Browsing by Author "Mukisa, Wilber"

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    Factors influencing use of long-acting versus short-acting contraceptive methods among reproductive-age women in a resource-limited setting
    (BMC Women's Health, 2017) Tibaijuka, Leevan; Odongo, Robert; Welikhe, Emma; Mukisa, Wilber; Kugonza, Lilian; Busingye, Imelda; Nabukalu, Phelomena; Ngonzi, Joseph; Asiimwe, Stephen B.; Bajunirwe, Francis
    Unplanned pregnancy remains a common problem in many resource-limited settings, mostly due to limited access to modern family planning (FP) services. In particular, use of the more effective long-acting reversible contraceptive (LARC) methods (i.e., intrauterine devices and hormonal implants) remains low compared to the short-acting methods (i.e., condoms, hormonal pills, injectable hormones, and spermicides). Among reproductive-age women attending FP and antenatal care clinics in Uganda, we assessed perceptions and practices regarding the use of modern contraceptive methods. We specifically aimed to evaluate factors influencing method selection.We performed a mixed-methods cross-sectional study, in which we administered structured interviews to 180 clients, and conducted 4 focus group discussions (FGDs) with 36 clients and 8 in-depth personal qualitative interviews with health service providers. We summarized quantitative data and performed latent content analysis on transcripts from the FGDs and qualitative interviews.The prevalence of ever use for LARC methods was 23%. Method characteristics (e.g., client control) appeared to drive method selection more often than structural factors (such as method availability) or individual client characteristics (such as knowledge and perceptions). The most common reasons for choosing LARC methods were: longer protection; better child-spacing; and effectiveness. The most common reasons for not choosing LARC methods included requiring a client-controlled method and desiring to conceive in the near future. The most common reasons for choosing short-acting methods were ease of access; lower cost; privacy; perceived fewer side effects; and freedom to stop using a method without involving the health provider. The personal characteristics of clients, which appeared to be important were client knowledge and number of children. The structural factor which appeared to be important was method availability.Our results suggest that interventions to improve uptake of LARC among reproductive age women in this setting should consider: incorporating desired method-characteristics into LARC methods; targeted promotion and supply of LARC; and increased counselling, sensitization, and education.
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    Heavy Metal Pollution in the Main Rivers of Rwenzori Region, Kasese District South-Western Uganda
    (2020) Mukisa, Wilber; Yatuha, Jane; Andama, Morgan; Kasangaki, Aventino
    Current study established heavy metal pollution of rivers Mubuku, Rwimi and Nyamwamba in Kasese district, Western Uganda. Their integrity is important because communities depend on them for water resources. No recent information is known on rivers' quality status yet traverse a densely populated area with agricultural activities and a history of copper/cobalt mining as heavy metals pose high health risks. The study was conducted from October 2019 to December 2019 and quantified levels of Cu, Zn, Pb and Co in water and fish to estimate the rivers quality. Water samples were randomly collected in sterilised bottle while fish samples were collected using non selective net method, dissected and dried to a constant mass. The total heavy metal load was determined using atomic absorption spectrophotometer. Results showed that, apart from Lead, the levels of Cu, Zn and Co in the waters were all within WHO limits except Co at one site on R. Nyamwamba with 0.233±0.009mg/L above the limit 0.05mg/L for drinking water. The overall mean for Pb was 0.030±0.006mg/L and 0.047±0.003mg/L at R. Nyamwamba, 0.053±0.003mg/L at R. Mubuku and 0.067±0.003mg/L at R. Rwimi, all above the WHO limit of 0.01mg/L. In fish tissues, Cu was within WHO limit; however, Pb and Zn were above limits (Pb, 2.0ppm; Zn, 100ppm) for fish. The average concentration for Pb was 29.05±4.85ppm, 69.23±9.25ppm and 32.33±5.93ppm at R. Nyamwamba, Rwimi and Mubuku respectively and for Zn, 115.05±8.12ppm, 117.47±8.65ppm and 118.69±8.79ppm at R. Nyamwamba, Rwimi and Mubuku respectively. Similarly, for all the three rivers, physico-chemical parameters; pH, temperature, electro-conductivity and dissolved oxygen were within the WHO limits but turbidity, 12.02±0.39NTU was above the limit of 5.0NTU. Therefore, there is need for management intervention to control further contamination of rivers with heavy metals and controlled use of water bodies as washing bays