Uganda National Health Research Organisation

Many factors influence the care that SBAs are able to provide to mothers during childbirth. These include access to training and supervision; staff numbers and workloads; salaries and living conditions; and access to well-equipped, well-organised healthcare facilities with water, electricity, and transport. Other factors that may play a role include the existence of teamwork and of trust, collaboration, and communication between health workers and with mothers. Skilled birth attendants reported many problems tied to all of these factors.

Five outbreaks of ebola occurred in Uganda between 2000-2012. The outbreaks were quickly contained in rural areas. However, the Gulu outbreak in 2000 was the largest and complex due to insurgency. It invaded Gulu municipality and the slum- like camps of the internally displaced persons (IDPs). The Bundigugyo district outbreak followed but was detected late as a new virus. The subsequent outbreaks in the districts of Luwero district (2011, 2012) and Kibaale (2012) were limited to rural areas. Detailed records of the outbreak presentation, cases, and outcomes were reviewed and analyzed. Each outbreak was described and the outcomes examined for the different scenarios. Early detection and action provided the best outcomes and results. The ideal scenario occurred in the Luwero outbreak during which only a single case was observed. Rural outbreaks were easier to contain. The community imposed quarantine prevented the spread of ebola following introduction into Masindi district. The outbreak was confined to the extended family of the index case and only one case developed in the general population. However, the outbreak invasion of the town slum areas escalated the spread of infection in Gulu municipality. Community mobilization and leadership was vital in supporting early case detection and isolations well as contact tracing and public education. Palliative care improved survival. Focusing on treatment and not just quarantine should be emphasized as it also enhanced public trust and health seeking behavior. Early detection and action provided the best scenario for outbreak containment. Community mobilization and leadership was vital in supporting outbreak control. International collaboration was essential in supporting and augmenting the national efforts.

The effect of treating cattle with deltamethrin to control tsetse flies and ticks was investigated on 2 ranches 8 km apart in central Uganda where there is a high risk of trypanosomosis. This area had a moderate challenge of Glossina pallidipes. The cattle had very low challenge of Rhipicephalus appendiculatus, Amblyomma variegatum, Boophilus decolaratus and Rhipicephalus evertsi evertsi, due to regular treatment with dioxathion. On one ranch a dip was charged with deltamethrin to treat cattle regularly for 3 months. The other ranch was used as a control for the tsetse population, but the animals continued to be treated regularly with dioxathion using hand sprays. On the ranch using deltamethrin treatment a reduction of 96.9% in the tsetse population was recorded after 2 treatments at 2 week intervals. Total (100%) control of tsetse was achieved from the fourth treatment up to the end of the trial period. The ranch with dioxathion treatment experienced an overall tsetse reduction of 19.15% during the thirteenth to fifteenth weeks and the factors contributing to this are discussed. However, the mean apparent tsetse density of 4.83 flies/trap/day recorded at the control ranch was significantly different from the mean of 0.81 flies/trap/day (P < 0.001) at the ranch using deltamethrin treatment. It was difficult to assess the effect of this product on ticks because of lack of controls. However, there are indications that deltamethrin can also reduce tick populations and the incidence of tick-borne diseases. The possible limitations and practical implications associated with large scale use of this product in the country are discussed.

(1963). Haemoglobin Types in Animals. East African Agricultural and Forestry Journal: Vol. 29, No. 1, pp. 1-6.

Abstract The semi‐micro technique of Bredon has several advantages over the standard method of the Fertilisers &amp; Feeding Stuffs Regulations. The former gives satisfactory results and, with proper equipment, can give four times as many crude fibre determinations as the latter in the same time.After application of the Dougall corrections for altitude, results by the semi‐micro method showed comparatively small errors as compared with those by the official method (determinations at 3750 and 6800 ft. altitude), and are acceptable for routine analyses.