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Johnson, Alicia J., and Meredith A. Whitley. "Girls’ Sport in Northern Uganda: A Postcolonial Feminist Exploration of Definitions and Benefits." Women in Sport and Physical Activity Journal 24, no. 2 (October 2016): 131–42. http://dx.doi.org/10.1123/wspaj.2015-0023.
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Sport is increasingly used as a tool for development and peacebuilding to reach an array of populations (Hayhurst, 2009), including girls and women in the Two-Thirds World (Brady, 2005; Hayhurst, 2014; Saavedra, 2009). However, scholars have cautioned against a universal definition of sport considering its historical link to colonization (Darnell & Hayhurst, 2011; Saavedra, 2009) as well as the promotion of universal benefits of sport for girls (Brady, 2005; Larkin, Razack, & Moola, 2007). Therefore, a postcolonial feminist framework was employed to qualitatively explore how 12 secondary school girls in northern Uganda define sport. In addition, participants in this study identified the benefits that they and other girls and women receive from participating in sport. Semistructured interviews were conducted face-to-face and were transcribed, coded, and thematized by the researchers. Trustworthiness was established by engaging a peer debriefer from Uganda and critical awareness of researcher positionality through reflexivity. Results include how the participants defined sport and physical activity, some as a singular and others as a binary concept, and how girls benefit from participating in sport in northern Uganda. The identified benefits include aspects of health, social life, engagement, opportunities, socioemotional development, and competition. Many of these benefits are congruent with literature from within and outside of Uganda; however, the results also indicate a need for a deeper understanding of how communities define and benefit from sport where sport for development programs are delivered. Connections between the results and the postcolonial feminist framework, study limitations and future research directions are also discussed.
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Kwagala, Betty, Douglas Wassenaar, and Julius Ecuru. "Payments and Direct Benefits in HIV/AIDS Related Research Projects in Uganda." Ethics & Behavior 20, no. 2 (March 15, 2010): 95–109. http://dx.doi.org/10.1080/10508421003595927.
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You, Jiseon, Chad Staddon, Alan Cook, James Walker, Jess Boulton, Wayne Powell, and Ioannis Ieropoulos. "Multidimensional Benefits of Improved Sanitation: Evaluating ‘PEE POWER®’ in Kisoro, Uganda." International Journal of Environmental Research and Public Health 17, no. 7 (March 25, 2020): 2175. http://dx.doi.org/10.3390/ijerph17072175.
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With 2.3 billion people around the world lacking adequate sanitation services, attention has turned to alternative service provision models. This study suggests an approach for meeting the sanitation challenge, especially as expressed in Sustainable Development Goal 6.2, using a toilet technology system, such as Pee Power® that generates electricity using diverted urine as a fuel. A field trial was carried out in a girls’ school in Kisoro, Uganda, where the generated electricity was used to light the existing toilet block. The trial was evaluated in terms of social acceptability and user experience using a multidimensional assessment protocol. The results of our assessment show that users felt safer when visiting the toilets at night. Lights provided from the technology also helped with the perceived cleanliness of the toilets. The technology was well accepted, with 97% of the respondents saying that they liked the idea of the Pee Power® technology and 94% preferring it over other facilities on site. This shows how the technology helps meet SDG target 6.2, with its particular focus on vulnerable populations.
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Ochieng, Amos, Ingrid J. Visseren-Hamakers, and René van der Duim. "The battle over the benefits: analysing two sport hunting policy arrangements in Uganda." Oryx 52, no. 2 (January 12, 2017): 359–68. http://dx.doi.org/10.1017/s0030605316000909.
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AbstractIn 2001 sport hunting was reintroduced in Uganda around Lake Mburo National Park, and in 2008 at Kabwoya and Kaiso-Tonya Game Management Area, to derive economic benefits for communities and thus reduce human–wildlife conflict and change communities’ attitudes towards wildlife. We used the policy arrangement approach to analyse and compare the development of the two sport hunting policy arrangements. Through interviews and document review we learned that the arrangement at Lake Mburo changed considerably over time, whereas that at Kabwoya remained relatively stable. The two policy arrangements started with small constellations of actors but turned out to be complex arenas, mainly involving disagreement regarding the benefits. Land ownership proved to be a crucial factor in explaining the differences between the arrangements. Our results also show that benefits do not change communities’ attitudes towards conservation, thus questioning incentive-based policies for conservation. We argue for a careful analysis of the complex social, cultural and political contexts in which conservation and development policies are implemented, to better understand their outcomes.
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Theeuwen, Amber, Valérie Duplat, Christopher Wickert, and Brian Tjemkes. "How Do Women Overcome Gender Inequality by Forming Small-Scale Cooperatives? The Case of the Agricultural Sector in Uganda." Sustainability 13, no. 4 (February 7, 2021): 1797. http://dx.doi.org/10.3390/su13041797.
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In Uganda, the agricultural sector contributes substantially to gross domestic product. Although the involvement of Ugandan women in this sector is extensive, female farmers face significant obstacles, caused by gendering that impedes their ability to expand their family business and to generate incomes. Gender refers to social or cultural categories by which women–men relationships are conceived. In this study, we aim to investigate how gendering influences the development of business relationships in the Ugandan agricultural sector. To do so, we employed a qualitative–inductive methodology to collect unique data on the rice and cassava sectors. Our findings reveal at first that, in the agricultural sector in Uganda, inter-organization business relationships (i.e., between non-family actors) are mostly developed by and between men, whereas intra-organization business relationships with family members are mostly developed by women. We learn that gendering impedes women from developing inter-organization business relationships. Impediments for female farmers include their restricted mobility, the lack of trust by men, their limited freedom in communication, household duties, and responsibilities for farming activities up until sales. Our findings also reveal that these impediments to developing inter-organization business relationships prevent female farmers from being empowered and from attainting economic benefits for the family business. In this context, the results of our study show that grouping in small-scale cooperatives offers female farmers an opportunity to overcome gender inequality and to become economically emancipated. Thanks to these cooperatives, women can develop inter-organization relationships with men and other women and gain easier access to financial resources. Small-scale cooperatives can alter gendering in the long run, in favor of more gender equality and less marginalization of women. Our study responds to calls for more research on the informal economy in developing countries and brings further understanding to the effect of gendering in the Ugandan agricultural sector. We propose a theoretical framework with eight propositions bridging gendering, business relationship development, and empowerment and economic benefits. Our framework serves as a springboard for policy implications aimed at fostering gender equality in informal sectors in developing countries.
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Delaney, Peter G., Zachary J. Eisner, T. Scott Blackwell, Ibrahim Ssekalo, Rauben Kazungu, Yang Jae Lee, John W. Scott, and Krishnan Raghavendran. "Exploring the factors motivating continued Lay First Responder participation in Uganda: a mixed-methods, 3-year follow-up." Emergency Medicine Journal 38, no. 1 (October 30, 2020): 40–46. http://dx.doi.org/10.1136/emermed-2020-210076.
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BackgroundThe WHO recommends training lay first responders (LFRs) as the first step towards establishing emergency medical services (EMS) in low-income and middle-income countries. Understanding social and financial benefits associated with responder involvement is essential for LFR programme continuity and may inform sustainable development.MethodsA mixed-methods follow-up study was conducted in July 2019 with 239 motorcycle taxi drivers, including 115 (75%) of 154 initial participants in a Ugandan LFR course from July 2016, to evaluate LFR training on participants. Semi-structured interviews and surveys were administered to samples of initial participants to assess social and economic implications of training, and non-trained motorcycle taxi drivers to gauge interest in LFR training. Themes were determined on a per-question basis and coded by extracting keywords from each response until thematic saturation was achieved.ResultsThree years post-course, initial participants reported new knowledge and skills, the ability to help others, and confidence gain as the main benefits motivating continued programme involvement. Participant outlook was unanimously positive and 96.5% (111/115) of initial participants surveyed used skills since training. Many reported sensing an identity change, now identifying as first responders in addition to motorcycle taxi drivers. Drivers reported they believe this led to greater respect from the Ugandan public and a prevailing belief that they are responsible transportation providers, increasing subsequent customer acquisition. Motorcycle taxi drivers who participated in the course reported a median weekly income value that is 24.39% higher than non-trained motorcycle taxi counterparts (p<0.0001).ConclusionsA simultaneous delivery of sustained social and perceived financial benefits to LFRs are likely to motivate continued voluntary participation. These benefits appear to be a potential mechanism that may be leveraged to contribute to the sustainability of future LFR programmes to deliver basic prehospital emergency care in resource-limited settings.
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NZABONA, ABEL, JAMES NTOZI, and GIDEON RUTAREMWA. "Loneliness among older persons in Uganda: examining social, economic and demographic risk factors." Ageing and Society 36, no. 4 (March 4, 2015): 860–88. http://dx.doi.org/10.1017/s0144686x15000112.
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ABSTRACTLater-life loneliness is becoming an area of great concern in Uganda in light of gradual weakening of extended family as a source of old-age human support. Although information about the effects of feeling lonely exists, little is known about the associated risk factors within the country's social and cultural setting. This paper discusses prevalence and correlates of feeling lonely among older persons. An interviewer-administered questionnaire was used to collect data on 605 older persons in a 2012 cross-sectional study. Respondents were asked to evaluate how they felt in terms of loneliness during the administration of the questionnaire. A total of ten focus group discussions and 12 key informant interviews were also conducted to collect qualitative data. Binary logistic regression was used to predict factors affecting loneliness. Findings indicate that approximately seven in ten older persons felt lonely. Elderly people residing in the urban area were more likely to be lonely than their counterparts staying in the rural environment. In comparison with married older persons, elderly people who were widowed were more likely to be lonely. Absence of a television and pension benefits and prevalence of limb joint ill-health predicted loneliness. The findings have several implications, including developing age-friendly urban centres, encouraging old-age social organisations, decentralising the elderly health-care system and establishing a special old-age fund.
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Théodore Munyuli, Bin Mushambanyi. "Social and Ecological Drivers of the Economic Value of Pollination Services Delivered to Coffee in Central Uganda." Journal of Ecosystems 2014 (March 2, 2014): 1–23. http://dx.doi.org/10.1155/2014/298141.
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On-farm pollination experiments were conducted in 30 different small-scale coffee fields to determine monetary value attributable to pollination services in coffee production and to identify the degree of influences of various socio-ecological drivers in Uganda. Ecological-economic approaches were applied to determine the economic value of pollinating services. Economic value of bees increased significantly with increase in coffee farm size, bee diversity, and cover of seminatural habitats. The value of bees declined sharply (P<0.05) with forest distance and cultivation intensity. Economic values of pollinating services associated with coffee fields established in regions with low intensity were found to be high. Organically managed small-scale coffee fields were 2 times more profitable than commercially managed farms. The annual value of pollinating services delivered by wild bees oscillated between US$67.18 and US$1431.36. Central Uganda produces in total 0.401 million tons of coffee beans for an approximate economic value of US$214 million from which US$149.42 million are attributable to pollination services. Policy makers should strengthen environmental/agricultural extension service systems to better serve farmers. Farmers are recommended to protect/increase the cover of natural and semi-natural habitats in the vicinity of their coffee fields to receive high economic benefits from pollinating services delivered by bees.
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Bagire, Vincent, Jolly Byarugaba, and Janet Kyogabiirwe. "Organizational meetings: management and benefits." Journal of Management Development 34, no. 8 (August 10, 2015): 960–72. http://dx.doi.org/10.1108/jmd-03-2014-0023.
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Purpose – The purpose of this paper is to examine the management and benefits of meetings so as to draw conclusions on their effectiveness in organizations given the increasing discontent about their set up. Design/methodology/approach – The study was a cross-sectional survey, data were collected from 325 respondents in 22 service organizations in Kampala, using a questionnaire and participant observations; the instrument was tested for reliability and analysis done using descriptive and statistical techniques. Findings – The key finding was that policy regarding meetings and reasons for convening them jointly account for 57 percent variations in the benefits organizations have. The way meetings are conducted was found to have no significant effect, contrary to anecdotal evidences. The internal and external contextual factors did not affect the effectiveness of meetings. In general meetings have benefited organizations but the discontent on how they are managed is still high. Research limitations/implications – The lack of analytical and local literature on the study variables limited this study. There were also methodological challenges especially operationalization of variables, sampling and choice of respondents. Practical implications – The study underpins policy as a key factor for effectiveness of meetings; the literature supported this account. For governance boards there is need to review policy on meetings; and for managers, the paper emphasizes the need for improving how meetings are convened, conducted and the follow up action. The study has provided rich ground for scholars; the authors have extended the debate on meetings, brought into view an African context and made it possible for further studies. Social implications – Meetings involve many people in the organization and affect entire operations. There are critical personal factors that are pertinent in the outcome of meetings. The finding that personal factors do not have a significant relationship with effectiveness of meetings should not be applauded till further investigations and conceptualization is done in similar contexts. There are social implications on if meetings are not managed well as the authors have established like time wastage, employee motivation and poor management among others. Originality/value – Many papers that the authors accessed on meetings were on organizational experiences from western countries, the authors have made an original focus on Uganda and underpinned the debate on management development in Africa. The authors have also examined and provided an empirical basis for understanding effectiveness of meetings using key factors of policy, preparation, conduct and contextual factors.
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Grosrenaud, Evangeline, Clement Akais Okia, Andrew Adam-Bradford, and Liz Trenchard. "Agroforestry: Challenges and Opportunities in Rhino Camp and Imvepi Refugee Settlements of Arua District, Northern Uganda." Sustainability 13, no. 4 (February 17, 2021): 2134. http://dx.doi.org/10.3390/su13042134.
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In the past, the environment has been a low priority in humanitarian operations for refugee agencies and implementing partners because of the emergency context. However, actions to safeguard the environment can be undertaken concurrently with emergency interventions and organisations should take responsibility for conserving the environment in refugee settlements in the same way that they are responsible for the welfare of refugees. Tree-based interventions, such as agroforestry, have been demonstrated as a viable option for resilience and sustainability in landscapes with increasing human pressure. Refugee settlements are subject to intense human pressure and suffer environmental degradation as a consequence. The potential benefits of agroforestry in refugee settlements though are not well researched. This study explores the implementation of agroforestry schemes in refugee settlements in the Arua district of Uganda. Using semi-structured interviews with the beneficiaries of the International Centre for Research on Agroforestry (ICRAF) agroforestry projects in Imvepi and Rhino camps, the study identifies key benefits for participants and the environment. These include improved livelihoods and nutrition. However, there are challenges to overcome before agroforestry can be made more widely available in refugee camps. Key barriers include insufficient land, limited water availability and lack of local knowledge, which limits productivity. This research shows how relief, rehabilitation and development can work hand in hand to reduce social and environmental pressure in the targeted refugee settlements and host communities and improve the well-being of beneficiary households by creating opportunities for income generation, improving nutrition and contributing to social cohesion.
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Newton-Fisher, Nicholas. "ASSOCIATION BY MALE CHIMPANZEES: A SOCIAL TACTIC?" Behaviour 136, no. 6 (1999): 705–30. http://dx.doi.org/10.1163/156853999501531.
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AbstractWhether and with whom to associate are possibly some of the most fundamental of choices faced by a chimpanzee, choices constrained by and dependent upon similar decisions made by potential association partners. Although much work has focused on the impact of ecological factors on the size of the temporary associations, or parties, it seems that chimpanzees, especially the males, form parties to gain social benefits, and that these benefits are dependent the particular composition of these parties. This paper examines the social determinates of the association patterns of male chimpanzees, members of the Sonso community in the Budongo Forest Reserve, western Uganda. Male chimpanzees showed clear preferences for association partners, and these partners had a strong tendency to associate in small parties. Strength of association within dyads accounted for a significant fraction of the variance in party size [all parties containing males: r2 = 0.30; male parties only: r2 = 0.24 (all dyads), r2 = 0 . 50 (dyads with positive associations only)]. These results supported the hypothesis that association was the result of tactical decisions, and refuted predictions of alternate hypotheses: random and passive (independent attraction to the same locations, such as fruiting trees) association. Further support for the tactical association hypothesis was provided by observations that association between males was flexible and that association patterns resolved into alternative association strategies, with some males shifting between strategies over time. The presence of cycling females influenced party size, which increased with the number present. The number of adult males in a party was also greater when cycling females were present, although remained similar whether one, two, three or four such females were in the party. Samples sizes for parties containing more than two cycling females were low, however. It is suggested that, for a Machiavellian primate in fission-fusion social system, the need to make decisions concerning association partners is cognitively demanding and may be an important, frequently used, function of the intelligence demonstrated by captive chimpanzees.
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Mutamba, Byamah B., Jeremy C. Kane, Joop T. V. M. de Jong, James Okello, Seggane Musisi, and Brandon A. Kohrt. "Psychological treatments delivered by community health workers in low-resource government health systems: effectiveness of group interpersonal psychotherapy for caregivers of children affected by nodding syndrome in Uganda." Psychological Medicine 48, no. 15 (February 15, 2018): 2573–83. http://dx.doi.org/10.1017/s0033291718000193.
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BackgroundDespite increasing evidence for the benefits of psychological treatments (PTs) in low- and middle-income countries, few national health systems have adopted PTs as standard care. We aimed to evaluate the effectiveness of a group interpersonal psychotherapy (IPT-G) intervention, when delivered by lay community health workers (LCHWs) in a low-resource government health system in Uganda. The intended outcome was reduction of depression among caregivers of children with nodding syndrome, a neuropsychiatric condition with high morbidity, mortality and social stigma.MethodsA non-randomized trial design was used. Caregivers in six villages (n = 69) received treatment as usual (TAU), according to government guidelines. Caregivers in seven villages (n = 73) received TAU as well as 12 sessions of IPT-G delivered by LCHWs. Primary outcomes were caregiver and child depression assessed at 1 and 6 months post-intervention.ResultsCaregivers who received IPT-G had a significantly greater reduction in the risk of depression from baseline to 1 month [risk ratio (RR) 0.25, 95% confidence interval (CI) 0.10–0.62] and 6 months (RR 0.33, 95% CI 0.11–0.95) post-intervention compared with caregivers who received TAU. Children of caregivers who received IPT-G had significantly greater reduction in depression scores than children of TAU caregivers at 1 month (Cohen's d = 0.57, p = 0.01) and 6 months (Cohen's d = 0.54, p = 0.03). Significant effects were also observed for psychological distress, stigma and social support among caregivers.ConclusionIPT-G delivered within a low-resource health system is an effective PT for common mental health problems in caregivers of children with a severe neuropsychiatric condition and has psychological benefits for the children as well. This supports national health policy initiatives to integrate PTs into primary health care services in Uganda.
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Abongomera, George, Levison Chiwaula, Paul Revill, Travor Mabugu, Edward Tumwesige, Misheck Nkhata, Fabian Cataldo, et al. "Patient-level benefits associated with decentralization of antiretroviral therapy services to primary health facilities in Malawi and Uganda." International Health 10, no. 1 (January 1, 2018): 8–19. http://dx.doi.org/10.1093/inthealth/ihx061.
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Herzberg, Anne, and Gerald M. Steinberg. "IHL 2.0: Is There a Role for Social Media in Monitoring and Enforcement?" Israel Law Review 45, no. 3 (October 30, 2012): 493–536. http://dx.doi.org/10.1017/s0021223712000180.
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This article will examine the opportunities and limitations of using social media in the execution of legal duties relating to the monitoring and enforcement of IHL. The article will first provide an overview of social media. Next, it will briefly summarise the normative framework of IHL as well as the legal duties of the primary actors and promoters of IHL (for example, states, the UN, NGOs, the International Committee of the Red Cross and courts) to monitor and enforce these rules. The article will then address specific legal obligations relating to IHL monitoring and enforcement and the impact of social media on meeting these requirements.Throughout, the article will use case studies from several conflict zones, including Sudan, Uganda, Mexico, Somalia, Gaza and Libya. The article will conclude that social media can play a critical role in promoting IHL education, and monitoring for potential violations. The benefits of this technology, however, are less clear for carrying out legal obligations related to the enforcement of IHL, such as fact-finding, arrest and prosecution. It is essential, therefore, that clear guidelines for utilising this quickly evolving technology, particularly in official fact-finding and judicial frameworks, be established.
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Mawejje, Joseph, and Stein Terje Holden. "Does social network capital buy higher agricultural prices? A case of coffee in Masaka district, Uganda." International Journal of Social Economics 41, no. 7 (July 8, 2014): 573–85. http://dx.doi.org/10.1108/ijse-03-2013-0066.
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Purpose – The purpose of this paper is to investigate how social network capital may facilitate agricultural household market access in Uganda. Specifically, the paper investigates if social network capital has significant positive effects on the ability of households to receive higher prices for coffee. Design/methodology/approach – In this paper, social network capital is modeled using a household utility maximisation problem that is dependent on consumption and social interactions. The authors assume that social network capital mediates economic benefits through its effect on information flow, market intelligence and collective bargaining. The paper uses two-stage least square econometric methods to investigate whether group involvement at the household level helps farmers to access markets with higher prices. Findings – The findings indicate that social network capital, measured in form of density of participation and attendance score, and multiplicative and additive indices of these, have significant positive effects on the ability to receive higher prices for coffee. Research limitations/implications – The authors realise that several weaknesses in the approach could compromise the validity of the findings. These weaknesses include: the cross-sectional nature of the data, the omitted variable bias, the endogeneity concerns of social capital, sample size and the dimensions that the paper choses to capture social network capital. Future research should explore the factors that can help households to engage more in group activities. Practical implications – The findings have important implications for government policy especially in areas of agricultural development and poverty reduction. Specifically, governments should pay close attention to various social groups as they can serve as important channels to achieve better market outcomes, as is the for coffee prices in rural Uganda. Social implications – Many governments in Sub Saharan Africa are constrained to provide basic public goods to the people. This is due to a combination of limited budgets and lack of good leadership. In such circumstances, the people have to rely on their collective/social effort to take advantage of markets opportunities. Such opportunities can be accessed using the existing social structures whose norms and the trust between members permit cooperation. Originality/value – The study contributes to a small but growing empirical literature on social groups and how they can mediate social economic outcomes especially for rural households. The empirical estimations take into consideration the endogeinety concerns associated with social network capital. The paper will be useful for policy makers and researchers who may have a keen interest in the roles that group activities play in agricultural development and poverty reduction.
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Austin, Kelly F., and Maria Theresa Mejia. "The political economy of landslides and international aid relief: a qualitative investigation in rural Uganda." Journal of Political Ecology 26, no. 1 (December 18, 2019): 720. http://dx.doi.org/10.2458/v26i1.22968.
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<p>This is a qualitative study of perspectives from community members on landslides in Bududa, Uganda. Interviews with community members reveal their perceptions of the causes, effects, and aid response to landslides. We employ a 'structural fieldwork' approach to explain community member's thoughts and experiences using critical macro-comparative perspectives relating to political ecology. This research brings attention to how large-scale unequal relationships in trade and international aid increase landslide vulnerability and there are ineffective relief efforts in a particular locale. Linking environmental degradation in Bududa to political, economic, and social factors provides a broader context in which to view risk from landslides in this community, as a critical case in demonstrating how economic globalization benefits some at the expense of others.</p><p><strong>Keywords: </strong>Landslides, unequal exchange, disaster, NGOs, political economy<strong></strong></p>
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Barlow, Thomas, Mandappa Biddanda, Samarth Mendke, Emmanuel Miyingo, Anabel Sicko, Panos Y. Papalambros, Cheng-Chun Chien, and William O'Neal. "A SYSTEM DESIGN OPTIMIZATION MODEL FOR INTEGRATED NATURAL RESOURCE CONSERVATION AND DEVELOPMENT IN AN AGRICULTURAL COMMUNITY." Proceedings of the Design Society 1 (July 27, 2021): 273–82. http://dx.doi.org/10.1017/pds.2021.28.
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AbstractIntegrated Natural Resource Conservation and Development (INRCD) Projects are efforts at worldwide locations to promote economic development of local communities consistent with conservation of natural resources. This umbrella term includes Integration Conservation and Development Projects (ICDPs) introduced by the World Wide Fund to combine social development and conservation s through the use of socio-economic investments, and the Integrated Natural Resource Management (INRM) research and development efforts that have employed a systems approach for quantitative modeling and optimization. In the spirit of the INRCD framework, we describe the development of a system-level agriculture and energy model comprising engineering and economic models for crop, irrigation, and energy subsystem designs for a community in Central Uganda. The model architecture is modular allowing modifications for different system configurations and project locations. We include some initial results and discuss next steps for system optimization, refining model assumptions, and modeling community social benefits as drivers of such projects.
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Negawo, Worku Janka, and Dejene Nigatu Beyene. "The Role of Coffee Based Agroforestry System in Tree Diversity Conservation in Eastern Uganda." Journal of Landscape Ecology 10, no. 2 (November 1, 2017): 1–18. http://dx.doi.org/10.1515/jlecol-2017-0001.
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Abstract Agroforestry farming system comprises considerable cultivated land area in the tropics. Despite the economic and social benefits of the system for farmers, it is also known to have an important role in the conservation of tree species. This study aims to evaluate the composition and distribution of tree species in coffee based agroforestry system to determine the potential for biodiversity conservation. To address the objective of this study, 57 sample plots in farmers’ coffee field and 12 sample plots in forest reserve were surveyed in Eastern Uganda. The result shows that the number of indigenous tree species in coffee farms was lower than that of forest reserve. Similarly, tree species richness per plot, Shannon and Simpson diversity indexes of forest reserve were significantly (p≤0.05) higher than that of coffee farms. However, with the inclusion of exotic tree species, coffee farms were found to be significantly higher than that of forest reserve for the above diversity indexes. On the other hand, the distribution of tree species in the coffee farms were mainly dominated by few tree species indicating the need for measures that ensure the sustainability of those less represented tree species.
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Mugabi, Josses, Sam Kayaga, Ian Smout, and Cyrus Njiru. "Determinants of customer decisions to pay utility water bills promptly." Water Policy 12, no. 2 (November 9, 2009): 220–36. http://dx.doi.org/10.2166/wp.2009.096.
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Cost recovery is a prerequisite for sustainable water service provision. For water utilities, one of the key determinants of overall cost recovery efficiency is the ability to recover payment, within a reasonable timeframe, for all the water bills sent to customers. This study used empirical data, obtained through a cross-sectional survey in eight small urban centres in Uganda, to establish the determinants of customer decisions to pay utility water bills promptly. Regression analysis on the data showed that customer attitude towards prompt payment, perceived ease or difficulty of paying on time (perceived control), as well as social pressure, strongly influence intentions to pay, which in turn directly affects actual prompt bill payment behaviour. The results also show that attitudes towards prompt payment are informed by perceptions of benefits and sacrifices associated with the behaviour, while social pressure is perceived to come from family members, neighbours and the utility itself. Perceived control was found to reflect both internal and external impediments to prompt bill payment, many of which relate to service issues that are within the control of water utility managers.
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Jack, B. Kelsey, and Seema Jayachandran. "Self-selection into payments for ecosystem services programs." Proceedings of the National Academy of Sciences 116, no. 12 (August 2, 2018): 5326–33. http://dx.doi.org/10.1073/pnas.1802868115.
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Designers and funders of payments for ecosystem services (PES) programs have long worried that payments flow to landholders who would have conserved forests even without the program, undermining the environmental benefits (“additionality”) and cost-effectiveness of PES. If landholders self-select into PES programs based on how much conservation they were going to undertake anyway, then those who were planning to conserve should always enroll. This paper discusses the less-appreciated fact that enrollment is often based on other factors too. The hassle of signing up or financial costs of enrollment (e.g., purchasing seedlings) can affect who participates in a PES program. These enrollment costs reduce overall take-up, and, importantly, they can also influence the composition of landholders who select into the program—and thereby the program’s environmental benefits per enrollee. Enrollment costs can increase a program’s benefits per enrollee if they are systematically higher for (and thus deter enrollment by) landholders who would have conserved anyway. Alternatively, enrollment costs can dampen per-enrollee benefits if their correlation with status-quo conservation is in the opposite direction. We illustrate these points with evidence from two studies of randomized trials of PES programs aimed at increasing forest cover in Uganda and Malawi. We also discuss how in other sectors, such as social welfare, policy designers have purposefully adjusted the costs of program enrollment to influence the composition of participants and improve cost-effectiveness. We propose that these ideas for targeting could be incorporated into the design of PES programs.
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Zikanga, Dinensio Kiyundo, Blessing Ijeoma Anumaka, Maurice Bakaluba Tamale:, and Wilson Mugizi. "Remuneration and Job Performance of Teachers in Government Aided Secondary Schools in Western Uganda." Interdisciplinary Journal of Education Research 3, no. 2 (May 4, 2021): 10–22. http://dx.doi.org/10.51986/ijer-2021.vol3.02.02.
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The study investigated the relationship between remuneration and job performance of teachers in government-aided secondary schools in Western Uganda. Remuneration was studied in terms of basic pay, income security schemes, and bonuses and allowances. Teachers’ job performance was considered in terms of classroom teaching, management of students, discipline and regularity and interpersonal relations. The study adopted a cross-sectional research design using the quantitative approach on a sample of 333 teachers. Data were collected using both a questionnaire. Descriptive results revealed that job performance of teachers high and remuneration moderate. Inferential analysis showed that while income security schemes had a positive and significant influence on teachers' job performance, basic pay had a positive but insignificant influence on teachers' job performance, and bonuses and allowances had a negative insignificant influence on teachers' job performance. It was concluded that low remuneration to teachers impedes high job performance, especially when basic pay is low and there is a lack of bonuses and allowances. Existence of income security schemes increases the job performance of teachers. Therefore, it was recommended that stakeholders involved in the management of schools such as Government, headteachers, and Boards of governors, devise means of enhancing the remuneration of teachers. Teachers should be given bonuses for exceeding performance and allowances when they do extra work. The pension plan and social welfare benefits should also be made attractive to increase the job performance of teachers.
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Jeffer, Siya Balaam, Issmat I. Kassem, Samer A. Kharroubi, and Gumataw Kifle Abebe. "Analysis of Food Safety Management Systems in the Beef Meat Processing and Distribution Chain in Uganda." Foods 10, no. 10 (September 22, 2021): 2244. http://dx.doi.org/10.3390/foods10102244.
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Meat production is an essential component in food security and the economy in Uganda. However, food safety concerns pose a challenge to public health in Uganda and impede access to regional and global markets. Here, food safety management (FSM) practices in the Ugandan beef supply chain were evaluated. A cross-sectional survey was conducted in major slaughterhouses (n = 3), butcher shops (n = 184), and supermarkets (n = 25) in Uganda’s capital, Kampala. The three slaughterhouses had low scores in core control and assurance activities of FSM. Packaging interventions were weak in all the slaughterhouses, while only one slaughterhouse had a functional cooling facility. Supermarkets implemented better hygienic and preventative practices in comparison to butcher shops. However, both sourced from slaughterhouses that had low-to-poor hygiene practices, which weakened the efforts implemented in the supermarkets. Furthermore, most butcher shops did not offer training to meat handlers on HACCP (Hazard Analysis and Critical Control Point)-based practices. The low food safety performance in the supply chain was primarily attributed to poor sanitation, hygiene, and handling practices. Therefore, HACCP-based training and robust preventive, intervention, and monitoring systems are needed in the Ugandan beef supply chain to benefit public health and increase competitiveness.
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Natifu, Barbra. "Multiple levels of “knowing and being known”, their affiliated capital, benefits and challenges." Journal of Organizational Ethnography 5, no. 3 (October 10, 2016): 219–34. http://dx.doi.org/10.1108/joe-09-2015-0022.
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Purpose The purpose of this paper is to investigate the extent to which the position of a former insider with multiple levels of knowing and being known, afforded me benefits and challenges in a complex higher education institution in Uganda. A reflexive autoethnographic account of the author’s research experience is employed as methodology. The study observes various benefits and challenges of this position. These include: firsthand knowledge of institutional culture and informants, leading to multiple levels of access; ability to conduct enriching interviews; and good rapport with informants. The challenges include: complexity of the institution; ethical challenges; power dilemmas; and anonymization of data. Access was noted to be a key benefit and it was experienced at five levels: personal relational networks; informant’s knowledge of a family relation; links to institutional and national networks; the role of media; and situational factors. In accordance with Bourdieu’s (1986) concepts of forms of capital, the study established that four levels of knowing were linked to social, cultural, economic or media capital. The study reveals existence of a link between different levels of knowing and being known and their affiliated forms of capital. It shows that possession of any or a combination of these forms of capital leads to what the study defines as “information access capital.” The study suggests that the different levels of knowing and being known determine the breadth and depth of a researcher’s information access capital. The study implies that power imbued relationships can limit access. Design/methodology/approach The paper applies a reflexive autoethnographic methodology where the author uses their personal research experience to make sense of the benefits and challenges of gaining access as a former insider with multiple identity positions. The paper draws from the author’s personal experience (auto) set in an institutional cultural context (ethno), to analyze the research process (graphy) of gaining access of top and middle management informants. First person (auto) accounts of the author’s organizational cultural (ethno) and research process (graphy) experiences and how they link to the benefits and challenges of researching an organization as insider are used as data. Findings The study observed various benefits and challenges of the insider position. These include: firsthand knowledge of institutional culture and informants, leading to multiple levels of access; ability to conduct enriching interviews; and good rapport with informants. The challenges include: complexity of the institution; ethical challenges; power dilemmas; and anonymization of data. Access was noted to be a key benefit experienced at five levels: personal networks; informant’s networks; institutional networks; the role of media; and situational factors. The four levels were linked to social, cultural, economic or media capital. Research limitations/implications The study is limited to the researcher’s personal experience of the institution. The paper shows the role that social, work, political, media, institutional and national networks and their affiliated forms of capital play in affording insider researchers access. It shows that researchers deficient in these capitals have low-information access capital and face challenges of access. It also shows that although friendship may enable access, if infused with power dynamics, power hinders access. The study shows insider researchers in complex organizations have to continually navigate the insider-outsider continuum and challenges thereof. Practicing relational ethics during and after research is key when conducting organizational insider research. Practical implications The paper shows the role that social, work, political, media, institutional and national networks and their affiliated forms of capital play in affording insider researchers access. It shows that researchers deficient in these forms of capital have low-information access capital and face challenges of access. It also shows that although friendship may enable access, if infused with power dynamics, power serves as hindrance to access. The study also shows insider researchers in complex organizations may have to continually navigate the insider-outsider continuum and challenges thereof. Practicing relational ethics during and after research is a key consideration of insider researchers. Social implications The paper reveals the challenges of accessing top and middle management in complex, bureaucratic and guarded higher education organizations. It shows that although higher education institutions, by virtue of their research orientated missions, should ideally set the right example for easy access to information at all levels and ranks of the organization. However, the reality of access for an insider research may be far from the ideal due to factors of complexity and previously formed power imbued relationships. Originality/value The paper contributes to understanding factors at play when gaining and maintaining research access to top and middle management in a higher education context. In accordance with (Bourdieu’s, 1986) concepts of forms of capital, the paper contributes to understanding the relationship between multiple levels of knowing and their affiliated forms of capital and how these capital forms may facilitate information access. It shows that possession of any capital form increases a researcher’s information access capital. The paper expands Weinreb’s (2006) definition of stranger and insider interviews, by showing multiple ways of “knowing or being known” before and during the study.
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Okello Candiya Bongomin, George, and Joseph Ntayi. "Trust: mediator between mobile money adoption and usage and financial inclusion." Social Responsibility Journal 16, no. 8 (September 20, 2019): 1215–37. http://dx.doi.org/10.1108/srj-01-2019-0011.
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Purpose Recently, a large body of research has been devoted on the role of trust in shaping different types of transactions, especially in rural financial development. Trust is a set of expectations shared by all those who engage in an exchange. Indeed, the “rule of the game” suggests that no trusting party in a transaction should act opportunistically. Consequently, this study aims to establish the mediating effect of trust in the relationship between mobile money adoption and usage and financial inclusion of MSMEs in developing countries with a specific focus on rural Uganda. Design/methodology/approach A quantitative survey-based study was used and responses obtained from 379 MSMEs located in northern Uganda were analysed using partial least square-PLS version 3.0. A semi-structured questionnaire was developed from scales and items used in previous studies referenced in internationally recognised journals to elicit responses from the MSMEs. Structural equation modelling was used to test the models to arrive at a final empirical model derived from the data. Findings The authors found evidence that trust enhances mobile money adoption and usage to increase the scope of financial inclusion of MSMEs in developing countries. Moreover, when individual effect was determined, trust also had significant and positive effect on financial inclusion. Thus, the study results imply that trust enhances mobile money adoption and usage to improve the level of financial inclusion of MSMEs in developing countries. Research limitations/implications The study used cross-sectional data to document the relationship between mobile money adoption and usage and financial inclusion and to establish the mediating effect of trust in the relationship. Future research could use relevant longitudinal data to verify other benefits of trust. Practical implications The results present trust as a significant factor for FINTECH financial services marketing and growth. Specifically, data privacy and effectiveness of the mobile telephone network is more likely to help consumers to bridge the gap between participation and non-participation on the mobile money platform. Customers’ data sent over the mobile network of providers should be protected from unnecessary access and usage by Mobile Network Operators (MNOs) staff and unauthorised persons and agents. Data protection protocols should be set by the MNOs to avoid unnecessary access and use of customers’ data. Originality/value Globally, Fintech scholars have examined the role of mobile money in promoting financial inclusion. However, there is insufficient evidence on the mediating effect of trust in the relationship between mobile money adoption and usage and financial inclusion, especially among rural MSMEs. This study invents a novel direction on the importance of trust in creating transaction efficiency by eliminating opportunism and fraud with in the Fintech ecosystem.
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Unruh, Jon, Matthew Pritchard, Emily Savage, Chris Wade, Priya Nair, Ammar Adenwala, Lowan Lee, Max Malloy, Irmak Taner, and Mads Frilander. "Linkages Between Large-scale Infrastructure Development and Conflict Dynamics in East Africa." Journal of Infrastructure Development 11, no. 1-2 (June 2019): 1–13. http://dx.doi.org/10.1177/0974930619872082.
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With the rapid increase in the number of mega-infrastructure projects underway across East Africa, how the social, economic, political and environmental repercussions of these projects intersect with ongoing conflict dynamics is a poorly understood topic. Although recent interest in large-scale land acquisitions has led to a number of detailed investigations into specific projects and trends, there has not yet been a broad, systematic review of how large-scale infrastructure developments in East Africa interact with previous, ongoing and potential conflict in their areas of operation. The objective of this article is to report on an analysis of 26 mega-infrastructure projects across Kenya, Tanzania, Ethiopia and Uganda, with an explicit focus on the common tension points that contribute to security dynamics. The methodology used involved two composite indicators of risk—a conflict risk score and a project impact score. The study found seven common tensions across all projects: in-migration, population displacement and relocation, a negative history of community relations with previous or follow-on developments, land rights, securitisation, environmental degradation and expectations of the local population relative to benefits delivered by the project. The study recommends increased attention on prior assessments that focus on the broader and more interconnected impacts in addition to those confined to the immediate project location, as well as in-depth examination of possible mitigation measures. JEL Classification: O1, O2, Q2, Q3, Q4, R1, R4
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Tumusiime, David Mwesigye, Joseph Mawejje, and Patrick Byakagaba. "Discovery of Oil: Community Perceptions and Expectations in Uganda’s Albertine Region." Journal of Sustainable Development 9, no. 6 (November 30, 2016): 1. http://dx.doi.org/10.5539/jsd.v9n6p1.
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<p>This study was conducted to interrogate local perceptions and expectations from the discovery of oil in the Albertine Graben of Uganda. We interviewed 50 residents (30 men and 20 women) from Butiaba and Wanseko (Buliisa district), Kyehoro and Kabaale villages (Hoima district). The villages were purposively selected to have a representation of the districts in the Albertine region where Oil discovery activities are currently being implemented but also to explore any differences in perceptions that may be linked to livelihood options of the respondents. We applied narrative analysis. Overall, we observed minimal pessimism as residents expressed concerns over environmental degradation, political tensions and land conflicts following oil activities, but there was a dominance of optimism as communities envisaged that the oil industry will create employment, infrastructural development, improved access to electricity, and enhanced social status. The findings demonstrated that communities living in areas where extractive resources such as oil and gas have been discovered tend to be more optimistic with very minimal pessimism in their expectations during the phase of upstream activities of the oil value chain. The findings challenge the dominant narrative that residents where energy development and other land use changes are being implemented tend to have negative expectations -a phenomenon known as NIMBY (Not-In- My-Back-Yard). We identify the need to develop strong institutional frameworks that harness benefits from oil to improve local livelihoods without compromising the environment and enhancing participation of locals in decision making processes.</p>
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Morrow, J. L., Richard Patrick Joyce, William J. McMahon, Antonio M. DeMaia, S. Caleb McVicker, Ashley E. Parsons, and Kristin Wilcox. "Cooperation among Ugandan farmers: cultivating social capital." International Food and Agribusiness Management Review 20, no. 5 (October 12, 2017): 673–88. http://dx.doi.org/10.22434/ifamr2014.0181.
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A survey was administered to 183 Ugandan farmers in August 2014 to assess the factors that influence their willingness to become members of a proposed new agricultural cooperative. In particular, we were interested in a better understanding of how farmers viewed the social benefits associated with cooperation. These social benefits have the potential to become valuable sources of social capital. Four valid and reliable measures of social benefits were identified. Social benefits that farmers may use to get by (bonding networks) had two dimensions: emotional support and social support. Social benefits that farmers may use to get ahead (bridging networks) also had two dimensions: tangible and intangible resource sharing. The desire to gain these social benefits from cooperation (except for emotional support) emerged as strong predictors of farmers’ willingness to cooperate in a proposed new agricultural cooperative. Surprisingly, the expected economic benefits of cooperation did not have a significant effect on willingness to cooperate. Implications and suggestions for future research and cooperative development and management are also discussed.
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Kiwuwa-Muyingo, S., G. Abongomera, I. Mambule, D. Senjovu, E. Katabira, C. Kityo, D. M. Gibb, D. Ford, and J. Seeley. "Lessons for test and treat in an antiretroviral programme after decentralisation in Uganda: a retrospective analysis of outcomes in public healthcare facilities within the Lablite project." International Health 12, no. 5 (November 15, 2019): 429–43. http://dx.doi.org/10.1093/inthealth/ihz090.
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Abstract Background We describe the decentralisation of antiretroviral therapy (ART) alongside Option B+ roll-out in public healthcare facilities in the Lablite project in Uganda. Lessons learned will inform programmes now implementing universal test and treat (UTT). Methods Routine data were retrospectively extracted from ART registers between October 2012 and March 2015 for all adults and children initiating ART at two primary care facilities (spokes) and their corresponding district hospitals (hubs) in northern and central Uganda. We describe ART initiation over time and retention and use of Cox models to explore risk factors for attrition due to mortality and loss to follow-up. Results from tracing of patients lost to follow-up were used to correct retention estimates. Results Of 2100 ART initiations, 1125 were in the north, including 944 (84%) at the hub and 181 (16%) at the spokes; children comprised 95 (10%) initiations at the hubs and 14 (8%) at the spokes. Corresponding numbers were 642 (66%) at the hub and 333 (34%) at the spokes in the central region (77 [12%] and 22 [7%], respectively, in children). Children <3 y of age comprised the minority of initiations in children at all sites. Twenty-three percent of adult ART initiations at the north hub were Option B+ compared with 45% at the spokes (25% and 65%, respectively, in the central region). Proportions retained in care in the north hub at 6 and 12 mo were 92% (95% CI 90 to 93) and 89% (895% CI 7 to 91), respectively. Corresponding corrected estimates in the north spokes were 87% (95% CI 78 to 93) and 82% (95% CI 72 to 89), respectively. In the central hub, corrected estimates were 84% (95% CI 80 to 87) and 78% (95% CI 74 to 82), and were 89% (95% CI 77.9 to 95.1) and 83% (95% CI 64.1 to 92.9) at the spokes, respectively. Among adults newly initiating ART, being older was independently associated with a lower risk of attrition (adjusted hazard ratio [aHR] 0.93 per 5 y [95% CI 0.88 to 0.97]). Other independent risk factors included initiating with a tenofovir-based regimen vs zidovudine (aHR 0.60 [95% CI 0.46 to 0.77]), year of ART initiation (2013 aHR 1.55 [95% CI 1.21 to 1.97], ≥2014 aHR 1.41 [95% CI 1.06 to 1.87]) vs 2012, hub vs spoke (aHR 0.35 [95% CI 0.29 to 0.43]) and central vs north (aHR 2.28 [95% CI 1.86 to 2.81]). Independently, patient type was associated with retention. Conclusions After ART decentralisation, people living with human immunodeficiency virus (HIV) were willing to initiate ART in rural primary care facilities. Retention on ART was variable across facilities and attrition was higher among some groups, including younger adults and women initiating ART during pregnancy/breastfeeding. Interventions to support these groups are required to optimise benefits of expanded access to HIV services under UTT.
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Ogwang, Tom, and Frank Vanclay. "Social Impacts of Land Acquisition for Oil and Gas Development in Uganda." Land 8, no. 7 (July 8, 2019): 109. http://dx.doi.org/10.3390/land8070109.
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Uganda’s oil and gas sector has transitioned from the exploration phase to the development phase in preparation for oil production (the operations phase). The extraction, processing, and distribution of oil require a great deal of infrastructure, which demands considerable acquisition of land from communities surrounding project sites. Here, we examine the social impacts of project land acquisition associated with oil production in the Albertine Graben region of Uganda. We specifically consider five major oil related projects that have or will displace people, and we discuss the consequences of this actual or future displacement on the lives and livelihoods of local people. The projects are: Tilenga; Kingfisher; the East African Crude Oil Pipeline; the Kabaale Industrial Park; and the Hoima–Kampala Petroleum Products Pipeline. Our findings reveal both positive and negative outcomes for local communities. People with qualifications have benefited or will benefit from the job opportunities arising from the projects and from the much-needed infrastructure (i.e., roads, health centres, airport) that has been or will be built. However, many people have been displaced, causing food insecurity, the disintegration of social and cultural cohesion, and reduced access to social services. The influx of immigrants has increased tensions because of increasing competition for jobs. Crime and social issues such as prostitution have also increased and are expected to increase.
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Perlman, Melvin L. "Family Law and Social Change Among the Toro of Uganda." Journal of African Law 29, no. 1 (1985): 82–93. http://dx.doi.org/10.1017/s0021855300005647.
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Jane Collier has stated that “the long preoccupation in legal studies with explaining the gap between law and behaviour has precluded the search for a more complex model of relations between law and society that accepts the gap as given”. The purpose of this paper is to further document the need for a more complex model of the relations between law and society. One question now gaining currency is: what is the relationship of law to social change? Some observers claim that “the question is no longer whether law is a significant vehicle of social change but ratherhowit so functions and what special problems arise”. Others regard law as a potential cause of social problems. A serious debate has thus emerged over whether law works at all to effect change and, if so, for whose benefit. This is a complex question. Legal impact studies for example, have revealed some unintended consequences of law-in-action. Moreover, it is often difficult to isolate the main effect of a legal policy, and in any case, social scientists and policymakers alike are interested in longer-range, indirect effects. It is useful, therefore, to distinguish between the direct and indirect aspects of the role of law. Given this complexity, we may usefully rephrase the question as follows: what conditions or factors affect the relationship between law and society, including social change?
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Paek, Hye-Jin, Byoungkwan Lee, Charles T. Salmon, and Kim Witte. "The Contextual Effects of Gender Norms, Communication, and Social Capital on Family Planning Behaviors in Uganda: A Multilevel Approach." Health Education & Behavior 35, no. 4 (August 21, 2006): 461–77. http://dx.doi.org/10.1177/1090198106296769.
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This study hypothesized a multilevel model to examine the contextual effects of gender norms, exposure to health-related radio programs, interpersonal communication, and social capital on family planning behavior in Uganda. The results of hierarchical linear modeling showed that all of the four variables were significant predictors of family planning behavior. The authors found that gender norms as a contextual factor significantly interacted with the individual-level perceived benefit. The significant cross-level interaction effect was also observed between individuals' interpersonal communication and contextual variation in listening to a health-related radio program. Practical implications for family planning communication campaigns are discussed.
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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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Hand, Felicity. "“Picking up the crumbs of England”: East African Asians in Yasmin Alibhai-Brown’s autobiographies." Journal of Commonwealth Literature 53, no. 1 (June 25, 2016): 61–77. http://dx.doi.org/10.1177/0021989416652646.
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Ugandan-born journalist, Yasmin Alibhai-Brown has published two autobiographical works: No Place like Home (1995) and The Settler’s Cookbook: A Memoir of Love, Migration and Food (2008). The former is an account of her childhood and adolescence in Uganda up to the expulsion of the Asian community in 1972. The latter work is a highly unusual combination of autobiography combined with no less than 113 recipes, each of which highlights a specific person, period, or event in her memoir. While No Place Like Home responds to the accepted principles of autobiographical writing, The Settler’s Cookbook defies generic classification and is perhaps the author’s own way of depicting the Asian community, sandwiched between two communities, the Europeans and the Africans. In this article I propose to focus on Alibhai-Brown’s critical stance towards her community in her analysis of the social and political reasons for the negative image of the Asian in East Africa, as reflected in the first part of my title. Despite her frank observations on the endogamic nature of her community, she also pays tribute to the many Asian women who tried to build bridges between communities, a difficult task considering the constraints placed on female agency. As she states in The Settler’s Cookbook, “[t]o be an Asian woman in the 1950s in East Africa must have been both exhilarating and confusing” (2008: 151). Alibhai-Brown’s work, written in the diaspora and with the benefit of hindsight, has unravelled many of the paradoxes of the ambiguous position of the South Asian community in East Africa.
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Xiao Xu, Divya A. Patel, Vanessa K. Dalton, Mark D. Pearlman, and Timothy R. B. Johnson. "Can Routine Neonatal Circumcision Help Prevent Human Immunodeficiency Virus Transmission in the United States?" American Journal of Men's Health 3, no. 1 (September 23, 2008): 79–84. http://dx.doi.org/10.1177/1557988308323616.
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Primary prevention of human immunodeficiency virus (HIV) continues to pose an important challenge in the United States. Recent clinical trials conducted in Kenya, South Africa, and Uganda have demonstrated considerable benefit of male circumcision in reducing HIV seroincidence in males. These results have ignited debate over the appropriateness of implementing routine provision of neonatal circumcision in the United States for HIV prevention. This article discusses major contextual differences between the United States and the three African countries where the clinical trials were conducted, and cautions that the applicability of the scientific data from Africa to this country must be carefully considered before rational policy recommendations regarding routine neonatal circumcision can be made as a strategy to prevent the spread of HIV in the United States.
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Ogwang, Tom, and Frank Vanclay. "Resource-Financed Infrastructure: Thoughts on Four Chinese-Financed Projects in Uganda." Sustainability 13, no. 6 (March 16, 2021): 3259. http://dx.doi.org/10.3390/su13063259.
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Increasingly common methods for financing public infrastructure in developing economies are Resources-for-Infrastructure (R4I) and Resource-Financed Infrastructure (RFI), usually involving Chinese financial institutions and Chinese construction companies. Although there are advantages to the borrowing country from these project financing arrangements, there are also various issues and governance challenges. In Uganda, expectations around future revenue from oil extraction have led to many infrastructure projects being commissioned, mostly funded by RFI arrangements. To consider the appropriateness of these arrangements and to reflect on whether they are likely to contribute to positive development outcomes or be examples of the resource curse, we examined four public infrastructure projects: Kampala–Entebbe Expressway; Karuma Hydroelectric Dam; Isimba Hydroelectric Dam; and the Malaba to Kampala section of the East Africa Standard Gauge Railway. Although R4I/RFI arrangements are viewed positively by some commentators, others (especially local companies) consider they lack transparency, create unsustainable debt, promote China’s interests over the borrowing country, increase unemployment, unfairly compete with local business, deal in corruption, have poor working conditions, and result in substandard construction. Nevertheless, we conclude that Uganda and other developing countries have generally benefited from Chinese-funded infrastructure, and there is more myth trap than debt trap. However, to ensure positive development outcomes, governments and construction companies should ensure compliance with international standards, especially relating to: environmental and social impact assessment; human rights; benefit-sharing arrangements; livelihood restoration; and project-induced displacement and resettlement.
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Bruner, Jason. "Public Confession and the Moral Universe of the East African Revival." Studies in World Christianity 18, no. 3 (December 2012): 254–68. http://dx.doi.org/10.3366/swc.2012.0024.
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When the East African Revival emerged as a distinct movement in Rwanda and Uganda in the early 1930s, one of its most noticeable and controversial characteristics was the prevalence of public confession of personal sin. The revival made public many of these sins that African converts had kept hidden. Many confessed to stealing objects or money from mission stations or other employers, others admitted to sexual indiscretions, others even brought ‘witchcraft’ objects to revival fellowship meetings in order to be burned. Revivalists learned to be morally perspicacious. They sought to locate any hint of sin from their own lives and often took the next step of publicly identifying others' sins. This paper analyses the content of what African revivalists named as ‘sinful’ as it was recorded by European missionaries and bishops, African Balokole and British District Commissioners. It argues that revivalists developed a common moral discourse through their public confessions and testimonies, which in turn formed a common moral imagination across the revival. The broader benefit of tracing the shifts of these definitions is that one can then observe how revivalists interacted with traditional taboos and social mores, as well as changes that stemmed from colonial systems of governance and economics. This paper, therefore, illustrates that the revival was distinctly appealing to people across various colonial and social boundaries because it allowed them to name particular threats to their spiritual and temporal lives while connecting them through a new sense of fellowship.
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Roberts, Richie, and M. Craig Edwards. "Challenges to Sustaining University-Community Partnerships in War-Torn, Northern Uganda: Investigating Resistance, Negative Stereotyping, and Gender Bias in Agricultural Students’ Attachments." Journal of International Agricultural and Extension Education 24, no. 2 (August 15, 2017): 4–21. http://dx.doi.org/10.5191/jiaee.2017.24201.
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Gulu Town (Gulu) served as a site of refuge for many during northern Uganda’s armed conflict that spanned from 1986 to 2006. Since then, Gulu transitioned into a region with sprawling slums and deteriorating social conditions. To combat these trends, the Faculty of Agriculture and Environment (FAE) at Gulu University adopted a development approach emphasizing community transformation. The FAE conceptualizes community transformation as the building of Gulu community members’ capacity to transition from a subsistence agrarian lifestyle to one more economically sustainable. One mechanism the FAE uses to enact their commitment to community transformation are university-community partnerships established to facilitate agricultural student attachments, or internships. Because of the myriad ways university-community partnerships are manifested, we examined the challenges to sustaining such partnerships in this post-conflict region. When interpreting findings through Foucauldian (1972) discourse theory, three themes emerged: (a) resistance, (b) reinforcement of stereotypes, and (c) gender bias. Moving forward, we recommend training opportunities be developed to promote more collaborative, contextually grounded strategies to overcome the challenges and enhance the partnerships such that all participants benefit.
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Wakabi, Wairagala, and Åke Grönlund. "When SNS use Doesn't Trigger e-Participation." International Journal of E-Politics 6, no. 2 (April 2015): 14–29. http://dx.doi.org/10.4018/ijep.2015040102.
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Numerous scholars have concluded that there is a correlation between use of social network sites (SNS), particularly for news and information acquisition or community building, and the likelihood for e-Participation. This paper examines how the use of Facebook affects the participative behaviours of individuals active in political and interest organizations and those not active in organized politics. Through focus group discussions involving 56 Ugandans, we conclude that in low internet use, authoritarian contexts, the Civic Voluntarism Model and the benefits Facebook brings to participation in Western democracies are turned on their head. Besides overwhelming detachment from politics, even for politically-inclined citizens, low belief in citizens' online actions influencing change and fear of reprisals for criticizing an authoritarian president in power for 29 years, severely dulled the appetite for e-Participation. This high cost of participation means Facebook is growing citizens' civic skills but it is hardly increasing online participation even for politically interested citizens.
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Middleton, Jo, Jackie A. Cassell, Gavin Colthart, Francesca Dem, James Fairhead, Michael G. Head, Joao Inacio, et al. "Rationale, experience and ethical considerations underpinning integrated actions to further global goals for health and land biodiversity in Papua New Guinea." Sustainability Science 15, no. 6 (April 30, 2020): 1653–64. http://dx.doi.org/10.1007/s11625-020-00805-x.
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Abstract The SURFACES project is integrating action on good health and wellbeing [Sustainable Development Goal (SDG) 3] and conservation of life on land (SDG 15) in the threatened rainforests of Papua New Guinea (PNG), and mapping evidence of similar projects worldwide. Our approach is framed by Planetary Health, aiming to safeguard both human health and the natural systems that underpin it. Our rationale is demonstrated through a summary of health needs and forest conservation issues across PNG, and how these play out locally. We outline differing types of integrated conservation and health interventions worldwide, providing examples from Borneo, Uganda, India and elsewhere. We then describe what we are doing on-the-ground in PNG, which includes expansion of a rainforest conservation area alongside the establishment of a nurse-staffed aid post, and an educational intervention conceptually linking forest conservation and health. Importantly, we explore some ethical considerations on the conditionality of medical provision and identify key challenges to the successful implementation of such projects. The latter include: avoiding cross-sectoral blindness and achieving genuine interdisciplinary working; the weak evidence base justifying projects; and temporal-spatial issues. We conclude by suggesting how projects integrating actions on health and conservation SDGs can benefit from (and contribute to) the energy of the emerging Planetary Health movement.
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Baguma, Rehema, and Maria K. Wolters. "Making Virtual Learning Environments Accessible to People with Disabilities in Universities in Uganda." Frontiers in Computer Science 3 (June 16, 2021). http://dx.doi.org/10.3389/fcomp.2021.638275.
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Public and private universities in Uganda have been using Virtual Learning Environments (VLEs) since early 2000s to support delivery of blended learning owing to the increased uptake of technology in many aspects of life, and the benefits of blended learning/eLearning. eLearning is of particular benefit to people with disabilities, since they may find it difficult to attend classes on a university campus. Accessibility of a VLE has a strong impact on user engagement and adoption and consequently on students’ learning outcomes. Current research on use of VLEs and eLearning in general in Ugandan universities focuses on sensitization and training, the potential of social media like WhatsApp and Facebook, and required resources like Internet connectivity, and change management. In stark contrast, there is no investigation of accessibility to people with disabilities, even though about 12.4% of the population have some form of disability. This paper examines the extent to which Uganda’s policy environment promotes making eLearning accessible, reviews the accessibility of a sample of VLEs of public and private universities in Uganda, and suggests recommendations on addressing the existing accessibility gaps in policy and implementation of VLEs.
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"Corporate Social Responsibility Implementation - Lessons from Uganda." Vol 13 No 1 (2017) 13, no. 1 (April 30, 2017): 47–69. http://dx.doi.org/10.33117/512.
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Purpose: This paper presents aspects of a Corporate Social Responsibility (CSR) Implementation Success Model to guide CSR engagements. Design/methodology/approach: A qualitative case methodology is used to investigate two CSR companies in Uganda. Semi-structured interviews with managers and stakeholders are conducted. Data triangulation includes reviewing CSR reports and documents, and visiting communities and CSR activities/projects mentioned in the case companies’ reports. Grounded theory guides the data analysis and aggregation. Findings: The findings culminate into a “CSR Implementation Success Model. ” Key aspects of CSR implementation success are identified as: (i) involvement of stakeholders and management (i.e., co-production) at the start and during every stage of CSR implementation; (ii) management of challenges and conflicts arising within/outside of the company itself; and (iii) feedback management or performance assessment—i.e., accountability via CSR communications and reporting. Stakeholder involvement and feedback management (accountability) are pivotal, though all three must be considered equally. Research limitations: The studied companies were large and well-established mature companies, so it is unclear whether newer companies and small and medium-sized enterprises would produce similar findings. Practical implications: Successful CSR implementation starts with a common but strategic understanding of what CSR means to the company. However, CSR implementation should (i) yield benefits that are tangible, and (ii) have a sustainable development impact because these two aspects form implementation benchmarks. Additionally, top management should be involved in CSR implementation, but with clear reasons and means. Originality/value: This paper unearths a CSR Implementation Success Model that amplifies views of “creating shared value” for sustainable development. It guides organizations towards strategic CSR, as opposed to the responsive CSR (returning profits to society) that largely dominates in developing countries. Additionally, it explains how to add value to the resource envelope lubricating the entire CSR implementation process
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Kakembo, Frederick. "Innovative education and training for community-based water protection units." Water Practice and Technology 7, no. 4 (December 1, 2012). http://dx.doi.org/10.2166/wpt.2012.094.
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The paper explores the centrality of community-based education and training in addressing constraints and opportunities for wastewater management in Uganda. To be sustainable, wastewater management need to be conceived in terms of socio-economic incentives, community action, group pressure and social capital. It is assumed that communities could be motivated to undertake sustainable wastewater disposal activities if concrete benefits are demonstrated. The benefits include among others; reducing expenditure on health; improvement of the fisheries sector and the use of wastewater for crop farming. The paper is based on a study that analyzed the role of socio-economic incentives and Public-Private-Partnership (PPP) in sustainable management of wastewater. Data was collected through personal interviews, documents analysis and review of recent studies on wastewater reuse in Uganda. Focus was put on districts of Mukono, Buikwe and Kayunga in central Uganda. Findings reveal that in line with the Hydro-Social-Health cycle, physical, social, political, economic, and cultural factors converge to influence wastewater management. The paper duly describes innovative education and training approaches based on Communal Water Protection Units (COWAPU) facilitated by multidisciplinary Water Professionals and Educators (WAPE).It is concluded that it is possible to operate a complete sanitation system without subsidies.
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Hartley, Sarah, Robert D. J. Smith, Adam Kokotovich, Chris Opesen, Tibebu Habtewold, Katie Ledingham, Ben Raymond, and Charles B. Rwabukwali. "Ugandan stakeholder hopes and concerns about gene drive mosquitoes for malaria control: new directions for gene drive risk governance." Malaria Journal 20, no. 1 (March 16, 2021). http://dx.doi.org/10.1186/s12936-021-03682-6.
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Abstract Background The African Union’s High-Level Panel on Emerging Technologies identified gene drive mosquitoes as a priority technology for malaria elimination. The first field trials are expected in 5–10 years in Uganda, Mali or Burkina Faso. In preparation, regional and international actors are developing risk governance guidelines which will delineate the framework for identifying and evaluating risks. Scientists and bioethicists have called for African stakeholder involvement in these developments, arguing the knowledge and perspectives of those people living in malaria-afflicted countries is currently missing. However, few African stakeholders have been involved to date, leaving a knowledge gap about the local social-cultural as well as ecological context in which gene drive mosquitoes will be tested and deployed. This study investigates and analyses Ugandan stakeholders’ hopes and concerns about gene drive mosquitoes for malaria control and explores the new directions needed for risk governance. Methods This qualitative study draws on 19 in-depth semi-structured interviews with Ugandan stakeholders in 2019. It explores their hopes for the technology and the risks they believed pertinent. Coding began at a workshop and continued through thematic analysis. Results Participants’ hopes and concerns for gene drive mosquitoes to address malaria fell into three themes: (1) ability of gene drive mosquitoes to prevent malaria infection; (2) impacts of gene drive testing and deployment; and, (3) governance. Stakeholder hopes fell almost exclusively into the first theme while concerns were spread across all three. The study demonstrates that local stakeholders are able and willing to contribute relevant and important knowledge to the development of risk frameworks. Conclusions International processes can provide high-level guidelines, but risk decision-making must be grounded in the local context if it is to be robust, meaningful and legitimate. Decisions about whether or not to release gene drive mosquitoes as part of a malaria control programme will need to consider the assessment of both the risks and the benefits of gene drive mosquitoes within a particular social, political, ecological, and technological context. Just as with risks, benefits—and importantly, the conditions that are necessary to realize them—must be identified and debated in Uganda and its neighbouring countries.
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Kaye, Dan Kabonge. "Motivation to participate and experiences of the informed consent process for randomized clinical trials in emergency obstetric care in Uganda." BMC Medical Ethics 22, no. 1 (July 28, 2021). http://dx.doi.org/10.1186/s12910-021-00672-w.
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Abstract Background Informed consent, whose goal is to assure that participants enter research voluntarily after disclosure of potential risks and benefits, may be impossible or impractical in emergency research. In low resource settings, there is limited information on the experiences of the informed consent process for randomized clinical trials in the emergency care context. The objective of this study was to explore the experiences of the informed consent process and factors that motivated participation in two obstetrics and newborn care randomized clinical trials (RCTs). Methods This was a qualitative study conducted among former participants of RCTs in the emergency obstetric care context, conducted at Kawempe National Referral Hospital, Uganda. It employed 30 in-depth interviews conducted from June 1, 2019 to August 30, 2019. Issues explored included attitudes about research, the purpose of the research in which they participated, motivations to take part in the study, factors that influenced enrolment decisions, and experiences of the informed consent process. Results Respondents felt that research was necessary to investigate the cause, prevention or complications of illness. The decisions to participate were influenced by hope for material or therapeutic benefit, trust in the healthcare system and influence of friends and family members. Many were satisfied with the informed consent process, though they did not understand some aspects of the research. Conclusion Respondents valued participation in RCTs in emergency obstetric and newborn care. Hope for benefit, altruism, desire to further scientific knowledge and trust in the investigators featured prominently in the motivation to participate. Both intrinsic and extrinsic factors were motivators for RCT participation.
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Graham, Stephen, Hanna Julia Ihli, and Anja Gassner. "Agroforestry, Indigenous Tree Cover and Biodiversity Conservation: A Case Study of Mount Elgon in Uganda." European Journal of Development Research, August 23, 2021. http://dx.doi.org/10.1057/s41287-021-00446-5.
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AbstractAddressing interconnected social and environmental issues, including poverty, food security, climate change, and biodiversity loss, requires integrated solutions. Agroforestry is a sustainable land use approach with the potential to address multiple issues. This study examined the tree cultivation behavior of smallholder farmers in the Mt. Elgon region of Uganda. We examined the proportion of indigenous tree species added to or removed from agricultural land and the reasons for farmers’ decisions in this regard. We found that farmers overwhelmingly planted exotic species, limiting the possible benefits for the conservation of biodiversity from a suggested re-greening of the region. Indigenous trees were cultivated in low numbers and dominated by a handful of species. Opportunities to help farmers increase the number and variety of indigenous trees on their land were found among smaller-scale coffee farmers and in the protection of natural forests from which indigenous trees propagate into the wider landscape.
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Okello Candiya Bongomin, George, Francis Yosa, and Joseph Mpeera Ntayi. "Reimaging the mobile money ecosystem and financial inclusion of MSMEs in Uganda: Hedonic motivation as mediator." International Journal of Social Economics ahead-of-print, ahead-of-print (September 20, 2021). http://dx.doi.org/10.1108/ijse-09-2019-0555.
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PurposeMobile money is a service in which the mobile phone is used to access financial services. Thus, the mobile money platform should be user-friendly with hedonic features that are attractive and pleasurable to the users. The main purpose of this paper is to establish the mediating effect of hedonism in the relationship between mobile money adoption and usage and financial inclusion of micro small and medium enterprises (MSMEs) in Uganda.Design/methodology/approachThis study reports interesting findings by using data obtained from MSMEs located in northern Uganda. The structural equation and measurement models were generated in analysis of moment structures (AMOS) to answer the hypotheses of this study.FindingsThe findings suggest that including hedonism in the model improves mobile money adoption and usage by 12.7 percentage points in order to promote financial inclusion of MSMEs in Uganda. Hedonism is found to affect mobile money adoption and usage, which in turn influences financial inclusion.Research limitations/implicationsThis study used cross-sectional data to document the mediating effect of hedonism in the relationship between mobile money adoption and usage and financial inclusion. The study analyzed mobile money adoption and usage, hedonism, and financial inclusion from the MSMEs owners' perspective. Future research could use relevant longitudinal data to verify multiple benefits of hedonism in enhancing mobile money adoption and usage as well as other potential digital financial technologies.Practical implicationsThis study categorically informs mobile telephone network operators and inventors of mobile money applications to invest more in developing pleasurable and user-friendly mobile money features that can attract more users. The digital financial services' application developers should design user-friendly mobile money applications that suit the needs of all users. This requires careful understanding of diverse attractive features of mobile money services.Originality/valueThis study offers direction to developers of mobile money applications to design pleasurable and user-friendly mobile money platform with features, which are attractive to the different users. Particularly, it highlights the role of hedonic motivation in promoting adoption and use of mobile money technology to increase the scope of financial inclusion of MSMEs in a developing country like Uganda. Indeed, the novelty in this paper is grounded on a blend of financial technology and psychology to promote financial inclusion in under developed economies.
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"Business Incubation in Uganda, Services, Processes and Incubatee Perceptions- A case study." Vol 13 No 1 (2017) 13, no. 1 (April 30, 2017): 94–108. http://dx.doi.org/10.33117/514.
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Purpose-This paper examines the nature of services and processes of business incubation. Its specific objectives are to establish the nature of services offered by business incubation centers in Uganda, examine the incubation process and to establish the perception of business incu- batees about business incubation services using a case of FinAfrica a private social enterprise. Methodology-This paper presents findings from one incubation center FinAfrica as a case study. Ethnographic design is adopted while observation and interview methods are used to collect data. Results-Key services offered by FinAfrica incubation center include entrepreneurial training, provision of office space, legal and accounting services, mentoring, coaching, entrepreneurial networks and general office administration. The centre has a unique business incubation model which starts with motivating people to start businesses, capacity building, business registration, and ends with graduation after attaining capability for self-sustainability. Incubatees perceive the services offered by the incubation centre as helpful through training, affordable office space, entrepreneurial ecosystem and opportunities for a lean startup. Implications- While this study does not offer statistical inferences for generalisation because of the qualitative design and single case, the exploration of FinAfrica provides insights about how Incubation centers need to plan for positive and sustainable entrepreneurial impact for startups. There is need for more Government and other development partners’ involvement in business incubation and post incubation support for competiveness and growth. Originality/value- This study provides insights about the key services offered in the incubation process and provides insights into the perceived benefits of business incubation. It also contributes to literature about business incubation with practical evidence from an emerging economy whose focus is on private sector development and innovation promotion.
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Belaid, Loubna, Pamela Atim, Emmanuel Ochola, Bruno Omara, Eunice Atim, Martin Ogwang, Pontius Bayo, et al. "Community views on short birth interval in Northern Uganda: a participatory grounded theory." Reproductive Health 18, no. 1 (April 28, 2021). http://dx.doi.org/10.1186/s12978-021-01144-5.
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Abstract Background Short birth interval is associated with adverse perinatal, maternal, and infant outcomes, although evidence on actionable factors underlying short birth interval remains limited. We explored women and community views on short birth intervals to inform potential solutions to promote a culturally safe child spacing in Northern Uganda. Methods Gendered fuzzy cognitive mapping sessions (n = 21), focus group discussions (n = 12), and an administered survey questionnaire (n = 255) generated evidence on short birth intervals. Deliberative dialogues with women, their communities, and service providers suggested locally relevant actions promote culturally safe child spacing. Results Women, men, and youth have clear understandings of the benefits of adequate child spacing. This knowledge is difficult to translate into practice as women are disempowered to exercise child spacing. Women who use contraceptives without their husbands’ consent risk losing financial and social assets and are likely to be subject to intra-partner violence. Women were not comfortable with available contraceptive methods and reported experiencing well-recognized side effects. They reported anxiety about the impact of contraception on the health of their future children. This fear was fed by rumors in their communities about the effects of contraceptives on congenital diseases. The women and their communities suggested a home-based sensitization program focused on improving marital relationships (spousal communication, mutual understanding, male support, intra-partner violence) and knowledge and side-effects management of contraceptives. Conclusions The economic context, gender power dynamics, inequality, gender bias in land tenure and ownership regulations, and the limited contraceptive supply reduce women’s capacity to practice child spacing.
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Semitala, Fred C., Allan Musinguzi, Jackie Ssemata, Fred Welishe, Juliet Nabunje, Jillian L. Kadota, Christopher A. Berger, et al. "Acceptance and completion of rifapentine-based TB preventive therapy (3HP) among people living with HIV (PLHIV) in Kampala, Uganda—patient and health worker perspectives." Implementation Science Communications 2, no. 1 (June 30, 2021). http://dx.doi.org/10.1186/s43058-021-00173-2.
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Abstract Background A 12-dose, once-weekly regimen of isoniazid and rifapentine (3HP) is effective in preventing tuberculosis (TB) among people living with HIV (PLHIV). We sought to identify potential barriers to and facilitators of acceptance and completion of 3HP treatment from the perspective of people living with HIV (PLHIV) and health workers in a routine HIV care setting in Kampala, Uganda. Methods We conducted semi-structured interviews with 25 PLHIV and 10 health workers at an HIV/AIDS clinic in Kampala, Uganda. For both groups, we explored their understanding and interpretations of TB and TB preventive therapy (TPT), and perceptions about social and contextual factors that might influence the willingness of PLHIV to initiate and complete 3HP. We analyzed the data using an inductive thematic approach and aligned the emergent themes to the Behavior Change Wheel framework to identify sources of behavior and targeted behavior change interventions. Results Facilitators of acceptance and completion of 3HP treatment among PLHIV were fear of contracting TB, awareness of being at risk of getting TB, willingness to take TPT, trust in health workers, and the perceived benefits of directly observed therapy (DOT) and self-administered therapy (SAT) 3HP delivery strategies. Barriers included inadequate understanding of TPT, fear of potential side effects, concerns about the effectiveness of 3HP, and the perceived challenges of DOT or SAT. Among health workers, perceived facilitators included knowledge that TB is a common cause of mortality for PLHIV, fear of getting TB, and trust in the health workers by PLHIV, the advantages of once-weekly 3HP dosing, and the benefits of DOT and SAT 3HP delivery strategies. Health worker-reported barriers for PLHIV included inadequate understanding of TB and benefits of TPT, TB-associated stigma, potential side effects pill burden, and challenges of DOT and SAT 3HP delivery strategies. Lack of experience in the use of digital technology to monitor patient care was identified as a health worker-specific barrier. Identified intervention functions to address the facilitators or barriers included education, persuasion, environmental restructuring, enablement, and training. Conclusions Using a formative qualitative and comprehensive theoretical approach, we identified key barriers, facilitators, and appropriate interventions, including patient education, enhancing trust, and patient-centered treatment support that could be used to optimize the delivery of 3HP to PLHIV in our setting. These interventions are likely generalizable to other clinical interventions in similar populations in sub-Saharan Africa and other TB high-burden settings.
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Stark, Lindsay, Mackenzie V. Robinson, Ilana Seff, Alli Gillespie, Jonathan Colarelli, and Debbie Landis. "The Effectiveness of Women and Girls Safe Spaces: A Systematic Review of Evidence to Address Violence Against Women and Girls in Humanitarian Contexts." Trauma, Violence, & Abuse, February 22, 2021, 152483802199130. http://dx.doi.org/10.1177/1524838021991306.
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One in three women and girls will experience violence in their lifetime. In conflict and postconflict settings, the incidence of violence against women and girls (VAWG) is exacerbated, resulting in increased negative social, economic, health, and psychosocial effects. In an attempt to prevent and respond to the occurrence of VAWG in humanitarian settings, Women and Girls Safe Spaces (WGSS) have been promoted as a promising intervention. The authors conducted a systematic review to examine the current quantitative evidence available on the impact and effectiveness of WGSS programs. The authors reviewed relevant peer-reviewed and gray literature using predefined search terms for potential inclusion. Seven records met inclusion criteria. Records included evaluations of WGSS programs implemented in the Democratic Republic of the Congo, Ethiopia, Uganda, Tanzania, Kenya, Bangladesh, and Pakistan. While none of the studies reported reductions in exposure to or incidence of VAWG among program participants, three evaluations demonstrated moderate improvements in psychosocial well-being, social support, and attitudes toward rites of passage. Additionally, only three of the seven evaluations employed rigorous methodologies. This study illustrates the paucity of existing quantitative evidence around the impact of WGSS and the need for further research examining the potential benefits of this widely implemented intervention for women and girls. A stronger evidence base has the potential to inform policy and program development and to help governments, organizations, and communities better allocate limited resources in response to VAWG.