Southwestern Uganda Research Articles

Evaluation of Antibiotic Use among Inpatients in Surgical Ward at Mbarara Regional Referral Hospital, South-Western Uganda

Evaluation of Antibiotic Use among Inpatients in Surgical Ward at Mbarara Regional Referral Hospital, South-Western Uganda

Estimation of Radiological Effects from Consumption of milk from Volcanic areas of Kisoro, South-western Uganda.

Estimation of Radiological Effects from Consumption of milk from Volcanic areas of Kisoro, South-western Uganda.

Factors Associated with Healthcare-Seeking Behavior among Health Profession Students in Selected Universities in Southwestern Uganda

Factors Associated with Healthcare-Seeking Behavior among Health Profession Students in Selected Universities in Southwestern Uganda

Patient Characteristics, Clinical Presentation and Maternal- Fetal Outcomes of Women with COVID-19 Admitted At a Tertiary Hospital, South-Western Uganda

Background: The coronavirus disease (COVID-19) outbreak declared a pandemic by the World Health Organization (WHO) in 2019 significantly affected pregnant women. Pregnancy causes immunological and physiological changes making a pregnant woman susceptible to a higher risk of infection with SARS-CoV-2 and death. We described the maternal socio-demographic and obstetric characteristics, clinical presentation, as well as maternal-fetal outcomes among pregnant women with COVID-19 disease at Mbarara Regional Referral Hospital. Methods: We conducted a retrospective cohort study at the COVID-19 treatment unit (CTU) of Mbarara Regional Referral Hospital (MRRH) from May 13, 2020 to July 22, 2021. We reviewed files of pregnant women with a confirmed diagnosis of COVID-19 disease by either Polymerase Chain Reaction or rapid diagnostic test (RDT). We used a chart abstraction tool in Red Cap to capture the information. We described the maternal sociodemographic and obstetric characteristics, clinical presentation, and maternal-fetal outcomes as frequencies and percentages. Results: A total of 30 participants were included in this study. The mean age was 28.6 (±5.8) years, majority were multigravida (66.7%), rural residents (53.3%), with gestational age <37 weeks (58.62%) and had severe or critical disease (43.3%) on admission. The most common symptoms at admission were cough (33%) and fever (25%). Majority of the participants had their pregnancy terminated (60.0%, 18/30). Cesarean delivery was conducted in 12/17 (70.6).13/17 (76.5%) were live births, while (4/17) 23.5% were still births and 13/17 (76.5%) had birth weight of ≥2.5 kilograms. 9/30 (30.0%) of the women died, mainly from respiratory failure (33.3%, n=3) and pulmonary embolism (33.3%, n=3). Conclusion: The maternal mortality among pregnant women admitted with COVID-19 disease was high. The main causes of death were respiratory failure and pulmonary embolism. were delivered by cesarean section with most having live births and a normal birth weight. Health systems need to strengthen measures to handle pregnant women with COVID-19 disease, ensuring well designed effective treatment protocols and intensive care facilities including the critical human resources and equipment that may be required to provide advanced care for pregnant women with COVID-19.

An Exploration of the Lived Experiences of Maltreated Children and Caregivers in Southwestern Uganda

An Exploration of the Lived Experiences of Maltreated Children and Caregivers in Southwestern Uganda

Understanding Gendered Tea Production Characteristics and Trends under Smallholder Farming Systems in South-Western Uganda

Understanding Gendered Tea Production Characteristics and Trends under Smallholder Farming Systems in South-Western Uganda

Assessing the potential of Rainwater Harvesting (RWH) for sustaining small-scale irrigated coffee farming in the Bigasha watershed, Uganda

A study was carried out during 2022 to assess the potential of rainwater harvesting for sustaining small-scale irrigated coffee farming in the Bigasha watershed of Isingiro District, south-western Uganda. In this study, remote sensing, Geographical Information System (GIS), the Quantum GIS Soil and Water Assessment Tool (QSWAT+) and Crop Water and Irrigation Requirements Program (CROPWAT) models were utilised to assess the potential of rainwater harvesting (RWH) that can be used for irrigation. The criteria used to identify suitable RWH sites were based on four factors namely; topography, soils, land use land cover and rainfall. It was found out that seventy per cent of the watershed is hilly with slopes greater than 10 per cent and half of the area is covered by Leptosols. Three temporal land use land cover (LULC) maps (of 1999, 2010 and 2022), were derived using the K-nearest neighbor (KNN) algorithm. These LULC databases were used to assess the impacts of land use land cover changes on the runoff hence potential for RWH. The annual average rainfall received in the study area over the 21-year period studied (2000 – 2020) was 954 mm which is adequate for irrigation if harvested. The QSWAT+ model simulated runoff depths from 62, 125 and 114 Hydrologic Response Units (HRUs) of the 1999, 2010 and 2022 LULC maps respectively, were used to estimate potential RWH sites. The 114 HRUs from the 2022 LULC map could generate an annual average surface runoff volume of 1.39 million cubic meters (MCM) which could potentially irrigate 101.8 per cent of the current coffee production areas in the Bigasha watershed. The prediction accuracy of the Kagera river basin model was very good with NSE (R2) of 0.81(0.82) for calibration and 0.87(0.88) for validation. The Kagera watershed model fitted parameters were further used to calibrate the Bigasha watershed model. This was done because the Bigasha is a sub-basin of Kagera and it does not have its own gauged outlet.

Effect of Intercropping Maize and Beans on the Maize Yields in Isingiro Town Council, Isingiro District, South Western Uganda

The study aimed at determination of the effect of intercropping maize and beans on the maize yields Isingiro Town Council, Isingiro District, South Western Uganda. The study used a randomized complete block (RCBD) experiment in which 8 treatments in 4 replicas of each to make a total of 32 sub-plots. Two rows of maize spaced at 4.5cm within rows and 90cm between rows were intercropped with two rows of velvet beans spaced at 30cm with rows and 90cm between rows. Two rows of NABE16 spaced at 4.5cm within rows and 75cm between rows were intercropped with maize a pacing of 5.5cm within rows and 75cm between rows. Rows of beans were separated from those of maize by 75cm in a 10m by 8m sub-plot. The experiment was conducted in two seasons (March to May 2020 and August to November 2021). Standard agronomical practices were followed from planting to harvesting, after which dry maize grain weight was taken and recorded. Data analysis was done using ONE WAY ANOVA in STATA version 13. Results show that the significant statistical difference in season one (p = 0.0000)** was higher than that in season two (p = 0.0211)*. The study concluded that unpredictable (too much or too little) rainfall negatively affects maize productivity. Early planting and application of organic fertilizers were recommended to improve maize productivity.

Unhealthy Alcohol Use Is Associated With Suboptimal Adherence to Isoniazid Preventive Therapy in Persons With HIV in Southwestern Uganda.

Unhealthy alcohol use is associated with increased progression to tuberculosis (TB) disease, but its effect on adherence to isoniazid (INH) preventive therapy is not known. This was a prospective study of persons with HIV with latent TB in southwestern Uganda reporting any current (previous 3 months) alcohol use or no alcohol consumption in the previous year (2:1 ratio). All received INH. We defined suboptimal adherence as <90% of days with at least 1 Medication Event Monitoring System cap opening, over the previous 90 days. Alcohol use was categorized as follows: none: no self-report and phosphatidylethanol (PEth) <8 ng/mL; moderate: Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) 1-2 (women) or 1-3 (men) and/or PEth 8 ≥ 50 ng/mL; and unhealthy: AUDIT-C ≥3 (women) or ≥4 (men) and/or PEth ≥50 ng/mL. We used generalized estimating equation logistic regression analyses to assess the association between the level of alcohol use and suboptimal INH adherence. Three hundred two persons were enrolled; 279 were on INH for 3 or more months. The prevalence of suboptimal INH adherence was 31.3% at 3 months and 43.9% at 6 months. The odds of suboptimal INH adherence were higher for unhealthy (adjusted odds ratio, 2.78; 95% confidence interval: 1.62 to 4.76) and moderate (adjusted odds ratio, 1.59; 95% confidence interval: 0.94 to 2.71) compared with no alcohol consumption. Suboptimal adherence to INH at 3 and 6 months was high among prospective study of persons with HIV and associated with unhealthy alcohol use. Adherence support and alcohol reduction strategies are needed for this group at high risk for active TB.

Factors Influencing Adherence to Iron and Folic Acid Supplementation among Pregnant Women attending Antenatal Care in Rubanda District, South Western-Uganda

Purpose: Globally, about 40% of pregnant women have anemia. Pregnant women are at high risk of iron and folic acid deficiency anemia due to increased nutrient requirement during pregnancy. Iron/folic acid supplementation with optimal adherence is the main cost-effective strategy for prevention of iron deficiency anemia in pregnant women. However, there remains poor adherence to iron and folic acid supplementation in pregnancy in many countries especially low-income countries. The aim of this study was to evaluate the level of adherence and the factors influencing adherence to iron and folic acid supplementation among pregnant women attending antenatal care in Rubanda District, south Western-Uganda.&#x0D; Methodology: A multi-Health facility based observational and descriptive cross-sectional study was done. One hundred seventy two (172) pregnant mothers attending antenatal clinic in six selected health facilities in Rubanda District were enrolled in this study from December 2021 to March 2022. The interviewer administered questionnaire was used to study the participant characteristics and logistic regression was used to identify the factors influencing adherence to iron and folic acid supplements.&#x0D; Findings: Majority of women were aged between 20-29 years (57.56%), married (94.77%) and unemployed (80.23%). More than half of the respondents (62.21%, 95% CI 54.89%-69.53%) had taken at least 80% of the prescribed iron and folic acid tablets. This reflected good adherence level. Factors independently influencing adherence included maternal age below 20 years (aOR 3.83, 95% CI 1.12-13.08, p-value 0.032), age between 20-29 years (aOR=4.86, 95%CI: 2.03-11.63, p value &lt;0.001), adherence partner (aOR=2.82, 95%CI: 1.34-5.91, pvalue &lt;0.001) and being counselled on importance of iron and folic acid tablets (aOR=4.42, 95%CI: 2.08-9.42, p-value &lt;0.001).&#x0D; Recommendations: Intensive counselling during antenatal care about the importance of iron and folic acid supplements should be done on a daily basis with particular attention to women aged 30 years and above.

Perceived Support and Teacher Engagement in Secondary Schools in a Rural District in South-Western Uganda

Hard to reach schools in rural districts experience many challenges including harsh environmental conditions, financial difficulties, lack of school buildings and shortage of teachers due to their locality. Teachers who accept to join such schools tend to be disengaged because of poor working environments. This study sought to identify factors related to teacher engagement in secondary schools in rural hard-to-reach areas in Uganda. Generally, the study assessed the relationship between head teachers perceived support and teacher engagement in secondary schools in Buhweju district a hard-to-reach rural district in south-western Uganda. Specifically, the study tested whether perceived support in terms of training, pay and promotion related teacher engagement. This correlational study used a sample of 220 teachers. Data were collected using a self-administered questionnaire and were analysed using the quantitative approach. Data were analysed using Partial Least Square Structural Equation Modelling (PLS-SEM) using SmartPLS 4 testing the link between the study variables. The findings revealed that while pay and training had a positive and significant relationship with teacher engagement, promotion support had a positive but insignificant relationship with teacher engagement. The conclusions of the study were to the effect that while pay is essential for teacher engagement and training is imperative for teacher engagement in hard-to-reach secondary schools in rural districts, promotion is not a probable requirement for teacher engagement in the hard-to-reach secondary schools in rural districts. Therefore, it was recommended that head teachers of secondary schools should provide pay support to teachers, and prioritise providing training to teachers but promotion should not be overemphasised

Prevalence of anti-leptospiral IgM and detection of pathogenic Leptospira species DNA in neonates presenting with clinical sepsis in Southwestern Uganda

BackgroundLeptospirosis is an emerging neglected zoonotic disease that presents with nonspecific signs/symptoms and it can be mistaken for other diseases. Owing to limited diagnostic capacity and unawareness, the data on human leptospirosis particularly in neonates are scarce in many sub-Saharan countries. It has been underreported hindering preventive and control measures in place. The study aimed at determining prevalence of leptospirosis as a cause of febrile illness in neonates using IgM ELISA and a quantitative real-time PCR (qPCR).MethodsThis was a descriptive cross-sectional study that included 103 neonatal sepsis cases whose parents/legal guardians gave informed consent. The data on demographic and clinical characteristics were collected using structured data collection form. EDTA whole blood sample was collected from the neonates by trained study nurses. From the samples, IgM ELISA was done using automated analyzers, DNA extracted and qPCR was performed using primers for LipL32, specific for the pathogenic leptospires.ResultsThe prevalence of anti-leptospiral IgM among the neonates as determined by ELISA was 4.3%, where all of them presented with lethargy and poor feeding. No pathogenic Leptospira species DNA was amplified by qPCR.ConclusionsEvidence of leptospirosis was demonstrated in neonatal sepsis cases in this study. The findings suggest considerations of leptospirosis in the differential diagnosis of neonates with sepsis. More data are needed on the real epidemiology, clinical features, and burden of leptospirosis in neonates. There is need to include intermediate pathogenic species of Leptospira in the diagnostic qPCR assays.

Cost and Management Accounting Practices, ICT Usage and Performance of Secondary Schools in Uganda: A Case of South Western Uganda

This article accounts for the findings from a study conducted in secondary schools located in south western Uganda. The study was about Cost and Management Accounting Practices, ICT Usage and Financial Performance of Secondary Schools. This study adopted a cross-sectional and correlational design. Questionnaires were administered to 435 secondary schools. The Unit of analysis was secondary schools and the unit of inquiry was head teachers/their representatives.The findings indicate that the adjusted R² is 27.4% and the F-ratio (F = 9.122) is significant. This means that the total predictive power of cost and management accounting and ICT adoption account for 27.4% in financial performance of secondary schools. (R² = 0.274, p &lt;0.01). The results supported the earlier set three (3) hypotheses in the literature review. The results emphasize that cost and management accounting practices highly influence financial performance of secondary schools.The study emphasized that Education is acute to the generation of strong, and enlightened countries, to which Uganda aspires to be. In recent years, Uganda Primary Education (UPE) has procreated large proliferations in the number of students yearning secondary education in Uganda. Private secondary schools have been established to encounter the superfluous demand. Without steadfast cost and management systems to guarantee stable financial performance, the secondary schools must, as any other enterprise throughout the world, become financially autonomous, their survival is in doubt. Keywords: Cost and Management accounting practices, ICT adoption, financial performance, secondary schools. DOI: 10.7176/RJFA/13-24-01 Publication date: December 31 st 2022

Can recognition and respect of forest resource rights save Echuya Central Forest Reserve? A precursor for appropriate collaborative forest management

Recognition and respect for tenure and forest resource rights has long been considered essential for policy makers in order to promote forest conservation, and several initiatives have been undertaken to promote recognition and respect for such rights. One such initiative was the introduction of Collaborative Forest Management (CFM) in Echuya Central Forest Reserve in south-western Uganda. This study used cross sectional and explanatory research designs to assess the influence of recognition and respect for resource rights under CFM for the conservation of Echuya. Results showed that community members' resource access rights are generally respected by the National Forestry Authority (NFA). Recognition and respect for tenure and forest resource rights have a significant positive influence on forest conservation. However, conspiracy between community members and Government forestry officials undermined the essence of collaboration. Poverty exhibited by inadequate access to food compelled local community members to violate CFM agreements. Strengthening alternative livelihood support projects among forest adjacent communities is vital in order to support forest conservation.

Factors Associated with 30-Day in-Hospital Mortality Among Patients Admitted with Severe Covid-19 in Mbarara Regional Referral Hospital.

COVID-19 has created a burden on the healthcare system globally. Severe COVID-19 is linked with high hospital mortality. Data regarding 30-day in-hospital mortality and its factors has not been explored in southwestern Uganda. We carried out a retrospective, single-center cohort study, and included all in-patients with laboratory-confirmed, radiological, or clinical severe COVID-19 admitted between April 2020 and September 2021 at Mbarara Regional Referral Hospital (MRRH). Demographic, laboratory, treatment, and clinical outcome data were extracted from patients' files. These data were described comparing survivors and non-survivors. We used logistic regression to explore the factors associated with 30-day in-hospital mortality. Of the 283 patients with severe COVID-19 admitted at MRRH COVID-19 unit, 58.1% were male. The mean age ± standard deviation (SD) was 61±17.4 years; there were no differences in mean age between survivors and non-survivors (59 ± 17.2 versus 64.4 ±17.3, respectively, p=0.24) The median length of hospital stay was 7 (IQR 3-10) days (non-survivors had a shorter median length of stay 5 (IQR 2-9) days compared to the survivors; 8 (IQR 5-11) days, p<0.001. The most frequent comorbidities were hypertension (30.5%) and diabetes mellitus (30%). The overall 30-day in-hospital mortality was 134 of 279 (48%) mortality rate of 47,350×105 with a standard error of 2.99%. The factors associated with 30-day in-hospital mortality were age: 65 years and above (aOR, 3.88; 95% CI, 1.24-11.70; P =0.020) a neutrophil to lymphocyte ratio above 5 (aOR, 4.83; 95% CI, 1.53-15.28; P =0.007) and oxygen requirement ≥15L/min (aOR, 15.80; 95% CI, 5.17-48.25; P <0.001). We found a high 30-day in-hospital mortality among patients with severe forms of COVID-19. The identified factors could help clinicians to identify patients with poor prognosis at an early stage of admission.

Bar Attendance and Alcohol Use Before and After COVID-19 Related Restrictions Among HIV-infected Adults in South-Western Uganda

Alcohol use is especially problematic for people living with HIV (PLWH) and was likely to be impacted by the coronavirus disease (COVID-19) pandemic and its restrictions. In a study of PLWH with latent tuberculosis infection, we measured unhealthy alcohol use with the Alcohol Use Disorders Identification Test (AUDIT-C), phosphatidylethanol (PEth) and bar attendance. We analyzed data collected before and after COVID-19 restrictions, and used Generalized Estimating Equations (GEE) logistic regression models to evaluate changes in unhealthy alcohol use. While bar attendance declined from 57.0% before to 38.3% after the restrictions started, multivariable analysis controlling for bar use showed a significant increase in unhealthy alcohol use; the adjusted odds ratio for unhealthy drinking before versus after the restrictions started was 1.37 (95% CI: 0.89–2.12) which increased to 1.64 (95% CI: 1.08–2.50) when bar attendance was added to the model. Decline in bar attendance did not decrease unhealthy alcohol use.

Social network correlates of free and purchased insecticide-treated bed nets in rural Uganda

BackgroundMalaria is a major cause of mortality and morbidity in Uganda. Despite Uganda’s efforts to distribute bed nets, only half of households have achieved the World Health Organization (WHO) Universal Coverage Criteria (one bed net for every two household members). The role of peer influence on bed net ownership remains underexplored. Data on the complete social network of households were collected in a rural parish in southwestern Uganda to estimate the association between household bed net ownership and peer household bed net ownership.MethodsData on household sociodemographics, bed net ownership, and social networks were collected from all households across one parish in southwestern Uganda. Bed nets were categorized as either purchased or free. Purchased and free bed net ownership ratios were calculated based on the WHO Universal Coverage Criteria. Using network name generators and complete census of parish residents, the complete social network of households in the parish was generated. Linear regression models that account for network autocorrelation were fitted to estimate the association between households’ bed net ownership ratios and bed net ownership ratios of network peer households, adjusting for sociodemographics and network centrality.ResultsOne thousand seven hundred forty-seven respondents were interviewed, accounting for 716 households. The median number of peer households to which a household was directly connected was 7. Eighty-six percent of households owned at least one bed net, and 41% of households met the WHO Universal Coverage Criterion. The median bed net ownership ratios were 0.67 for all bed nets, 0.33 for free bed nets, and 0.20 for purchased bed nets. In adjusted multivariable models, purchased bed net ownership ratio was associated with average household wealth among peer households (b = 0.06, 95% CI 0.03, 0.10), but not associated with average purchased bed net ownership ratio of peer households. Free bed net ownership ratio was associated with the number of children under 5 (b = 0.08, 95% CI 0.05, 0.10) and average free bed net ownership ratios of peer households (b = 0.66, 95% CI 0.46, 0.85).ConclusionsHousehold bed net ownership was associated with bed net ownership of peer households for free bed nets, but not for purchased bed nets. The findings suggest that public health interventions may consider leveraging social networks as tools for dissemination, particularly for bed nets that are provided free of charge.

Mental disorders and lack of social support among refugees and Ugandan nationals screening for HIV at health centers in Nakivale Refugee Settlement in southwestern Uganda.

Exposure to potentially traumatic events and daily stressors in humanitarian settings puts refugees and asylum seekers (henceforth collectively referred to as refugees) at increased risk for mental disorders. Little is known about how mental disorder prevalence compares between refugees and national populations who live in the same settings and are exposed to many of the same daily challenges. We aimed to compare the proportions of refugees and Ugandan nationals screening positive for mental disorders in a Ugandan refugee settlement to inform targeted health interventions. Given displacement's disruptive effect on social networks and the importance of social support for mental health, we also aimed to assess social support. Refugees and Ugandan nationals voluntarily testing for HIV at health centers in Nakivale Refugee Settlement were screened for post-traumatic stress disorder (PTSD CheckList-6 - Civilian Version [PCL-6]), depression (Patient Health Questionnaire-9 [PHQ-9]), anxiety (General Anxiety Disorder-7 [GAD-7]), and lack of social support (Brief Social Support Scale [BS6]). The association between refugee versus Ugandan national status and the four outcomes was assessed using log-binomial regression. Screening surveys were completed by 5,513 participants, including 3,622 refugees and 1,891 Ugandan nationals. A positive screen for PTSD, depression, anxiety and lack of social support was found for 2,388 (44%), 1,337 (25%), 1,241 (23%) and 631 (12%) participants, respectively. Refugee status was associated with a higher prevalence of a positive screen for PTSD (prevalence ratio [PR] 1.15; 95% confidence interval [CI]: 1.08-1.23), depression (PR: 1.22; 95% CI: 1.11-1.36), anxiety (PR: 1.28; 95% CI: 1.14-1.42), and lack of social support (PR: 1.50; 95% CI: 1.27-1.78). When adjusted for the other outcomes, the higher prevalence of a positive screen for PTSD, anxiety and lack of social support for refugees remained statistically significant. Elevated symptoms of mental disorders are found among refugees and Ugandan nationals testing for HIV in Nakivale Refugee Settlement. The significant association between refugee status and PTSD, anxiety and lack of social support symptoms highlights the distinct needs of this population. To determine the prevalence of mental disorders in these populations, comprehensive assessment, including psychological and neuropsychological testing, is needed.

Level and comfort of caregiver–young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda

BackgroundCommunication on sexual and reproductive health (SRH) between caregivers and their young adolescent children plays a significant role in shaping attitudes and behaviours that are critical to laying the foundations for positive and safe SRH behaviours in later adolescence. Nevertheless, this communication is often limited, particularly in countries where adolescent sexuality is taboo. This study assessed the topics discussed (‘level’) and the comfort of caregivers with communicating with young adolescents on SRH, and their correlates. MethodsA cross-sectional survey was conducted among 218 caregivers of young adolescents (10–14 years) in Mbarara district of south-western Uganda in January and February 2020. Participants were selected through consecutive sampling. A structured, pre-tested questionnaire administered by interviewers was used for data collection. The surveys were computer-assisted using Kobo Collect software. Data was exported to STATA 14 for analysis. Level of SRH communication was measured based on 10 SRH communication topics, while comfort was based on 9 SRH discussion topics. Bivariate and multivariate linear regression analyses were conducted to determine correlates of level of, and comfort with, SRH communication P-value < 0.05 was considered for statistical significance.ResultsThe mean number of topics that caregivers discussed was 3.9 (SD = 2.7) out of the 10 SRH topics explored. None of the respondents discussed all the topics; 2% reported ever discussing nine topics with their young adolescent, while 3.5% reported never discussing any of the topics. General health and bodily hygiene (89.9%) and HIV/AIDS and other sexually transmitted infections (STIs) (77.5%) were the most commonly discussed, while night emissions in boys (4.3%) and condoms (8.3%) were least discussed. The majority of caregivers (62%) reported a high level of comfort with discussing SRH. The mean comfort score was 21.9 (SD = 3.8). In general, the level of SRH communication increased with an increase in comfort with SRH communication β = 0.22 (0.04); 95% CI = (0.15, 0.30). The level of comfort with SRH communication decreased with an increase in the number of YAs in a household β = -0.92 (0.38); 95%CI = (-1.66,-0.18).ConclusionOverall, the level of SRH communication is low and varies according to the number of SRH topics. Caregivers’ comfort with SRH communication with YAs was a significant correlate of SRH communication. This justifies the need for interventions that aim to improve caregivers’ comfort with communicating with young adolescents about SRH.

Modelling the impact of land use/cover changes on water balance of a humid equatorial highland catchment in Southwestern Uganda, East Africa

ABSTRACT This study investigates impact of land use/cover change on water balance of River Mitano catchment in Southwestern Uganda using SWAT model. Land use/cover changes were assessed using three land use maps for years of 2000, 2010 and 2020. Water fluxes were simulated using observed daily discharge.14.4% of precipitation received is converted into discharge, with base flow (2.9%) and lateral flow (11.8%) major contributors. Conversion of grasslands to cropland and built-up areas were key changes. An increase in cropland (6.8%) and built-up areas (3.0%) at expense of grassland and wetland were noticed, with significant increase in monthly and annual groundwater flow.