The National Research Repository of Uganda - NRU

Welcome to the National Research Repository of Uganda, abbreviated as "NRU". NRU was established in 2021. NRU is a collection of scholarly output by researchers from the UNCST Community, including scholarly articles and books, electronic theses and dissertations, conference proceedings, journals, technical reports and digitised library collections. It is the official Institutional Archive (IA) of UNCST.

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For information about the publishers' copyright policy on archiving your articles online or in an institutional archive, visit the Sherpa Site at http://www.sherpa.ac.uk/romeo.php The site gives a summary of the permissions normally given as part of each publisher's copyright transfer agreement. If you wish to publish your research findings in the NRU, please contact NRU administrator at admin@uncst.go.ug for details. NRU operates both open access and closed access models. Access to fulltext has been restricted in adherence to the UNCST Intellectual Property Rights (IPR) and Copyrights policies.

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Africa Portal is an online repository of open access library collection with over 3,000 books, journals, and digital documents on African policy issues. This is an initiative by the Centre for International Governance Innovation (CIGI), Makerere University (MAK), and the South African Institute of International Affairs (SAIIA). Please visit the Africa Portal at http://www.africaportal.org/library.

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Recent Submissions

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Social media and parliamentary candidates in Uganda
(Cambridge University Press, 2024-12) Lemaire, Pauline;; Karyeija, Gerald Kagambirwe
Do social media offer more opportunities for parliamentary opposition and independent candidates to reach voters in electoral autocracies? Social media have been seen as a great liberation tool, facilitating the mobilisation of disenfranchised citizens. However, scholarship on electoral autocracies highlights how they are well-versed in subverting democratic innovations. Taking the 2021 legislative campaign in Uganda as a case, we show that social media offer a range of opportunities for the opposition to campaign, while also providing new ways for the regime to try to maintain its dominance. Our findings rely on insights from 35 interviews with legislative candidates combined with data collected from their Facebook pages and Twitter profiles as well as from those of their opponents. We contribute to the literature on electoral autocracy and on candidates' use of social media in electoral campaigns by identifying the opportunities social media offer for both the regime and its opposition. ABI/INFORM Global (Corporate)
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Gendered extractivism in Uganda: implications for Just Transitions
(IOP Publishing, 2025-07-08) Müller, Tobias
Critical analyses of extractivism have demonstrated that it frequently involves interconnected gendered impacts on local communities. While gender equality has become an important concern in the literature on sustainability and economic development, more intersectional and decolonial feminist critiques of extractivism are only slowly entering mainstream debates even though they offer important perspectives for thinking about the socio-political challenges Just Transitions are likely to face, especially in African countries with weak governance systems. This paper contributes to the understanding of the potential gendered impact of putative just transition programmes in Africa through the analyses of different gendered impacts in three zones of resource extraction in Uganda, namely mining in Karamoja, a sugar cane plantation in Mabira Forest and oil extraction via the East African Crude Oil Pipeline (EACOP). Employing an intersectional and decolonial feminist lens, the paper identifies three gendered dimensions of extractivist impacts, namely sexual violence, barred access to basic necessities and dispossession of land. It is vital to take these challenges seriously in order to avoid reproducing such gendered impact in attempts to achieve a Just Transition in Uganda and countries with similar socio-economic profiles.
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Reduced CCR5 expression among Uganda HIV controllers
(BioMed Central, 2023-05-25) Nyiro, Brian;; Amanya, Sharon Bright;; Bayiyana, Alice ;; Wasswa, Francis;; Nabulime, Eva;; Kayongo, Alex;; Nankya, Immaculate;; Mboowa, Gerald;; Kateete, David Patrick;; Sande, Obondo James
Abstract Background Several mechanisms including reduced CCR5 expression, protective HLA, viral restriction factors, broadly neutralizing antibodies, and more efficient T-cell responses, have been reported to account for HIV control among HIV controllers. However, no one mechanism universally accounts for HIV control among all controllers. In this study we determined whether reduced CCR5 expression accounts for HIV control among Ugandan HIV controllers. We determined CCR5 expression among Ugandan HIV controllers compared with treated HIV non-controllers through ex-vivo characterization of CD4 + T cells isolated from archived PBMCs collected from the two distinct groups. Results The percentage of CCR5 + CD4 + T cells was similar between HIV controllers and treated HIV non-controllers (ECs vs. NCs, P = 0.6010; VCs vs. NCs, P = 0.0702) but T cells from controllers had significantly reduced CCR5 expression on their cell surface (ECs vs. NCs, P = 0.0210; VCs vs. NCs, P = 0.0312). Furthermore, we identified rs1799987 SNP among a subset of HIV controllers, a mutation previously reported to reduce CCR5 expression. In stark contrast, we identified the rs41469351 SNP to be common among HIV non-controllers. This SNP has previously been shown to be associated with increased perinatal HIV transmission, vaginal shedding of HIV-infected cells and increased risk of death. Conclusion CCR5 has a non-redundant role in HIV control among Ugandan HIV controllers. HIV controllers maintain high CD4 + T cells despite being ART naïve partly because their CD4 + T cells have significantly reduced CCR5 densities.
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Timeliness and completeness of weekly surveillance data reporting on epidemic prone diseases in Uganda, 2020–2021
(BioMed Central, 2023-04-04) Nansikombi, Hildah Tendo;; Kwesiga, Benon;; Aceng, Freda L. ;; Ario, Alex R.;; Bulage, Lilian;; Arinaitwe, Emma S.
Disease surveillance provides vital data for disease prevention and control programs. Incomplete and untimely data are common challenges in planning, monitoring, and evaluation of health sector performance, and health service delivery. Weekly surveillance data are sent from health facilities using mobile tracking (mTRAC) program, and synchronized into the District Health Information Software version 2 (DHIS2). The data are then merged into district, regional, and national level datasets. We described the completeness and timeliness of weekly surveillance data reporting on epidemic prone diseases in Uganda, 2020-2021.INTRODUCTIONDisease surveillance provides vital data for disease prevention and control programs. Incomplete and untimely data are common challenges in planning, monitoring, and evaluation of health sector performance, and health service delivery. Weekly surveillance data are sent from health facilities using mobile tracking (mTRAC) program, and synchronized into the District Health Information Software version 2 (DHIS2). The data are then merged into district, regional, and national level datasets. We described the completeness and timeliness of weekly surveillance data reporting on epidemic prone diseases in Uganda, 2020-2021.We abstracted data on completeness and timeliness of weekly reporting of epidemic-prone diseases from 146 districts of Uganda from the DHIS2.Timeliness is the proportion of all expected weekly reports that were submitted to DHIS2 by 12:00pm Monday of the following week. Completeness is the proportion of all expected weekly reports that were completely filled and submitted to DHIS2 by 12:00pm Wednesday of the following week. We determined the proportions and trends of completeness and timeliness of reporting at national level by year, health region, district, health facility level, and facility ownership.METHODSWe abstracted data on completeness and timeliness of weekly reporting of epidemic-prone diseases from 146 districts of Uganda from the DHIS2.Timeliness is the proportion of all expected weekly reports that were submitted to DHIS2 by 12:00pm Monday of the following week. Completeness is the proportion of all expected weekly reports that were completely filled and submitted to DHIS2 by 12:00pm Wednesday of the following week. We determined the proportions and trends of completeness and timeliness of reporting at national level by year, health region, district, health facility level, and facility ownership.National average reporting timeliness and completeness was 44% and 70% in 2020, and 49% and 75% in 2021. Eight of the 15 health regions achieved the target for completeness of ≥ 80%; Lango attained the highest (93%) in 2020, and Karamoja attained 96% in 2021. None of the regions achieved the timeliness target of ≥ 80% in either 2020 or 2021. Kampala District had the lowest completeness (38% and 32% in 2020 and 2021, respectively) and the lowest timeliness (19% in both 2020 and 2021). Referral hospitals and private owned health facilities did not attain any of the targets, and had the poorest reporting rates throughout 2020 and 2021.RESULTSNational average reporting timeliness and completeness was 44% and 70% in 2020, and 49% and 75% in 2021. Eight of the 15 health regions achieved the target for completeness of ≥ 80%; Lango attained the highest (93%) in 2020, and Karamoja attained 96% in 2021. None of the regions achieved the timeliness target of ≥ 80% in either 2020 or 2021. Kampala District had the lowest completeness (38% and 32% in 2020 and 2021, respectively) and the lowest timeliness (19% in both 2020 and 2021). Referral hospitals and private owned health facilities did not attain any of the targets, and had the poorest reporting rates throughout 2020 and 2021.Weekly surveillance reporting on epidemic prone diseases improved modestly over time, but timeliness of reporting was poor. Further investigations to identify barriers to reporting timeliness for surveillance data are needed to address the variations in reporting.CONCLUSIONWeekly surveillance reporting on epidemic prone diseases improved modestly over time, but timeliness of reporting was poor. Further investigations to identify barriers to reporting timeliness for surveillance data are needed to address the variations in reporting. MEDLINE - Academic
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Predictors of female condom utilisation among women of reproductive age (15–49 years) in Rakai district, Uganda: a cross-sectional study
(BioMed Central, 2025-09-26) Shannon, Ahumuza;; Kevin, Nwanna Uchechukwu;; Gbadamosi, Mojeed Akorede
The female condom serves as a dual protective device, preventing the spread of HIV/AIDS, unintended pregnancies and other sexually transmitted infections (STIS). When it comes to sexual protection and contraception, the female condom is an essential tool for women's empowerment. Females are more susceptible than males to acquiring STIs due to their biological makeup. Females are particularly vulnerable to sexual abuse following substance use. The uptake of female condoms has been a significant challenge in Uganda, and their uptake remains low. Limited research exists on the subject of female condom use in Uganda; hence, this study was undertaken and used the Health Belief Model to investigate the prevalence and factors associated with the use of female condoms among women of reproductive age in Rakai district, Uganda. This cross-sectional study used a multistage random sampling method with a sample size of 125 women. Data were gathered using an interviewer-administered questionnaire and assessed with the Health Belief Model against the outcome variable, which was Female Condom utilisation. Log-binomial regression model analysis was done using SPSS version 25. The prevalence of utilising female condoms was 34%. The socio-demographic variables of the respondents that influenced FC utilisation were age (26-35 years) (aPR: 0.84, CI: 0.76-0.93, p < 0.001) and Monthly income (200,000-500,000 Ugx) (aPR: 0.14, CI: 0.03-0.74, p = 0.021). Also, perceived severity (aPR: 2.9, CI: 1.14-7.35, p = 0.026) and perceived benefits (aPR: 6.6, CI: 1.19-36.70, p = 0.031) were significantly associated with the outcome variable. Our significance level was 0.05 with a 95% confidence interval. The prevalence of utilisation of female condoms was low; age, religion, marital status, monthly income, perceived severity and benefits were the predictors of female condom use among women of reproductive age. Therefore, health education and awareness should be carried out at the community level to increase the sensitisation of female condoms by emphasising the importance of their use in preventing HIV/AIDS, STIs, and unintended pregnancies. Gale OneFile: Nursing and Allied Health