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https://www.readbyqxmd.com/read/28209554/when-war-is-better-than-peace-the-post-conflict-realities-of-children-born-of-wartime-rape-in-northern-uganda
#1
Myriam Denov, Atim Angela Lakor
This paper examines the realities and perspectives of a sample of 60 children born of wartime rape within the Lord's Resistance Army (LRA), and currently living in northern Uganda. These children were born to mothers who were abducted by the LRA, held captive for extended periods of time, repeatedly raped and impregnated. The paper explores the multiple challenges that these children face in the post-war period including, rejection, stigma, violence, socio-economic marginalization, and issues of identity and belonging...
February 13, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28207844/population-attributable-fraction-of-incident-hiv-infections-associated-with-alcohol-consumption-in-fishing-communities-around-lake-victoria-uganda
#2
Noah Kiwanuka, Ali Ssetaala, Ismail Ssekandi, Annet Nalutaaya, Paul Kato Kitandwe, Julius Ssempiira, Bernard Ssentalo Bagaya, Apolo Balyegisawa, Pontiano Kaleebu, Judith Hahn, Christina Lindan, Nelson Kaulukusi Sewankambo
BACKGROUND: Although the association between alcohol consumption and HIV risk is well documented, few studies have examined the magnitude of new HIV infections that could be prevented by controlling alcohol use. We report the population attributable fraction (PAF) of incident HIV infections due to alcohol consumption among the HIV high-risk population of fishing communities along Lake Victoria, Uganda. METHODS: In a community-based cohort study, 1607 HIV sero-negative participants aged 18-49 years were enrolled from eight fishing communities along Lake Victoria, Uganda...
2017: PloS One
https://www.readbyqxmd.com/read/28206682/cost-effectiveness-of-groin-hernia-repair-from-a-randomized-clinical-trial-comparing-commercial-versus-low-cost-mesh-in-a-low-income-country
#3
J Löfgren, A Matovu, A Wladis, C Ibingira, P Nordin, E Galiwango, B C Forsberg
BACKGROUND: Over 200 million people worldwide live with groin hernia and 20 million are operated on each year. In resource-scarce settings, the superior surgical technique using a synthetic mesh is not affordable. A low-cost alternative is needed. The objective of this study was to calculate and compare costs and cost-effectiveness of inguinal hernia mesh repair using a low-cost versus a commercial mesh in a rural setting in Uganda. METHODS: This is a cost-effectiveness analysis of a double-blinded RCT comparing outcomes from groin hernia mesh repair using a low-cost mesh and a commercially available mesh...
February 16, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28204540/cost-effectiveness-analysis-of-malaria-rapid-diagnostic-tests-for-appropriate-treatment-of-malaria-at-the-community-level-in-uganda
#4
Kristian S Hansen, Richard Ndyomugyenyi, Pascal Magnussen, Sham Lal, Siân E Clarke
No abstract text is available yet for this article.
February 15, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28202639/dietary-protein-intake-in-young-children-in-selected-low-income-countries-is-generally-adequate-in-relation-to-estimated-requirements-for-healthy-children-except-when-complementary-food-intake-is-low
#5
Joanne E Arsenault, Kenneth H Brown
Background: Previous research indicates that young children in low-income countries (LICs) generally consume greater amounts of protein than published estimates of protein requirements, but this research did not account for protein quality based on the mix of amino acids and the digestibility of ingested protein.Objective: Our objective was to estimate the prevalence of inadequate protein and amino acid intake by young children in LICs, accounting for protein quality.Methods: Seven data sets with information on dietary intake for children (6-35 mo of age) from 6 LICs (Peru, Guatemala, Ecuador, Bangladesh, Uganda, and Zambia) were reanalyzed to estimate protein and amino acid intake and assess adequacy...
February 15, 2017: Journal of Nutrition
https://www.readbyqxmd.com/read/28202089/suicidal-ideation-and-behaviour-among-community-and-health-care-seeking-populations-in-five-low-and-middle-income-countries-a-cross-sectional-study
#6
M Jordans, S Rathod, A Fekadu, G Medhin, F Kigozi, B Kohrt, N Luitel, I Petersen, R Shidhaye, J Ssebunnya, V Patel, C Lund
: Aims Suicidal behaviour is an under-reported and hidden cause of death in most low- and middle-income countries (LMIC) due to lack of national systematic reporting for cause-specific mortality, high levels of stigma and religious or cultural sanctions. The lack of information on non-fatal suicidal behaviour (ideation, plans and attempts) in LMIC is a major barrier to design and implementation of prevention strategies. This study aims to determine the prevalence of non-fatal suicidal behaviour within community- and health facility-based populations in LMIC...
February 16, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28199348/presentation-management-and-outcomes-of-sepsis-in-adults-and-children-admitted-to-a-rural-ugandan-hospital-a-prospective-observational-cohort-study
#7
Kristina E Rudd, Leonard K Tutaryebwa, T Eoin West
OBJECTIVES: Limited data are available on sepsis in low-resource settings, particularly outside of urban referral centers. We conducted a prospective observational single-center cohort study in May 2013 to assess the presentation, management and outcomes of adult and pediatric patients admitted with sepsis to a community hospital in rural Uganda. METHODS: We consecutively screened all patients admitted to medical wards who met sepsis criteria. We evaluated eligible patients within 24 hours of presentation and 24-48 hours after admission, and followed them until hospital discharge...
2017: PloS One
https://www.readbyqxmd.com/read/28196532/referral-of-children-seeking-care-at-private-health-facilities-in-uganda
#8
Anthony K Mbonye, Esther Buregyeya, Elizeus Rutebemberwa, Siân E Clarke, Sham Lal, Kristian S Hansen, Pascal Magnussen, Philip LaRussa
BACKGROUND: In Uganda, referral of sick children seeking care at public health facilities is poor and widely reported. However, studies focusing on the private health sector are scanty. The main objective of this study was to assess referral practices for sick children seeking care at private health facilities in order to explore ways of improving treatment and referral of sick children in this sector. METHODS: A survey was conducted from August to October 2014 in Mukono district, central Uganda...
February 14, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28193876/vulnerability-of-primitive-human-placental-trophoblast-to-zika-virus
#9
Megan A Sheridan, Dinar Yunusov, Velmurugan Balaraman, Andrei P Alexenko, Shinichiro Yabe, Sergio Verjovski-Almeida, Danny J Schust, Alexander Franz, Yoel Sadovsky, Toshihiko Ezashi, R Michael Roberts
Infection of pregnant women by Asian lineage strains of Zika virus (ZIKV) has been linked to brain abnormalities in their infants, yet it is uncertain when during pregnancy the human conceptus is most vulnerable to the virus. We have examined two models to study susceptibility of human placental trophoblast to ZIKV: cytotrophoblast and syncytiotrophoblast derived from placental villi at term and colonies of trophoblast differentiated from embryonic stem cells (ESC). The latter appear to be analogous to the primitive placenta formed during implantation...
February 13, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28192518/infant-feeding-practices-and-diarrhoea-in-sub-saharan-african-countries-with-high-diarrhoea-mortality
#10
Felix A Ogbo, Kingsley Agho, Pascal Ogeleka, Sue Woolfenden, Andrew Page, John Eastwood
BACKGROUND: The impacts of optimal infant feeding practices on diarrhoea have been documented in some developing countries, but not in countries with high diarrhoea mortality as reported by the World Health Organisation/United Nations Children's Fund. We aimed to investigate the association between infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality. METHOD: The study used the most recent Demographic and Health Survey datasets collected in nine sub-Saharan African countries with high diarrhoea mortality, namely: Burkina Faso (2010, N = 9,733); Demographic Republic of Congo (2013; N = 10,458); Ethiopia (2013, N = 7,251); Kenya (2014, N = 14,034); Mali (2013, N = 6,365); Niger (2013, N = 7,235); Nigeria (2013, N = 18,539); Tanzania (2010, N = 5,013); and Uganda (2010, N = 4,472)...
2017: PloS One
https://www.readbyqxmd.com/read/28192163/the-role-of-kenya-in-the-trans-african-spread-of-maize-streak-virus-strain-a
#11
Daniel Pande, Eugene Madzokere, Penelope Hartnady, Simona Kraberger, James Hadfield, Karyna Rosario, Anja Jäschke, Adérito L Monjane, Betty E Owor, Mathews M Dida, Dionne N Shepherd, Darren P Martin, Arvind Varsani, Gordon W Harkins
Maize streak virus (MSV), the causal agent of maize streak disease (MSD), is the most important viral pathogen of Africa's staple food crop, maize. Previous phylogeographic analyses have revealed that the most widely-distributed and common MSV variant, MSV-A1, has been repeatedly traversing Africa over the past fifty years with long-range movements departing from either the Lake Victoria region of East Africa, or the region around the convergence of Zimbabwe, South Africa and Mozambique in southern Africa. Despite Kenya being the second most important maize producing country in East Africa, little is known about the Kenyan MSV population and its contribution to the ongoing diversification and trans-continental dissemination of MSV-A1...
February 9, 2017: Virus Research
https://www.readbyqxmd.com/read/28191641/genetic-variation-and-host-parasite-specificity-of-striga-resistance-and-tolerance-in-rice-the-need-for-predictive-breeding
#12
Jonne Rodenburg, Mamadou Cissoko, Nicholas Kayongo, Ibnou Dieng, Jenipher Bisikwa, Runyambo Irakiza, Isaac Masoka, Charles A O Midega, Julie D Scholes
The parasitic weeds Striga asiatica and Striga hermonthica cause devastating yield losses to upland rice in Africa. Little is known about genetic variation in host resistance and tolerance across rice genotypes, in relation to virulence differences across Striga species and ecotypes. Diverse rice genotypes were phenotyped for the above traits in S. asiatica- (Tanzania) and S. hermonthica-infested fields (Kenya and Uganda) and under controlled conditions. New rice genotypes with either ecotype-specific or broad-spectrum resistance were identified...
February 13, 2017: New Phytologist
https://www.readbyqxmd.com/read/28190955/multi-level-correlates-of-safer-conception-methods-awareness-and-attitudes-among-ugandan-hiv-clients-with-fertility-intentions
#13
Glenn J Wagner, Mahlet A Woldetsadik, Jolly Beyeza-Kashesya, Kathy Goggin, Deborah Mindry, Sarah Finocchario-Kessler, Sarah Khanakwa, Rhoda K Wanyenze
Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just over half knew that MSI (53%) and TUI (51%) reduced transmission risk during conception, and 15% knew of sperm washing and pre-exposure prophylaxis...
March 2016: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/28188599/effects-of-depression-alleviation-on-work-productivity-and-income-among-hiv-patients-in-uganda
#14
Glenn J Wagner, Bonnie Ghosh-Dastidar, Eric Robinson, Victoria K Ngo, Peter Glick, Seggane Musisi, Dickens Akena
PURPOSE: Depression is common among people living with HIV, and it is associated with impaired work functioning. However, little research has examined whether depression alleviation improves work-related outcomes in this population, which is the focus of this analysis. METHOD: A sample of 1028 depressed HIV clients in Uganda enrolled in a comparative trial of depression care models and were surveyed over 12 months. Serial regression analyses examined whether depression alleviation (measured by the nine-item Patient Health Questionnaire) was associated with change in self-reported weekly amount of hours worked and income earned, and whether these relationships were mediated by change in work-related self-efficacy...
February 10, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28187629/review-of-the-genus-i-lanchnophorus-i-hemiptera-heteroptera-rhyparochromidae-with-description-of-three-new-species-and-other-nomenclatural-changes
#15
Petr Kment, Attilio Carapezza, Zdeněk Jindra, Előd Kondorosy
The generic name Lanchnophorus Reuter, 1887, deemed for a long time to be unavailable as incorrect original spelling of Lachnophorus (in fact Lachnophorus Distant, 1903 is an unjustified emendation of the former), is restored as a valid name of the genus. Lachnesthus Bergroth, 1915, syn. nov. (new name for the preoccupied Lachnophorus Distant, 1903) is considered junior synonym of Lanchnophorus. The following nomenclatural changes are proposed: Lanchnophorus flavus (Scudder, 1971) comb. nov. = Lachnesthus chinai Scudder, nomen nudum; Lanchnophorus guttulatus Reuter, 1887, comb...
January 25, 2017: Zootaxa
https://www.readbyqxmd.com/read/28187234/the-research-and-implementation-continuum-of-biofortified-sweet-potato-and-maize-in-africa
#16
Sherry A Tanumihardjo, Anna-Marie Ball, Chisela Kaliwile, Kevin V Pixley
The enhancement of sweet potato and maize with provitamin A carotenoids has been part of HarvestPlus's research continuum since the formation of the biofortification project. This review includes case studies of biofortification strategies used for sweet potato in Uganda and orange maize in Zambia. The current status of the science and release of biofortified varieties was reviewed by three scientists who were part of the HarvestPlus program for more than a decade with input from a scientist who experienced orange maize dissemination in Zambia...
February 10, 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/28185592/unlocking-community-capabilities-for-improving-maternal-and-newborn-health-participatory-action-research-to-improve-birth-preparedness-health-facility-access-and-newborn-care-in-rural-uganda
#17
Elizabeth Ekirapa-Kiracho, Gertrude Namazzi, Moses Tetui, Aloysius Mutebi, Peter Waiswa, Htet Oo, David H Peters, Asha S George
BACKGROUND: Community capacities and resources must be harnessed to complement supply side initiatives addressing high maternal and neonatal mortality rates in Uganda. This paper reflects on gains, challenges and lessons learnt from working with communities to improve maternal and newborn health in rural Uganda. METHODS: A participatory action research project was supported from 2012 to 2015 in three eastern districts. This project involved working with households, saving groups, sub county and district leaders, transporters and village health teams in diagnosing causes of maternal and neonatal mortality and morbidity, developing action plans to address these issues, taking action and learning from action in a cyclical manner...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28185590/how-can-health-systems-research-reach-the-worst-off-a-conceptual-exploration
#18
REVIEW
Bridget Pratt, Adnan A Hyder
BACKGROUND: Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of social justice proposes it ought to (amongst other things) focus on worst-off countries and research populations. Yet who constitutes the worst-off is not well-defined. METHODS AND RESULTS: By applying existing work on disadvantage from political philosophy, the paper demonstrates that (at least) two options exist for how to define the worst-off upon whom equity-oriented health systems research should focus: those who are worst-off in terms of health or those who are systematically disadvantaged...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28185588/what-is-the-role-of-community-capabilities-for-maternal-health-an-exploration-of-community-capabilities-as-determinants-to-institutional-deliveries-in-bangladesh-india-and-uganda
#19
Ligia Paina, Lalitha Vadrevu, S M Manzoor Ahmed Hanifi, Joseph Akuze, Rachel Rieder, Kitty S Chan, David H Peters
BACKGROUND: While community capabilities are recognized as important factors in developing resilient health systems and communities, appropriate metrics for these have not yet been developed. Furthermore, the role of community capabilities on access to maternal health services has been underexplored. In this paper, we summarize the development of a community capability score based on the Future Health System (FHS) project's experience in Bangladesh, India, and Uganda, and, examine the role of community capabilities as determinants of institutional delivery in these three contexts...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28183852/incarceration-and-exposure-to-internally-displaced-persons-camps-associated-with-reproductive-rights-abuses-among-sex-workers-in-northern-uganda
#20
Margaret Erickson, Shira M Goldenberg, Monica Akello, Godfrey Muzaaya, Paul Nguyen, Josephine Birungi, Kate Shannon
BACKGROUND: While female sex workers (FSWs) face a high burden of violence and criminalisation, coupled with low access to safe, non-coercive care, little is known about such experiences among FSWs in conflict-affected settings, particularly as they relate to sexual and reproductive health (SRH) and rights. We explored factors associated with lifetime abortions among FSWs in northern Uganda; and separately modelled the independent effect of lifetime exposures to incarceration and living in internally displaced persons (IDP) camps on coerced and unsafe abortions...
February 9, 2017: Journal of Family Planning and Reproductive Health Care
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