Okukyusa enneeyisa: ekitabo omuli ensonga enkulu ku kukyusa embeera ez’enjawulo

Abawandiisi b’ekitabo kino beebaza olw’obuyambi mu by’ensimbi okuva mu nsawo y’ekitongole ky’ensi yonna ekivunaanyizibwa ku nsawo y’okutumbula ebyobulimi ekimanyiddwa nga International Fund for Agricultural Development (IFAD) bwe kyayisa mu kitongole kya Bioversity International. Minisitule y’Ebyobulamu eya Uganda n’omulamwa gwayo ku kutumbula eby’endya n’endiisa esaanidde nayo yeebazibwa olw’okuyita mu biwandiikiddwa n’ebikakasa. Abawandiisi era beebaza olw’ebifaananyi ebimu ebikozeseddwa okuva awalala gamba nga ebimu ebivudde mu kitongole ekigabi ky’obuyambi ekya USAID mu nteekateeka yaakyo ey’okukulaakulanya ebitundu okuyita mu kukolagana n’abantu okutumbula eby’endya n’endiisa wamu n’ebyobulimi ey’omwaka 2014. Ebifaananyi ebirala bivudde mu kitongole kya SWICHI mu pulojekiti yaakyo ey’omwaka 2016 ng’eno etambulira ku mulamwa gw’okunyweza n’okutumbula eby’obujjanjabi bw’abakyala ab’embuto n’eby’endiisa y’abaana mu ggwanga.Ekitabo kino ku kukyusa embeera ez’enjawulo kyateekebwateekebwa nga kyesigamye ku musingi gw’ebibala ebisuubirwa okuva mu kussa mu nkola ebyalambikibwa mu kiwandiiko ekyoleka ensonga z’enteekateeka y’okukyusa embeera y’amaka mu bujjuvu. Ekitabo kino kyeyambisibwa okukwanaganya ensonga ez’enjawulo okutuuka ku kiruubirirwa eky’awamu. Kirimu emiramwa gy’ennyingo enkulu nnya, nga bwe zimenyeddwa wammanga:1. Ebikolebwa okutumbula omutindo gw’endya n’ebyendiisa omulungi ssaako ebyobulimi n’obulunzi awaka 2. Ebikulu ebigobererwa mu ndya n’endiisa esaanidde awaka3. Ennyingiza y’amaka bw’eyamba mu kunyweza obungi bw’emmere ssaako endya n’endiisa esaanidde 4. Obungi bw’emmere emala obulungi awaka n’okukuuma obuyonjoN’olwekyo, wansi wa buli nnyingo waliwo obubaka omuli ebikolebwa n’enneeyisa eri abantu abasinga okubivunaanyizibwako nga be balina okubikola obutereevu olwo ne bigobererwa ensonga enkulu n’ebikoleka amangu.Omusomesa alina okunokolayo emiganyulo egiva mu kussa mu nkola ensonga enkulu ezirambikiddwa ssaako emiganyulo gy’ebyo ebikoleka amangu eri abantu ababivunaanyizibwako (abalina okubikola). Kino kijja kuyamba okubazzaamu amaanyi okulaba nga babikola mu kwagala awatali kukakibwa

Izuta lidri ecojo rii: buku ta ‘jo’di rongorongo lonya loso ru egbwe vua ozo ni ri idri rii‘ba ta ideka laki lofo ri ni rii

Ma’di buku ni si’di ri a’i konyi enga’di International Fund for Agricultural Development (IFAD) dri eya’di Bioversity International dri si ri ‘i. Alua ri ani amanzo ewo ru egbwe dri ta ndre’di lonya loso ru egbwe vua ozo ni ri idri rii ana konyi kwele rii vua buku ‘di a ‘a ni u’bika si. Ma’di buku ni si’di ri a’i eno engaka drilakwa idele konyi kwejo laki lofo USAID dri ri iga rii (Ewo lonya ru egbwe vua ozo dri ri ndrejo karealuga ewo amvu dri akwa dri ri tro ri dri 2014 si ri ‘i), SWICHI dri iga rii (Mori goga dri vu ndutu dri ewo lonya ru egbwe vua ozo ni endre ni ‘baciri tro ri itujo vua inzajo ri dri 2016 si ri ‘i) vua ewo nza ta ndre’di ru egbwe dri Uganda ‘a riti dri ri iga ri tro ri e’duka ni ra.Buku ‘di osiru ra kole kokweru ta kole kideru e’i a ‘i ri idri. Ta ti ubale kole kideru karega si riti oko le’jo dri a’i isu ‘di ti ‘i; 1. Ta kole kideru lonya ru egbwe ni riti ozo ni ri tro vua akwa ta mbaka vua amvu e’bu ideka tro inzajo ri ‘i. 2. Lonya rua lele ri e’buka ‘i 3. Ta esule riti e’buka lonya ni vua ta ru egbwe ni ozo tro ri a ta mbajo ri ‘i. 4. Lonya ta mbaka ruwe ti pelere tro Le’jo dri alualu a itiga ta kole kideru riti lidri ‘ba alualu lele riti koka ri koko vu ani rii le’jo rongogongo ite’dele ra riti ta kaki idea wa riti tro ‘i. Ma’di ‘ba ini’di ri kole konze aini losoloso le’jo rongorongo riti ta idele wa riti tro ri ideka si ri ni aini asi okpo kwejo ta idejo

Lok me loko kit tim pa dano: buk matidi me kwena dwe me adek

Wan lucoo buk man wapwoyo kony me lim ki bot dul ma konyo dongo pur onyo International Fund for Agricultural Development (IFAD) ma owok ki bot ki ii dul me Bioversity International. Wan bene wapwoyo jang tic ma neno lok me pit ( Nutrition Division) i gang kal me Yotkom me Uganda, pi tic me ngiyo coc man atika.Macalo lucoc wapwoyo yee me tic ki cal ma jang tic pa dul me USAID community connector project (Integrated nutrition and agriculture project 2014), ki pa lutic me SWICHI project ma ticgi omedo rwom me pit pa mege ki lutino I mwaka 2016 , medo ki Gang Kal me Yotkom i Uganda.Buk ma tidi me kwena man ki yubu ki gen ni bibedo ki adwogi madit pien pwonyo bitime ki i ot. Man aye diro ma ki tiyo kwede me kubu kin yo mapatpat i tute man. Pwony man ocung ikom tyen lok ma pire tek angwen;1. Tim mapatpat me medo rwom me pit ki me pur.2. Yo mapatpat ma ki nyuto mupore me pit.3. Tic ki lim me wilo gin acama ki pit mupore.4. Lengo ki bedo ki cam muromo.Dong tyen lok magi acel acel tye ki yo ma mite me timo jami ki kit ma myero kwo pa jo moni omyero oloke kwede kun lube ki gin ma dongo ma kicimo botgi i kwena kacel ki bene jami mogo ma myero gutim. Ngat ma telo pwonye man omyero onyut adwogi mabeco ma kwena magi kelo bot jo moni ma lok man makogi wek gubed ki kero me ketogi itic

Uganda's experience in Ebola virus disease outbreak preparedness, 2018-2019.

BACKGROUND: Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda's experience in EVD preparedness. RESULTS: On 4 August 2018, the Uganda Ministry of Health (MoH) activated the Public Health Emergency Operations Centre (PHEOC) and the National Task Force (NTF) for public health emergencies to plan, guide, and coordinate EVD preparedness in the country. The NTF selected an Incident Management Team (IMT), constituting a National Rapid Response Team (NRRT) that supported activation of the District Task Forces (DTFs) and District Rapid Response Teams (DRRTs) that jointly assessed levels of preparedness in 30 designated high-risk districts representing category 1 (20 districts) and category 2 (10 districts). The MoH, with technical guidance from the World Health Organisation (WHO), led EVD preparedness activities and worked together with other ministries and partner organisations to enhance community-based surveillance systems, develop and disseminate risk communication messages, engage communities, reinforce EVD screening and infection prevention measures at Points of Entry (PoEs) and in high-risk health facilities, construct and equip EVD isolation and treatment units, and establish coordination and procurement mechanisms. CONCLUSION: As of 31 May 2019, there was no confirmed case of EVD as Uganda has continued to make significant and verifiable progress in EVD preparedness. There is a need to sustain these efforts, not only in EVD preparedness but also across the entire spectrum of a multi-hazard framework. These efforts strengthen country capacity and compel the country to avail resources for preparedness and management of incidents at the source while effectively cutting costs of using a "fire-fighting" approach during public health emergencies

Behavior communuication: nutrition key message booklet for extension service providers

The authors acknowledge financial support from International Fund for Agricultural Development (IFAD) through Bioversity International. We also thank the Nutrition Division of the Ministry of Health in Uganda for their contribution and review of the documents. Authors also acknowledge the use of illustrations from extension material developed under the USAID community connector project (Integrated nutrition and agriculture project 2014), the SWICHI project (Strengthened National capacity to scale up and improve maternal and child nutrition interventions 2016 ) and Ministry of Health, Uganda.The message booklet was developed based on the expected outputs of the Household mentorship concept. This concept is used to synchronize the different intervention areas. It consists of four themes; 1. Practices that improve nutrition and agriculture 2. Recommended feeding practices 3. Utilization of income for food and nutrition security.4. Food safety and hygiene Consequently under each of these themes there are desired practices and behaviors for the target audience to adopt following the dissemination of the highlighted key messages and doable actions. The facilitator should highlight the benefits accrued from adopting the key messages and the doable actions to the target audience to motivate them into action

Basic nutrition concepts & nutrition indicators:Training manual for field extension service providers

This training guide is intended to build capacity of community level resource persons to transfer knowledge on basic concepts regarding appropriate dietery patterns and use of existing Basic Nutrition Concepts &Nutrition Indicators for better household nutrition. In reffering to this manual,the community resource persons will be able to draft action plans to transfer the information gained to community members.The expected impact is that enhanced knowledge of the links between agriculture,nutrition and health,formation and/or upgrading of existing home gardens into comprehensive gardens as well as proper dietary and health practices will eventually lead to enhanced nutrition and health status

Basic nutrition concepts & nutrition indicators:Training manual for project management unit members

This training guide is intended to build capacity of Project management Team to transfer knowledge on basic concepts regarding appropriate dietary patterns and use of existing farming systems for better household nutrition. In referring to this manual, the Project management team will be able to transfer the information gained to community level field extension workers. The expected impact is that enhanced knowledge of the links between agriculture, nutrition and health, formation and/or upgrading of existing home gardens into comprehensive gardens as well as proper dietary and health practices will eventually lead to enhanced nutrition and health status

Improving TB case notification in northern Uganda: evidence of a quality improvement-guided active case finding intervention

Abstract Background Strategies to identify and treat undiagnosed prevalent cases that have not sought diagnostic services on their own, are necessary to treat TB in patients earlier and interrupt transmission. Late presentation for medical services of symptomatic patients require special efforts to detect early and notify TB in high risk populations. An intervention that combined quality improvement with facility-led active case finding (QI-ACF) was implemented in 10 districts of Northern Uganda with the highest TB burden to improve case notification among populations at highest risk of TB. Methods Using QI-ACF intervention approach in 48 facilities, we; 1) targeted key vulnerable populations, 2) engaged district and facility teams in TB systems strengthening, 3) conducted systematic screening and diagnosis in vulnerable groups (people living with HIV, fishing communities, and prisoners), and 4) trained health workers on national x-ray diagnosis guidelines for smear-negative patients. Facility-led QI-ACF meant that health care providers identified the target population, mobilized and massively screened suspects, and addressed gaps in documentation. Chest X-ray diagnosis was promoted for smear-negative TB among those suspects whose sputum examination was negative. The effect of the intervention on case notification was then assessed separately over the post intervention period. Results Over all TB case notification in the intervention districts increased from 171 to 223 per 100,000 population between the baseline months of October–December 2016 and end line month of April–June 2017. TB patient contacts had the majority of TB positive cases identified during active case finding (40, 6.1%). Fishing communities had the highest TB positivity rate at 6.8%. Prisoners accounted for the lowest number of TB positive cases at 34 (2.3%). Conclusion Targeting should be applied at all levels of TB intervention to improve yield: targeting districts and facilities with the lowest rates of case notification and targeting index patient contacts, HIV clients, and fishing communities. Screening tools are useful to guide health workers to identify presumptive cases. Efforts to improve availability of x-ray for TB diagnosis contributed to almost half of the new cases identified. Having all HIV patients who were eligible for viral load provide sputum for TB screening proved easy to implement

Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study

Abstract Background In the face of drought and food insecurity emergency, evidence on access to health and nutrition services is important. Karamoja is one of the regions that have experienced extreme drought and food insecurity emergency in Uganda. As a part of the drought and food insecurity emergency response, World Health Organization (WHO) with Ministry of Health (MoH) has designed and implemented a qualitative study in 15 districts that have experienced drought and food insecurity emergency in north-east Uganda. Thus, we aimed to explore the barriers of access to health and nutrition services in drought and food insecurity emergency affected districts in north-east Uganda. Methods We employed a descriptive qualitative study design. We interviewed 30 patients and 20 Village Health Teams (VHT) from 15 districts. We employed an in-depth interview with semi-structured questions to collect data until information saturation reached. We used thematic data analysis approach by ATLAS.ti version 7.5.1.8 software. Results Of the 30 interviewed subjects, 15 were female, and the median age of the subjects was 29 years with interquartile range (IQR) of 23 to 37 years. Majority (68.8%) of subjects reported that access to health and nutrition services was harder to them. Four themes: sociocultural and economic; environmental; health system, and individual related factors were identified as the barriers of access to health and nutrition services. Conclusion The present study identified several modifiable barriers that hinder access to health and nutrition services in drought and food insecurity affected districts. Comprehensive interventions aimed at addressing sociocultural, economic, environmental, health system and subject related challenges are required to improve access to health and nutrition services in drought and food insecurity affected setups