The Mwanza Stakeholders' Workshop, February 1st - 3rd March, 2001

This book section aims to give an overview of the Stakeholders' Workshop taken at Mwanza (Tanzania) to evaluate the role and potentials of local stakeholders, in relation to the co-management of Lake Victoria's fisheries within the frame of the LVFRP

Co-managerial potentials for Tanzania's Lake Victoria fisheries perspectives from two landing sites

Two landing sites were chosen in Tanzania for the 4-beaches survey. The former, Ihale, is a large one with an avarage of 120 boats and direct connections to the fish processing factories. The latter, Mwasonge, is one of the smallest landing sites in the Mwanza region with totally different characteristics. This book section aims to analyse the results from these two sites in the context of the co-management potentialities in Tanzania and more generally on the Lake Victoria region

Evaluation of a school based comprehensive sexuality education program among very young adolescents in rural Uganda

Background: Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10-14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. Methods: We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. Results: Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66-2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. Conclusion: This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future

Marketing study

The findings are presented of a marketing survey conducted in the lake Victoria region. The research concentrated on consumers, trader /processors serving local markets, industrial processors serving mainly international markets, and fishers. The market for fish from Lake Victoria is traced from the consumer to the producer, including as many components of the chain as possible. The components are dealt with in individual sections which comprise a profile of a typical consumer/trader-processor/industrial processor /fisher, a list of survey sites, a map showing locations, a note on potential biases within the individual survey, a list of hypotheses or study topics for all surveys except for that of industrial processors, detailed analyses and also the pertinent questionnaire

The survey of Lake Victoria's fishers

The findings are presented of a survey conducted regarding the fishers of Lake Victoria, which examined the relationships affecting supply flows of raw material on to the market, and also the characteristics of fishing activities and their effects on fish quality and distribution. Fish marketing plays a vital role in the lives of much of the lake basin's population, both in terms of employment and nutrition. The results of the survey comprise, in part, a base-line data set which will facilitate further research, analysis and management decision-making in relation to stakeholders of the lake's resources. Data collection, methods and research difficulties encountered are described and details given of a profile of a boat owner/renter and aslo of a profile of a crew member. The survey shows that Lake Victoria's fishery is one of very limited diversity. The fishers recount that they consistently target one or more of the 3 most common species within the lake (Nile perch, tilapia and dagaa) and very rarely consider any other species type. The largest proportion of fishers on the lake are Nile perch fishers; there is considerable demand for this species, and hence fishers have little incentive to either target alternative fish species, not to try and establish firm marketing outlets through the creation of arrangements with their principal buyers. In Kenyan waters, however, the number of Nile perch fishers is equaled by the number of dagaa fishers; this fish now commands a considerable portion of the market for fish from Lake Victoria through its availability as well as its relatively low prices. The tilapia fishery is in decline, and all 3 riparian states would not appear to be attracting investment almost certainly as a result of declining catches. For many of those working in Lake Victoria's fishery, the problems faced appear most often to be associated with the vagaries of an unstable market which may rise or fall depending on the state of the international market or the state of access roads to fish landings. (PDF contains 42 pages

Methodologies of the 4-beaches Survey and Stakeholder Workshops

As it is clearly indicated in the title of this book section, it overviews the methodologies used in the 4-beaches Survey and in the various Stakeholders' Workshops held in all the three riparian countries of the Lake Victoria

Adolescents' sexual wellbeing in Southwestern Uganda : a cross-sectional assessment of body image, self-esteem and gender equitable norms

Measures of sexual wellbeing and positive aspects of sexuality in the World Health Organization definition for sexual health are rarely studied and remain poorly understood, especially among adolescents in Sub-Saharan Africa. The objective of this study was to assess sexual wellbeing in its broad sense-i.e., body image, self-esteem, and gender equitable norms-and associated factors in young adolescents in Uganda. A cross-sectional survey of adolescents ages 10-14 years in schools was carried out between June and July 2016. Among 1096 adolescents analyzed, the median age was 12 (Inter-Quartile Range (IQR): 11, 13) and 58% were female. Self-esteem and body image scores were high with median 24 (IQR: 22, 26, possible range: 7-28) and median 22 (IQR: 19, 24, possible range: 5-25) respectively. Gender equitable norms mean score was 28.1 (SD 5.2: possible range 11-44). We noted high scores for self-esteem and body image but moderate scores on gender equitable norms. Girls had higher scores compared to boys for all outcomes. A higher age and being sexually active were associated with lower scores on gender equitable norms. Gender equitable norms scores decreased with increasing age of adolescents. Comprehensive and timely sexuality education programs focusing on gender differences and norms are recommended

Sexual health of very young adolescents in South Western Uganda : a cross-sectional assessment of sexual knowledge and behavior

Background: In most Sub-Saharan African countries, little is known about young adolescents' sexual and reproductive health (SRH). Though some efforts have been made to understand and improve SRH of older adolescents, very young adolescents (VYAs) are often overlooked, and little is known about their sexual knowledge and behaviors. The goal of this study was to describe SRH knowledge, information-seeking, and sexual behavior of VYAs in Uganda. Methods: A cross-sectional survey was administered in 33 primary schools in June and July of 2016. Trained interviewers administered surveys to adolescents ages 10-14 regarding SRH knowledge, information-seeking, sexual behavior, and relevant covariates. Continuous variables were summarized as means (SD) or medians (IQR) whereas categorical variables were summarized as proportions (percentages). Results: A total of 1096 adolescents were included in this analysis, 81.8% of which were from rural areas, with a median age of 12. Regarding sexually transmitted infections (STIs) knowledge; 95% knew HIV while 37% knew other STIs apart from HIV. Although 47% knew at least one way in which HIV is acquired only 8% knew at least four ways. Regarding contraceptive knowledge, 56% mentioned at least one modern method of preventing pregnancy (condoms, pills, intrauterine devices, implants, or injections). The majority (85%) of VYAs reported accessing SRH information in the media with 35% reporting accessing media with sexual content while 10% vs 22% consulted their father or mother respectively and 31% a school source. At least 7.6% of VYAs had ever had sexual intercourse, 90% of which were not using any protection. Conclusion: Comprehensive SRH knowledge was low among VYAs in this study. Media remains an important source of information for SRH for this age group though it may be misused as some adolescents reported accessing sexual content that may be inappropriate. A large proportion of sexually active VYAs reported sexual risky behaviors. This study highlights the need for an accurate and more comprehensive SRH education approach for VYAs in Uganda at an opportune age before the majority engage in sexual behavior

List of institutions of managerial relevance to the fisheries of Lake Victoria

The list provides addresses of institutions in Kenya, Tanzania and Uganda which are of managerial relevance to the fisheries of Lake Victoria, indicating the relevant area covere

Maize meal (posho) served at selected boarding schools in western Uganda is highly contaminated with aflatoxins

Supplementary material is available online at: https://doi.org/10.6084/m9.figshare.24885081The study aimed to evaluate food handling practices and assess the maize-bean supply chain in selected boarding schools of western Uganda. Additionally, it sought to determine the extent of aflatoxin exposure in the maize-bean meal consumed by students within the age range of 5 to 24. A cross-sectional study was conducted in two districts of Bushenyi and Sheema to gather 95 samples (31 beans, 32 maize flour, and 32 cooked maize flour-posho). In addition, 262 individual interviews were conducted. The findings revealed that only 9.38% of the schools store food as per World Health Organisation standards. The majority of schools (57.9%) purchase maize flour and beans from any stockist with no contractual obligations (random supplier), and all the 32 schools base on visual parameters, especially white colour, and smell to rule out aflatoxin contamination. Maize flour stored on the ground registered significantly (P = 0.0018) higher levels (54.3 ± 10.1 μg/kg) of total aflatoxins than that stored on a raised platform (14.7 ± 2.6 μg/kg). Likewise, the supplier significantly influenced total aflatoxins levels (P = 0.0064), with higher levels (44.6 ± 8.0 μg/kg) detected in maize flour supplied by a random supplier than a pre-qualified one (14.7 ± 2.6 μg/kg). Given the low levels (1.3 to 2.8 μg/kg), which are far less than the Maximum Tolerated Limit (MTL) of 10 μg/kg, aflatoxins do not pose a significant problem in beans. Aflatoxins exposure in younger children (5-12 years) was higher (61.5 ng/kg bw/day) than in older ones (13-24 years; 41.5 ng/kg bw/day). Similarly, the risk of developing hepatocellular carcinoma was greater in younger children (1.84 cases per 100,000 people) compared to older ones (1.24 cases per 100,000 people). The findings underscore an urgent need to formulate guidelines for procurement, storage, and food handling in schools, alongside intensifying inspection programmes for food handling. Additionally, there is need to expand the research scope by incorporating a greater number of schools from varied geographical areas within Uganda, while rigorously monitoring the entirety of the food supply chain