Social-cognitive factors influencing household decisions to grow orange-fleshed sweet potato in Uganda

Open Access Article; Published online: 16 Jan 2020This study examined the role of social-cognitive factors in farmers’ decisions to cultivate orange-fleshed sweetpotato as a food-based approach to alleviating vitamin A deficiency among rural households in Uganda. Cross-sectional survey data collected from 341 randomly selected household level decision-makers drawn from two rural districts in Uganda were analysed using hierarchical regression. Perceived capability and perceived social approval significantly predicted household decisions to grow orange-fleshed sweet potato (p≤0.001). Overall, decision-makers’ subjective norms and control beliefs were found to be significant mediators (p≤0.01) of the orange-fleshed sweet potato acceptance process. These results point to a cardinal role for processes that create supportive social and cognitive environments in promoting the cultivation of bio-fortified technologies such as orange-fleshed sweet potato

Farmers’ multidimensional beliefs in orange-fleshed sweetpotato acceptance among rural households in Uganda

Open Access Journal; Published online: 11 July 2019This study sought to assess the role of multi-dimensional beliefs in acceptance of orange-fleshed sweetpotato (OFSP) as an important food for fighting micronutrient deficiencies among rural households in Uganda. Cross-sectional survey data gathered from 341 randomly selected household heads drawn from two districts were analyzed using one-way ANOVA. Post hoc tests indicate that multi-dimensional beliefs (resilience in the field (MD=0.442, p<.05), dry matter content (MD=0.90, p<.05) and control over timely access to labor (MD=0.45, p<.05) significantly enhanced farmers’ decisions to try OFSP cultivation. From trial to sustained cultivation, actions of peers (MD=1.57, p<.001); and control over timely access to labor, (MD=0.55, p<.05), availability of OFSP vines (MD=0.88, p<.001) and control over access to other OFSP farmers (MD=0.63, p<.001) revealed to be important variables. The results also suggest that multi-dimensional beliefs (actions of peers, (MD=1.17, p<.001), approval of peers (MD=1.00, p<.001), control over access to OFSP vines (MD=0.67, p<.001) and control over access to other OFSP farmers (MD=0.70, p<.01)), are vital in supporting farmers to maintain their decisions to cultivate OFSP. We conclude that farmers’ multi-dimensional beliefs are important in the cultivation of OFSP, and farmers’ advancement along each acceptance stage demands for different sets of beliefs. It is recommended that promotion efforts for OFSP and related crop enterprises pay attention to decision-makers’ beliefs

Human total, basal and activity energy expenditures are independent of ambient environmental temperature

Lower ambient temperature (Ta) requires greater energy expenditure to sustain body temperature. However, effects of Ta on human energetics may be buffered by environmental modification and behavioral compensation. We used the IAEA DLW database for adults in the USA (n = 3213) to determine the effect of Ta (−10 to +30°C) on TEE, basal (BEE) and activity energy expenditure (AEE) and physical activity level (PAL). There were no significant relationships (p > 0.05) between maximum, minimum and average Ta and TEE, BEE, AEE and PAL. After adjustment for fat-free mass, fat mass and age, statistically significant (p < 0.01) relationships between TEE, BEE and Ta emerged in females but the effect sizes were not biologically meaningful. Temperatures inside buildings are regulated at 18–25°C independent of latitude. Hence, adults in the US modify their environments to keep TEE constant across a wide range of external ambient temperatures

Human total, basal and activity energy expenditures are independent of ambient environmental temperature

ower ambient temperature (Ta) requires greater energy expenditure to sustain body temperature. However, effects of Ta on human energetics may be buffered by environmental modification and behavioral compensation. We used the IAEA DLW database for adults in the USA (n = 3213) to determine the effect of Ta (−10 to +30°C) on TEE, basal (BEE) and activity energy expenditure (AEE) and physical activity level (PAL). There were no significant relationships (p > 0.05) between maximum, minimum and average Ta and TEE, BEE, AEE and PAL. After adjustment for fat-free mass, fat mass and age, statistically significant (p < 0.01) relationships between TEE, BEE and Ta emerged in females but the effect sizes were not biologically meaningful. Temperatures inside buildings are regulated at 18–25°C independent of latitude. Hence, adults in the US modify their environments to keep TEE constant across a wide range of external ambient temperatures

Greater male variability in daily energy expenditure develops through puberty

There is considerably greater variation in metabolic rates between men than between women, in terms of basal, activity and total (daily) energy expenditure (EE). One possible explanation is that EE is associated with male sexual characteristics (which are known to vary more than other traits) such as musculature and athletic capacity. Such traits might be predicted to be most prominent during periods of adolescence and young adulthood, when sexual behaviour develops and peaks. We tested this hypothesis on a large dataset by comparing the amount of male variation and female variation in total EE, activity EE and basal EE, at different life stages, along with several morphological traits: height, fat free mass and fat mass. Total EE, and to some degree also activity EE, exhibit considerable greater male variation (GMV) in young adults, and then a decrease in the degree of GMV in progressively older individuals. Arguably, basal EE, and also morphometrics, do not exhibit this pattern. These findings suggest that single male sexual characteristics may not exhibit peak GMV in young adulthood, however total and perhaps also activity EE, associated with many morphological and physiological traits combined, do exhibit GMV most prominently during the reproductive life stages

Greater male variability in daily energy expenditure develops through puberty

There is considerably greater variation in metabolic rates between men than between women, in terms of basal, activity and total (daily) energy expenditure (EE). One possible explanation is that EE is associated with male sexual characteristics (which are known to vary more than other traits) such as musculature and athletic capacity. Such traits might be predicted to be most prominent during periods of adolescence and young adulthood, when sexual behaviour develops and peaks. We tested this hypothesis on a large dataset by comparing the amount of male variation and female variation in total EE, activity EE and basal EE, at different life stages, along with several morphological traits: height, fat free mass and fat mass. Total EE, and to some degree also activity EE, exhibit considerable greater male variation (GMV) in young adults, and then a decrease in the degree of GMV in progressively older individuals. Arguably, basal EE, and also morphometrics, do not exhibit this pattern. These findings suggest that single male sexual characteristics may not exhibit peak GMV in young adulthood, however total and perhaps also activity EE, associated with many morphological and physiological traits combined, do exhibit GMV most prominently during the reproductive life stages

Changes in the Timing of Antiretroviral Therapy Initiation in HIV-Infected Patients With Tuberculosis in Uganda: A Study of the Diffusion of Evidence Into Practice in the Global Response to HIV/AIDS

BackgroundWe aimed to determine the extent to which emerging evidence and changing guidelines regarding timing of antiretroviral therapy (ART) among human immunodeficiency virus (HIV)-infected patients with tuberculosis influenced "real-world" clinical practice in Uganda.MethodsWe evaluated ART-naive, HIV-infected adults starting tuberculosis therapy at 2 HIV clinics in Uganda between 26 August 2006 and 29 September 2012. We used multivariate regression to calculate associations between 4 calendar periods reflecting publication of seminal clinical studies or changes in guidelines and timing of ART after tuberculosis therapy initiation.ResultsFor patients with CD4 counts &lt;50 cells/µL, the fraction starting ART within 14 and 30 days of initiating tuberculosis therapy increased from 7% to 14% and from 14% to 86% over the period of observation. The fraction of patients with CD4 counts &gt;50 cells/µL starting ART within 60 days increased from 16% to 28%. After adjustment for sociodemographic factors, when comparing the most recent with the earliest calendar period, the rate of ART initiation increased by 4.57-fold (95% confidence interval [CI], 1.76-fold to 11.86-fold) among patients with baseline CD4 counts ≤ 50 cells/µL and by 5.43-fold (95% CI, 3.16- fold to 9.31-fold) among those with baseline CD4 counts &gt;50 cells/µL.ConclusionsWe observed large changes in clinical practice during a period of emerging data and changing guidelines among HIV-infected patients with tuberculosis. Nonetheless, a significant proportion of individuals with higher CD4 cell counts do not start ART within recommended time frames. Targeted dissemination and implementation efforts are still needed to achieve target levels in practice

“They forget what they came for”: Uganda's army in Sudan

Uganda's army, the Uganda People's Defence Force (UPDF), has been operating on Sudanese territory since the late 1990s. From 2002 to 2006, a bilateral agreement between the governments in Khartoum and Kampala gave the Ugandan soldiers permission to conduct military operations in Southern Sudan to eliminate the Ugandan rebel Lord's Resistance Army (LRA). Instead of conducting a successful operation against Uganda's most persistent rebels - who had withdrawn into Sudanese territory and acted as a proxy force in Sudan's civil war - the UPDF conducted a campaign of abuse against Sudanese civilians. Drawing on extensive fieldwork conducted over several years, this article documents local experiences of a foreign army's involvement in the brutal Sudanese civil war. It outlines why continued operations of the UPDF outside their borders recreate the same problem they purport to be fighting: abuses of civilians. Since 2008, US military support for the UPDF mission against the LRA has called into question the viability of continued militarisation through an army that has committed widely documented human rights abuses. The foreign military has not brought peace to the region. Instead, it has made a peaceful environment less likely for residents of South Sudan