Browsing by Author "Owor, Joseph"

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    Comparative Studies of Orphans and Non-Orphans in Uganda
    (Center for International Health and Development, 2004) Munaaba, Flavia; Owor, Joseph; Baguma, Peter; Musisi, Seggane; Mugisha, Frank; Muhangi, Denis
    There are now in Uganda more than two million orphans, i.e. children under 18 years old who have lost one or both of their parents. Roughly one in every five children is an orphan and one in every four households in the country is caring for at least one orphan. As a follow-up to a Situation Analysis of Orphans in Uganda in 2002, this monograph presents six studies carried out by Ugandan researchers in 2003 and 2004 on different aspects of the orphan crisis about which the Situation Analysis found inadequate data. Five studies focused on the following: the comparative psycho-social situation of orphans relative to other children (two studies), the legal issues (such as property grabbing and abuse) which they face, suspected differential care-giving practices, and whether orphans face greater risk for sexually transmitted diseases (including HIV/AIDS). The sixth study conducted a comparative evaluation of an orphan support and intervention effort to determine its impact and to test a particular evaluation approach. The results of these studies have already contributed to the preparatory discussions and formulation of the Uganda National Policy on Orphans as well as to the Uganda National Strategic Program Plan of Interventions for Orphans which were produced in 2004.
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    Negotiating improved case management of childhood illness with formal and informal private practitioners in Uganda
    (Tropical Medicine & International Health, 2006) Tawfik, Youssef; Nsungwa-Sabiti, Jesca; Greer, George; Owor, Joseph; Kesande, Rosette; Prysor-Jones, Suzanne
    In Uganda, formal and informal private practitioners (PPs) provide most case management for childhood illness. This paper describes the impact of negotiation sessions, an intervention to improve the quality of PPs’ case management of childhood diarrhoea, acute respiratory infection and malaria in a rural district in Uganda. Negotiation sessions targeted PPs working at private clinics and drug shops. The aim was to improve key practices extracted from the national Integrated Management of Childhood Illness Guidelines, and to measure the PPs’ performance before and after the intervention.Post-intervention the quality of case management for childhood diarrhoea, acute respiratory infection and malaria was generally better, although certain practices appeared resistant to change. We discovered various types of PPs who were mostly unregistered by the district authorities.Results suggest the importance of maintaining ongoing monitoring and support to PPs to understand barriers to change and to encourage more practice improvement. Modifications to the intervention are needed to take it to scale and render it more sustainable. Getting local organizations and professional associations more involved could make it easier to establish and maintain contact with PPs. The government needs to simplify registration procedures and reduce associated fees to encourage PPs to register and thus be included in a large-scale intervention. Future interventions need to measure the impact on improving childhood case management at the community/household level.