DOCSLIB.ORG

Nutritional Status, Feeding Practices and State

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Nutritional Status, Feeding Practices and State Nutritional status, feeding practices and state of other related indicators at onset of a multi-model community nutrition intervention program in Mpigi District, Uganda. Nazarius Mbona Tumwesigye1, Florence Basiimwa Tushemerirwe2, Richard Kajjura2, Victoria Nabunya3, Ronald Andrew Naitala4, Cissie Namanda1 1. Department of Epidemiology and Biostatistics, Makerere University School of Public Health 2. Department of Community Health and Behavioural Sciences, Makerere University School of Public Health 3. World Vision Uganda 4. Global Research Consult Ltd Abstract Introduction: In Uganda, malnutrition level has persistently remained high among the under-fives and this has led NGOs like World Vision, Uganda into finding innovative ways for intervention. This paper presents an assessment of nutrition status and values of related indicators at onset of a community intervention program in four sub-counties of Mpigi district in Central Uganda. Methods: This was a cross-sectional study to provide baseline information for a nutrition intervention. The study units were index children aged 6-59 months from 818 households. Face to face interviews were conducted using semi-structured question- naires. Values of key indicators were computed and compared between designated control and intervention areas. Results: Stunting level was 32% while wasting was 3% and underweight at 10%. Most of the index children (78%) started breastfeeding within the first hour of birth. Nearly a third of the households visited had a kitchen garden and this did not differ by intervention status. Conclusion: Like at regional level, nutrition status and feeding practices in the study area were poor. The values of these indi- cators did not significantly change by designated intervention status. Much effort was needed to realize a difference in nutrition and feeding practices in designated intervention areas. Keywords: Local institution, nutrition, feeding practices, community participation, interventions, malnutrition, morbidity, con- trol, baseline, World Vision Uganda. DOI: http://dx.doi.org/10.4314/ahs.v16i4.3 Cite as: Tumwesigye NM, Tushemerirwe FB, Kajjura R, Nabunya V, Naitala RA, Namanda C. Nutritional status, feeding practices and state of other related indicators at onset of a multi-model community nutrition intervention program in Mpigi District, Uganda. Afri Health Sci 2016;16(4): 892-903. http://dx.doi.org/10.4314/ahs.v16i4.3 Introduction and background tive measures such as community lead interventions are Malnutrition is the leading cause of child morbidity and needed to counter emerging threats to child nutrition6. mortality in sub-Saharan Africa and it contributes a fifth Interventions that engage communities tend to be suc- of all disability adjusted life years lost Worldwide1. Ade- cessful7. quate nutrition of the under-fives is an issue that needs ur- gent action since it has long term effects on generations2. There is a dearth of information on nutrition interven- Adequate nutrition is a pre-requisite for human capital tion beyond the provision of food or nutritional supple- formation and economic development3. Several authors ments8. There are minimal resources available to fund have stressed a need for investing in interventions that innovative approaches to better nutrition but at the same can offer sustained nutritional gains over time4,5. Innova- time there are concerns that even the few resources are not channeled to interventions with the highest effective- ness9 and this is partly due to lack of evidence10. Corresponding author: Players in nutrition program implementation such as Nazarius Tumwesigye, Non-Governmental Organizations (NGOs) have often Department of Epidemiology and Biostatistics, incorporated evaluation as part of their operational re- Makerere University School of Public Health search agenda and this is increasingly getting more com- Email address: [email protected] mon11. NGOs use operational research to find effective African Health Sciences Vol 16 Issue 4, December, 2016 892 and efficient situation-specific solutions12. The paper’s This decision was in line with the Country’s nutrition ac- objectives are to establish nutritional status of children tion plan 2011-2016 which suggested enhancing opera- aged 6-59 months, feeding practices and values of other tional research as a means to reducing malnutrition15. The related indicators in the four sub counties of Mpigi dis- plan highlights documentation of best practices for nutri- trict where WVU operates, compare the baseline values tion, research on positive indigenous dietary practices, es- between designated control and intervention areas and tablishing food composition, identification and conduct- compare the values between the study area and the cen- ing research relevant for scaling up food and nutrition tral 1 region where Mpigi lies. interventions. At the time of this baseline evaluation, some intervention Methods work had started in some of the sub-counties but it was Site largely preparatory because funding had not reached the The project area covers four out of seven sub-counties in implementing local institutions (LIs). Examples of work Mpigi District. The district lies in the Central region of that had started were village inception meetings, selection Uganda and its headquarters is 37km south West of the of village health teams, women groups and others in- capital city, Kampala. The 5-yearly Uganda Demographic volved in implementation. The evaluation team believes and Health surveys split the traditional geographical cen- none of the preparatory activities could change the nutri- tral region into central 1 and central 2 and Mpigi district tion status and feeding practices of children before this lies in Central1. All mention of a region in this paper re- baseline assessment. fers to central1 region. The District can be described as semi-urban because of its proximity to the capital city The intervention is a partnership between World Vision but also as semi-rural because its bordered to the North Uganda (WVU), four local institutions and an academic and West by rural districts. The four sub-counties where institution under a project called Strengthening Partner- the project operates are Buwama, Mpigi Town council, ships, Research and Innovations for improved Nutrition Muduuma and Nkozi and the number of households in (SPIN) project in a rural district in central Uganda and the sub-counties is 12406, 10567, 7616 and 10279 re- it was slated to take three years. The major role of the spectively16. authors of this paper in the partnership is to monitor and The selection of Mpigi district was informed by a study evaluate effectiveness of the interventions and they op- carried out in Nkozi area development program (ADP) erate under the academic institution in the partnership. under World Vision Uganda that showed 30% of the The results of this assessment were meant to guide im- children under 5 were chronically malnourished17. The plementation of the program. ADP lies in the district. This malnutrition prevalence falls within the critical range according to the World Vision In- In Uganda the prevalence of malnutrition is high among ternational’s (WVI) health triggers for action for stunting, the children aged 6-59 months where 33% are stunted, hence requiring urgent attention18. 5% wasted and 14% underweight13. It is estimated that Uganda loses 5.6% of its GDP as a result of malnutrition Design of the study 14. Malnutrition increases with age and it is higher among The assessment was designed as a cross-sectional study to males, those in rural areas, lower education of care givers provide baseline information for a two year non-random- and lower wealth status13. It is this poor nutrition situa- ized stepped-wedge field trial to evaluate the effectiveness tion that has led NGOs such as WVU into finding inno- of different models of nutrition intervention. The assess- vative ways that can make a difference in prevention and ment dwells largely on comparison between the designat- care for malnutrition. ed intervention and control areas at onset of the program implementation. In 2009, WVU made a strategic decision to shift from di- rect project implementation to partnerships with local in- The study units of the baseline survey included house- stitutions (LIs) to tap into the available local expertise in holds and children in the age range 6-59 months. The the various sectors of nutrition program implementation. households that could not be traced were substituted 893 African Health Sciences Vol 16 Issue 4, December, 2016 with the nearest households. Households that could not Variables be traced were mainly those who migrated to outside the Key outcome variables were nutritional status indicators, sub-counties. The data collection started on 12th January morbidity rates, adoption of nutrition, feeding practices and ended on 26th January 2015. and food security indicators. Nutrition indicators includ- ed scores for height for age, weight for age and weight The inclusion criteria for households in the study were for height and dietary diversity score. Food security in- being de-jury residents, having stayed in the study area dicators include having a kitchen garden. All these indi- for a period of not less than 6 months and having a child cators will be used in the assessment of the effect of the aged 6 to 59 months. Exclusion criterion was refusal to intervention at end of SPIN project implementation. The participate and any show of unwillingness to participate. indicators
Load more

Recommended publications
  • Gomba District Hazard, Risk and Vulnerability Profi Le
    Gomba District Hazard, Risk and Vulnerability Profi le 2016 GOMBA DISTRICT HAZARD, RISK AND VULNERABILITY PROFILE a Acknowledgment On behalf of Office of the Prime Minister, I wish to express my sincere appreciation to all of the key stakeholders who provided their valuable inputs and support to this Multi-Hazard, Risk and Vulnerability mapping exercise that led to the production of comprehensive district Hazard, Risk and Vulnerability (HRV) profiles. I extend my sincere thanks to the Department of Relief, Disaster Preparedness and Management, under the leadership of the Commissioner, Mr. Martin Owor, for the oversight and management of the entire exercise. The HRV assessment team was led by Ms. Ahimbisibwe Catherine, Senior Disaster Preparedness Officer supported by Mr. Ogwang Jimmy, Disaster Preparedness Officer and the team of consultants (GIS/DRR specialists); Dr. Bernard Barasa, and Mr. Nsiimire Peter, who provided technical support. Our gratitude goes to UNDP for providing funds to support the Hazard, Risk and Vulnerability Mapping. The team comprised of Mr. Steven Goldfinch – Disaster Risk Management Advisor, Mr. Gilbert Anguyo - Disaster Risk Reduction Analyst, and Mr. Ongom Alfred-Early Warning system Programmer. My appreciation also goes to Gomba District Team. The entire body of stakeholders who in one way or another yielded valuable ideas and time to support the completion of this exercise. Hon. Hilary O. Onek Minister for Relief, Disaster Preparedness and Refugees GOMBA DISTRICT HAZARD, RISK AND VULNERABILITY PROFILE i EXECUTIVE SUMMARY The multi-hazard vulnerability profile outputs from this assessment for Gomba District was a combination of spatial modeling using adaptive, sensitivity and exposure spatial layers and information captured from District Key Informant interviews and sub-county FGDs using a participatory approach.
    [Show full text]
  • Resume: NKUGWA FRED
    Resume: NKUGWA FRED Personal Information Application Title IT Professional First Name NKUGWA Middle Name N/A Last Name FRED Email Address [email protected] Cell 0700470333 Nationality Uganda Gender Male Category Computer/ IT Sub Category Computer Installations Services Job Type Full-Time Highest Education University Total Experience 1 Year Date of Birth 23-02-1996 Work Phone 0778728752 Home Phone 0700470333 Date you can start 01-01-1970 Driving License Yes License No. Searchable Yes I am Available Yes Address Address Address Kimaanya Masaka City Masaka State N/A Country Uganda Institutes Institute Uganda Martyrs University City Kampala State N/A Country Uganda Address Nkozi village- Kayabwe Kampala road Certificate Name Bachelor of Science in Information Technology Study Area Information Technology Employers Employer Employer Hirt IT Solutions Position Web developer Responsibilities Web design and programming ,computer repair, installation and trouble shooting ,database designing. Pay Upon Leaving N/A Supervisor Fr. Emmanuel From Date 18-06-2019 To Date 18-06-2021 Leave Reason Iam still working with the company City Masaka State N/A Country Uganda Phone +256783494405 Address Kilumba-Masaka Employer Employer Masaka Regional Referral Hospital Position Data Clerk Responsibilities • Database design and development • Hardware and Software Installation. • Data backup • Server room management • Network configuration. • Files and folder sharing. • Troubleshooting computers. • Website design and development Pay Upon Leaving N/A Supervisor Mr.Ssemakadde Mathew From Date 01-05-2019 To Date 01-08-2019 Leave Reason Industrial training period ended City Masaka State N/A Country Uganda Phone +256701717271 Address Masaka Uganda Skills Skills • Information security skills with a certificate from IBM skills academy USA.
    [Show full text]
  • Case Study on a Donkey Project in Uganda
    TABLE OF CONTENTS 1.0 EXECUTIVE SUMMARY……………………………………………………………1 2.0 INTRODUCTION .........................................................................................................1 2.1 Background to the study ................................................................................................1 2.2 Kasese District profile....................................................................................................2 2.3 Justification of the Study ..............................................................................................2 2.4 Objectives of the Study..................................................................................................3 3.0 LITERATURE REVIEW ..............................................................................................3 4.0 METHODOLOGY ........................................................................................................5 4.3 Field Work Organisation................................................................................................5 5.0 MAJOR FINDINGS ......................................................................................................7 5.1 Situation Analysis Of Donkeys in Kasese District ....................................................7 5.1.1 Training in donkey usage...........................................................................................7 5.1.2 Target population and mode of distribution...............................................................7 5.1.3 Problems encountered in donkey
    [Show full text]
  • 1440206 Report.Indd
    | UGANDA STRIDES for FAMILY HEALTH 2009–2014 Improving access to quality HEALTH CARE FOR UGANDAN FAMILIES Photo by RUI PIRES Photo by Improving access to quality HEALTH CARE FOR UGANDAN FAMILIES STRIDES FOR FAMILY HEALTH, 2009–2014 Contents OVERVIEW 1 EXPANDING ACCESS 4 Engaging Private Partners 4 Reaching Families 8 Serving the Hard-to-Reach 16 STRENGTHENING SERVICES 18 Increasing Functionality 18 Developing Leaders 21 Improving Quality 21 INCREASING DEMAND 24 Working with Communities 24 ENSURING HEALTHIER BEHAVIOR 27 MOVING FORWARD 28 Photo by Photo by TADEO ATUHURA TADEO Uganda Key Health Indicators 2006 2011 Maternal mortality ratio (per 100,000 live births) 435 438 Deliveries taking place in a health facility 41% 58% Antenatal care coverage: at least four visits 47% 48% Total fertility rate 6.7 6.2 Unmet need for family planning 41% 34% Contraceptive prevalence rate: modern method 19% 30% Under ve mortality (per 1,000 live births) 137 90 Stunting (under ve) 38% 33% Source: Uganda Demographic Health Survey (UDHS) 2006, 2011 Photo by RUI PIRES OVERVIEW In recent years, new oil discoveries in Uganda have fueled dreams of a booming economy and a much- ve highest in sub-Saharan Africa—increasing the chances improved standard of living. The nation has already of complicated pregnancies and deliveries.5 made important gains in reaching some of its Uganda’s population, estimated at 34.9 million in 2014,6 development goals, such as reducing mortality among is one of the fastest growing in the world. More than one children under the age of ve, the number of people million Ugandans are born every year, putting ever more living in absolute poverty, and the proportion of those pressure on the nation’s resources and its health services.7 who lack access to safe water and sanitation.
    [Show full text]
  • STATEMENT by H.E. Yoweri Kaguta Museveni President of the Republic
    STATEMENT by H.E. Yoweri Kaguta Museveni President of the Republic of Uganda At The Annual Budget Conference - Financial Year 2016/17 For Ministers, Ministers of State, Head of Public Agencies and Representatives of Local Governments November11, 2015 - UICC Serena 1 H.E. Vice President Edward Ssekandi, Prime Minister, Rt. Hon. Ruhakana Rugunda, I was informed that there is a Budgeting Conference going on in Kampala. My campaign schedule does not permit me to attend that conference. I will, instead, put my views on paper regarding the next cycle of budgeting. As you know, I always emphasize prioritization in budgeting. Since 2006, when the Statistics House Conference by the Cabinet and the NRM Caucus agreed on prioritization, you have seen the impact. Using the Uganda Government money, since 2006, we have either partially or wholly funded the reconstruction, rehabilitation of the following roads: Matugga-Semuto-Kapeeka (41kms); Gayaza-Zirobwe (30km); Kabale-Kisoro-Bunagana/Kyanika (101 km); Fort Portal- Bundibugyo-Lamia (103km); Busega-Mityana (57km); Kampala –Kalerwe (1.5km); Kalerwe-Gayaza (13km); Bugiri- Malaba/Busia (82km); Kampala-Masaka-Mbarara (416km); Mbarara-Ntungamo-Katuna (124km); Gulu-Atiak (74km); Hoima-Kaiso-Tonya (92km); Jinja-Mukono (52km); Jinja- Kamuli (58km); Kawempe-Kafu (166km); Mbarara-Kikagati- Murongo Bridge (74km); Nyakahita-Kazo-Ibanda-Kamwenge (143km); Tororo-Mbale-Soroti (152km); Vurra-Arua-Koboko- Oraba (92km). 2 We are also, either planning or are in the process of constructing, re-constructing or rehabilitating
    [Show full text]
  • MPIGI DLG BFP.Pdf
    Local Government Budget Framework Paper Vote: 540 Mpigi District Structure of Budget Framework Paper Foreword Executive Summary A: Revenue Performance and Plans B: Summary of Department Performance and Plans by Workplan C: Draft Annual Workplan Outputs for 2013/14 Page 1 Local Government Budget Framework Paper Vote: 540 Mpigi District Foreword FOREWORD The BFP 2013/2014 has been formulated through consultation with the communities, development partners and stakeholders at the Lower Local Governments. The process has been according to guidelines received from the Ministry of Finance, Planning and Economic Development and other line Ministries.The total cost for the BFP will be Ugx. 16,082,511,000/= for both development and recurrent expenditures. The District is currently faced with high poverty levels with a big proportion of our population being in the informal sector practising agriculture.We are also experiencing high iletracy levels,and low sanitation levels in the education sector and the community. In addition, the district is faced with low coverage for health service delivery, and a poor road network. In the next FY 2013/2014 the District intends to construct teachers’houses, classroom blocks and pitlatrines to increase pupil: stance ratio from the current 70: 1 to 50:1 and scale inspection to increase on the pass rate using local funds, central government transfers and with assistance from our development partners; World Vision so as to improve quality of education. The District also has plans to construct an outpatient department, a maternity ward, a staff house and carry out integrated outreaches to improve maternal health and general health service delivery with the available funds and support from partners like SDS, World Vision, SURE, Malaria Consortuim UHMG, STRIDES and others.
    [Show full text]
  • World Bank Document
    Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized RP1030 v1 KAWANDA – MASAKA TRANSMISSION LINE Project Name: ELECTRICITY SECTOR DEVELOPMENT PROJECT Project Number: P119737 Report for: RESETTLEMENT ACTION PLAN (RAP) PREPARATION, REVIEW AND AUTHORISATION Revision # Date Prepared by Reviewed by Approved for Issue by ISSUE REGISTER Distribution List Date Issued Number of Copies : April 2011 SMEC staff: Associates: Office Library (SMEC office location): SMEC Project File: SMEC COMPANY DETAILS Tel: Fax: Email: www.smec.com Review and Update Kawanda Masaka 220kV, 137km T Line 5116008 | June 13, 2011 Page | i We certify that this Resettlement Action Plan was conducted under our direct supervision and based on the Terms of Reference provided to us by Uganda Electricity Transmission Company Ltd. We hereby certify that the particulars given in this report are correct and true to the best of our knowledge. Table 1: RAP Review Team Resource Designation Signature Social-Economist/RAP M/s Elizabeth Aisu Specialist/Team leader Mr. Orena John Charles Registered Surveyor Mr. Ssali Nicholas Registered Valuer Mr. Yorokamu Nuwahambasa Sociologist Mr. Lyadda Nathan Social Worker M/s Julliet Musanyana Social Worker ACKNOWLEDGEMENT SMEC International wishes to express their gratitude to The Resettlement Action Plan (RAP) team, AFRICAN TECHNOLOGIES (U) Ltd and to all the persons who were consulted for their useful contributions that made the assessment successful. In this regard, Mr. Ian Kyeyune , LC5 Chairman Wakiso, M/s Joan Kironde, the then District Environment Officer Wakiso, M/s. Muniya Fiona, Sector Manager Mpigi, and to all the Local Council Leaders in all the affected Districts and the PAPs M/s Ziria Tibalwa Principal Planning Officer, Mr.
    [Show full text]
  • Arising from Chief Magistrate Court of Nsangiat Mpigi Divorce Cause No
    THE REPUBLIC OF UGANDA IN THE HIGH COURT OF UGANDA AT MPIGI CIVIL REVISION NO.004 of 2018 (Arising from Chief Magistrate Court of Nsangiat Mpigi Divorce Cause No. 2/2017) HAJJI KASOZ ABDALLAH:::::::::::::::::::::::::::::::::::::::APPLICANT VERSUS NALWOGA NAKATO:::::::::::::::::::::::::::::::::::::::::::::::RESPONDENT BEFORE: HON. JUSTICE OYUKO ANTHONY OJOK 10 RULING Background This is an application brought under S. 83 and S.98 of the Civil Procedure Act, O.52r1-3 of the Civil Procedure Rules. The application seeks for orders that the decision by the trial Magistrate Her Worship SarahBasemera Anne (Mpigi) be revised and set-aside. The grounds of the application are set out in the Notice of Motion supported by an affidavit of KasoziAbdallah of M/s MuslimCentre for Justice and law Basiima Building, Plot 401/3 Bombo Road, P.O BOX 6929, Kampala. 20 Thegrounds are as follows: 1. That I got married with the Respondent in 1980 under the Provisions of the marriage and divorce of Mohammedans Act Cap (Marriage Certificate hereto attached and marked A). 1 | P a g e 2. That I developed irreconcilable differences with the Respondent and hence opted to Divorce. 3. That I instituted divorce proceedings in the Sharia Court at Uganda Muslim supreme Council which were attended by the Respondent and Judgment was duly delivered (Judgment and proceedings hereto attached and marked B). 4. That the Respondent instituted Divorce Cause No. 002 of 2017 in the Chief Magistrate’s Court of Wakiso at Nsangi. 5. That the Learned Magistrate while applying the Divorce Act Cap 249 held that the matrimonial property be divided between me and the Respondent equally, 10 (Judgment and record of proceedings hereto attached and marked C and D respectively).
    [Show full text]
  • WHO UGANDA BULLETIN February 2016 Ehealth MONTHLY BULLETIN
    WHO UGANDA BULLETIN February 2016 eHEALTH MONTHLY BULLETIN Welcome to this 1st issue of the eHealth Bulletin, a production 2015 of the WHO Country Office. Disease October November December This monthly bulletin is intended to bridge the gap between the Cholera existing weekly and quarterly bulletins; focus on a one or two disease/event that featured prominently in a given month; pro- Typhoid fever mote data utilization and information sharing. Malaria This issue focuses on cholera, typhoid and malaria during the Source: Health Facility Outpatient Monthly Reports, Month of December 2015. Completeness of monthly reporting DHIS2, MoH for December 2015 was above 90% across all the four regions. Typhoid fever Distribution of Typhoid Fever During the month of December 2015, typhoid cases were reported by nearly all districts. Central region reported the highest number, with Kampala, Wakiso, Mubende and Luweero contributing to the bulk of these numbers. In the north, high numbers were reported by Gulu, Arua and Koti- do. Cholera Outbreaks of cholera were also reported by several districts, across the country. 1 Visit our website www.whouganda.org and follow us on World Health Organization, Uganda @WHOUganda WHO UGANDA eHEALTH BULLETIN February 2016 Typhoid District Cholera Kisoro District 12 Fever Kitgum District 4 169 Abim District 43 Koboko District 26 Adjumani District 5 Kole District Agago District 26 85 Kotido District 347 Alebtong District 1 Kumi District 6 502 Amolatar District 58 Kween District 45 Amudat District 11 Kyankwanzi District
    [Show full text]
  • Arising from Civil Suit No. 004 of 2020)
    THE REPUBLIC OF UGANDA IN THE HIGH COURT OF UGANDA AT MPIGI MISC. APPLICATION NO.07 OF 2020 (Arising from Civil Suit No. 004 of 2020) BERUTSYA NOBERT:;::::::::::::::::::::::::::::::::::::::::::::::APPLICANT VERSUS 1.MONABAN COMPANY LTD 2.MAGESA MBOGO 10 3.OLAIS PHILEMON ELIAU MOLLE::::::::::::::::::::::RESPONDENTS BEFORE: HON. JUSTICE OYUKO ANTHONY OJOK RULING This was an application brought by the Applicant, by way of Chamber Summons under O. 40 rule 5 (b) (c ) of the CivilProcedure Rules, S.I 71-1 , Section 64 of the Civil Procedure Act,Cap 71.The Application is seeking for orders that:- a) An order prohibiting removal of Respondent’s motor vehicle Reg. NO KBS 20 741T/ZEO258 from the Local Jurisdiction of this Honourable Court at Buwama Police Station. 1 | P a g e b) An order toproduce and place at the disposal of this Court motor vehicle Reg. NO KBS 741T/ZEO258. c) An order for attachment before Judgment of motor vehicle Reg. NO KBS 741T/ZEO258. d) Costs of this Application be provided for. The grounds in support of this application are set out in the affidavit of Berutsya Nobert which briefly states:- 10 1) That, on the 30th of December, 2019, while driving motor vehicleRegistration NO.UBF 851L with my daughter at Kanoni on Kampala Masaka Road, I rammed into Respondent’s semi-trailer KBS 741T/ZEO258. That was reckless and negligently parked on the road. (A copy of the Police accident report, medical examination of the injured persons and pictures of the motor vehicle are attached hereto and collectively marked “A”). 2) That, as a result of the accident, my daughter and I were admitted at Nkozi Hospital.
    [Show full text]
  • Impact Evaluation of Youth-Friendly Family Planning Services in Uganda
    Impact evaluation of youth-friendly family planning services in Uganda Narathius Asingwire, Makerere University Denis Muhangi, Makerere University Swizen Kyomuhendo, Makerere University Jessica Leight, American University Grantee Final Report Accepted by 3ie: April 2019 Note to readers This final impact evaluation grantee report has been submitted in partial fulfilment of the requirements of grant UPW.06 awarded under the Uganda Policy Window. 3ie is making it available to the public in this final report version as it was received. The encouragement design in the study did not lead to an increased uptake of the programme and therefore the identification strategy failed. All content is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its board of commissioners. Any errors and omissions are the sole responsibility of the authors. All affiliations of the authors listed in the title page are those that were in effect at the time the report was submitted. Please direct all comments or queries to the corresponding author, Narathius Asingwire at [email protected]. The 3ie technical quality assurance team comprises Francis Rathinam, Radhika Menon, an anonymous external impact evaluation design expert reviewer and an anonymous external sector expert reviewer, with overall technical supervision by Marie Gaarder. 3ie received funding for the Uganda Policy Window from our donors, which include UK aid, the Bill & Melinda Gates Foundation and the William and Flora Hewlett Foundation. A complete listing of all of 3ie’s donors is available on the 3ie website. Suggested citation: Asingwire, N, Muhangi, D, Kyomuhendo, D and Leight, J, 2019.
    [Show full text]
  • Mpigi District Health Care Service Status Report Final Report-2016
    MPIGI DISTRICT HEALTH CARE SERVICE STATUS REPORT August 2016 TABLE OF CONTENTS LIST OF ACRONYMS ................................................................................................................................................. ii Chapter One: BACKGROUND .................................................................................................................................. 1 1.1 About Us........................................................................................................................................................ 1 1.2 Background ................................................................................................................................................... 1 1.3 Specific Objectives of the Monitoring Exercise ............................................................................................. 3 1.2 Methodology ................................................................................................................................................. 3 Chapter Two: FINDINGS .......................................................................................................................................... 4 2.1 Human Resources for Health ........................................................................................................................ 4 2.2 Leadership and Governance ......................................................................................................................... 5 2.3 Medical Services...........................................................................................................................................
    [Show full text]