Unintended consequences of development interventions: a case of diarrhoeal diseases, Ruhiira, Uganda

Divon, Shai A.; Bergstrøm, Cassandra

doi:10.1080/09614524.2012.630981

Cited by 8 publications

(4 citation statements)

References 7 publications

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“…Standardisation of the reporting and data collection methods for adverse events in future trials is important to understand the safety of pharmacological interventions. This also has relevance for non-pharmacological studies as well, where interventions may have unintended consequences 45–47…”

Section: Discussionmentioning

confidence: 99%

Outcome domains and outcome measures used in studies assessing the effectiveness of interventions to manage non-respiratory sleep disturbances in children with neurodisabilities: a systematic review

et al. 2019

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ObjectivesTo assess whether a core outcome set is required for studies evaluating the effectiveness of interventions for non-respiratory sleep disturbances in children with neurodisabilities.DesignSurvey of outcome measures used in primary studies identified by a systematic review.Data sourcesASSIA, CENTRAL, Cochrane Database of Systematic Reviews, Conference Proceedings Citation Index, CINAHL, DARE, Embase, HMIC, MEDLINE, MEDLINE In-Process, PsycINFO, Science Citation Index, Social Care Online, Social Policy & Practice, ClinicalTrials.gov, WHO International Clinical Trials Registry Platform and the UK Clinical Trials Gateway were searched up to February 2017.Eligibility criteriaStudies evaluating pharmacological or non-pharmacological interventions for children (≤18 years old) with a neurodisability and experiencing non-respiratory sleep disturbance.Data extraction and synthesisOutcome measures were listed from each study and categorised into domains.ResultsThirty-nine studies assessed five core outcome areas: child sleep, other child outcomes, parent outcomes, adverse events and process measures. There were 54 different measures of child sleep across five domains: global measures; sleep initiation; maintenance; scheduling; and other outcomes. Fifteen non-pharmacological (58%) and four pharmacological studies (31%) reported child outcomes other than sleep using 29 different measures.One pharmacological and 14 non-pharmacological (54%) studies reported parent outcomes (17 different measures). Eleven melatonin studies (85%) recorded adverse events, with variation in how data were collected and reported. One non-pharmacological study reported an explicit method of collecting on adverse events. Several process measures were reported, related to adherence, feasibility of delivery, acceptability and experiences of receiving the intervention.ConclusionsThere is a lack of consistency between studies in the outcome measures used to assess the effectiveness of interventions for non-respiratory sleep disturbances in children with neurodisabilities. A minimum core outcome set, with international consensus, should be developed in consultation with parents, children and young people, and those involved in supporting families.PROSPERO registration numberCRD42016034067

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Section: Discussionmentioning

confidence: 99%

Outcome domains and outcome measures used in studies assessing the effectiveness of interventions to manage non-respiratory sleep disturbances in children with neurodisabilities: a systematic review

et al. 2019

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“…In relation to the child's age, the study ndings contradict other published research, because it is expected that as a child grows older, he/she is less likely to experience diarrhoeal disease. Since younger children spend most of their time crawling on the oor and putting their unwashed ngers in the mouth at any time, which makes it easier for them to ingest contaminating agents (20). Education is key in combating childhood diarrhoeal disease.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2021: A Cross-sectional study

Ssekandi

Tlotleng

Naicker

2023

Preprint

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Background: Uganda is among the 10 countries in the sub-Saharan Africa region that have the highest prevalence of diarrhoeal disease. Evidence suggests that the severity of childhood diarrhoeal disease is escalated through various sociodemographic and environmental factors. Objectives: To assess prevalence of diarrheal illness in children below the age of 5 years in Uganda in 2021 and associated factors. Methods: A cross-sectional study was employed that analyzed secondary data from the 2021 Uganda Demography and Health Surveys. Statistically significant differences for children with and without diarrhea were compared. A logistic regression was used to determine sociodemographic and environmental factors associated with diarrheal illness in children. Results: The prevalence of childhood diarrheal illness for children below the age of 5 years in Uganda was 20.9% (n = 2838/13,753). There was a statistically significant difference when comparing children diarrhoea for caregiver’s age, child’s age and sex and duration of breastfeeding (p<0.0001). Children with a caregiver aged between 15–24 years (aOR;1.42; 95% CI:1.24–1.62) and 25–34 years (aOR;1.19; 95% CI:1.04–1.37) were more likely to report diarrhoeal disease, compared to those with a caregiver aged 35–49 years. Households using springs, access to health facility and children who received a dose of vitamin A had a decreased risk of reporting children diarrhoeal. Conclusion: Significant factors in the study like caregiver’s age, sex and duration of breastfeeding will create the opportunity for all interventions to shift their focus to these factors thus a better evidence-based approach to reducing of diarrhoeal disease will be achieved in the country

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“…Situations such as war, assault, and robbery affecting students on their way to school, the long distances they must travel between their homes and their school, and the hygiene of school canteens are examples of critical factors in achieving access and quality education offered to students [52,[54][55][56]. For example, in sub-Saharan Africa, low rates of male secondary education are associated with a high risk of civil conflicts [57].…”

Section: Physical Barriersmentioning

confidence: 99%

Barriers and Challenges Affecting Quality Education (Sustainable Development Goal #4) in Sub-Saharan Africa by 2030

Zickafoose,

Ilesanmi,

Diaz-Manrique

et al. 2024

Sustainability

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Education is a fundamental human right and a crucial tool for sustainable human capacity development, which can advance the economic growth of a country. Yet for many children in sub-Saharan Africa (SSA), quality education remains out of reach. This study aimed to identify the barriers and challenges to enacting Sustainable Development Goal 4: “Ensuring Inclusive, Equitable, and Quality Education and the Promotion of Lifelong Learning Opportunities for All”. Through a content analysis of the relevant literature, we identified three themes: funding constraints, access and inclusion, and teacher education. Regarding funding, issues of resource allocation, technical capacity, and accountability were identified as primary factors requiring intervention strategies to become fully realized in SSA. When exploring access and inclusion, we found that incorporating students with disabilities, gender disparities, physical barriers, and inadequate curriculum are essential factors limiting quality education in SSA. Finally, teachers’ conditions and training emerged as crucial challenges to reach quality pedagogy. Some SSA countries have improved their efforts for quality education, but these barriers and challenges continue to impact education for all children. A new perspective on mitigating these impediments can address several factors responsible for the exclusion of diverse groups from accessing quality education in the SSA region.

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Unintended consequences of development interventions: a case of diarrhoeal diseases, Ruhiira, Uganda

Cited by 8 publications

References 7 publications

Outcome domains and outcome measures used in studies assessing the effectiveness of interventions to manage non-respiratory sleep disturbances in children with neurodisabilities: a systematic review

Outcome domains and outcome measures used in studies assessing the effectiveness of interventions to manage non-respiratory sleep disturbances in children with neurodisabilities: a systematic review

Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2021: A Cross-sectional study

Barriers and Challenges Affecting Quality Education (Sustainable Development Goal #4) in Sub-Saharan Africa by 2030

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