Browsing by Author "Tumwesigye, Nazarius Mbona"

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    Application of a modified Poisson model in identifying factors associated with prevalence of pregnancy termination among women aged 15 – 49 years in Uganda
    (African Journals Online (AJOL), 2022-10-27) Mwebesa, Edson; Nakafeero, Mary; Guwatudde, David; Tumwesigye, Nazarius Mbona
    Abortion in Uganda is illegal, only permitted when it places the pregnant mother at risk. This study aimed to apply the modified Poisson model in identifying factors associated with the prevalence of pregnancy termination among women of reproductive age in Uganda. The 2016 Uganda Demographic Health Survey (UDHS) data were used in this study. More than 18,000 women of the age of 15 – 49 years participated in this study. A modified Poisson model that incorporated sampling weights was used to establish the factors associated with pregnancy termination. In Uganda, 18,506 (18.1%) had ever had a pregnancy terminated. The results revealed that, the woman’s age [APR = 3.15, 95% CI: 2.72-3.63], being married [APR = 1.55, 95% CI: 1.40-1.71], mass media exposure [APR = 1.18, 95% CI: 1.08-1.29], working status [APR = 1.21, 95% CI: 1.09-1.35], and having visited a health facility [APR = 1.20, 95% CI: 1.10-1.31] were positively significantly associated with likelihood of pregnancy termination. There exists a significant proportion of women who have had their pregnancies terminated in Uganda. It is observed that woman’s age, marital status, mass media exposure, having visited a health facility in the last 12 months and working status were main predictors. Based on these results, researchers concluded that the emphasis should be put on improving access to post-abortion care, contraceptive use and media exposure.
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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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    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.