Browsing by Author "Konde-Lule, J."
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Item Early undergraduate research experience at Makerere University Faculty of Medicine: a tool for promoting medical research(African health sciences, 2006) Munabi, I. G.; Katabira, E. T.; Konde-Lule, J.Research is one of the key distinguishing features of an academic institution. The way an institution grooms its future researchers determines its long term survival. The ability to do and communicate ones research findings is so important that it is now an internationally recognized minimum competency for graduate of any medical school. To remain relevant the Faculty of Medicine Makerere University needs to identify research enhancing opportunities like undergraduate research experiences. This was a cross sectional study involving 424 graduate and undergraduate students of Makerere University Medical School on the traditional curriculum. A self administered questionnaire was used to capture reported details of individual research experiences. There were 424 student respondents, 88% of whom were undergraduates (372/424). About 41% (176/ 424) of these respondents reported having had a previous research experience. Among the postgraduates 74% (37/ 50) reported having had a previous research experience compared with 68% (139/342) of the undergraduates [OR=4.16, 2.07-8.57]. The sum of individual undergraduate experiences had the strongest positive correlation with the total number of studies done by an individual [R=0.801]. Early, guided undergraduate research experience can be used to promote research within the Faculty of Medicine Makerere University.Item HIV counselling and testing in rural Uganda: communities’ attitudes and perceptions towards an HIV counselling and testing programme(AIDS care, 2002) Kipp, W.; Kabagambe, G.; Konde-Lule, J.Study results on the assessment of a community-wide HIV counselling and testing programme are presented. The aim of this qualitative study was to elucidate whether HIV counselling and testing (HIV CT) was acceptable to a rural community and whether they expressed a need for it. From a total of 2,267 persons of Kigoyera Parish, western Uganda, who were HIV tested and counselled, 171 persons participated in 17 focus group discussions. Most participants expressed a strong need for HIV counselling and testing services. The counsellors were seen as competent and confidential. Community health workers were favoured as the preferred provider of HIV CT services. However, participants stressed that they should not come from the same community. Most participants felt that a HIV CT programme available only once is not enough and did not induce a change in sexual behaviour, e.g. increased condom use. They requested counselling services that are continuously offered. The study results also showed that there is a demand for HIV counselling services without being HIV tested.Item Nature and Dynamics of Climate Variability in the Uganda Cattle Corridor(African Journal of Environmental Science and Technology, 2013) Nimusiima, Alex; Basalirwa, C. P. K.; Majaliwa, J.G.M.; Otim-Nape, W.; Okello-Onen, J.; Rubaire-Akiiki, C.; Konde-Lule, J.; Ogwal-Byenek, S.The study was conducted in the districts of Nakaseke and Nakasongola stratified into four farming systems of crop dominancy, pastoralists, mixed crop and livestock and fishing. The study was guided by two research questions: (1) how do community residents perceive climate change/variability? (2) What is the trend and nature of climate variability and how does it compare with people’s perceptions? Ninety eight percent (98%) of the respondents reported that the routine patterns of weather and climate had changed in the last 5 to 10 years and it has become less predictable with sunshine hours being extended and rainfall amounts being reduced. This compared well with the analyzed secondary data. Over 78% respondents perceived climate change and variability to be caused by tree cutting other than the known scientific reasons like increase in industrial fumes or increased fossil fuel use. Climate data showed that over the period 1961 to 2010 the number of dry spells within a rainfall season had increased with the most significant increase observed in the first rainfall season of March to May as compared to the season of September to November. The first dry season of June/July to August is short while the second dry season of December to February is long during the study period. The two rainfall seasons of March to May and September to November seem to be merging into one major season from May to November. Temperature data shows a significant increasing trend in mean annual temperatures with the most increase observed in the mean annual minimum temperatures than the maximum temperatures.Item Nutritional status of food consumption patterns of young children living in Western Uganda(East African medical journal, 2006) Bridge, A.; Kipp, W.; Raine, K.; Konde-Lule, J.The aim of this pilot study was to compare the nutritional status and food consumption patterns of children under five years. Quantitative, exploratory, cross sectional study. Setting: Kabarole district, western Uganda. Kabarole district is a rural district with subsistence farming as the main income. Subjects: Two hundred and five children between 12 and 72 months of age living in AIDS affected homes versus children living in non-AIDS affected homes were examined. Fifty-five percent of all children were stunted and 20.5% were underweight. There was no difference in the prevalence of malnutrition between children living in AIDS affected homes versus non-AIDS affected homes. Only children between 12-35 months suffered from a daily deficit in caloric intake. The older children consumed the basic recommended daily intake (RDI) for protein, fat, iron and vitamin A. Due to frequent disease episodes and limitations in the estimations of individual total energy expenditure, the results are likely underestimations of the children's true nutritional requirements. The type of foods given to children in AIDS affected homes and controls were quite similar. Young children in Kabarole district suffer from severe chronic malnutrition rates, but rates and feeding patterns are not different in AIDS affected versus non AIDS affected homes.Item Understanding the barriers to clubfoot treatment adherence in Uganda: A rapid ethnographic study(Disability and rehabilitation, 2007) McElroy, T.; Konde-Lule, J.; Neema, S.; Gitta, S.The Ponseti method has been demonstrated to be an effective, low-technology method of correcting congenital clubfoot. The purpose of this paper is to identify barriers to adherence to the Ponseti method of clubfoot treatment in Uganda. Understanding of barriers underlies successful and culturally appropriate approaches to program implementation.