Background
Alcohol use during pregnancy has been associated with several births and developmental disorders. This study set out to determine the various forms of alcohol consumption among pregnant women and their predictors in post conflict Northern Uganda.
Methods
In the months of May to June 2019, we conducted a cross sectional study among 420 pregnant women seeking antenatal care services at both Government and private health facilities in Gulu, Kitgum and Pader districts in Northern Uganda. We asked them about consumption of various alcoholic beverages. A three stage stratified cluster sampling approach was used and study participants randomly selected from health facilities of interest. We used descriptive statistics to estimate the prevalence of various forms of alcohol use. The chi- square test and logistic regression were used to assess associations of alcohol use among respondents and their socio - demographic and other characteristics.
Results
Overall 99 women (23.6%) reported current alcohol use (any amount). Up to 11% (N = 11) of all drinkers were identified by the AUDIT to be women with problem drinking behavior, 8% (N = 8) of women reported hazardous drinking and only four (4%) were women with active alcohol dependent behavior. Predictors of maternal alcohol use included pre-pregnancy alcohol consumption, knowledge, attitude, education level, parity and residence.
Conclusions
This study indicates that alcohol use (any mount) during pregnancy is high while alcohol dependence, problematic and hazardous drinking is low. Knowledge and attitude were important predictors of alcohol use. While alleviating alcohol use, development partners and relevant government departments should consider communication and other interventions that increase knowledge and risk perception on maternal drinking. Other risk factors that predict maternal drinking such as prior alcohol use, residence and parity should be mitigated or eliminated.
The media play an essential role of informing and mobilising voters as well as facilitating a two-way communication process between citizens and those vying for electoral offices during elections. This allows citizens to get information on various issues from the contenders, which largely informs their electoral decisions. In most less democratic societies however, this media function is increasingly becoming difficult to fulfil due to challenges journalists encounter during electoral processes. Using Uganda’s last general elections in 2016 as a case study, this article discusses the safety of journalists during elections basing on findings from a bigger study on the media coverage of the 2016 elections, supplemented by in-depth interviews with 10 journalists who covered the elections. In addition, the analysis makes reference to the 2016 Uganda Press Freedom Index. Findings of this research show that journalists face more safety and security risks during elections particularly perpetuated by state security agencies. Compared to previous elections, the 2016 elections also recorded the highest number of victims who were female journalists. This article highlights key challenges journalists face during elections, which include: state harassment and intimidation, arrest of those considered critical to the state, and denial of access to important information. Due to concerns of their own safety, journalists have responded to the insecure work environment by engaging in self-censorship, thereby giving biased or limited information to the public. The article identifies gaps that media development agencies can help to close if the media are to play their rightful role in a democratic society, especially during the electoral process.
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