Moroto District Research Articles

Spatial distribution and temporal trends of tuberculosis case notifications, Uganda: a ten-year retrospective analysis (2013–2022)

BackgroundUganda has a high incidence and prevalence of tuberculosis (TB). Analysis of spatial and temporal distribution of TB is an important tool for supporting spatial decision-making, planning, and policy formulations; however, this information is not readily available in Uganda. We determined the spatial distribution and temporal trends of tuberculosis notifications in Uganda, 2013–2022.MethodsWe conducted a retrospective analysis of routinely-generated program data reported through the National TB and Leprosy Programme (NTLP) surveillance system. We abstracted data on all TB cases diagnosed from 2013 to 2022 by district and region. We drew choropleth maps for Uganda showing the TB case notification rates (CNR) per 100,000 and calculated the CNR using the cases per district as the numerator and individual district populations as the denominators. Population estimates were obtained from the 2014 National Population and Housing Census, and a national growth rate of 3% was used to estimate the annual population increase.ResultsOver the entire study period, 568,957 cases of TB were reported in Uganda. There was a 6% annual increase in TB CNR reported from 2013 (134/100,000) to 2022 (213/100,000) (p-value for trend p < 0.00001). Cases were reported from all 12 Ministry of Health regions during the entire period. The distribution of CNR was heterogeneous throughout the country and over time. Moroto, Napak and Kampala districts had consistently high CNR throughout the ten years. Kalangala district had lower CNR from 2013 to 2018 but high CNR from 2019 to 2022. Moroto region, in the northeast, had consistently high CNR while Mbale and Soroti regions in Eastern Uganda had the lowest CNR throughout the ten years.ConclusionThere was an overall increasing trend in TB CNR from 2013 to 2022. We recommend that the National TB program institutes intensified measures aided by more funding to mitigate and reverse the negative impacts of the COVID-19 pandemic on TB.

Prevalence of cystic echinococcosis among livestock in pastoral and agro-pastoral areas in Uganda.

Cystic echinococcosis (CE) remains a significant challenge in Uganda with precise status largely undocumented in most communities. To determine CE prevalence, post-mortem examination was done on 14 937 livestock (5873 goats, 1377 sheep, 3726 zebu cattle and 3054 Ankole cattle) slaughtered in abattoirs in the districts of Moroto in Karamoja region, Kumi in Teso region and Nakasongola and Luwero in Buganda region. The overall CE prevalence was 21.9% in sheep, 15.2% in zebu cattle, 5.5% in goats and 2.1% in Ankole cattle. Moroto district had a higher prevalence of CE than other districts with 31.3% in zebu cattle, sheep 28%, goats 29.1% and (0%) in Ankole cattle. On organ locations, the lungs were the most affected in all livestock in all the study areas. Considering cyst fertility, 33.9, 1.7 and 6.4% of Ankole cattle, sheep and zebu cattle respectively had fertile cysts in the liver while 4.5% of goats and 4% Ankole cattle had fertile cysts in the lungs. In conclusion, CE is widespread and occurs among cattle, sheep and goats in pastoral and agro-pastoral areas in Uganda. Therefore, there is an urgent need to create awareness among the communities on role of livestock in CE epidemiology and transmission.

Sedentist Epidemiology: COVID-19 Policies and Pastoral Mobility in Turkana County, Kenya

Abstract Authorities have often seen pastoralist mobility as a challenge for public health and veterinary disease control. While the movement of humans and animals can influence disease transmission, authorities often overlook the complexity of these epidemiological relations and ignore the ecological and economic trade-offs of restricting pastoral mobility. This study reviews the Covid-19 response at the border between Turkana County (Kenya) and Moroto District (Uganda), with particular focus on the Kenyan side. Drawing on interviews with Kenyan public health officials, NGOs' practitioners and pastoral households, we examine the treatment of pastoralist mobility in the Covid-19 response. Our findings suggest that, while there is special attention to and investment in extending health services to pastoralists, most of the thinking focuses on their rural location and household dispersal, rather than their mobility. In fact, pastoral transhumance was at times treated as a threat to disease control and national public health while other forms of cross-border mobility continued. We apply the concept of 'sedentist bias' to suggest that this understanding of pastoral mobility has become entrenched in the technics of public health planning.

Evaluating the Knowledge, Attitudes, and Practices Regarding Exclusive Breastfeeding among Mothers at Maternal and Child Health Clinic, Moroto Regional Referral Hospital, Moroto District

This descriptive cross-sectional study aimed to assess the knowledge, attitudes, and practices regarding exclusive breastfeeding (EBF) among mothers attending the Maternal and Child Health Clinic at Moroto Regional Referral Hospital. The study was conducted between November 2020 and April 2021, utilizing systematic random sampling and employing both qualitative (focused group discussions) and quantitative (closed questionnaires) methods for data collection. Data collected from 150 participants was analyzed using Microsoft Excel. Results were summarized using frequency tables, charts, and narrative descriptions. The majority (90%) of the mothers had prior awareness of EBF, with fellow breastfeeding mothers (48%) and health workers (31%) being the primary sources of information. A small proportion (4%) relied on the internet, primarily those educated to a tertiary level. Furthermore, 84% correctly defined EBF, although 32% did not consider it sufficient for the first six months, preferring to supplement with other foods. While 65% favored EBF over artificial feeding, only 32% believed breast milk alone was adequate for the first six months. Mothers expressed positive attitudes toward EBF, advocating for immediate breastfeeding initiation, on-demand feeding, and continuation for about two years. However, due to perceived poor maternal nutrition, some introduced supplementary feeds earlier, compromising the recommended EBF duration. The study revealed a high level of awareness and positive attitudes toward EBF among mothers in Moroto. However, despite knowledge about the benefits, some mothers introduced supplementary feeds earlier than recommended due to concerns about insufficient breast milk. Continuous outreach programs emphasizing the importance and proper practices of EBF could help dispel misconceptions and ensure adherence to the recommended breastfeeding practices. Keywords: Exclusive breastfeeding, Infants, Mother, Milk, Family planning.

Assessment of Spatial Variability of Groundwater Levels in Moroto District, Uganda

Globally, the variation of groundwater levels is increasingly overwhelming due to over exploitation resulting from population growth. The dynamic nature of socio-economic activities in Moroto District such as agriculture, settlements and increased trends in irrigation technology has been well-known worldwide as common parameters triggering groundwater variability. Nevertheless, determination of groundwater levels for groundwater management and development purpose is a challenge due to spatial variability in levels across Moroto District. In this study, geostatistical technique in Geographical Information System (GIS) was used to analyze spatial variability of water levels in the study area. The analysis utilized ordinary Kriging method to predict the spatial variation of groundwater levels for 189 measured boreholes. The resultant groundwater level variation map generated using Gaussian model depicts change in groundwater levels varying significantly across the study area dropping by 12 m to 50 m. Significant variations of groundwater levels were observed in the western, central and south eastern part of the study area which are highly populated areas and therefore, the potential of overexploitation. Generated map can be used as first-hand information for decision makers and water managers in management of groundwater resources in Moroto District.

Spatial Analysis of Groundwater Potential: A first hand Approach towards Groundwater Development in Moroto District, Uganda

Groundwater is a vital resource that helps mankind and development. However, in Moroto District challenges of groundwater development has increased arising from changes in rainfall patterns coupled with high abstraction from population increase. In this study, the spatial variability of groundwater potential was assessed to develop a tool that will aid decision on groundwater potential sites selection for groundwater development/exploration. The study utilized an integrated technique and tools such as Remote Sensing (RS), Geographic Information System (GIS) and Multi Criteria Decision Analysis (MCDA) in analysis and delineation of potential areas for successful groundwater development. The generated map through weighted overlay of thematic layers (slope, soil, lithology, rainfall, land use and land cover) produced five categories of potential zones indicating 90% (i.e., 35% very high, 40% high and 15% moderate) of the study area to be suitable for groundwater development and only 10% (i.e., 2% poor and 8% very poor) exists as poor groundwater potential zones. Maps produced from this study can hence be used to identify appropriate sites for groundwater development, and therefore minimizing unsuccessful boreholes development.&#x0D; Keywords: GIS; Groundwater Development; Groundwater Potential; MCDA; Spatial Analysis.

Cholera epidemic amidst the COVID-19 pandemic in Moroto district, Uganda: Hurdles and opportunities for control.

On 21st March 2020, the first COVID-19 case was detected in Uganda and a COVID-19 pandemic declared. On the same date, a nationwide lockdown was instituted in response to the pandemic. Subsequently, more cases were detected amongst the returning international travelers as the disease continued to spread across the country. On May 14th, 2020, a cholera epidemic was confirmed in Moroto district at a time when the district had registered several COVID-19 cases and was in lockdown. This study aimed to describe the cholera epidemic and response activities during the COVID-19 pandemic as well as the hurdles and opportunities for cholera control encountered during the response. In a cross-sectional study design, we reviewed Moroto district's weekly epidemiological records on cholera and COVID-19 from April to July 2020. We obtained additional information through a review of the outbreak investigation and control reports. Data were analyzed and presented in frequencies, proportions, attack rates, case fatality rates, graphs, and maps. As of June 28th, 2020, 458 cases presenting with severe diarrhea and/or vomiting were line listed in Moroto district. The most affected age group was 15-30 years, 30.1% (138/458). The females, 59.0% [270/458], were the majority. The Case Fatality Rate (CFR) was 0.4% (2/458). Whereas home use of contaminated water following the vandalization of the only clean water source in Natapar Kocuc village, Moroto district, could have elicited the epidemic, implementing COVID-19 preventive and control measures presented some hurdles and opportunities for cholera control. The significant hurdles were observing the COVID-19 control measures such as social distancing, wearing of masks, and limited time in the community due to the need to observe curfew rules starting at 6.00 pm. The opportunities from COVID-19 measures complementary to cholera control measures included frequent hand washing, travel restrictions within the district & surrounding areas, and closure of markets. COVID-19 preventive and control measures such as social distancing, wearing of masks, and curfew rules may be a hurdle to cholera control whereas frequent hand washing, travel restrictions within the district & surrounding areas, and closure of markets may present opportunities for cholera control. Other settings experiencing concurrent cholera and COVID-19 outbreaks can borrow lessons from this study.

The last African metatherian

Morotodon aenigmaticusgen. et sp. nov. (Mammalia, Metatheria, ?Herpetotheriidae) from the early or early-middle Miocene of equatorial Africa (Moroto II locality, Moroto District, northeastern Uganda) is characterized by a short anterior cingulum, a buccal shelf, a well-developed hypoconulid in a central position, and a trigonid and talonid with similar mesio-distal lengths. Its small size and morphology suggest mostly insectivorous-faunivorous feeding habits. The faunal association of Moroto II, as well as previous palaeoenvironmental analyses, suggest that Morotodon lived in open woodland and bushland areas surrounded by grasses. Morotodon aenigmaticus shows several features reminiscent of early herpetotheriids, such as Golerdelphys stocki (late Paleocene of North America), and Amphiperatherium ambiguum (Eocene of Europe); this suggests an origin for its lineage previous to the Oligocene. In summary, its affinities lie with Northern Hemisphere herpetotheriids, and, most probably, with European ones.

Hand hygiene adherence at entrances and exits of healthcare facilities in two rural districts of Uganda

Background: During the COVID-19 pandemic, the World Health Organization (WHO) has recommended hand hygiene (HH) stations (ie, with soap and water for handwashing or alcohol-based hand rub or ABHR) at entrances and exits of every public or private commercial building, including healthcare facilities (HCFs). Methods: Enumerators observed the HH materials present at the entrances and exits of 37 public HCFs in the Moroto and Kotido districts and patient and visitor use of those HH materials. When handwashing stations were nonfunctional or out of water, no HH observations were made. Results: Of the 37 HCF entrances and exits assessed, 4 (11%) met the recommended guidance for HH materials: 3 (8%) had water and soap, and 1 (3%) had ABHR and water and soap. In other HCFs, 12 (32%) had no HH station present, 13 (35%) handwashing stations had no water, and 8 (22%) had water but not soap. Of 180 persons observed, 52 (29%) attempted HH and only 10 (6%) used appropriate HH technologies (4 with ABHR and 6 with water and soap). Of 52 people who attempted HH, 42 (81%) used only water without soap. All HH observed occurred when entering facilities; no HH occurred when exiting (0 of 68). Of those 52 who performed HH, 48 (92%) performed HH for the recommended time of &gt;20 seconds. However, only 9 (5%) of 180 adhered to suggested HH technologies and length of time (used water and soap scrubbing for ≥20 seconds or used ABHR). Conclusions: We detected poor HH practice by patrons at entrances and exits of HCFs, which may be due to lack of appropriate HH materials, particularly lack of soap. Optimal strategies for adherence to WHO-recommended HH practices at entrances and exits of public and private commercial buildings, including HCFs, should be explored.Funding: NoneDisclosures: None

The role of culture in influencing sexual and reproductive health of pastoral adolescent girls in Karamoja sub-region in Uganda

Sexual and reproductive health (SRH) is vital for general health. However, problems of SRH such as unwanted pregnancies, sexually transmitted infections (STIs), and complications during pregnancy and childbirth among adolescents frequently arise due to risky sexual behaviour. Often, this challenge is linked to socio-cultural issues associated with sexuality which result in disparities in the SRH of adolescent girls. Culture provides rules of sexual conduct between sexes which shape knowledge, beliefs, and practices regarding the sexuality of adolescent girls and influence SRH. However, empirical evidence remains scarce on the role of culture in shaping sexuality which affects the SRH of adolescent girls of pastoral communities. This paper explores the role of culture in shaping the SRH of adolescent girls in the pastoral communities of Karamoja sub-region in Uganda. Using the ethnographic method, qualitative data from interviews, key informants, and focus groups was obtained from adolescent girls, key informants, and old women in Moroto District to understand the perceptions of sexuality. The authors made audio recordings and took field notes. Atlas.ti 8.4.15 was used to organize the data which was analysed using thematic analysis. The findings showed that the perception of wealth defines sexuality and influences SRH, social support for sexual assault victims promotes SRH, and beliefs and practices of sexuality shape the SRH of adolescent girls. Promoting a continuous awareness of the harmful cultural practices is vital in attaining SRH among pastoral adolescent girls. Understanding the role of culture in the influence of SRH is important for the effective provision of SRH services.

Prevalence and socio-economic factors affecting the use of traditional medicine among adults of Katikekile Subcounty, Moroto District, Uganda.

In Uganda generally and in rural areas in particular, use of traditional medicine is a common practice, yet there remains lack of evidence on the overall utilization of traditional medicine and there are many aspects that remain unclear. To determine the use of traditional medicine and factors associated with this among the adults of Katikekile Subcounty in Moroto district. A descriptive cross-sectional study using quantitative and qualitative methods. Interviews among 323 respondents, and focus group discussions were carried out among village traditional birth attendants, village health team members, and traditional health providers. Use of traditional medicine among the adults of Katikekile Subcounty was 68%. Usage was more prevalent among older people, and the majority of the adults used traditional medicine often as their first line-treatment for any illness. Herbs used for traditional medicines are usually locally available and free-of-charge. Long distance to health-facility based health care services, and medical fees contributed to the use of traditional medicine. Use of traditional medicine among adults of Katikekile Subcounty in Moroto in the Karamoja region in Uganda was high, and majority of the adults often used traditional medicine as first line-treatment. Both socioeconomic and health sector factors were associated with use of traditional medicine.

Nutritive Profiles of a Blend of Balanites aegyptiaca and Sorghum Beer residue consumed by some communities in Uganda: The Case of Karamoja sub-region

Sorghum and Balanites (B. aegyptiaca) are drought-resistant crops and wild plants widely consumed in arid and semi-arid part of Africa and Uganda. We determined the nutritive profile and microbial content of B. aegyptiaca leaves, sorghum beer residue, and a blend of B. aegyptiaca leaves and Sorghum beer residue using samples obtained from Moroto district in Karamoja under Standardized Analytical Methods and Procedures. Leaves of B. aegyptiaca, Sorghum beer residue, and blend of the B. aegyptiaca leaves and sorghum beer residue are good sources of carbohydrates, proteins, fats, Ca, Fe, K, Zn and Vitamin B with considerably high levels of Mesophyllic bacteria. The energy content (Kcal), and levels of proteins and potassium (K) did not vary -averaging 115Kcal, 16.5%wt, and 215mg/100g respectively. The levels of aflatoxins and E. coli were low and no salmonella was detected. Sorghum beer residue contained more fat (8% wt DMB), Ca (770mg/100g), Zn (2.4 mg/100g), and total carbohydrate 30.6(%wt) compared to B. aegyptiaca leaves which has substantially higher Iron (Fe) content (46.2mg/100g). B. aegyptiaca enriches the blend with significant amounts of iron and vitamin B, critical for the body immunity. Blending improves the nutritive profile.

Knowledge, attitude and practices of livestock farmers on Peste Des Petitis Ruminants (PPR) in Moroto district, Uganda

A Participatory Disease Search (PDS) was conducted in subcounties of Katikekile, Nadunget, Tapac, Rupa and Moroto Municipality in Moroto district with the aim of investigating the prevalence of PPR, possible risk factors for its spread and level of PPR awareness among livestock keepers. PDS tools, including key informant interviews, Focus Group Discussions (FGDs) and proportional piling were employed. Semi-structured interviews were administered to key informants, including Veterinary experts in Moroto district and Informed Community Leaders. A total of 8 to 14 livestock keepers were selected in each of the 5 Subcounties visited and subjected to FGDs. Proportional piling was employed to facilitate livestock keepers to assess the prevalence and severity of PPR during FGDs. Livestock keeping communities interviewed were aware of PPR and assessed its prevalence to be 21.6% and its severity to be 32.4%, hence confirming its importance and presence. In addition, livestock keeping communities were aware of other related diseases such as Contagious Caprine Pleuropneumonia (CCPP), Anaplasmosis, East Coast fever (ECF), Heartwater, Foot and Mouth Disease (FMD), Mange, Helminths, Tick infestation and Footrot. The prevalence of PPR was assessed to be 36% in Katikekile Subcounty, 24% in Nadunget Subcounty, 14% in Tapac Subcounty, 20% in Rupa Subcounty, and 20% in Moroto Municipality. Corresponding PPR disease severity was assessed at 10% in Katikekile Subcounty, 34% in Nadunget Subcounty, 8% in Tapac Subcounty, 54% in Rupa Subcounty, and 50% in Moroto Municipality. Laboratory testing for PPR using the competitive ELISA revealed 9 out of 29 (31%) seropositive goats and 1 out of 3 (33%) seropositive sheep. Despite the limited sample size, these findings confirmed and corroborated the views of livestock keeping communities. Key informants and livestock farmers further confirmed that practices such as routine annual migration of livestock from different districts in Karamoja sub-region; mixing of herds; introduction of new animals in the herd during frequent raids; social traditions and the livestock management of the ethnic groups living in Karamoja largely contributed to the spread of PPR. In conclusion, further routine surveillance through PDS was necessary to allow effective prevention and control of PPR outbreaks in Moroto district.

Morphological and molecular identification of ixodid tick species (Acari: Ixodidae) infesting cattle in Uganda

In Uganda, the role of ticks in zoonotic disease transmission is not well described, partly, due to limited available information on tick diversity. This study aimed to identify the tick species that infest cattle. Between September and November 2017, ticks (n = 4362) were collected from 5 districts across Uganda (Kasese, Hoima, Gulu, Soroti, and Moroto) and identified morphologically at Uganda Virus Research Institute. Morphological and genetic validation was performed in Germany on representative identified specimens and on all unidentified ticks. Ticks were belonging to 15 species: 8 Rhipicephalus species (Rhipicephalus appendiculatus, Rhipicephalus evertsi evertsi, Rhipicephalus microplus, Rhipicephalus decoloratus, Rhipicephalus afranicus, Rhipicephalus pulchellus, Rhipicephalus simus, and Rhipicephalus sanguineus tropical lineage); 5 Amblyomma species (Amblyomma lepidum, Amblyomma variegatum, Amblyomma cohaerens, Amblyomma gemma, and Amblyomma paulopunctatum); and 2 Hyalomma species (Hyalomma rufipes and Hyalomma truncatum). The most common species were R. appendiculatus (51.8%), A. lepidum (21.0%), A. variegatum (14.3%), R. evertsi evertsi (8.2%), and R. decoloratus (2.4%). R. afranicus is a new species recently described in South Africa and we report its presence in Uganda for the first time. The sequences of R. afranicus were 2.4% divergent from those obtained in Southern Africa. We confirm the presence of the invasive R. microplus in two districts (Soroti and Gulu). Species diversity was highest in Moroto district (p = 0.004) and geographical predominance by specific ticks was observed (p = 0.001). The study expands the knowledge on tick fauna in Uganda and demonstrates that multiple tick species with potential to transmit several tick-borne diseases including zoonotic pathogens are infesting cattle.

Community- based Active Tuberculosis Case Finding in Pastoralist Communities of North-Eastern Uganda.

Background:Given the global urgency to improve tuberculosis (TB) case detection, a renewed interest in active case finding (ACF) has risen. Missed TB cases pose a serious threat as they continue to fuel TB transmission in the community. We aimed to assess the feasibility of community based ACF for TB among people living in a pastoralist community in Uganda and determine its impact on case detection and treatment uptake.Methods:Between April and May 2019, four third year medical and nursing students placed at Moroto Regional Referral for community orientation worked together with community health workers to conduct a door-to-door survey for TB in pastoralist communities of Nadunget Sub County, Moroto district. The community health workers and the Medical/Nursing students performed symptom screening, collected sputum and facilitated specimen transport to the laboratory. Gene Xpert MTB/RIF assay was performed at the regional referral Hospital for all sputum samples. The community health workers were tasked to follow up on all those clients whose samples turned out to be positive so that they could start treatment as soon as possible. All presumptive cases with negative sputum results were referred to the TB clinic for further evaluation.Results:In one month, we screened 385 individuals and identified 143 aged above 15 years with symptoms suggestive of TB. Among the presumptive cases, 132 (92%) reported a cough of more than two weeks and we were able to obtain sputum samples from 84(58.7%) participants. We diagnosed 11, including 8 bacteriologically confirmed TB cases using Gene Xpert and there was no multidrug resistant case identified. The median time from sputum collection to notification of the positive result was 3 days. All the positive cases were followed up and initiated on treatment.Conclusion:The findings from our study suggest that in a pastoralist community, ACF for TB using a sensitive symptom screen followed by Gene Xpert contributed to improved case detection of TB, shortening the turnaround time hence timely initiation of patients on TB treatment.

Socio-economic Factors Influencing Adoption Of Conservation Agriculture In Moroto District, Uganda

This research was conducted to assess socio-economic factors influencing adoption of conservation agriculture in Moroto District of Uganda. The socio-economic factors, the level of conservation agriculture, and the constraints faced by the farmers were assessed. A cross-sectional research design was utilised to collect data from 80 farmers (adopters and non-adopters of conservation agriculture). Purposive random sampling was applied to select seven key informants in the two sub-counties of Katikekile and Nadunget, and four villages of Nakodet, Nakwanga, Napudes and Komare. Data were collected through personal observation, interviews, focus group discussions, and structured questionnaires. The Statistical Package for Social Sciences (SPSS) was used to generate descriptive and inferential statistics for quantitative data analysis. The binary probit model was used to determine the socio-economic factors influencing adoption of conservation agriculture. The findings indicate that there was a significant influence for gender (p<0.01), but a statistically significant influence for credit and extension services (p<0.05). Finally, the adoption rate of conservation agriculture is still low given the size of land dedicated to it by most farmers. Therefore, this study recommends that government and other institutions should strengthen the agricultural extension system, provide financial support and incentives, and sensitize farmers on conservation agriculture. Keywords: Adoption, Conservation agriculture, Moroto District, Socio-economic factors, Uganda

General and Local Morphological Anomalies in Amblyomma lepidum (Acari: Ixodidae) and Rhipicephalus decoloratus Infesting Cattle in Uganda.

Morphological abnormalities in ticks seem to be rare phenomena in nature, and are underreported in Africa. In this article, we describe general and local anomalies in two Amblyomma lepidum females and one Rhipicephalus decoloratus female collected from cattle in Moroto and Kasese districts, Uganda. One A. lepidum specimen displayed metagynander gynandromorphism with the presence of both male and female features in the same organism. The second A. lepidum female showed slight asymmetry and lacked a genital aperture. The R. decoloratus displayed multiple anomalies that included asymmetry on the right side in association with ectromely, chitinous formations and constrictions on the left side. This article presents the first report of metagynander gynandromorphism, as well as genital aperture absence which is not linked to gynandromorphism, in A. lepidum collected from cattle.

Understanding intra-community disparity in food and nutrition security in a generally food insecure part of Eastern Africa

Food and nutrition insecurity continues to be one of the major development challenges in sub-Saharan Africa and other developing regions of the world. Karamoja sub-region, located in northern Uganda, is one of the poorest and most food insecure part of Eastern Africa. Previous studies have generalized the sub-region as food insecure. However, limited attention has been paid to locational differences in the food and nutrition security situation within this culturally and ecologically diverse part of the country. A crosssectional study design was used to examine at a community level, disparity in food and nutrition security situation among communities in Kotido and Moroto districts of the Karamoja sub-region. The study investigated the status of agricultural production, dietary habits and food security situation using individual household survey, focus group discussions, key informant interviews, household food insecurity access scale (HFIAS) and food insecurity coping strategy index (CSI). Data were analyzed using descriptive statistics, analysis of variance, and correlation and regression methods, at 5 % level of significance. The results showed that irrespective of ethnic differences, majority of households (78.8%) consumed less than 3 meals 24 hours preceding the interview. Generally, agricultural production was inadequate to support household food security and less than 30% of the households had adequate calorie intake. However, calorie intake adequacy was at least three (3) times higher in Kotido than in Moroto district. Plant foods were more frequently consumed than animal-source foods. At least 57% and 73% of households in Kotido and Moroto districts, respectively, never consumed fish. Food security was generally predicted by household size, ownership of food stores, occupation of household caregivers, number of livestock (especially goats) owned by households, time taken to fetch water (related to distance to water source) and sorghum production. Whereas it is generally known that Karamoja sub-region is highly food insecure, this study has demonstrated that communities in Moroto district are worse-off than those in Kotido district. Therefore, community-level characteristics ought to be an essential baseline consideration in designing food and nutrition interventions in Karamoja, and indeed in food insecure localities in general. Keywords: Karamoja, Eastern Africa, dietary practices, coping strategies, animal source foods

Socio-economic determinants of pastoralists\u2019 choice of camel production in Karamoja sub-region, Uganda

Camel production is a potential avenue for improved food and income security in dryland areas of East Africa. Despite this potential, there is a dearth of information on the increasing choice of camel production among pastoralists in the region. Camel-owning households were obtained through snowball sampling approach whereas those without camels were obtained randomly in the vicinity of those who had camels. A total of 116 respondents were interviewed in Moroto and Amudat districts of the Karamoja sub-region, Uganda. Descriptive statistics and binary probit regression analysis were conducted on the data. Results showed that 45% of the sampled households owned camels with an average camel holding of 17.96 ± 22.12 heads. There were more cows (9.67 ± 12.368) than bulls (3.85 ± 7.149) in the camel herds. Only 8% and 26% of camel herders had access to extension services and financial credit respectively. The binary probit regression model revealed that age of the household head, household size, on- farm income and herd size significantly influenced the decision to undertake camel production in the region. Furthermore, all the household members were engaged in different camel management activities; however, herding was mainly the responsibility of the children (34.9%) and adult males (32.1%). Milking was mainly done by women (33.6%) while disease management was done by adult males (48.7%) and the elderly (22%) in the household. Provision of higher milk quantities (44.3%) and camels being in the lineage (13.6%) were cited as the key motivations for camel rearing. On the other hand, 56% of respondents observed that the initial high cost of camel acquisition was the main limitation to owning camels. This study has shown that decision-making in transitioning to camel production in Karamoja is a result of socio-economic attributes including pastoralists’ perceptions of associated costs and benefits arising from camel production. Therefore, it is vital to strengthen innovative financing mechanisms and traditional systems such as agistments that can support pastoralists willing to acquire camels. There is need for extension services that target camel rearing where women and children are involved given their central role in camel management.

Camel forage variety in the Karamoja sub-region, Uganda

Camels have the potential to increase the resilience of pastoral communities to the impacts of climate variability and change. Despite this potential, there is limited documentation of the camel forage species, their availability and distribution. The study was conducted in Karamoja sub-region in Uganda and involved assessment of vegetation with intent to characterize the range of forage species available for camels in the region. The camel grazing area was stratified based on land cover types, namely woodland, bushland, grassland and farmland using the Amudat and Moroto district vegetation maps. Vegetation plots measuring 20 m × 20 m were mapped out among the land cover types where species identification was undertaken. In addition, a cross-sectional survey involving 52 camel herders was used to document the camel forage species preferences. Shannon and Simpson diversity indices as well as the Jaccard coefficient were used to measure the species richness, relative abundance, diversity and plant community similarities among the land cover types. Results showed high species richness and diversities in the bushland and woodland land cover types. Plant communities in the woodland and bushlands were found to be more similar. A wide range of plant species were reported to be preferred by camels in the study area, that is 63 in Amudat and 50 in Moroto districts. respectively, with Balanites, Euphorbia and several Acacia species taking precedence. Therefore, given the diversity of camel forage species, this study recommends increased adoption of camel rearing in Karamoja sub-region. Further, the camel owners are encouraged to undertake conservation management and deliberate production of preferred forage species such as Euphorbia tirucalli that also exhibit ease of propagation and adaptability to the sub-region. This browse could support the milking herd and the camel calves that remain at the homesteads. A toxicological analysis of E. tirucalli is however recommended, given irritant latex discharge, prior to taking this recommendation to scale.