Browsing by Author "Wasswa, Hannington"

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    The damage caused by landslides in socio-economic spheres within the Kigezi highlands of South Western Uganda
    (Environmental & Socio-economic Studies, 2021) Nseka, Denis; Mugagga, Frank; Opedes, Hosea; Ayesiga, Patience; Wasswa, Hannington; Mugume, Isaac; Nimusiima, Alex; Nalwanga, Faridah
    An assessment of the socio-economic implications of landslide occurrence in the Kigezi highlands of South Western Uganda was conducted. Landslide occurrence is on the increase and threatens community livelihoods in these highlands. Detailed field investigations were undertaken with the help of local communities between June 2018 and May 2020 to identify and map recent and visible landslide scars in Rukiga uplands of Kigezi highlands. In the course of field inventories, 85 visible landslide scars were identified and mapped using handheld GPS receivers to produce a landslide distribution map for the study area. A socio-economic analysis was conducted to establish the effects of landslide damage on people’s livelihoods as well as their existing coping and adaptation mechanisms. The assessment was administered through field observations and surveying, focus group discussions, key informants and household interviews as well as the use of Local Government Environmental Reports. The study established an increase in the spatial-temporal distribution of landslides over the Kigezi highlands in the past 40 years. The landslides have resulted in a reduction in the quality of land, loss of lives, destruction of transport infrastructures, settlements, farmlands, crops and other socio-economic infrastructures. Therefore, it is important to look for reliable and sustainable measures to prevent landslide hazards. Total landscape reforestation with deep-rooted trees can possibly reduce the landslide risk. It is also important to undertake policy implementation for preparedness and mitigation plans against landslides in this region and in the country at large. Proper soil and water conservation measures could help in enhancing soil strength against landslide hazards.
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    Determinants of malaria infections among children in refugee settlements in Uganda during 2018–2019
    (Infectious Diseases of Poverty, 2023) Semakula, Henry M.; Liang, Song; Mukwaya, Paul I.; Mugagga, Frank; Swahn, Monica; Nseka, Denis; Wasswa, Hannington; Kayima, Patrick
    While 5% of 247 million global malaria cases are reported in Uganda, it is also a top refugee hosting country in Africa, with over 1.36 million refugees. Despite malaria being an emerging challenge for humanitarian response in refugee settlements, little is known about its risk factors. This study aimed to investigate the risk factors for malaria infections among children under 5 years of age in refugee settlements in Uganda. Methods We utilized data from Uganda’s Malaria Indicator Survey which was conducted between December 2018 and February 2019 at the peak of malaria season. In this national survey, household level information was obtained using standardized questionnaires and a total of 7787 children under 5 years of age were tested for malaria using mainly the rapid diagnostic test. We focused on 675 malaria tested children under five in refugee settlements located in Yumbe, Arua, Adjumani, Moyo, Lamwo, Kiryadongo, Kyegegwa, Kamwenge and Isingiro districts. The extracted variables included prevalence of malaria, demographic, social-economic and environmental information. Multivariable logistic regression was used to identify and define the malaria associated risk factors. Results Overall, malaria prevalence in all refugee settlements across the nine hosting districts was 36.6%. Malaria infections were higher in refugee settlements located in Isingiro (98.7%), Kyegegwa (58.6%) and Arua (57.4%) districts. Several risk factors were significantly associated with acquisition of malaria including fetching water from open water sources [adjusted odds ratio (aOR) = 1.22, 95% CI: 0.08–0.59, P = 0.002], boreholes (aOR = 2.11, 95% CI: 0.91–4.89, P = 0.018) and water tanks (aOR = 4.47, 95% CI: 1.67–11.9, P = 0.002). Other factors included pit-latrines (aOR = 1.48, 95% CI: 1.03–2.13, P = 0.033), open defecation (aOR = 3.29, 95% CI: 1.54–7.05, P = 0.002), lack of insecticide treated bed nets (aOR = 1.15, 95% CI: 0.43–3.13, P = 0.003) and knowledge on the causes of malaria (aOR = 1.09, 95% CI: 0.79–1.51, P = 0.005). Conclusions The persistence of the malaria infections were mainly due to open water sources, poor hygiene, and lack of preventive measures that enhanced mosquito survival and infection. Malaria elimination in refugee settlements requires an integrated control approach that combines environmental management with other complementary measures like insecticide treated bed nets, indoor residual spraying and awareness.
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    Determinants of malaria infections among children in refugee settlements in Uganda. Analysis of data from Uganda malaria indicator survey, 2018-19
    (Analysis of data from Uganda malaria indicator survey, 2023) Musoke, Henry S.; Liang, Song; Mukwaya, Paul Isolo; Mugagga, Frank; Swahn, Monica; Nseka, Denis; Wasswa, Hannington; Kayima, Patrick
    Globally, 5% of 247 million global malaria cases are reported Uganda which is also one of the top refugee hosting countries in Africa, with 1.36 million refugees currently. Although malaria is an emerging challenge for humanitarian response in refugee settlements, little is known about its risk factors. The study analysed data from the 2018-19 Uganda Malaria Indicator Survey (UMIS) to determine the factors associated with malaria infections among refugee children under ve years of age.
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    Integrated modelling of the determinants of household food insecurity during the 2020– 2021 COVID-19 lockdown in Uganda
    (BioMed Central, 2024-11) Semakula, Henry Musoke; Liang, Song; McKune, Sarah Lindley; Mukwaya, Paul Isolo; Mugagga, Frank; Nseka, Denis; Wasswa, Hannington; Kayima, Patrick; Achuu, Simon Peter; Mwendwa, Patrick; Nakato, Jovia
    Background-The determinants of household food insecurity (HFI) do not act in isolation, and are known to be complex, stochastic, nonlinear, and multidimensional. Despite this being especially true in periods of shocks, studies that focus on integrated modelling of the HFI determinants during the COVID-19 lockdown are scarce, with no available evidence on Uganda. The main objective of this study was to develop Bayesian belief network (BBN) models to analyse, rank, and illustrate the conceptual reasoning, and complex causal relationships among the determinants of HFI during the COVID-19 lockdown. This study was based on seven rounds of Uganda’s High-Frequency Phone Surveys data sets collected during the lockdown. A total of 15,032 households, 17 independent determinants of HFI, and 8 food security indicators were used in this study. Metrics of sensitivity, and prediction performance were used to evaluate models’ accuracy.ResultsEight BBN models were developed for each food insecurity indicator. The accuracy rates of the models ranged between 70.5% and 93.5%, with an average accuracy rate of 78.5%, indicating excellent predictive performance in identifying the determinants of HFI correctly. Our results revealed that approximately 42.2% of the sampled households (n = 15,032) in Uganda were worried about not having enough food. An estimated 25.2% of the respondents reported skipping a meal, while 32.1% reported consuming less food. Less than 20% of the households experienced food shortage, hunger, or having nothing to eat. Overall, 30.6% of the households were food insecure during the lockdown. The top five ranked determinants of HFI were identified as follows: (1) households’ inability to produce enough food; (2) households’ inability to buy food; (3) reduced household income; (4) limited cash assistance, and (5) households’ inability to stock adequate food supplies.ConclusionsRanking, rather than the statistical significance of the determinants of HFI, is crucial as an approach to applied research, as it helps stakeholders determine how to allocate resources for targeted interventions within the constraints of limited funding. These findings emphasize the importance of intervening on the most highly ranked determinants of HFI to enhance the resilience of local food systems, and households’ capacity to cope with recurring and unforeseen shocks. Agricultural Science Database