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Kabunga A, Namata H, Kigongo E, Musinguzi M, Tumwesigye R, Auma AG, Nabaziwa J, Shikanga EM, Okalo P, Nalwoga V, Udho S. Exploring Effective Approaches: Integrating Mental Health Services into HIV Clinics in Northern Uganda. HIV AIDS (Auckl) 2024; 16:165-174. [PMID: 38706528 PMCID: PMC11069383 DOI: 10.2147/hiv.s459461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Accepted: 04/26/2024] [Indexed: 05/07/2024] Open
Abstract
Background Integrating mental health services into HIV clinics is recognized as a promising strategy. However, the literature reveals gaps, particularly in the unique context of Northern Uganda, where factors such as historical conflict, stigma, and limited resources pose potential barriers. Material and Methods This qualitative study, conducted between October and November 2023, employed a phenomenological design. The study involved primary healthcare facilities across diverse urban and rural settings, focusing on healthcare providers, village health teams, and service users. A purposive sampling approach ensured diverse demographics and perspectives. In-depth interviews and focus group discussions were conducted, with healthcare providers and service users participating individually, and village health teams engaged in group discussions. Thematic analysis was employed during data analysis. Results Findings revealed a predominance of females among healthcare providers (18 of 30) and service users (16 of 25), as well as in VHTs. Average ages were 33.4 (healthcare providers), 38.5 (service users), and 35.1 (VHTs). Most healthcare providers (15) held diplomas, while 12 service users and 4 VHTs had certificates. The majority of healthcare providers (n=20) and 4 VHTs had 6-10 years of experience. Thematic analysis highlighted three key themes: benefits of integrated mental health services, implementation challenges, and the role of community engagement and cultural sensitivity. Conclusion This study contributes valuable insights into the integration of mental health services into HIV clinics in Northern Uganda. The perceived benefits, challenges, and importance of cultural sensitivity and community engagement should guide future interventions, fostering a holistic approach that enhances the overall well-being of individuals living with HIV/AIDS in the region. Policymakers can use this information to advocate for resource allocation, training programs, and policy changes that support the integration of mental health services into HIV clinics in a way that addresses the identified challenges.
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Affiliation(s)
- Amir Kabunga
- Department of Psychiatry, Lira University, Lira City, Uganda
| | - Halimah Namata
- Department of Mental Health, Makerere University, Lira City, Uganda
| | - Eustes Kigongo
- Department of Environmental Health and Disease Control, Lira University, Lira City, Uganda
| | - Marvin Musinguzi
- Department of Community Health, Lira University, Lira City, Uganda
| | - Raymond Tumwesigye
- Department of Critical Nursing, Mbarara University of Science and Technology, Mbarara City, Uganda
| | | | - Jannat Nabaziwa
- Department of Community Health, Lira University, Lira City, Uganda
| | - Enos Mwirotsi Shikanga
- Department of Education Psychology, Moi University, Eldoret City, Kenya
- Department of Psychiatry, Gulu University, Gulu City, Uganda
| | - Ponsiano Okalo
- Department of Psychiatry, Lira University, Lira City, Uganda
| | - Viola Nalwoga
- Department of Psychiatry, Lira University, Lira City, Uganda
| | - Samson Udho
- Department of Midwifery, Lira University, Lira City, Uganda
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Kigongo E, Tumwesigye R, Anyolitho MK, Musinguzi M, Kwizera G, Achan E, Nabasirye CK, Udho S, Kabunga A, Omech B. Access to family planning services and associated factors among young people in Lira city northern Uganda. BMC Public Health 2024; 24:1146. [PMID: 38658880 PMCID: PMC11044454 DOI: 10.1186/s12889-024-18605-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 04/15/2024] [Indexed: 04/26/2024] Open
Abstract
BACKGROUND Access to family planning services among young people is crucial for reproductive health. This study explores the access and associated factors among young people in Lira City, Northern Uganda. METHODS AND MATERIALS A mixed-methods study was conducted in March to April 2022. Quantitative data were collected using a structured questionnaire from 553 participants aged 15-24 years. Qualitative data were obtained through in-depth interviews and focus group discussions. Data analysis included univariate, bivariate, and multivariate analyses for quantitative data, while interpretative phenomenological analysis was used for qualitative data. RESULTS Overall, 31.7% of the respondents had a good perceived access to family planning services, with 64.6% reporting perceived availability of FP methods. Challenges included lack of privacy (57.7%), fear of mistreatment (77.2%), and decision-making difficulties (66.2%). Among females, good perceived access to FP services was less likely among urban residents (AOR: 0.22, 95% CI: 0.09-0.53), Christian respondents (AOR: 0.51, 95% CI: 0.01-0.36), Muslim respondents (AOR: 0.07, 95% CI: 0.01-0.55) and respondents with poor attitude to FP services (AOR: 0.39, 95% CI: 0.24-0.64), but more likely among respondents with a sexual a partner (AOR: 4.48, 95% CI: 2.60-7.75). Among males, good perceived access to FP services was less likely among respondents living with parents (AOR: 0.19, 95% CI: 0.05-0.67) but more likely among respondents with good knowledge of FP services (AOR: 2.28, 95% CI: 1.02-5.32). Qualitative findings showed that three themes emerged; knowledge of family planning methods, beliefs about youth contraception and, friendliness of family planning services. CONCLUSION The study revealed a substantial gap in perceived access to family planning services among young people in Lira City. Barriers include privacy concerns, fear of mistreatment, and decision-making difficulties. Tailored interventions addressing urban access, religious beliefs for females, and knowledge enhancement for males are essential. Positive aspects like diverse FP methods and physical accessibility provide a foundation for targeted interventions. Youth-friendly services, comprehensive sexual education, and further research are emphasized for a nuanced understanding and effective interventions in Northern Uganda.
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Affiliation(s)
- Eustes Kigongo
- Faculty of Public Health, Lira University, Lira City, Northern, P. O Box 1035, Uganda.
| | - Raymond Tumwesigye
- Faculty of Public Health, Lira University, Lira City, Northern, P. O Box 1035, Uganda
| | | | - Marvin Musinguzi
- Faculty of Public Health, Lira University, Lira City, Northern, P. O Box 1035, Uganda
| | - Gad Kwizera
- Faculty of Education, Lira University, Lira, Uganda
| | - Everlyne Achan
- Faculty of Public Health, Lira University, Lira City, Northern, P. O Box 1035, Uganda
| | | | - Samson Udho
- Faculty of Nursing , Mbarara University of Science and Technology, Mbarara, Uganda
| | - Amir Kabunga
- Faculty of Medicine, Lira University, Lira, Uganda
| | - Bernard Omech
- Faculty of Public Health, Lira University, Lira City, Northern, P. O Box 1035, Uganda
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Kabunga A, Kigongo E, Okalo P, Udho S, Grace AA, Tumwesigye R, Akello AR, Musinguzi M, Acup W, Nabaziwa J, Shikanga EM, Namata H. Burnout and coping mechanisms among healthcare professionals in central Uganda. Front Psychiatry 2024; 15:1373743. [PMID: 38686129 PMCID: PMC11056560 DOI: 10.3389/fpsyt.2024.1373743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 03/26/2024] [Indexed: 05/02/2024] Open
Abstract
Background The escalating global prevalence of burnout among healthcare professionals poses a serious health concern. Recent studies focus on prevalence and predictors of burnout among healthcare providers, emphasizing the need for well-being interventions. This study investigates burnout and coping mechanisms among healthcare professionals in central Uganda, addressing the dearth of knowledge about coping strategies specific to the region. Methods An analytical facility cross-sectional study was conducted in five healthcare facilities in central Uganda between June to July 2023. Participants included physicians, nurses, and technicians actively engaged in direct patient care. Data were collected using socio-demographic surveys, the Professional Quality of Life (ProQOL-5), and the Brief-COPE tools. Results The study revealed a high prevalence of burnout, with 39.8% of participants experiencing significant levels. Active coping, positive reframing, and denial were negatively correlated with low burnout levels. Dysfunctional coping, specifically self-distraction and denial, showed positive correlations with average and high burnout levels. Emotion-focused coping mechanisms were not employed across burnout levels. Conclusions The results emphasize the demanding nature of healthcare roles in the region and highlight the need for comprehensive, context-specific interventions to address burnout globally. While some healthcare professionals utilized adaptive strategies such as seeking social support, engaging in self-care activities, and utilizing problem-solving skills, others resorted to maladaptive coping mechanisms such as substance use and avoidance behaviors. This dichotomy highlights the need for targeted interventions to promote adaptive coping strategies and mitigate the negative impact of maladaptive behaviors on individual well-being and patient care.
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Affiliation(s)
- Amir Kabunga
- Department of Psychiatry, Faculty of Medicine, Lira University, Lira, Uganda
| | - Eustes Kigongo
- Department of Environmental Health and Disease Control, Faculty of Public Health, Lira University, Lira, Uganda
| | - Ponsiano Okalo
- Department of Psychiatry, Faculty of Medicine, Lira University, Lira, Uganda
| | - Samson Udho
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda
| | - Anna Auma Grace
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda
| | - Raymond Tumwesigye
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda
| | - Anne Ruth Akello
- Department of Environmental Health and Disease Control, Faculty of Public Health, Lira University, Lira, Uganda
| | - Marvin Musinguzi
- Department of Community Health, Faculty of Public Health, Lira University, Lira, Uganda
| | - Walter Acup
- Department of Community Health, Faculty of Public Health, Lira University, Lira, Uganda
| | - Jannat Nabaziwa
- Department of Community Health, Faculty of Public Health, Lira University, Lira, Uganda
| | | | - Haliama Namata
- Department of Mental Health, Makerere University, Kampala, Uganda
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Kabunga A, Kigongo E, Udho S, Auma AG, Tumwesigye R, Musinguzi M, Acup W, Ruth Akello A, Okalo P, Nabaziwa J, Mwirotsi Shikanga E, Halima N. An Analysis of Post-Traumatic Stress Disorder and Quality of Life Among Adults Living with HIV in Western Uganda. HIV AIDS (Auckl) 2024; 16:73-82. [PMID: 38476595 PMCID: PMC10929256 DOI: 10.2147/hiv.s449298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 02/27/2024] [Indexed: 03/14/2024] Open
Abstract
Background HIV/AIDS remains a significant global public health issue, profoundly impacting infected individuals. Living with HIV involves complex mental health dynamics, with post-traumatic stress disorder (PTSD) being a prevalent challenge. This study aims to examine the correlation between PTSD and quality of life among HIV-positive individuals in western Uganda. Material and Methods Conducted between May and July 2023, this facility-based cross-sectional study surveyed 439 participants from four HIV clinics in southwestern Uganda. Data were collected through interviewer-administered questionnaires, analyzed using descriptive statistics, simple linear regression, and multiple linear regression (p<0.05). Results Respondents had a mean age of 40.6 years, with 68.3% female, 54.9% married, and 55.1% lacking formal education. The reported PTSD prevalence among HIV-positive individuals was 33.7%, significantly correlating with reduced overall quality of life (β = -4.52; p<0.001). The social quality of life had the highest mean score of 14.24 (±3.45) while the environmental quality of life had the lowest mean score 11.89 (±2.68). Conclusion Our study reveals a concerning prevalence of PTSD, affecting 1 in 3 individuals, emphasizing the pressing need for comprehensive mental health support within HIV care settings. We observed a significant negative impact of PTSD on overall quality of life, particularly in physical and social aspects. Integrating mental health screening into routine HIV care is crucial, using validated tools like the PSTD Checklist Civilian Version, alongside training for healthcare providers to recognize PTSD symptoms in the context of HIV diagnosis and treatment.
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Affiliation(s)
- Amir Kabunga
- Department of Psychiatry, Faculty of Medicine, Lira University, Lira City, Uganda
| | - Eustes Kigongo
- Department of Environmental Health and Disease Control, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Samson Udho
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Anna Grace Auma
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Raymond Tumwesigye
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Marvin Musinguzi
- Department of Community Health, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Walter Acup
- Department of Community Health, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Anne Ruth Akello
- Department of Environmental Health and Disease Control, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Ponsiano Okalo
- Department of Psychiatry, Faculty of Medicine, Lira University, Lira City, Uganda
| | - Jannat Nabaziwa
- Department of Community Health, Faculty of Public Health, Lira University, Lira City, Uganda
| | | | - Namata Halima
- Department of Mental Health, Makerere University, Kampala City, Uganda
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Kabunga A, Kigongo E, Acanga A, Tumwesigye R, Auma AG, Musinguzi M, Kambugu CN, Okalo P, Abal JA, Namata H, Mwesigwa D. Qualitative study on stigma as a barrier to emergency contraceptive pill use among university students in the Lango subregion, Uganda. BMJ Open 2024; 14:e079478. [PMID: 38418237 PMCID: PMC10910632 DOI: 10.1136/bmjopen-2023-079478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 02/20/2024] [Indexed: 03/01/2024] Open
Abstract
OBJECTIVE The aim of the current study was twofold: to understand the nature and extent of stigma and to learn the reasons behind the decision not to use emergency contraceptive pills among university students in the Lango subregion of Uganda. DESIGN An exploratory qualitative study design. SETTING The study was carried out among university students in Lango subregion of Uganda. PARTICIPANTS 40 female university students across four universities. MAIN OUTCOME MEASURES Stigma. RESULTS Participants (n=40) aged 19-26 exhibited generally positive attitudes towards emergency contraceptive pills, recognising them as empowering and essential. Stigma, however, emerged as a substantial barrier manifested in societal judgements and negative perceptions. Themes included the positive attitude towards emergency contraceptive pills, perceptions of peers and the general public, and perceptions of health service providers. CONCLUSION Stigma significantly impedes emergency contraceptive pill use among university students in the Lango subregion, Uganda. Positive attitudes towards the pills contrast with societal judgements and provider stigmatisation. Tailored interventions addressing knowledge gaps, societal perceptions and healthcare system challenges are crucial for improving emergency contraceptive pill acceptability and utilisation among university students.
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Affiliation(s)
| | | | - Alfred Acanga
- Department of Public Administration and Management, Lira University, Lira, Uganda
| | | | | | | | | | | | - Judith Akello Abal
- Department of Commerce and Business Management, Lira University, Lira, Uganda
| | - Halimah Namata
- Department of Mental Health, Makerere University, Kampala, Uganda
| | - David Mwesigwa
- Department of Public Administration and Management, Lira University, Lira, Uganda
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Kumakech E, Acen J, Musinguzi M, Ebong D, Okello J. Female-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda-A mixed-method study protocol. PLoS One 2023; 18:e0290338. [PMID: 37812632 PMCID: PMC10561857 DOI: 10.1371/journal.pone.0290338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 08/04/2023] [Indexed: 10/11/2023] Open
Abstract
STUDY BACKGROUND The use of dual protection methods among young women living with HIV (YWLHIV) aged 15-24 years in sub-Saharan Africa (SSA) is poorly researched despite the double risk of unintended pregnancy and HIV. Even more scanty is literature on the use of female-controlled dual protection methods. We propose to determine the female-controlled dual protection prevalence, and the predictors among YWLHIV in northern Uganda. The study will also explore the YWLHIV's experiences and perceptions regarding the female-controlled dual protection methods. MATERIALS AND METHODS This study will employ a mixed-methods design. The study area will be Lira district and Lira city located in northern Uganda. The setting for recruitment of participants will be the public health facility-based anti-retroviral therapy (ART) clinics. These ART clinics serves a total of about 1,771 YWLHIV. A sample of 425 YWLHIV will be selected by stratified random sampling from the ART clinic registers. The three strata of interest will be the YWLHIV attending the ART clinic at referral hospitals, health centers level IV (primary healthcare centers), and health centers level III (dispensaries). The primary outcome will be the use of the female-controlled dual protection methods. The outcome will be measured by asking the YWLHIV 'what methods under their control as YWLHIV do they use to protect against both unintended pregnancy and HIV during sexual intercourse with their male partners.' The questionnaire also has measures for the unintended pregnancy, HIV status, and the potential predictors. Qualitative component of the study will be in-depth interviews of the participants about their experiences and perceptions regarding the female-controlled dual protection methods. Data collection was still ongoing at the time of first submission of this study protocol to the journal (14th March 2023). The Statistical Package for Social Sciences (SPSS) version 23.0 will be used for the statistical analyses. Descriptive statistics, bivariate and multivariate regression analyses will be used to establish the prevalence, associated factors and the predictors of the outcome respectively. The statistical significance level of 5% and 95% confidence interval will be considered. In-depth interviews will be manually analyzed using a thematic analysis approach for codes, themes, and categories.
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Affiliation(s)
- Edward Kumakech
- Department of Nursing, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Joy Acen
- Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Marvin Musinguzi
- Department of Community Health, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Doryn Ebong
- Department of Nursing and Midwifery, Lira Regional Referral Hospital, Lira City, Uganda
| | - James Okello
- Department of Obstetrics and Gynecology, Lira Regional Referral Hospital, Lira City, Uganda
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Acup W, Opollo MS, Akullo BN, Musinguzi M, Kigongo E, Opio B, Kabunga A. Factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy among women in Lira City, Northern Uganda: a facility-based cross-sectional study. BMJ Open 2023; 13:e071165. [PMID: 37524555 PMCID: PMC10391812 DOI: 10.1136/bmjopen-2022-071165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/02/2023] Open
Abstract
OBJECTIVE This study aimed at assessing factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy among women in Lira City. DESIGN A cross-sectional study. SETTINGS The study was conducted in health facilities offering ANC services in Lira City, Northern Uganda. PARTICIPANTS The study was among 368 pregnant mothers attending their first ANC in the three selected facilities (Lira Regional Referral Hospital, Ober Health Center IV and Pentecostal Assembly of God Mission Health Center IV) in Lira City. PRIMARY AND SECONDARY OUTCOME MEASURES Level of first ANC attendance within 12 weeks of pregnancy and associated factors. RESULTS Early ANC attendance was 36.1%. Women who were: unmarried (adjusted OR (aOR): 0.40, 95% CI: 0.16 to 0.99), took >2 hours to reach a health facility (aOR: 0.21, 95% CI: 0.07 to 0.62), or not visited by village health teams or healthcare workers at home (aOR: 0.33, 95% CI: 0.12 to 0.92) were less likely to attend their first ANC early. On the other hand, women who were: not knowing first that ANC guides parents on infant care (aOR: 2.22, 95% CI: 1.06 to 4.67); pregnant without consent of spouse (aOR: 4.29, 95% CI: 1.75 to 10.55); attending ANC from a private facility (aOR: 2.89, 95% CI: 1.27 to 6.15); and having two to three healthcare workers present at the ANC clinic (aOR: 1.79, 95% CI: 1.03 to 3.13) were more likely to attend ANC early. CONCLUSIONS Despite the fact that the WHO recommends that all women begin ANC within 12 weeks after conception, Lira City in Northern Uganda had a low overall incidence of timely ANC initiation. Being unmarried, distance to reach a health facility, and being visited by village health teams or healthcare workers at home were all linked to timely ANC commencement. As a result, intervention efforts should concentrate on the highlighted determinants in order to promote ANC initiation in Lira City, Northern Uganda. This can be accomplished by providing information and education to the community on the timing and necessity of ANC in Northern Uganda.
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Affiliation(s)
- Walter Acup
- Department of Community Health, Lira University, Lira, Uganda
| | - Marc Sam Opollo
- Department of Community Health, Lira University, Lira, Uganda
| | | | | | - Eustes Kigongo
- Department of Environmental Health and Disease Control, Lira University, Lira, Uganda
| | - Bosco Opio
- Department of Epidemiology and Biostatistics, Lira University, Lira, Uganda
| | - Amir Kabunga
- Department of Psychiatry, Lira University, Lira, Uganda
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Kigongo E, Kabunga A, Tumwesigye R, Musinguzi M, Izaruku R, Acup W. Prevalence and predictors of COVID-19 vaccination hesitancy among healthcare workers in Sub-Saharan Africa: A systematic review and meta-analysis. PLoS One 2023; 18:e0289295. [PMID: 37506132 PMCID: PMC10381063 DOI: 10.1371/journal.pone.0289295] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 07/16/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND The COVID-19 vaccination is regarded as an effective intervention for controlling the pandemic. However, COVID-19 vaccine hesitancy is hampering efforts geared towards reducing the burden of the pandemic. Therefore, examining COVID-19 hesitancy and its predictors among healthcare workers is essential to improving COVID-19 uptake. In sub-Saharan Africa, the pooled proportion of COVID-19 vaccine hesitancy is yet to be known. PURPOSE The present study was to estimate the pooled proportion of COVID-19 vaccine hesitancy and its predictors among healthcare workers in Sub-Saharan Africa. METHODS A systematic search of articles was conducted in PubMed, Science Direct, African Journal Online, and Google Scholar. Data was extracted with the help of Excel. Data analysis was conducted using STATA 17. Heterogeneity in the studies was assessed using Cochrane Q and 12 tests. A random effects model was used to examine the pooled estimates to determine if heterogeneity was exhibited. RESULTS A total of 15 studies involving 7498 participants were included in the final analysis. The pooled prevalence of COVID-19 vaccination hesitancy among healthcare workers was 46%, 95% CI (0.38-0.54). The predictors of COVID-19 hesitancy were negative beliefs towards vaccine 14.0% (OR = 1.05, 95% CI: 1.04, 1.06), perceived low risk of COVID-19 infection 24.0% (OR = 1.25, 95% CI: 1.23, 1.28), and vaccine side effects 25.0% (OR = 1.23, 95% CI: 1.21, 1.24). CONCLUSION The data revealed generally high hesitancy of COVID-19 vaccine among health workers in Sub-Saharan Africa. Future COVID-19 adoption and uptake should be improved by national and individual level efforts. In Sub-Saharan Africa, it is crucial to address the myths and obstacles preventing healthcare professionals from accepting the COVID-19 vaccination as soon as feasible since their willingness to get the vaccine serves as an important example for the broader public.
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Affiliation(s)
- Eustes Kigongo
- Faculty of Public Health, Department of Environmental Health and Disease Control, Lira University, Lira, Uganda
| | - Amir Kabunga
- Faculty of Medicine, Department of Psychiatry, Lira University, Lira, Uganda
| | - Raymond Tumwesigye
- Faculty of Nursing and Midwifery, Department of Nursing, Lira University, Lira, Uganda
| | - Marvin Musinguzi
- Faculty of Public Health, Department of Community Health, Lira University, Lira, Uganda
| | - Ronald Izaruku
- Department of Library and Information Services, Lira University, Lira, Uganda
| | - Walter Acup
- Faculty of Public Health, Department of Community Health, Lira University, Lira, Uganda
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Tumwesigye R, Kigongo E, Nakiganga S, Mbyariyehe G, Nabeshya J, Kabunga A, Musinguzi M, Migisha R. Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda. Open Access J Contracept 2023; 14:129-137. [PMID: 37469524 PMCID: PMC10353552 DOI: 10.2147/oajc.s418820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 07/09/2023] [Indexed: 07/21/2023] Open
Abstract
Background Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake and associated factors in SSA, including Uganda, are limited. We determined the uptake and associated factors of male contraception use in Lira City, Northern Uganda. Methods We conducted a community-based cross-sectional study from November 12, 2022, to December 12, 2022, among men aged ≥18 years. We used multi-stage sampling to select participants from 12 cells of Lira City divisions of East and West. Data were collected using interviewer-administered structured questionnaires. We defined uptake in males who had used any contraceptive method, including periodic abstinence, withdrawal, condoms, and vasectomy in the previous four weeks. We performed modified Poisson regression to identify associated factors of male contraception uptake. Results We recruited 401 participants with mean age of 30.4 (±9.3) years. Male contraceptive uptake was 46.4%, 95% CI: 41.5-51.3%. Ever heard about male contraception (adjusted prevalence ratio [aPR] =1.73, 95% CI: 1.172-2.539, p=0.006), willingness to use novel methods (aPR=2.90, 95% CI: 1.337-6.293, p=0.007), both partners being responsible for contraception (aPR: 1.53, 95% CI: 1.113-2.119, p=0.009) were the factors associated with male contraception uptake. Conclusion We found that nearly half of the men surveyed had used male contraceptive methods in Lira City. Factors associated with the uptake of male contraception included having heard about male contraception, joint couple decision regarding contraception, and the use of novel methods of male contraception. We recommend comprehensive education and awareness campaigns to promote male contraception, with a particular emphasis on encouraging shared decision-making within couples and introducing innovative contraceptive options.
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Affiliation(s)
- Raymond Tumwesigye
- Department of Emergency Nursing and Critical Care, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Eustes Kigongo
- Department of Environment Health and Disease Control, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Stella Nakiganga
- Department of Nursing, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Godfred Mbyariyehe
- Department of Nursing, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Joel Nabeshya
- Department of Emergency Nursing and Critical Care, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda
| | - Amir Kabunga
- Department of Psychiatry, Faculty of Medicine, Lira University, Lira City, Uganda
| | - Marvin Musinguzi
- Department of Community Health, Faculty of Public Health, Lira University, Lira City, Uganda
| | - Richard Migisha
- Department of Physiology, Mbarara University of Science and Technology, Mbarara City, Uganda
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Musinguzi M, Kumakech E, Auma AG, Akello RA, Kigongo E, Tumwesigye R, Opio B, Kabunga A, Omech B. Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda-A cross sectional community-based study. PLoS One 2022; 17:e0278772. [PMID: 36525426 PMCID: PMC9757589 DOI: 10.1371/journal.pone.0278772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 11/23/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic related restrictions and lockdown measures had compromised the routine delivery and access of sexual and reproductive health and rights services to the population including the teenage girls. However, the teenage pregnancy rates during COVID-19 pandemic period were poorly documented. This study aimed at determining the prevalence and the factors associated with teenage pregnancy among in-school teenage girls during the COVID-19 pandemic period in Hoima District Uganda. METHODS This was a descriptive cross-sectional study that employed quantitative research methods. A total of 314 in-school teenage girls aged 13-19 years were selected using a multi-stage sampling techniques. Interviewer-administered questionnaires were used to collect the data from the participant's homes during the period December 2021-January 2022. Data analysis was done using univariate, bi-variate, and multivariate. RESULTS The prevalence of teenage pregnancy among the in-school teenage girls in Hoima district Uganda was 30.6% [96/314]. Higher teenage pregnancy rates were prevalent among the unmarried teenage girls [aOR: 9.6; 95%CI: 4.64-19.87; p = 0.000], teenage girls studying from boarding schools [aOR 2.83, 95%CI 1.36-5.86, p = 0.005], contraceptive non-users [aOR: 2.54; 95%CI: 1.12-5.4; p = 0.015] and teenage girls involved in sex trade [aOR 3.16, 95%CI 1.5-6.7, p = 0.003]. The factors associated with the reduced likelihood for teenage pregnancy included being an adult teenage girl aged 18-19 years [aOR: 0.15; 95%CI: 0.07-0.32; p = 0.000] and not receiving sex education during the period [aOR 0.36, 95%CI 0.13-0.62, p = 0.024]. CONCLUSION The results indicated that 3 out of 10 in-school teenage girls from Hoima district Uganda got pregnant during the COVID-19 pandemic period of 2021. Teenage pregnancy was prevalent among teenage girls who don't use modern contraceptive methods and those involved in sex trade. Teenage pregnancy was however, less prevalent among adult teenage girls aged 18-19 years. The findings point to the need for health stakeholders to innovate creative policies, contingency plans and programmes aimed at delaying age for sexual activities, increasing contraceptive use and minimizing pregnancy risk from sex trade among in-school teenage girls during COVID-19 pandemics.
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Affiliation(s)
| | - Edward Kumakech
- Department of Nursing and Midwifery, Lira University, Lira, Uganda
- * E-mail:
| | - Anne Grace Auma
- Department of Nursing and Midwifery, Lira University, Lira, Uganda
| | | | - Eustes Kigongo
- Department of Public Health, Lira University, Lira, Uganda
| | | | - Bosco Opio
- Department of Public Health, Lira University, Lira, Uganda
| | - Amir Kabunga
- Department of Psychiatry, Lira University, Lira, Uganda
| | - Bernard Omech
- Department of Public Health, Lira University, Lira, Uganda
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