Browsing by Author "Nankinga, Olivia"

Now showing 1 - 5 of 5
  • Thumbnail Image
    Item
    Empowerment, intimate partner violence and skilled birth attendance among women in rural Uganda
    (Reproductive health, 2016) Kwagala, Betty; Nankinga, Olivia; Ojiambo Wandera, Stephen; Ndugga, Patricia; Kabagenyi, Allen
    There is limited research on how the empowerment of women and intimate partner violence (IPV) are associated with skilled birth attendance (SBA) among rural women in Uganda. Therefore, the aim of this paper was to investigate the association between women’s empowerment, their experience of IPV and SBA in rural Uganda. Methods: Using data from the Uganda Demographic and Health Survey (UDHS), we selected 857 rural women who were in union, had given birth in the last 5 years preceding the survey and were selected for the domestic violence (DV) module. Frequency distributions were used to describe the background characteristics of the women and their partners. Pearson’s chi-squared (χ2) tests were used to investigate the associations between SBA and women’s empowerment; and partners’ and women’s socio-demographic factors including sexual violence. Multivariable logistic regression analyses were used to examine the association between SBA and explanatory variables. Results: More than half (55 %) of the women delivered under the supervision of skilled birth attendant. Women’s empowerment with respect to participation in household decision-making, property (land and house) (co)ownership, IPV, and sexual empowerment did not positively predict SBA among rural women in Uganda. Key predictors of SBA were household wealth status, partners’ education, ANC attendance and parity. Conclusions: For enhancement of SBA in rural areas, there is a need to encourage a more comprehensive ANC attendance irrespective of number of children a woman has; and design interventions to enhance household wealth and promote men’s education.
  • Thumbnail Image
    Item
    Facilitators, best practices and barriers to integrating family planning data in Uganda’s health management information system
    (BMC health services research, 2019) Ojiambo Wandera, Stephen; Kwagala, Betty; Nankinga, Olivia; Ndugga, Patricia; Kabagenyi, Allen; Adamou, Bridgit; Kachero, Benjamin
    Health management information systems (HMIS) are instrumental in addressing health delivery problems and strengthening health sectors by generating credible evidence about the health status of clients. There is paucity of studies which have explored possibilities for integrating family planning data from the public and private health sectors in Uganda’s national HMIS. This study sought to investigate the facilitators, best practices and barriers of integrating family planning data into the district and national HMIS in Uganda. Methods: We conducted a qualitative study in Kampala, Jinja, and Hoima Districts of Uganda, based on 16 key informant interviews and a multi-stakeholder dialogue workshop with 11 participants. Deductive and inductive thematic methods were used to analyze the data. Results: The technical facilitators of integrating family planning data from public and private facilities in the national and district HMIS were user-friendly software; web-based and integrated reporting; and availability of resources, including computers. Organizational facilitators included prioritizing family planning data; training staff; supportive supervision; and quarterly performance review meetings. Key behavioral facilitators were motivation and competence of staff. Collaborative networks with implementing partners were also found to be essential for improving performance and sustainability. Significant technical barriers included limited supply of computers in lower level health facilities, complex forms, double and therefore tedious entry of data, and web-reporting challenges. Organizational barriers included limited human resources; high levels of staff attrition in private facilities; inadequate training in data collection and use; poor culture of information use; and frequent stock outs of paper-based forms. Behavioral barriers were low use of family planning data for planning purposes by district and health facility staff.
  • Thumbnail Image
    Item
    Gender relations, sexual behaviour, and risk of contracting sexually transmitted infections among women in union in Uganda
    (BMC Public Health, 2016) Nankinga, Olivia; Misinde, Cyprian; Kwagala, Betty
    Sexually transmitted infections (STIs) are a major reproductive and public health concern, especially in the era of HIV/AIDS. This study examined the relationship between sexual empowerment and STI status of women in union (married or cohabiting) in Uganda, controlling for sexual behaviour, partner factors, and women’s background characteristics. Methods: The study, based on data from the 2011 Uganda Demographic and Health Survey (UDHS), analysed 1307 weighted cases of women age 15–49 in union and selected for the domestic violence module. Chi-squared tests and multivariate logistic regressions were used to examine the predicators of STI status. The main explanatory variables included sexual empowerment, involvement in decision making on own health, experience of any sexual violence, condom use during last sex with most recent partner, number of lifetime partners and partner control behaviours. Sexual empowerment was measured with three indicators: a woman’s reported ability to refuse sex, ability to ask her partner to use a condom, and opinion regarding whether a woman is justified to refuse sex with her husband if he is unfaithful. Results: Results show that 28 % of women in union reported STIs in the last 12 months. Sexual violence and number of lifetime partners were the strongest predictors of reporting STIs. Women’s sexual empowerment was a significant predictor of their STI status, but, surprisingly, the odds of reporting STIs were greater among women who were sexually empowered. Reporting of STIs was negatively associated with a woman’s participation in decision-making with respect to her own health, and was positively associated with experience of sexual violence, partner’s controlling behaviour, and having more than one life partner. Conclusions: Our findings suggest that, with respect to STIs, sexual empowerment as measured in the study does not protect women who have sexually violent and controlling partners. Interventions promoting sexual health must effectively address negative masculine attitudes and roles that perpetuate unhealthy sexual behaviours and gender relations within marriage. It is also important to promote marital fidelity and better communication within union and to encourage women to take charge of their health jointly with their partners.
  • Thumbnail Image
    Item
    Integrating Family Planning Data in Uganda’s Health Management Information System
    (Research gate, 2018) Ojiambo Wandera, Stephen; Kwagala, Betty; Nankinga, Olivia; Ndugga, Patricia; Kabagenyi, Allen
    Uganda’s health management information system (HMIS) was established in 1985 to collect and analyze national data on morbidity from communicable and noncommunicable diseases, reproductive health, family planning (FP), and immunization (Kintu, et al., 2004). The routine health data reporting system has evolved to the current platform known as the district health information system, version 2 (DHIS 2), which began in 2011 in a few districts and was rolled out to all districts in Uganda in 2012 (Kiberu, et al., 2014). Few studies have explored the mechanisms for integrating FP data from the public and private health sectors in Uganda’s national HMIS. This study aimed to investigate the barriers, facilitators, and best practices of integrating these FP data in the district and national HMIS in Uganda. Methods: We conducted a qualitative study in Kampala, Jinja, and Hoima Districts. Primary data were collected from 16 key informant interviews (KIIs) and a multistakeholder dialogue (MSD) workshop comprised of 11 participants. The KIIs included three Ministry of Health (MOH) officers, three HMIS focal persons at nongovernmental organizations, four HMIS focal persons who were district biostatisticians or medical records officers, and six providers who were medical records officers at public and private health facilities. We conducted a systematic review of the HMIS in sub-Saharan African countries that are FP priorities for the United States Agency for International Development (USAID). The systematic literature review covered 2008–2016.
  • Thumbnail Image
    Item
    Perceived Partners’ Desire for More Children and Modern Contraceptive Use among Married Women in Uganda
    (Makerere University, 2011) Kabagenyi, Allen; Nankinga, Olivia; Rutaremwa, Gideon
    Globally, fertility levels have been gradually reducing and the current average fertility estimates present 1.7 births in developed countries, 4.1 in less developed countries and 4.8 in sub-Saharan Africa (UnitedNations 2011). Projections show that if Africa, fertility rates remain the same over the forth coming decades, the continent’s rapidly growing population is bound to reach 3 billion by 2050 and about 15 million by 2100 (Chamie 2011) . While rates are seemingly reducing, Uganda is one of the countries in Africa grappling with high fertility levels of over 6.2 children born per woman and a population growth rate of over 3.2 percent per annum (UBOS 2007; UBOS 2012). The country’s young age structure is attributed mainly to the persistent high fertility levels for the past decades and low contraceptive use. Universally an overwhelming 215 women in developing countries who would want to use contraceptives if availed to them however they lack access. Many women would want to use contraception to delay or limit births however they are not using anything as required. This exposes them to risk of having unwanted and unplanned pregnancies. It is no wonder that many women continue to die due to pregnancy related complications some of which could be averted with the use of contraception. Research has shown that in addition to development in socioeconomic status (Bongaarts, et al. 1984), contraceptive use had direct effects on fertility reductions in any given society(Ainsworth, et al. 1996; Caldwell and Caldwell 1990). Furthermore fertility scholars including Easterlin (1975), Cleland (2001) and Mason et al (2001), proposed other determinants that would help in the reduction of birth rates which include; improved child survival, increased education levels of mothers and rural-urban development (Ainsworth, et al. 1996; Bongaarts, et al. 1984; Collier and Gunning 1999). Though presented with an increment from a rate of 26 in 2006 to 30 in 2011 the current contraceptive prevalence based on the demographic health survey is still very low among married in Uganda UBOS & MACRO INT. (2012) , (Caldwell and Caldwell 2002; Collier and Gunning 1999). Given the different interventions in Uganda towards improvement and provision access to contraceptives and other methods of family planning, usage is still very low(Ntozi and 2 Kabera 1991; UBOS 2012) . This paper therefore seeks to show the influence of perceived partner’s desire for more children and it is on current contraceptive use among married women in Uganda.