Browsing by Author "Kwesiga, Doris"

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    Barriers And Enablers To Reporting Pregnancy And Adverse Pregnancy Outcomes In Population-Based Surveys: ENINDEPTH Study
    (Population health metrics, 2021) Kwesiga, Doris; Tawiah, Charlotte; Imam, Ali; Tesega, Adane Kebede; Nareeba, Tryphena; Enuameh, Yeetey A. K.; Biks, Gashaw A.; Manu, Grace; Beedle, Alexandra; Delwa, Nafisa; Fisker, Ane B.; Waiswa, Peter; Lawn, Joy E.; Blencow, Hannah
    Risks of neonatal death, stillbirth and miscarriage are highest in low- and middle-income countries (LMICs), where data has most gaps and estimates rely on household surveys, dependent on women reporting these events. Underreporting of pregnancy and adverse pregnancy outcomes (APOs) is common, but few studies have investigated barriers to reporting these in LMICs. The EN-INDEPTH multi-country study applied qualitative approaches to explore barriers and enablers to reporting pregnancy and APOs in surveys, including individual, community, cultural and interview level factors.
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    Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda
    (Cross Mark, 2015-11-30) Muhwezi, Wilson Winstons; Katahoire, Anne Ruhweza; Banura, Cecily; Mugooda, Herbert; Kwesiga, Doris; Bastien, Sheri; Klepp, Knut-Inge
    Abstract Background: Evidence suggests that in spite of some adolescents being sexually active, many parents do not discuss sex-related issues with them due to lack of age-appropriate respectful vocabulary and skills. The likelihood of parent-adolescent communication improving sexual and reproductive health outcomes appears plausible. The desire to understand parent-adolescent communication and how to improve it for promotion of healthy sexual behaviours inspired this research. The paper is meant to describe perceptions of adolescents, parents and school administrators about parent-adolescent communication on sexual issues; describe the content of such communication and identify factors that influence this communication. Methods: The study was done among two urban and two rural secondary school students in their second year of education. Data were collected from 11 focus group discussions and 10 key Informants Interviews. Data management, analysis and interpretation followed thematic analysis principles. Illuminating verbatim quotations are used to illustrate findings. Results: Parental warmth and acceptability of children was perceived by parents to be foundational for a healthy adolescent- parent communication. Perceptions of adolescents tended to point to more open and frequent communication with mothers than fathers and to cordial relationships with mothers. Fathers were perceived by adolescents to be strict, intimidating, unapproachable and unavailable. While adolescents tended to generally discuss sexual issues with mothers, male adolescents communicated less with anyone on sex, relationships and condoms. Much of the parent-adolescent communication was perceived to focus on sexually transmitted infections and body changes. Discussions of sex and dating with adolescents were perceived to be rare. Common triggers of sexuality discussions with female adolescents were; onset of menstruation and perceived abortion in the neighbourhood. Discussion with male adolescents, if it occurred was perceived to be triggered by parental suspicion of having female โ€˜friendsโ€™ or coming home late. Peers at school and mass media were perceived to the main source of sexuality information. (Continued on next page
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    Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda
    (Cross Mark, 2015-11) Winstons Muhwezi, Wilson; Ruhweza Katahoire, Anne; Banura, Cecily; Mugooda, Herbert; Kwesiga, Doris; Bastien, Sheri; Klepp, Knut-Inge
    Abstract Background: Evidence suggests that in spite of some adolescents being sexually active, many parents do not discuss sex-related issues with them due to lack of age-appropriate respectful vocabulary and skills. The likelihood of parent-adolescent communication improving sexual and reproductive health outcomes appears plausible. The desire to understand parent-adolescent communication and how to improve it for promotion of healthy sexual behaviours inspired this research. The paper is meant to describe perceptions of adolescents, parents and school administrators about parent-adolescent communication on sexual issues; describe the content of such communication and identify factors that influence this communication. Methods: The study was done among two urban and two rural secondary school students in their second year of education. Data were collected from 11 focus group discussions and 10 key Informants Interviews. Data management, analysis and interpretation followed thematic analysis principles. Illuminating verbatim quotations are used to illustrate findings. Results: Parental warmth and acceptability of children was perceived by parents to be foundational for a healthy adolescent- parent communication. Perceptions of adolescents tended to point to more open and frequent communication with mothers than fathers and to cordial relationships with mothers. Fathers were perceived by adolescents to be strict, intimidating, unapproachable and unavailable. While adolescents tended to generally discuss sexual issues with mothers, male adolescents communicated less with anyone on sex, relationships and condoms. Much of the parent-adolescent communication was perceived to focus on sexually transmitted infections and body changes. Discussions of sex and dating with adolescents were perceived to be rare. Common triggers of sexuality discussions with female adolescents were; onset of menstruation and perceived abortion in the neighbourhood. Discussion with male adolescents, if it occurred was perceived to be triggered by parental suspicion of having female 'friends' or coming home late. Peers at school and mass media were perceived to the main source of sexuality information. Conclusions: Communication on sexuality issues between parents and their adolescent children was infrequent and critical elements like sex and specifics of protection against undesirable sexual behaviour consequences were avoided. Peers, schools and mass media should be creatively harnessed to improve parent-adolescent communication about sexuality issues.
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    Randomised Comparison Of Two Household Survey Modules For Measuring Stillbirths And Neonatal Deaths In Five Countries: The Every Newborn-INDEPTH Study
    (The Lancet Global Healt, 2020) Akuze, Joseph; Blencowe, Hannah; Waiswa, Peter; Baschieri, Angela; Gordeev, Vladimir S; Kwesiga, Doris; Fisker, Ane B.; Thysen, Sanne M.; Rodrigues, Amabelia; Biks, Gashaw A.; Abebe, Solomon M.; Gelaye, Kassahun A.; Mengistu, Mezgebu Y.; Geremew, Bisrat M.; Delele, Tadesse G.; Tesega, Adane K.; Yitayew, Temesgen A.; Kasasa, Simon; Galiwango, Edward; Natukwatsa, Davis; Kajungu, Dan; Enuameh, Yeetey A.K.; Nettey, Obed E.; Dzabeng, Francis; Amenga-Etego, Seeba; Newton, Sam K.; Tawiah, Charlotte; Asante, Kwaku P.; Owusu-Agyei, Seth; Alam, Nurul; Haider, Moinuddin M.; Imam, Ali; Mahmud, Kaiser; Cousens, Simon; Lawn, Joy E.
    An estimated 5ยท1 million stillbirths and neonatal deaths occur annually. Household surveys, most notably the Demographic and Health Survey (DHS), run in more than 90 countries and are the main data source from the highest burden regions, but data-quality concerns remain. We aimed to compare two questionnaires: a full birth history module with additional questions on pregnancy losses (FBH+; the current DHS standard) and a full pregnancy history module (FPH), which collects information on all livebirths, stillbirths, miscarriages, and neonatal deaths.