Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Background: Malaria is the leading cause of morbidity and mortality in Uganda particularly among children under 5 years of age.Objectives: The study assessed the knowledge and practices on malaria prevention in 2 rural communities in Wakiso District, Uganda with emphasis on the various prevention methods.Methods: The study was a cross-sectional survey carried out among 376 households using both quantitative and qualitative methods. Log-binomial regression, chi square and Spearman's rank order correlation were used to test for associations.Results: The majority of participants (64.6%) had low knowledge on malaria prevention methods, with untreated mosquito nets (81.7%), mosquito coils (36.9%) and insecticide treated nets (29.6%) being the most known methods. Knowledge on malaria prevention methods was associated with age (χ2 = 32.1; p < 0.01), employment status (χ2 = 18.1; p < 0.01), education (χ2 = 20.3; p = 0.01), income (χ2 = 14.5; p = 0.01) and having heard a malaria message in the previous 12 months (χ2 = 92.3; p < 0.01). Households that had at least one mosquito net were 45.5% and net ownership increased with household income. Only 0.5% of the houses had undergone indoor residual spraying in the previous 12 months, while 2.1% had complete mosquito proofing in windows and ventilators to prevent mosquito entry.Conclusion: There is potential to improve practices on malaria prevention by targeting other methods beyond mosquito nets such as installing proofing in windows and ventilators. The integrated approach to malaria prevention which advocates the use of several malaria prevention methods in a holistic manner should be explored for this purpose.Keywords: Malaria, prevention, knowledge, practices, integrated approach, Ugand

Skills acquired and passed on: the collaboration between the University of Bergen and Makerere University libraries and their new partners in the north and south

Makerere University in Uganda and the University of Bergen in Norway celebrate ten years of collaboration in 2009. The collaboration includes the libraries in the two Universities, focusing on continuing professional development. This paper reports the activities of the collaboration between the two University libraries, and highlights the multiplier effect of the collaboration, which has led to new partners at the University of Juba in Southern Sudan, the East African School of Library and Information Science (EASLIS) at Makerere and the Norwegian School of Librarianship at Oslo University College. The new partners have joined to implement the Juba University Library Automation Project (JULAP) that is funded by the Norwegian Ministry of Foreign Affairs. JULAP aims to rebuild the Juba University Library that was closed because of the war in 1985. The project has two main components: automation of the library and training of library staff who are already working in the library, as well as sponsoring young people for a Bachelor’s degree in Librarianship at EASLIS. The training of library staff has a theoretical component conducted by EASLIS, while the practical component is handled by Makerere University Library staff using the skills they acquired over time from collaborations with skilled librarians from the North. Part of the project includes the acquisition of a library system, and the training of staff to use the system. The paper then outlines the activities of the project, the challenges faced and how they have been addressed, the achievements and future plans. Although most collaboration usually involves two institutions, this paper highlights the growth of the collaboration from two institutions to where it is now, and the audience is encouraged to learn from this experience and replicate it to be able to ‘build bridges’ of LIS education in Developing countries

Do private health providers help achieve Universal Health Coverage? A scoping review of the evidence from low-income countries.

Universal Health Coverage (UHC) is the dominant paradigm in health systems research, positing that everyone should have access to a range of affordable health services. Although private providers are an integral part of world health systems, their contribution to achieving UHC is unclear, particularly in low-income countries (LICs). We scoped the literature to map out the evidence on private providers' contribution to UHC progress in LICs. Literature searches of PubMed, Scopus and Web of Science were conducted in 2022. A total of 1049 documents published between 2002 and 2022 were screened for eligibility using predefined inclusion criteria, focusing on formal as well as informal private health sectors in 27 LICs. Primary qualitative, quantitative and mixed-methods evidence was included, as well as original analysis of secondary data. The Joanna Briggs Institute's critical appraisal tool was used to assess the quality of the studies. Relevant evidence was extracted and analysed using an adapted UHC framework. We identified 34 papers documenting how most basic health care services are already provided through the private sector in countries such as Uganda, Afghanistan and Somalia. A substantial proportion of primary care, mother, child and malaria services are available through non-public providers across all 27 LICs. Evidence exists that while formal private providers mostly operate in well-served urban settings, informal and not-for-profit ones cater for underserved rural and urban areas. Nonetheless, there is evidence that the quality of the services by informal providers is suboptimal. A few studies suggested that the private sector fails to advance financial protection against ill-health, as costs are higher than in public facilities and services are paid out of pocket. We conclude that despite their shortcomings, working with informal private providers to increase quality and financing of their services may be key to realizing UHC in LICs

Hydrodynamic simulations of AGN jets:The impact of Riemann solvers and spatial reconstruction schemes on jet evolution

Numerical simulations play an essential role in helping us to understand the physical processes behind relativistic jets in active galactic nuclei. The large number of hydrodynamic codes available today enables a variety of different numerical algorithms to be utilized when conducting the simulations. Since many of the simulations presented in the literature use different combinations of algorithms it is important to quantify the differences in jet evolution that can arise due to the precise numerical schemes used. We conduct a series of simulations using the FLASH (magneto-)hydrodynamics code in which we vary the Riemann solver and spatial reconstruction schemes to determine their impact on the evolution and dynamics of the jets. For highly refined grids the variation in the simulation results introduced by the different combinations of spatial reconstruction scheme and Riemann solver is typically small. A high level of convergence is found for simulations using third-order spatial reconstruction with the Harten–Lax–Van-Leer with contact and Hybrid Riemann solvers

Numerical simulations of colliding jets in an external wind:application to 3C 75

The radio galaxy 3C 75 is remarkable because it contains a pair of radio-loud active galaxies, each of which produces a two-sided jet, with the jet beams appearing to collide and merge to the west of the galaxies. Motivated by 3C 75, we have conducted three-dimensional hydrodynamic simulations of jet collisions. We have extended previous studies by modelling the physical properties of the cluster atmosphere, including an external wind, and using realistic jet powers obtained from observational data. We are able to produce a morphology similar to that of 3C 75. The simulations imply that direct contact between the bulk jet flows on the west of the source is required to produce a morphology consistent with 3C 75. We quantify how the merging jets decelerate, how the wind deflects the jets and cocoons, the entrainment of intra-cluster material into the cocoons, the cocoon energetics, and how the jet interactions generate enstrophy. By comparing simulations of pairs of two-sided jets with those of single two-sided sources, we determine how the interaction between two bipolar jets changes their evolution. The unprecedented sensitivity and angular resolution of upcoming observatories will lead to the detection of many more complex sources at high redshift, where interacting jets are expected to be more numerous. The morphology of these complex sources can provide significant insight into the conditions in their environments