Browsing by Author "Kisaakye, Peter"
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Item Alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in fishing communities of Lake Victoria, Uganda(BMC public health, 2021) Ojiambo Wandera, Stephen; Mbona Tumwesigye, Nazarius; Walakira, Eddy J.; Kisaakye, Peter; Wagman, JenniferFew studies have investigated the association between alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in fishing communities from eastern and central Uganda. Therefore, we aimed to determine the association between alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in the fishing communities on the shores of Lake Victoria, in Uganda. Methods: We conducted multivariable logistic regression analyses of HIV risk behavior using cross-sectional data from 501 young people from Mukono (Katosi landing site) and Namayingo districts (Lugala landing site). Results: Almost all (97%) respondents reported at least one HIV risk behavior; more than half (54%) reported engagement in three or more HIV risk behaviors. Results from the adjusted model indicate that alcohol use, working for cash or kind, being married, and having multiple sexual partners increased the odds of HIV risk behavior. IPV was not associated with HIV risk behavior. Conclusion: Interventions to promote consistent condom use and fewer sexual partnerships are critical for young people in the fishing communities in Uganda.Item Assessing willingness to pay for water during the COVID-19 crisis in Ugandan households(Social Sciences & Humanities Open, 2021) Sempewo, Jotham Ivan; Kisaakye, Peter; Mushomi, John; Tumutungire, Martin Dahlin; Ekyalimpa, RonaldWith the emergence of COVID-19, improving hygiene through handwashing with water and detergent is a priority. This behavioural practice requires that households have access to reliable improved water. One measure that can provide an invaluable source of information to measure access to improved water supply is willingness to pay (WTP). However, little is known about WTP for water during a pandemic such as COVID-19. Data from a cross-sectional survey was used to assess potential household determinants of WTP for water during March-June 2020 in 1639 Ugandan households. The focus is on the period March-June 2020 when the government of Uganda implemented a countrywide total lockdown in a bid to curb the spread of the deadly virus. Results indicate that most households were not willing to pay for water during March-June 2020. Sex of the household head, region of residence, water source, number of times hands are washed and whether a household buys or pays for water were significant explanatory household determinants for WTP for water. The results provide a rich understanding of the household factors that determine WTP for water during a pandemic. This evidence is important in guiding government and water utilities in developing sustainable regulations and policy interventions particularly during emergencies. The findings suggest that increasing or maintaining water revenues will be a challenge in emergencies if no attention is placed to addressing the disparity in socio-economic attributes associated with households’ WTP.Item “If your mother does not teach you, the world will…”: A qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda(Research square, 2022) Ndugga, Patricia; Kwagala, Betty; Ojiambo Wandera, Stephen; Kisaakye, Peter; Mbonye, Martin K.; Ngabirano, FredAdolescents (10–19 years) in developing countries experience a host of sexual and reproductive (SRH) challenges, with detrimental SRH and socio-economic consequences. These include early sexual debut, sexually transmitted infections including HIV, unsafe abortions, teenage pregnancy, and early childbearing. Parent-adolescent communication about SRH has significant potential to reduce adolescents’ risky sexual behaviors. However, communication between parents and adolescents is limited. We assessed the facilitators and barriers to parent-adolescent communication about sexual and reproductive health in two border districts of Eastern Uganda. Methods A community-based cross-sectional qualitative study was conducted in the border districts of Busia and Tororo in Eastern Uganda. Data collection entailed 8 Focus Group Discussions comprising parents, adolescents (10–17 years) and 26 Key Informants. Interviews were audio-recorded, transcribed, and translated into English. Thematic analysis was conducted with the aid of NVIVO 12 software. Results Parent-adolescent communication about SRH was not common. Facilitators of parent-adolescent communication were: good parent-child relationship, role of the mother, education level, and exposure of the parent. Parents are, however, limited by sexual and reproductive health-related cultural norms, inadequate capacity for parents to address pertinent SRH issues, busy schedules, poor modeling by parents, and inability to meet children’s /household basic needs. Conclusion Parents’ ability to communicate with their children is hindered by cultural barriers and inadequate knowledge. There is a need to equip parents with adequate information and skills to ease communication. Additionally, parent-adolescent communication on sexual and reproductive health should be integrated into parenting interventions so as to improve SRH communication between parents and children.Item The Impact of COVID-19 on Households’ Water Use in Uganda(Water Supply, 2021) Sempewo, Jotham Ivan; Mushomi, John; Tumutungire, Martin Dahlin; Ekyalimpa, Ronald; Kisaakye, PeterThe unprecedented outbreak of COVID-19 necessitated the promotion of better hygiene practices to curb the spread of the virus. Better hygiene requires that households have a stable supply of water. However, little is known about the predictors of changes in water use in emergency situations such as COVID-19 in Uganda. This study uses data from a cross-sectional survey to examine the changes in the quantities of water used by 1,639 Ugandan households due to COVID-19. This article also explores the factors that are associated with changes in water use. The month March 2020 is used in this study as a cut-off because this is the month in which the government implemented a lockdown to curb the spread of the virus. Results indicate that most households had an increase in the quantity of water used after March 2020 when compared with the period before March 2020. Household characteristics that were associated with a change in the quantity of water used were age, sex, education, main occupation of household head, household size and region of residence. The results can be used to inform the prediction and demand modelling of household water use for improved water interventions for equitable water supply during emergencies.Item Parent–child communication on sexual and reproductive health in border districts of Eastern Uganda(Sex Education, 2022) Kisaakye, Peter; Ndugga, Patricia; Kwagala, Elizabeth; Kayitale Mbonye, Martin; Ngabirano, Fred; Ojiambo Wandera, StephenParent-child communication concerning sexual and reproductive health (SRH) has significant potential to reduce children’s risky sexual behaviour. Despite these benefits, few parents communicate with their children about SRH issues in Uganda. Using multistage stratified sampling in a cross-sectional survey, we estimated the prevalence and investigated the factors that were associated with recent parent-child communication among 600 children (10- 17 years) in border districts of Uganda (Busia and Tororo). Results indicated that 61% of children reported to having received parentchild communication on SRH. Communication was more likely to happen among children living in urban areas (OR=4.88; 95% CI=1.79-13.33), boys (OR=1.84; 95% CI=1.13-3.00), those aged 15- 19 years (OR=2.59; 95% CI=1.51-4.46) and among children from households that owned a mobile phone (OR=2.11; 95% CI=1.05- 4.21) than their counterparts. Parent-child communication was also higher among children who were comfortable discussing SRH issues (OR=27.12; 95% CI=16.02-45.89) and children from Tororo district (OR=2.34; 95% CI=1.36-4.01). The findings provide a rich understanding of the factors associated with Parent-child communication in the border districts of Uganda. These results provide a basis for policy enactment or revision regarding the encouragement of parent-child communication about SRH in Uganda.