Facilitators and Barriers to Cervical Cancer Screening among Female Undergraduate Students of Makerere University

There is a higher Human Papilloma Virus peak prevalence in younger women (18 - 25 years) of university age. The undergraduate university students are more at a risk of acquiring cervical cancer because they are at the stage of exploring which predisposes them to risky behavior like early sexual intercourse and multiple sexual partners among others. This creates a need for cervical cancer screening in the population. The facilitators and barriers to cervical cancer screening have been studied in the Ugandan general population but little is known among University students which this study is taking interest. Objective: This study is aimed at determining the facilitators, barriers and background factors associated to cervical cancer screening among female undergraduate students in Makerere University. Methods: Four hundred twenty-two (422) female undergraduate students of Makerere University who fit the eligibility criteria were recruited in this descriptive cross-sectional quantitative study. A self-administered semi structured questionnaire was administered to these participants chosen by convenient sampling. Data collected was analyzed using SPSS version 23 software and logistic regression models was used. Results: Less than a half of (21.1%) of the participants had ever screened for cervical cancer. At multivariate analysis, only year of study and married status were associated to cervical cancer screening with a P-values were of (0.015) and (0.001) with a (1.173 - 4.261) and (1.594 - 6.130) 95% CI respectively. The facilitators agreed upon by participants included: Access to free cervical cancer screening services, adequate knowledge about cervical cancer screening and advice from a friend, family or physician among others. The reported barriers to screening were fear of bad result, low risk perception and fear of embarrassment among others. Conclusions and Recommendations: Among the female undergraduate students of Makerere University, only 21.1% had screened for cervical cancer. Therefore, there is a critical need for university based cancer education campaign on cervical cancer and the benefits of screening. Screening services should be integrated into the existing university medical services.

Efficiency of Botanical and Chemical Pesticides on the Control of Field Insect Pests under Cowpea Production

The pulse cowpea [Vigna unguiculata (L.) Walp] holds a significant agricultural position in Uganda, ranking fourth among legume crops, following common beans, groundnuts, and soybeans. Known for its versatility, cowpeas are consumable at various developmental stages, from early seedling to maturity. However, the crop faces persistent pest challenges at each stage, leading to substantial yield losses. In Uganda, chemical insecticides are the primary pest control means, but their increased and excessive use raises environmental, health, and economic concerns. This has prompted a quest for alternative and sustainable solutions, prompting an exploration of botanical insecticides. This study, conducted at Makerere University Agricultural Research Institute (MUARIK), aimed to evaluate the effectiveness of three selected botanical insecticides versus four established chemical insecticides for managing cowpea insect pests under field conditions. The treatments included: Carbofuran, Cypermethrin 10% EC, Dimethoate, Pestwin, Pyrethrum ewc , Pyrethrum 5ew, Profenofos 40% Cypermethrin 4% EC mix, and Untreated, arranged in a randomized complete block design with three replications. The significant pests studied were aphids, thrips, pod-sucking bugs, and legume pod borer. Results indicated substantial impacts of the treatments on pest infestation, with Profenofos 40% Cypermethrin 4% EC being the most effective against most pests. The plant parameter, plant height, was significantly affected by treatments in 2016B, while the number of pods was impacted in 2017A. Pestwin, a botanical insecticide blend (containing Azadirachtin indica, Pongamia pinnata, and Ricinus communis extracts) demonstrated superior efficacy against cowpea aphids. Moreover, it positively influenced plant height, number of pods, and pod biomass, surpassing many chemical insecticides. Pestwin’s environmental friendliness positions it as a potential contributor to reducing environmental pollution, making it a promising candidate for inclusion in IPM programs. Overall, the study underscores the importance of exploring botanical alternatives to chemical insecticides for sustainable pest management in cowpea cultivation.

Diversity of Macro Invertebrates of the River Rwizi in Western Uganda: A Citizen Science-BioBlitz Approach

This study elucidates the pivotal role of citizen science-BioBlitz methodologies for rapid assessment of the macro-invertebrate taxa within the threatened River Rwizi of South-western Uganda. Utilizing a comprehensive mixed-methods approach, the investigation focused on six distinct river segments to demonstrate the efficacy of participatory citizen science-BioBlitz approaches conducted by experts, students and community volunteers. BioBlitz events included rigorous macro-invertebrate sampling at each of the selected sites along River Rwizi on nine occasions, incorporating collaborative taxonomic identification procedures involving experts, students, and the local community. Analyzing pollution concerns, diversity metrics, and community narratives yielded insights into river health and socio-ecological dynamics. A total of 43 macro-invertebrate families across 17 orders were documented with class Insecta dominating. Participants in BioBlitz events expressed predominantly positive sentiments, emphasizing satisfaction, education, and heightened awareness, besides negative sentiments rooted in historical mistrust. Intriguingly, the study unveiled an unforeseen trend in macro-invertebrate taxa richness, rising from upstream to urban sprawl and diminishing at peri-urban downstream sites. The study underscores the potential of citizen science-BioBlitz methodologies in advancing community science education and unraveling the intricate dynamics of threatened river ecosystems. The insights offered are invaluable for policymakers and conservationists seeking effective strategies to address challenges in the River Rwizi and comparable ecosystems. .

Evaluating the Impacts of Human Activities on Diversity, Abundance, and Distribution of Large Mammals in Nimule National Park, South Sudan

Globally, human activities have a significant impact on the diversity, abundance, and distribution of large mammals in Protected Areas (PAs). These disturbances increase human pressure on biodiversity and species habitats, highlighting the need for conservation. This study aimed to assess the abundance and distribution of large mammals in different habitat types within Nimule National Park (NNP) and understand the impacts of human activities on them. Data on the abundance and distribution of large mammals and their respective habitat types were collected through line transect surveys. Human activity signs were observed and recorded along the transect lines. To estimate the impacts of human activities on the diversity, abundance, and distribution of large mammal species, as well as to identify any significant differences between them and their habitat types, the study utilized the Kruskal Wallis test, Polynomial multiple regressions, and diversity indices. The findings from the Shannon-Weiner and Simpson indices indicated that large mammal species were more diverse inside the park (H’ = 1.136;D = 0.570) compared to the buffer zone (H’ = 0.413;D = 0.171), with 85% (443 out of 510 samples) recorded within Nimule National Park. The species abundance showed a semi-balanced status (0.58). The diversity results among different habitat types revealed that large mammals were more diverse and highly distributed in both open woodlands (244) and dense woodlands (192), while riverine vegetation had the lowest diversity (8). Statistical tests demonstrated a highly significant difference at a 99% confidence interval (p-value = 0.01) between habitat types and identified species of large mammals. Additionally, the results highlighted the high abundance of Uganda kob (274), baboons (141), and warthog (57) across most habitat types, accounting for at least 75% of their distribution. The most prevalent human activities observed were cattle footprints (27%) and cattle dung (14%). Human footprints and tree cutting combined accounted for 9%, indicating the practice of livestock grazing, poaching, encroachment, and fuelwood collection by local communities. However, these activities did not appear to significantly impact the diversity, abundance, and distribution of large mammals in Nimule National Park. Therefore, it is crucial to foster shared responsibilities and engage relevant stakeholders in the management and conservation of large wildlife species. Regular community awareness programs should be implemented to cultivate a sense of ownership. Moreover, it is recommended that a comprehensive survey be conducted on the population status of all mammal species in Nimule National Park, including its surrounding Buffer Zone. Monitoring the impact of human activities on their behavior and habitats using satellite images should also be carried out at least every five to ten years.

Technical Evaluation of Uptake, Use, Management and Future Implications of Household Biogas Digesters—A Case of Kampala City Peri-Urban Areas

The purposes for which biogas technology was introduced at household level were multiple but the major and direct one was to provide a clean and sustainable energy, thereby reducing the reliance on wood fuel. From the socio-economic studies that have been carried out, biogas end-users and technicians continue to be blamed for technical factors hindering its adoption and use. However, the ways these factors hinder biogas adoption and use plus the linkage between them seem not well understood right from policy to end-users. A technical survey was carried out on household biogas digesters to evaluate the adoption, use and management factors and their implications on the future of household digesters. Over-designed digesters in relation to family size yet not producing enough biogas, dependence on cow dung as the feedstock, 75% of users not being sure of loading rate and mixing ratios, not feeding the digesters daily by all households were found to be the main causes of why biogas was not enough for 87.5% of the respondents and digesters were abandoned in Kampala, Uganda. All surveyed digesters were characterized by starvation-overfeeding problem. Wood fuel was found still dominating in these households with biogas. Given that end-users had no options of digester types from which to select, but handed-over with over-size fixed dome digesters, there is need for all biogas stakeholders to come together as the reality on ground reveals that right from inception to management, everyone is to blame for the technical failures.

Financing of sanitation services in the slums of Kampala and Dar es Salaam

This paper presents an assessment of the extent and conditions under which private financing can be a realistic approach for sanitation in slums. It is based on a cross-sectional study comparing two slum communities in East Africa, where 250 households from Bwaise III in Kampala, Uganda and 379 households from Temeke in Dar es Salaam, Tanzania were interviewed in 2010. Also, 10 key-informant interviews and 8 focus group discussions were conducted in addition to field observations. Findings show that majority (85%) of households used unimproved, private-shared pit latrines. These privately owned latrines had many structural shortfalls besides poor operation and maintenance while the public latrines provided by third-party were structurally sound but were under-utilized in residential slum neighorhoods. This is attributed to the presence free or at least cheaper alternatives which the community members preferred instead of paying per-visit user-fees. For the few who were willing to pay, willingness to pay was positively associated with the presence of a facility User committee and having been sensitized. In this context, a combination of these factors made cost recovery as well as operation and maintenance very minimal. The poor status of privately owned shared pit latrines matched the limited income levels of households. Similarly, cost recovery for public facilities was dependent on the number of users who were willing to pay: the more the users, the more the cost recovery. A combination of private and public financing is thus necessary to fund different but complementary aspects of sanitation in slums.

Aflatoxin Contamination and Rancidity in Locally Processed Commercial Fish Feeds and Ingredients along the Value Chain in Wakiso and Kampala Districts, Uganda

Aflatoxin contamination and rancidity in locally processed commercial fish feeds and ingredients along value chains is a Public and Animal health hazard. The study established the level of aflatoxin contamination, peroxide value (PV), Anisidine value (AnV), and their associated factors at storage areas among farmers, processors, traders, factories, and landing sites in the Wakiso and Kampala districts. The value chain actors were purposively selected in a cross-sectional study based on access to the feed store and the use of locally processed commercial fish feeds on farms. Data collected were statistically analyzed in SPSS version 20. All the samples (45) were positive for aflatoxin contamination and PV with 51% (23/45) of samples being contaminated with “above acceptable” aflatoxin levels and 66.6% (30/45) of samples with “above acceptable” PV. The overall percentage of “above acceptable” AnV was 11/29 (37.9%). Samples from factories were within acceptable contamination levels. Multivariate logistic regression analysis revealed no significant difference between aflatoxin contamination, peroxide, and Anisidine value with storage factors for locally processed commercial fish feeds and ingredients. The study recommended the purchase of fish feeds from factories and a larger study on storage factors responsible for aflatoxin contamination and rancidity in fish feeds in Uganda.

Socio-Economic Vulnerability to COVID-19: The Spatial Case of Greater Kampala Metropolitan Area (GKMA)

COVID-19 has presented itself with an extreme impact on the resources of its epi-centres. In Uganda, there is uncertainty about what will happen especially in the main urban hub, the Greater Kampala Metropolitan Area (GKMA). Consequently, public health professionals have scrambled into resource-driven strategies and planning to tame the spread. This paper, therefore, deploys spatial modelling to contribute to an understanding of the spatial variation of COVID-19 vulnerability in the GKMA using the socio-economic characteristics of the region. Based on expert opinion on the prevailing novel Coronavirus, spatially driven indicators were generated to assess vulnerability. Through an online survey and auxiliary datasets, these indicators were transformed, classified, and weighted based on the BBC vulnerability framework. These were spatially modelled to assess the vulnerability indices. The resultant continuous indices were aggregated, explicitly zoned, classified, and ranked based on parishes. The resultant spatial nature of vulnerability to COVID-19 in the GKMA sprawls out of major urban areas, diffuses into the peri-urban, and thins into the sparsely populated areas. The high levels of vulnerability (24.5% parishes) are concentrated in the major towns where there are many shopping malls, transactional offices, and transport hubs. Nearly half the total parishes in the GKMA (47.3%) were moderately vulnerable, these constituted mainly the parishes on the outskirts of the major towns while 28.2% had a low vulnerability. The spatial approach presented in this paper contributes to providing a rapid assessment of the socio-economic vulnerability based on administrative decision units-parishes. This essentially equips the public health domain with the right diagnosis to subject the highly exposed and vulnerable communities to regulatory policy, increase resilience incentives in low adaptive areas and optimally deploy resources to avoid the emancipation of high susceptibility areas into an epicentre of Covid-19.

Assessment of Municipal Organic Solid Waste, as a Potential Feedstock for Briquette Production in Kampala, Uganda

The current shortage of energy resources coupled with environmental degradation problems resulting from deforestation in Uganda has contributed to increased demand for renewable energy resources including municipal organic solid waste and agricultural residues. However, organic waste from Municipal Solid Waste (MSW) may contain contaminants that are harmful to public health and the environment. This study determined the heavy metal concentration in MSW in Kampala City, Uganda. Also, the physicochemical properties of briquettes produced from the MSW were compared with charcoal. The waste samples were collected from residential, institutional and market areas over a period of two weeks. They were then analyzed for the presence of heavy metals. Briquettes were made from the bio-waste and were subjected to calorific and proximate analysis. Results indicated that the mean concentrations of Cd, Cr, Cu, Fe, and Pb were 1.25 mg/kg, 2.04 mg/kg, 38.2 mg/kg, 3.97 mg/kg and 1.99 mg/kg respectively while Hg was not detected. The calorific values of briquettes ranged from 8.9 to 15.3 MJ/kg and were lower than those of charcoal. Heavy metal concentrations in bio-waste collected were below the permissible acceptable limits. These findings indicate that the sampled MSW does not pose a health hazard arising from the presence of such heavy metals and therefore could be a safe source of renewable energy.

Assessing Suitability of Irrigation Scheduling Decision Support Systems for Lowland Rice Farmers in Sub-Saharan Africa—A Review

Irrigation in lowland rice production systems in Sub-Saharan Africa (SSA) is mainly based on traditional surface irrigation methods with continuous flooding practices. This irrigation method ends up using a lot more water that would have otherwise been used to open more land and be used in other water-requiring sectors. Various studies suggest Alternate Wetting and Drying (AWD) as an alternative practice for water management that reduces water use without significantly affecting yield. However, this practice has not been well adopted by the farmers despite its significant benefits of reduced total water use. Improving the adoption of AWD using irrigation Decision Support Systems (DSSs) helps the farmer on two fronts;to know “how much water to apply” and “when to irrigate”, which is very critical in maximizing productivity. This paper reviews the applicability of DSSs using AWD in lowland rice production systems in Sub-Saharan Africa.

Malaria Illness and Accessing Healthcare in an African Indigenous Population: A Qualitative Study of the Lived Experiences of Uganda’s Batwa in Kanungu District

Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to Atlas.ti a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised detecting malaria symptoms, use of herbs as first line of treatment, buying medicines from drug shops, and village health teams (VHTs) treatment. For many Batwa accessing formal healthcare is normally a second option. Barriers for malaria treatment included: long distances to health facilities, geographically difficult terrain, economic constraints, irregular health outreaches, and stockouts of malaria medicines at health facilities. Conclusion: This study characterized Batwa’s malaria illness lived experiences and access to healthcare in rural remote settings. These experiences are essential in appreciating the ways in which Indigenous populations understand and manage common illnesses and how appropriate policies and interventions can be developed.

Genetic Structure and Diversity Study of Cassava (Manihot esculenta) Germplasm for African Cassava Mosaic Disease and Fresh Storage Root Yield

A better understanding of population structure and genetic diversity among cassava germplasm for African cassava mosaic disease and fresh root yield traits is useful for cassava improvement programme. Phenotype-based selection for these traits is cumbersome due to phenotypic plasticity and difficulty in screening of phenotypic-induced variations. This study assessed quantitative trait loci (QTL) regions associated with African cassava mosaic disease (ACMD) and fresh storage root yield (FSRY) in 131 cassava (Manihot esculenta) genotypes using a genome-wide association study (GWAS). The single nucleotide polymorphism (SNP) loci and associated candidate genes, when validated, would be a valuable resource for marker-assisted selection in the breeding process for development of new cassava genotypes with improved resistance to ACMD and desirable high root yield. Population structure analysis using 12,500 SNPs differentiated the 131 genotypes into five distinct sub-groups (K = 5). Marker-trait association (MTA) analysis using the generalized linear model identified two QTL regions significant for ACMD and three for FSRY. This study demonstrated that DArTseq markers are useful genomic resources for genome-wide association studies of ACMD and FSRY traits in cassava for the acceleration of varietal development and release.

An Assessment of the Projected Future Intra-Seasonal Rainfall Characteristics in Uganda

Rainfall is a key climate parameter that affects most operations that affect human life, especially in the tropics. Therefore, understanding the various factors that affect the distribution and intensity of this rainfall is important for effective planning among the different stakeholders in the weather and climate sectors. This study aimed at understanding how intra seasonal rainfall characteristics, especially Consecutive Dry Days (CDD) and Consecutive Wet Days (CWD), in the two major rainfall seasons will change under two future climate scenarios of RCP4.5 and RCP8.5 in Uganda, covering two future periods of 2021-2050 and 2051-2080. The results indicate a high likelihood of reduced consecutive rainfall days, especially over the Northeastern regions of the country, for both 2021-2050 and 2051-2080. However, the trends in the entire country for the two major rainfall seasons, March to May and September to November, are not significant. Nonetheless, the distribution of these days is important for most agricultural activities during different stages of crop growth. The consecutive dry days show a fairly increasing trend in the eastern part of the country, particularly in the second season of September to November. An increase in consecutive dry days implies more frequent dry spells in the midst of the growing season, potentially affecting some crops during critical growth stages.

Optimizing Solar Drying: A Critical Review of Shapes, Orientation, and Future Prospects for Hybrid Solar Dryers

This comprehensive review focuses on the performance of solar dryers, with a specific emphasis on their structural shape and orientation. Researchers have extensively examined these design parameters, often employing Computational Fluid Dynamics (CFD) to assess thermal attributes and predict temperature distribution, airflow patterns, and temperature profiles within the structures. Geographical location significantly influences solar dryer shape preferences, with the parabolic shape finding favor in tropical regions for its superior solar radiation capture and storm resistance, while even-span and Quonset shapes are popular elsewhere. Solar dryer orientation is another crucial factor, with east-west alignment consistently proving optimal due to its ability to maximize year-round solar radiation absorption and, consequently, enhance drying efficiency. Economic considerations, however, fall beyond the scope of this review, which predominantly focuses on thermal aspects. This investigation reveals diverse global preferences for solar dryer shapes and orientation, highlighting the necessity of considering geographical factors in design choices. While CFD and shape/orientation dynamics have provided valuable insights, there remains room for future research to expand into transient state simulations under various conditions, contributing to a more comprehensive understanding of solar dryer performance. Such insights promise to promote sustainable and efficient drying processes, benefitting agricultural and drying applications across the globe.

Utilisation of Non-Conventional Animal Waste as Feeds by Multiple Livestock Species Farmers in Lake Victoria Crescent of Central Uganda

A cross-sectional survey was conducted to establish the utilisation of non-conventional animal waste in multiple livestock species systems. Farmers (150) were selected from four out of ten districts of Central Uganda in Lake Victoria Crescent. A structured questionnaire was used and descriptive analysis showed that over 80% are smallholder farmers on 3.0) years. Household husbands (80%) significantly (P 1.0) as they cause poor livestock health due to pathogens, parasites and toxins which are associated (OD > 1.0) with poor growth, mortality and condemnation of livestock products. The remedy to unsafe non-conventional feeds is to apply effective solar-heating (75%), chemical and ensiling treatment methods. The study showed that there are no significant (P < 0.001) public health risks associated with utilising treated non-conventional feeds instead it improves production and sustainability of multiple livestock species systems.