Browsing by Author "Natuhamya, Charles"

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    Effect of cognitive behavioural therapy (CBT) among subjects with alcohol use disorder (AUD) in Uganda: A Comparative study of treatment groups
    (CARI Journals, 2024-09-26) Kyazze, Richard; Natuhamya, Charles; Mwebesa, Edson; Kiyingi, Frank; Musoke, Miph; Tumwesigye, Nazarius Mbona
    Background: Regardless of diverse interventions aimed at achieving recovery and maintaining sobriety, alcohol use disorder, a leading global risk factor for mortality and morbidity, remains prevalent in Uganda. It’s worth noting that even after long stays in treatment facilities, recovering individuals are still prone to relapse. Of importance, however, is the knowledge of the effect of treatment interventions on recovery during and after rehabilitation. Hence, this study seeks to determine the impact of CBT as an intervention among alcohol-dependent individuals and assess its relevancy after rehabilitation. Methodology: This study enrolled 196 individuals with alcohol dependence from 5 treatment centers in the treated and control groups on a 1:1 enrollment basis. Individuals in the treated group were those in the rehabilitation centres receiving CBT while the control group included individuals in the community who were off CBT treatment. A linear regression model was fit to the data to determine the effect of CBT on the recovery status. Interaction terms between the participants’ treatment group and CBT were included to assess the difference between the two groups. Findings: CBT enhanced character development (β = 1.37, p < 0.001), healthy living (β = 0.88, p < 0.001), productive engagements (β = 1.12, p < 0.001), and overall recovery status (β = 3.38, p < 0.001). The overall effect of CBT was higher among individuals receiving treatment as compared to their counterparts. Unique Contribution to Theory, Practice and Policy: Incorporating aftercare CBT treatment may enhance the recovery status of individuals grappling with alcohol dependence and prevent immediate relapse. Policymakers and licensing agencies of treatment centres should incorporate aftercare treatment for CBT and similar interventions.
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    Effect of knowledge of sulfadoxine-pyrimethamine (SP) as prophylaxis for malaria on its uptake for intermittent preventive treatment of malaria in pregnancy (IPTp): Application of inverse probability weighted regression adjustment (IPWRA) technique
    (PLOS, 2025-04-15) Natuhamya, Charles; Mwebesa, Edson; Tumwesigye, Nazarius Mbona
    Introduction: Malaria still remains a global health issue. In response, the World Health Organisation has continuously recommended the use of Sulfadoxine-Pyrimethamine (SP) for Intermittent Preventive Treatment of Malaria in Pregnancy (IPTp) as a malaria preventive measure for the mother and fetus, which has been implemented by the Ugandan government. In collaboration with partners, the government has created awareness of using SP for IPTp (SP-IPTp) among women mainly through media. Studies have investigated the effect of a woman’s education attainment on SP-IPTp. However, the effect of knowledge of SP as prophylaxis for malaria on SP-IPTp has not been studied. Notably, education does not necessarily have an effect on knowledge of SP for malaria prevention, and knowledge of SP as prophylaxis may not result in its significant uptake for IPTp. The purpose of this study, therefore, was to ensure baseline covariate balance and determine the effect of knowledge of SP as preventive chemotherapy on its uptake for IPTp. Methods: The study utilised the Ugandan Malaria Indicator Survey dataset of 2018–19. Women aged 15–49 years who indicated their uptake status of SP during their last pregnancy formed the sample of this study. The inverse Probability Weighted Regression Adjustment technique was applied to assess the study objective. Results: The findings revealed a positive and significant effect of knowledge of SP as malaria prophylaxis on its uptake for IPTp (Average Treatment Effect of the Treated or ATET =  0.163; 95% CI =  0.138–0.188). Conclusion: Ensuring covariate balance while applying IPWRA resulted in more precise estimates of treatment effects. Programmes and policies that create awareness of using SP as malaria prophylaxis may serve as effective interventions towards SP-IPTp in Uganda.
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    Impact of mass media campaigns on knowledge of malaria prevention measures among pregnant mothers in Uganda: a propensity score‑matched analysis
    (Springer Nature, 2024-08-24) Mwebesa, Edson; Awor, Susan; Natuhamya, Charles; Dricile, Ratib; Legason, Ismail D.; Okimait, David; Mangwi, Richard Ayiasi; Tumwesigye, Nazarius M.
    Background: Uganda grapples with a considerable malaria burden, reporting prevalence rates of over 33% in some regions. To address this, the Uganda Ministry of Health employs audiovisual platforms for disseminating malaria prevention messages. However, the impact of these messages on pregnant women’s knowledge of malaria prevention remains insufficiently explored. This paper therefore emphasizes the influence of audiovisual messages on the knowledge of malaria prevention measures among pregnant women in Uganda. Methods: Secondary data obtained from the Uganda Malaria Indicator Survey (MIS) 2018–2019 was used for this analysis. Women aged 15–49 were included in the study. A total of 8868 women were selected using a two-stage sample design. The two stages of selection included clusters and households. Women who were currently pregnant were included in the study, resulting in a weighted sample of 721 women. Propensity score-matched analysis was used to evaluate the impact of access to malaria messages on knowledge of prevention measures. Results: The study revealed that 39% [95% CI 34.0–44.2] of pregnant women were exposed to malaria messages before the survey. Those exposed had a 17.2% higher knowledge [ATT = 0.172; 95% CI 0.035–0.310] of using mosquito nets for prevention compared to those unexposed. Among women exposed, radios accounted for most form of access to mass media campaigns [64.8, 95% CI 57.0–71.8] followed by interpersonal communication [45.0, 95% CI 37.6–52.6], community health workers [38.8, 95% CI 29.6–48.8], community events [21.4, 95% CI 15.8–28.3], and social mobilization [18.3, 95% CI 12.7–25.8]. Conclusion: Results highlight the importance of radios in spreading important malaria prevention messages to pregnant women. Being exposed to these messages is linked to increased awareness and knowledge about the proper use of insecticide-treated bed nets (ITNs) for preventing malaria. This finding underscores the importance of evaluating different channels for mass media campaigns to ensure the effective delivery of information about malaria prevention to the intended audiences.
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    Structural equation model for a relationship between family support systems and alcohol addiction recovery: mediation effect of continuing care services.
    (Journal of Advanced Psychology, 2024-08-09) Kyazze, Richard; Natuhamya, Charles; Mwebesa, Edson; Kiyingi, Frank; Musoke, Miph; Tumwesigye, Nazarius Mbona
    Purpose: Alcohol use disorder continues to be a public health concern, and even after treatment, the relapse rate is still high. The family support systems are closely related to alcohol addiction recovery. However, studies on psychological mechanisms between the two are rare. Therefore, we aimed to explore the mediating role of continuing care services in the pathway between family support systems and alcohol addiction recovery among individuals with alcohol use disorder. Methods: A total of 196 participants from 5 treatment centers (Butabika National Referral Mental Hospital, Serenity Centre, Recovery Solutions, National Care Centre, and Hope and Beyond) were selected from a target population of 400 individuals. The structural equation modeling approach was used to assess the study objective. Results: The average alcohol addiction recovery status score was 3.03 (SD = 0.95). The mediation analysis indicated that continuing care services mediated the pathway between family support systems and alcohol addiction recovery. Unique Contribution to Theory, Practice and Policy: Motivational enhancement therapy, mutual health support, and cognitive behavioral therapy are key factors in the relationship between family support systems and alcohol addiction recovery.