Fit for Purpose Land Administration:Country Implementation Strategy for Addressing Uganda´s Land Tenure Security Problems

The Republic of Uganda is one of the five countries within the East African region. Uganda’s efforts to increase land productivity are hampered by land tenure insecurity related problems. For more than ten years, Fit for Purpose Land Administration (FFPLA) pilot projects have been implemented in various parts of the country. Uganda is now in advanced stages of developing a country strategy for implementing a fit for purpose approach to land administration, to define the interventions, time and cost required to transform the existing formal (western type) land administration system into an administration system that is based on FFPLA principles. This paper reviews three case studies to investigate how lessons learnt from pilot projects informed a FFPLA country implementation strategy. The review is based on data collected during the development of the FFPLA strategy, in which the authors directly participated. The data collection methods included document review, field visits and interviews with purposively selected respondents from the pilot sites and institutions that had piloted FFPLA in Uganda. The study identified that pilot projects are beneficial in highlighting specific gaps in spatial, legal and institutional frameworks, that have potential to constrain FFPLA implementation. Pilot projects provided specific data for informed planning, programing and costing key interventions in the FFPLA country implementation strategy. The lessons learnt from the pilot projects, informed the various steps and issues considered while developing the national strategy for implementing a FFPLA approach in Uganda. On the other hand, the study identified that uncoordinated pilot projects are potential sources of inconsistencies in data and products, which may be cumbersome to harmonize at a national level. In order to implement a fit for purpose approach for land administration at a national level, it is necessary to consolidate the lessons leant from pilots into a unified country implementation strategy

PROVIDNG SECURE TENURE FOR ALL:A Country Implementation Strategy for Fit-For-Purpose Land Administration. The case of Uganda

In this paper, we present and discuss the principles, approach and provisions for a country implementation strategy for Fit for Purpose Land Administration in Uganda. The Fit–For-Purpose Land Administration (FFP LA) concept has gained recognition by governments, global professional bodies and international development agencies, as a complementary approach to conventional land administration.  FFP LA puts into consideration the cultural, social, economic and political context of a country to build the components of land administration so as to benefit all the members of society.  In Uganda, conventional Land administration approaches have only managed to record 500,000 parcels (2%) out of the estimated 23 million parcels country-wide, and this has taken more than 100 years. Yet, more than 80% of the land is held customarily and is characterized by underdevelopment, land conflicts, land grabbing and overlapping land rights. Uganda is therefore in need of faster, flexible and low cost approaches for land administration. With Support from GLTN - UN Habitat, Uganda developed a country implementation strategy for Fit for Purpose Land Administration. It was developed through a bottoms up approach that utilised a combination of review of the country's land administration context, use of GLTN published guidelines for Fit for Purpose country level implementation, consideration of international best practices and local stakeholder consultations and endorsements. The overall goal of the strategy is to improve the existing complicated, sporadic, bureaucratic and expensive approaches to Land administration that have not delivered the expected impacts on national development at the desired levels. The Strategy will be implemented over a period of 10 years, divided into 4 phases at a cost of US $500 million. An estimated 23 million parcels will be planned, mapped, documented and land administration infrastructure established at sub-county level. The cost of registration of each parcel is estimated at US$ 10 while the cost of rapid physical planning appraisal and establishing land administration infrastructure across the entire country is estimated at US $ 11 per parcel

Mobile Health–Supported HIV Self-Testing Strategy Among Urban Refugee and Displaced Youth in Kampala, Uganda: Protocol for a Cluster Randomized Trial (Tushirikiane, Supporting Each Other)

© Carmen Logie, Moses Okumu, Robert Hakiza, Daniel Kibuuka Musoke, Isha Berry, Simon Mwima, Peter Kyambadde, Uwase Mimy Kiera, Miranda Loutet, Stella Neema, Katie Newby, Clara McNamee, Stefan D Baral, Richard Lester, Joshua Musinguzi, Lawrence Mbuagbaw. Originally published in JMIR Research Protocols. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/)Background: HIV is the leading cause of mortality among youth in sub-Saharan Africa. Uganda hosts over 1.43 million refugees, and more than 83,000 live in Kampala, largely in informal settlements. There is limited information about HIV testing uptake and preferences among urban refugee and displaced youth. HIV self-testing is a promising method for increasing testing uptake. Further, mobile health (mHealth) interventions have been effective in increasing HIV testing uptake and could be particularly useful among youth. Objective: This study aims to evaluate the feasibility and effectiveness of two HIV self-testing implementation strategies (HIV self-testing intervention alone and HIV self-testing combined with an mHealth intervention) in comparison with the HIV testing standard of care in terms of HIV testing outcomes among refugee/displaced youth aged 16 to 24 years in Kampala, Uganda. Methods: A three-arm cluster randomized controlled trial will be implemented across five informal settlements grouped into three sites, based on proximity, and randomization will be performed with a 1:1:1 method. Approximately 450 adolescents (150 per cluster) will be enrolled and followed for 12 months. Data will be collected at the following three time points: baseline enrollment, 8 months after enrollment, and 12 months after enrollment. Primary outcomes (HIV testing frequency, HIV status knowledge, linkage to confirmatory testing, and linkage to HIV care) and secondary outcomes (depression, condom use efficacy, consistent condom use, sexual relationship power, HIV stigma, and adolescent sexual and reproductive health stigma) will be evaluated. Results: The study has been conducted in accordance with CONSORT (Consolidated Standards of Reporting Trials) guidelines. The study has received ethical approval from the University of Toronto (June 14, 2019), Mildmay Uganda (November 11, 2019), and the Uganda National Council for Science and Technology (August 3, 2020). The Tushirikiane trial launched in February 2020, recruiting a total of 452 participants. Data collection was paused for 8 months due to COVID-19. Data collection for wave 2 resumed in November 2020, and as of December 10, 2020, a total of 295 participants have been followed-up. The third, and final, wave of data collection will be conducted between February and March 2021. Conclusions: This study will contribute to the knowledge of differentiated HIV testing implementation strategies for urban refugee and displaced youth living in informal settlements. We will share the findings in peer-reviewed manuscripts and conference presentations.Peer reviewe

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For schoolaged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit

Perceptions, Practices, and Mother’s Willingness to Provide Meconium for Use in the Assessment of Environmental Exposures among Children in Mukono and Pallisa Districts, Uganda

Presence of biomarkers or metabolites is assessed in various human biospecimens including meconium in the investigation of exposures to environmental contaminants. This study gathered data on the perceptions and practices of mothers in two rural districts of Uganda concerning meconium and their willingness to provide meconium from their babies for research purposes. The study reveals a wide range of perceptions and beliefs around meconium as well as a number of associated taboos and practices. Many participants noted that meconium could be used to detect ailments among newborns based on its appearance. Practices and beliefs included using it to prevent stomach discomfort and other ailments of newborns, as a means to confirm paternity and initiate the child into the clan as well as facilitating father-child bonding that included ingestion of meconium by the fathers. Most mothers indicated scepticism in accepting to provide meconium for research purposes and had fears of unscrupulous people disguising as researchers and using meconium to harm their children. However, some were willing to provide meconium, if it helped to detect ailments among their children. These perceptions and practices may negatively influence mothers’ willingness to participate in meconium study. However, through provision of educational and behaviour change interventions, mothers’ willingness to participate in a meconium study can be improved

PROVIDNG SECURE TENURE FOR ALL:A COUNTRY IMPLEMENTATION STRATEGY FOR FIT-FOR-PURPOSE LAND ADMINISTRATION. THE CASE OF UGANDA

In this paper, we present and discuss the principles, approach and provisions for a country implementation strategy for Fit for Purpose Land Administration in Uganda. The Fit–For-Purpose Land Administration (FFP LA) concept has gained recognition by governments, global professional bodies and international development agencies, as a complementary approach to conventional land administration. FFP LA puts into consideration the cultural, social, economic and political context of a country to build the components of land administration so as to benefit all the members of society. In Uganda, conventional Land administration approaches have only managed to record 500,000 parcels (2%) out of the estimated 23 million parcels country-wide, and this has taken more than 100 years. Yet, more than 80% of the land is held customarily and is characterized by underdevelopment, land conflicts, land grabbing and overlapping land rights. Uganda is therefore in need of faster, flexible and low cost approaches for land administration. With Support from GLTN - UN Habitat, Uganda developed a country implementation strategy for Fit for Purpose Land Administration. It was developed through a bottoms up approach that utilised a combination of review of the country's land administration context, use of GLTN published guidelines for Fit for Purpose country level implementation, consideration of international best practices and local stakeholder consultations and endorsements. The overall goal of the strategy is to improve the existing complicated, sporadic, bureaucratic and expensive approaches to Land administration that have not delivered the expected impacts on national development at the desired levels. The Strategy will be implemented over a period of 10 years, divided into 4 phases at a cost of US $500 million. An estimated 23 million parcels will be planned, mapped, documented and land administration infrastructure established at sub-county level. The cost of registration of each parcel is estimated at US$ 10 while the cost of rapid physical planning appraisal and establishing land administration infrastructure across the entire country is estimated at US $ 11 per parcel