Browsing by Author "Namisi Patrick Charles"

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Acceptability to donate human milk among postnatal mothers at St. Francis hospital Nsambya, Uganda: a mixed method study
(Springer Nature, BioMed Central Ltd, 2024-02-01) Ahmed A. M. Mohammed; Namisi Patrick Charles; Kirabira Victoria Nakibuuka; Lwetabe Webba Micheal; Rujumba Joseph
The World Health Organization recommends the use of donated human milk (HM) as the second-best option for mothers who are temporarily unable to provide sufficient breast milk to meet the needs of their infants. However, HM donation is yet to become an accepted practice in Uganda. We assessed the level of, and factors associated with acceptability to donate HM among postnatal mothers at St. Francis Hospital Nsambya (SFHN). A cross-sectional sequential explanatory mixed method study was conducted between October 2018 and March 2019. A questionnaire on sociodemography, awareness and likely acceptability to donate HM was administered to 410 postnatal mothers at SFHN. Multivariate logistic regression analysis was undertaken to determine factors associated with acceptance of HM donation. Focus Group Discussions (4) and Key Informants Interviews (4) were used to explore factors influencing behaviours to donate human milk. Qualitative data were analysed using a content thematic approach. Overall acceptance of donating the HM was 77.6%, and the significant factors were: willingness to express the HM (AOR 7.5; 95% CI 3.01, 18.68); wet-nursing knowledge (AOR 2.3; 95% CI 1.1, 5.0) and visit to under-5 years’ clinic (AOR 21.3; 95% CI 2.3, 196.9). The major themes in relation to accepting to donate HM were wet nursing experience, and confidence in donating the HM, and its perceived effectiveness. There were concerns about the safety and adequacy of HM and fear of transmitting criminal behaviours and mental illness through human milk. Acceptance to donate HM among postnatal mothers at St. Francis Hospital Nsambya was very high. Willingness to express and store human milk, prior knowledge about wet nursing and a visit to an under-five outpatient clinic were associated with acceptance. Thus, establishing a human milk bank is feasible in the study setting.
Factors associated with successful exclusive breastfeeding among mothers in the formal sector: a mixed-method study in Kampala, Uganda
(Springer Nature Link, 2025-11-28) Edema Jimmy; Namisi Patrick Charles
Globally, evidence shows that exclusive breastfeeding (EBF) for the first six months of an infant’s life has health benefits for families, communities, and the nation. However, many employed women discontinue EBF before six months, while others succeed. This study aims to identify and explain the factors that enable EBF success among employed mothers in the formal sector. The study employed a sequential explanatory mixed-methods design. Quantitative phase used questionnaires administered to collect EBF data from 224 mothers with children 6–18 months. EBF was measured as self-reported by a mother who EBF her current infant/child for six months. Data was analyzed to guide the case study, where key-informant interviews were used to collect data from 10 mothers. Both phases lasted from November 2021 to February 2022. Multivariable logistic regression analysis of quantitative data established associated factors with EBF. Qualitative data was coded, grouped, and categorized to generate themes explaining EBF success. The majority (76.3%) of mothers were ≥ 25 years. Their mean age was 27.3 ± 3.65 years. Most (66%) were married. 87.4% had 3 ≥ months of maternity leave. Overall EBF prevalence at six months was 31.7%. Significant factors were: Bachelor’s degree (AOR = 3.04; 95% CI. 1.04, 8.86), Financial support (AOR = 6.62; 95% CI. 2.27, 19.31), domestic support (AOR = 5.23; 95% CI. 1.88, 14.52), psychological support (AOR = 5.45; 95% CI. 1.47, 20.20), and workmate support (AOR = 2.95; 95% CI. 1.54, 5.67). Prelacteal feeding (AOR = 0.16; 95% CI, 0.06, 0.45). More than four ANCs (AOR = 0.18: 95% CI. 0.04, 0.82). The qualitative phase generated five themes, these were: context, social support system, breastfeeding-friendly hospitals and workplace, and maternal EBF mindset. These themes fit theory-relevant concepts: social cognition and institutional factors, individual cognition, and EBF behavior. These concepts align with Social Cognitive theory. A third of the mothers had EBF. Significant factors for EBF included, bachelor’s degree, supportive environments at family, healthcare, and workplace, and a woman’s mindset. This implies mothers, practitioners, managers, and policy-makers to optimize EBF rates among employed Ugandan working women, they need to
Perspectives on Uganda’s education sector services and education quality
(Springer, Cham, 2026-06-02) Namisi Patrick Charles; Byaruhanga Aloysius; Munuve Veronica; Nyadoi Priscilla; Kyamanywa Patrick
Quality education has ripple effects on many aspects of life, including success or not in employment. The government of Uganda has had interventions such as universal free primary and secondary education and the sector liberalization, allowing private institutions to offer educational services. Despite these interventions, the quality of education remains a challenge, as findings from secondary data review and analysis reveal, among others, limitations related to teachers’ competencies, instruction and curriculum design, cost of education, and school completion rates. Our review finding also pinpoints the need for teachers’ capacity building on transformative learning, curriculum and policy review, and research to identify innovative strategies for education financing and servicing to deliver desired standards and quality.
Stigma mastery in people living with HIV: gender similarities and theory
(SPRINGER HEIDELBERG , TIERGARTENSTRASSE 17, HEIDELBERG, GERMANY, D-69121, 2021-01-26) Namisi Patrick Charles; Munene C. John; Wanyenze K. Rhoda; Katahoire R. Anne; Parkes-Ratanshi M. Rosalinda; Kentutsi Stella; Nannyonga M. Maria; Ssentongo N. Robina; Ogola K. Mabel; Nabaggala Sarah Maria; Amanya Geofrey; Kiragga N. Agnes; Batamwita Richard; Tumwesigye M. Nazarius
Aims This study aimed to determine the prevalence of, factors associated with, and to build a theoretical framework for understanding Internalsed HIV-related Stigma Mastery (IHSM). Methods A cross-sectional study nested within a 2014 Stigma Reduction Cohort in Uganda was used. The PLHIV Stigma Index version 2008, was used to collect data from a random sample of 666 people living with HIV (PLHIV) stratified by gender and age. SPSS24 with Amos27 softwares were used to build a sequential-mediation model. Results The majority of participants were women (65%), aged ≥ 40 years (57%). Overall, IHSM was 45.5% among PLHIV, that increased with age. Specifically, higher IHSM correlated with men and older women “masculine identities” self-disclosure of HIV-diagnosis to family, sharing experiences with peers. However, lower IHSM correlated with feminine gender, the experience of social exclusion stress, fear of future rejection, and fear of social intimacy. Thus, IHSM social exclusion with its negative effects and age-related cognition are integrated into a multidimensional IHSM theoretical framework with a good model-to-data fit. Conclusion Internalised HIV-related Stigma Mastery is common among men and older women. Specificially, “masculine identities” self-disclose their own HIV-positive diagnosis to their family, share experiences with peers to create good relationships for actualising or empowerment in stigma mastery. However, social exclusion exacerbates series of negative effects that finally undermine stigma mastery by young feminine identities. Thus, stigma mastery is best explained by an integrated empowerment framework, that has implications for future practice, policy, and stigma-related research that we discuss.