Building supply chain coordination frameworks is a popular practice in the private sector in many developed countries. Despite this fact, in developing countries such as Uganda, the public health sector has hardly adopted this practice. Although the existing frameworks offer a good platform for measuring and improving the understanding of concepts underlying coordination dimensions at the micro-environment, they have limited capacity to analyse coordination interactions within the health sector, especially in developing countries like Uganda. Using the business management environment framework, this study explored the critical supply chain coordination dimensions, logistics activities dimensions and the management environment (market and macro) dimensions affecting the availability of Artemisinin-based Combination Therapies for malaria (ACTs). The overall main research goal of this thesis was to develop a supply chain coordination framework for malaria treatment therapies (ACTs) in general hospitals in Uganda. To understand the coordination dimensions of ACTs, the study adopted an exploratory sequential mixed research design, which involved a mixture of qualitative and quantitative approaches. For the qualitative phase, four focus group discussions were held. From the results, an instrument was developed and later validated using the quantitative approach. Specifically, Exploratory Factor Analysis (EFA) with a maximum likelihood extraction method followed by Confirmatory Factor Analysis (CFA) were used to analyse quantitative data. Considering the volume of the dimensions, Analytical Process Hierarchy (AHP) was carried out to rank the dimensions in order of priority. Analysis of the factor correlation matrix shows no common variance among the components; therefore, the principal components were distinct from one another and there was no discriminant validity. The CFA results showed that the standardised parameter estimates of the initial measurement models were all significant (p<.05). CFA and APH outputs were somehow different simply because each technique has its own purpose and principles. It was indicated that the correlation between critical supply chain coordination dimensions and level of ACTs availability is moderately higher, followed by logistics, macro and market environments. By better understanding the supply coordination dimensions effects on ACTs in Uganda, the research provides important direction to African governments and international donor agencies in their efforts to make malaria treatment therapies available, especially to the rural poor and avert death. The findings serve as a platform to argue for revisiting coordination dimensions in view of conditions that include a resurgent market and macro-environment in developing countries. The insight raises implications for extending coordination frameworks that are geographically focused, and specific to ACTs. It may influence policy direction in this regard and thus contribute to the body of knowledge. / Business Management / D. Phil. (Management Studies)

This study aimed at establishing and analysing the literacy practices in the rural and urban communities and their effect on the academic achievements of learners. It also aimed to establish the impact of other factors, such as the exposure to the language of examination, the level of parents formal education and the quality of parental mediation in the their children's academic work, which could be responsible for the imbalance between the rural and urban learners academic achievements. This study endeavours to established that the literacy practices in urban areas prepare learners for schooled and global literacies while the literacies in rural areas are to localised and thus impoverish the learners initial literacy development. This study also seek to determine the extent to which the current language policy in education in Uganda favours the urban learners at the expense of the rural learners as far as the acculturation into and acquisition of the schooled and global literacies are concerned.

This study analyses Uganda’s 2004 Broadcast Policy in light of the WSIS principles in order to establish whether the policy enables radio to build an inclusive and people-centred Information Society, and if so, in what ways it does this. The study specifically focuses on radio, which it views as the dominant medium in Uganda, and therefore the medium with the greatest potential to build a sustainable Information Society in the country. The study is informed by media policy theories as well as Information Society theories. It is argued that although most definitions of the Information Society consider the newer ICTs, especially the Internet, as the key drivers in the Information Society, most developing countries like Uganda are far from reaching the desired level of computer and Internet access as proposed by some Information Society theorists. Instead, most people in Uganda rely heavily on older ICTs, especially radio, for information about key issues in their daily lives. Inevitably, radio ends up being a key player in building the Information Society in these countries. The study, therefore, finds most of the common Information Society theories lacking and adopts the WSIS definition, which is more relevant to Uganda’s situation. This study also maintains that if radio is to be a key player in building an inclusive and people-centred Information Society in Uganda, the 2004 Broadcast Policy has to create that enabling environment, by, for example, promoting public service radio through local content programming, and diversifying radio ownership. The data for this study was obtained using the qualitative research approach, and specifically the research tools of document analysis and individual in-depth interviews. The findings indicate that the policy’s emphasis is on building a broadcast sector that addresses the public’s interests through local content programming and provision of diversified media services. However, the study also found that the policy is vague on some very crucial aspects, which would benefit the public, namely, local content quotas and the independence of the public service broadcaster.

The media today are under pressure from various fronts including governments, businesses as well as cultural interests. In the developed world, this pressure that led to the emergence of a new form of journalism that puts the demands of the market at the forefront. This commercial oriented journalism gives priority to articles that attract mass audiences like entertainment while it downplays information that promotes debates that is necessary for citizens to be able to have a voice on the issues that affect them. And since participation and discussion are cornerstones of a democratic process, market-driven journalism undermines democracy because it narrows down the forum for debate. As a result, active citizens are turned into passive observers in society. Although several studies about this phenomenon have been done in the western world, the same is happening in Africa because the media face similar challenges as in the West; challenges of globalisation and media conglomeration facilitated by the rapid advancing technology. This study, which is informed by political economy and market-driven journalism theories, notes that the media in Uganda are also faced with these challenges. The study is focused on Uganda’s only independent newspaper, The Monitor. The findings indicate that market-driven journalism is taking root at the expense of journalism that promotes citizenship and debate such as political reporting and opinions. For example, there has been an increase of entertainment, sports and supplement articles in The Monitor as compared to declining political reporting and opinions. More so, investigative reporting has dwindled over the years at the expense of increasing use of press releases. This is because entertainment and sports articles can attract big audiences that the newspaper needs to sell to advertisers. Advertisers are important because they provide financial support to the newspaper. However, in a country where democracy is in its formative stages, public information is necessary not only for citizens to make informed decisions but also to spur economic as well as social development.

Philosophiae Doctor - PhD / This study aimed at establishing and analysing the literacy practices in the rural and urban communities and their effect on the academic achievements of learners. It also aimed to establish the impact of other factors, such as the exposure to the language of examination, the level of parents formal education and the quality of parental mediation in the their children's academic work, which could be responsible for the imbalance between the rural and urban learners academic achievements. This study endeavours to established that the literacy practices in urban areas prepare learners for schooled and global literacies while the literacies in rural areas are to localised and thus impoverish the learners initial literacy development. This study also seek to determine the extent to which the current language policy in education in Uganda favours the urban learners at the expense of the rural learners as far as the acculturation into and acquisition of the schooled and global literacies are concerned. / South Africa

Pollution of aquatic resources in Uganda is on the increase and the trends are expected to increase with increase in population size and urbanisation. Assessment and mitigation of the environmental impacts on water quality and biodiversity have now become necessary. The aim of the study was to integrate invertebrate and fish as bioindicators and fish histopathology as a biomarker in the assessment of water quality deterioration in urban wetlands in Uganda. The integration harnesses the advantages and counteracts the shortcomings of each method and thus builds a more robust diagnostic tool that gives a better view of the impacts to the entire ecosystem. Four endpoints which included, physicochemical variables, benthic macroinvertebrate bioindicators, fish bioindicators and fish histopathology biomarkers were compared between varied effluent-impacted wetlands (Murchison Bay in Kampala, and Kirinya, Masese and Winday Bay in Jinja) and a non-impacted reference wetland (Lwanika in Mayuge). Results from the effluent-impacted sites differed from the less impacted reference site. The two sampling locations at Murchison Bay (inshore and offshore) and one sampling location at Kirinya (inshore), that were highly impacted with urban effluent, showed elevated nutrient levels, low pH, dissolved oxygen and secchi depth readings. This corresponded with low invertebrate taxa and fish species diversity and richness; and severe histopathological responses in liver, gonads and gills of O. niloticus. Sensitive taxa such as ephemeroptera and trichoptera were completely absent while pollution tolerant taxa Chironomus sp, Corbicula and Oligochaeta were present. Also notable was the absence of many native haplochromines and presence of mainly Brycinus sadleri, Oreochromis niloticus and leucostictus. The organs manifested high prevalence of severe inflammatory and regressive changes and higher organ indices that fell within the pathological category. These sites were consistently classified as highly polluted under the four endpoints. The reference site was classified as least polluted while Masese and Winday Bay were moderately polluted. Results suggested that the approach of using invertebrate and fish as bioindicators and the fish histopathology as a biomarker, in relation to water quality physicochemical variables was a useful tool in highlighting the spatial differences in environmental quality.

Uganda has experienced the largest decline of HIV prevalence of any country in the world, from a peak of 15% in 1991 to 5% today. In cooperation with community-based and faith-based organizations, the Ugandan government has pursued an AIDS prevention strategy centered on urging people to Abstain from sex, Be faithful to one partner, or use Condoms (the so-called ABC model). It is believed that the large drop in AIDS prevalence has been due to behavior change, especially reduction of number of sexual partners among adults and abstinence and delayed sexual debut among youth. The purpose of this study was to conduct a qualitative investigation of Ugandan adolescent's attitudes and values towards relationships and sexuality, and the ways in which their social environment sends messages and creates perceived norms which shape sexual behavior, especially the behavior of abstinence. Focus groups were conducted with youth between the ages of 13 and 16 years in the districts of Soroti and Masaka. Youth discussed reasons for having relationships, both platonic and sexual; the benefits and risks of relationships; the proper age for boys and girls to initiate sexual relationships; messages they have received regarding sexuality and perceptions of family, peer, and community norms; and values regarding ideal sexual behavior. Youth expressed that the right age to begin having sex is 18 years and above, so that sex does not interfere with education and cause other adverse consequences such as early pregnancy, family strife, and infection with HIV/AIDS. / Graduation date: 2005

This study seeks to examine how Ugandan journalists’ and politicians’ views on journalism professionalisation in Uganda relate to the broad theoretical arguments about professionalism within sociology and media studies. It also seeks to examine how such views impact on the democratic role of the media. The study finds out that there are two sets of distinct ideas on journalism professionalisation. The idea espoused by politicians is statutory professionalisation in which the state plays a major role through regulation and control, hence professionalisation is seen primarily as a control system. On the other hand, journalists perceive professionalisation as nurtured by voluntarily and socially inculcated professional values, hence as a value system. The study however, finds that both sets of understandings have their own complexities. While the statutory approach has complexities like how core elements of professionalism such as professional values can be imposed through legislation, the voluntary approach to professionalism also exhibits tensions within, especially stemming from the relationship between the professional and the news organisation regarding what constitutes professionalism. The study concludes that both sets of ideas have implications for the democratic role of the media, with both perceptions of professionalism curtailing this role. Statutory professionalisation in the Ugandan political context where the state is the dominant institution brings media institutions within its control, which leads to suppression of content of democratic value through a number of means. On the other hand, the self-regulatory perception does not protect media professionalism from the assault of commercial imperatives, especially when fused with state patronage in regard to broadcasting licences and placement of advertising.

This study is a comparative examination of approaches to talk radio as a genre on three Ugandan radio stations. The aim is to draw conclusions, from observations made about these stations, about the potential of talk radio to encourage public debate around social issues and improve democratic participation despite pertinent challenges in Uganda. The study first outlines a theoretical framework, which is informed by Habermas's theory of the media as a 'public sphere'. This framework is applied to an exploration of traditions of talk radio that have emerged globally in order to assess the potential of these traditions to play a role in contributing to the establishment of such a 'public sphere'. The study then goes on to discuss the historical development of radio in Uganda and the establishment of the current broadcast landscape. The focus is on the way in which this history has been defined by a struggle around public expression, in which government has repeatedly sought ways to control media as a vehicle for public expression. It is proposed that Ugandan talk radio has the potential to play an important role in ensuring broad participation in public expression. It is against this background that the study then describes and analyses the development of the talk genre at three Ugandan radio stations (each one an example of, respectively, a commercial, community and public service station). It is explained that staff on all three stations emphasise the importance of talk radio in encouraging participation, by their audiences, in the public debate of social and political issues. It is argued that, because of limitations that exist within these stations, none of the talk show teams fully realize the potential of the genre for participation in such debate. The picture that emerges is one of unequal access, with those sections of radio audiences in positions of privilege being further empowered, while those on the margins remain excluded from public discussion. The study finally recommends ways to improve public participation on Ugandan talk radio, noting the need to review government support, the problems of organizational culture within the stations, the need for more guidelines on practical arrangements around talk show production and the question of contradictions that exist at policy level.

On July 29 2000, Uganda held a referendum to decide whether to continue with the ruling Noparty Movement system or to revert to the Multi-party platform. This research entails a qualitative content analysis of the role the media played in driving debate and understanding of the referendum and its role in the country’s democratisation process. The research is informed by Jurgen Habermas’s public sphere paradigm as well as the sociological theory of news production. The research covers Uganda’s two English dailies – The New Vision and The Monitor, examining whether they provided a public sphere accessible to all citizens and devoid of ideological hegemony. It concludes that the newspapers were incapable of providing such a sphere because of the structural nature of Ugandan society and the papers’ own capitalistic backgrounds and ownership interests. The research concludes that such English language newspapers published in a country with a low literacy rate and low income levels, can only provide a public sphere to elite and privileged sections of society. A case is then made that multiple public spheres would be better suited to represent the views of diverse interest groups.