scholarly journals Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017

Author(s):  
Rebecca Nuwematsiko ◽  
Angela Nakanwagi Kisakye ◽  
David Musoke ◽  
Delia Bandoh ◽  
Lillian Bulage ◽  
...  
2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Christine Nimwesiga ◽  
Mereth Murezi ◽  
Ivan Mugisha Taremwa

Aims/Objectives. This study assessed the adherence to iron and folic acid supplementation and the associated factors among pregnant women attending antenatal care at Bwindi Community Hospital, in Western Uganda. Methods. This was a cross-sectional study that used an interviewer-administered questionnaire and reviewed medical records. Binary and multivariable logistic regression analyses were used to identify factors associated with iron and folic acid supplementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value < 0.05 were used to assess for statistical significance. Results. We enrolled 438 pregnant women aged 16 to 41years. Participants’ mean age (±standard deviation (SD)) was 25.9 (±3.17) years. The self-reported adherence to iron and folic acid supplementation (consumed ≥4 tablets a week or 20 tablets in a month daily without missing the prescribed dosage) was 22.37% ( N = 98 ). Among the adherent pregnant women, the reported reasons (and their respective proportionality) for adherence were getting advice and counseling from the healthcare worker about the good effects of iron and folic acid supplementation ( N = 34 , 34.69%) and knowledge about the health benefits of iron and folic acid supplementation such as preventing anemia ( N = 16 , 16.33%), among others. On the other hand, the reported reasons (and their respective proportionality) for iron and folic acid nonadherence were forgetfulness ( N = 158 , 46.47%), taking too many pills ( N = 7 , 2.06%), not knowing the usefulness of iron and folic acid supplementation ( N = 29 , 8.53%), fear of the side effects of the medication ( N = 119 , 35.00%), and not getting the supplement from the hospital ( N = 27 , 7.94%). Bivariable and multivariable logistic regression analyses indicated that pregnant women who were primigravida ( adjusted   odds   ratio   AOR = 4.5 ), who have parity of 2 or 3 ( AOR = 3.4 ), who perceived importance of iron and folic acid supplementation to prevent anemia ( AOR = 2.9 ), and who considered it important to take iron and folic acid supplementation ( AOR = 2.9 ) showed a statistically significant association with adherence to iron and folic acid supplementation. Moreover, pregnant women who perceived the risk of not taking iron and folic acid supplementation ( AOR = 5.2 ), those who received sufficient health education regarding the goals of iron and folic acid supplementation as well as the dangers of not taking the supplements ( AOR = 4.4 ) and adequate counseling, and those who obtained an explanation of the effects of iron and folic acid ( AOR = 4.8 ) showed a significant association with adherence to iron and folic acid supplementation. Conclusion. This study found a low adherence of iron and folic acid supplementation and was associated with obstetric and client- and health system-related characteristics. To this end, there is a need for individualized strategies targeting such factors and intensifying health education, guidance, and counseling to optimize adherence to iron and folic acid supplementation.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Juliet Kiiza Kabasiita ◽  
Geoffrey Maxwell Malinga ◽  
Julius C. W. Odongo ◽  
Emmanuel Opolot

Abstract Background Effective management of solid waste is one of the most serious environmental problems confronting urban governments in developing countries due to insufficient financial resources and institutional capacity to provide basic solid waste management infrastructure, impoverished urban populations, low rates and coverage of collection, and rising food consumption rates. Composting has been touted as the most economical solution for reducing organic fraction of urban waste volumes while releasing vital nutrients for the soils. However, there is a paucity of information on utilization and associated factors of urban wastes in Uganda. This study aims to assess the level of utilization of Municipal Solid Waste (MSW) compost produced from Clean Development Mechanism (CDM) plants and associated factors among farmers in Fort Portal and Mbarara Municipalities, western Uganda. Methods Data was collected using a cross-sectional survey from 359 and 361 randomly selected farmers in Mbarara and Fort Portal, respectively. A semi-structured questionnaire was employed to collect quantitative data and analyzed statistically using SPSS and STATA statistical programs. Probit model was used to determine factors that influence farmers’ decisions to utilize MSW compost as a soil conditioner. Results The findings revealed a very low level of utilization in both municipalities, 1.7% in Fort Portal and 2.2% in Mbarara. The results indicated that annual farm income, access to other soil conditioners, experience with the use of fertilizers, membership to a farmers’ group and the cost of MSW compost significantly influenced farmers’ decision to use MSW compost. Conclusions The findings call for government investment in policies aimed at increasing the level of utilization of the MSW compost by improving accessibility to soil conditioners, creating opportunities for maximizing household incomes, farmer-to-farmer experience sharing, dissemination of information through extension programmes and other innovative communication approaches, operationalization of farmers’ groups and introduction of subsidy schemes on the price of compost through operational tax waivers in urban areas of Uganda. Finally, to guarantee quality and to improve the adoption of compost generated at the CDM plants, there is a need for research to assess the quality of MSW compost, undertake a supply chain analysis and cost–benefit study and set a price commensurate with the quality, and develop guidelines and rates of application of the MSW compost.


2009 ◽  
Vol 12 (12) ◽  
pp. 2302-2308 ◽  
Author(s):  
Joyce K Kikafunda ◽  
Fred B Lukwago ◽  
Florence Turyashemererwa

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


2020 ◽  
Vol 10 (02) ◽  
pp. 288-301
Author(s):  
Munanura Turyasiima ◽  
Martin Nduwimana ◽  
Silva Manuel Andres ◽  
Gloria Kiconco ◽  
Walufu Ivan Egesa ◽  
...  

2021 ◽  
Author(s):  
Phuong-Anh Le ◽  
Van Minh Hoang ◽  
Thi Tuyet-Hanh Tran ◽  
Quynh Long Khuong ◽  
Momoe Takeuchi ◽  
...  

Background: School violence and injury are major public health problems worldwide; however, current information on these issues in Vietnam is lacking. We aim to investigate the prevalence of violence and non-fatal injury and associated factors among Vietnamese adolescents aged 13-17 years old. Methods: We used data from the 2019 Vietnam Global School-based Student Health Survey (GSHS), which is a nationally representative survey developed by the World Health Organization to monitor behavioral risk factors among school-aged students. The Vietnam GSHS 2019 was conducted in 20 provinces and cities, with a sample size of 7,690 male and female students aged 13-17 years old. Results: We found the prevalence of violence and non-fatal injury was 14.5% and 21.4%, respectively. Common risk factors for both violence and non-fatal injuries included cigarette smoking, alcohol use, mental health problems, and living with neither parent; violence was also a risk factor for non-fatal injuries. Student older age was associated with lower odds of school violence. Parents played an important role in preventing violence among female students and non-fatal injuries in both genders. Conclusions: Future policies should consider individual factors as well as adolescent-parent bonding, to mitigate the burden of violence and injury among in-school adolescents in Vietnam


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