Browsing by Author "Bankole, Akinrinola"

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    Adolescent Sexual and Reproductive Health in Uganda: Results from the 2004 National Survey of Adolescents
    (Alan Guttmacher Institute., 2006) Neema, Stella; Ahmed, Fatima H.; Kibombo, Richard; Bankole, Akinrinola
    Adolescents in Sub-Saharan Africa face many hurdles,including balancing the expectations of the traditional,often conservative, norms against the increasing exposure, through the mass media, to modern ideals. The sexual and reproductive health of adolescents is one area in which this struggle is often apparent, and many young people engage in sexual activities with little or no knowledge about how to protect themselves against the risks of infection and unwanted pregnancy. An estimated 6.9 percent of women and 2.2 percent of men aged 15–24 in the region were living with HIV at the end of 2004. Furthermore, about one in 10 young women have had a premarital birth by age 20. In Uganda, evidence from the AIDS Information Centre shows that, among 15–24-year-olds who were first-time testers, HIV seroprevalence was 3% among men and 10% among women in 2002. Furthermore, in 2000–2001, 39% of recent births to Ugandan adolescents were either mistimed or unwanted.
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    The health system cost of post-abortion care in Uganda
    (Health Policy and Planning, 2014) Vlassoff, Michael; Mugisha, Frederick; Sundaram, Aparna; Bankole, Akinrinola; Singh, Susheela; Amanya, Leo; Kiggundu, Charles
    This article presents estimates based on the research conducted in 2010 of the cost to the Ugandan health system of providing post-abortion care (PAC), filling a gap in knowledge of the cost of unsafe abortion. Thirty-nine public and private health facilities were sampled representing three levels of health care, and data were collected on drugs, supplies, material, personnel time and out-of-pocket expenses. In addition, direct non-medical costs in the form of overhead and capital costs were also measured. Our results show that the average annual PAC cost per client, across five types of abortion complications, was $131. The total cost of PAC nationally, including direct non-medical costs, was estimated to be $13.9 million per year. Satisfying all demand for PAC would raise the national cost to $20.8 million per year. This shows that PAC consumes a substantial portion of the total expenditure in reproductive health in Uganda. Investing more resources in family planning programmes to prevent unwanted and mistimed pregnancies would help reduce health systems costs.
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    Protecting the Next Generation in Uganda
    (Guttmacher Institute., 2008) Darabi, Leila; Bankole, Akinrinola; Serumaga, Kalundi; Neema, Stella; Kibombo, Richard; Ahmed, F. Humera; Banoba, Paul
    As young people grow into adolescence and young adulthood, most will become sexually active and thus be exposed to the dual risks of unintended pregnancy and sexually transmitted infections (STIs), most importantly HIV. Although Uganda’s multi pronged HIV prevention program—consisting of direct programmatic efforts to promote abstinence, monogamy and condom use, as well as a wide range of other strate gies to fight stigma, such as outreach to religious leaders—successfully contributed to a drop in HIV preva lence in the 1990s, that decline may have reached a plateau. Key to Uganda’s continued success in reducing HIV/AIDS, as well as unwanted pregnancy and unsafe abortion, is a commitment to focusing on young people, who dominate the country’s population. This, however, is no simple task. Those committed to protecting the next generation of Ugandans must recognize the diversity and varying needs of adolescents. For all adolescents, one thing is certain: Any program or policy aimed at protecing the sexual and reproductive health of youth will be more successful if it reaches them at the appropriate time,in some cases before they become sexually active.