Mbarara University of Science and Technology

About: Mbarara University of Science and Technology is a education organization based out in Mbarara, Uganda. It is known for research contribution in the topics: Population & Health care. The organization has 1145 authors who have published 1845 publications receiving 43184 citations.

Diversity of locally useful tropical forest wild-plants as a function of species richness and informant culture

Abstract: Different conservation values and perspectives can lead to divergent conservation objectives. Understanding such differences is crucial to developing more comprehensive and inclusive conservation approaches. Using plots, we assessed how numbers of useful species as reported by indigenous forest-dwelling people relate to plant species richness. We used 173 plots recording both trees and herbaceous vegetation and the knowledge of both Merap- and Punan-dominated communities in Malinau, Kalimantan (Indonesian Borneo). We used general linear models (GLMs) to characterise the relationships. Useful species increase with species richness in all cases. The relationship varied across culture and community and was not always linear. The proportion of tree species reported as useful by Merap (primarily agriculturalist) informants was not constant but declined significantly as plot diversity increased; this was not the case for Punan (primarily hunter-gatherer) informants. There was no decline for the reported proportion of useful herbs as richness increases, as assessed by either ethnic group. Communities with less wealth and less schooling generally reported a higher proportion of the useful species. We interpret these results in terms of how landscape patterns of plant diversity are experienced. Understanding of these relationships can help us develop a more explicit approach to weighing and reconciling different conservation values and management objectives in changing forest landscapes.

A demonstration of mobile phone deployment to support the treatment of acutely ill children under five in Bushenyi district, Uganda.

Abstract: Background: Benefits of mobile phone deployment for children <5 in low resource settings remain unproven. The target population of the current demonstration study in Bushenyi District, Uganda, presented with acute fever, pneumonia, or diarrhoea and were treated by community health workers (CHWs) providing integrated community case management (iCCM). Methods: An observational study was conducted in five parishes (47 villages) served by CHWs well versed in iCCM with supplemental training in mobile phone use. Impact was assessed by quantitative measures and qualitative evaluation through household surveys, focus group discussions, and key informant interviews. Results: CHWs in targeted sites improved child healthcare through mobile phone use coupled with iCCM. Of acutely ill children, 92.6% were correctly managed. Significant improvements in clinical outcomes compared to those obtained by CHWs with enhanced iCCM training alone were unproven in this limited demonstration. Nonetheless, qualitative evaluation showed gains in treatment planning, supply management, and logistical efficiency. Provider confidence and communications were enhanced as was ease and accuracy of record keeping. Conclusion: Mobile phones appear synergistic with iCCM to bolster basic supportive care for acutely ill children provided by CHWs. The full impact of expanded mobile phone deployment warrants further evaluation prior to scaling up in low-resource settings. Keywords: mobile phone deployment, ill children under five, Bushenyi district, Uganda

HIV infection and arterial stiffness among older-adults taking antiretroviral therapy in rural Uganda.

Abstract: HIV infection is associated with arterial stiffness, but no studies have assessed this relationship in sub-Saharan Africa. We enrolled 205 participants over 40 years old in Uganda: 105 on antiretroviral therapy for a median of 7 years, and a random sample of 100 age and sex-matched HIV-uninfected controls from the clinic catchment area. The prevalence of arterial stiffness (ankle brachial index > 1.2) was 33%, 18%, 19% and 2% in HIV+ men, HIV- men, HIV+ women, and HIV- women. In multivariable models adjusted for cardiovascular risk factors, HIV+ individuals had over double the prevalence of arterial stiffness (adjusted prevalence ratio 2.86, 95% confidence interval 1.41-5.79, P = 0.003).

Immunogenicity of fractional doses of tetravalent a/c/y/w135 meningococcal polysaccharide vaccine: results from a randomized non-inferiority controlled trial in Uganda.

Abstract: Background Neisseria meningitidis serogroup A is the main causative pathogen of meningitis epidemics in sub-Saharan Africa. In recent years, serogroup W135 has also been the cause of epidemics. Mass vaccination campaigns with polysaccharide vaccines are key elements in controlling these epidemics. Facing global vaccine shortage, we explored the use of fractional doses of a licensed A/C/Y/W135 polysaccharide meningococcal vaccine.