Browsing by Author "Masereka, Enos Mirembe"

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Lived experiences of women with disabilities in accessing sexual and reproductive health services in Lira District, Northern Uganda
(Stichting Liliane Fonds, 2022-08-05) Emoru, Lamech; Masereka, Enos Mirembe; Kabanda, Richard
The study aimed at exploring the lived experiences of women with disabilities in accessing sexual and reproductive health services in Lira district, Northern Uganda. This study utilised a phenomenological study design. Ten women, aged 15 - 49 years, were purposively selected from Lira District Union of Persons with Disabilities. They were accessing sexual and reproductive health services across the district. Data was collected using an in-depth interview guide, and thereafter thematic analysis was done. More than half (60%) of the participants were 40-50 years old and had more than 2 children. Half of them (50%) were married; the majority (70%) resided in the rural area and had a physical disability. They related their positive and negative experiences. On the positive side, they indicated the existence of supportive stakeholders, availability of services, and being served with no discrimination in some health facilities. Negatively, they experienced difficulty in navigating the physical environment in health facilities, lack of transport, negative healthcare provider attitudes, long waiting time, side effects of family planning methods, lack of privacy and unhygienic sanitary environments in health facilities. Women with disabilities in Lira district had both positive and negative experiences in accessing sexual and reproductive health services. Recommendations of this study include counselling women with disabilities about side effects of hormonal family planning methods, incorporating disability studies in curricula for health workers, on-the-job training for health workers on care for persons with disabilities, and enforcing policies that favour access to sexual and reproductive health services for women with disabilities. The government should empower the local leadership to supervise every new health facility that is being constructed, and ensure that accessibility standards for women with disabilities are met.
The Prevalence and Determinants of Stunting among Children 6 - 59 Months of Age in One of the Sub-Counties in the Rwenzori Sub-Region, Western Uganda
(Scientific Research Publishing Inc, 2020-03-24) Masereka, Enos Mirembe; Kiconco, Arthur; Katsomyo, Edson
Introduction: Despite being referred to as one of the country’s “food baskets”, 41% of children, 6 - 59 months of age in the Rwenzori sub-region, Western Uganda are stunted. Stunting is a form of chronic malnutrition in which children are short for their age. In this study, we established the prevalence and determinants of stunting in one of the sub-counties in this region. Methods: This was a cross-sectional descriptive study conducted in one of the sub-counties in the Rwenzori sub-region, Western Uganda from May 26th to June 26th, 2018. A total of 372 mothers and their children were recruited using systematic sampling. Data was collected using a questionnaire. Stunting was determined by taking child’s height or length and comparing it with child’s age. A child whose height or length for age index was less than −2 Standard Deviations (SD) was considered stunted. We used descriptive statistics to understand characteristics of mothers and multivariable logistic regression model to obtain the determinants of stunting. Data was analyzed using SPSS version 20. Results: A total of 372 mothers and their children were included in this study; majority, 307 (83.0%) of the children were 6 - 24 months old and nearly half, 167 (44.9%) were stunted. We found that reserving food stock for use in the dry season (aOR = 0.23, CI = 0.08 - 0.62, p = 0.004), deworming children (aOR = 0.32, CI = 0.18 - 0.54, p = 0.001) and the family earning at least 10,000 Ushs (2.7USD) at the end of the month (aOR = 0.36, CI = 0.22 - 0.58, P = 0.001) were associated with no stunting. Conclusions: We found a high prevalence of stunting among children 6 - 59 months of age. We recommend enforcing ownership of food granary by households especially during dry season, support to de-worming programs targeting children below five years of age and establishing community based income generating livelihood projects.
Why the Prevalence of Chronic Malnutrition Remained Persistently High in Children 6-59 Months of Age in a Region Known to be Highly Food Productive in Uganda: A Cross-Sectional Descriptive Study of Mothers and Their Children
(Focus on Medical Sciences Journal, 2018) Masereka, Enos Mirembe; Kiconco, Arthur; Katsomyo, Edson; Munguiko, Clement
Introduction:Despite being referred to as one of the country’s food baskets, 41% of children 6-59 months of age in the Rwenzori sub-region, western Uganda are stunted. Stunting is a form of chronic malnutrition in which children are short for their age. In this study, we estab-lished the prevalence and determinants of stunting in one of the sub-counties in this region. Methods: This was a cross-sectional descriptive study conducted in Nombe sub-county in Rwenzori sub-region, Western Uganda from May 26th to June 26th, 2018. A total of 372 mothers and their children were recruited using simple random sampling. Data was col-lected using a questionnaire. Stunting was determined by taking a child’s height or length and comparing it with the child’s age. A child whose height or length for age index was less than -2 Standard Deviations (SD) was considered stunted. We used descriptive statistics to understand the characteristics of mothers and multivariable logistic regression models to obtain determinants of stunting. Data were analyzed using SPSS version 20.Results: A total of 372 mothers and their children were included in this study, majority 307 (83.0%) were 6-24 months old and nearly half, 167 (44.9%) were stunted. We found that reserving food stock for use in the dry season (aOR= 0.23, CI= 0.08-0.62, p= 0.004), de-worming children (aOR = 0.32, CI= 0.18-0.54, p = 0.001) and family earning at least 10,000 Ushs (2.7USD) at the end of the month (aOR = 0.36, CI= 0.22- 0.58, P=0.001) were associated with no stunting. Conclusion: We found a high prevalence of stunting among children 6-59 months of age. We recommend enforcing ownership of food granary by households especially during the dry season, support to de-worming programs targeting children below five years of age, and establishing community-based income-generating livelihood projects.