Optimising stocking rates on livestock farms neighbouring wetlands for sustainable productivity and ecological stability

Uganda’s wetlands, especially in south-western Uganda are increasingly being invaded by cattle herders, particularly during droughts. Such uncontrolled grazing is accelerating wetland degradation. The objective of this study was to assess seasonal forage availability on farms neighbouring Ekigaaga wetland in south-western Uganda, and to determine their optimum stocking for sustainable productivity and ecological stability. The grazed area on each side of the virgin wetland was taken as a block, giving two blocks. In each block, three square metre sampling plots were demarcated along a transect line cutting across farms adjacent to the wetland. Some of these plots were fenced and others were left open to grazing by livestock. Two months after setting up the study, vegetation samples were collected from the fenced and unfenced plots in each block once every month, for a period of six months. Livestock classes and numbers grazing on each block were established and standardised into Tropical Livestock Units (TLU); where one TLU is equivalent to a cow weighing 250 kg. During wet and dry seasons, Cynodon dactylon was the most abundant forage species in the unfenced plots in both blocks. Fencing increased the prevalence of Chloris gayana and Themeda triandra in block 2. Sporobolus pyramidalis was the most abundant weed in both blocks. Fenced and unfenced plots in block 1 had higher grazeable forage yields (488.05 and 399.97 kg ha-1, respectively) than block 2 (432.08 and 371.97 kg ha-1, respectively). The TLU that could be safely grazed on blocks 1 and 2 were 121 and 107, respectively compared to the TLU being grazed on blocks 1 (279) and 2 (381). Therefore, to sustain the productivity and ecological stability of these grazing areas, there is need to control weeds/thickets, improve forage resources by oversowing with quality forages, and to adjust livestock numbers to match with forage quantities available for grazing. &nbsp

Implications for school nurses using simulator dolls to manage unplanned teen pregnancy.

Background: School nurses are key professionals in the promotion of sexual and reproductive health which should include using high fidelity baby simulator dolls. Aim: To explore teenager’s perceptions of their practical parenting skills and their attitudes towards experiential learning from using high fidelity baby simulators. Methods: Virtual baby simulator dolls were used as part of sex and relationship education with school pupils (aged 15-16 years) to look after over a weekend. Pupils were recruited from a UK Academy and completed a diary of their experiences while parenting, received quantitative feedback simulator reports and completed a post-study evaluation questionnaire. Findings: Pupils saw the virtual baby project as beneficial and important in schools and perceived an improvement in their understanding of practical parenting skills, sexual health and contraception. Conclusion: The implications of this paper are towards involving school nurses more actively in sexual health education in schools via the use of high fidelity simulators as creative pedagogy in Personal Sexual Health Education (PSHCE)

Trench layering using indole-3-butyric acid and local organic substrate mixtures to enhance rooting and survival of apple rootstocks

Apples ( Malus domestica ) were introduced to enhance nutrition and improve livelihoods of famers in highlands of Uganda. However, adoption and commercialisation of apples is largely constrained by low quality rootstocks due to poor rooting and low survivability. This study determined the effect of organic substrate mixtures (OSM) and indole-3-butyric acid (IBA) on rooting, sprouting and survival characteristics of apple rootstocks propagated by trench layering. Four apple rootstock varieties (M106, M109, MM793 and bitten-felder) were planted in OSM (Site soil as control, TsaOm and TsdOm) then treated with IBA concentrations (IBA-0 ppm, IBA-4000 ppm and IBA-8000 ppm) in a factorial randomised block design with three replications. Results showed significant (P<0.001) variability among rootstocks for all characters. OSM significantly (P<0.01) increased rooting, root numbers and root length while IBA significantly (P<0.01) increased all traits, except rooting. The highest rooting (46.7%), root numbers (23.1) and root length (14.9cm), and sprout length (59.5cm) were obtained in bitten felder under TsaOm + IBA-4000ppm, TsaOm, and TsdOm, respectively. For M106, maximum rooting (28.1%) and root numbers (22.3) were obtained under TsaOm + IBA-8000ppm while root (14.3cm) and sprout (35.2cm) lengths under TsdOm. TsaOm gave the highest root numbers (14.2), root (12.8cm) and sprout (30.7cm) lengths in M109 likewise root (7.8cm) and sprout (38.3cm) lengths in MM793. Logistic regression revealed that rooting, sprout length, and IBA-4000ppm significantly (P<0.01) increased survival of apple rootstocks. The highest survival rates in bitten felder and M106 were 52.4% and 51.7% under TsdOm + IBA-4000 ppm and TsdOm + IBA-8000 ppm respectively; likewise 49.5% in M109 and 51.7% in MM793 both treated with IBA-8000 ppm. The results demonstrate that trench layering with OSM and IBA improves rooting and survival of apple rootstocks which might improve farmers\u2019 access to quality apple planting material.Les pommes ( Malus domestica ) \ue9taient introduites pour renforcer la nutrition et am\ue9liorer le niveau de vie des producteurs dans les r\ue9gions montagneuses d\u2019Ouganda. Toutefois, l\u2019adoption et la commercialisation des pommes sont largement limit\ue9es par la faible qualit\ue9 des porte-greffes \ue0 cause du pauvre enracinement et la faible capacit\ue9 de survie. Cette \ue9tude visait \ue0 d\ue9terminer l\u2019effet des m\ue9langes du substrat organique (OSM) et l\u2019acide indole-3-butyrique (IBA) sur l\u2019enracinement, la germination et les caract\ue9ristiques de survie des porte-greffes de la pomme propag\ue9e par le marcottage de tranch\ue9e. Quatre portes greffes des vari\ue9t\ue9s de pomme (M106, M109, MM793 et bitten-felder) \ue9taient plant\ue9es dans l\u2019OSM (site de sol servant de contr\uf4le, TsaOm et TSdOm) et trait\ue9e avec diff\ue9rentes concentrations de l\u2019IBA (IBA-0 ppm, IBA-4000 ppm et IBA-8000 ppm) dans un design factoriel \ue0 blocks compl\ue8tement al\ue9atoires avec trois r\ue9plications. Les r\ue9sultats ont montr\ue9 de variabilit\ue9 significative (P<0,001) entre les porte-greffes des vari\ue9t\ue9s pour tous les caract\ue8res. OSM significativement (P<0.01) a fait accro\ueetre l\u2019enracinement, le nombre de racines et la longueur de la racine; alors que IBA a augment\ue9 significativement (P<0.001) tous les traits, sauf l\u2019enracinement. Les plus grandes valeurs des caract\ue8res \ue0 savoir\ua0; l\u2019enracinement (46,7%), le nombre de racines (23,1), la longueur des racines (14,9 cm), et la longueur des pousses (59,5cm) \ue9taient obtenues sur bitten felder sous TsaOm + IBA-4000ppm, TsaOm, et TsdOm, respectivement. Pour M106, les valeurs maximales de l\u2019enracinement (28,1%) et de nombre de racines (22.3) \ue9taient obtenues sous TsaOm + IBA-8000ppm alors que les valeurs maximales de la longueur des racines (14,3 cm) et des pousses (35,2 cm) sous TsdOM. TsaOm ont donn\ue9 le plus grand nombre de racines (14,2), la plus grande longueur des racines (12,8 cm) et de pousses (30,7 cm) dans M109 pareillement \ue0 la longueur des racines (7,8 cm) et de pousses (38,3 cm) dans MM793. La r\ue9gression logistique a r\ue9v\ue9l\ue9 que l\u2019enracinement, la longueur de la pousse et IBA-400ppm ont augment\ue9 significativement (P<0,01) la survie des porte-greffes de la pomme. Les plus forts taux de survies sur le bitten felder et M106 \ue9taient 52,4% et 51,7% sous TsdOm+IBA-4000 ppm et TsdOm+IBA-8000 ppm, respectivement\ua0; de m\ueame 49,5% ont \ue9t\ue9 obtenus sur M109 et 51,7% sur MM793 tous trait\ue9s avec IBA-8000 ppm. Les r\ue9sultats ont d\ue9montr\ue9 que le marcottage de tranch\ue9e avec OSM et IBA am\ue9liore l\u2019racinement et la survie des porte-greffes qui pourrait am\ue9liorer l\u2019acc\ue8s des producteurs \ue0 des mat\ue9riels de plantation de pomme de qualit\ue9

Makerere University College of Health Sciences’ role in addressing challenges in health service provision at Mulago National Referral Hospital

<p>Abstract</p> <p>Background</p> <p>Mulago National Referral Hospital (MNRH), Uganda’s primary tertiary and teaching hospital, and Makerere University College of Health Sciences (MakCHS) have a close collaborative relationship. MakCHS students complete clinical rotations at MNRH, and MakCHS faculty partner with Mulago staff in clinical care and research. In 2009, as part of a strategic planning process, MakCHS undertook a qualitative study to examine care and service provision at MNRH, identify challenges, gaps, and solutions, and explore how MakCHS could contribute to improving care and service delivery at MNRH.</p> <p>Methods</p> <p>Key informant interviews (n=23) and focus group discussions (n=7) were conducted with nurses, doctors, administrators, clinical officers and other key stakeholders. Interviews and focus groups were tape recorded and transcribed verbatim, and findings were analyzed through collaborative thematic analysis.</p> <p>Results</p> <p>Challenges to care and service delivery at MNRH included resource constraints (staff, space, equipment, and supplies), staff inadequacies (knowledge, motivation, and professionalism), overcrowding, a poorly functioning referral system, limited quality assurance, and a cumbersome procurement system. There were also insufficiencies in the teaching of professionalism and communication skills to students, and patient care challenges that included lack of access to specialized services, risk of infections, and inappropriate medications.</p> <p>Suggestions for how MakCHS could contribute to addressing these challenges included strengthening referral systems and peripheral health center capacity, and establishing quality assurance mechanisms. The College could also strengthen the teaching of professionalism, communication and leadership skills to students, and monitor student training and develop courses that contribute to continuous professional development. Additionally, the College could provide in-service education for providers on professionalism, communication skills, strategies that promote evidence-based practice and managerial leadership skills.</p> <p>Conclusions</p> <p>Although there are numerous barriers to delivery of quality health services at MNRH, many barriers could be addressed by strengthening the relationship between the Hospital and MakCHS. Strategic partnerships and creative use of existing resources, both human and financial, could improve the quality of care and service delivery at MNRH. Improving services and providing more skills training could better prepare MakCHS graduates for leadership roles in other health care facilities, ultimately improving health outcomes throughout Uganda.</p

Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda

<p>Abstract</p> <p>Background</p> <p>Male partner attendance of skilled Antenatal Care (ANC) is beneficial to improving maternal outcomes. This study investigated the level, perceived benefits and factors associated with male partner attendance of skilled ANC in a peri-urban community recovering from two decades of civil conflict.</p> <p>Methods</p> <p>This cross-sectional survey used multi-stage sampling in 12 villages of Omoro county to select 331 married male respondents aged 18 years or more, whose female spouses had childbirth within 24 months prior to the survey. A structured questionnaire elicited responses about male partner attendance of ANC during pregnancy at a public health facility as the main outcome variable. Analysis used Generalized Linear Model (GLM) in Stata version 10.0 to obtain Prevalence Risk Ratios (PRR) for association between the binary outcome and independent factors. All factors significant at p < 0.15 and potential confounders were included in the multivariable model.</p> <p>Results</p> <p>Overall, 65.4% (95%CI; 60.3, 70.5) male partners attended at least one skilled ANC visit. Mean age was 31.9 years [SD 8.2]. Perceived benefits of attending ANC were: HIV screening (74.5%), monitoring foetal growth (34%) and identifying complications during pregnancy (18.9%). Factors independently associated with higher ANC attendance were: knowledge of 3 or more ANC services (adj.PRR 2.77; 95%CI 2.24, 3.42), obtaining health information from facility health workers (adj.PRR 1.14; 95%CI 1.01, 1.29) and if spouse had skilled attendance at last childbirth (adj.PRR 1.31; 95%CI 1.04-1.64). However, factors for low attendance were: male partners intending their spouse to carry another pregnancy (adj.PRR 0.83; 95%CI 0.71, 0.97) and living more than 5 Km from a health facility (adj.PRR 0.83, 95%CI 0.70, 0.98).</p> <p>Conclusions</p> <p>Men who were knowledgeable of ANC services, obtained health information from a health worker and whose spouses utilised skilled delivery at last pregnancy were more likely to accompany their spouses at ANC, unlike those who wanted to have more children and lived more than 5 km from the health facility. These findings suggest that empowering male partners with knowledge about ANC services may increase their ANC participation and in turn increase skilled delivery. This strategy may improve maternal health care in post conflict and resource-limited settings.</p

Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda

<p>Abstract</p> <p>Background</p> <p>Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to assess factors associated with birth preparedness and complication-readiness as well as the level of male participation in the birth plan among emergency obstetric referrals in rural Uganda.</p> <p>Methods</p> <p>This was a cross-sectional study conducted at Kabale regional hospital maternity ward among 140 women admitted as emergency obstetric referrals in antenatal, labor or the postpartum period. Data was collected on socio-demographics and birth preparedness and what roles spouses were involved in during developing the birth plan. Any woman who attended antenatal care at least 4 times, received health education on pregnancy and childbirth danger signs, saved money for emergencies, made a plan of where to deliver from and made preparations for a birth companion, was deemed as having made a birth plan. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan.</p> <p>Results</p> <p>The mean age was 26.8 ± 6.6 years, while mean age of the spouse was 32.8 ± 8.3 years. Over 100 (73.8%) women and 75 (55.2%) of their spouses had no formal education or only primary level of education respectively. On multivariable analysis, Primigravidae compared to multigravidae, OR 1.8 95%CI (1.0-3.0), education level of spouse of secondary or higher versus primary level or none, OR 3.8 95%CI (1.2-11.0), formal occupation versus informal occupation of spouse, OR 1.6 95%CI (1.1-2.5), presence of pregnancy complications OR 1.4 95%CI (1.1-2.0) and the anticipated mode of delivery of caesarean section versus vaginal delivery, OR 1.6 95%CI (1.0-2.4) were associated with having a birth plan.</p> <p>Conclusion</p> <p>Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.</p

Activity and Habitat Use of Chimpanzees (Pan troglodytes verus) in the Anthropogenic Landscape of Bossou, Guinea, West Africa

Many primate populations inhabit anthropogenic landscapes. Understanding their long-term ability to persist in such environments and associated real and perceived risks for both primates and people is essential for effective conservation planning. Primates in forest–agricultural mosaics often consume cultivars to supplement their diet, leading to potentially negative encounters with farmers. When crossing roads, primates also face the risk of encounters with people and collision with vehicles. Chimpanzees (Pan troglodytes verus) in Bossou, Guinea, West Africa, face such risks regularly. In this study, we aimed to examine their activity budget across habitat types and the influence of anthropogenic risks associated with cultivated fields, roads, and paths on their foraging behavior in noncultivated habitat. We conducted 6-h morning or afternoon follows daily from April 2012 to March 2013. Chimpanzees preferentially used forest habitat types for traveling and resting and highly disturbed habitat types for socializing. Wild fruit and crop availability influenced seasonal habitat use for foraging. Overall, chimpanzees preferred mature forest for all activities. They showed a significant preference for foraging at >200 m from cultivated fields compared to 0–100 m and 101–200 m, with no effect of habitat type or season, suggesting an influence of associated risk. Nevertheless, the chimpanzees did not actively avoid foraging close to roads and paths. Our study reveals chimpanzee reliance on different habitat types and the influence of human-induced pressures on their activities. Such information is critical for the establishment of effective land use management strategies in anthropogenic landscapes

Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda

Introduction: Assistance by skilled birth attendants (SBAs) during childbirth is one of the strategies aimed at reducing maternal morbidity and mortality in low-income countries. However, the relationship between birth preparedness and decision-making on location of birth and assistance by skilled birth attendants in this context is not well studied. The aim of this study was to assess the influence of birth preparedness practices and decision-making and assistance by SBAs among women in south-western Uganda

Strategies for the Use of Fallback Foods in Apes

Researchers have suggested that fallback foods (FBFs) shape primate food processing adaptations, whereas preferred foods drive harvesting adaptations, and that the dietary importance of FBFs is central in determining the expression of a variety of traits. We examine these hypotheses in extant apes. First, we compare the nature and dietary importance of FBFs used by each taxon. FBF importance appears greatest in gorillas, followed by chimpanzees and siamangs, and least in orangutans and gibbons (bonobos are difficult to place). Next, we compare 20 traits among taxa to assess whether the relative expression of traits expected for consumption of FBFs matches their observed dietary importance. Trait manifestation generally conforms to predictions based on dietary importance of FBFs. However, some departures from predictions exist, particularly for orang-utans, which express relatively more food harvesting and processing traits predicted for consuming large amounts of FBFs than expected based on observed dietary importance. This is probably due to the chemical, mechanical, and phenological properties of the apes’ main FBFs, in particular high importance of figs for chimpanzees and hylobatids, compared to use of bark and leaves—plus figs in at least some Sumatran populations—by orang-utans. This may have permitted more specialized harvesting adaptations in chimpanzees and hylobatids, and required enhanced processing adaptations in orang-utans. Possible intercontinental differences in the availability and quality of preferred and FBFs may also be important. Our analysis supports previous hypotheses suggesting a critical influence of the dietary importance and quality of FBFs on ape ecology and, consequently, evolution