Journal articles: 'Education, Rural. Uganda'

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Nakabugo, Mary Goretti, Marissa Swanson, Olivia Schneider, and David C. Schwebel. "706 Childhood safety education in rural Uganda." Injury Prevention 22, Suppl 2 (September 2016): A253.2—A253. http://dx.doi.org/10.1136/injuryprev-2016-042156.706.

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Anderson, S. R., J. W. B. Bainbridge, A. Shah, P. El-Jassar, G. Schofield, H. D. D. Brook, and M. Kapila. "AIDS Education in Rural Uganda—A Way Forward." International Journal of STD & AIDS 1, no. 5 (September 1990): 335–39. http://dx.doi.org/10.1177/095646249000100506.

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Cheney, Kristen E. "“Village Life Is Better Than Town Life”: Identity, Migration, and Development in the Lives of Ugandan Child Citizens." African Studies Review 47, no. 3 (December 2004): 1–22. http://dx.doi.org/10.1017/s0002020600030420.

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Abstract:This article contextualizes Ugandan urban–rural relations through urban children's knowledge, imaginations, and experiences, which are affected by the present sociohistoric moment in Uganda. Influenced by urban–rural migration, changing notions of family and kinship, and the national government's prolific “development-through-education” campaign, urban schoolchildren imagine “the village” both as an integral imaginary space of ethnic identity origination and a location for fulfillment of national citizenship through development.

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Lourenço, Fernando, Natalie Sappleton, Akosua Dardaine-Edwards, Gerard McElwee, Ranis Cheng, David W. Taylor, and Anthony G. Taylor. "Experience of entrepreneurial training for female farmers to stimulate entrepreneurship in Uganda." Gender in Management: An International Journal 29, no. 7 (September 30, 2014): 382–401. http://dx.doi.org/10.1108/gm-05-2013-0054.

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Purpose – The purpose of this study is to evaluate the success of a scheme, supported by the Ugandan Agribusiness Initiative Trust, to fund gender and entrepreneurship training for women farmers in the north of Uganda (Gulu District and Lira District). Moreover, this paper reflects upon our experience of delivering training for women farmers and highlights key observations related to women’s entrepreneurship in Uganda. Design/methodology/approach – A practitioner-based reflection which shares the experiences of the process of developing and delivering gender and entrepreneurship training for women in Uganda. Findings – Through the experience of running gender and entrepreneurship training for women farmers in Uganda, a series of barriers to female rural entrepreneurs are highlighted: lack of access to credit, gender inequality, poor infrastructure, lack of access to knowledge and education, negative attitudes towards women and few initiatives to facilitate economic and business success. Originality/value – This paper provides reflection of the experience gained from the delivery of training and interaction with women farmers and entrepreneurs in Uganda.

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Openjuru, George Ladaah, and Elda Lyster. "Christianity and rural community literacy practices in Uganda." Journal of Research in Reading 30, no. 1 (February 2007): 97–112. http://dx.doi.org/10.1111/j.1467-9817.2006.00325.x.

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Mabumba, E. D., P. Mugyenyi, V. Batwala, E. M. Mulogo, J. Mirembe, F. A. Khan, and J. Liljestrand. "Widow inheritance and HIV/AIDS in rural Uganda." Tropical Doctor 37, no. 4 (October 1, 2007): 229–31. http://dx.doi.org/10.1258/004947507782332955.

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Despite current efforts to combat HIV/AIDS through behavioural change, ingrained socio-cultural practices such as widow inheritance in south-western Uganda has not changed. Low education, unemployment, dowry, widows' socioeconomic demands and the inheritor's greed for the deceased's wealth, influence widow inheritance. Voluntary counselling and testing is needed for the widows and their inheritors; formal dowry should be removed from marriage and widow inheritance stripped of its sexual component.

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Ariho, Paulino, and Abel Nzabona. "Determinants of Change in Fertility among Women in Rural Areas of Uganda." Journal of Pregnancy 2019 (December 19, 2019): 1–13. http://dx.doi.org/10.1155/2019/6429171.

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Fertility among rural women in Uganda continues to decline. Studies on fertility in Uganda have focused on the overall fertility in the country. In this study, we focus on determinants of change in fertility among rural women in Uganda using a multivariate Poisson decomposition technique to quantify the contribution of changes in the socioeconomic and demographic composition of women which we also refer to as the characteristic effects and changes in their fertility behavior (the coefficients’ effects or risk of childbearing) to the overall reduction in fertility among women in rural areas during the 2006–2016 period. The “characteristics effects” are used to mean the effect of changing composition of women by the socioeconomic and demographic characteristics between 2006 and 2016. On the other hand, fertility behavior also presented as coefficients’ effects mean changes in the risk or likelihood of giving birth to children by the rural women between the two survey years. Our findings indicate that the mean number of children ever born (MCEB) reduced from 4.5 to 3.9 in 2006 and this reduction was associated with both the changes in composition of women and fertility behavior. The composition of women contributed to 42% while the fertility behavior contributed to 58% of the observed reduction. The education level attained and the age at first sex showed significant contributions on both components of the decomposition. The observed decline in fertility is largely associated with the variation in the risk of childbearing among the rural women. The variation in the risk of childbearing by education and age at first sex of the rural women showed to be the biggest contribution to the observed change in fertility. Continued improvements in access, attendance, and completion of secondary schools by women in rural areas will be the key drivers to Uganda’s overall transition to low fertility. Furthermore, with improved access to mass media in the rural areas, there can be changes in attitudes and large family size preferences which can create a conducive environment for the utilization of family planning services in the rural communities. Efforts should therefore focus on applying appropriate methods to deliver packaged family planning messages to these communities.

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Tumwesigye, Samuel, Lisa-Marie Hemerijckx, Alfonse Opio, Jean Poesen, Matthias Vanmaercke, Ronald Twongyirwe, and Anton Van Rompaey. "Who and Why? Understanding Rural Out-Migration in Uganda." Geographies 1, no. 2 (August 25, 2021): 104–23. http://dx.doi.org/10.3390/geographies1020007.

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Rural–urban migration in developing countries is considered to be a key process for sustainable development in the coming decades. On the one hand, rural–urban migration can contribute to the socioeconomic development of a country. On the other hand, it also leads to labor transfer, brain-drain in rural areas, and overcrowded cities where planning is lagging behind. In order to get a better insight into the mechanisms of rural–urban migration in developing countries, this paper analyzes motivations for rural–urban migration from the perspective of rural households in Uganda. A total of 1015 rural households located in southwestern Uganda were surveyed in 2019. A total of 48 percent of these households reported having at least one out-migrant. By means of logistic regression modeling, the likelihood for rural out-migration was assessed using household- and community-level socioeconomic characteristics as predictors. The results show that most out-migrants are from relatively wealthy households with a higher-than-average education level. Typically, these households are located in villages that are well connected with urban centers. Poor households in remote locations send significantly fewer migrants because of their limited access to migration information and poor transport networks. From these findings, the following policy recommendations are made: Firstly, efforts should be made to extend basic social services, including quality education, towards rural areas. Secondly, in order to reduce socially disruptive long-distance migration and the eventual overcrowding and sprawls of major cities, government investments should be oriented towards the upgrading of secondary towns, which can offer rural out-migrants rewarding employment and business opportunities.

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Muyinda, H., J. Nakuya, J. A. G. Whitworth, and R. Pool. "Community sex education among adolescents in rural Uganda: utilizing indigenous institutions." AIDS Care 16, no. 1 (January 2004): 69–79. http://dx.doi.org/10.1080/09540120310001633985.

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Roh, Hyosun. "Reducing Rural-Urban Education Gap in Uganda Through ICT Appropriate Technology." Academic Society for Appropriate Technology 7, no. 1 (June 20, 2021): 33–40. http://dx.doi.org/10.37675/jap.2021.7.1.33.

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Roh, Hyosun. "Reducing Rural-Urban Education Gap in Uganda Through ICT Appropriate Technology." Academic Society for Appropriate Technology 7, no. 1 (June 20, 2021): 33–40. http://dx.doi.org/10.37675/jat.2021.7.1.33.

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Scheel, John R., Yamile Molina, Donald L. Patrick, Benjamin O. Anderson, Gertrude Nakigudde, Constance D. Lehman, and Beti Thompson. "Breast Cancer Downstaging Practices and Breast Health Messaging Preferences Among a Community Sample of Urban and Rural Ugandan Women." Journal of Global Oncology 3, no. 2 (April 2017): 105–13. http://dx.doi.org/10.1200/jgo.2015.001198.

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Purpose Among a community sample of Ugandan women, we provide information about breast cancer downstaging practices (breast self-examination, clinical breast examination [CBE]) and breast health messaging preferences across sociodemographic, health care access, and prior breast cancer exposure factors. Methods Convenience-based sampling was conducted to recruit Ugandan women age 25 years and older to assess breast cancer downstaging practices as well as breast health messaging preferences to present early for a CBE in the theoretical scenario of self-detection of a palpable lump (breast health messaging preferences). Results The 401 Ugandan women who participated in this survey were mostly poor with less than a primary school education. Of these women, 27% had engaged in breast self-examination, and 15% had undergone a CBE. Greater breast cancer downstaging practices were associated with an urban location, higher education, having a health center as a regular source of care, and receiving breast cancer education ( P < .05). Women indicated a greater breast health messaging preference from their provider (66%). This preference was associated with a rural location, having a health center as a regular source of care, and receiving breast cancer education ( P < .05). Conclusion Most Ugandan women do not participate in breast cancer downstaging practices despite receipt of breast cancer education. However, such education increases downstaging practices and preference for messaging from their providers. Therefore, efforts to downstage breast cancer in Uganda should simultaneously raise awareness in providers and support improved education efforts in the community.

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Igulot, Patrick, and Monica A. Magadi. "Socioeconomic Status and Vulnerability to HIV Infection in Uganda: Evidence from Multilevel Modelling of AIDS Indicator Survey Data." AIDS Research and Treatment 2018 (June 7, 2018): 1–15. http://dx.doi.org/10.1155/2018/7812146.

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Background. There is controversy on the association between socioeconomic status (SES) and HIV infection. Some evidence claims higher SES is negatively associated with HIV infection while others report the reverse. Objectives. To examine the association between SES and HIV infection in Uganda and to examine whether the SES-HIV relationship varies by gender, rural-urban place of residence, and time (2004-2005 and 2011) in Uganda. Methods. Multilevel analysis was applied to 39,766 individual cases obtained in 887 clusters of Uganda HIV/AIDS Indicators Survey conducted in 2004-2005 and 2011. Results. Household wealth is associated with increased vulnerability in the general population and in rural areas. Compared with no educational attainment, secondary or higher education is associated with reduced vulnerability to the risk of HIV infection by 37% in the general population. However, this effect was stronger in urban than rural areas. Besides individual-level factors, unobserved community factors too play an important role and account for 9% of unexplained variance after individual-level factors are considered. Conclusion. Household wealth increases vulnerability but education reduces it. The social environment influences vulnerability to HIV infection independent of individual-level factors. HIV/AIDS awareness targeting sexual practices of wealthy individuals and those with primary-level educational attainment together with improving educational attainment and addressing contextual factors influencing vulnerability to HIV infection are necessary strategies to reduce HIV infections in Uganda.

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Jones, Shelley K. "POST-PRIMARY EDUCATION AND CAPABILITIES: INSIGHTS FROM YOUNG WOMEN IN RURAL UGANDA." Africa Education Review 12, no. 1 (January 2, 2015): 127–41. http://dx.doi.org/10.1080/18146627.2015.1036577.

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Mwizerwa,, Joseph, and Rozzano C. Locsin,. "The Lived Experience of Discontinuing Hormonal Contraception Among Women in Rural Uganda." International Journal of Human Caring 15, no. 1 (February 2011): 56–64. http://dx.doi.org/10.20467/1091-5710.15.1.56.

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The purpose of the study was to describe the experience of discontinuing hormonal contraceptive use among women in rural Uganda. Asignificant number of women in Uganda discontinue hormonal contraception even though such method has been effective. Consequently, these women have unprotected sex, although not wanting to conceive. Narrative descriptions of the experiences by eight women were analyzed using content analysis. The findings describe the experience as Frustration and Helplessness, Living in Fear of Uncertainty, Ingenuity of using other methods of contraception, thus fostering the Accomplishments of being a wife, mother, and woman. Implications for nursing practice, research, and education are described.

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Sulaiman, Ndaula, Sseguya Haroon, and Matsiko Frank. "Social-cognitive factors influencing household decisions to grow orange-fleshed sweet potato in Uganda." Journal of Agricultural Extension 24, no. 1 (February 4, 2020): 1–12. http://dx.doi.org/10.4314/jae.v24i1.1.

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This study examined the role of social-cognitive factors in farmers’ decisions to cultivate orange-fleshed sweetpotato as a food-based approach to alleviating vitamin A deficiency among rural households in Uganda. Cross-sectional survey data collected from 341 randomly selected household level decision-makers drawn from two rural districts in Uganda were analysed using hierarchical regression. Perceived capability and perceived social approval significantly predicted household decisions to grow orange-fleshed sweet potato (p≤0.001). Overall, decision-makers’ subjective norms and control beliefs were found to be significant mediators (p≤0.01) of the orange-fleshed sweet potato acceptance process. These results point to a cardinal role for processes that create supportive social and cognitive environments in promoting the cultivation of bio-fortified technologies such as orange-fleshed sweet potato.Keywords: Orange-fleshed sweet potato, social approval, Uganda

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Whitworth, Elizabeth, Barbara A. Anderson, Sandra T. Buffington, and Jennifer Braun. "Prevention of Neonatal Hypothermia: A Skin-to-Skin Practices Education Project in Rural Uganda." International Journal of Childbirth 4, no. 1 (2014): 17–24. http://dx.doi.org/10.1891/2156-5287.4.1.17.

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PURPOSE: In low resource areas, neonatal hypothermia is an important source of neonatal morbidity. Separating newborns from their mothers at birth puts neonates at risk for hypothermia. The Teso Safe Motherhood Project (TSMP) in Soroti, Uganda provides birth center care for women in conflict areas of Northern Uganda. After conducting a needs assessment at TSMP, a continuing education project was developed to facilitate change in clinical practice to enhance prevention and recognition of neonatal hypothermia, including implementation of skin-to-skin practices at birth.STUDY DESIGN: This education project employed multiple learning strategies including pretest and posttest questionnaires, group discussion of cultural beliefs and practices, didactic education, participation in creative informational art, and demonstration, supervision, and return demonstration of skills.MAJOR FINDINGS: At the completion of the program, 100% of participants demonstrated a statistically significant increase in both knowledge and skills in the prevention and management of neonatal hypothermia (p = .011).MAIN CONCLUSION: The participants reported that this continuing education project enhanced their skills in neonatal hypothermia prevention and management. The cost-effective strategies employed in this project can be replicated in low resource settings, contributing to decreased mortality and morbidity from newborn hypothermia.

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Fishkin, James S., Roy William Mayega, Lynn Atuyambe, Nathan Tumuhamye, Julius Ssentongo, Alice Siu, and William Bazeyo. "Applying Deliberative Democracy in Africa: Uganda's First Deliberative Polls." Daedalus 146, no. 3 (July 2017): 140–54. http://dx.doi.org/10.1162/daed_a_00453.

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Practical experiments with deliberative democracy, instituted with random samples of the public, have had success in many countries. But this approach has never before been tried in Sub-Saharan Africa. Reflecting on the first two applications in Uganda, we apply the same criteria for success commonly used for such projects in the most advanced countries. Can this approach work successfully with samples of a public low in literacy and education? Can it work on some of the critical policy choices faced by the public in rural Uganda? This essay reflects on quantitative and qualitative results from Uganda's first Deliberative Polls. We find that the projects were representative in both attitudes and demographics. They produced substantial opinion change supported by identifiable reasons. They avoided distortions from inequality and polarization. They produced actionable results that can be expected to influence policy on difficult choices.

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Van Leeuwen, James, Humphrey Nabimanya, Andrew Ward, Ryan Grundy, and Mark Thrun. "Music Festivals Serving as a Catalyst for Collaborative HIV Prevention Education and Expanded HIV Testing in Rural Uganda." International Journal of Community Development 6, no. 1 (June 9, 2018): 1. http://dx.doi.org/10.11634/233028791503915.

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From 2014 through 2016, we produced a music festival in rural Kabale, Uganda in order to facilitate HIV testing and reproductive health services offered by NGOs specializing in HIV and sexual health. Our aim was to assess the effectiveness of a music festival to engage persons in sexual health and HIV screening services. Clinical service data was compiled and analyzed. Between 2014 and 2016, over 38,000 persons attended the annual festivals and were exposed to HIV prevention messaging. Over 7,000 persons have been tested for HIV. In 2016, 4,588 HIV tests were performed. In addition, 36 long-acting means of contraception were placed, 33 women were screened for cervical cancer, 2 tubal ligations were performed, and 193 men were referred for circumcision. Music festivals created a novel opportunity to provide sexual health services including prevention education, reproductive healthcare, and HIV testing to persons at risk for HIV in rural Uganda.

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Campbell, J. Michael, K. Mackay, and Christine Dranzoa. "Enhancing Rural Livelihoods Through Tourism Education and Strategic Partnerships: A Uganda Case Study." Tourism Analysis 16, no. 1 (January 1, 2011): 5–17. http://dx.doi.org/10.3727/108354211x12988225899921.

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Kinsman, J. "Evaluation of a comprehensive school-based AIDS education programme in rural Masaka, Uganda." Health Education Research 16, no. 1 (February 1, 2001): 85–100. http://dx.doi.org/10.1093/her/16.1.85.

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Mitchell, K. "Community-based HIV/AIDS education in rural Uganda: which channel is most effective?" Health Education Research 16, no. 4 (August 1, 2001): 411–23. http://dx.doi.org/10.1093/her/16.4.411.

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Kemigisha, E., K. Wotton, and J. Senoga. "Tackling malnutrition through peer to peer education in primary schools in rural Uganda." Annals of Global Health 81, no. 1 (March 12, 2015): 105. http://dx.doi.org/10.1016/j.aogh.2015.02.742.

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Nkuruho, Tumwine, Cuthbert Isingoma, and Teresa Senserrick. "School Road Safety Education in Uganda: Progress and Lessons Learned." Journal of Road Safety 32, no. 1 (February 1, 2021): 45–51. http://dx.doi.org/10.33492/jrs-d-20-00266.

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The Uganda Road Accident Reduction Network Organisation (URRENO) is a non-profit, non-government organisation (NGO) mandated in 1997. From a modest pilot project funded by the World Bank in 2003, it has become a leader in the development, implementation and advocacy for road safety education in primary schools across Uganda. Through URRENO efforts, the pilot program was adopted as the national curriculum and was shown to improve students’ road safety skills and behaviours and reduce their involvement in crashes from 15% to 5%. Many other related worthwhile initiatives followed, including: improvements in pedestrian facilities; integrated road safety publicity and enforcement campaigns; and expansion of road safety NGOs to supplement Government efforts. Lessons learned of value for like organisations include: striving to collect and analyse data to attain a project evidence base; building strong partnerships with influential individuals, community groups, businesses and Government stakeholders; adopting participatory approaches in which stakeholders and beneficiaries play significant roles in project implementation; and building capacities and empowering beneficiaries. URRENO continues in its efforts to strengthen and further roll-out the road safety education curriculum across Uganda, following evidence that transfers of trained teachers has contributed to decayed expertise and attention to road safety, particularly among schools in rural areas. URRENO will continue to strive to empower young people to learn and strengthen their capacity in road safety, to grow out of dependence and become independent safe road users.

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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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Roberts, Sanford, Natalia Birgisson, Diana Julia Chang, and Cheryl Koopman. "A pilot study on mobile phones as a means to access maternal health education in eastern rural Uganda." Journal of Telemedicine and Telecare 21, no. 1 (July 24, 2014): 14–17. http://dx.doi.org/10.1177/1357633x14545433.

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Maternal mortality in Uganda has remained relatively high since 2006. We studied access to mobile phones and people's interest in receiving audio-based maternal health lessons delivered via a toll-free telephone line. Interviews were conducted, using a male and a female translator, with 42 men and 41 women in four villages located in eastern rural Uganda. Most of the participants were recruited through systematic sampling, but some were recruited through community organizations and antenatal clinics. Ownership of a mobile phone was reported by 79% of men and by 42% of women. Among those who did not own a mobile phone, 67% of men and 88% of women reported regularly borrowing a mobile phone. Among women, 98% reported interest in receiving maternal mobile health lessons, and 100% of men. Providing local communities with mobile maternal health education offers a new potential method of reducing maternal mortality.

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Downing, Julia, and Esther Kawuma. "The impact of a modular HIV/AIDS palliative care education programme in rural Uganda." International Journal of Palliative Nursing 14, no. 11 (November 2008): 560–68. http://dx.doi.org/10.12968/ijpn.2008.14.11.31761.

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Jones, Ben. "‘We are passing our leisure time’: moving on from education in eastern Uganda." Africa 90, no. 2 (February 2020): 252–72. http://dx.doi.org/10.1017/s0001972019001104.

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AbstractIn the trading centre of Atine Atirir in eastern Uganda, young men gather to play ludo. They are educated but most do not have salaried employment. Many farm and do some form of casual labour. They talk about the importance of leisure and ‘leisure time’ and discuss the prospects of Arsenal in the English Premier League. In this article I explore the relationship between education, farming and ‘leisure time’ and look at the ways in which young men in particular make sense of lives that involve both schooling and farming. A number of scholars have focused on the tensions and frustrations of educated – typically urban – youth in Africa and elsewhere. They observe a growing distance between older and younger people, and the ways young men define their situation as one of boredom, dissatisfaction and waiting. By contrast, I show the ways in which the ludo board helped younger men in a poorer, rural setting elide an interest in an ‘educated style’ with rural forms of work – farming, petty trading and casual employment – and how the space around the game was mostly a site of play and relaxation, a place for passing, rather than killing, time. There was also a large degree of sympathy between the generations.

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Agyei, William K. A., and Micheal Migadde. "Demographic and Sociocultural Factors Influencing Contraceptive Use in Uganda." Journal of Biosocial Science 27, no. 1 (January 1995): 47–60. http://dx.doi.org/10.1017/s0021932000006994.

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SummaryBivariate and multivariate analyses of the influence of demographic and sociocultural factors on contraceptive knowledge, attitudes and practice among currently married respondents in Uganda show that: (1) contraceptive knowledge is widespread, even among women with no education; (ii) the majority of the respondents have favourable attitudes towards contraceptive use; (iii) the level of contraceptive use is low in comparison with knowledge and attitudes. Post-primary education, ethnicity, residence, the presence of the spouse in the household and discussion of family planning with spouse were strong predictors of knowledge and favourable attitudes towards contraception. Secondary or higher education, discussion of family planning with spouse and urban residence strongly influenced contraceptive use, but child mortality did not. The use of condoms as a behavioural change to avoid contracting HIV/AIDS was low. The results suggest that, particularly in rural areas, family planning services are not meeting the needs of potential clients.

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Evans, Daniel R., Colleen R. Higgins, Sarah K. Laing, Phyllis Awor, and Sachiko Ozawa. "Poor-quality antimalarials further health inequities in Uganda." Health Policy and Planning 34, Supplement_3 (December 1, 2019): iii36—iii47. http://dx.doi.org/10.1093/heapol/czz012.

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Abstract Substandard and falsified medications are a major threat to public health, directly increasing the risk of treatment failure, antimicrobial resistance, morbidity, mortality and health expenditures. While antimalarial medicines are one of the most common to be of poor quality in low- and middle-income countries, their distributional impact has not been examined. This study assessed the health equity impact of substandard and falsified antimalarials among children under five in Uganda. Using a probabilistic agent-based model of paediatric malaria infection (Substandard and Falsified Antimalarial Research Impact, SAFARI model), we examine the present day distribution of the burden of poor-quality antimalarials by socio-economic status and urban/rural settings, and simulate supply chain, policy and patient education interventions. Patients incur US$26.1 million (7.8%) of the estimated total annual economic burden of substandard and falsified antimalarials, including $2.3 million (9.1%) in direct costs and $23.8 million (7.7%) in productivity losses due to early death. Poor-quality antimalarials annually cost $2.9 million to the government. The burden of the health and economic impact of malaria and poor-quality antimalarials predominantly rests on the poor (concentration index −0.28) and rural populations (98%). The number of deaths among the poorest wealth quintile due to substandard and falsified antimalarials was 12.7 times that of the wealthiest quintile, and the poor paid 12.1 times as much per person in out-of-pocket payments. Rural populations experienced 97.9% of the deaths due to poor-quality antimalarials, and paid 10.7 times as much annually in out-of-pocket expenses compared with urban populations. Our simulations demonstrated that interventions to improve medicine quality could have the greatest impact at reducing inequities, and improving adherence to antimalarials could have the largest economic impact. Substandard and falsified antimalarials have a significant health and economic impact, with greater burden of deaths, disability and costs on poor and rural populations, contributing to health inequities in Uganda.

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Wamala, Robert, and Gerald Seruwagi. "Teacher Competence And The Academic Achievement Of Sixth Grade Students In Uganda." Journal of International Education Research (JIER) 9, no. 1 (December 22, 2012): 83–90. http://dx.doi.org/10.19030/jier.v9i1.7503.

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The study investigates the influence of teacher competence on the academic achievement of sixth grade students in Uganda. The investigation is based on data sourced from the 2009 Southern African Consortium for Monitoring Education Quality (SACMEQ) survey comprising 5,148 records of sixth grade students enrolled in primary schools in Uganda. The percentage scores of students and teachers in reading and numeracy tests were adopted as measures of academic achievement and competence, respectively. The analysis was carried out using a multiple linear regression clustered by six geographical regions in Uganda eastern, western, southern, northern, southwestern, and northeastern. In addition to teacher competency, students academic achievement in the various disciplines was modeled by the student characteristics of age, sex, rural-urban residence, class repetition status (any class), and length of pre-primary education. The results showed students high academic achievement in reading and numeracy was significantly associated with high teacher competency in the same disciplines. However, this generalization may not hold for all students in all countries because of variations in learner characteristics and the learning environment. Nevertheless, the findings suggest the need to strengthen teacher competence as a measure to enhance students academic achievement in formal education.

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Schember, Cassandra, Jessica Perkins, Viola Nyakato, Bernard Kakuhikire, Allen Kiconco, Betty Namara, Lauren Brown, et al. "71461 Intimate Partner Violence and HIV Testing among Women in Rural Southwestern Uganda." Journal of Clinical and Translational Science 5, s1 (March 2021): 131–32. http://dx.doi.org/10.1017/cts.2021.736.

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ABSTRACT IMPACT: This research shows that physical intimate partner violence was associated with never testing for HIV while verbal intimate partner violence was associated with increased testing for HIV suggesting that HIV testing interventions should consider intimate partner violence prevention. OBJECTIVES/GOALS: HIV incidence is higher among women who experience intimate partner violence (IPV). However, few studies have assessed the association between HIV testing (regardless of the result) and the experience of IPV. Our objective was to assess the relationship between IPV and HIV testing among women from rural southwestern Uganda. METHODS/STUDY POPULATION: We conducted a whole-population, cross-sectional study including women ?18 years of age who were permanent residents in 8 villages of Rwampara District, southwestern Uganda from 2011-2012 who reported having a primary partner in the past 12 months. We surveyed participants to assess their exposure to 12 different forms of verbal, physical, and/or sexual IPV, and whether they had ever been tested for HIV. We used three separate modified Poisson regression models, clustering by village, to estimate the association between each type of IPV and ever testing for HIV, adjusting for categorical age, completion of more than primary education, and any food insecurity measured by the nine-item Household Food Insecurity Access Scale. RESULTS/ANTICIPATED RESULTS: Among 496 women with a primary partner (>95% response rate), 64 (13%) had never tested for HIV, 297 (60%) reported verbal IPV, 81 (16%) reported physical IPV, and 131 (26%) reported sexual IPV. Further, among these women, 208 (42%) were aged <30 years, 378 (76%) had a primary or no education, and 390 (79%) experienced food insecurity. Never having been tested for HIV was positively associated with physical IPV (adjusted risk ratio (ARR): 1.61, 95% confidence interval (CI): 1.02-2.56) and negatively associated with verbal IPV (ARR: 0.67, 95% CI: 0.44-0.99), but not sexual IPV (ARR: 1.05, 95% CI: 0.51-2.12). DISCUSSION/SIGNIFICANCE OF FINDINGS: Among this population of adult women with partners in Uganda, physical IPV was associated with never testing for HIV while verbal IPV was associated with increased testing for HIV. Evidence suggests that HIV testing interventions should consider IPV prevention, and future studies should focus on why certain IPV types impact HIV testing rates.

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Wamala, Robert, Omala Saint Kizito, and Evans Jjemba. "Academic Achievement Of Ugandan Sixth Grade Students: Influence Of Parents Education Levels." Contemporary Issues in Education Research (CIER) 6, no. 1 (January 2, 2013): 133–42. http://dx.doi.org/10.19030/cier.v6i1.7612.

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The study investigates the influence of a father and mothers education on the academic achievement of their child. The investigation is based on data sourced from the 2009 Southern African Consortium for Monitoring Education Quality survey comprising 5,148 records of sixth grade students enrolled in Ugandan primary schools. Students percentage scores in the health sciences, reading, and numeracy tests were adopted as a measure of academic achievement. The analysis was carried out using summary statistics and a multiple linear regression clustered by six geographical regions in Uganda: central, eastern, western, northern, southwestern, and northeastern. In addition to father and mothers education, students test scores in the various disciplines were analyzed by the characteristics of age, sex, rural-urban residence, grade repetition status (any grade), and length of pre-primary education. The results showed that the level of a fathers education required to predict whether the child will achieve better scores in all disciplines was primary education. However, a mother required secondary and post-secondary education to enable the child to obtain better scores in reading and numeracy, respectively. Much of the previous literature has suggested that children born to educated parents have higher academic achievement; the results of this study support this finding but also reveal a difference in the levels of a father and mothers education required to predict their childs achievement of better scores in formal education.

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Ben-Yacov, Limor, Pearl Ainembabazi, Aliza Hannah Stark, Samuel Kizito, and Silver Bahendeka. "Prevalence and sex-specific patterns of metabolic syndrome in rural Uganda." BMJ Nutrition, Prevention & Health 3, no. 1 (January 2, 2020): 11–17. http://dx.doi.org/10.1136/bmjnph-2019-000050.

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Background and aimsIn sub-Saharan Africa, infectious diseases are still the leading causes of mortality; however, this may soon be surpassed by non-communicable illnesses, namely hypertension, diabetes and cardiovascular disease. This study determined the prevalence and patterns of metabolic syndrome and cardio-risk factors in men and women in rural Uganda.MethodsA household-based, cross-sectional survey was carried out following the WHO STEP-wise approach to surveillance. It included demographic and lifestyle questionnaires, anthropometric measurements and biochemical analyses. Of the 200 randomly recruited participants, 183 successfully completed two steps of the study and 161 provided blood samples.ResultsData were collected from 183 adults, aged 18–69 years; 62% were female. Based on the National Cholesterol Education Program-Adult Treatment Panel-III criteria, the prevalence of metabolic syndrome was 19.1% (95% CI 14.0 to 22.5). Elevated fasting plasma glucose was observed in 14.2% (95% CI 9.1 to 19.3) of participants, hypertriglyceridaemia in 16.9% (95% CI 12.1 to 23.1); hypertension in 36.1% (95% CI 29.0 to 43.0) and 52.5% (95% CI 45.2 to 59.6) had low HDL (high-density lipoprotein) cholesterol. Abdominal obesity was found in 24.6% (95% CI 18.8 to 31.4) of participants. Sex disparities were significant for several risk factors. Females had significantly higher prevalence of abdominal obesity (38.6% vs 1.5% in males, p=0.001) and twice the rates of low HDL (65.8% vs 30.4%, p=0.001). Men tended to have higher but not significant rates of hypertension (42.0% vs 32.5%) and smoked significantly more than women (49.3% vs 21.1%, p<0.001). Alcohol consumption was also higher in men (55.1% vs 18.4%, p<0.001) and quantities consumed were approximately three times greater than in females (p<0.001).ConclusionMetabolic syndrome exists at worrying rates in the rural Ugandan population. Sex disparities are evident in risk factor prevalence, reflecting physiological variables and deeply entrenched cultural and lifestyle norms.

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Kule, Ashirafu Masudi, Mugizi Wilson, Kariisa Henry Ampeire, and Victor Turiabe. "Teacher characteristics and the Use of ICT in Rural Secondary Schools of Bwera Sub County, Kasese District, Uganda." Interdisciplinary Journal of Rural and Community Studies 3, no. 2 (August 9, 2021): 30–40. http://dx.doi.org/10.51986/ijrcs-2021.vol3.02.04.

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This study investigated the relationship between teachers’ characteristics and their use of ICT in teaching in rural secondary schools located in Bwera Sub County, Kasese District of Uganda. Bwera Sub County is a hard-to-reach rural area in western Uganda. Specifically, the study examined whether teacher characteristics, namely, teachers perceived usefulness, perceived ease of use and teacher ICT competence, influenced teachers’ use of ICT in teaching with the secondary schools. Using the correlational research design, data were collected using a self-administered questionnaire on a sample of 127 school teachers. Descriptive results revealed that teachers rated their use of ICT and perceived competence as poor, rated ICT's usefulness as good, and their use of ICT as fair. Regression analysis revealed that perceived usefulness, ease of use, and ICT competence had a positive and significant influence on ICT use in teaching and learning. It was concluded that perceived usefulness is a prerequisite for teachers’ use of ICT, perceived ease of use is imperative for the use of ICT, and competence is essential for the use of ICT. Therefore, it was recommended that in rural secondary schools, the Ministry of Education and headteachers should provide awareness training to teachers about the usefulness of IC, train teachers to use ICT, and develop their ICT competence.

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Achora, Susan, Gloria Thupayagale-Tshweneagae, Oluwaseyi A. Akpor, and Yohana J. S. Mashalla. "Perceptions of adolescents and teachers on school-based sexuality education in rural primary schools in Uganda." Sexual & Reproductive Healthcare 17 (October 2018): 12–18. http://dx.doi.org/10.1016/j.srhc.2018.05.002.

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Harris, Christopher, Bwambale George, Unity Harris, Mary Munyagwa, and Anne Greenough. "Replacing hospital-based epilepsy clinics with rural epilepsy clinics and education in Uganda: impact on attendance." Paediatrics and International Child Health 39, no. 2 (November 27, 2018): 128–31. http://dx.doi.org/10.1080/20469047.2018.1544803.

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Nishimura, Mikiko, Takashi Yamano, and Yuichi Sasaoka. "Impacts of the universal primary education policy on educational attainment and private costs in rural Uganda." International Journal of Educational Development 28, no. 2 (March 2008): 161–75. http://dx.doi.org/10.1016/j.ijedudev.2006.09.017.

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Ghose, Bishwajit, and Sanni Yaya. "Experience of Intimate Partner Violence and Help-Seeking Behaviour among Women in Uganda." Psych 1, no. 1 (May 7, 2019): 182–92. http://dx.doi.org/10.3390/psych1010013.

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Intimate partner violence (IPV) is recognised as a fundamental violation of women’s human rights and a widespread phenomenon in Africa. Women’s low socioeconomic empowerment, cultural acceptability, and lack of social support exacerbate the health and psychosocial outcomes of IPV among African women. To date, there is no systematic research on IPV and its association with healthcare use among adult women in Uganda. Therefore, we conducted the present study on IPV among Ugandan women of childbearing age (15–49 years). Cross-sectional data on 7536 women were collected from the Uganda Demographic and Health Survey (UDHS—Uganda Demographic and Health Survey 2016). The objectives were to assess the predictors of IPV as well as help-seeking behaviour for victims of IPV. IPV was assessed by women’s experience of physical, emotional and sexual violence and healthcare use was assessed by self-reported medical visits during the last 12 months. Logistic regression methods were used to analyse the data. According to descriptive findings, which showed that more than half of the women reported experiencing any IPV (55.3%, 95%CI = 53.6, 57.0), emotional IPV (41.2%, 95%CI = 39.6, 42.8) was the most prevalent of all three categories, followed by physical (39.3%, 95%CI = 37.7, 40.9) and sexual IPV (22.0%, 95%CI = 20.7, 23.3). In the multivariate analysis, higher age, rural residence, religious background (non-Christian), ethnicity (Banyankore and Itseo), secondary/higher education and husband’s alcohol drinking habit were positively associated with women’s experience of IPV. Husband’s alcohol drinking was found to be a significant barrier to seeking help among those who experienced IPV. In conclusion, our findings suggest a noticeably high prevalence of IPV among Ugandan women. There are important sociodemographic and cultural patterns in the occurrence of IPV that need to be taken into account when designing intervention policies. Special attention should be given to women living with husbands/partners who drink alcohol, as this might increase their odds of experiencing IPV, as well as reduce the likelihood of seeking help.

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Kikafunda, Joyce K., Fred B. Lukwago, and Florence Turyashemererwa. "Anaemia and associated factors among under-fives and their mothers in Bushenyi district, Western Uganda." Public Health Nutrition 12, no. 12 (April 6, 2009): 2302–8. http://dx.doi.org/10.1017/s1368980009005333.

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AbstractObjectiveTo determine the prevalence of anaemia and associated factors among under-fives and their mothers in a rural area of Western Uganda.DesignA cross-sectional investigation using both qualitative and quantitative methods of data collection. Stratified multistage sampling methods were used to select the study sample. A haemoglobinometer was used to assess Hb levels in the blood.SettingA rural district in Western Uganda.SubjectsChildren aged 6–59 months and their mothers aged 15–49 years.ResultsThe overall prevalence of Fe-deficiency anaemia among children and their mothers was 26·2 % and 17·9 %, respectively. There was a significant correlation (r = 0·5, P = 0·008) between the Hb levels of the mothers and their children. Place of birth, age of the child, factors related to complementary foods, and formal education and nutrition knowledge of the mother were major factors that were significantly associated (r = 0·05, P = 0·05) with low Hb levels among the children. The most important factors that were associated with low Hb levels of the mothers were their formal education, nutrition knowledge and health status.ConclusionsFe-deficiency anaemia was found to be a major problem in this cohort of children and their mothers. Dietary factors and sociodemographic factors were the major factors associated with high levels of anaemia among the children and their mothers. It is therefore recommended that rural mothers should be sensitized on best practices for prevention of anaemia among both women and children.

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Moodley, Shreya, Arabat Kasangaki, and Andrew J. Macnab. "Education in Global Health: Experience in Health-Promoting Schools Provides Trainees with Defined Core Competencies." ISRN Education 2012 (March 13, 2012): 1–7. http://dx.doi.org/10.5402/2012/718303.

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Introduction. Medical education has defined essential “universal” core competencies. The value of global health education gained through participation in a health-promoting school project was assessed using Canada’s CanMEDS roles and competencies. Methods. The project involved health care trainees in delivery of “Brighter Smiles,” a global health education program addressing children’s oral health in Canada and Uganda based on the WHO health-promoting (HP) school model. Multidisciplinary teams first visit a Canadian First Nations community for an introduction to HP schooling, team building, and experience working in different cultural environments and then have 4–6 weeks of global health project delivery in rural HP schools in Uganda in partnership with local College of Health Sciences trainees/faculty. Learning opportunities afforded were evaluated by conventional questionnaire and pilot categorization against the 7 CanMEDS roles (divided into 126 core competencies). Results. All collaborator and health Advocate competencies and 16/17 of the communicator roles were addressed. Overall, project experience included 88 (70%) of the 126 competencies. Conclusions. This pilot suggests CanMEDS criteria can be used to effectively evaluate trainee participation in HP school program delivery, allowing the comprehensive educational opportunities to acquire global health knowledge and skills reported by conventional evaluation to be formally categorized against defined educational roles and competencies.

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Malhotra, Niyati, Zena Ewonetu Ayele, Dandi Zheng, and Yanis Ben Amor. "Improving social and emotional learning for schoolgirls: An impact study of curriculum-based socio-emotional education in rural Uganda." International Journal of Educational Research 108 (2021): 101778. http://dx.doi.org/10.1016/j.ijer.2021.101778.

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Smith, Jennifer, Fred Nalagoda, Maria J. Wawer, David Serwadda, Nelson Sewankambo, Joseph Konde-Lule, Tom Lutalo, Chuanjun Li, and Ronald H. Gray. "Education attainment as a predictor of HIV risk in rural Uganda: results from a population-based study." International Journal of STD & AIDS 10, no. 7 (July 1999): 452–59. http://dx.doi.org/10.1258/0956462991914456.

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Walugembe, Patrick, Robert Wamala, and Cyprian Misinde. "The Rights of Children with Disabilities and Influence of Disability on Household Vulnerability:." Canadian Journal of Children's Rights / Revue canadienne des droits des enfants 6, no. 1 (November 8, 2019): 169–95. http://dx.doi.org/10.22215/cjcr.v6i1.1980.

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Children with disabilities are an exceptionally vulnerable population. We analyzed data collected from 17,848 vulnerable households in rural Uganda over four years on vulnerable children and focuses on how those living with disabilities progress out of vulnerability. The analysis shows that whereas the children with disabilities we more likely to transition from critical vulnerability than others, they were less likely to transition out of vulnerability in general. We also found an effect of parental and guardian disability on child education. We recommend that for programs to support the realization of the right to education, more focus should be centered on households living with disabilities.

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Green, Donald P., Anna M. Wilke, and Jasper Cooper. "Countering Violence Against Women by Encouraging Disclosure: A Mass Media Experiment in Rural Uganda." Comparative Political Studies 53, no. 14 (April 8, 2020): 2283–320. http://dx.doi.org/10.1177/0010414020912275.

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Violence against women (VAW) is widespread in East Africa, with almost half of married women experiencing physical abuse. Those seeking to address this issue confront two challenges: some forms of domestic violence are widely condoned and it is the norm for witnesses to not report incidents. Building on a growing literature showing that education-entertainment can change norms and behaviors, we present experimental evidence from a media campaign attended by more than 10,000 Ugandans in 112 rural villages. In randomly assigned villages, video dramatizations discouraged VAW and encouraged reporting. Results from interviews conducted several months after the intervention show no change in attitudes condoning VAW yet a substantial increase in willingness to report to authorities, especially among women, and a decline in the share of women who experienced violence. The theoretical implication is that interventions that affect disclosure norms may reduce socially harmful behavior even if they do not reduce its acceptability.

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Nobelius, Ann-Maree, Bessie Kalina, Robert Pool, Jimmy Whitworth, Janice Chesters, and Robert Power. "Sexual and reproductive health information sources preferred by out-of-school adolescents in rural southwest Uganda." Sex Education 10, no. 1 (February 2010): 91–107. http://dx.doi.org/10.1080/14681810903491438.

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Herbst, Austin Gregory, Peter Olds, Gabriel Nuwagaba, Samson Okello, and Jessica Haberer. "Patient experiences and perspectives on hypertension at a major referral hospital in rural southwestern Uganda: a qualitative analysis." BMJ Open 11, no. 1 (January 2021): e040650. http://dx.doi.org/10.1136/bmjopen-2020-040650.

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ObjectivesNovel care models are needed to address the large burden of hypertension globally. We aimed to explore how patients in rural Uganda experience and perceive hypertension in order to understand factors that may inform development of a patient-centred care model for hypertension management in this setting.DesignWe conducted one-time, in-depth qualitative interviews focusing on participants’ experiences and perceptions of the meaning and management of hypertension.SettingOutpatient clinic at Mbarara Regional Referral Hospital in Uganda.ParticipantsWe enrolled patients who had hypertension and had used antihypertensive medication for at least 1 month. We used purposive sampling to recruit 30 participants with similar representation by gender and by absence or presence of comorbid conditions.ResultsParticipants had been diagnosed and initiated care at various clinical stages of hypertension, which impacted their understanding of hypertension. Several participants saw hypertension as a chronic disease that can lead to complications if not controlled, while others attributed symptoms typically associated with other diseases to hypertension. Participants described inconsistent access to antihypertensive medications and difficulty with transport to the clinic (time needed and expense) as the major barriers to access to care. Initiation and maintenance of care were facilitated by family support and ready access to health facilities. Many participants identified an understanding of the important lifestyle and dietary changes required to control hypertension.ConclusionsPatients with hypertension in rural Uganda demonstrated a varied understanding and experience with hypertension. Interventions leveraging family support may help with patient education and clinical management. Integration of patient perspectives into the care model, patient-centred care, may serve as a successful model for hypertension and potentially delivery of care for other non-communicable diseases in Uganda and other similar resource-limited settings.

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Hungi, Njora, Moses Ngware, Gerald Mahuro, and Nelson Muhia. "Learning barriers among Grade 6 pupils attending rural schools in Uganda: implications to policy and practice." Educational Research for Policy and Practice 16, no. 2 (November 3, 2016): 129–55. http://dx.doi.org/10.1007/s10671-016-9199-2.

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Okurut, Jeje Moses. "Automatic Promotion and Student Dropout: Evidence from Uganda, Using Propensity Score in Difference in Differences Model." Journal of Education and Learning 7, no. 2 (January 16, 2018): 191. http://dx.doi.org/10.5539/jel.v7n2p191.

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The impact of automatic promotion practice on students dropping out of Uganda’s primary education was assessed using propensity score in difference in differences analysis technique. The analysis strategy was instrumental in addressing the selection bias problem, as well as biases arising from common trends over time, and permanent latent differences between the treated and control groups. Probit regression results indicate a negative effect on the probability of students dropping out, but only at P3. There seems to be no policy effect at P6. Decomposing the effect incidence along school location shows the policy as having had an effect only on P3 students studying in urban schools; otherwise, there is no effect among students at P3 rural, P6 rural or P6 Urban. In terms of the gender component, automatic promotion appears to have had an effect on P3 male and female students and no effect on either sex at P6.

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Kasangaki, Arabat, Andrew Macnab, and Faith Gagnon. "A Descriptive, Cross-Sectional Study of Ugandan Students in Health Care Education regarding Postgraduate Migration and Future Practice." ISRN Education 2012 (February 29, 2012): 1–5. http://dx.doi.org/10.5402/2012/357280.

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A growing challenge of globalization is the migration of many healthcare trainees to richer nations when they complete their education. This loss of intellectual capital compromises the ability of low-income countries to provide adequate health care. Despite recognition of this loss most African nations keep no track of those they train. Effective investment in health care demands retention of this resource; the ability to direct healthcare providers where needed; understanding of local factors driving migration, choices regarding postgraduate training abroad, and future practice preference. Self-administered questionnaires were distributed to a random sample of 200 Uganda College of Health Sciences students for anonymous completion; 141/200 (70.5%) were completed; 84% of respondents intended to pursue postgraduate studies abroad; 63% to migrate within five years of graduation; 57% to work in urban areas. While partly due to global trends and awareness of international opportunities, this negative trend of migration and shunning rural practice is also influenced by sociopolitical and educational elements within Uganda. One option (adopted elsewhere) is mandatory practice in government community health centers for a period following graduation. But the ethics, consequences, and implications of current international migratory trends need to be addressed locally and by the global medical education community.

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Journal articles on the topic 'Education, Rural. Uganda'

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