Department of Public Health

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Older women rushing to abort- specialist
(Daily Monitor, 2018-03-07) Wesaka, Anthony
Several women above 40years are increasingly accessing abortion services in the country, a senior gynaecolgist has revealed. Dr charles Kiggundu from Mulago National Referral Hospital said the trend has taken the medical profession by surprise since it is usually the teenage pregnancies that are commonly terminated.
Slum dwellers demand family planning services.
(Daily Monitor, 2018-03-09) Ngwomoya, Amos
Ms. Rose Namirembe , 22 a resident of Bwaise III zone in Kewempe division, has always been shy to inquire about family planning because she was discouraged by her friends. However, following a family planning outreach organised by KCCA and Jhpiego, a non-governmental organisation, in Kawempe on Wednesday, her fears to produce many children ceased.
Acceptability of minimal invasive tissue sampling (MITS) for stillbirths in Eastern Uganda
(PLOS One, 2025) Chebet, Martin; Burgoine, Kathy; Rujumba, Joseph; Okalany, Regina Akwi Noela; Olupot-Olupot, Peter; Tylleskär, Thorkild; Weeks, D. Andrew; Napyo, Agnes; Mukunya, David; Engebretsen, Marie S. Ingunn
Background In sub-Saharan Africa, stillbirth rates remain high. To design effective interventions to reduce stillbirths, accurate determination of their aetiology is important. Conventional autopsy for accurate confirmation of cause is not acceptable or feasible in several societies in sub-Saharan Africa; minimal invasive tissue sampling (MITS), is a recently developed, less invasive alternative. In this study, we explored the acceptability of MITS in the community and among healthcare workers in Uganda to guide the future implementation. Methods A qualitative study was done among community members and healthcare workers in Mbale in Eastern Uganda. We undertook in-depth interviews and focus group discussions in English or local languages. Interviews were audio-recorded, transcribed as necessary prior to formal content analysis. The themes were organised using NVivo software and presented according to Sekhon’s theoretical framework. Results Overall, participants preferred the idea of MITS to conventional autopsy because of the perception that it was fast, maintained the facial appearance and kept the body intact. It was thought that the procedure would improve the detection of the cause of stillbirths, which in turn would help to prevent future stillbirths. It would also resolve conflicts in the community between community members or the women and the healthcare workers about the cause of a stillbirth. It was suggested that some community members may not approve of MITS because of their religious beliefs; the fear that the body parts may be extracted and stolen for witchcraft or organ donation; and a lack of trust in the healthcare system. To implement the procedure, it was suggested that extensive community sensitization should be done, space limitations in healthcare facilities overcome, healthcare workers should be trained and limited human resource should be addressed. Conclusion The implementation of MITS in Mbale, Eastern Uganda, is likely to be acceptable given sufficient training and sensitisation.
Plasma folate dynamics in Plasmodium falciparum-infected African children treated with artemisinin combination therapy and single low-dose primaquine or placebo
(BMC, 2025) Ajayi, Seun; Onyamboko, A. Marie; Olupot-Olupot, Peter; Ayuen, S Dhol; Chimjinda, Natenapa; Taya, Chiraporn; Williams, N Thomas; Uyoga, Sophie; Maitland, Kathryn; Fanello, Caterina; Day, P J Nicholas; Mukaka, Mavuto; Taylor, R J Walter
Background: Adding single low-dose (0.25 mg/kg) primaquine (SLDPQ) to block Plasmodium falciparum transmission is now a WHO recommendation. Whether SLDPQ increases haemolysis in glucose-6-phosphate dehydrogenase deficient (G6PDd) patients, leading to increased folate demand and impaired haemoglobin (Hb) recovery is unknown. This study sought to answer this question. Methods: This randomized, placebo-controlled trial measured serial plasma folate concentrations [Day (D) 0, 3, 7 and 28] in falciparum-infected Ugandan and Congolese children (6 months to 11 years), treated with age-dosed SLDPQ/placebo and artemether-lumefantrine/dihydroartemisinin-piperaquine. Genotyping defined G6PD (G6PD c.202T allele) status. Multiple linear and non-linear, mixed effects, cubic spline regression were fitted to identify factors significantly associated with plasma folate at baseline and over time, respectively. Results: 408 children (3 had missing D0 values) had ≥ 1 plasma folate value. Of these, 66 (16.2%) were G6PD-deficient, 51 (12.5%) heterozygous females, 283 normal and 8 unknown. Mean baseline folate concentrations were 10.83 [standard deviation (SD) 3.58, SLDPQ] vs 10.92 (SD 4.54, placebo) ng/ml, associated independently with baseline Hb [estimate: 0.52 ng/ml (95% CI: 0.26 to 0.79, p = 0.0001)] and baseline parasitaemia [estimate: - 0.18 ng/ml (- 0.32 to - 0.05, p = 0.007)]. For all patients, mean plasma folate concentration paralleled mean haemoglobin concentration with an initial mean fall of 1.65 ng/ml (p < 0.0001 vs. baseline), followed by a sustained rise achieving a mean D28 concentration of 11.04 (SD 4.45) ng/ml. Over time, only age (p = 0.0001), male sex (p = 0.017) and baseline parasitaemia (p = 0.029) were significantly associated with a reduced plasma folate. Conclusion: SLDPQ and G6PD status did not compromise posttreatment plasma folate concentrations in young children with acute uncomplicated falciparum malaria, providing additional evidence of SLDPQ safety and supporting its use without G6PD testing. Trial registration: The trial is registered, reference number ISRCTN11594437. Keywords: Folate; Glucose-6-phosphate dehydrogenase; Malaria; Single low-dose primaquine
DONT RESTRICT CITIZEN'S TO PUBLIC HEALTH CARE SERVICES.
(daily monitor, 2018-05-28) BRIAN KISOMOSE
It is absurd and unfortunate that the government plans to enforce a proposal for only national identity care holders to enjoy health care services and public health facilities. if implemented , chances are very high that millions of Ugandan are to be denied access to health care.
Locals fundraise for own hospital
(Daily Monitor, 2018-05-10) Kitunzi, Yahudu
The residents are fundraising the money to help buy delivery beds and mattresses to re-equip Busolwe Hospital.
Butaleja's main hospital run without matresses, water
(Daily Monitor, 2018-05-04) Kitunzi, Yahudu
For the past 10 years Busolwe Hospital in Butaleja District has suffered neglect and is grappling with numerous challenges, including lack of water and beds.
Girls still miss school due to lack of pads, say leaders
(Daily Monitor, 2018-05-01) Nakato, Tausi
It is reported that most girls have no access to reusable pads, while others use rags which are weak in absorbing blood during menstruation.
Sigulu island residents struggle to access better health services
(Daily Monitor, 2018-05-01) Seebe, Ronald
There are several deficiencies, including limited health centres on the island offering a few services, lack of emergency services such as boat ambulance, severe understaffing and dilapidated infrastructure.
Airtel Uganda conducts free health camp in Arua.
(Daily Monitor, 2018-03-06) Airtel Uganda
Last month, Airtel Uganda continued its efforts to boost socio-economic development in North west Uganda by holding a health camp attracted residents of Arua district and surrounding communities who move long distances to receive free health care services.
End in sight for trachoma.
(Daily Monitor, 2018-03-10) Mugisha, D. Aggrey
In the last10 years, there has been notable improvement in the fight against trachoma, raising optimism that the disease will be eliminated by 2018. Kudo Kapel in her 70s, suffers from trachoma, the leading cause of preventable blindness in Uganda. Outside her manyata, a screening team member shines a torch in her eyes to check if she needs an operation.
Factors associated with willingness to use ecological sanitation toilets in Katine sub county Soroti district Uganda: a cross sectional study
(Springer Nature, 2025) Ikiring, Osako Betty; Okia, David; Okolimong, Charles; Alunyo, Patrick Jimmy; Katuramu, Richard; Khainza, Tabitha Annet; Mukunya, David; Matovu, K. B. Joseph; Musoke, David; Olupot-Olupot, Peter; Wanume, Benon
Ecological sanitation (EcoSan) toilets provide a sustainable approach to waste management by converting human excreta into usable agricultural inputs. Despite their environmental and health benefits, uptake remains low in many settings. This study investigated the proportion of community members in Katine sub-county, Soroti district, Eastern Uganda, who had ever used EcoSan toilets, their willingness to use them, and the factors associated with this willingness. A cross-sectional survey was conducted among 395 residents using structured questionnaires. Descriptive statistics estimated the proportions of prior use and willingness to use EcoSan toilets. Multivariable logistic regression was used to identify factors independently associated with willingness. Analyses were conducted in Stata 18, and results are presented in tables and figures. Only 18.5% (73/395) of respondents had used EcoSan toilets, and 13.7% (54/395) expressed willingness to use them. In multivariable analysis, key factors negatively associated with willingness included awareness of Ecosan toilets (adjusted odds ratio [AOR] 0.06, 95% CI 0.02–0.16; p<0.0001), willingness to use sanitized fecal matter (AOR 0.06, 95% CI 0.02–0.17; p<0.0001), and perceived ease of use (AOR 0.16, 95% CI 0.05–0.48; p=0.001). Adoption of EcoSan toilets remains low in this setting, primarily due to limited awareness, cultural reservations, and usability concerns. Community sensitisation, culturally appropriate messaging, and user centered toilet design are essential to improving uptake in similar rural environments. Keywords Ecological sanitation, Willingness, Rural sanitation, Uganda, Waste reuse
Keeping healthy while at campus
(Daily Monitor, 2018-03-04) Nassanga, Phionah
Life at campus is adventurous, it being the first time for many students to live or act independently. They get time to and space to make their own meals, choose what to eat and drink, such as chips, Pizza, burgers and alcohol. But creating a healthy lifestyle while at campus requires you to learn the consequences of your behavior on your healthy.
Striking doctors enemies of the state, says Museveni
(Daily Monitor, 2018-05-01) Muwulya, Moses; Arinaitwe, Solomon
" I wanted to bring Cuban doctors because ours behaved very badly and unprofessionally". President Museveni said. Doctors across the country downed their tools for three weeks last November demanding that Government fulfills a raft of demands that included improved salaries,...
Kiruddu, Kawempe and Naguru elevated to referral hospitals
(Daily Monitor, 2018-05-01) Karugaba, Mary
Cabinet has approved the elevation of Kiruddu, Kawempe and Naguru from health centre IV to referral hospital status.
Govt installs solar at health centre after Monitor story.
(Daily Monitor, 2018-05-14) Emwamu, Simon Peter
The Ministry of Health has delivered an assortment of solar batteries and panels to Kamuda health centre 111 in Soroti district. This comes after Daily Monitor run a story about health workers at the facility using torches at night to treat patients for more than a year.
Govt declares measles out breack in 26 districts.
(Daily Monitor, 2018-05-11) Ebong, Patrick
The Ministry of health has announced on outbreak of measles in 26 districts across the country. Health minister Jane Aceng named the most affected districts as Amuru in northern Uganda, and Kamuli, Mbale and Butebo in the east of the country.
War, HIV/Aids and hunger:
(Daily Monitor, 2018-05-17) Namagembe, Lilian
Under a scorching mid-day sun in March, Wulak Boi limps in company of his caretaker to the antiretrviral therapy(ART) ward before he drowsily plants himself at one of the seat near the entrance. The 29-year-old solider is visibly pale and underweight with red-dry lips. Who can hardly speak, keeps slipping a red herbal liquid that his relative recommended to help him "gain blood".
Why doctors use 'towels' to stop bleeding.
(Daily Monitor, 2018-05-14) Namagembe, Lilian
Two days after giving birth to her fourth child by caesarean section, a 38- year-old mother was discharged from hospital. Mother and baby were well and the family was happy to receive a new member. Suddenly, the mother developed complications including bleeding, backache and headache, which forced her husband to rush her back to the same hospital.
Feeding tips for autistic children.
(Daily Monitor, 2018-05-14) Salmon, Joan
Autistic children need not be fed on gluten( wheat and wheat products), milk and others dairy products as they contain casein, a slow- digesting protein that prevents excessive protein break down. Florence, Namaganda a neuro-paediatric therapist, founder and director of special children's trust says, "the ideal foods for autistic children include fruits, vegetables, nuts and fish.

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