<p>Background: Malaria is the leading cause of death of Uganda&rsquo / s children under 5 years of age and the number-one cause of illness in adults in Uganda. The success of malaria treatment strategies is closely linked to the behavior of patients and caretakers of young children. In the case of malaria this includes accessing appropriate treatment for&nbsp / suspected malaria in time. In Bungokho Sub County, in spite of the efforts by district health workers and the Ministry of Health to implement the malaria control, prevention and treatment strategies, pregnant women and caretakers of children under 5 years of age continue to present late for treatment in the health units resulting in possible avoidable&nbsp / death or disability. Aim and objectives: The aim of this study was to explore the factors that lead to late presentation of children and pregnant women with malaria for treatment at health units. This was done by exploring the perceptions of caregivers of children under five years and pregnant women on the community&rsquo / s knowledge and understanding of the&nbsp / symptoms and treatment of malaria / and describing perceptions of caregivers and pregnant women on health care provision at the health units and alternative treatment for malaria. Methods :The study was conducted in Bungokho Health sub-district, in Mbale district, Eastern Uganda over a two month period in 2009. It was a descriptive exploratory study using qualitative research methods. Four focus groups were carried out, two with caregivers of children under 5 years and two with pregnant women, with each focus group consisting of eight participants. Two caregivers and two pregnant women were identified from the focus groups for further indepth interviews. Four in-depth interviews were conducted with health unit staff from Bungokho HCVI. Notes were taken and observations made during the focus groups and interviews. The proceedings were audio-taped and recordings used to expand and clarify notes. Thematic content analysis was used to analyze the data and identify recurrent themes from the focus group discussions and&nbsp / interviews of the reasons for late presentation for malaria treatment. Results: All caregivers were women, a significant majority of whom were peasants who had not gone beyond the primary education. Caregivers were aware of the general symptoms of malaria but associated more serious or dangerous symptoms with other causes including&nbsp / witchcraft. Pregnant women, on the other hand, seemed to have sound knowledge of both the general and dangerous symptoms of malaria and were likely to attend the health&nbsp / units timeously for reatment. Religious beliefs and practices, particularly belief in the healing ability of prayers prevented early reporting of malaria cases to health units leading&nbsp / to late presentation. Alternative treatment of malaria from traditional herbalists was also sought by the communities particularly when the intensity of malaria was at its peak during the rainy season. Poverty in the community seemed to play a big role in shaping community preference for treatment sources, as well as early presentation to the health&nbsp / units. It was found that the anticipated cost of laboratory tests and sundries at the health units deterred caregivers from taking children under five to health units. There was therefore a strong reliance (and preference for) community medicine distributor&rsquo / s (CMDs) because of free services and easy access. Lack of support from spouses (in particular husbands) coupled with the rude behavior of health workers towards caregivers and pregnant women discouraged visits to health units. The long waiting time and intermittent drug stock-outs also created a negative perception of service at the health units. Conclusions and recommendations: There is need for further sensitization of communities on the need to seek prompt treatment for children under five years of age at the health units (that is, within 24 hours of the onset of fever). Training and supervision of CMDs should be strengthened to ensure consistent supply of drugs, correct dosage of anti-malarial medication and improvements in the referrals to the health units. In order to improve&nbsp / service delivery at the health units, there is need to review and strengthen human resource management of the health units, including staffing requirements and management&nbsp / practices, such as support and supervision, patient care standards and client feedback mechanisms. It is also important that there are adequate stocks of anti-malarial drugs&nbsp / and laboratory supplies at health units.</p>

<p>This thesis is a part of a Bachelor’s degree within the field of Media and Communication at the School of Education and Communication at Jönköping University in Sweden. It is based on a Minor Field Study accomplished from the 30th of October to the 17th of December 2006 in Kampala, Uganda, East Africa.</p><p>The background of the research is that women who are between 15 and 24 years old and live in sub-Saharan Africa are more than tree times as likely to be infected by HIV/AIDS as men in the same age and location.</p><p>The purpose of the study is to discover indicators of what kind of health communication young women need to protect themselves from HIV/AIDS. The young women in the study are between 15 and 24 years old and live in areas affected by urban poverty in Kampala, Uganda.</p><p>To be able to gain a deeper understanding for the young women’s situation, the empirical study has been based on eleven conversation interviews made one by one with eleven young women. The procedure of the study has been guided by developed grounded theory and during the analysis of the interviews phenomenology has been used.</p><p>The result of the study shows that the ABC (Abstinence, Be faithful and Condom use) approach, which is used to fight HIV/AIDS in Uganda, is well known and carries an important message about prevention methods. At the same time it preaches moral in its hierarchical order which seems to judge women harder than men. The ABC approach was turned around by one of the young women in the study, which might create a more realistic message. It is however necessary to complement the approach with communication to young women about for example women’s rights and general sexual knowledge. This can be done through the use of verbal interpersonal communication, combined with easy access to HIV testing. The young women themselves can be effective peer educators and there is a need to let the interpersonal agenda be reflected in the political agenda, as well as in the developing media. To make young women able to act on their knowledge for protection, men and the community also need to be approached with gender sensitive messages.</p>

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2009.

The majority of the road infrastructure in developing countries consists oftwo-lane highways with one lane in each travel direction. Operational efficiency of these highways is derived fromintermittent passing zones where fast vehicles are permitted by design to pass slow vehicles using the opposite traffic lane. Passing zonescontributeto reduction oftravel delay and queuing of fast vehiclesbehind slow vehicles. Thishoweverincreases crash risks between passing and opposite vehiclesespecially at high traffic volumesdue to reduction of passing opportunities.Reduction of passing-related crash risks is therefore a primary concern ofpolicy makers, planners, and highway design engineers. Despite the wide application of passing zones on two-lane highways, there is limited knowledge on the underlying causal mechanisms that exacerbate crash risks, and the essential tools to assess safety of the passing zones. This thesis presentsa methodology to appraisesafety of two-lane rural highways based on observed operation of passing zones.Theproposed methodology takes into accountthe impact of traffic and geometric factors onthe rate passing maneuvers end insidepassing zonesand in the no-passing zones, adequacy ofthe designpassing sight distance,and time-to-collision at the end of passing maneuvers.Thethesis is comprised offive papers addressing capacity and safety aspectsof passing zoneson two-lane rural highways. Paper Ipresents a review of the literature on capacity and safety of passing zones. Paper IIdiscusses adequacy of the design passing sight distance based on the sight distance required to complete a passing maneuverusing observed data. Paper IIIdiscusses formulation, estimation, and application of a model to predict the passing rate using geometric and traffic factors, and applications. Paper IVdiscusses risk appraisal of the passing process based on the probability to complete passing maneuvers with time-to-collision less than 3.0 seconds taking into account the accepted gap in the opposite direction and the passing duration. Paper Vdiscusses formulation and estimation of models to predict the probability and the rate at which passing maneuvers end in a no-passing zone, and applications. Resultsshow that passing zones of lengths between 1.30and 2.50km aregood for both operational efficiency and safety.Passing zones of lengths between 0.50and 1.30km exhibitincreasing crash risks resulting from delayed passing maneuvers thatend in the no-passing zone where the sight distance is limited to evadepotential collisions. Safety of these passing zones could be enhanced with additional signage to indicate the farthestpoint along a passing zone that maneuvers can be initiated so as not to end in a no-passing zone. Passing zones less than 0.50km compel drivers to commence passing maneuvers close to the beginning of the passing zone,and should be avoided during design for safety reasons. The results further show that the passing rate depends on the length of the passing zone, absolute vertical grade, traffic volume in two travel directions, directional split, 85thpercentile speed of free flow vehicles,and percent of heavy vehicles in the subject direction. The peak-passing rate also known as the passing capacity occurs at 200, 220, and 240vph in the subject direction for 50/50, 55/45, and 60/40directional splits, respectively. The rate at which passing maneuvers end in a no-passing zone increaseswith traffic volume and unequal distribution of traffic in two directions, absolute vertical grade, and percent of heavy vehiclesin the subject direction. The thesis furtherdiscusses practical applications of the study findings in highway planning and design to enhancesafety and improve operational efficiency of two-lane rural highways. / <p>QC 20151106</p>

Financial sector development can reduce poverty and promote economic growth by extending access to financial services in developing countries. Traditionally, banking in Sub-Saharan Africa has been conducted by state-owned banks. Although, evidence has shown that severe government involvement in the banking sector has proved to cause low profitability and inefficiency. During 2001, Uganda Commercial Bank, the dominant provider of banking experienced financial problems; as a result, the government had to privatize the bank. The aim of this thesis is therefore to investigate if the privatization prevented the banking sector from collapse and if it made the sector more competitive and outreaching. The main conclusion is that the privatization strongly prevented the banking sector from collapse. Since privatization, competition has increased sufficiently in urban areas of Uganda while rural areas have not experienced any significant increase in competition. Finally, we conclude that the outreach of banking has increased somewhat since the privatization, but it is still relatively poor.

This research explores the ways in which volunteer tourism is perceived by local volunteer coordinators in communities in India and Uganda. It highlights the importance of forming a more nuanced understanding of local agency, particularly in relation to community-based tourism. Participants from Indian and Ugandan NGOs speak to what they perceive is the role, value, and purpose of hosting Western volunteers and illustrate some of the benefits and challenges. Postcolonial theory and equity theory are applied to evaluate what is still a highly inequitable global tourism structure, while alerting the reader to how some individuals are exercising control over this form of alternative tourism. By drawing on the link between development and tourism, this study explores the critical issues that participants reveal and closes with three design principles for Northern sending agencies, Southern host organizations, and volunteer tourists to consider in order that volunteer tourism may best benefit receiving communities. Key words: Alternative tourism, Volunteer tourism, India, Uganda, Development, Equity Theory, Postcolonial Theory

<p>The aim of the study was to describe immunization coverage for DPT, Polio and Measles among children of ages between 12 to 18 months in Kawempe Division and to investigate factors associated with immunization coverage. A cross-sectional survey was conducted in 239 households with children aged between 12-18 months in five villages that were selected through multi-stage cluster sampling. Information on demographic and socio-economic factors and immunization status was obtained from mothers and caretakers. Immunization coverage and analysis of associations between immunization coverage and demographic and socio-economic factors were done.</p>

<p>Background: Malaria is the leading cause of death of Uganda&rsquo / s children under 5 years of age and the number-one cause of illness in adults in Uganda. The success of malaria treatment strategies is closely linked to the behavior of patients and caretakers of young children. In the case of malaria this includes accessing appropriate treatment for&nbsp / suspected malaria in time. In Bungokho Sub County, in spite of the efforts by district health workers and the Ministry of Health to implement the malaria control, prevention and treatment strategies, pregnant women and caretakers of children under 5 years of age continue to present late for treatment in the health units resulting in possible avoidable&nbsp / death or disability. Aim and objectives: The aim of this study was to explore the factors that lead to late presentation of children and pregnant women with malaria for treatment at health units. This was done by exploring the perceptions of caregivers of children under five years and pregnant women on the community&rsquo / s knowledge and understanding of the&nbsp / symptoms and treatment of malaria / and describing perceptions of caregivers and pregnant women on health care provision at the health units and alternative treatment for malaria. Methods :The study was conducted in Bungokho Health sub-district, in Mbale district, Eastern Uganda over a two month period in 2009. It was a descriptive exploratory study using qualitative research methods. Four focus groups were carried out, two with caregivers of children under 5 years and two with pregnant women, with each focus group consisting of eight participants. Two caregivers and two pregnant women were identified from the focus groups for further indepth interviews. Four in-depth interviews were conducted with health unit staff from Bungokho HCVI. Notes were taken and observations made during the focus groups and interviews. The proceedings were audio-taped and recordings used to expand and clarify notes. Thematic content analysis was used to analyze the data and identify recurrent themes from the focus group discussions and&nbsp / interviews of the reasons for late presentation for malaria treatment. Results: All caregivers were women, a significant majority of whom were peasants who had not gone beyond the primary education. Caregivers were aware of the general symptoms of malaria but associated more serious or dangerous symptoms with other causes including&nbsp / witchcraft. Pregnant women, on the other hand, seemed to have sound knowledge of both the general and dangerous symptoms of malaria and were likely to attend the health&nbsp / units timeously for reatment. Religious beliefs and practices, particularly belief in the healing ability of prayers prevented early reporting of malaria cases to health units leading&nbsp / to late presentation. Alternative treatment of malaria from traditional herbalists was also sought by the communities particularly when the intensity of malaria was at its peak during the rainy season. Poverty in the community seemed to play a big role in shaping community preference for treatment sources, as well as early presentation to the health&nbsp / units. It was found that the anticipated cost of laboratory tests and sundries at the health units deterred caregivers from taking children under five to health units. There was therefore a strong reliance (and preference for) community medicine distributor&rsquo / s (CMDs) because of free services and easy access. Lack of support from spouses (in particular husbands) coupled with the rude behavior of health workers towards caregivers and pregnant women discouraged visits to health units. The long waiting time and intermittent drug stock-outs also created a negative perception of service at the health units. Conclusions and recommendations: There is need for further sensitization of communities on the need to seek prompt treatment for children under five years of age at the health units (that is, within 24 hours of the onset of fever). Training and supervision of CMDs should be strengthened to ensure consistent supply of drugs, correct dosage of anti-malarial medication and improvements in the referrals to the health units. In order to improve&nbsp / service delivery at the health units, there is need to review and strengthen human resource management of the health units, including staffing requirements and management&nbsp / practices, such as support and supervision, patient care standards and client feedback mechanisms. It is also important that there are adequate stocks of anti-malarial drugs&nbsp / and laboratory supplies at health units.</p>

Rural electrification is a critical tool for accelerating and enhancing development throughout Sub-Saharan Africa. The challenge for modern policymakers is to identify and implement programs that will effectively facilitate rural electrification. This analysis develops a model for comparing the performance of nations' electrification policies using a fixed effects regression model based on World Bank data from 1990, 2000 and 2010. To identify the key policies for driving rural electrification, this analysis then compares the programs and reforms employed in six nations from Sub-Saharan Africa. As a result, three reform measures are identified that are conditional on outside factors for their contribution to success, and three universal policies are identified that may be broadly applied to improve rural electrification throughout the region.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.