Contradictions in the search for peace and justice in northern Uganda: examining the potential of the International Criminal Court and local peace initiatives

Abstract In December 2003, President Yoweri Museveni of Uganda referred the situation of northern Uganda in respect to the Lord’s Resistance Army (LRA) to the International Criminal Court (ICC). The LRA had been wreaking havoc on the civilian population since the beginning of 1987. The LRA actions included abductions, forced conscription of child soldiers, sex slavery, rape, mutilation, torture, looting and destruction of property, among other crimes. These actions fell within the ambit of war crimes and crimes against humanity punishable under international law. In response to the referral, the ICC Chief Prosecutor, Luis Moreno-Ocampo intervened to bring the LRA top leadership to justice. The referral was an opportunity to punish the LRA for their atrocities and to bring an end to the protracted conflict which had caused so much suffering to the people living in northern Uganda. The referral was also an opportunity for the ICC to put its capacity to the test as the referral was the first for the Court, hailed at the time of its establishment in 1998 as a milestone in the fight against impunity and in the pursuit of justice, peace and stability. However, a section of the local population, especially traditional leaders and broader civil society, questioned the ICC’s appropriateness as a response to the protracted conflict. The traditional leaders and civil society proposed alternative forms of justice as being more appropriate in the context of the northern Ugandan conflict. In this respect, the Court’s intervention appeared to be counterproductive. A sharp contrast was drawn between the goals of justice and the prospects for peace. This thesis, therefore, interrogates the appropriateness of the ICC’s role in the situation of northern Uganda in relation to sustainable peace and stability. The thesis also assesses the effectiveness of the proposed local peace initiatives in a situation where human rights had been grossly violated. In the process the thesis examines the potential of the ICC and of the proposed alternative models of peace to achieve their respective goals in a situation characterised by massive human rights violation. In so doing the thesis seeks to identify the lacunae of these contending models of transitional justice and proposes a more holistic approach to transitional justice

Human Rights Violations: An Impetus for Police Reforms in Kenya Between 1978 and 2002

Since independence, police reforms have been influenced by the need to expand democratic space and to ensure protection of human rights. Previous studies have attempted to deconstruct the police reforms. However, the studies have not adequately examined the implications of police reforms on human rights in Kenya. This paper examines police reforms between in Kenya between 1978 and 2002 and their implications on human rights. The study was based on a descriptive survey design and targeted senior serving and retired police officers, government administrators, county government administrators and members of the human rights groups in Nairobi County. Purposive sampling technique was used to select 116 study participants. Data was collected through focus group discussion, interview schedule and document analysis and analyzed based on thematic content analysis. The study findings revealed that Moi’s presidency (between 1978 and 2002) was marked by minimal police reforms but heightened human rights violation including arrests without warrants, detention without trial and torture which resulted in injury and death. This implied that in the absence of substantive reforms, the police disregarded human rights. Hence, the period between 1978 and 2002 was marked by curtailed freedom of association, assembly, speech and expression.Keywords: Human Rights, Police Reforms, human rights discourse, Moi era, Kenya DOI: 10.7176/JLPG/103-06 Publication date: November 30th 202

Implications of Police Reforms on Human Rights Practice During the Democratic Transition in Kenya, 2003-2009

Globally reforms in the security sector have been influenced by the need to safeguard human rights. This paper examines the nexus between police reforms and human rights practice in Kenya during the democratic transition in Kenya (2003-2009). The paper argues that while there have been numerous police reforms, the police institution has continued to engage in acts of human rights violation in complete disregard of international human rights provisions. The findings revealed that during the democratic transition between 2003 and 2009 reforms in the police institution were enacted to protect human rights. However, impunity, resource scarcity and lack of political goodwill continuous to slow down security sector reform progress. Keywords: Police reforms, democratic and constitutional transition, human rights practice DOI: 10.7176/JLPG/128-04 Publication date: January 31st 202

Effects of Post Eviction Resettlement on Land-Use and Cover Change in Uganda’s Oil Exploration Areas

Evaluation of the changes in land use and land cover change (LULCC) in respect to oil exploration across the Albertine region in Uganda has been focused around the exploration areas and protected areas, with no attention to the potential impacts of evictees’ activities on resettled areas. This study used LANDSAT images to analyze the land use and land cover changes (LULCC) among the period before eviction (2002 and 2005) at the climax of eviction and resettlements (2005-2011), and during the post-resettlement period (2011-2015) to quantify the impacts of resettlements on the environment. LANDSAT images were processed using ERDAS IMAGINE software and analyzed using ArcGIS 10.1 to determine LULCC in relation to post-eviction resettlement in the study area. Results from the study indicate. The results of the study indicate that vegetation reduced by 33.08 percent, woodland were converted into settlements by 48 percent while farmlands increased by 18.3 percent. Non vegetated areas increased during resettlements however they reduced five years after eviction which indicated the ability of the ecosystem to stabilize. The study proved that post eviction induced resettlements can yield potential environmental effects to resettled areas. It is important therefore to plan and implement other means of additional source of income and construction materials for evictees to abate vegetation clearance and hence rescue the woodland. The study also recommends maintenance of an optimum population and well-planned pre eviction resettlement schemes

A proof-of-concept randomised controlled trial of an intervention designed to improve food hygiene behaviours among caregivers of young children living in low-income areas of Nairobi, Kenya

Young children are particularly vulnerable to foodborne disease due to their immature immune systems. Safe food hygiene behaviours by caregivers can potentially reduce this disease burden. Here, we evaluate the potential for a locally designed intervention to improve caregivers’ food hygiene behaviour in a peri-urban, low-income area of Nairobi, Kenya. In this cluster-randomised proof-of-concept trial, 50 community health volunteers (CHVs) were randomly assigned to intervention or control arm (1:1). 101 households under the CHV’s catchment (2-3/CHV), with at least one child aged 6–24 months, participated. Caregivers in intervention households (n = 50) received the CHV-delivered food hygiene intervention. The control arm (n-51) received no intervention. Blinding was not possible due to the nature of the intervention. Our primary outcome was the proportion of caregivers observed to practice all five pre-specified food hygiene behaviours, four weeks post intervention delivery. Secondary outcomes assessed the five observed behaviours individually plus a sixth behaviour—the proportion of caregivers who report always boiling the child’s drinking water. We found no between-arm difference in the proportion of caregivers practising all five observed behaviours. However individually, five behaviours were significantly improved. Specifically, caregivers in the intervention arm had higher odds of washing their hands before feeding the child (adjusted odds ratio (aOR) = 7.40, 95%CI 1.85, 29.62) and before preparing the child’s food (aOR = 7.05, 95%CI 1.52, 32.71), washing the child’s hands before eating (aOR = 21.57, 95%CI 1.15, 405.93) and heating the child’s food (aOR = 4.03, 95%CI 1.27, 12.85) and drinking water (aOR = 12.82, 95%CI 2.54, 64.77) to boiling. There was no effect on cleaning and storage of feeding utensils. This study offers promising preliminary evidence that a CHV-led intervention targeting caregivers of young children can improve their food hygiene behaviour. Our findings warrant further research to refine the intervention and undertake larger scale trials to explore the intervention’s potential impact more comprehensively. Trial registration: This trial was registered with Open Science Framework: osf.io/eu5kf

Prevalence and risk factors associated with the occurrence of Campylobacter sp. in children aged 6–24 months in peri-urban Nairobi, Kenya

IntroductionCampylobacter bacteria is a major cause of foodborne-related bacterial gastroenteritis in humans worldwide. It is known to cause diarrhea in young children which has been shown to directly affect their weight and height as a result of malnutrition. Severe cases of diarrhea can also lead to death. Most of the burden is experienced in resource-limited countries in Africa and Southeast Asia where the disease is linked to poor hygiene and sanitation. The objective of this study was to determine the prevalence of Campylobacter in children aged between 6 and 24 months in Nairobi, Kenya and identify potential risk factors associated with their occurrence.MethodsA cross-sectional study was carried out between May to December 2021. A total of 585 randomly selected households were visited in two wards (Uthiru/Ruthimitu and Riruta) in Dagoretti South sub-county, Nairobi. A questionnaire regarding how children’s food is handled, the major foods consumed, sanitation and hygiene, and animal ownership was conducted among caregivers to identify associated risk factors. Stool samples were collected from 540/585 children and screened for the presence of Campylobacter using culture-based methods and confirmed through PCR.ResultsOf the 540 children’s stool samples processed, Campylobacter isolates were detected in 4.8% (26/540). Campylobacter jejuni (C. jejuni) was the most common species in 80.8% of positive samples compared to Campylobacter coli (C. coli) in 26.9% of samples. In six samples, both C. jejuni and C. coli were isolated, while in four samples, it was not possible to speciate the Campylobacter. Drinking cow’s milk (OR 4.2, 95% CI 1.4 – 12.6) and the presence of animal feces in the compound (OR 3.4, 95% CI 1.1 – 10.3) were found to be statistically associated with Campylobacter carriage in children.DiscussionThe carriage of Campylobacter in children in this community indicates a need for further investigation on source attribution to understand transmission dynamics and inform where to target interventions. Awareness creation among caregivers on good personal and food hygiene is needed, including boiling milk before consumption. Implementation of biosecurity measures at the household level is highly recommended to reduce contact between animals and humans

Risk factors for diarrheagenic Escherichia coli infection in children aged 6-24 months in peri-urban community, Nairobi, Kenya

Escherichia coli commonly inhabits the gut of humans and animals as part of their microbiota. Though mostly innocuous, some strains have virulence markers that make them pathogenic. This paper presents results of a cross-sectional epidemiological study examining prevalence of diarrheagenic E. coli (DEC) pathotypes in stool samples of asymptomatic healthy children (n = 540) in Dagoretti South subcounty, Nairobi, Kenya. E. coli was cultured and pathotyped using PCR to target specific virulence markers associated with Shiga-toxin, enteropathogenic, enterotoxigenic, enteroaggregative, entero-invasive and diffusely adherent E. coli. Overall prevalence of DEC pathotypes was 20.9% (113/540) with enteropathogenic E. coli being the most prevalent (34.1%), followed by enteroaggregative E. coli (23.5%) and Shiga-toxin producing E. coli (22.0%) among positive samples. We found evidence of co-infection with multiple pathotypes in 15% of the positive samples. Our models indicated that at the household level, carriage of DEC pathotypes in children was associated with age group [12-18 months] (OR 1.78; 95%CI 1.03-3.07; p = 0.04), eating matoke (mashed bananas) (OR 2.32; 95%CI 1.44-3.73; p = 0.001) and pulses/legumes (OR 1.74; 95%CI 1.01-2.99; p = 0.046) while livestock ownership or contact showed no significant association with DEC carriage (p>0.05). Our findings revealed significant prevalence of pathogenic DEC circulating among presumptive healthy children in the community. Since there has been no previous evidence of an association between any food type and DEC carriage, unhygienic handling, and preparation of matoke and pulses/legumes could be the reason for significant association with DEC carriage. Children 12-18 months old are more prone to DEC infections due to exploration and hand-to-mouth behavior. A detailed understanding is required on what proportion of positive cases developed severe symptomatology as well as fatal outcomes. The co-infection of pathotypes in the rapidly urbanizing environment needs to be investigated for hybrid or hetero-pathotype circulation that have been implicated in previous infection outbreaks

Table_2_Prevalence and risk factors associated with the occurrence of Campylobacter sp. in children aged 6–24 months in peri-urban Nairobi, Kenya.docx

IntroductionCampylobacter bacteria is a major cause of foodborne-related bacterial gastroenteritis in humans worldwide. It is known to cause diarrhea in young children which has been shown to directly affect their weight and height as a result of malnutrition. Severe cases of diarrhea can also lead to death. Most of the burden is experienced in resource-limited countries in Africa and Southeast Asia where the disease is linked to poor hygiene and sanitation. The objective of this study was to determine the prevalence of Campylobacter in children aged between 6 and 24 months in Nairobi, Kenya and identify potential risk factors associated with their occurrence.MethodsA cross-sectional study was carried out between May to December 2021. A total of 585 randomly selected households were visited in two wards (Uthiru/Ruthimitu and Riruta) in Dagoretti South sub-county, Nairobi. A questionnaire regarding how children’s food is handled, the major foods consumed, sanitation and hygiene, and animal ownership was conducted among caregivers to identify associated risk factors. Stool samples were collected from 540/585 children and screened for the presence of Campylobacter using culture-based methods and confirmed through PCR.ResultsOf the 540 children’s stool samples processed, Campylobacter isolates were detected in 4.8% (26/540). Campylobacter jejuni (C. jejuni) was the most common species in 80.8% of positive samples compared to Campylobacter coli (C. coli) in 26.9% of samples. In six samples, both C. jejuni and C. coli were isolated, while in four samples, it was not possible to speciate the Campylobacter. Drinking cow’s milk (OR 4.2, 95% CI 1.4 – 12.6) and the presence of animal feces in the compound (OR 3.4, 95% CI 1.1 – 10.3) were found to be statistically associated with Campylobacter carriage in children.DiscussionThe carriage of Campylobacter in children in this community indicates a need for further investigation on source attribution to understand transmission dynamics and inform where to target interventions. Awareness creation among caregivers on good personal and food hygiene is needed, including boiling milk before consumption. Implementation of biosecurity measures at the household level is highly recommended to reduce contact between animals and humans.</p

Table_1_Prevalence and risk factors associated with the occurrence of Campylobacter sp. in children aged 6–24 months in peri-urban Nairobi, Kenya.docx

IntroductionCampylobacter bacteria is a major cause of foodborne-related bacterial gastroenteritis in humans worldwide. It is known to cause diarrhea in young children which has been shown to directly affect their weight and height as a result of malnutrition. Severe cases of diarrhea can also lead to death. Most of the burden is experienced in resource-limited countries in Africa and Southeast Asia where the disease is linked to poor hygiene and sanitation. The objective of this study was to determine the prevalence of Campylobacter in children aged between 6 and 24 months in Nairobi, Kenya and identify potential risk factors associated with their occurrence.MethodsA cross-sectional study was carried out between May to December 2021. A total of 585 randomly selected households were visited in two wards (Uthiru/Ruthimitu and Riruta) in Dagoretti South sub-county, Nairobi. A questionnaire regarding how children’s food is handled, the major foods consumed, sanitation and hygiene, and animal ownership was conducted among caregivers to identify associated risk factors. Stool samples were collected from 540/585 children and screened for the presence of Campylobacter using culture-based methods and confirmed through PCR.ResultsOf the 540 children’s stool samples processed, Campylobacter isolates were detected in 4.8% (26/540). Campylobacter jejuni (C. jejuni) was the most common species in 80.8% of positive samples compared to Campylobacter coli (C. coli) in 26.9% of samples. In six samples, both C. jejuni and C. coli were isolated, while in four samples, it was not possible to speciate the Campylobacter. Drinking cow’s milk (OR 4.2, 95% CI 1.4 – 12.6) and the presence of animal feces in the compound (OR 3.4, 95% CI 1.1 – 10.3) were found to be statistically associated with Campylobacter carriage in children.DiscussionThe carriage of Campylobacter in children in this community indicates a need for further investigation on source attribution to understand transmission dynamics and inform where to target interventions. Awareness creation among caregivers on good personal and food hygiene is needed, including boiling milk before consumption. Implementation of biosecurity measures at the household level is highly recommended to reduce contact between animals and humans.</p

Type Catalogue NMK

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