent crime, and primary education rates are evaluated to indicate the current state of Northern Uganda. These variables indicate an unstable environment in Northern Uganda and suggest reintegration has proven unsuccessful in the Acholi region. The successful reintegration of child soldiers is demonstrated to be not merely a Ugandan issue, but an international issue.
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Eisemon, Thomas Owen, and Jamil Salmi. "African universities and the state: Prospects for reform in Senegal and Uganda." Higher Education 25, no. 2 (March 1993): 151–68. http://dx.doi.org/10.1007/bf01384746.
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Josephine, Bweyale, and Tugume Lubowa Hassan. "Teaching Religion OR about Religion: The Paradox of Religious Education in Secondary Schools in Uganda." East African Journal of Traditions, Culture and Religion 3, no. 2 (August 3, 2021): 30–42. http://dx.doi.org/10.37284/eajtcr.3.2.374.
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The article reviews the teaching of Religious Education in schools in Uganda. Uganda is a religiously pluralistic country with Christianity and Islam the most popular. Ugandans are theists, their worldview is religious and they are passionate about their faiths. Therefore, Religious Education is a fundamental subject since the early years of education as it marked the beginning of formal education in Uganda. However, whilst Uganda has a diversity of religions such as Christianity with its different sects, Islam and its sects, Hinduism, Buddhism, and Sikhism, the education system considers only Islam and Christianity. Therefore, the article discusses whether the teaching of Religious Education where only Christianity and Islam are considered is justified to be referred to as Religious Education. The article concludes that there is a mismatch between the NCDC (2008) stated goals, objectives and content of Religious Education. The objectives and goals portray a false image that RE is intended to expose learners and to achieve educational purposes. Yet, the content, approaches and teaching methods are quite contradictory. The implementation of RE in Uganda is purely confessional; it does not aim at educational goals but at deepening learners' faith distinctively. Instead of teaching about religion, learners are taught religion. The article is based on documentary analysis of the Religious Education curriculum, syllabi and teachers' and learners' handbook documents. In addition, the article analysed literature about the teaching of Religious Education including the aims and goals of Religious Education, the pedagogical approaches, methods and techniques in Religious Education in modern pluralistic communities. In identifying the appropriate literature, suitable databases were identified and used Boolean operators and proper search terms, phrases and conjunctions were used. To further ensure the credibility of the reviewed publications for analysis, only peer-reviewed journal articles with ISBN numbers and Digital Object Identifiers (DOI) were used
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Okoth, PG. "Research as a Cornerstone of Quality Assurance in University Education with specific Reference to Uganda Martyrs University." Journal of Science and Sustainable Development 5, no. 1 (June 12, 2013): 37–55. http://dx.doi.org/10.4314/jssd.v5i1.4.
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This paper discusses the nexus between research and quality assurance in contemporary higher education, with specific reference to Uganda Martyrs University. Starting with discussion of the concept of research—touching on the conceptualization of what constitutes research; disambiguation of key terms and concepts in research; and discussion of major research paradigms and designs—the paper discusses the place of research as an aspect of quality assurance in university education. Thereafter, it articulates a case for research in higher education and discusses the state of research, quality assurance and the meeting points of the two at Uganda Martyrs University.Keywords · Research · Quality assurance · Higher education
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Moses, Erin, Heather N. Pedersen, Emily C. Wagner, Musa Sekikubo, Deborah M. Money, Gina S. Ogilvie, and Sheona M. Mitchell-Foster. "Understanding Men’s Perceptions of Human Papillomavirus and Cervical Cancer Screening in Kampala, Uganda." Journal of Global Oncology, no. 4 (December 2018): 1–9. http://dx.doi.org/10.1200/jgo.17.00106.
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Purpose This preliminary study explores Ugandan men’s knowledge and attitudes about human papillomavirus (HPV), cervical cancer, and screening. Methods A local physician led an education session about cervical cancer for 62 men in Kisenyi, Kampala in Uganda. Trained nurse midwives administered surveys to assess knowledge and attitudes before and after the education session. Results From the pre-education survey, only 24.6% of men had heard of HPV previously, and 59% of men had heard of cervical cancer. Posteducation, 54.5% of men believed only women could be infected with HPV and 32.7% of men believed antibiotics could cure HPV. Despite their limited knowledge, 98.2% of men stated they would support their partners to receive screening for cervical cancer, and 100% of men surveyed stated they would encourage their daughter to get the HPV vaccine if available. Conclusions Knowledge of HPV and cervical cancer among Ugandan men is low. Even after targeted education, confusion remained about disease transmission and treatment. Ongoing education programs geared toward men and interventions to encourage spousal communication about reproductive health and shared decision making may improve awareness of cervical cancer prevention strategies.
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Bauer, Carrie, and Matthew J. Gallagher. "Education for Humanity: higher education for refugees in resource-constrained environments through innovative technology." Journal of Refugee Studies 33, no. 2 (June 1, 2020): 416–36. http://dx.doi.org/10.1093/jrs/feaa040.
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Abstract Half of refugee children attend primary school and 22 per cent attend secondary school, yet only 3 per cent have access to higher education. When higher education efforts do exist, they often ignore common barriers refugees face in accessing it: cost, connectivity, lack of a power source, and access to devices, among others. Arizona State University’s Education for Humanity team piloted a programme to address this lack of access and associated barriers. Using a solar-powered, offline technology that emits a Wi-Fi hotspot, the team implemented a university-level course in Nakivale Settlement, Uganda. This article presents the results and findings from this pilot programme.
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Kasozi, A. B. K. "The Role of the State in Addressing Challenges and Opportunities Posed by the Rapid Growth of Universities in Uganda since 1988." African Studies Review 45, no. 2 (September 2002): 123–39. http://dx.doi.org/10.1017/s0002020600031450.
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Abstract:This article reviews the challenges and opportunities posed by the rapid growth of private universities in Uganda since 1988 and tries to identify areas of the private university system in which the state can play a positive role. It argues that the state should not leave the operation of the system entirely to market forces but should positively regulate their activities without control. Seven challenges are identified. These include the management challenge, the financing of these institutions, meeting the ever increasing demand for higher education, the devising of relevant curricula, addressing the dearth of qualified academic staff, the formation of a comprehensive national higher education policy, and the maintenance of institutional autonomy tempered by accountability of each of tfiese new university institutions. At the same time, the article identifies a number of opportunities that these institutions could take advantage of. These include the positive economic development the country has been registering for the last decade and half, the resilience of the lower educational system, the social need for higher education, the policy of Universal Primary Education (UPE), the interest of the current government in education development, and the positive international attitude toward Uganda.
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Tusiime, Sharon M., Gail R. Nonnecke, and Helen H. Jensen. "Tomato seed value chain analysis and seed conditioning among seed companies in Uganda." International Food and Agribusiness Management Review 23, no. 4 (November 5, 2020): 501–14. http://dx.doi.org/10.22434/ifamr2019.0199.
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Tomatoes increase nutritional food security and income among Ugandan smallholder farmers who have limited access to high quality seed. The objective of this study was to analyze the current tomato seed value chain for Uganda. Survey responses determined roles of key participants, including Ministry of Agriculture, Animal Industry and Fisheries (MAAIF) for regulation and certification; National Agricultural Research Organization for breeding cultivars and seed multiplication; Makerere University for education and research; commercial seed companies for seed importation and conditioning; seed distributors for sales; and smallholder farmers as savers and end users of seed. Challenges included an inefficient domestic seed distribution system, technical constraints in seed production and conditioning by seed companies, inadequate networks and communication among the seed industry’s key participants, and partial regulation of the seed industry. Seed companies played a key role in seed conditioning processes. Companies imported all tomato seeds into Uganda and stated germination as their primary goal for quality. Challenges for seed companies included assistance from MAAIF to regulate and certify seed and access to improved technologies. Attaining high quality seed by commercial Uganda-parent companies will require additional investment and training of seed technologists for domestic testing and seed quality assurance.
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Daughrity, Dyron. "Bishop Stephen Neill, the IMC and the State of African Theological Education in 1950." Studies in World Christianity 18, no. 1 (April 2012): 41–62. http://dx.doi.org/10.3366/swc.2012.0005.
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From April to July of 1950, Bishop Stephen Neill (1900–84) took a sweeping tour of East and West Africa to assess the state of African theological education. He visited Egypt, Sudan and the six British territories in tropical Africa: Tanganyika, Kenya, Uganda, Nigeria, Gold Coast (Ghana) and Sierra Leone. Employed by the World Council of Churches at the time, Neill was appointed by the International Missionary Council to spearhead the project. The overall objective was to shed insight on what could be done to improve the quality of theological education and the training of ministry in Africa. Neill produced a considerable amount of material during and after the trip, including a 120-page ‘travel diary’ and a 51-page confidential report. This paper has three goals: to explain how and why this tour of African theological education came together, to provide an overview of Neill's research trip through his diary entries and to reflect on Neill's conclusions and suggestions for what ought to be done.
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Scheel, John R., Yamile Molina, Benjamin O. Anderson, Donald L. Patrick, Gertrude Nakigudde, Julie R. Gralow, Constance D. Lehman, and Beti Thompson. "Breast Cancer Beliefs as Potential Targets for Breast Cancer Awareness Efforts to Decrease Late-Stage Presentation in Uganda." Journal of Global Oncology, no. 4 (December 2018): 1–9. http://dx.doi.org/10.1200/jgo.2016.008748.
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Purpose To assess breast cancer beliefs in Uganda and determine whether these beliefs are associated with factors potentially related to nonparticipation in early detection. Methods A survey with open- and close-ended items was conducted in a community sample of Ugandan women to assess their beliefs about breast cancer. Linear regression was used to ascertain associations between breast cancer beliefs and demographic factors potentially associated with early detection, including socioeconomic factors, health care access, prior breast cancer knowledge, and personal detection practices. Results Of the 401 Ugandan women surveyed, most had less than a primary school education and received medical care at community health centers. Most women either believed in or were unsure about cultural explanatory models for developing breast cancer (> 82%), and the majority listed these beliefs as the most important causes of breast cancer (69%). By comparison, ≤ 45% of women believed in scientific explanatory risks for developing breast cancer. Although most believed that regular screening and early detection would find breast cancer when it is easy to treat (88% and 80%, respectively), they simultaneously held fatalistic attitudes toward their own detection efforts, including belief or uncertainty that a cure is impossible once they could self-detect a lump (54%). Individual beliefs were largely independent of demographic factors. Conclusion Misconceptions about breast cancer risks and benefits of early detection are widespread in Uganda and must be addressed in future breast cancer awareness efforts. Until screening programs exist, most breast cancer will be self-detected. Unless addressed by future awareness efforts, the high frequency of fatalistic attitudes held by women toward their own detection efforts will continue to be deleterious to breast cancer early detection in sub-Saharan countries like Uganda.
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Kosyanov, V. A. "African horizons of Russian science and education." Proceedings of higher educational establishments. Geology and Exploration, no. 6 (March 19, 2020): 5–10. http://dx.doi.org/10.32454/0016-7762-2019-6-5-10.
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Based on the results of the first Russia—Africa Summit and Economic Forum, priority areas of economic cooperation, according to which concrete results can be achieved in the coming years, were identified. These are modern and high-tech mining and processing of minerals, geological exploration, energy (including renewable energy sources), infrastructure development (specifically the construction of railways and housing), agriculture, digital technology, medicine, science and education. Cooperation between Russian universities and African countries occupies a special place. Currently implemented by the Sergo Ordzhonikidze Russian State University for Geological Prospecting (MGRI), the scientific and educational initiative for the development of the mineral resource base of Uganda, presented in June 2019 to the country’s President Yoweri Museveni, is the basis for International cooperation between Russian universities in the East African region.
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DE WOLF, JAN. "Beyond the state in rural Uganda by Jones, Ben." Social Anthropology 18, no. 1 (January 25, 2010): 99–101. http://dx.doi.org/10.1111/j.1469-8676.2009.00093_9.x.
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Lin, Sherry. "Reviewer Acknowledgements for Higher Education Studies, Vol. 10, No. 2." Higher Education Studies 10, no. 2 (May 28, 2020): 197. http://dx.doi.org/10.5539/hes.v10n2p197.
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Higher Education Studies wishes to acknowledge the following individuals for their assistance with peer review of manuscripts for this issue. Their help and contributions in maintaining the quality of the journal are greatly appreciated.
Higher Education Studies is recruiting reviewers for the journal. If you are interested in becoming a reviewer, we welcome you to join us. Please contact us for the application form at: hes@ccsenet.org
Reviewers for Volume 10, Number 2
Alina Mag, University Lucian Blaga of Sibiu, Romania
Arbabisarjou Azizollah, Zahedan University of Medical Sciences, Iran
Aurora-Adina Colomeischi, Stefan cel Mare University, Romania
Ausra Kazlauskiene, Siauliai University, Lithuania
Bahar Gün, İzmir University of Economics, Turkey
Barbara N. Martin, University of Central Missouri, USA
Donna Harp Ziegenfuss, The University of Utah, USA
Donna Smith, The Open University, UK
Evrim Ustunluoglu, Izmir University of Economics, Turkey
Geraldine N. Hill, Elizabeth City State University, United States
Jayanti Dutta, Panjab University, India
Laid Fekih, University of Tlemcen Algeria, Algeria
Mei Jiun Wu, Faculty of Education, University of Macau, China
Michael John Maxel Okoche, Uganda Management Institute, Uganda
Nicos Souleles, Cyprus University of Technology, Cyprus
Olusola Ademola Olaniyi, University of North Carolina, USA
Savitri Bevinakoppa, Melbourne Institute of Technology, Australia
Semiyu Adejare Aderibigbe, University of Sharjah, UAE
Yi Luo, University of Illinois at Urbana- Champaign, USA
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Andriano, Liliana, and Christiaan W. S. Monden. "The Causal Effect of Maternal Education on Child Mortality: Evidence From a Quasi-Experiment in Malawi and Uganda." Demography 56, no. 5 (October 2019): 1765–90. http://dx.doi.org/10.1007/s13524-019-00812-3.
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Abstract Since the 1980s, the demographic literature has suggested that maternal schooling plays a key role in determining children’s chances of survival in low- and middle-income countries; however, few studies have successfully identified a causal relationship between maternal education and under-5 mortality. To identify such a causal effect, we exploited exogenous variation in maternal education induced by schooling reforms introducing universal primary education in the second half of the 1990s in Malawi and Uganda. Using a two-stage residual inclusion approach and combining individual-level data from Demographic and Health Surveys with district-level data on the intensity of the reform, we tested whether increased maternal schooling reduced children’s probability of dying before age 5. In Malawi, for each additional year of maternal education, children have a 10 % lower probability of dying; in Uganda, the odds of dying for children of women with one additional year of education are 16.6 % lower. We also explored which pathways might explain this effect of maternal education. The estimates suggest that financial barriers to medical care, attitudes toward modern health services, and rejection of domestic violence may play a role. Moreover, being more educated seems to confer enhanced proximity to a health facility and knowledge about the transmission of AIDS in Malawi, and wealth and improved personal illness control in Uganda.
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Ahn, Namkee, and Abusaleh Shariff. "Determinants of Child Height in Uganda: A Consideration of the Selection Bias Caused by Child Mortality." Food and Nutrition Bulletin 16, no. 1 (March 1995): 1–12. http://dx.doi.org/10.1177/156482659501600109.
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This paper reports a methodology for analysis and presents the determinants of child height in Uganda. A two-stage estimation method that evaluated the effects of covariates on child height for age after controlling for the selection bias caused by child mortality was necessary. Important determinants of child health in Uganda are the child's and some maternal characteristics. Some environmental factors (at the levels of both community aggregate and household) have significance. The effects of mothers’ characteristics were relatively more sensitive to correction of the selection bias. In particular, mother's secondary education almost doubled its effect and became significant in determining the height of children. Overall results suggest that Uganda is facing a phase of health transition in which the effect of socio-economic variables (at both individual and community levels) are beginning to show up significantly. Although an all-round developmental effort is essential, selective interventions aiming to improve female education and, where that is difficult, extension of appropriate information through radio are likely to improve the survival and health of children.
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Owor, Maureen, and Harriet D. Musoke. "Neglect of gender questions at the vocational stage of judicial education in Uganda." International Journal of the Legal Profession 21, no. 3 (September 2, 2014): 281–96. http://dx.doi.org/10.1080/09695958.2015.1028943.
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Cunningham, Jeremy, and Suren Ladd. "The role of school curriculum in sustainable peace-building: The case of Sri Lanka." Research in Comparative and International Education 13, no. 4 (October 29, 2018): 570–92. http://dx.doi.org/10.1177/1745499918807027.
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The civil war between the Sri Lankan government and the Liberation Tigers of Tamil Eelam (LTTE) ended in 2009, with total defeat of the LTTE and many thousands of civilian casualties. The country is now engaged in peace-building. Key elements of the secondary school curriculum – truth-seeking, social cohesion and active citizenship – may contribute to this. Six state secondary schools serving different ethnic and religious groups were selected for qualitative research into how far this is the case. Data was collected on the application of knowledge, skills and values in lessons, extra-curricular programmes and whole school culture. The analysis suggests that truth-seeking is weak, with no teaching about the historical roots of the conflict or contemporary issues. There are efforts to build leadership skills and impart democratic values, but the critical thinking and discussion skills necessary for social cohesion and active citizenship are largely absent. The findings are discussed in relation to evidence from Uganda, Cambodia and Northern Ireland.
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Gudovitch, Ram, Gumisiriza Alex, Elly Kiyingi, Ezra Barigye, Maureen Zawedde, Aziizah Namu-Gambe, Flavia Mutesi, Lea Forshtat, and Vered Slonim-Nevo. "Teachers’ Perspectives: Challenges in the Integration of Refugee Children Deported from Israel to Uganda." Social Sciences 10, no. 3 (March 5, 2021): 91. http://dx.doi.org/10.3390/socsci10030091.
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In 2012, Israel deported 500 South-Sudanese refugee children and their families. A year later, a civil war broke out in the young South Sudan and the deportees, along with over one million South-Sudanese citizens, fled to the neighboring Uganda. Since then, many of these children have studied in boarding schools in Uganda. We explore, using qualitative methods, the perceptions and experiences of six Ugandan teachers all working with these children for at least 5 years. The research is unique in studying children who have previously lived and studied in a developed Western environment, and experienced, subsequently, a transition to the global south, with far more conservative social norms and an authoritarian, teacher-centered conception of education. The results show a clear progression in the teachers’ conception of the children, beginning with an impression of the children as rebellious, tending to initiate conflicts, and disrespectful. Gradually, they came to view them as being open and assertive, often very articulate and communicative. They observed changes in the children’s behavior: acquiring language skills, being cooperative with staff, integrating with the other children and caring. Working with the refugee children had a great impact on the teachers’ perceptions and on their personal and professional conduct: they substituted punishments—including physical caning—with other methods of discipline. They endorsed open academic methods based on dialogue in class and between teachers and students, and encouraged experiment-based learning methods. On the other hand, the teachers initial perception of children’s parents as ignorant and disruptive remained unchanged and little effort, if any, was made throughout the years of this educational encounter to include the parents in the educational process. The teachers’ recommendations focused mainly on three issues: preparing the children and the staff to the new experience in order to facilitate integration, enhancing the communication and mutual work with the children’s parents, and giving more attention to the children’s emotional state. The discussion section addresses the limitation of this study, directions for future research, and practical implications.
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Izudi, Jonathan, Viola Ninsiima, and John Bosco Alege. "Use of Personal Protective Equipment among Building Construction Workers in Kampala, Uganda." Journal of Environmental and Public Health 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/7930589.
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Background. 270 million workplace accidents occur annually. In Uganda, Kampala district has the highest workplace injury and fatality rates. However, information on personal protective equipment (PPE)—hand gloves, hardhats, overalls, safety boots, earplugs, safety harness with lanyard, and face shields—utilization among building construction workers remains scarce. We assessed PPE utilization and determinants among building construction workers in Kampala, Uganda. Methods. This cross-sectional study involved 385 respondents. Data collected by structured questionnaire was double-entered in EpiData and analyzed in STATA at 5% significance level. Independent determinants of PPE use were established by a stepwise backward logistic regression analysis. Results. 305 (79.2%) respondents were males, 290 (75.3%) were 18–30 years, 285 (74.0%) completed secondary education, and 197 (51.2%) were temporary employees. 60 (15.6%) respondents used PPE. Female sex (adjusted odds ratio (AOR) = 6.64; 95% CI: 1.55–28.46; P=0.011), temporary (AOR = 0.05; 95% CI: 0.01–0.27; P<0.001) and casual (AOR = 0.01; 95% CI: 0.001–0.071; P<0.001) employment, and previous knowledge of safety measures (AOR = 100.72; 95% CI: 26.00–390.16; P<0.001) were associated with PPE use. Conclusion. PPE use was low in Kampala, Uganda. Building construction companies should implement measures of the Uganda Occupational Health and Safety Act.
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Okwany, Auma. "‘Every mother dances her baby’: Contextually responsive narratives of early childhood care and education in Kenya and Uganda." South African Journal of Childhood Education 6, no. 2 (December 3, 2016): 9. http://dx.doi.org/10.4102/sajce.v6i2.464.
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Despite major steps towards providing early childhood care and education (ECCE) services in Kenya and Uganda, access to responsive services is still out of reach for many young children, and where available, they are often out of touch with local realities. In this paper, I trouble the universalising and totalising tendencies of the dominant narrative of ECCE as a template of thought and action and highlight the role of indigenous knowledge as a critical but often missing link in ECCE policy and practice. I draw on the situated experiences of caregivers and local communities, which counter the dominant narrative and argue that culturally responsive ECCE requires contextually sensitive policy and programmes. Such policies should affirm and support the important role of local knowledge in the care and socialisation of young children. Policies should also recognise the informal resilient social protection system without obscuring the role of the state in addressing structural vulnerability.
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Aheisibwe, Ambrose Rwaheru, Razack B. Lokina, and Aloyce S. Hepelwa. "Technical Efficiency in Seed Potato Production Systems in Uganda." Journal of Economics and Behavioral Studies 10, no. 3(J) (July 19, 2018): 122–40. http://dx.doi.org/10.22610/jebs.v10i3.2322.
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This study established the level of technical efficiency and its determinants among the informal and formal seed potato producers in the southwestern highlands agro - ecological zone of Uganda. A multi- stage sampling procedure was employed to select 636 households (499 informal seed producers and 137 formal seed producers) from which data was collected for two seasons using a semi - structured questionnaire. Data was analyzed using the stochastic frontier approach with a one - step approach. Maximum likelihood estimates for the efficiency parameters showed that both informal and formal seed potato producers were not fully efficient. The mean technical efficiency for informal and formal seed potato producers was 8 1 .4 and 80.4 percent respectively. In terms of yield loss, informal and formal seed potato producers respectively lost an average of 981 and 1,208 kg/acre of seed potato tubers due to inefficiency factors . Specifically, off- farm income source, scale of production, seasonal variation, access to extension services and seed producer being male positively influenced informal seed producers’ technical efficiency while producers’ level of education and seed potato variety diversity negatively influenced their efficiency. For formal seed producers, technical efficiency was influenced positively by producers’ education and negatively by household size. The study suggests that there is an opportunity to improve technical efficiency of informal and formal seed producers by 19 and 20 percent respectively. Therefore, this calls for increased investment in developing and promoting high yielding varieties, provision of extension services, input intensification and addressing gender issues in seed potato production in the context of limited arable land .
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Cheng, Fang, Haisen Zhang, and Nobeji S. Boniphace. "Determinants of Off-farm Employment Participation of Women in Rural Uganda." International Journal of World Policy and Development Studies, no. 54 (April 20, 2019): 28–41. http://dx.doi.org/10.32861/ijwpds.54.28.41.
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Off-farm employment in rural areas can be a major contributor to rural poverty reduction and decent rural employment. While women are highly active in the agricultural sector, they are less active than men in off-farm employment. This study analyzes the determinants of participation in off-farm employment of women in rural Uganda. The study is based on a field survey conducted in nine districts with the sample size of 1200 individual females. A two-stage Hechman’s sample selection model was applied to capture women’s decision to participate and the level of participation in non-farm economic activities. Summary statistics of the survey data from rural Uganda shows that: i) poverty and non-farm employment has a strong correlation, implying the importance of non-farm employment as a means for poverty reduction; and ii) there is a large gender gap to access non-farm employment, but the gender gap has been significantly reduced from group of older age to younger generation. The econometric results finds that the following factors have a significant influence on women’s participation in off-farm employment: education level of both the individual and household head (positive in both stages); women’s age (negative in both stages); female-headed household (negative in first stage); household head of polygamous marriage (negative in both stages); distance from major town (negative in the first stage); household size (positive in the second stage); dependency ratio (negative in the second stage); access to and use of government extension services (positive in the first stage); access to and use of an agricultural loan (negative in the second stage); and various district dummies variables. The implications of these findings suggest that those policies aimed at enhancing the identified determinants of women off-farm employment can promote income-generating opportunities for women groups in comparable contexts. In order to capitalize on these positive linkages, policies should be designed to improve skills and knowledge by providing education opportunities and increasing access to employment training, assistance services and loans for non-farm activities and by targeting women in female-headed, large and distant households. The government should increase investments in public infrastructure and services, such as roads, telecommunications and emergency support.
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Justin, Ayebare, Kisige Abdu, Gitta Eric, Betihama Jackson, and Kimoga Joseph. "Appointing and Removing Academic Staff in Public Institutions: The Level of Autonomy at Kyambogo University, Uganda." International Research in Higher Education 2, no. 1 (November 2, 2016): 101. http://dx.doi.org/10.5430/irhe.v2n1p101.
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Many governments, the university sector and the European Commission have recognized that increasing university autonomy represents a crucial step towards modernizing higher education in the 21st century. This study which was conducted at Kyambogo University highlights that in practice, public authorities still play a central role in the regulation of higher education systems more especially in the appointment and dismissal of academic staff. Despite the fact that the ministry has moved away from direct state control towards more “indirect” steering mechanisms, universities often continue to lack autonomy in many crucial areas, particularly in terms of filling staff positions. The purpose of this study therefore was to establish the level of institutional autonomy in academic staff appointment and removal at Kyambogo University. The researchers analysed each dimen¬sion of university autonomy in terms of appointment and dismissal of academic staff. We found out that appointment and removal of the academic staff in Kyambogo University was not in line with what is provided for in the Human Resource Manual and national guiding Acts, Laws and Standing orders. We recommend that since universities have a unique duty to perform that requires specific skilled staff, they should be given autonomy in the appointment and removal of these staff.
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Masuda, Kazuya. "Length of maternal schooling and children’s risk of malaria infection: evidence from a natural experiment in Uganda." BMJ Global Health 5, no. 2 (February 2020): e001729. http://dx.doi.org/10.1136/bmjgh-2019-001729.
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IntroductionAn estimated 216 million cases of malaria occurred worldwide every year. Cross-sectional studies have reported negative association between maternal education and child malaria risks; however, no randomised trial or quasi-experimental study using a natural experiment has confirmed a causal relationship between these two factors. I used the free primary education reform in Uganda to assess the causal effects of maternal schooling on children’s risk of malaria infection.MethodsMalaria biomarkers of children aged <5 years were collected from the 2009 and 2014 Uganda Malaria Indicator Surveys (n=5316). In 1997, the government eliminated tuition requirements in primary schools, which increased the educational attainment of the affected cohorts. Using exposure to the reform as an instrumental variable, I used a two-stage least squares approach to estimate the causal effects of maternal year of education on the probability that a child would contract malaria at the time of the survey. I also evaluated the cost-effectiveness of primary schooling as a malaria control intervention.ResultsOne extra year of maternal education reduced children’s risk of malaria infection by 7.5 percentage points (p=0.057) from baseline (34.9%). The length of maternal education was also positively associated with insecticide-treated bednet usage by their children. The results were robust to a variety of sensitivity tests. Primary schooling for women was a cost-effective intervention to reduce children’s malaria infection.ConclusionImproving access to primary education could be a cost-effective measure to reduce malaria prevalence among children of educated mothers aged <5 years in malaria-endemic countries.
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Malamba, Samuel S., Herbert Muyinda, D. Martin Ogwang, Achilles Katamba, David S. Zamar, Kate Jongbloed, Nelson K. Sewankambo, Martin T. Schechter, and Patricia M. Spittal. "Cango Lyec (Healing the Elephant): Chronic Hepatitis B Virus among post-conflict affected populations living in mid-Northern Uganda." PLOS ONE 16, no. 5 (May 27, 2021): e0251573. http://dx.doi.org/10.1371/journal.pone.0251573.
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Background The legacy of war in Northern Uganda continues to impact people’s health and wellbeing in the Acholi region. Despite increasing attention to Hepatitis B Virus (HBV) in Uganda and globally, concerns remain that unique drivers of infection, and barriers to screening, and treatment, persist among those affected by conflict. Methods Cango Lyec (Healing the Elephant) cohort survey involved conflict-affected adults aged 13–49 in three mid-Northern Uganda districts (Gulu, Amuru and Nwoya). Baseline (2011–2012) samples were tested for HBV surface antigen (HBsAg), HBV e-antigen (HBeAg), antibodies to HBV surface antigen (HBsAb), antibodies to HBV e-antigen (HBeAb), and antibodies to HBV core antigen (HBcAb). All HBsAg positive samples were tested for IgM antibodies to HBV B core antigen (HBc-IgM) and where available, >6-month follow-up samples were tested for HBeAg and HBV DNA. Data were analyzed using STATA 15 software. Logistic regression accounted for variance due to complex two-stage sampling that included stratification, unequal selection probabilities and community clustering. Odds ratios measured effect potential risk factors associated with chronic HBV infection. Results Among 2,421 participants, 45.7% were still susceptible to HBV infection. HBsAg seropositivity was 11.9% (10.9–13.0), chronic HBV was 11.6% (10.4–12.8), acquired immunity resulting from vaccination was 10.9%, and prior natural infection was 31.5%. Older age (OR:0.570; 95%CI:0.368–0.883) and higher education (OR:0.598; 95%CI:0.412–0.868) were associated with reduced odds of chronic HBV infection. Being male (OR:1.639; 95%CI:1.007–2.669) and having been abducted (OR:1.461; 95%CI:1.055–2.023) were associated with increased odds of infection. Among women, having 1 or 2 pregnancies (compared to none or >2) was associated with increased odds of infection (OR:1.764; 95%CI:1.009–3.084). Conclusion Chronic HBV is endemic in Gulu, Amuru and Nwoya districts. Recommended strategies to reduce post-conflict prevalence include establishment of Northern Uganda Liver Wellness Centres, integration of screening and treatment into antenatal care, and roll out of birth-dose vaccination.
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Olweny, Mark. "Socialisation in architectural education: a view from East Africa." Education + Training 59, no. 2 (February 13, 2017): 188–200. http://dx.doi.org/10.1108/et-02-2016-0044.
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Purpose Concern for the state of architectural education in East Africa was a catalyst for this exploration of socialisation, which sought to understand socialisation and its influence on educational outcomes in the region. Socialisation within architectural education has long been known to influence how students acquire important aspects of the profession, building both values and a cultural ethos in the process. An appreciation of these processes in the context of East Africa adds to the wider understanding of the implicit curriculum in architectural education. The paper aims to discuss these issues. Design/methodology/approach An ethnographic study was undertaken in five architecture schools across Kenya, Tanzania and Uganda, making use of a mixed method approach incorporating document analysis, a questionnaire study, participant observations and focus group discussions as the data gathering instruments. Focus group discussions, as the primary data gathering method, acknowledged the social context of the study, with data gathered from multiple sites across the region. Findings As an integral component of architectural education, socialisation was evident at all stages of the educational process. Within the educational realm, contrasting expectations of students and instructors were evident, leading to conflicts that influenced the values acquired by students. This was seen in attitudes towards contemporary architectural issues within architectural education, and suggests that socialisation can at times have pronounced negative consequences. Originality/value The wider study represents the first comprehensive review of architectural education in the context of East Africa, and contributes to the global appreciation of the influence of socialisation on educational outcomes.
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Mugisha, Joseph O., Enid J. Schatz, Joel Negin, Paul Mwaniki, Paul Kowal, and Janet Seeley. "Timing of Most Recent Health Care Visit by Older People Living With and Without HIV." International Journal of Aging and Human Development 85, no. 1 (December 2, 2016): 18–32. http://dx.doi.org/10.1177/0091415016680071.
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The objective of this article is to document factors associated with the recency of health-care service utilization by people aged 50 years and over living with and without HIV in Uganda. A survey was conducted with 510 Ugandans aged 50 and older, living with and without HIV. The survey included information on sociodemographic characteristics, health state, self-reported chronic conditions, and timing of most recent visit to a health-care facility (time since last visit [TSLV]). We use ordinal logistic regression to identify independent factors associated TSLV. Independent factors associated with TSLV (>6 months) include age, OR = 2.40 [95% CI 1.08–5.37] for those aged 80 years and above, urban respondents, OR = 0.6 [95%CI 0.38–0.94], HIV-positive respondents, OR = 0.33 [95%CI 0.18–0.59], and better health. To understand the meaning of these finding, further investigation should examine (a) how best to define and measure older persons’ health-care service needs and (b) older persons’ decision-making processes around the timing of their access to health-care facilities.
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Lin, Sherry. "Reviewer Acknowledgements for Higher Education Studies, Vol. 8, No. 2." Higher Education Studies 8, no. 2 (May 30, 2018): 107. http://dx.doi.org/10.5539/hes.v8n2p107.
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Higher Education Studies wishes to acknowledge the following individuals for their assistance with peer review of manuscripts for this issue. Their help and contributions in maintaining the quality of the journal are greatly appreciated.Higher Education Studies is recruiting reviewers for the journal. If you are interested in becoming a reviewer, we welcome you to join us. Please find the application form and details at http://recruitment.ccsenet.org and e-mail the completed application form to hes@ccsenet.org.Reviewers for Volume 8, Number 2Abdelaziz Mohammed, Albaha University, Saudi ArabiaAlina Mag, University Lucian Blaga of Sibiu, RomaniaAnna Liduma, Riga Teacher Training and Educational Management Academy, LatviaAntonina Lukenchuk, National Louis University, USAArbabisarjou Azizollah, Zahedan University of Medical Sciences, IranAynur Yürekli, İzmir University of Economics, TurkeyCarmen P. Mombourquette, University of Lethbridge, CanadaDibakar Sarangi, Directorate of Teacher Education and State Council for Educational research and Training, IndiaGerard Hoyne, School of Health Sciences, University of Notre Dame Australia, AustraliaGregory S. Ching, Fu Jen Catholic University, TaiwanHermes Loschi, University of Campinas, BrazilHuda Fadhil Halawachy, University of Mosul, IraqHüseyin Serçe, Selçuk University, TurkeyJayanti Dutta, Panjab University, IndiaJohn Cowan, Edinburgh Napier University, United KingdomKholood Moustafa Alakawi, Al-Imam Muhammad Ibn Saud Islamic University, Saudi ArabiaLung-Tan Lu, Fo Guang University, Taiwan, TaiwanMehmet Ersoy, Lecturer-Department of Computer Education and Instructional Technologies, TurkeyMei Jiun Wu, Faculty of Education, University of Macau, ChinaMeric Ozgeldi, Mersin University, TurkeyMichael John Maxel Okoche, Uganda Management Institute, UgandaNancy Maynes, Nipissing University, Schulich School of Education, Canada, CanadaNicos Souleles, Cyprus University of Technology, CyprusQing Xie, Jiangnan University, ChinaRanjit Kaur Gurdial Singh, The Kilmore International School, AustraliaSahar Ahadi, Islamic Azad University of Mashhad, IranSakiru Abiodun, Adeniran Ogunsanya College of Education, NigeriaSandhya Rao Mehta, Sultan Qaboos University, IndiaTeguh Budiharso, Center of Language and Culture Studies, IndonesiaVasiliki Brinia, Athens University of Economic and Business, GreeceWaldiney Mello, Universidade do Estado do Rio de Janeiro, Brazil
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Namukasa, Juliet, Sheila Namagembe, and Faridah Nakayima. "Fuel Efficiency Vehicle Adoption and Carbon Emissions in a Country Context." International Journal of Global Sustainability 4, no. 1 (January 11, 2020): 1. http://dx.doi.org/10.5296/ijgs.v4i1.16227.
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The paper aimed at establishing the relationship between age, engine capacity, fuel type and fuel efficiency and carbon emissions. The relationship was obtained using panel data on newly imported registered vehicle stock obtained from Uganda Revenue Authority. This involved collecting data on imported vehicle inventory into Uganda for the period from 2013 to 2017 which was later analysed using the stata software. The findings indicated a positive relationship between a vehicles age, engine capacity, vehicle category (Light Duty Vehicles, Medium Duty Vehicles and Heavy Duty Vehicles) and fuel efficiency and carbon emissions. A comparison with the global fuel efficiency targets indicated that more fuel was being consumed in Uganda compared to non-OECD countries. A reduction in fuel consumption and emissions was observed in petrol vehicles while diesel vehicles had increased carbon emissions and fuel consumptions due to an increase in engine capacities. The findings imply that government should develop policy options that promote vehicle fuel efficiency, transport system operators may undergo training in fuel efficiency issues that will result in an attitudinal change while academicians need to carry out more research comparing the effect of transport systems operators ages, level education and income on carbon emissions and fuel efficiency. The majority of research on fuel efficiency and carbon emissions uses survey data rather than panel data. Further, previous research is focused on vehicles that are already on the road rather than focusing on the effect of age, engine capacity, fuel type on fuel efficiency and carbon emissions.
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Kaziga, Ruth, Charles Muchunguzi, Dorcus Achen, and Susan Kools. "Beauty Is Skin Deep; The Self-Perception of Adolescents and Young Women in Construction of Body Image within the Ankole Society." International Journal of Environmental Research and Public Health 18, no. 15 (July 23, 2021): 7840. http://dx.doi.org/10.3390/ijerph18157840.
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Introduction: Adolescents and young women become increasingly aware of their bodies through images presented to them through social structures during their developmental stage. These images may drive them toward unhealthy behaviors including overeating, starving, and skin bleaching. This paper is part of a study that examined the Older Adolescent Banyankole Girl’s Response to the socio-cultural constructions of body image in The Ankole Region, Uganda. It aimed to understand the self-perceptions of adolescent girls of their body image within Ankole society. Methods: The study collected narrative interviews of 30 adolescent and young adult females (16–24) recruited from various institutions of learning as well as the Ankole community of southwestern Uganda. Results: Adolescent girls’ perceptions of beauty were influenced by pull and push factors that included beauty expectations, beauty comparisons, relationships, and dietary habits that keep them oscillating between traditional and contemporary beauty ideals. Findings suggest that young women could benefit from social shifting of focus from physical appearance to other valuable developmental assets. Conclusion: Government-sponsored programs that provide education and positive media messages may be beneficial to building the self-esteem of young women.
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Walters, Christine, Hasina Rakotomanana, Joel Komakech, and Barbara Stoecker. "Facilitators and Barriers of Breastfeeding in Post-emergency Settlements: Qualitative Findings From Uganda." Current Developments in Nutrition 5, Supplement_2 (June 2021): 696. http://dx.doi.org/10.1093/cdn/nzab045_078.
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Abstract Objectives Suboptimal breastfeeding practices have been reported among vulnerable populations including those living in post-emergency refugee settlements. This study investigated the barriers and facilitators of breastfeeding in post-emergency settlements in Adjumani district, in the West Nile region in Uganda. Methods Participants included mothers and fathers of children less than 23 months of age who lived in post-emergency refugee settlements of Agojo, Ayilo, and Nyumanzi. Participants formed a total of five focus group discussions (FGDs); four FGDs for mothers and two FGDs for fathers. The FGDs were conducted in native languages, Dinka and Madi, and were audio-recorded. Data were transcribed verbatim and back-translated into English. Thematic analysis was used and data were analyzed using NVivo v. 12. Results The mean age (years) for mothers was 27.1 and 39.7 for fathers. Over half (61.9%) of mothers and many fathers (74.9%) received some formal education. Over a quarter (28.5%) of mothers attended less than 4 antenatal visits during their last pregnancy. Facilitators of breastfeeding included knowledge of breastfeeding benefits, support from husband/father, support from the community, and support from non-governmental organizations. Mothers and fathers reported that breastfeeding protected children from diseases and breasted children grow well. Four themes were identified as barriers of breastfeeding: physical, socioeconomic, knowledge, and psychosocial barriers. Mothers and fathers reported physical barriers such as mothers stop breastfeeding when they are sick or they feel they are not producing enough breastmilk. Mothers described socioeconomic barriers including working outside the home and educated mothers chose to use other milk. Fathers reported psychosocial barriers such as mothers’ fear of pain during breastfeeding and maternal mental health issues. Conclusions Policies and interventions that aim to improve breastfeeding in post-emergency settlements should consider addressing the barriers to breastfeeding at each level: physical, socioeconomic, knowledge, and psychosocial. Involving and encouraging support from husbands/fathers, relatives, and the community may increase adherence to breastfeeding recommendations. Funding Sources Thoma Chair, Oklahoma State University.
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PARKER, MELISSA, TIM ALLEN, and JULIE HASTINGS. "RESISTING CONTROL OF NEGLECTED TROPICAL DISEASES: DILEMMAS IN THE MASS TREATMENT OF SCHISTOSOMIASIS AND SOIL-TRANSMITTED HELMINTHS IN NORTH-WEST UGANDA." Journal of Biosocial Science 40, no. 2 (March 2008): 161–81. http://dx.doi.org/10.1017/s0021932007002301.
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SummaryA strong case has recently been made by academics and policymakers to develop national programmes for the integrated control of Africa’s ‘neglected tropical diseases’. Uganda was the first country to develop a programme for the integrated control of two of these diseases: schistosomiasis and soil-transmitted helminths. This paper discusses social responses to the programme in Panyimur, north-west Uganda. It shows that adults are increasingly rejecting free treatment. Resistance is attributed to a subjective fear of side-effects; divergence between biomedical and local understandings of schistosomiasis/bilharzia; as well as inappropriate and inadequate health education. In addition, the current procedures for distributing drugs at a district level are problematic. Additional research was carried out in neighbouring areas to explore the generalizability of findings. Comparable problems have arisen. It is concluded that the national programme will not fulfil its stated objectives of establishing a local demand for mass treatment unless it can establish more effective delivery strategies and promote behavioural change in socially appropriate ways. To do so will require new approaches to social, economic and political aspects of distribution. There are reasons why populations infected with the ‘neglected tropical diseases’ are themselves neglected. Those reasons cannot just be wished away.
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De Boer, Christopher, Nixon Niyonzima, Jackson Orem, John Bartlett, and Yousuf Zafar. "Prognosis, diagnostic delay, and patient characteristics associated with diagnostic delay among Kaposi sarcoma (KS) patients in Uganda." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): 6578. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.6578.
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6578 Background: The incidence and mortality of KS remain high in sub-Saharan Africa. Delaying treatment might explain poor outcomes, but no study has measured the association between delay, characteristics associated with delay, and prognosis for KS patients in low- and middle-income countries. Methods: This is a prospective, cross-sectional study conducted from June-October 2012 at the Uganda Cancer Institute (UCI) in Kampala, Uganda among HIV-infected adults with histologically confirmed KS. The aim was to measure the association between delay and overall KS stage risk at diagnosis. Standardized interviews were conducted in English or Luganda to measure delay, and medical records were abstracted to obtain KS stage at admission to UCI. Multivariable logistic regression was used to assess the relationship between diagnostic delay and poor-risk stage at diagnosis. Results: 161 patients were enrolled; 68.9% were men, mean age was 34.0 years (SD 7.7), 58.1% had income < $2 per day, and 49.4% had ≥primary education. 25.8% had been seen in an HIV clinic within 3 months, 71.6% were on antiretroviral therapy (ART), and 25.5% had visited a traditional healer prior to being seen at UCI. 45.3% delayed seeking care at UCI for ≥3 months from onset of symptoms. Among those who delayed, 35.6% waited 6 months, and 24.7% waited 12 months. The most common reasons for delay were lack of pain (47.9%), no money (31.5%), and distance to UCI (8.2%). In adjusted analysis patients who experienced diagnostic delay were more likely to have poor-risk stage compared to those who did not delay (OR 3.41, p=0.002, 95%CI: 1.46-7.45). After adjusting for patient characteristics, HIV clinic attendance, and ability to pay out-of-pocket costs, visiting a traditional healer was the only characteristic associated with greater likelihood of delay (OR 2.69, p=0.020, 95%CI: 1.17-6.17). Conclusions: Diagnostic delay was independently associated with poor-risk stage at diagnosis, and visiting a traditional healer was the only patient characteristic independently associated with delay. The relationship between traditional and Western medicine presents a critical point of intervention to improve KS outcomes in Uganda.
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Sikakulya, Franck Katembo, Robinson Ssebuufu, Simon Binezero Mambo, Theophilus Pius, Annet Kabanyoro, Elizabeth Kamahoro, Yusuf Mulumba, Jean Kakule Muhongya, and Patrick Kyamanywa. "Use of face masks to limit the spread of the COVID-19 among western Ugandans: Knowledge, attitude and practices." PLOS ONE 16, no. 3 (March 24, 2021): e0248706. http://dx.doi.org/10.1371/journal.pone.0248706.
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Background The world is grappling with an ever-changing COVID-19 pandemic using preventive measures such as personal hygiene, face masks, restrictions on travel and gatherings in communities, in addition to a race to find a vaccine. The purpose of this study was to evaluate the knowledge, attitudes and practices of the western Uganda community on the proper use of face masks to mitigate the spread of COVID-19. Methods A cross-sectional study using a structured questionnaire was carried out from 1st July to 10th July 2020 among western Ugandans of consent age of 18 years and above. Data was analysed using Stata version 14.2. Results Among the respondents (n = 1114), the mean age was 30.7 (SD 11.1), 51% were males, 53.9% married and 43% had attained secondary education. Most participants (60.1%, n = 670) had satisfactory knowledge on the use of face masks and participants at a tertiary education level [AOR 2.6 (95% CI: 1.42–4.67; p = 0.002)] were likely to have satisfactory knowledge than participants who had not education. On attitude, most respondents (69.4%) were confident enough to correctly put on a face mask; 83.4% believed that a face mask can protect against COVID-19 and 75.9% of respondents had never shared their face mask. The majority of respondents (95.2%) agreed wearing face masks in public places was important to protect themselves against COVID-19; 60.3% reported washing their hands before wearing and after removing the face mask. Unfortunately, 51.5% reported removing the face mask if they needed to talk to someone. Conclusion Despite the satisfactory knowledge, good attitude and practices, there is still much more to be done in terms of knowledge, attitude and practices among participants. Government, non-governmental organizations and civil society should improve sensitization of populations on how to behave with face masks while talking to avoid the spread of the COVID-19 among western Ugandans.
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Nabukenya, Jamilah, Tessa A. Hadlock, and Wilfred Arubaku. "Head and Neck Squamous Cell Carcinoma in Western Uganda: Disease of Uncertainty and Poor Prognosis." OTO Open 2, no. 1 (January 2018): 2473974X1876186. http://dx.doi.org/10.1177/2473974x18761868.
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Objectives Patients with head and neck squamous cell carcinoma (HNSCC) have symptoms that masquerade as benign conditions, resulting in late presentations. The objective is to describe characteristics and stages of patients with HNSCC and document their prognosis from clinical experience in western Uganda. Study Design Cross-sectional study with clinical follow-up. Setting Mbarara Regional Referral Hospital. Subjects and Methods Fifty-one participants were recruited from February to July 2016. A questionnaire was used for patient characteristics, and staging, serologic studies, biopsy for histopathology, and immunohistochemistry were investigated. Staging was subclassified as early (stage I and II) and late (stage III and IV). Analysis was done with Fisher’s exact test. Results Of 51 participants, 44 (86.5%) were male; the group had a mean age of 57.7 years, and 41 (80.1%) presented with late stage. Of 10 participants who presented with early stage, 6 (60%) had laryngeal HNSCC. The pharynx was ranked as the highest subsite (n = 19, 37.3%), followed by the oral cavity (n = 9, 17.6%), the larynx (n = 9, 17.6%), an unknown primary (n = 8, 15.7%), and sinonasal area (n = 6, 11.8%). Tobacco smoking, alcohol consumption, and prior use of traditional remedy were common characteristics among participants. Moderate differentiation was the most common grade (n = 23, 45.1%). Helicobacter pylori, Epstein-Barr virus, human immunodeficiency virus, and human papilloma virus type 16 were identified among 51 participants. However, none could afford referral for radiotherapy; hence, 1-year survival was 4%. Conclusion The majority of our patients with HNSCC present at late stage, and the prognosis is poor. There is great need for preventative community-based education and early screening services to save our population.
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Musoke, David, Rawlance Ndejjo, Edwinah Atusingwize, Trasias Mukama, Charles Ssemugabo, and Linda Gibson. "Performance of community health workers and associated factors in a rural community in Wakiso district, Uganda." African Health Sciences 19, no. 3 (November 7, 2019): 2784–97. http://dx.doi.org/10.4314/ahs.v19i3.55.
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Background: Community health workers (CHWs) continue to play a crucial role in supporting health service delivery globally. Several CHW programmes around the world face vast challenges which affect their performance.Objectives: This study assessed the performance of CHWs and associated factors in a rural community in Wakiso district, Uganda.Methods: This was a cross-sectional study that employed a structured questionnaire to collect quantitative data from 201 CHWs in Wakiso district. The main study variable was CHW performance based on various roles carried out by CHWs. Multivariable logistic regression in STATA was used to establish the predictors of CHW performance.Results: Only 40 (19.9%) of the CHWs had a high performance which was associated with having attended additional / refresher trainings [AOR=12.79 (95% CI: 1.02-159.26)], and having attained secondary level education and above [AOR=3.93 (95% CI: 1.17-13.24)]. CHWs who were married [AOR=0.29 (95% CI: 0.09-0.94)] were less likely to perform highly. Among CHWs who had received essential medicines for treatment of childhood illnesses, the majority 90.3% (112/124) had experienced stock-outs in the 6 months preceding the study. Despite the majority of CHWs, 198 (98.5%), stating that being motivated was very important in their work, only 91 (45%) said that they were motivated.Conclusion: Additional / refresher trainings are necessary to enhance performance of CHWs. In addition, level of education should be considered while selecting CHWs. The health system challenges of low motivation of CHWs as well as stock-out of medicines need to be addressed to support their work.Keywords: Community health workers, performance, motivation, satisfaction, stock-outs, village health teams, Uganda.
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Namara, Frank, Hilbert Mendoza, Gloria Tumukunde, and Solomon Tsebeni Wafula. "Access to Functional Handwashing Facilities and Associated Factors among South Sudanese Refugees in Rhino Camp Settlement, Northwestern Uganda." Journal of Environmental and Public Health 2020 (March 30, 2020): 1–7. http://dx.doi.org/10.1155/2020/3089063.
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Background. Hand hygiene in refugee camp settlements remains an important measure against diarrhoeal infections. Refugee settings are characterised by overcrowding and inadequate access to water and hygiene facilities which favour proliferation of faecal-oral diseases. Handwashing with soap and water is therefore an effective way of preventing such diseases. Despite this knowledge, there is limited information about access to functional handwashing facilities in these settings and associated factors in Uganda. Methods. Quantitative data were collected from 312 refugee households in Rhino Camp Settlement, Northwestern Uganda, using a semistructured interviewer-administered questionnaire. A modified Poisson regression was used to obtain prevalence ratios (PRs) and 95% confidence intervals (CIs) for the determinants of access to a functional handwashing facility among refugee households. All analyses were performed using STATA 14.0 statistical software. Results. Of the 312 households, 123 (39.4%) had access to a handwashing facility, but only 72 (23.1%) of households had handwashing facilities that were functional. Duration of stay in the camp exceeding 3 years (adjusted PR = 2.63; 95% CI (1.73–4.00)) and history of receiving home-based education on hand hygiene (adjusted PR = 9.44; 95% CI (1.40–63.86)) were independent predictors of access to a functional handwashing facility. Conclusion. Access to functional handwashing facilities among the refugee households was low. Our findings highlight the need for more and continued handwashing promotional programs, most especially among newly arrived refugees in the camp.
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Ssetaala, Ali, Joan Nabawanuka, Gideon Matovu, Nusula Nakiragga, Judith Namugga, Phiona Nalubega, Henry Lutalo Kaluuma, et al. "Antenatal Care Practices Among Hard-to-Reach Fishing Communities on Lake Victoria: A Community-Based Cross-Sectional Survey." Journal of Primary Care & Community Health 11 (January 2020): 215013272092310. http://dx.doi.org/10.1177/2150132720923101.
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Background: Uganda has one of the highest maternal deaths in sub-Saharan Africa, with a mortality ratio of 336 per 100 000 live births. Early regular antenatal care (ANC) helps prevent adverse outcomes, including deaths, through prevention, identification, treatment, and/or referral of at-risk women. We explored ANC practices and associated factors among women from hard-to-reach Lake Victoria islands fishing communities in Kalangala district, Uganda. Methods: A cross-sectional survey among 486 consenting women aged 15 to 49 years, who were pregnant or had a birth or abortion in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January to May 2018. ODK software interviewer-administered questionnaires were used to collect data on sociodemographics and ANC practices. Regression modeling using STATA version 15 was used to determine factors associated with ANC visits. Results: Women’s median (range) age was 26 (15-45) years, 63% (304/486) had up to primary level education, 45% (219/486) were housewives (stay home mums), 87% (423/486) were married. ANC visits ranged from 0 to 10, with over three-fifths of women having their first visit late after 3 months of being pregnant (63%, 198/316). Women without a history of pregnancy loss (adjusted odds ratio [AOR] = 1.8, 95% CI 1.1-3.0), those not staying with their partners (AOR = 2.5, 95% CI 1.1-6.0), and those whose partners were working in fishing-related activities (AOR = 1.8, 95% CI 1.0-3.0) were likely to have started care late. Women from communities with a public health facility and those with partners working in none fishing-related activities had the highest predicted number of visits. Conclusion: Antenatal practices among these communities are characterized by late start of care. Community-led early ANC awareness interventions are needed. Targeted health policies need to consider public ANC facilities for each island for improved antenatal outcomes and maternal health.
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Abaho, Ernest, Donath R. Olomi, and Goodluck Charles Urassa. "Students’ entrepreneurial self-efficacy: does the teaching method matter?" Education + Training 57, no. 8/9 (November 9, 2015): 908–23. http://dx.doi.org/10.1108/et-02-2014-0008.
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Purpose – The purpose of this paper is to examine the various entrepreneurship teaching methods in Uganda and how these methods relate to entrepreneurial self-efficacy (ESE). Design/methodology/approach – A sample of 522 final year students from selected universities and study programs was surveyed using self-reported questionnaires. Findings – There was a statistically significant positive relationship between ESE and lecturers’ business experience. Interacting with successful people, personal reading and handout notes, class presentations and imaginary case studies had a statistically significant positive relationship with ESE. There was no statistical significance in the relationship between ESE and some teaching methods. A positively significant correlation was also observed between lectures’ business experience and the choice of teaching method(s). Research limitations/implications – Further research should explore how various methods are used to teach different aspects of entrepreneurship as well as the attitudes and perceptions of entrepreneurship educators about entrepreneurial experience and its relevancy in entrepreneurship education. Practical implications – Lecturers should seek opportunities for attaining business experience through practice and business networks. Institutions should orient lecturers through different teaching styles and train them on how to relate learning outcomes to learning environments as well as investing in learning aids. Originality/value – The study provides insights about the most feasible methods of activating ESE in the most practical and efficient ways. It also informs readers about the state of learning technologies from a developing country’s perspective.
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Rukundo, Godfrey Zari, Jonathan Levin, Richard Stephen Mpango, Vikram Patel, and Eugene Kinyanda. "Effect of suicidality on clinical and behavioural outcomes in HIV positive adults in Uganda." PLOS ONE 16, no. 8 (August 20, 2021): e0254830. http://dx.doi.org/10.1371/journal.pone.0254830.
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Introduction Suicidality is a risk of a person committing suicide often characterized by suicidal ideation, intent or attempts. Despite the high burden of suicidality among individuals living with HIV and HAIDS, there is paucity of data on the impact of suicidality on clinical (such as CD4 counts and HIV disease progression) and behavioural outcomes (such as adherence to HIV Medications). Cross-sectional investigations of these associations are often complicated by bidirectional causal relationships and hence the need for longitudinal study designs. We conducted a cohort study to determine the impact of suicidality on clinical and behavioural outcomes among adults living with HIV/AIDS in Uganda. Materials and methods We conducted the study among 1099 ART naïve adults living with HIV/AIDS in Uganda. Data were collected at three time points: baseline, 6 and 12 months. Multiple regression and discrete time survival models were used to determine the relationship between suicidality and indices of HIV outcomes. Results Majority of the participants were female and the participant mean age was 35 years. Most of them (73%) had primary or no formal education. The proportion of participants with suicidality decreased from 2.9% at baseline to roughly 1% both at month 6 and month 12. Of the investigated clinical and behavioural outcomes, baseline suicidality only had a negative impact on missing a dose of ART where the odds of missing a dose of ART were 8.25 (95% CI 2.45–27.71, p>0.01) times higher for participants with suicidality compared to those without suicidality. The following outcomes were not significantly impacted by baseline suicidality: HIV clinical stage, CD4 count and risky sexual behaviour. Conclusions The fact that baseline suicidality significantly negatively impacted ART adherence calls for the incorporation of psychosocial interventions to target indices of psychological distress such as suicidality to improve HIV related outcomes.
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Sendagala, Samuel, John Senkusu, George William Lubwama, Danstan Bagenda, Micheal Muyonga, and Wolfgang Hladik. "Suicide Ideation, School Absenteeism and Physical Violence among Secondary School Students in Kampala, Uganda." International Journal of Public Health Science (IJPHS) 7, no. 4 (December 1, 2018): 293. http://dx.doi.org/10.11591/ijphs.v7i4.14589.
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<p><span lang="EN-US">School youth in many African countries face a range of non-infectious health risks, in addition to the infectious disease burden typical in resource-limited settings. We examined self-reported health behaviors associated with suicide ideation, school absenteeism and physical violence among secondary school students in Kampala, Uganda. We conducted a cross-sectional three-stage cluster-based survey among students aged >=15 years, and/or enrolled in forms 3–6 (grades 9-12) in 54 secondary schools in Kampala. Interview data were collected with a standardised electronic questionnaire through computer-assisted self-interviewing and results were weighted for sample design and non-response. Pearson’s chi-square and logistic regression methods were used for bivariate and multivariate analysis respectively. Bullying among female respondents was positively associated with suicide ideation (aOR=1.73). In multivariate analysis, suicidal ideation was positively associated with a lifetime exposure to illicit drug use (aOR=1.76), serious injury (aOR=1.67) or school absenteeism (aOR=1.46). School absenteeism was positively associated with serious injury (aOR=1.59), history of alcohol consumption (aOR=1.55), bullying (aOR=1.52) and suicide ideation (aOR=1.45). Serious injury (aOR=2.89), a life-time history of illicit drug use (aOR=2.65), recent history of having been bullied (aOR=2.38), physical activity (aOR=2.12), suicide ideation (aOR=1.58), school absenteeism (aOR=1.57) were associated with having been engaged in physical violence. Bullying, serious injury and illicit drug use were associated with suicidal ideation, school absenteeism and physical violence. Concerted efforts should be considered by education authorities, parents and the community to tackle these risky behaviors. </span></p>
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Mubatsi, Johnson B., Solomon Tsebeni Wafula, Samuel Etajak, Tonny Ssekamatte, John Bosco Isunju, Ceaser Kimbugwe, Moses Olweny, et al. "Latrine characteristics and maintenance practices associated with pit latrine lifetime in an informal settlement in Kampala, Uganda." Journal of Water, Sanitation and Hygiene for Development 11, no. 4 (June 14, 2021): 657–67. http://dx.doi.org/10.2166/washdev.2021.032.
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Abstract This study assessed latrine characteristics and maintenance practices associated with an extended pit latrine lifetime in an informal settlement in Kampala, Uganda. Data were obtained from 306 respondents on sociodemographic characteristics, their private pit latrine characteristics and latrine lifetime. A modified Poisson regression was used to model the latrine characteristics and maintenance practices associated with the pit latrine lifetime. All analyses were performed using Stata 14 software. Approximately 23.5% of the pit latrines had a lifetime of less than 2 years, and most latrines were reportedly desludged (64.7%) or regularly cleaned for maintenance (27.1%) as a way of extending lifetime. Pit latrine lifetime extension was higher in male-headed households (prevalence ratio (PR) 1.12, 95% confidence interval (CI) 1.00–1.25), households with a smaller number of users (unshared vs shared latrines) (PR 1.15, 95% CI 1.02–1.29) and where desludging of pits was regularly done (PR 1.53, 95% CI 1.17–1.99), while post-primary education level was negatively associated with extended latrine lifetime (PR 0.88, 95% CI 0.77–0.99). Deliberate efforts, including sensitizing communities on desludging and provision of non-shared household sanitary facilities, are needed to improve latrine maintenance and consequently extend latrine lifetime.
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Apili, Felister, Stephen Ochaya, Charles Peter Osingada, Scovia Nalugo Mbalinda, David Mukunya, Grace Ndeezi, and James K. Tumwine. "Hookworm Infection among Pregnant Women at First Antenatal Visit in Lira, Uganda: A Cross-Sectional Study." International Journal of Reproductive Medicine 2020 (June 29, 2020): 1–8. http://dx.doi.org/10.1155/2020/8053939.
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Background. Hookworm infection in expectant mothers has adverse health effects on both the mothers and their unborn babies. Foetal effects are known to include intrauterine growth retardation and physical and mental growth retardation, while the mothers may develop anemia which could potentially result in death. Unfortunately, little is known about factors that may predispose a pregnant woman to infection by hookworm. In this study, we strived to determine not only the prevalence of hookworm infection among pregnant women attending their first antenatal visit during the current pregnancy in a local health center in northern Uganda but also factors that might predispose them to hookworm infection. Method. This cross-sectional study was conducted among 346 pregnant women from Ogur Health Center IV located in Lira district, northern Uganda. Stool samples were collected from each study participant and analyzed for hookworms. The independent variables listed in this study (participant’s sociodemographic characteristics, preconception care, and sanitation factors) were obtained using a structured questionnaire. Data analysis, including calculation of adjusted ratios, was performed using STATA software (version 14). Results. Prevalence of hookworm infection among pregnant women who attended their first antenatal visit at Ogur Health Center IV was 11% (n=38). After controlling for confounders, factors found to be significantly associated with this infection among pregnant women here were gardening barefooted (adjusted odds ratio (AOR), 3.4; 95% confidence interval (CI), 1.6 to 7.5; P<0.001) and fetching unsafe water shared with animals for domestic uses (AOR, 2.8; 95% CI, 1.3 to 6.2; P value of 0.002). Conclusion. Hookworm infection among pregnant women at Ogur Health Center IV in Lira district, at 11%, is a public health concern and significantly associated with barefoot gardening and fetching water from unsafe sources shared with animals. We, therefore, recommend that special emphasis during routine prenatal health education be placed on the use of protective footwear during farming and fetching water for domestic use from protected safe sources. Author Summary. Hookworm infection is a parasitic condition that more often goes unnoticed, yet it presents immense detrimental effects, especially to pregnant women and their unborn children. It is a chronic disease with accruing effects of blood depletion resulting in anemia. Anemia is, by far, one of the major causes of maternal morbidity and mortality in Uganda. Pregnant women are more prone to hookworm infection by virtue of their compromised immunity, secondary to the physiological process of pregnancy. We demonstrated here that hookworm infection still exists among pregnant women in Uganda. We also showed that gardening barefooted and fetching water for domestic uses from unsafe sources shared with animals were major factors associated with this helminthic infection. This study provides evidence necessary to influence decision making on prevention of hookworm infection in the study area.
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Isangula, Kahabi, Grace Edwards, Tumbwene Mwansisya, Columba Mbekenga, Eunice Pallangyo, Ahmed Sarki, and Eunice Ndirangu-Mugo. "Open and Distance Learning Programs for Nursing and Midwifery Education in East Africa: Protocol for a Scoping Review." JMIR Research Protocols 10, no. 1 (January 11, 2021): e17765. http://dx.doi.org/10.2196/17765.
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Background In the face of growing modernity and the coronavirus disease 2019 (COVID-19) pandemic, open and distance learning (ODL) is considered to play an important role in increasing access to education worldwide. There is a robust evidence base demonstrating its cost effectiveness in comparison with conventional class-based teaching; however, the transition to this new paradigm of learning for nursing and midwifery courses has been difficult in low-income countries. While there are notable efforts to increase internet and education access to health care professionals, not much is known about ODL for nurses and midwives in East African countries. Objective The objective of this scoping review is to understand whether ODL programs for nursing and midwifery education exist, the drivers of their adoption, their implementation, the topics/courses covered, their acceptability, and their impacts in East African countries. Methods The scoping review methodology employs the framework developed by Arksey and O’Malley. Using an exploratory approach, a two-stage screening process consisting of a title and abstract scan and a full-text review will be used to determine the eligibility of articles. To be included, articles must report on an existing ODL initiative for nurses and midwives in Uganda, Tanzania, and Kenya. All articles will be independently assessed for eligibility by pairs of reviewers, and all eligible articles will be abstracted and charted in duplicate using a standardized form. Results Details of ODL for nursing and midwifery education initiatives and study outcomes will be summarized in a table. The extracted data will undergo exploratory descriptive analysis, and the results will be classified into learner and clinical outcomes. Conclusions Evidence on ODL for nursing and midwifery education will inform the ongoing development and restructuring of health care professional education in East Africa amidst the COVID-19 pandemic. International Registered Report Identifier (IRRID) PRR1-10.2196/17765
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Faith, Mirembe Rachel, Babirye Juliet, Nathan Tumuhamye, Tumwebaze Mathias, and Emma Sacks. "Factors associated with the utilization of inactivated polio vaccine among children aged 12 to 23 months in Kalungu District, Uganda." Health Policy and Planning 35, Supplement_1 (November 1, 2020): i30—i37. http://dx.doi.org/10.1093/heapol/czaa099.
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Abstract Uganda officially introduced the inactivated polio vaccine (IPV) in May 2016 as part of the polio eradication strategy and integrated it into its routine immunization programme in addition to the oral polio vaccine. The current coverage stands at 60% as of July 2017. We therefore aimed to determine factors associated with the uptake of IPV among children in Kalungu District so as to inform the implementation of the vaccine policy. A community-based cross-sectional study was conducted among caregivers of 406 eligible children aged 12–23 months through multi-stage systematic sampling and a standardized semi-structured questionnaire. Nine key informant interviews were conducted through purposive selection of health care providers and members of Village Health Teams (VHTs) based on their expertize. Modified Poisson regression and thematic content analysis were used to determine factors significant to IPV uptake among children. 71% of sampled children aged 12–23 months had received IPV in Kalungu District. The survey found that being encouraged by health workers and VHTs was significant to children’s uptake of IPV (Adjusted PR 1.24, 95% CI; 1.22–3.47). Distance to the immunization point (Adjusted PR 0.32,95% CI; 0.16–0.62) and caregiver’s education level (Adjusted PR 1.16,95% CI; 1.05–2.22) were also associated with IPV uptake. Qualitative findings from health workers and VHT members further confirmed the perception that distance to the immunization post was important, and VHTs also stated that being encouraged by health workers was critical to IPV uptake. The current prevalence of IPV uptake among children aged 12–23 months in Kalungu is 71%, higher than the last reported national coverage (60%), though still below the recommended national coverage of 95%. Efforts should be focused on sensitization of caregivers through health workers and VHTs. Immunization outreach should be strengthened so as to bring services closer to patients.
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Sbacchi, Alberto. "The Archives of the Consolata Mission and the Formation of the Italian Empire, 1913-1943." History in Africa 25 (1998): 319–40. http://dx.doi.org/10.2307/3172192.
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The Institute of the Consolata for Foreign Missions was founded in Turin, Italy in 1901 by the General Superior, Giuseppe Allamano (1851-1926). The primary purpose of the mission is to evangelize and educate non-Christian peoples. Allamano believed in the benefit of religion and education when he stated that the people “will love religion because of the promise of a better life after death, but education will make them happy because it will provide a better life while on earth.” The Consolata distinguishes itself for stressing the moral and secular education and its enthusiasm for missionary work. To encourage young people to become missionaries, Allamano convinced Pius X to institute a world-wide mission day in 1912. Allamano's original plan was for his mission to work among the “Galla” (Oromo) people of Ethiopia and continue the mission which Cardinal Massaia had begun in 1846 in southwestern Ethiopia. While waiting for the right moment, the Consolata missionaries ministered among the Kikuyu people of Kenya. In 1913 the Propaganda Fides authorized the Consolata Mission to begin work in Kaffa, Ethiopia. In 1919 it entered Tanzania and, accepting a government invitation in 1924, the Consolata installed itself in Italian Somalia and in 1925 in the Portuguese colony of Mozambique. Before the World War I the mission also expanded in Brazil, in 1937, and after 1937 its missionaries went to Argentina, Colombia, Venezuela, Canada, the United States, Zaire, Uganda, South Africa, and South Korea.
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Oonyu, Joseph C., and Robert Wamala. "Examination Phase Of The Masters Thesis: A Plausible Cause Of Delayed Completion Of Graduate Studies At Makerere University, Uganda." Journal of International Education Research (JIER) 8, no. 3 (July 9, 2012): 303–8. http://dx.doi.org/10.19030/jier.v8i3.7112.
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This paper investigates the influence of the examination stage of student theses on the completion time of graduate studies at Makerere University, Uganda. The assessment is based on the administrative data of 504 Masters degree students in the 2000 to 2008 enrollment cohorts at the School of Education, Makerere University. The total elapsed time from submission of a thesis for evaluation to a viva voce was adopted as a measure of the examination period. Additionally, the period from viva voce to submission of the final thesis was investigated. The analysis included frequency distribution, summary statistics, and a Pearson Chi-square test. A median examination period of 11 months (range, 155), in the results, is a lengthy one when compared to the two-year stipulated duration of Masters studies at the University. Subsequently, the fact that about six in every ten students (59.9%) submits a final thesis beyond a months period after a viva points to further delays in the review process of students reports. No significant variations in the submission period were observed by student characteristics. In sum, the findings underscore the need to strengthen administrative support systems, particularly aspects related to the review process of students reports, to ensure students timely completion of graduate programs.
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Baguma, Charles, Juliet N. Babirye, Paul Oryema, Peter Wasswa, and Lynn Atuyambe. "Reasons for the Low Male Involvement in Routine Child Immunization in Hoima District Uganda using the Attitude, Social Influence and Self Efficacy Model." Journal of Immunization 1, no. 1 (June 14, 2016): 9–21. http://dx.doi.org/10.14302/issn.2577-137x.ji-16-1026.
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Millions of children continue to miss immunizations each year despite global increases in financing and advances in vaccine technology. Male involvement in routine child immunization activities could improve and sustain coverage but is rarely emphasized in immunization programs or research. This study identified factors associated with male involvement in routine child immunization using the attitude, social influence and self-efficacy model.A household cluster survey was conducted among 460 fathers aged 18 years or more, with children aged 10-23 months. A semi-structured interviewer-administered questionnaire was used to collect data. Prevalence Risk Ratios (PRRs) were used to measure associations with level of involvement using generalized linear models with Poisson family, log link and robust standard errors in STATA 12. Our findings show that half (51%, 236/460) of the respondents were aged 25-34 years; 36% (166/460) had completed eight or more years of formal education. Although90% (415/460) of the respondents were willing to be involved, only 29% (133/460) were highly involved in routine child immunization. Highly involved fathers had a positive attitude towards involvement in routine child immunization (adj. PRR 2.3, 95% CI 1.18 â 4.98) and were â¥45 years adjusted prevalence risk ratio (adj. PRR) 2.0, 95% confidence interval (CI) 1.15 - 3.76. Traders had a lower involvement compared to those engaged in other occupations (adj. PRR 0.55, 95% CI: 0.37 - 0.82). In conclusion, few fathers were involved in routine child immunization. Strategies to improve fathersâ positive attitude such as health education are needed to increase their involvement, specifically targeting younger fathers and traders.
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Namwaya, Ziidah, Imelda Namagembe, Dan Kaye, Gorrette Nalwadda, Grace Edwards, and Rose Chalo Nabirye. "Midwives' practice and perception of labour and delivery care at the Mulago National Referral Hospital, Uganda." African Journal of Midwifery and Women's Health 14, no. 1 (January 2, 2020): 1–12. http://dx.doi.org/10.12968/ajmw.2018.0024.
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Background/Aims The majority of maternal deaths occur during labour, delivery, or within the first 4 hours after birth. This can be reduced by the care that midwives provide. At Mulago Hospital, little is documented on midwives' current practice and their perception of care offered during labor and delivery. The number of maternal and neonatal deaths as a result of preventable causes such as postpartum haemorrhage, obstructed labour, ruptured uterus and sepsis remains high. The aim of this study was to document the current practice of midwives, explore midwives' perception towards practice and identify factors that influence practice during birth in Uganda, to identify possible areas for improvement. Methods A cross-sectional study was conducted of midwives working in the three labour wards at the Mulago National referral hospital: the general ward, the private ward and the midwifery-led ward. Midwives' perceptions were explored using a semi-structured questionnaire, which asked midwives about their current practice and their perception of the care offered. Findings Care was found to be lacking in several areas. Only one-fifth (20.0%) of midwives reported always checking temperature every 4 hours. Only 20.5% reported that women are always supported in being mobile during labour. Less than half of the midwives (44.4%) knew the recommended drugs for managing the third stage of labour. Infection prevention practices were poor. Only 54% of midwives knew how to prepare magnesium sulphate for management of severe pre-eclampsia and eclampsia. Overall, the general labour ward was found to have the most gaps in midwives' knowledge. Lack of continuing education, supplies, teamwork and clinical guidelines were reported to affect practice. Staff shortages and midwives' decisions being underlooked by obstetricians were also reported to affect practice. Conclusions Overall, the study found that midwifery practice is suboptimal in key areas such as infection prevention, use of a partograph, and management of pre-eclampsia and eclampsia. Continuous professional development, provision of resources, and strengthening teamwork are recommended to improve maternal health outcomes at Mulago Hospital.