scholarly journals Post-conflict household structures and underweight: a multilevel analysis of a community-based study in northern Uganda

2018 ◽  
Vol 21 (15) ◽  
pp. 2725-2734 ◽  
Author(s):  
Stine Schramm ◽  
Jannie Nielsen ◽  
Felix O Kaducu ◽  
Ceaser L Okumu ◽  
Emilio Ovuga ◽  
...  
Keyword(s):  
Health Centre ◽  
Intraclass Correlation ◽  
Northern Uganda ◽  
Community Based ◽  
Community Factors ◽  
Lower Odds ◽  
Household Level ◽  
Adult Men ◽  
Post Conflict ◽  
Gender And Age

AbstractObjectiveTo examine associations between household-level characteristics and underweight in a post-conflict population.DesignNutritional status of residents in the Gulu Health and Demographic Surveillance Site was obtained during a community-based cross-sectional study, ~6 years after the civil war. Household-level factors included headship, polygamy, household size, child-to-adult ratio, child crowding, living with a stunted or overweight person, deprived area, distance to health centre and socio-economic status. Multilevel logistic regression models examined associations of household and community factors with underweight, calculating OR, corresponding 95 % CI and intraclass correlation coefficients. Effect modification by gender and age was examined by interaction terms and stratified analyses.SettingRural post-conflict area in northern Uganda.SubjectsIn total, 2799 households and 11 312 individuals were included, representing all age groups.ResultsLiving in a female-headed v. male-headed household was associated (OR; 95 % CI) with higher odds for underweight among adult men (2·18; 1·11, 4·27) and girls <5 years (1·51; 0·97, 2·34), but lower odds among adolescent women aged 13–19 years (0·46; 0·22, 0·97). Higher odds was seen for residents living in deprived areas (1·37; 0·97, 1·94), with increasing distance to health services (P-trend <0·05) and among adult men living alone v. living in an average-sized household of seven members (3·23; 1·22, 8·59). Residents living in polygamous households had lower odds for underweight (0·79; 0·65, 0·97).ConclusionsThe gender- and age-specific associations between household-level factors and underweight are likely to reflect local social capital structures. Adapting to these is crucial before implementing health and nutrition interventions.

scholarly journals Inequity in utilization of health care facilities during childbirth: a community-based survey in post-conflict Northern Uganda

2019 ◽  
Author(s):  
David Mukunya ◽  
James K. Tumwine ◽  
Grace Ndeezi ◽  
Josephine Tumuhamye ◽  
Justin Bruno Tongun ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Northern Uganda ◽  
Community Based ◽  
Post Conflict ◽  
Care Facilities

Qualitative Psychological Autopsy Interviews on Suicide in Post-Conflict Northern Uganda: The Participants' Perceptions

2011 ◽  
Vol 63 (3) ◽  
pp. 235-254 ◽  
Author(s):  
Dorothy Kizza ◽  
Heidi Hjelmeland ◽  
Eugene Kinyanda ◽  
Birthe Loa Knizek
Keyword(s):  
Mental Health ◽  
Personal Development ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Northern Uganda ◽  
Psychological Autopsy ◽  
Community Based ◽  
Post Conflict ◽  
Primary Health ◽  
Helping Others

Participants' perceptions of psychological autopsy interviews were investigated in post-conflict Northern Uganda. Data were derived out of their responses in the debriefing session after the formal interviews. These responses were subjected to Interpretative Phenomenological Analysis (IPA). The majority of the participants were positive about the interview as reflected in the two broad themes: positivation of the situation through the possibility of helping others and opportunity for personal development through sharing. To some few participants the interview aroused guilt, self-reproach, and anger and reactivated painful memories. As regards suicide postvention, the findings implied that not much has been done to help the bereaved by suicide in this region, and few resources for such efforts are currently available. However, the bereaved are ready to contribute toward the fight against suicide in their communities. Hence, it is argued that a community-based mental health and Primary Health Care approaches should be encouraged in this context.

Securing the Future: Transformative Justice and Children ‘Born of War’

2020 ◽  
pp. 096466392094643
Author(s):  
Erin Baines ◽  
Camile Oliveira
Keyword(s):  
Social Isolation ◽  
Northern Uganda ◽  
Forced Marriage ◽  
Community Based ◽  
Transformative Justice ◽  
Post Conflict ◽  
Advocacy Network ◽  
Abuse And Neglect ◽  
Community Based Organization ◽  
War Experience

Children born as the result of conflict related sexual violence often embody painful memories of war-affected communities. As a result, children ‘born of war’ experience abuse and neglect, social isolation and a sense of never-belonging. Existing scholarship grapples with the challenges of seeking justice for children ‘born of war’ given the complex ways their suffering is entangled with that of so many other victims. In post-conflict northern Uganda, a community-based organization composed of survivors of forced marriage and motherhood collectively seeks justice for their children in a process locally referred to as child tracing. The Women’s Advocacy Network brings together differently affected victim groups to help identify the paternal relatives of their children, mediate conflict and transform fractious relationships in order to secure a future for their children. Through this process, children who once divided communities, propel a collective reach towards justice.

Comparing Performance Across In-person and Videoconference-Based Administrations of Common Neuropsychological Measures in Community-Based Survivors of Stroke

2020 ◽  
pp. 1-14
Author(s):  
Jodie E. Chapman ◽  
Betina Gardner ◽  
Jennie Ponsford ◽  
Dominique A. Cadilhac ◽  
Renerus J. Stolwyk
Keyword(s):  
Neuropsychological Assessment ◽  
Language Impairment ◽  
Repeated Measures ◽  
Verbal Learning ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Preliminary Evidence ◽  
Service Access ◽  
Community Based ◽  
Neuropsychological Measures

Abstract Objective: Neuropsychological assessment via videoconference could assist in bridging service access gaps due to geographical, mobility, or infection control barriers. We aimed to compare performances on neuropsychological measures across in-person and videoconference-based administrations in community-based survivors of stroke. Method: Participants were recruited through a stroke-specific database and community advertising. Stroke survivors were eligible if they had no upcoming neuropsychological assessment, concurrent neurological and/or major psychiatric diagnoses, and/or sensory, motor, or language impairment that would preclude standardised assessment. Thirteen neuropsychological measures were administered in-person and via videoconference in a randomised crossover design (2-week interval). Videoconference calls were established between two laptop computers, facilitated by Zoom. Repeated-measures t tests, intraclass correlation coefficients (ICCs), and Bland–Altman plots were used to compare performance across conditions. Results: Forty-eight participants (26 men; M age = 64.6, SD = 10.1; M time since stroke = 5.2 years, SD = 4.0) completed both sessions on average 15.8 (SD = 9.7) days apart. For most measures, the participants did not perform systematically better in a particular condition, indicating agreement between administration methods. However, on the Hopkins Verbal Learning Test – Revised, participants performed poorer in the videoconference condition (Total Recall Mdifference = −2.11). ICC estimates ranged from .40 to .96 across measures. Conclusions: This study provides preliminary evidence that in-person and videoconference assessment result in comparable scores for most neuropsychological tests evaluated in mildly impaired community-based survivors of stroke. This preliminary evidence supports teleneuropsychological assessment to address service gaps in stroke rehabilitation; however, further research is needed in more diverse stroke samples.

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