Browsing by Author "Acio, Christine"
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Item Cervical Cancer Screening Uptake and associated factors among HIV positive women at Antiretroviral-Clinic of Lira Regional Referral Hospital(Lira University, 2022) Kagenda, Gabriel Atwoki; Acio, Christinet 305 participants (women receiving care from an Antiretroviral-Clinic in LRRH), between July 2022 and October 2022 was conducted in Lira Regional Referral Hospital. Data entries from questionnaires were captured in Microsoft excel version 2013 and exported to and analyzed in STATA version 15, at a confidence level of 95%. Logistic regression analysis was used to determine association between cervical cancer screening uptake and risk factors. Risk factors that show significant association with bivariate analysis were further subjected to multivariate analysis. Results: This study found that a significant number of the respondents had ever screened for cervical cancer (69%). Although other factors such as age, education level, religion and parity did not have significant impact, marital status, perceived barrier and chronic disease condition had scientifically significant associations with uptake of cervical cancer screening among respondents (AOR=0.19, 96% CI=0.064-0.560; AOR=9.63, 95% CI=3.81-26.36; AOR=06.34,95% CI=4.23- 13.56) respectively. Besides, compliance to guidelines for yearly screening for cervical cancer for women living with HIV was at 18.36%. Conclusion: The overall uptake of cervical cancer screening among the participants was relatively high (69%). However, compliance to guidelines was poor, with only 18.36% respondents attending to yearly screening as recommended by Ministry of Health. Key words: Cervical Cancer, Cervical Cancer Screening, HIV positive women, and Antiretroviral-ClinicItem Gender-Specific Entrepreneurship Programs: Understanding the Lived experiences of Rural Women Entrepreneurs In Amolatar Sub-Region, Uganda(Researchjournali’s Journal of Entrepreneurship, 2024) Akello, Judith Abal; Ebila, Florence; Ejang, Mary; Acanga, Alfred; Ayo, Harriet; Acio, Christine; Kabunga, AmirWomen constitute a significant portion of the global population and play vital roles in economic development through entrepreneurial activities. Despite their potential, female entrepreneurs, especially in developing countries like Uganda, face numerous challenges including limited access to capital, education, and support networks. This study investigates the impact of gender-specific entrepreneurship programs on rural women in the Amolatar Sub-Region, Uganda, focusing on their experiences, challenges, and contributions to economic development. A phenomenological research design was employed to capture the lived experiences of rural women entrepreneurs. The study was conducted in the Amolatar Sub-Region of Uganda, involving 26 beneficiaries of the Uganda Women Empowerment Program (UWEP), two focus group discussions (FGDs), and two key informant interviews with cultural leaders. Data were collected through in-depth interviews, FGDs, and document analysis, and were analyzed using thematic analysis. Five main themes emerged from the analysis: Economic Empowerment and Impact, where women reported significant improvements in their economic status through participation in UWEP, resulting in increased income and financial stability; Skill Development and Acquisition, where participants acquired essential business skills such as financial management and record-keeping, enhancing their ability to run and sustain their enterprises; Challenges and Resilience, where women faced obstacles including poor infrastructure, cultural barriers, and resistance from husbands but demonstrated resilience through group cohesion and adaptability; Gender Dynamics and Family Support, where support from husbands and family members varied, with a gradual shift in cultural attitudes towards women's economic participation; and Community Perception, Support, and Future Aspirations, where there was an evolving positive perception of women's roles, increased community support, and optimism about future business expansion and community development. Gender-specific entrepreneurship programs like UWEP significantly contribute to the economic empowerment of rural women in Amolatar, Uganda. The programs help women acquire crucial business skills, overcome challenges, and gain support from their families and communities. These initiatives are essential for fostering sustainable economic development and gender equality in rural areas. Keywords: Rural Women Entrepreneurs, Gender-Specific Programs, Economic Empowerment, Uganda Women Empowerment ProgramItem The influence of Uganda women’s entrepreneurship program on livelihoods and cultural dynamics in Amolatar, Northern Uganda(International Journal of Social Sciences Perspectives, 2024) Abal, Judith Akello; Ebila, Florence; Ayo, Harriet; Acio, Christine; Kabunga, AmirThis article examines the influence of women’s economic empowerment initiatives under Uganda Women Entrepreneurship Programme (UWEP) on livelihoods and cultural dynamics in Amolatar Sub-Region, Northern Uganda. The study focused on how UWEP has contributed to improving women’s economic status and their roles within the cultural practices in the region. A Qualitative interpretive framework as well phenomenological research design was employed in this study involving in-depth and key informant interviews as well as focus group discussion with 28 participants. The study is grounded in Agency theory by Kabeer and Cultural Capital Theory by Bourdieu, which emphasise women’s participation in entrepreneurship to transform their economic lives and well-being within existing social structures. This research indicates that, UWEP greatly contributes to women’s active agency, allowing them to challenge obstacle within the communities, particularly gender inequality and social stratification. In addition, women’s participation in entrepreneurship coupled with the positive shifts in cultural attitudes in Amolatar sub-region have improved their livelihoods through self-employment. This study emphasise the significance of continuous support by Uganda government through Ministry of Gender, Labour, and Social Development (MoGLSD) for UWEP. Constant support is important to further empower women as well as improve their economic status and well-being within their families and communities.Item Undergraduate students’ contributions to health service delivery through communitybased education: A qualitative study by the MESAU Consortium in Uganda(BMC Medical Education, 2016) Atuyambe, Lynn M.; Baingana, Rhona K.; Kibira, Simon P. S.; Katahoire, Anne; Okello, Elialilia; Mafigiri, David K.; Ayebare, Florence; Oboke, Henry; Acio, Christine; Muggaga, Kintu; Mbalinda, Scovia; Nabaggala, Ruth; Ruzaaza, Gad; Arubaku, Wilfred; Mary, Samantha; Akera, Peter; Tumwine, James K.; Peters, David H.; Sewankambo, Nelson K.Background: It has been realised that there is need to have medical training closer to communities where the majority of the population lives in order to orient the trainees’ attitudes towards future practice in such communities. Although community based education (CBE) has increasingly been integrated into health professions curricula since the 1990s, the contribution students make to service delivery during CBE remains largely undocumented. In this study, we examined undergraduate health professions students’ contribution to primary health care during their CBE placements. Methods: This was a qualitative study involving the Medical Education for Equitable Services to All Ugandans consortium (MESAU). Overall, we conducted 36 Focus Group Discussions (FGDs): one each with youth, men and women at each of 12 CBE sites. Additionally, we interviewed 64 community key-informants. All data were audio-recorded, transcribed and analysed using qualitative data analysis software Atlas.ti Ver7. Results: Two themes emerged: students’ contribution at health facility level and students’ contribution at community level. Under theme one, we established that students were not only learning; they also contributed to delivery of health services at the facilities. Their contribution was highly appreciated especially by community members. Students were described as caring and compassionate, available on time and anytime, and as participating in patient care. They were willing to share their knowledge and skills, and stimulated discussion on work ethics. Under the second theme, students were reported to have participated in water, sanitation, and hygiene education in the community. Students contributed to maintenance of safe water sources, educated communities on drinking safe water and on good sanitation practices (hand washing and proper waste disposal). Hygiene promotion was done at household level (food hygiene, hand washing, cleanliness) and to the public. Public health education was extended to institutions. School pupils were sensitised on various health-related issues including sexuality and sexual health. Conclusion: Health professions students at the MESAU institutions contribute meaningfully to primary health care delivery. We recommend CBE to all health training programs in sub-Saharan Africa.