Adolescent sexual behaviour in a refugee setting in Uganda

Bukuluki, Paul; Mwenyango, Hadijah; Palattiyil, George

doi:10.1186/s12978-021-01181-0

Cited by 18 publications

(19 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This suggests that for boys and young men comprehensive knowledge about SRH is inadequate to facilitate use of SRH services. It confirms previous studies that argue that knowledge alone is inadequate to facilitate behavioral change (1,11,22). Inequitable gender norms show significant influence in access and utilization of SRH services at facilities in refugee settlements (11,29) particularly among male young people.…”

Section: Discussionsupporting

confidence: 87%

“…Uganda hosts the largest number of refugees in Africa, with a progressive refugee policy that permits refugees to access health care services (20)-providing a better ground to explore SRH utilization (21). Previous research carried out in a refugee setting in Uganda observed that engaging in sexual behavior was more prevalent among out of school adolescents and older adolescents (16-18 years)-which conditions are common in refugee settings in Uganda (22). Refugees like any other person have a right to SRH services, although the capacity to provide SRH services may be limited (23).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Utilization of sexual and reproductive health services among young people in refugee settings in Uganda

Bukuluki

Wandiembe²,

Kiwujja³

et al. 2023

Front. Reprod. Health

Self Cite

View full text Add to dashboard Cite

There is a considerable high level of unmet need for reproductive health services among refugees. Yet, there is limited research about the provision and utilization of sexual and reproductive health (SRH) services among young people in refugee settings. Drawing on a sample of 575 young refugees (15–24 years) from a cross-sectional survey, this study aims to fill this gap by identifying the factors associated with SRH utilization among young people living in refugee settings in Northern Uganda. The utilization of SRH services at the health facilities was significantly different between female and male young people after adjusting for all other variables (aOR = 2.46, 95% CI, 1.58, 3.84). Young people who were not living in a marital union (aOR = 0.38, 95% CI, 0.20, 0.71), or held inequitable gender norms about services (aOR = 0.28, 95% CI, 0.12, 0.66) had about a third of the odds of utilizing SRH services. Young women with comprehensive knowledge about contraception, modern contraceptives, and HIV and STI prevention, had more than twice the odds of utilizing SRH services (aOR = 2.23, 95% CI, 2.67, 6.90). There is need to integrate social norm measurements and social norm change strategies in strategies for promoting utilization of SRH services among refugees in low-income countries especially in Uganda

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Utilization of sexual and reproductive health services among young people in refugee settings in Uganda

Bukuluki

Wandiembe²,

Kiwujja³

et al. 2023

Front. Reprod. Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Elsewhere, it has been documented that malaria is among the leading causes of morbidity and mortality among children under 5 years of age in refugee settlements [ 16 , 21 , 25 ]. Despite these potential risks and challenges, studies on refugees in Uganda have concentrated much on adolescent sexual behaviour [ 26 ], psychosocial impact of COVID-19 [ 27 ], impact of COVID-19 on food security [ 28 ], access to education [ 29 ], agroforestry [ 30 ], environmental degradation [ 31 ] among others, with limited focus on malaria risk factors, treatment and preventive measures [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of malaria infections among children in refugee settlements in Uganda during 2018–2019

et al. 2023

View full text Add to dashboard Cite

Background While 5% of 247 million global malaria cases are reported in Uganda, it is also a top refugee hosting country in Africa, with over 1.36 million refugees. Despite malaria being an emerging challenge for humanitarian response in refugee settlements, little is known about its risk factors. This study aimed to investigate the risk factors for malaria infections among children under 5 years of age in refugee settlements in Uganda. Methods We utilized data from Uganda’s Malaria Indicator Survey which was conducted between December 2018 and February 2019 at the peak of malaria season. In this national survey, household level information was obtained using standardized questionnaires and a total of 7787 children under 5 years of age were tested for malaria using mainly the rapid diagnostic test. We focused on 675 malaria tested children under five in refugee settlements located in Yumbe, Arua, Adjumani, Moyo, Lamwo, Kiryadongo, Kyegegwa, Kamwenge and Isingiro districts. The extracted variables included prevalence of malaria, demographic, social-economic and environmental information. Multivariable logistic regression was used to identify and define the malaria associated risk factors. Results Overall, malaria prevalence in all refugee settlements across the nine hosting districts was 36.6%. Malaria infections were higher in refugee settlements located in Isingiro (98.7%), Kyegegwa (58.6%) and Arua (57.4%) districts. Several risk factors were significantly associated with acquisition of malaria including fetching water from open water sources [adjusted odds ratio (aOR) = 1.22, 95% CI: 0.08–0.59, P = 0.002], boreholes (aOR = 2.11, 95% CI: 0.91–4.89, P = 0.018) and water tanks (aOR = 4.47, 95% CI: 1.67–11.9, P = 0.002). Other factors included pit-latrines (aOR = 1.48, 95% CI: 1.03–2.13, P = 0.033), open defecation (aOR = 3.29, 95% CI: 1.54–7.05, P = 0.002), lack of insecticide treated bed nets (aOR = 1.15, 95% CI: 0.43–3.13, P = 0.003) and knowledge on the causes of malaria (aOR = 1.09, 95% CI: 0.79–1.51, P = 0.005). Conclusions The persistence of the malaria infections were mainly due to open water sources, poor hygiene, and lack of preventive measures that enhanced mosquito survival and infection. Malaria elimination in refugee settlements requires an integrated control approach that combines environmental management with other complementary measures like insecticide treated bed nets, indoor residual spraying and awareness. Graphical Abstract

show abstract

“…There is a plethora of studies published to date which focus on the sexual and reproductive health of refugee populations in Uganda [11][12][13][14][15][16][17][18][19] and Ugandan populations [20][21][22][23][24][25][26][27][28]. However, to our knowledge, there are no published studies focused on the sexual and reproductive health of both refugee and host populations, which is important to study given that both these populations are often living in close proximity to each other and have access to the same services, though experience different health outcomes [29].…”

Section: Introductionmentioning

confidence: 99%

“They will say you want to make their home die”: A mixed methods study to assess modern family planning use in partnered South Sudanese refugee and host populations in Northern Uganda

Singh

Prabhakar²,

Ssali³

et al. 2022

PLOS Glob Public Health

View full text Add to dashboard Cite

The unmet need for family planning among conflict-affected populations is high globally, leaving girls and women vulnerable to unintended pregnancies and poor sexual and reproductive health outcomes. Ours is the first known mixed-methods study to assess the use of modern family planning (FP) methods amongst married or partnered South Sudanese refugee and host populations in Northern Uganda and to explore differences between them. We conducted a cross-sectional survey in July 2019 which included 1,533 partnered women of reproductive age (15–49 years) from host and South Sudanese refugee communities in Kiryandongo and Arua. Qualitative data were collected in October 2019-January 2020 via 34 focus group discussions and 129 key informant interviews with refugee and host populations, health workers, community and religious leaders, health workers, local authorities and humanitarian actors. Our study did not find large differences between South Sudanese refugee and host populations in regard to modern FP use, though refugees reported somewhat poorer FP knowledge, accessibility and utilisation compared to Ugandan women. Reported barriers to FP use relate to access, quality of services, health concerns and family/community opposition, all of which emphasise the importance of men’s gendered roles in relationships, cultural and religious beliefs and lack of agency for most women to make their own decisions about reproductive health. Sexual and gender-based violence related to FP use was reported among both refugee and host populations. Additional barriers to FP use include lack of privacy at the public health facilities which reduces confidentiality, mistrust of health workers, and stockouts of FP commodities. Facilitating factors for FP use included: free government health services; the presence of well-trained health workers; and NGOs who give support to populations and conduct community outreaches. The findings of this study underscore the importance of developing and implementing tailored sexual and reproductive health information and services, especially for modern FP methods, in partnership with South Sudanese refugee and host populations in Northern Uganda.

show abstract

Adolescent sexual behaviour in a refugee setting in Uganda

Cited by 18 publications

References 38 publications

Utilization of sexual and reproductive health services among young people in refugee settings in Uganda

Utilization of sexual and reproductive health services among young people in refugee settings in Uganda

Determinants of malaria infections among children in refugee settlements in Uganda during 2018–2019

“They will say you want to make their home die”: A mixed methods study to assess modern family planning use in partnered South Sudanese refugee and host populations in Northern Uganda

Contact Info

Product

Resources

About