Organisational implementation of information & communication technologies (lCT): a perspective from the voluntary sector

This research offers a new framework for dealing with the issues governing lCT adoption and the factors driving wider diffusion in SMVOs. The Internet has provided a great leap in the way the commercial sector does business. Regrettably, the voluntary and community sector, particularly the Small and Medium Voluntary Organisations (SMVOs), risk being left behind. The UK Government is encouraging the Voluntary Sector to improve its infrastructureand deliver public services. This research considers key characteristics of SMVOs and identifiesTechnology, Organisational and People (TOP) imperatives that provide new conceptual framework for understanding and implementing websites (WAM), maximising benefits and managing the attendant change. The research methodology is based on multi-disciplinary theories involving action research which allows change and understanding to be achieved at the same time. The research explores organisation theories and the concept of website adoption within the context of organisational change in a pilot and four selected SMVO case studies. I conclude my thesis by drawing out the findings based on the Website Adoption Model (WAM) and extending it into a Technology Adoption Model (TAM). The framework presents classification of SMVOs which shows the main characteristics of organisations with high technology, organisational and people imperatives. I suggest that in order to facilitate the understanding of SMVOs in particular and organisations in general, it is helpful to classify organisations using a two-dimensional classification based on TOP schematic diagrams. For the first time, SMVOs can identify a vision, develop an lCT strategy and recognise changes arising out of lCT implementation. Finally, I reflect and draw out lessons on research methodology and then consider final conclusions about key findings, policy implications and further research

Factors contributing to Low Utilization of Sickle Cell services among Caregivers of Children with Sickle Cell Disease at Dr Ambrosoli Memorial Hospital Kalongo, Agago District. A Cross-sectional Study.

Background:  Sickle Cell Disease (SCD) is a genetically inherited disease that results in the hemoglobin becoming sickle-shaped in the presence of little oxygen. Utilization of sickle cell services has remained poor despite the discoveries of the screening tests, and the different ways of management, yet the burden of sickle cell is on the rise day by day here in Uganda. The purpose of this study, therefore, was to determine factors contributing to the low utilization of sickle cell services by the caregivers of children with SCD in Dr. Ambrosoli memorial hospital, Kalongo.                                                                                               Methodology:  The study employed Quantitative (Researcher-administered structured questionnaires) for the caregivers and qualitative (Key informants) i.e the medical staff in the Paediatric ward and OPD sickle cell clinic. SPSS version 23.0 statistical software was used to generate descriptive statistics. All the information was coded and assigned to the study variables. Results:  Results showed high utilization of sickle cell services among caregivers of children with SCD. This is the impact of knowledge about the disease, free services offered, being aware of the sickle cell services offered, negligible side effects of the medications given, good community perceptions about the sickle cell services offered, and good attitudes of health workers when delivering the services. Conclusions: It was found that there is high utilization of sickle cell services among the caregivers, and some factors affect the utilization positively while others negatively.  Recommendations: Further research should be conducted to specifically determine the factors contributing to low utilization of Preconception sickle cell screening, to promote prevention rather than management of SCD

KNOWLEDGE, ATTITUDE AND PRACTICES TOWARDS FALSE TEETH EXTRACTION AMONG THE COMMUNITY MEMBERS OF ATANGA SUB-COUNTY, PADER DISTRICT. A CROSS-SECTIONAL STUDY.

Background. The Global Burden of Disease Study (2017) estimated that oral diseases affect 3.5 billion people worldwide, with untreated dental caries being among the most prevalent non-communicable diseases (WHO, 2017). The main objective of this study was to determine the factors affecting the utilization of oral and dental services at Katate Health Centre IV, Kanungu district. Methodology. A descriptive cross-sectional study was done on 61 randomly sampled respondents from whom data was collected using a questionnaire and then analyzed using SPSS version 21. Results. Affecting Utilization of Oral and Dental services include traditional beliefs (4.6%), traditional healers being part of dental care (67%), use of native herbs (63.9%), lack of awareness (80%), myths and misconceptions (21.3%) and some believe that dental caries and tooth extractions do not require medical interventions (9.8%), high costs of dental service (71%), unemployment (19.7%), lack of insurance (75%), low levels of education (77%), and low family income (50.8%). Poor transport systems (55.7%), long distances (47.4%), poor relationship with the health workers (23%), long waiting times and delays (19.7%), lack of confidentiality (29.5%), inconveniences at oral and dental care clinics (32.8%). Conclusion. There were many factors identified from this study that affected the uptake of oral dental services. Individual factors were traditional beliefs and traditional healers, myths, and misconceptions. Socioeconomic factors were unemployment, low education levels, low family income, and high costs. Health system-related factors were long waiting times, lack of confidentiality, and poor relationship with health workers. Recommendation. There is a need for the administration of Katate Health Centre IV in Kanungu district in conjunction with the Ministry of Health to ensure that dental services including dental equipment, sundries, drugs, and medical dental practitioner available for clients at every level of health care

Solid Waste Management Practices and Sustainable Environmental Management: A Case of Lira City

The purpose of this study was to examine the effect of effect of commercial waste management practices. Specifically, the study sought to: explore commercial solid waste management practices in Lira City, assess the level of environmental sustainability of Lira City and to examine the effect of commercial solid waste management practices on environmental sustainability of Lira City. The study employed cross sectional research design; employed both quantitative and qualitative approaches from sample size of 103 respondents that was drawn using Krejcie & Morgan (1970). The study used questionnaires and interview guide as research techniques to collect quantitative and qualitative data from primary and secondary sources. Quantitative data analysis was done using SPSS package version 23 while thematic and content analysis was employed to analyse qualitative data. The findings of the study revealed that waste compositing was the main way of managing solid waste by hotels and restaurants in Lira City. The study revealed that the level of environmental sustainability in Lira City was still below average as indicated by a Likert scale of 1-5 used by the researcher. Finally, the study indicated that the use of waste compositing and waste recycling to manage waste had a significant effect in Lira City. Based on the above findings, the study concluded that commercial solid waste in Lira City was being best managed by the use of compositing. The study therefore recommended that commercial waste management in Lira City should be managed at the local government, company, and community levels so that everybody can be in position to manage. Keywords: Commercial waste management, Environmental sustainability, Lira City, Waste composting DOI: 10.7176/JESD/14-16-06 Publication date: October 2023

Justice and peace after war : conceptual difficulties in the discourses of transition and reform in post-war societies

This paper explains conceptual lapses in the discourses of transition and reform in post-war societies. Critical, is the fluidity that characterizes notions of survivor and victim in the context of peace and justice. Transitional interventions continuously create victims of war in their attempt to create survivors of war. Although my focus is northern Uganda, I also draw examples from other parts of the world. I argue that legal inclusiveness, market inclusivity, and resolved antecedents of conflicts create conditions that facilitate implementation processes of integration, settlement, and reconstruction of post-war societies. Creating “survivability” is a collective work of surviving communities, national, local, and other exogenous entities. The way reform processes are played out in transitional period stems from how international agencies, national governments, civil societies, non-governmental organizations, and local actors deploy human and material resources towards recovery..

Counseling Teacher Collaboration And Teachers in the Implementation of Student Counseling Programs

Collaboration with school personnel , especially homeroom teachers, is required in implementation effective and efficient BK program . One of the advantages of school collaboration is that it makes it easier for counselors to run the counseling program. This article aims to describe the collaboration between the BK teacher and the homeroom teacher in implementing BK . The method of writing articles refers to literature reviews such as books and the results of relevant articles. The findings of the article show that there are two types of cooperation that can be carried out, the first is collaboration between the BK teacher and the homeroom teacher in carrying out counseling activities, which include (1) making notes on student events, (2) making observation reports, (3) organizing sociometry, (4) providing information about student identity, (5) conducting home visits, (6) conducting psychological tests, and (7) collecting student data. The second type of collaboration is the counseling teacher working with the homeroom teacher to provide information about students in terms of: (1) attendance data, (2) absence data, and (3) data on student delays in coming to school

Justice and peace after war : conceptual difficulties in the discourses of transition and reform

The way memory of war is constructed in transitional periods stems from how international agencies, national governments, civil societies, non-governmental organizations, and local actors deploy human and material resources in the servicing of peace and justice. A liberalized rule of law can help transition from war to peace. It regulates social behavior of war parties in post conflict communities. The paper argues that legal inclusiveness is capable of creating a rule of law that facilitates implementation processes of integration, settlement, and reconstruction of post-war societies. Creating “survivability” is a collective work of surviving communities, national, local, and other exogenous entities

High incidence of acute kidney injury among patients with major trauma at Mulago National Referral Hospital, Uganda: risk factors and overall survival

Introduction: Acute kidney injury (AKI) is a common and life-threatening complication of major trauma. Recognition is often delayed and management is frequently sub-optimal. We determined the incidence, risk factors and immediate outcomes of AKI in patients with major trauma at Mulago National Referral Hospital.Methods: This was a prospective study. We recruited adult patients with ISS of > 16. The KDIGO criteria was used to stage AKI. Serum creatinine was measured at baseline, 24, 48, 72 hours and on discharge from the study. Participants were followed up for seven days if not yet discharged. Bivariate and multivariate analysis was done using modified Poisson regression with robust standard errors.Results: 224 patients were recruited. The incidence was 67/1000 persons per day. The risk factors were male sex, delayed presentation, hypoglycemia at admission, RR=1.62 (95%CI 1.24-2.12) and non-operative management RR=1.39 (95%CI 1.02-1.89). Out of the 62 patients that died, 34 (54.8%) had AKI. The overall mortality rate was 39.5 patients per thousand per day.Conclusion: There was a high incidence of AKI among patients with major trauma. Efforts to reduce morbidity and mortality should be prioritized.Keywords: AKI=Acute kidney injury; major trauma; ISS = injury severity score

The Color of Childhood: The Role of the Child/Human Binary in the Production of Anti-Black Racism

The binary between the figure of the child and the fully human being is invoked with regularity in analyses of race, yet its centrality to the conception of race has never been fully explored. For most commentators, the figure of the child operates as a metaphoric or rhetorical trope, a non-essential strategic tool in the perpetuation of White supremacy. As I show in the following, the child/human binary does not present a contingent or merely rhetorical construction but, rather, a central feature of racialization. Where Black peoples are situated as objects of violence it is often precisely because Blackness has been identified with childhood and childhood is historically identified as the archetypal site of naturalized violence and servitude. I proceed by offering a historical account of how Black peoples came to inherit the subordination and dehumanization of European childhood and how White youth were subsequently spared through their partial categorization as adults