Browsing by Author "Igwaro Odongo-Aginya, Emmanuel"

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    Identification of Schistosoma mansoni eggs and other soil transmitted intestinal parasites in stool using Odongo-Aginya method
    (Research Square, 2019) Byagamy, John Paul; Malinga, Geoffrey Maxwell; Angwech, Harriet; Echodu, Richard; Igwaro Odongo-Aginya, Emmanuel
    Objective World Health Organisation recommends Kato-Katz technique for quantitative diagnosis of Schistosoma mansoni and other soil transmitted intestinal parasites in field research. However, for better visibility especially in hard stool specimens, the prepared slides in Kato-Katz technique are mostly examined after 1-2 hours. This longer clearing time over clear the eggs of parasites with thin cell walls in glycerine and morphology of the eggs are not often preserved in Kato-Katz method. These disadvantages are overcome using Odongo-Aginya method as illustrated by parasite eggs in the results. Result The Odongo-Aginya method uses compound stains of 7.5% nigrosin in 10% formalin and 0.5% eosin yellow in 10% formalin mixed 1:1 ratio. A drop of 50μl of the compound stain is added on 41.7mg of stool and stirred. This method illustrated the morphological appearance of S. mansoni and other soil transmitted intestinal parasites clearly when prepared and six weeks after preparation. The prepared slides maintained the morphological appearance including the eggs of hookworm after being kept in cool dry place for a long time. This method is reliable, reproducible, cost effective, easy to learn, quick and safe because of the base formalin, especially when handling specimens from Human Immunodeficiency virus infected patients.
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    Influence of Climatic Factors on Malaria Epidemic in Gulu District, Northern Uganda: A 10-Year Retrospective Study
    (Malaria research and treatment, 2018) Simple, Ouma; Mindra, Arnold; Obai, Gerald; Ovuga, Emilio; Igwaro Odongo-Aginya, Emmanuel
    Globally, 15 countries, mainly in Sub-Saharan Africa, account for 80% of malaria cases and 78% of malaria related deaths. In Uganda, malaria is endemic and the mortality and morbidity due to malaria cause significant negative impact on the economy. In Gulu district, malaria is the leading killer disease among children <5 years. In 2015, the high intensity of malaria infection inNorthernUganda revealed a possible link between malaria and rainfall.However, available information on the influence of climatic factors onmalaria are scarce, conflicting, and highly contextualized and therefore one cannot reference such information to malaria control policy in Northern Uganda, thus the need for this study. Methods and Results. During the 10 year’s retrospective study period a total of 2,304,537 people suffered frommalaria in Gulu district.Malaria infection was generally stable with biannual peaks during the months of June-July and September-October but showed a declining trend after introduction of indoor residual spraying. Analysis of the departure of mean monthly malaria cases from the long-term mean monthly malaria cases revealed biannual seasonal outbreaks before and during the first year of introduction of indoor residual spraying. However, there were two major malaria epidemics in 2015 following discontinuation of indoor residual spraying in the late 2014. Children <5 years of age were disproportionally affected bymalaria and accounted for 47.6% of the totalmalaria cases. Both rainfall (P=0.04) and relative humidity (P=0.003) had significant positive correlations with malaria.Meanwhile, maximumtemperature had significant negative correlation with malaria (P=0.02) but minimum temperature had no correlation with malaria (P=0.29). Conclusion. Malaria in Gulu disproportionately affects children under 5 years and shows seasonality with a generally stable trend influenced by rainfall and relative humidity. However, indoor residual spraying is a very promising method to achieve a sustained malaria control in this population.
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    Teenage Marriage in Post Conflict Northern Uganda: A Case of Amuru District
    (Science Journal of Public Health, 2018) Ouma, Simple; Odong Obita, Kenneth; Turyasima, Mananura; Harriet Omara, Acca; Nabbale, Florence; Rama, Moses Toe; Adong, Caroline Cephas; Odongkara, Mpora Beatrice; Igwaro Odongo-Aginya, Emmanuel; Awor, Silvia
    Background: Teenage marriage eventually lead to teenage pregnancy with all it associated adverse consequences. Moreover, teenagers are less likely to utilize antenatal care and as well exhibit sub-optimal neonatal care compared to adult women. Thus, the need to report on teenage marriage in order to inform policy makers to provide necessary teenage sexual reproductive health services with relevant policies especially in post-conflict settings like Northern Uganda. Objectives: To describe prevalence and determinants of teenage marriage in post-conflict Northern Uganda. Methods: In this cross-sectional study, data was collected from 424 females of reproductive age using pre-tested semi-structured questionnaires. Univariate and bivariate analyses were carried out using SPSS 16.0. Results: Mean age of study participants was 27 years. Majority of participants (79.0%) and their husbands (67.2%) were peasant farmers. Majority of participants were married (85.8%) with about one-fifth (18.1%) of the participants pregnant at the time of interview. Among the married participants, majority of the participants (65.1%) and their husbands (64.2%) had only primary education. Majority (86.3%) of the married women first got married as teenagers. Mean age at first marriage was 17 years. Women in this population generally got married at early ages. Women who got married at younger ages were lowly educated and generally never had formal paid employments. Likewise, women who got married at younger ages were generally married to lowly educated men with no formal employments. In contrast, women who married later in life had better education and married men with better education level and above all such couples tend to engage in formal paid employments. In addition, women who got married at older ages had less number of live births and desired to give birth to less children than women who got married at younger ages. Conclusions: Women in post-conflict Northern Uganda are experiencing high level of teenage marriage. This put them at risk of not attaining necessary education and employable skills hence poverty. This calls for targeted interventions from both government and development partners in order to reverse the current trend in teenage marriage due to inequality in formal education and other social amenities and thus save the girl child from poverty.