FACTORS AFFECTING THE USE OF MODERN PRENATAL AND MATERNITY SERVICES IN GOT AGULU SUB-LOCATION, WESTERN KENYA

A main goal of the Kenyan government's Safe Motherhood Initiative is to increase the number of babies delivered in modern health facilities. Mothers are encouraged to begin prenatal care visits early in their pregnancy and to continue care until the fortieth week. However, research carried out among the Luo people in Got Agulu, western Kenya, indicates that mothers may not actually initiate prenatal care early in pregnancy. This lack of use may be due to the Luo cultural belief that it is improper for childbirth blood to be spilled outside the father's homestead. Further, the Luo do not view pregnancy as an illness that should necessitate numerous prenatal visits. This paper analyzes factors behind the low use of prenatal and maternity services within modern health facilities in the Got Agulu sub-location of western Kenya

Knowledge, Attitude and Practices towards the use of Intrauterine device among Women aged 15-49 years in Wakiso Health Centre IV Wakiso District. A Cross-sectional Study

Background:  The purpose of the study was to assess knowledge, attitude, and practices towards the utilization of IUDs among women aged 15-49 years in wakiso health center IV wakiso district.  The specific objectives of the study were to assess the knowledge towards utilization of IUDs among women aged 15-49 years in wakiso health center IV, Wakiso district, attitude towards the utilization of contraceptives IUDs among women aged 15-49 years in wakiso health center IV wakiso district.  Methodology:  The descriptive cross-sectional study design was used with a simple random technique as a sampling technique. Data was collected using semi-structured questionnaires written in the English language and interviews.  Results:  From the study findings most (52%) respondents preferred to have four children, the majority of respondents, majority(80%) respondents have ever heard about IUDs, the majority(60%) obtained information about IUDs from the health facility, most (50%) respondents reported child spacing as the reason as to why they used IUDs, most (50%) respondents knew copper IUDs as a type of IUDs, the majority(70%) knew the site of administration of IUDs. Conclusion: Women had good knowledge and practices towards utilization of IUDs despite they had fair attitudes were noticed since most women felt uncomfortable due to side effects, would wish to change to other methods, and were not willing to advise their relatives or friends to use IUDs,  Recommendation: The MOH, NGOs, and other stakes hold should train an adequate number of services providers and health extension workers in the safe removal of the risks or side effects associated with IUDs methods to mitigate the health-related problems

Woody encroachment and forest degradation in sub-Saharan Africa's woodlands and savannas 1982-2006

We review the literature and find 16 studies from across Africa's savannas and woodlands where woody encroachment dominates. These small-scale studies are supplemented by an analysis of long-term continent-wide satellite data, specifically the Normalized Difference Vegetation Index (NDVI) time series from the Global Inventory Modeling and Mapping Studies (GIMMS) dataset. Using dry-season data to separate the tree and grass signals, we find 4.0% of non-rainforest woody vegetation in sub-Saharan Africa (excluding West Africa) significantly increased in NDVI from 1982 to 2006, whereas 3.52% decreased. The increases in NDVI were found predominantly to the north of the Congo Basin, with decreases concentrated in the Miombo woodland belt. We hypothesize that areas of increasing dry-season NDVI are undergoing woody encroachment, but the coarse resolution of the study and uncertain relationship between NDVI and woody cover mean that the results should be interpreted with caution; certainly, these results do not contradict studies finding widespread deforestation throughout the continent. However, woody encroachment could be widespread, and warrants further investigation as it has important consequences for the global carbon cycle and land–climate interactions

Perinatal care in Western Uganda: Prevalence and factors associated with appropriate care among women attending three district hospitals

Background: Perinatal mortality remains high globally and remains an important indicator of the quality of a health care system. To reduce this mortality, it is important to provide the recommended care during the perinatal period. We assessed the prevalence and factors associated with appropriate perinatal care (antenatal, intrapartum, and postpartum) in Bunyoro region, Uganda. Results from this study provide valuable information on the perinatal care services and highlight areas of improvement for better perinatal outcomes. Methods: A cross sectional survey was conducted among postpartum mothers attending care at three district hospitals in Bunyoro. Following consent, a questionnaire was administered to capture the participants’ demographics and data on care received was extracted from their antenatal, labour, delivery, and postpartum records using a pre-tested structured tool. The care received by women was assessed against the standard protocol established by World Health Organization (WHO). Poisson regression with robust standard errors was used to assess factors associated with appropriate postpartum care. Results: A total of 872 mothers receiving care at the participating hospitals between March and June 2020 were enrolled in the study. The mean age of the mothers was 25 years (SD = 5.95). None of the mothers received appropriate antenatal or intrapartum care, and only 3.8% of the participants received appropriate postpartum care. Factors significantly associated with appropriate postpartum care included mothers being \u3e35 years of age (adjusted prevalence ratio [aPR] = 11.9, 95% confidence interval [CI] 2.8–51.4) and parity, with low parity (2–3) and multiparous (\u3e3) mothers less likely to receive appropriate care than prime gravidas (aPR = 0.3, 95% CI 0.1–0.9 and aPR = 0.3, 95% CI 0.1–0.8 respectively). Conclusions: Antenatal, intrapartum, and postpartum care received by mothers in this region remains below the standard recommended by WHO, and innovative strategies across the continuum of perinatal care need to be devised to prevent mortality among the mothers. The quality of care also needs to be balanced for all mothers irrespective of the age and parity

Erysipelothrix rhusiopathiae infection in pigs, pork and raw pork handlers in Kamuli District, Eastern Uganda

Erysipelothrix rhusiopathiae is a zoonotic ubiquitous gram-positive bacterium, which causes erysipelas in swine, mammals, birds and erysipeloid in humans. People in contact with animals, animal products or animal wastes are at greatest risk. From June 2013 to December 2015, a multidisciplinary risk assessment was conducted to identify the risks associated with E. rhusiopathiae along the pig value chain in Kamuli District, Eastern Uganda. Quantitative and qualitative methods of data collection were employed. Serum from 460 pigs and 100 fresh pork samples and human EDTA blood was gathered from 302 raw pork handlers (butchers, abattoir workers and housewives), for microbiology cultures and serology. Six focus group discussions were conducted with 26 butchers/abattoir workers and with 26 housewives. Three key informant interviews were conducted with a health assistant, veterinary officer and a nursing officer. Overall, 308/460 (67%) of the pig sera carried antibodies against E. rhusiopathiae. Forty-five percent (45/100, 45%) of the fresh pork samples were contaminated with E. rhusiopathiae and 30/302 (9.9%) of the raw pork handlers were positive for infection with E. rhusiopathiae. The mean age of the raw pork handlers was 38 years, 21/30 (70%) of men were infected compared to 9/30(30%) of the women. The main risk factor for the infection was the type of raw pork handler. Of the abattoir workers 14/38 (47%) were positive, 9/59 (30%) of the butchers and 7/205 (23.3%) of the housewives were infected with E.rhusiopathiae. This is the first ever report of E. rhusiopathiae in pigs and humans in Uganda and East Africa. Previously, the acute form of swine erysipelas may have been confused for other diseases in pigs reported in Uganda which are characterized acute symptoms such as sudden death (for example, African swine fever). We recommend increasing awareness of the disease among animal and human practitioners as treatment is easy and available and vaccination is possible. However, the disease is still unknown to local veterinarians, clinical doctors, meat inspectors, butchers and laboratory personnel. Proper hygiene, regular pork inspection, use of protective wear among people working/ in contact with animals should be promoted. The study was conducted under the Safe Food, Fair Food project led by the International Livestock Research Institute and carried out with the financial support of the Federal Ministry for Economic Cooperation and Development, Germany, and the CGIAR Research Program on Agriculture for Nutrition and Health, led by the International Food Policy Research Institute

Male gender and duration of anti-tuberculosis treatment are associated with hypocholesterolemia in adult pulmonary tuberculosis patients in Kampala, Uganda

Background: Patients with Pulmonary tuberculosis (PTB) and hypocholesterolemia have an altered immune function, delayed sputum conversion at two months and increased mortality. However, the assessment for dyslipidemias is not often done in our setting. Methods: A cross-sectional study was conducted among adults at an urban TB clinic in Kampala, Uganda. We included different participants at diagnosis (0), 2, 5, 6 and 8 months of anti-TB treatment. Data was collected from a complete physical examination, a pre-tested structured questionnaire, six-hour fasting lipid profiles and random blood glucose levels. Results: Of the 323 included participants, 63.5% (205/323) were males and the median age was 30 years, IQR (23-39). The prevalence of hypocholesterolemia was 43.65% (95% CI 38.3-49.2). The participants at diagnosis had the highest hypocholesterolemia prevalence, 57.3%, 95% CI (46.7-67.2); and lowest amongst those completing treatment at 6/8 months, 32.2%, 95% CI (21.6-45.2). Significant factors associated with hypocholesterolemia were: male gender (PR 1.52, 95% CI: 1.13-2.03), and duration of anti-TB treatment (0.88, 95% CI: 0.80-0.98). Conclusion: Hypocholesterolemia is common among patients with PTB. The risk of hypocholesterolemia increases with being male and reduces with increased duration of treatment. There is a need for further research in lipid abnormalities in TB patients

How to halt the global decline of lands

The assessment of land degradation and restoration by the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services shows that land degradation across the globe is a wide and severe issue and is showing no signs of slowing down. This trend must be halted and reversed