Search

Your search keyword '"Miriam Lwanga"' showing total 4 results
Start Over Author "Miriam Lwanga"
4 results on '"Miriam Lwanga"'

1. Uganda’s experience in Ebola virus disease outbreak preparedness, 2018–2019

Author

Jane Ruth Aceng, Alex R. Ario, Allan N. Muruta, Issa Makumbi, Miriam Nanyunja, Innocent Komakech, Andrew N. Bakainaga, Ambrose O. Talisuna, Collins Mwesigye, Allan M. Mpairwe, Jayne B. Tusiime, William Z. Lali, Edson Katushabe, Felix Ocom, Mugagga Kaggwa, Bodo Bongomin, Hafisa Kasule, Joseph N. Mwoga, Benjamin Sensasi, Edmund Mwebembezi, Charles Katureebe, Olive Sentumbwe, Rita Nalwadda, Paul Mbaka, Bayo S. Fatunmbi, Lydia Nakiire, Mohammed Lamorde, Richard Walwema, Andrew Kambugu, Judith Nanyondo, Solome Okware, Peter B. Ahabwe, Immaculate Nabukenya, Joshua Kayiwa, Milton M. Wetaka, Simon Kyazze, Benon Kwesiga, Daniel Kadobera, Lilian Bulage, Carol Nanziri, Fred Monje, Dativa M. Aliddeki, Vivian Ntono, Doreen Gonahasa, Sandra Nabatanzi, Godfrey Nsereko, Anne Nakinsige, Eldard Mabumba, Bernard Lubwama, Musa Sekamatte, Michael Kibuule, David Muwanguzi, Jackson Amone, George D. Upenytho, Alfred Driwale, Morries Seru, Fred Sebisubi, Harriet Akello, Richard Kabanda, David K. Mutengeki, Tabley Bakyaita, Vivian N. Serwanjja, Richard Okwi, Jude Okiria, Emmanuel Ainebyoona, Bernard T. Opar, Derrick Mimbe, Denis Kyabaggu, Chrisostom Ayebazibwe, Juliet Sentumbwe, Moses Mwanja, Deo B. Ndumu, Josephine Bwogi, Stephen Balinandi, Luke Nyakarahuka, Alex Tumusiime, Jackson Kyondo, Sophia Mulei, Julius Lutwama, Pontiano Kaleebu, Atek Kagirita, Susan Nabadda, Peter Oumo, Robinah Lukwago, Julius Kasozi, Oleh Masylukov, Henry Bosa Kyobe, Viorica Berdaga, Miriam Lwanga, Joe C. Opio, David Matseketse, James Eyul, Martin O. Oteba, Hasifa Bukirwa, Nulu Bulya, Ben Masiira, Christine Kihembo, Chima Ohuabunwo, Simon N. Antara, Wilberforce Owembabazi, Paul B. Okot, Josephine Okwera, Isabelle Amoros, Victoria Kajja, Basnet S. Mukunda, Isabel Sorela, Gregory Adams, Trevor Shoemaker, John D. Klena, Celine H. Taboy, Sarah E. Ward, Rebecca D. Merrill, Rosalind J. Carter, Julie R. Harris, Flora Banage, Thomas Nsibambi, Joseph Ojwang, Juliet N. Kasule, Dan F. Stowell, Vance R. Brown, Bao-Ping Zhu, Jaco Homsy, Lisa J. Nelson, Patrick K. Tusiime, Charles Olaro, Henry G. Mwebesa, and Yonas Tegegn Woldemariam

Subjects
Ebola, Viral Haemorrhagic fever, Epidemic preparedness, Disease outbreaks, Global Health security, Uganda, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda’s experience in EVD preparedness. Results On 4 August 2018, the Uganda Ministry of Health (MoH) activated the Public Health Emergency Operations Centre (PHEOC) and the National Task Force (NTF) for public health emergencies to plan, guide, and coordinate EVD preparedness in the country. The NTF selected an Incident Management Team (IMT), constituting a National Rapid Response Team (NRRT) that supported activation of the District Task Forces (DTFs) and District Rapid Response Teams (DRRTs) that jointly assessed levels of preparedness in 30 designated high-risk districts representing category 1 (20 districts) and category 2 (10 districts). The MoH, with technical guidance from the World Health Organisation (WHO), led EVD preparedness activities and worked together with other ministries and partner organisations to enhance community-based surveillance systems, develop and disseminate risk communication messages, engage communities, reinforce EVD screening and infection prevention measures at Points of Entry (PoEs) and in high-risk health facilities, construct and equip EVD isolation and treatment units, and establish coordination and procurement mechanisms. Conclusion As of 31 May 2019, there was no confirmed case of EVD as Uganda has continued to make significant and verifiable progress in EVD preparedness. There is a need to sustain these efforts, not only in EVD preparedness but also across the entire spectrum of a multi-hazard framework. These efforts strengthen country capacity and compel the country to avail resources for preparedness and management of incidents at the source while effectively cutting costs of using a “fire-fighting” approach during public health emergencies.

Published
2020
Full Text
View/download PDF

2. Challenges to Ebola preparedness during an ongoing outbreak: An analysis of borderland livelihoods and trust in Uganda.

Author

Megan M Schmidt-Sane, Jannie O Nielsen, Mandi Chikombero, Douglas Lubowa, Miriam Lwanga, Jonathan Gamusi, Richard Kabanda, and David Kaawa-Mafigiri

Subjects
Medicine, Science
Abstract

Ebola Virus Disease in the Democratic Republic of Congo (DRC) was declared a public health emergency of international concern on July 17, 2019. The first case to cross the border into Uganda in June 2019 demonstrates the importance of better understanding border dynamics in a context of Ebola. This paper adopts a political economy approach to contextualize epidemic response programs conducted in moderate- and high-risk border districts in Uganda, through a qualitative study with 287 participants. To that end, our aim was to describe the historical underpinnings of the borderlands context; the role of livelihood strategies in constraining risk avoidance decisions; and the dynamics of trust in authority figures, including health workers. This paper reports that border communities are highly connected, for a variety of social and economic reasons. These daily realities are in direct opposition to guidance to limit travel during an active Ebola epidemic. We argue that an ability to limit movement is constrained by the economic need to seek livelihood strategies wherever that may be. Moreover, border regions are populated by communities with long-standing distrust in authority figures, particularly in fishing areas. This distrust spills over with consequences for Ebola prevention and control activities. This research indexes the importance of tailoring Ebola programming and policies to consider the political and economic dynamics of borderlands.

Published
2020
Full Text
View/download PDF

3. Gendered care at the margins: Ebola, gender, and caregiving practices in Uganda's border districts

Author

Richard Kabanda, Miriam Lwanga, Douglas Lubowa, Mandi Chikombero, Jonathan Gamusi, David Kaawa-Mafigiri, Megan Schmidt-Sane, and Jannie Nielsen

Subjects
medicine.medical_specialty, Economic growth, 030505 public health, media_common.quotation_subject, Public health, Public Health, Environmental and Occupational Health, Hemorrhagic Fever, Ebola, Democracy, Disease Outbreaks, 03 medical and health sciences, 0302 clinical medicine, Caregivers, Political science, medicine, Humans, Female, Uganda, 030212 general & internal medicine, Public Health, 0305 other medical science, media_common
Abstract

In July 2019, Ebola in the Democratic Republic of Congo (DRC) was declared a public health emergency of international concern and neighbouring countries were put on high alert. This paper examines the intersections of gender, caregiving, and livelihood practices in Uganda's border districts that emerged as key factors to consider in preparedness and response. This paper is based on an anthropological study of the Ebola context among Bantu cultures. We report on data from focus group discussions and key informant interviews with various sectors of the community. The study identified intersecting themes reported here: (1) women as primary caregivers in this context; and (2) women as providers, often in occupations that increase vulnerability to Ebola. Findings demonstrate the role that women play inside and outside the home as caregivers of the sick and during burials, and intersections with livelihood-seeking strategies. Because women's caregiving is largely unpaid, women face a double burden of work as they seek other livelihood strategies that sometimes increase vulnerability to Ebola. Epidemic response should address these intersections and the context-specific vulnerabilities of caregivers; it should also be localised and community-centred and able to attend to the cultural as well as the economic needs of a community.

Published
2021

4. Challenges to Ebola preparedness during an ongoing outbreak: An analysis of borderland livelihoods and trust in Uganda

Author

Richard Kabanda, Douglas Lubowa, David Kaawa-Mafigiri, Megan M. Schmidt-Sane, Jannie Nielsen, Mandi Chikombero, Jonathan Gamusi, and Miriam Lwanga

Subjects
Male, RNA viruses, Viral Diseases, Economic growth, Economics, Culture, Opposition (politics), Social Sciences, Transportation, Pathology and Laboratory Medicine, medicine.disease_cause, Disease Outbreaks, Cultural Anthropology, Geographical Locations, 0302 clinical medicine, Sociology, Medicine and Health Sciences, Ethnicities, Uganda, 0601 history and archaeology, 030212 general & internal medicine, media_common, Transients and Migrants, Multidisciplinary, Distrust, 06 humanities and the arts, Livelihood, Democracy, Religion, Infectious Diseases, Congo, Medical Microbiology, Filoviruses, Viral Pathogens, Preparedness, Viruses, Engineering and Technology, Medicine, Female, Public Health, Pathogens, Ebola Virus, Research Article, Neglected Tropical Diseases, Adult, media_common.quotation_subject, Science, Kongo People, Trust, Microbiology, Ebola Hemorrhagic Fever, Interviews as Topic, 03 medical and health sciences, Politics, Health Economics, Political science, medicine, Humans, Microbial Pathogens, African People, Viral Hemorrhagic Fevers, 060101 anthropology, Ebola virus, Biology and life sciences, Hemorrhagic Fever Viruses, Organisms, Hemorrhagic Fever, Ebola, Tropical Diseases, Boats, Health Care, Leadership, Anthropology, People and Places, Africa, Population Groupings
Abstract

Ebola Virus Disease in the Democratic Republic of Congo (DRC) was declared a public health emergency of international concern on July 17, 2019. The first case to cross the border into Uganda in June 2019 demonstrates the importance of better understanding border dynamics in a context of Ebola. This paper adopts a political economy approach to contextualize epidemic response programs conducted in moderate- and high-risk border districts in Uganda, through a qualitative study with 287 participants. To that end, our aim was to describe the historical underpinnings of the borderlands context; the role of livelihood strategies in constraining risk avoidance decisions; and the dynamics of trust in authority figures, including health workers. This paper reports that border communities are highly connected, for a variety of social and economic reasons. These daily realities are in direct opposition to guidance to limit travel during an active Ebola epidemic. We argue that an ability to limit movement is constrained by the economic need to seek livelihood strategies wherever that may be. Moreover, border regions are populated by communities with long-standing distrust in authority figures, particularly in fishing areas. This distrust spills over with consequences for Ebola prevention and control activities. This research indexes the importance of tailoring Ebola programming and policies to consider the political and economic dynamics of borderlands.

Published
2020

Catalog

Books, media, physical & digital resources
See catalog results