Background Diabetes mellitus is a growing worldwide health challenge especially in sub-Saharan Africa. While the use and effectiveness of diabetes self-management interventions is well documented in high-income countries, little information exists in sub-Saharan Africa. Therefore, this study attempted to synthesize information in the literature on the use and efficacy of peer support and social networking in diabetes self-management in Kenya and Uganda. Objective The purpose of this scoping review is to summarize research on the extent of use and efficacy of peer support and social networking interventions in diabetes self-management in Kenya and Uganda. Design We searched PubMed, ScienceDirect and Cochrane Library databases for articles reporting peer support and social networking interventions in Kenya and Uganda published in English between 2000 and September 2021. Key words encapsulated three major themes: peer support, social networking and self-management. Hand searches were also conducted to select eligible papers. Data was extracted using a form prepared and piloted in line with PRISMA-ScR guidelines. Results Thirteen peer reviewed articles were selected for analysis. Eleven studies reported peer support interventions while two focused on social networks in diabetes self-management. Peer support and social networking interventions incorporated microfinance and group medical visits, diabetes self-management education, telephone support and Medication Adherence Clubs. Most interventions were delivered by multidisciplinary teams comprising nurses and other professionals, peer educators, peer leaders and community health workers. Most interventions were effective and led to improvements in HbA1c and blood pressure, eating behaviors and physical activity and social support. Conclusions The limited studies available show that peer support and social networking interventions have mixed results on health and other outcomes. Importantly, most studies reported significant improvements in clinical outcomes. Further research is needed on the nature and mechanisms through which peer support and social network characteristics affect health outcomes.

Community radio started as an alternative to commercial media. The need for an alternative was clear, with many societal voices unrepresented, indicating the domination of the means of mental production by a few. This article presents two communities in Uganda that use Community Audio Towers (CATs) as an alternative to community radio, and examines why the communities prefer the use of CATs to mainstream community radio. Using data collected through observation at two sites in Uganda and 10 key informant interviews from major communication stakeholders, including Ugandas Minister of Information and Communication Technology, the article presents findings indicating that CATs are self-sustaining, with no NGO influence, and they redefine news to mean local emergencies and occurrences, while having no structures (horizontal/vertical rhetoric) as they are started and run by one community member. The challenges of the new alternative media are also discussed.

The idea of climate change has reached a contentious breaking point at an international level where its major causes, existence and intensity are separating informed minds. This article is an examination of the four major schools of thought on climate change and how two newspapers in Uganda are covering those divergent views. The article argues that in the coverage of global warming in particular the hitherto treasured notion of objectivity has been replaced by a form of blind journalism instigated by frames from local and international stakeholders. The study analyses content from two newspapers in Uganda to show that media in Uganda cover the resonating frame, which argues that climate change is a time bomb, with total disregard for other views or their existence. Guided by the framing theory, the article suggests that a detachment of climate change from international meanings and an introduction of the 'scientific spirit' will restore balance by inviting media to explore counter-frames. introduCtion and literature revieW This article is divided into four parts. The first part, titled introduction and literature review, addresses the three major climate change positions plus the most recent or emerging militaristic view expressed by the recipients of KeyWordS objectivity framing global warming climate change issue-attention cycle sceptics mainstream greenhouse gas

No abstract

No abstract