Maternal Newborn and Child Health Institutehttp://ir.must.ac.ug/xmlui/handle/123456789/732024-03-28T21:16:14Z2024-03-28T21:16:14ZAn Exploration of the Lived Experiences of Maltreated Children and Caregivers in Southwestern UgandaMpairwe, AnthonyBahati, RonaldAinomugisha, AndrewAinamani, Herbert Elvishttp://ir.must.ac.ug/xmlui/handle/123456789/32902023-12-01T03:00:50Z2023-01-01T00:00:00ZAn Exploration of the Lived Experiences of Maltreated Children and Caregivers in Southwestern Uganda
Mpairwe, Anthony; Bahati, Ronald; Ainomugisha, Andrew; Ainamani, Herbert Elvis
Background: Child maltreatment poses a great danger to the lives of children. This is because its impacts do not only stop in their childhood but also later into adulthood. Child maltreatment has been generally known to refer to physical, emotional, child neglect, and sexual abuse. In many contexts, children are taken to be minors and considered not to be aware of the various maltreatments they may be exposed to by their caregivers and strangers. This study therefore sought to explore the lived experiences of maltreated children in Sheema District and Mbarara City in South Western Uganda.
Methods: We conducted 8 key informant interviews with government civil servants and 6 with officials of civil society organizations carrying out child protection work. Again, 6 Focus group discussions were conducted with children. The study participants were purposively selected because of the knowledge they had about the study topic. They were interviewed through audio recordings and their views were transcribed verbatim where thematic analysis was used.
Results: The results hinged on four themes namely child neglect (expressed in terms of absentee parents/fathers), emotional abuse (reflected in terms of abusive language and words that shame or harm children) and physical abuse (expressed through corporal punishments and sexual abuse). Conclusions: Maltreated children go through a lot of emotional torture, physical harm, sexual abuse and neglect. We recommend interventions geared towards mitigating child maltreatment and its effects be propagated for wholistic and complete healthy child development.
2023-01-01T00:00:00ZPersistent Malnutrition among Children under five in Pastoral Communities of Aweil Centre, South SudanRatib, DricileChakrabartty, ArupkumarKabakyenga, Jerome Kahumahttp://ir.must.ac.ug/xmlui/handle/123456789/28202023-03-16T03:00:39Z2023-01-01T00:00:00ZPersistent Malnutrition among Children under five in Pastoral Communities of Aweil Centre, South Sudan
Ratib, Dricile; Chakrabartty, Arupkumar; Kabakyenga, Jerome Kahuma
Malnutrition is one of the leading causes of morbidity and mortality among children globally, and has been linked to 60% of the 10.9M deaths annually of under-fives. High prevalence of infectious diseases contributes to malnutrition and vice versa making the situation even worse. In WHO’s African region, the median stunting prevalence is 31.3%. The worst scenarios are seen in the war tone countries; for example, Aweil Center of South Sudan has consistently high malnutrition rates despite running nutrition projects by UN agencies, government and other partners with relative stability. Results from Survey carried out in 2013 indicated poverty levels at 76%, severe acute malnutrition (SAM) prevalence rate of 6.3% (95% CI, 4.5-8.9), Global acute malnutrition (GAM) rate of 22.4% (95% CI, 17.8-27.7) with under five mortality rate of 152 deaths/ 1,000 live births. A cross-sectional study with two-stage cluster sampling method done to determine the associated factors of malnutrition among children 6-59 months in Aweil Center County. The results showed high burden of infectious diseases like fever, diarrhea, eye, skin and respiratory tract infections at 94.5% with p-value 0.00022 (95%C. I, 0.1667-0.291). Very low household dietary diversity score of only 24 % (125out of 513 families). There was low coverage of primary health care interventions; e.g. Vitamin A, LLITN and measles vaccinations at 53%, 52.8% and 55% respectively. Accessibility to CBDs for iCCM associated with better nutrition status of children p-value 0.032 and OR 0.62 (95% CI 0.41-0.94). Poor feeding methods, family planning practices; and poor access roads to markets impact on nutrition status of children. Multifaceted approach is needed to root out the persistent malnutrition from Aweil Center: Shift from food aid to support of food production, scale up of primary health care and iCCM interventions to include IPT for malnourished children and community awareness on feeding practices and family planning.
2023-01-01T00:00:00ZEvaluation of a comprehensive maternal newborn health intervention in rural Tanzania: single-arm pre-post coverage survey resultsMatovelo, DismasBoniphace, MaendeleoSinghal, NaliniNettel-Aguirre, AlbertoKabakyenga, JeromeTuryakira, EleanorMercader, Hannah Faye G.Khan, SundusShaban, GirlesKyomuhangi, TeddyHobbs, Amy J.Manalili, KimberlySubi, LeonardHatfield, JenniferNgallaba, SospatroBrenner, Jennifer L.http://ir.must.ac.ug/xmlui/handle/123456789/27062023-01-17T03:00:40Z2022-01-01T00:00:00ZEvaluation of a comprehensive maternal newborn health intervention in rural Tanzania: single-arm pre-post coverage survey results
Matovelo, Dismas; Boniphace, Maendeleo; Singhal, Nalini; Nettel-Aguirre, Alberto; Kabakyenga, Jerome; Turyakira, Eleanor; Mercader, Hannah Faye G.; Khan, Sundus; Shaban, Girles; Kyomuhangi, Teddy; Hobbs, Amy J.; Manalili, Kimberly; Subi, Leonard; Hatfield, Jennifer; Ngallaba, Sospatro; Brenner, Jennifer L.
Background: In Tanzania, maternal and newborn deaths can be prevented via quality facility-based antenatal care (ANC), delivery, and postnatal care (PNC). Scalable, integrated, and comprehensive interventions addressing demand and service-side care-seeking barriers are needed.
Objective: Assess coverage survey indicators before and after a comprehensive maternal newborn health (MNH) intervention in Misungwi District, Tanzania.
Methods: A prospective, single-arm, pre- (2016) and post-(2019) coverage survey (ClinicalTrials.gov #NCT02506413) was used to assess key maternal and newborn health (MNH) outcomes. The Mama na Mtoto intervention included district activities (planning, leadership training, supportive supervision), health facility activities (training, equipment, infrastructure upgrades), and plus community health worker mobilization. Implementation change strategies, a process model, and a motivational framework incorporated best practices from a similar Ugandan intervention. Cluster sampling randomized hamlets then used ‘wedge sampling’ protocol as an alternative to full household enumeration. Key outcomes included: four or more ANC visits (ANC4+); skilled birth attendant (SBA); PNC for mother within 48 hours (PNC-woman); health facility delivery (HFD); and PNC for newborn within 48 hours (PNC-baby). Trained interviewers administered the ‘Real Accountability: Data Analysis for Results Coverage Survey to women 15–49 years old. Descriptive statistics incorporated design effect; the Lives Saved Tool estimated deaths averted based on ANC4+/HFD.
Results: Between baseline (n = 2,431) and endline (n = 2,070), surveys revealed significant absolute percentage increases for ANC4+ (+11.6, 95% CI [5.4, 17.7], p < 0.001), SBA (+16.6, 95% CI [11.1, 22.0], p < 0.001), PNC-woman (+9.2, 95% CI [3.2, 15.2], p = 0.002), and HFD (+17.2%, 95% CI [11.3, 23.1], p < 0.001). A PNC-baby increase (+6.1%, 95% CI [−0.5, 12.8], p = 0.07) was not statistically significant. An estimated 121 neonatal and 20 maternal lives were saved between 2016 and 2019.
Conclusions: Full-district scale-up of a comprehensive MNH package embedded government health system was successfully implemented over a short time and associated with significant maternal care-seeking improvements and potential for lives saved.
2022-01-01T00:00:00ZPrevalence of Hyperglycemia among Pregnant Mothers in Isingiro District Uganda: A Call to Enhance Antenatal Care ServicesInnocent, NuwaherezaManasseh, TumuhimbiseSagrestano, LyndaJoan, MbatideDennis, KatoSadrach, NyanziJane, KatushabeKisunzu, Baluku G.Anthony, BerindeSusan, Aturindahttp://ir.must.ac.ug/xmlui/handle/123456789/26552022-11-24T03:00:45Z2020-01-01T00:00:00ZPrevalence of Hyperglycemia among Pregnant Mothers in Isingiro District Uganda: A Call to Enhance Antenatal Care Services
Innocent, Nuwahereza; Manasseh, Tumuhimbise; Sagrestano, Lynda; Joan, Mbatide; Dennis, Kato; Sadrach, Nyanzi; Jane, Katushabe; Kisunzu, Baluku G.; Anthony, Berinde; Susan, Aturinda
Globally, gestational diabetes mellitus (GDM) is a public health concern affecting 14% of all pregnancies and continues to increase worldwide. The case of developing countries displays a dark situation with over 16% of pregnant mothers being at risk due to related factors like increasing urbanization, decreasing levels of physical activity, changes in dietary patterns and increasing
prevalence of obesity. The findings contribute towards enhancing antenatal care (ANC) services as a complete package of maternal health care in Isingiro district and other similar resource constrained settings in Uganda. To achieve the study purpose, the study determined the prevalence, maternal characteristics and the association thereof among pregnant mothers at MINC Medical Center in Isingiro District Western Uganda. Methods: A descriptive cross sectional study design was adopted. Maternal characteristics were collected using an interview method. A questionnaire was used to collect data about the participants’ maternal characteristics including age, sex, parity, level of education and lifestyle related information. The questionnaire was filled by a trained characteristic were grouped into two categories: bio-data and maternal history. Results: Majority of the respondents (235, 76.6%) were in the age bracket 19-30 years, with the mean age 26.4 years,
this is the most reproductive age of most mothers. The majority of the respondents were primary school leavers (193, 63.4%). Most women attending ANC are either housewives or shop attendants (169, 55.2%). Conclusion: The results of the present study highlight the importance of introducing random blood sugar (RBS) as a point of care test in the ANC for early screening of GDM. Incorporating of age related advantages while sensitizing mothers during the ANC visit in relation to GDM. Additionally, integrating lifestyle modification topics for mothers so as to delay lifestyle related diseases including diabetes mellitus.
2020-01-01T00:00:00Z