Uganda Martyrs University (UMU)

Introduction The Corona virus disease (COVID-19) is a respiratory illness that is caused by SARS-CoV-2 virus. This virus was first reported in China in December 2019. It then spread to all countries and from March 11, 2020, the World Health Organization declared the COVID-19 outbreak a pandemic. In Uganda, the disease was first reported in March 2020 and COVID-19 vaccines became available by January 2021. Although COVID-19 vaccines were available in Uganda, uptake remained low. The aim of this study was to establish COVID-19 vaccine uptake awareness in a peri-urban setting in Entebbe City, Uganda. Methods This was a cross-sectional study conducted among 127 men and 263 women who reside in Entebbe City, Uganda. Data was collected on socio-behavioral characteristics, knowledge, attitude, and practice (KAP) about COVID-19 vaccine using interviewer administered questionnaires. Uptake of COVID-19 vaccine was defined as the proportion of participants who had received at least one dose of the COVID-19 vaccine. We used descriptive statistics to estimate awareness of COVID-19 vaccines. The ‘chi-square test’ and ‘modified Poisson regression’ were used to assess variations in uptake of COVID-19 vaccines among respondents and their socio-demographics as well as other characteristics. Results Ninety-nine percent (388 out of 390) of the study population were aware of at least one brand of COVID-19 vaccines in the country. Thirty-five percent (138 out of 390) knew that the vaccine immunity was achieved 14 days after the 2nd dose and 98.7% (385 out of 390) admitted that observing the standard operating procedure for COVID-19 infection prevention was necessary after vaccination. There was a gap in knowledge on vaccine safety reported by 74.6% (291 out of 390) participants. Some participants 37.2% (145 out of 390) had concerns about the vaccine. Of these, 57.9% (84 out of 145) believed that the vaccines were not helpful; and 30.3% (44 out of 145) feared serious side effects. Sixty-six percent (257 out of 390) believed that vaccines were not working and 79.0% (308 out of 390) admitted that vaccines were promoted for financial gain. At the time of performing the study, 36.2% and 22.3% had received the 1st and 2nd dose respectively. The main sources of information on COVID-19 vaccine were television (TV) and social media (p-value 0.001). In a multivariate model, COVID-19 vaccine acceptability was associated with salaried and self-employment (p-value 0.046). The other predicative factors were awareness of the COVID-19 vaccine (p-value <0.001) and having vaccine concerns (p-value 0.013). Conclusion Uptake of COVID-19 vaccination in Entebbe community was low, partly attributed to knowledge gaps and concerns about vaccine safety and effectiveness. This highlights the need to enhance dissemination of information about COVID-19 vaccine. The lessons learnt in this study would be relevant for other emerging infections by informing vaccination implementation programs in similar settings.

Peacebuilding is a fundamental and gradual process which cannot only exist through proper managing of political affairs as most people think. But also, there is a need to understand other dimensions of peace which exist in the social and economic aspects of people in different countries or communities. Indeed, in the world where there is free circulation of ideas or information, mass media like; radios, televisions, songs and newspaper play a vital role in social-economic peacebuilding which may improve the quality of people’s wellbeing. Besides, people choose to use different media platforms depending on the gratification they hope to achieve from them. Therefore, inspired by uses and gratification theory, this chapter intends to explore the role of mass media in promoting social-economic peace among people. This was a case study research design and interviews were used to collect primary data. Content and descriptive analyses were used to interpret the data collected.

Introduction There are limited global data on ectopic pregnancy (EP) and molar pregnancy (MP), making it important to understand their epidemiology and management across different regions. Our study aimed to describe their prevalence for both conditions, severity of their complications and management among women in selected health facilities across 17 countries in Africa and Latin America and the Caribbean (LAC). Methods This is a secondary analysis of the WHO multi-country survey on abortion. Data were collected from 280 healthcare facilities across 11 countries in Africa and 6 in LAC. Sociodemographic information, signs and symptoms, management and clinical outcomes were extracted from medical records. Facility-level data on post-abortion care (PAC) capabilities were also collected, and facilities were classified accordingly. χ ² or Fisher’s exact tests were used to compare categorical data. Results The total number of women with EP and MP across both regions was 9.9% (2 415/24 424) where EP accounted for 7.8% (1 904/24 424) and MP for 2.1% (511/24 424). EP presented a higher severity of complications than MP. At admission, 49.8% of EP had signs of peritoneal irritation. The most common surgical management for EP was laparotomy (87.2%) and for MP, uterine evacuation (89.8%). Facilities with higher scores in infrastructure and capability to provide PAC more frequently provided minimal invasive management using methotrexate/other medical treatment (34.9%) and laparoscopy (5.1%). Conclusion In Africa and LAC, EP and MP cause significant maternal morbidity and mortality. The disparity in the provision of good quality care highlights the need to strengthen the implementation of evidence-based recommendations in the clinical and surgical management of EP and MP.

Climate variability poses a significant threat to smallholder farmers in the Gwayi catchment, Zimbabwe. This study investigated the spatiotemporal dynamics of agrometeorological droughts from 1990 to 2020 using the Standardized Precipitation Index (SPI), Standardized Precipitation Evapotranspiration Index (SPEI), Vegetation Condition Index (VCI), and Vegetation Health Index (VHI). The triangulation of these indices provided a comprehensive understanding of drought dynamics. Severe to extreme drought events were identified in 1995, 1998, 2005, 2016, 2018, and 2020, while moderate droughts were consistently detected across all indices. Favourable conditions were observed in 2000 and 2006. A strong positive correlation (r = 0.88) between VHI and VCI suggests their similar effectiveness in reflecting vegetation health. In contrast, moderate correlations between VHI and SPI (r = 0.30), VHI and SPEI (r = 0.39), VCI and SPI (r = 0.28), and VCI and SPEI (r = 0.40) indicate that these indices capture complementary information, reflecting not only precipitation deficits but also the impacts of temperature, soil moisture, and land cover changes. The SPI and SPEI displayed a strong positive correlation (r = 0.78), aligning in their sensitivity to precipitation and evapotranspiration. Spatial analysis revealed a pronounced north-south drought gradient, with the southwestern region being particularly vulnerable, underscoring the need for targeted interventions.

Lantana camara L. (Verbenaceae) is recognised as a problematic invasive alien plant species in many parts of the world. To eradicate or control this global invader, we need to understand the drivers of its spread and impacts and the potential for native recovery after the invader has been removed. Here, we tested for species associations between L. camara and native plant species and large herbivores in Queen Elizabeth National Park, Uganda. We inventoried 40,100‐m² nested plots spread over a 1 × 1‐km grid cell in the park's savanna landscape, with 11 plots located in uninvaded areas. Most of the plots (30 of 40) had been affected by fire. Lantana camara covered 29 (73%) plots, 11 (38%) of which were in open grassland. Of the large herbivores that frequented areas free of L. camara, the Ugandan kob Adenota kob thomasi Sclater tended to avoid the areas invaded. The floristic composition of invaded areas differed significantly from that of noninvaded areas, with several palatable species rare or absent from L. camara‐invaded areas. Practical implication: These observations indicate the presence of potential recovery constraints that will need to be overcome after L. camara has been removed. Sustained efforts will be needed to suppress the invader and subsequently enrich and bolster native recovery.

Background The sustainability of diets consumed by African populations under socio-economic transition remains to be determined. This study developed and characterized a multi-dimensional Sustainable Diet Index (SDI) reflecting healthfulness, climate-friendliness, sociocultural benefits, and financial affordability using individual-level data of adults in rural and urban Ghana and Ghanaian migrants in Europe to identify the role of living environment in dietary sustainability. Methods We used cross-sectional data from the multi-centre Research on Obesity and Diabetes among African Migrants Study (N = 3169; age range: 25–70 years). For the SDI construct (0–16 score points), we used the Diet Quality Index-International, food-related greenhouse gas emission, the ratio of natural to processed foods, and the proportion of food expenditure from income. In linear regression analyses, we estimated the adjusted ß-coefficients and 95% confidence intervals (CIs) for the differences in mean SDI across study sites (using rural Ghana as a reference), accounting for sociodemographic and lifestyle factors. Results The overall mean SDI was 8.0 (95% CI: 7.9, 8.1). Participants in the highest SDI-quintile compared to lower quintiles were older, more often women, non-smokers, and alcohol abstainers. The highest mean SDI was seen in London (9.1; 95% CI: 8.9, 9.3), followed by rural Ghana (8.2; 95% CI: 8.0, 8.3), Amsterdam (7.9; 95% CI: 7.7, 8.1), Berlin (7.8; 95% CI: 7.6, 8.0), and urban Ghana (7.7; 95% CI: 7.5, 7.8). Compared to rural Ghana, the differences between study sites were attenuated after accounting for age, gender and energy intake. No further changes were observed after adjustment for lifestyle factors. Conclusion The multi-dimensional SDI describes four dimensions of dietary sustainability in this Ghanaian population. Our findings suggest that living in Europe improved dietary sustainability, but the opposite seems true for urbanization in Ghana.

Although not a new phenomenon, over the past decade, Christian Zionist theologies that emphasise the central role of the Jewish people in divine history and call on believers to support them and the modern state of Israel have increasingly come to impact religious life and political discourse in many parts of Africa. This paper reviews this development and the limited research on it. It assesses the uptake of Christian Zionist theologies by African Pentecostals and Messianic Jews and sketches out the impact of Christian Zionism on Africa's political landscape. The paper offers some directions for future scholarship on the subject, which may contribute not only to the fields of World Christianity and the anthropology of Christianity, but also to the historical, sociological, and anthropological study of African popular cultures, and to the study of African politics.

The underperformance of agricultural education systems in Africa is evident through various indicators such as increased unemployment among recent agricultural graduates, inefficiencies in agricultural product value chains, and a decline in enrollment in agricultural schools. The AgriENGAGE project, which included eight African universities, was supported through the Erasmus+ Capacity Building in Higher Education program funded by the European Commission to address these challenges. The project aimed to contribute toward revitalizing agricultural education systems to stimulate agricultural transformation and enhance the sector’s competitiveness while meeting the labor market’s demands. This article draws on lessons learned at eight universities to provide a perspective on agri-entrepreneurship education integration in African universities. We provide descriptions, experiences, and insights on agri-entrepreneurship education integration in partner universities in Kenya, Benin, Morocco, and Uganda. Based on these experiences, we provide perspectives on reducing youth unemployment and improving the effectiveness of agricultural education in contributing to the development of sustainable food systems.

Biochar is a nature-based solution for sustainable agriculture but its potential adoption in some parts of sub-Saharan Africa is still minimal. In this study, we evaluated the agronomic potential of maize stover biochar in cowpea-maize sequential cropping in Uganda under field conditions. The treatments included; the common farmer practice of no inorganic fertilizer and no biochar (CTR), inorganic fertilizer (F), 10 t ha−1 biochar (B10), 40 t ha−1 biochar (B40), 10 t ha−1 biochar + inorganic Fertilizer (FB10), and 40 t ha−1 biochar + inorganic Fertilizer (FB40), arranged in a randomized complete block design (RCBD) with three replications. The results showed that cowpea seed yield was not significantly affected by biochar and fertilizer application but the haulm yield was significantly improved only in FB40 treatment. Maize grain and stover yield was significantly improved only in the FB40 treatment but biochar showed a high potential to also improve yield even without inorganic fertilizer. The potential for biochar to improve maize yield either in the presence or absence of fertilizers could be attributed to the residual soil fertility from cowpeas. In both seasons, biochar significantly improved soil pH, EC, SOC, total N, available P, exchangeable K and Ca, irrespective of fertilizer application. However, exchangeable Mg did not significantly vary among the treatments. This study further revealed that in cowpea-maize rotation, optimum yield could also be possible with sole biochar application. Therefore, instead of burning the maize stovers after harvest, farmers should convert the residues into biochar and return it to the soil so as to achieve sustainable food systems.

Geographies of volunteering have examined the relationships between people, places and forms of voluntary action, but there has been limited geographical scholarship on the scales, forms and distribution of volunteering amongst specific populations in different settings, particularly in the global South. While in the global North there are some established quantitative data sets, often produced by humanitarian and development organisations, these are largely absent in the South. Where they do exist, they often reflect Western-centric ideas and concepts, meaning that volunteering behaviours that do not fit Western norms-such as amongst young refugees in the global South-can be excluded, or captured in ways that are partial or unrepresentative. This paper provides an important challenge to existing geographies of volunteering, expanding them through an account of volunteering amongst young refugees in Uganda, and how it articulates with social inequalities within and between the spaces and places where young refugees live. We analyse quantitative data from 3053 young refugees surveyed on their volunteering experiences in rural and urban settings in Uganda. The data provides new evidence of who these volunteers are, beyond their refugee status, why, where and how they conduct their activities, and reveals how these are connected to livelihoods and community development. Through this survey analysis, the paper argues for the need to establish grounded conceptualisations of volunteering that consider the scales, distribution, and various forms of volunteering within specific groups. In doing so, the paper offers a new framework for better understanding the relationships between volunteering and refugee lives through four interlocking factors: place, (im)mobility, income and gender. The paper concludes by discussing the implications of these findings for wider geographies of volunteering and research on refugee youth and displaced populations.

Background Learning to thinking critically about health information and choices can protect people from unnecessary suffering, harm, and resource waste. Earlier work revealed that children can learn these skills, but printing costs and curricula compatibility remain important barriers to school implementation. We aimed to develop a set of digital learning resources for students to think critically about health that were suitable for use in Kenyan, Rwandan, and Ugandan secondary schools. Methods We conducted work in two phases collaborating with teachers, students, schools, and national curriculum development offices using a human-centred design approach. First, we conducted context analyses and an overview of teaching strategies, prioritised content and collected examples. Next, we developed lessons and guidance iteratively, informed by data from user-testing, individual and group interviews, and school pilots. Results Final resources include online lesson plans, teachers’ guide, and extra resources, with lesson plans in two modes, for use in a classroom equipped with a blackboard/flip-chart and a projector. The resources are accessible offline for use when electricity or Internet is lacking. Teachers preferred the projector mode, as it provided structure and a focal point for class attention. Feedback was largely positive, with teachers and students appreciating the learning and experiencing it as relevant. Four main challenges included time to teach lessons; incorrect comprehension; identifying suitable examples; and technical, logistical, and behavioural challenges with a student-computer mode that we piloted. We resolved challenges by simplifying and combining lessons; increasing opportunities for review and assessment; developing teacher training materials, creating a searchable set of examples; and deactivating the student-computer mode. Conclusion Using a human-centred design approach, we created digital resources for teaching secondary school students to think critically about health actions and for training teachers. Be smart about your health resources are open access and can be translated or adapted to other settings.

Background About half of people infected with Human Immunodeficiency Virus (HIV) often present late for care, resulting in higher healthcare costs, undesired treatment outcomes, and ongoing HIV transmission. This study aimed to assess the prevalence and determinants of late HIV diagnosis and advanced HIV disease (AHD) in Tanzania. Methods Data were obtained from the 2016–17 Tanzania HIV impact survey. We included 677 newly diagnosed people living with HIV. Late HIV diagnosis and AHD were defined as having a CD4 cell count below 350 cells/µL or 200 cells/µL at diagnosis, respectively. Bivariate and multivariable logistic regression models were fitted to identify the determinants of late HIV diagnosis or AHD. Results The mean age of the participants was 37.8 years (SD, 12.4). About two-thirds were women (62.6%). The prevalence of late HIV diagnosis was 42.4%, whereas the prevalence of AHD was 17.7%. Factors associated with late HIV diagnosis included age 31–40 years (adjusted odds ratio [aOR] = 1.72, 95% confidence interval [CI]: 1.14–2.60), age ≥41 years (aOR = 1.79, 95% CI: 1.16–2.76), male sex (aOR = 1.88, 95% CI: 1.29–2.73), and active syphilis infection (aOR=2.63, 95% CI: 1.20–5.76). Factors associated with AHD were age 31–40 years (aOR = 2.12, 95% CI: 1.18–3.81), age ≥41 years (aOR = 2.42, 95% CI: 1.32–4.41), male sex (aOR = 1.77, 95% CI: 1.09–2.87), formal education (aOR = 0.49, 95% CI: 0.30–0.81) and active syphilis infection (aOR = 2.49, 95% CI: 1.07–5.77). Conclusion Late HIV diagnosis and AHD are prevalent among newly diagnosed people living with HIV in Tanzania. Specific subgroups are more likely to present late for HIV care, including middle-aged and older adults, men, illiterate individuals, and those with active syphilis and HIV co-infection. Therefore, we recommend expanding HIV testing services and implementing targeted interventions to improve early access and enrollment in HIV care.

Revealed as a production system that does not use synthetic fertilizers or pesticides, organic farming is recognized as ecological production and has been institutionalized in Uganda. Organic production continues to face the challenges of what is considered agroecology farming, which is viewed nowadays as an opportunity for creating new value chains and food systems for agricultural production based on protecting the environment and supplying nutritious and safe foods to society. This paper focuses on agroecology farming indicators to assess organic farming in order to highlight the challenges organic farmers face in implementing agroecology practices. The data collection was carried out in 5 districts in Central Uganda: Wakiso, Masaka, Bukomansimbi, Ssembabule, and Kyotera. A multiple-stage stratified sampling was used to select 310 organic farmers in 5 districts. Various representations and correlation analyses of agroecology indicators have been conducted using descriptive statistics and correlation tests. The findings show that 51.9% of organic farmer respondents have at least three crops produced in the local climate for a long time, and 58.71% of organic farming has medium integration (animal feed is mostly self-produced and grazed, and their manure is used for compost and fertilizer). It highlights that seeds and animal genetics are self-produced, neighbor farms exchange them, and some specifics are purchased at local markets for 51.61% organic farming. The results revealed that 61.61% of organic farms visited had half of the arable soil covered with organic residues. The correlation test revealed that there is a significant positive correlation between diversity animal genetics and crop and livestock integration (r = 0.674, p < 0.01), between harvesting and saving water systems and resilience and adaptability to climate variability (r = 0.546, p < 0.01), and between diversity crops and diversity activities and services (r = 0.523, p < 0.01). Despite the interdependence of organic farming's agroecology practices, most residues and waste are not recycled or reused as organic fertilizer, and organic farmers have limited equipment to harvest and save water for production. This is an opportunity for organic stakeholders to invest in organic residues and waste recycled equipment in order to create a new value chain for organic production by producing organic fertilizers and biopesticides.

The current global trend shows that there is a tremendous increase in CO2 emission and that the level of emission is increasing with various development factors such as consumption of non-renewable energy, financial development, and FDI. However, very few studies have examined the impact of development factors that increase CO2 emissions, especially for African Countries. Therefore, this study contributes to the existing literature by examining the impact of these development factors (i.e., renewable energy consumption, non-renewable energy consumption, FDI, and financial development) on CO2 emission while also considering the importance of institutional quality and technical advancement in African countries. The study also addresses the issues of whether institutional quality and technological advancement have a role in protecting the environment and achieving faster economic growth. A panel between 1996 to 2020 and a model for estimation is used. Results of the analysis indicate that using renewable energy is a fundamental tool in promoting sustainable development by reducing environmental pollution. However, Financial developments and Foreign Direct investment positively impact CO2 emissions. Nevertheless, the majority of the institutional quality estimates are significant for reducing environmental pollution. Technological innovation is revealed as environmental degradation reducer and encourages sustainable growth. The findings call for African policymakers to formulate policies that encourage the use of renewable energy, fund renewable energy projects, and promote technology innovation through financial institutions to achieve sustainable development.

Background The COVID-19 pandemic impacted the healthcare and outcomes of individuals with various chronic diseases. However, there is a paucity of data on the impact of the COVID-19 pandemic on diabetes mellitus (DM) in low-resource settings. To address this, we conducted a scoping review to explore the literature published on diabetes-related COVID-19 outcomes and care during the COVID-19 pandemic in countries of sub-Saharan Africa. Methods We applied our search strategy to PubMed, Web of Science, CINAHL, African Index Medicus, Google Scholar, Cochrane Library, Scopus, Science Direct, ERIC and Embase to obtain relevant articles published from January 2020 to March 2023. Two independent reviewers were involved in screening the retrieved articles. Data from eligible articles were extracted from quantitative, qualitative and mixed-methods studies. Quantitative evidence was summarised using descriptive statistics, while a thematic framework was used to identify and categorise themes from qualitative evidence. Results We found 42 of the retrieved 360 articles eligible, mainly from South Africa, Ethiopia and Ghana (73.4%). The incidence of DM among COVID-19 cases was 13.7/1,000 person-days observation. COVID-19 was associated with increased odds of death (OR 1.30–9.0, 95% CI), hospitalisation (OR 3.30–3.73: 95% CI), and severity (OR: 1.30–4.05, 95% CI) in persons with DM. Challenges in caring for DM during the pandemic were inadequate patient self-management, difficulties in healthcare access, and inadequate healthcare resources. Conclusion The COVID-19 pandemic was characterised by a high incidence of DM in persons infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and high COVID-19-associated mortality, severity, and hospitalisation among people persons with DM. The pandemic also created difficulties in DM self-management and worsened the quality of DM care services. Policymakers should devise preventive and management strategies for DM during emerging and re-emerging infectious disease epidemics and outbreaks, given that such occurrences are increasingly frequent in the region.

The importance of sustainability (human, social, economic and environmental) especially concerning Higher Education Institutions (HEIs) and the latter’s role in the implementation of Sustainable Development Goals (SDGs) occupies the intellectual space in this chapter. Whereas in the past, HEIs have been seen to be ivory towers—dealing with matters of academic and less concerned with the social and economic development of their surrounding communities—this chapter looks at the recent developments where HEIs have redefined and expanded their role—of going beyond the academic, that is, the generation of knowledge and being critical thinkers to one where they see themselves with the capacity, using their triple mission of teaching and learning, research and community engagements, to address the social and economic challenges in communities. With the coming into force of the UN SDGs 2030 agenda, HEIs are increasingly being perceived as key partners in the implementation of the 17 goals. With the three arms of teaching and learning, research and community engagements, HEIs are well-placed to implement the SDGs. Uganda Martyrs University (UMU) is fronted as a case study in implementing the SDGs through its triple mission of teaching and learning, research and community engagement.

Semi-arid agroecosystems are crucial for food security and ecosystem services, but land degradation threatens their sustainability. This study assessed land degradation neutrality (LDN) in a semi-arid agroecosystem of Matabeleland North Province, Zimbabwe, leveraging trends.earth within QGIS and data from the European Space Agency Climate Change Initiative (1992–2020). We analysed land use/land cover (LULC), soil organic carbon (SOC), and land productivity to identify areas of degradation and stability. Additionally, we simulated 2050 land-use/land-cover maps using a cellular automata model within a GIS framework assuming a business-as-usual scenario. The model considered the 2015 LULC map as a baseline along with environmental variables such as the digital elevation model and slope. While historical trends (1992–2020) showed a decrease in bare areas (-71%) and an increase in settlements (+ 163%), cellular automata modeling predicted a concerning future trajectory with further expansion of bare land (+ 238%) and settlements (+ 72%) by 2050, alongside a decline in water bodies (-23%) and forests (-3.5%). Notably, around 26.5% of the land exhibited degradation, often linked to low SOC levels in croplands, while 59.55% remained stable over the study period. However, caution is necessary as increases in greenness may not always reflect positive restoration. Land cover transitions, particularly the conversion of forests to grasslands and settlements, emerged as potential drivers of degradation, likely leading to ecosystem service loss, habitat fragmentation, and potentially exacerbating the impacts of climate change. These findings highlight the urgent need for targeted restoration and land management strategies focused on improving SOC levels in croplands and conserving vital forest and grassland ecosystems to achieve LDN in this semi-arid region. Further research is needed to quantify specific degradation drivers, assess the effectiveness of intervention strategies, and explore the socio-economic dimensions of land degradation and LDN efforts.

Introduction Laparoscopic Nissen Fundoplication is an effective standard surgical procedure for treatment of severe GERD. While it is generally safe and effective, a rare but potentially fatal complication known as acute gastric volvulus can occur following this procedure. Case presentation A 28-year-old male, ten months post Laparoscopic Nissen Fundoplication presented with a one-day history of severe epigastric pain, abdominal distention, unproductive retching, and difficulty in breathing. Examination revealed tachypnea, subcutaneous emphysema and a tender distended abdomen. Imaging studies showed a left pneumothorax, pneumoperitoneum, and a grossly distended stomach. Emergency exploratory laparotomy confirmed organoaxial gastric volvulus, necrosis of the greater curvature and gastric perforation. Partial gastrectomy and anterior gastropexy were performed. A left thoracostomy tube was placed to drain the left pneumothorax. He recovered fully post-operatively with complete resolution of all symptoms. Discussion Acute Gastric volvulus post Laparoscopic Nissen Fundoplication is attributed to adhesions, gastrostomy tubes, and foreign bodies like sutures. Life-threatening complications, such as gastric perforation, can ensue, underscoring the need for swift diagnosis and treatment. Conclusion Acute gastric volvulus following Laparoscopic Nissen Fundoplication is a rare condition, and is difficult to diagnose. Given the steadily increasing rates of laparoscopic Nissen fundoplications performed in Uganda, maintaining a high index of suspicion is crucial for favorable patient outcomes among patients with this potentially fatal complication.

Background: Thearticle explores community emergency response intervention hesitancy using reflections from the Sudan Ebolavirus Disease (SVD) 2022 outbreak response in Uganda. Methods: Data from participant observation are complemented with data from four other sources particularly, documentary reviews, ethnographic group discussions (12), informant interviews (60) and transect drives for social risk mapping. Results: The main results indicate that, community emergency response intervention hesitancy in the SVD 2022 outbreak response in Uganda occurred both in direct and non-direct forms. The direct ones included some suspected cases refusing to go to and/or running away from isolation units (IUs) and Ebola treatment units (ETUs), some bereaved families refusing to handover bodies for safe and dignified burials (SDBs) and accosting responders, some bereaved families exhuming and reburying SVD bodies and survivors having sex without protection. The indirect ones included dual naming and false identity declarations, visiting traditional healers and spiritual leaders, hiding identities of high-risk contacts, secretly burying the dead at night and lastly, changing location of or taking patients to other districts Conclusions: The conclusion the study generates is that to avert community emergency response intervention hesitancy, response teams should strike a balance between the health protocol prioritization on one hand and the environmental and socio-economic context of the outbreak on the other hand that includes, lived and observed transgenerational experiences. This must be augmented with a sustained integrated community engagement action that the study found critical to recovery of community trust and control of outbreaks in the community.

For many Indigenous Peoples, relationships to the land are inherent in identity and culture, and to all facets of health and wellbeing, physically, emotionally, psychologically, and spiritually. The Batwa are Indigenous Peoples of rural, southwest Uganda who have experienced tremendous social and economic upheaval, due to relatively recent forced displacement and land dispossession. This loss of physical connection to their ancestral lands has significantly impacted Batwa health, and also affected available healthcare options for Batwa. This exploratory study (1) identified and characterized factors that influence Batwa health-seeking behaviour, using acute gastrointestinal illness, a critical public health issue, as a focal point for analysis; and (2) explored possible intersections between the Batwa’s connection to place–and displacement–and their health-seeking behaviour for acute gastrointestinal illness. Twenty focus group discussions, stratified by gender, were conducted in ten Batwa settlements in Kanungu District, Uganda and eleven semi-structured interviews were conducted with primary healthcare workers, community health coordinators, clinical officers, and development program coordinators. Qualitative data were thematically analyzed using a constant comparative method. Batwa identified several significant motivators to engage with Indigenous and/or biomedical forms of healthcare, including transition to life outside the forest and their reflections on health in the forest; ‘intellectual access’ to care and generational knowledge-sharing on the use of Indigenous medicines; and Batwa identity and way of life. These nuanced explanations for health-seeking behaviour underscore the significance of place–and displacement–to Batwa health and wellbeing, and its relationship to their health-seeking behaviour for acute gastrointestinal illness. As such, the results of this study can be used to inform healthcare practice and policy and support the development of a culturally- and contextually-appropriate healthcare system, as well as to reduce the burden of acute gastrointestinal illness among Batwa.