Browsing by Author "Mugamba, Stephen"

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    Household food insecurity and its association with self-reported male perpetration of intimate partner violence: a survey of two districts in central and western Uganda
    (BMJ Open, 2021) Awungafac, George; Mugamba, Stephen; Nalugoda, Fred; Sjöland, Carl Fredrik; Kigozi, Godfrey; Rautiainen, Susanne; Bulamba Malyabe, Robert; Ziegel, Leo; Nakigozi, Gertrude; Kigozi Nalwoga, Grace; Kyasanku, Emmanuel; Nkale, James; Watya, Stephen; Ekström, Anna Mia; Kågesten, Anna
    This study aimed to determine the lifetime prevalence of male-perpetrated intimate partner violence (IPV), and to assess the association with food insecurity, sociodemographic factors and health risk behaviors in Uganda in the year preceding COVID-19- associated lockdowns. Population-based, cross-sectional household survey. Urban, semi urban and rural communities of the Wakiso and Hoima districts in Uganda. Participants A total of N=2014 males aged 13–80 years participated in the survey. The current study included males who reported having ever been in a sexual union and responded to the IPV questions (N=1314).
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    Not Enough Money and Too Many Thoughts: Exploring Perceptions of Mental Health in Two Ugandan Districts Through the Mental Health Literacy Framework
    (Qualitative Health Research, 2021) Miller, Amanda P.; Ziegel, Leo; Mugamba, Stephen; Kyasanku, Emmanuel; Wagman, Jennifer A.; Nkwanzi-Lubega, Violet; Nakigozi, Gertrude; Kigozi, Godfrey; Nalugoda, Fred; Kigozi, Grace; Nkale, James; Watya, Stephen; Ddaaki, William
    Mental health disorders account for a heavy disease burden in Uganda. In order to provide culturally appropriate mental health prevention and treatment approaches, it is necessary to understand how mental health is conceptualized in the population. Three focus group discussions (FGDs) and 31 in-depth interviews (IDIs) were conducted with men and women aged 14 to 62 years residing in rural, urban, and semi-urban low-income communities in central and western Uganda to explore perceptions and knowledge of mental health. Interpretive thematic analysis was undertaken; results were organized through the lens of the mental health literacy framework. Environmental and societal stressors were identified as primary underlying causes of poor mental health. While participants recognized symptoms of poor mental health, gaps in mental health literacy also emerged. Mental health resources are needed in this setting and additional qualitative work assessing knowledge and attitudes toward mental health care seeking behavior can inform the development of acceptable integrated services.
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    Women's access to family planning and experiences of reproductive coercion during the COVID-19 lockdown in two districts of Uganda
    (Elsevier Ltd, 2024-05) Qureshi, Mira J.; Miller, Amanda P.; Mugamba, Stephen; Kyasanku, Emmanuel; Nalugoda, Fred; Bulamba, Robert Malyabe; Kigozi, Godfrey; Nakigozi, Gertrude; Nkale, James; Kato, Phillip; Nalwoga, Grace Kigozi; Watya, Stephen; Wagman, Jennifer A.
    In March 2020, Uganda enforced country-wide restrictions to control the spread of SARS-CoV-2, categorizing some health services, including family planning (FP), as non-essential. Globally, similar COVID-19 restrictions have been associated with increased vulnerability to reproductive coercion (RC) among women, due to changes in FP service availability and restricted access by partners. This study aims to investigate these dynamics in Uganda, specifically examining the impact of the COVID-19 lockdown on women's access to FP, their experiences of RC, and the relationship between RC and intimate partner violence (IPV). We conducted a cross-sectional analysis of data from 960 women participating in the AMBSO Population Health Surveillance Study (APHS) between August 2020 and March 2021 across Wakiso (N = 164) and Hoima (N = 796) districts in Uganda. Our analysis focused on women who were sexually active in the past month, using bivariate analyses to explore the associations between RC and recent experiences of sexual, physical, and verbal IPV. The most commonly reported FP methods were injectables (36.8 %) and implants (16 %). Despite the COVID-19 lockdown, less than one percent of participants reported an inability to access their preferred FP method. Notably, 3 % of the women experienced RC in the past 12 months. There was a significant association between RC and sexual IPV (p < 0.0001), as well as physical IPV (p < 0.0001). Instances of verbal IPV were observed to have tripled during the lockdown period. An increase in verbal IPV was found among women during the COVID-19 lockdown. Additionally, a notable association emerged between other forms of IPV and an increased risk of RC. Despite the lockdown, access to FP remained high, which could be attributed to the prevalent use of long-acting FP methods.