Snakebite envenomation, cognized as a neglected tropical disease, is a dread public health concern with the most susceptible groups being herdsmen, the elderly, active farmers, hunters, fishers, firewood collectors, 10 to 14-year old working children and individuals with limited access to education and health care. Snakebites are fragmentarily documented in Uganda primarily because most occur in rural settings where traditional therapists end up being the first line defence for treatment. Ethnobotanical surveys in Uganda have unveiled that some plants are used to antagonize the activity of various snake venoms. This review was sought to compile the sporadic information on the vegetal species reported as antivenins in Uganda. Electronic data indicate that no study entirely reported on antivenin plants in Uganda. A total of 77 plant species belonging to 65 genera, distributed among 42 botanical families claimed as antiophidic in Uganda are used for treatment of snakebites. Majority of these species belong to family Fabaceae (30.9%), Euphorbiaceae (14.3%), Asteraceae (11.9%), Amaryllidaceae (9.5%) and Solanaceae (9.5%). The antiophidic species listed are shrubs (40.5%), trees (32.9%) and herbs (17.7%), usually found in the wild and uncultivated. Antivenin extracts are primarily prepared from roots and leaves, through decoctions, infusions, powders and juices and administered orally or topically. The most frequently encountered therapeutically important species are Allium cepa L., Carica papaya L., Securidaca longipedunculata Fres., Harrisonia abyssinica Oliv. and Nicotiana tabacum L. Baseline epidemiological data on snake envenomation and antivenin plants in Uganda remain incomplete due to inadequate research and diverse ethnic groups in the country. There is a dire need to isolate and characterize the bioactive compounds in the claimed plants to enable their adroit utilization in handling the plague of snake envenomation. More baseline data should be collected on snake ecology and human behaviour as well as antivenin plants in Uganda. Indigenous knowledge on the use of plant preparations in traditional medicine in Uganda is humongous, but if this is not quickly researched and appropriately documented, indications as to the usefulness of this vegetal treasure house will be lost in the not so distant future.

This study employed 15 CMIP6 GCMs and evaluated their ability to simulate rainfall over Uganda during 1981-2019. The models and the ensemble mean were assessed based on the ability to reproduce the annual climatologyseasonal rainfall distribution, trend, and statistical metrics, including mean bias error, root mean square error, and pattern correlation coefficient. The Taylor diagram and Taylor skill score (TSS) were used in ranking the models. The models performance varies greatly from one season to the other. The models reproduced the observed bimodal rainfall pattern of March to May (MAM) and September to November (SON) rains occurring over the region. Some models slightly overestimated, while some slightly underestimated, the MAM rainfall. However, there was a high rainfall overestimation during SON by most models. The models showed a positive spatial correlation with observed dataset, whereas a low correlation was shown interannually. Some models could not capture the rainfall patterns around local-scale features, for example, around the Lake Victoria basin and mountainous areas. The best performing models identified in the study include GFDL-ESM4, BCC-CMC-MR, IPSL-CM6A-LR, CanESM5, GDFL-CM4-gr1, and GFDL-CM4-gr2. The models CNRM-CM6-1 and CNRM-ESM2 underestimated rainfall throughout the annual cycle and mean climatology. However, these two models better reproduced the spatial trends of rainfall during both MAM and SON. The model spread in CMIP6 over the study area calls for further investigation on the attributions and possible implementation of robust approaches of Machine learning to minimize the biases.

Syanyonja village in the gold district of Busia, South East of the Republic of Uganda contain geologically epigenetic gold quartz vein deposits in carbonate-altered mafic metavolcanic rocks, deposited as quartz reefs in mineralized shear zones. In supracrustal rocks, alluvial gold is obtained from weathered auriferous quartz veins, which are of late orogenic granitic activity. The Syanyonja gold deposits have long been subjected to artisanal and small-scale gold mining (ASGM) by the locals for livelihood. This study determined the amount of mercury discharged with tailings into Namukombe stream, a major water body in Syanyonja village and investigated the impacts of ASGM on the mining population and the environment. Quantitation of mercury discharged with tailings was done by mass balance method. Field survey at the mining sites was done followed by administration of questionnaires to 50 stampeders in the village. The study indicates that about 8% of mercury mixed with auriferous materials are lost in tailings, accounting for an annual mercury release of about 1.757 kg into the environment. Socio-demographic results indicate that the majority of the mining population (64%) are male and ASGM have left health and environmental footprints, which directly or indirectly affects the population. The most common health problems among miners are malaria (36%) and abdominal pain (20%). The standard of living of the miners are evidently low, and most mines are characterized by school dropouts, prostitutes and thieves. Mining sites have deplorably poor hygiene, with evident burning of amalgams to recover gold. ASGM have been accompanied by wanton mowing down of vegetation, land degradation as well as mercuric pollution of water, air, land and aquatic ecosystems. It is suggested that the Ugandan government should re-enforce committees to follow up on ASGM activities, train artisans on sustainable gold mining using borax, magnets, sluice boxes as well as take up farming actively as an alternative.

The research study assessed the level of household exposure, sensitivity, and capacity to cope with flood hazards in Kasese municipality, Kasese district, Uganda. The study used an indicator-based methodology. About 210 respondents were randomly sampled for interview. Individual weights for each indicator were allocated using Principal Component Analysis. Vulnerability indices were constructed at the household level and then aggregated at the division level. A Chi Square test at a significance level of 5% was used to test for differences in the level of household vulnerability. The results revealed that Nyamwamba division was most exposed while Central was least exposed to floods. The Central division was also found most sensitive while Bulembia was least sensitive to floods. Central division had better capacity to cope with floods while Bulembia had the least capacity. Results revealed a significant difference in the level of households’ vulnerability across the divisions. However, overall, Nyamwamba was found most vulnerable and Central least vulnerable to floods. About 43.8% of the households in Kasese municipality were found highly vulnerable to floods. Therefore, urgent attention by the government through policy action measures towards climate change adaptation should be given to address the high levels of vulnerability.

The lack of reliable rainfall projection records remains a major challenge to Uganda. In the advent of extreme wetness or drought events, reliable rainfall estimates for local planning and adaptation are essential. The present study used two main datasets to conduct a historical analysis from 1981 to 2019, coupled with future projections under representative concentration pathway (RCP 8.5) for the period 2020-2050. Historical analysis revealed bimodal annual rainfall pattern for March-May (MAM) and September-November (SON) gradients representing heavier to lighter rainfall events respectively over the study area. Investigation of recent trends in rainfall patterns revealed an upward trend from 2010 onwards in annual and seasonal rainfall. Moreover, results for future projections show wet conditions are projected to occur over the study area between the months of April/May and October. Contrarily, March is likely to experience a reduction in wet conditions. Mann-Kendall test employed to make future projections of rainfall depicted decreasing patterns during MAM season whilst increasing tendencies with strong shift was highlighted for SON season over the study region. Meanwhile, annual projections indicate huge variations with linear trends showing a marginal increase as compared to historical trends. Findings would serve as baseline print to propel further studies that could delve into impact analysis of drought extreme events which pose significant threats to the agricultural sector which is heavily reliant on rainfall.

Uganda’s agriculture depends mainly on rainwater. As farmers are trying to increase on the food output to match the demands of a fast growing population, they are susceptible to make losses due to fluctuating weather patterns which are being caused by the global climate change. Therefore, it is necessary to explore ways of improving water use efficiency in rainfed agricultural systems to save farmers labour and input costs in situations where the grain harvest would be zero due to crop failure. The water driven FAO AquaCrop model is used as a support tool for making informed decisions during planning and situation analysis. In this study, AquaCrop model was evaluated for prediction of maize growth and yields at MUARIK in Uganda, for rainfed agriculture in three growing seasons. The model efficiency (E) and root mean square value (RMSE) for the maize canopy simulation during the September–December 2015 season was 0.945 and 7.24 respectively. The deviation of the simulated final biomass from measured data ranged from −15.4 to 11.6%, while the deviation of the final yield ranged from −2.8 to 2.0. The results suggest that the model can be used in the prediction of rainfed agricultural outputs, hence helping in guiding on management practices to increase food production.

Land tenure security is important for achieving a number Sustainable Development Goals (SDGs). The purpose of this paper was to investigate variation in land tenure security across three districts located in different geographical regions of Uganda. Using a quantitative cross-sectional survey data collected in early 2019. The findings show that Kanungu district found in South-Western Uganda had significantly higher levels of land tenure security as compared to Nakasongola (Central) and Nwoya (Northern). Research findings have implications on further study and benchmarking land governance systems in Kanungu. Furthermore, they have implications on implementation of government and donor land titling or registration programs in terms of priority areas. They further sheds light on the importance of accounting for geographical context in land tenure studies.

The global burden of antimicrobial resistance is on the rise, resulting in higher morbidity and mortality in our communities. The spread of antimicrobial resistance in the environment and development of resistant microbes is a challenge to the control of antimicrobial resistance. Approaches, such as antimicrobial stewardship programmes, and enhanced surveillance, have been devised to curb its spread. However, particularly in lower- and middle-income countries, the overall extent of antimicrobial resistance, and knowledge on on-going surveillance, stewardship or investigation efforts, re often poorly understood. This study aimed to look at the efforts that have been undertaken to combat antimicrobial resistance in Uganda as a means of establishing an overview of the situation, to help inform future decisions. We conducted a systematic literature review of the PubMed database to assess the efforts that have been done in Uganda to investigate and combat antimicrobial resistance. A search combining keywords associated with antimicrobial resistance were used to look up relevant studies between 1995 and 2020 on surveillance of antimicrobial resistance in Uganda, and susceptibility of microbes to different drugs. The search yielded 430 records, 163 of which met the inclusion criteria for analysis. The studies were categorized according to country and region, the type of antimicrobial resistance, context of the study, study design and outcome of the study. Antibacterial resistance and antimalarial resistance had the most published studies while antiviral and antifungal resistance each were represented by very few studies. Most studies were conducted in humans and hospital settings, with very few in veterinary and One Health contexts. The results from our work can inform public health policy on antimicrobial stewardship as it contributes to understanding the status of antimicrobial resistance surveillance in Uganda, and can also help to guide future research efforts. Notably, a One Health approach needs to be followed with re-spect to surveillance of antimicrobial resistance to better understand the mechanisms of resistance transfer across the human-animal–environment interface, including additional investigation in antiviral and antifungal resistance.

Both intestinal schistosomiasis and giardiasis are co-endemic throughout many areas of sub-Saharan Africa, significantly impacting the health of millions of children within endemic areas. While giardiasis is not considered a neglected tropical disease, intestinal schistosomiasis is formally grouped within the NTD umbrella and, as such, receives significant advocacy and financial support for large-scale control, annually. Given the many epidemiological similarities between intestinal schistosomiasis and giardiasis, in this review, we critically discuss why disease surveillance and control activities for giardiasis are largely absent within low- and middle-income countries. With advances in new methods of parasite diagnostics and provision of existing anti-parasitic medications, better management of intestinal schistosomiasis and giardiasis co-infection could, not only be better understood but also, more effectively controlled. In this light, we appraise the suitability of a One Health approach for intestinal schistosomiasis, for if adopted more broadly, could also pave a way forward for more inclusive public health actions against giardiasis.

Emerging pollutants pose significant threats to Uganda's ecosystems and public health amidst rapid urbanization, industrial growth, and intensified agriculture. This systematic review comprehensively assessed these pollutants by analyzing existing Ugandan literature and research studies, revealing various types in different environmental compartments. These pollutants, including pharmaceuticals, personal care products, pesticides, industrial chemicals, heavy metals, radionuclides, biotoxins, disinfection byproducts, hydrocarbons, and microplastics, originate from urban, industrial, and agricultural regions. Wastewater and improper waste disposal are major contributors. From an initial search of 794 articles across multiple databases such as PubMed, African Journal Online (AJOL), Web of Science, Science Direct, and Google Scholar, 138 were found relevant. The review underscores potential ecological and health impacts, including antibiotic resistance, endocrine disruption, and carcinogenicity. Existing monitoring and regulation efforts are discussed, alongside the need for specific regulations, improved data collection, and public awareness campaigns. Recommendations include advanced wastewater treatment, sustainable agriculture, and source control measures. Emphasis is placed on further research to address knowledge gaps and develop effective policies and interventions. Uganda can mitigate these risks by implementing comprehensive monitoring, robust regulations, and sustainable practices, safeguarding the environment and public health.

Lightning has received a lot of attention in scientific literature during the recent decade, not only because it is an impressive atmospheric phenomenon but also its associations with severe storms that cause unprecedented damages to agriculture, electric power networks, property, and life. This study assessed the Spatio-temporal characteristics of lightning occurrence with elevation in Uganda using lightning flash and elevation datasets for a period of fifteen years (1998-2013). Datasets used in this study included daily lightning flashes as captured by Lightning Imaging Sensor (LIS) aboard on Tropical Rainfall Measurement Mission (TRMM) satellite and elevation data in form of Digital Elevation Model (DEM) obtained from the Shuttle Radar Topography Mission (SRTM). Spatio-temporal results indicated that ~80% of areas with an elevation that ranges from 800-1200 m above mean sea level (masl) in Uganda had severe lightning occurrences and ~20% of areas with an elevation greater than 1200 m (masl) had severe lightning occurrences. The country received an enhanced number of lighting events with the highest number in 1999. Subsequently, a reduced trend was observed from 2002 to 2007 followed by an increment in the number of lightning events in (2010, 2011, 2012, and 2013). The intensity of the events decreased gradually though two peaks were observed, (1998-2001) and (2010-2013). Furthermore, results indicate escalations in the frequency and duration of lightning events from 60 times in 1998 to approximately 200 times in 2013 and from 1000 microseconds in 1998 to more than 2000 microseconds in 2013. Generally, the country experienced an enhanced increase in lighting occurrences over the study period which therefore calls for urgent actions to combat the root cause and also provide effective measures to reduce the impacts of lightning strikes.

Often yam varieties grown in different agro-ecologies show differential responses across production environments, a term known as genotype-by-environment interaction. Genotype-by-environment interaction makes selecting the best genotypes under varied production environments more complex. This study tested twenty yam genotypes evaluated in six test environments to assess genotype, environment, and the interaction between genotypes and environmental effect for tuber yield, yam mosaic virus, and dry matter content. The experiments were conducted in two seasons across three locations in Uganda using a randomized complete block design with three replications. The results showed a significant effect (p ≤ 0.001) for genotype (G), environment (E), and genotype by environment interaction for all the traits. Serere 2021 and Namulonge 2021 were identified as the most discriminating and representative environments for testing the yam mosaic virus, respectively. Serere 2021 was recognized as the most discriminating environment, whereas Arua 2021 was identified as the closest to an ideal environment for assessing yam tuber yields. The tested genotypes also exhibited high resistance to yam mosaic virus disease, high tuber yields, and high dry matter content. Genotypes UGY16020, UGY16034, UGY16042, and UGY16080 demonstrated great resistance to yam mosaic virus disease, high yielding, and considerable dry matter content and are thus potential parents for yam improvement. Further evaluation of the four genotypes should be done under farmers' production systems for selection, improvement, and release as new yam varieties for Uganda

This research contributes to the detailed discussion about the approach to secure, hygienic water and cleanliness in Uganda and its pastoral regions. The relationship between the sanitation and clean water access with destitution is also discussed. Although this document is not leading towards the policy recommendation but it is an overall idea of how Uganda progressed because of the provisions adopted by the government, local and international organizations, and NGOs, and how the country lacked before these steps taken. Most of the data mentioned is taken from the house surveys of a decade 2002-2013 alongside the qualitative data. Literature review is also considered and is divided in two sections: first included researches related to water accessibility and usage, while the second section included researches related to work done and progress for diarrheal diseases and sanitation. Afterwards, methodologies were discussed where, firstly, trends and then the limitations in access to the basic necessities of life that is clean water and hygiene are mentioned. At last, the implementations and how they affected the rural Ugandans was discussed.

Introduction: Weighting is widely used in applied statistics especially while dealing with survey data. In recent years, multilevel modeling under complex survey designs has increased, resulting into demand for level weights. However, survey data that are accessible to the public for use usually do not contain level weights that are useful in multilevel modeling, but final survey weights that are only appropriate for single level analyses. In this paper, we demonstrate how the final survey weights can be used to estimate level weights for multilevel data analysis, and compare a model that applied level weights with one that applied the final survey weights. Methods: A framework for approximating level weights proposed by the Demographic Health Survey (DHS) program was used to estimate the level weights. Models were fitted using a multilevel mixed effects logistic regression method. Estimates from a model that applied survey weights was compared to those from a model that applied level weights. Results: Application of final survey weights instead of level weights underestimated standard errors and led to loss of precision of model estimates. Conclusions: Use of level weights produces estimates with high precision and yields correct values of standard errors hence appropriately informing inference.

Pathogenic water-borne protozoa and helminths sometimes cause debilitating infections in children and immunocompromised people, and the poorest of the poor communities living adjacent to wildlife protected areas in sub-Saharan Africa are at risk. This study aimed to assess the existence of protozoan cysts/ trophozoites, and helminth eggs in fresh surface and piped tap water utilised by locals and tourists in the Queen Elizabeth Protected Area (QEPA) in western Uganda. Water samples were taken from natural (environmental) sources and domestic water sources (piped tap water). The samples were analysed for helminth eggs, free-living amoeba (FLA) trophozoites, Cryptosporidium oocysts, and Giardia cysts. The parasites were examined under the microscope, after which they were identified, counted, and recorded. The overall prevalence of the protozoan parasites, from highest to lowest, were: FLA (56.6%), Cryptosporidium spp. (38.2%), Giardia spp. (36.5%), Eimeria spp. (20.3%), and Paramecium spp. (2.7%). Similarly, helminth parasite prevalence was: Strongyle (38.2%), Ascaris spp. (33.3%), Trematodes (25%), Strongyloides (10.5), Toxocara spp. (8.3%), and Capillaria spp. (3.2%). Necessary steps should be taken to improve the water quality in QEPA.

In sub-Saharan Africa, sweetpotato weevils are the most devastating pests of cultivated sweetpotato, causing estimated losses of between 60% and 100%, primarily during dry spells. The predominantly cryptic feeding behavior of the Cylas spp within the roots makes their control difficult, thus host plant resistance is one of the most promising lines of protection against these pests. However, progress in breeding for weevil-resistant cultivars has been slow in part due to the complex hexaploid genome of sweetpotato, which complicates conventional breeding in addition to the scarcity of varieties with significant levels of resistance for use as sources of resistance. Pollen sterility, cross incompatibility and poor seed set and germination in sweetpotato are also common challenges to improving weevil resistance. Accurate phenotyping of sweetpotato weevil resistance to enhance efficiency of selection has been equally difficult. Genomics-assisted breeding though in its infancy stages in sweetpotato has the potential application in overcoming some of these barriers. However, it will require the development of more genomic infrastructure; particularly single nucleotide polymorphism markers (SNPs), robust next generation sequencing plat-forms together with relevant statistical procedures for analyses. With the recent advances in genomics, we anticipate that genomic breeding for sweetpotato weevil resistance will be expedited in the coming years. This review sheds light on Uganda's efforts to date to breed against the Cylas puncticollis (Boheman) and Cylas brunneus (Fabricius) species of African sweetpotato weevil.

Location-specific weather and climate information together with related advisory services are one of the crucial drivers of development in the 21^st century particularly in Sub-Saharan Africa. However, there still exist significant gaps in provision of weather and climate information at scales that effectively address the needs of local people for instance; local farmers and pastoralists. This therefore force local people to rely on indigenous knowledge (IK), to observe and forecast weather conditions. This situation does not exclude Uganda, and thus the current study assessed the efficacy of integrating indigenous knowledge systems into modern weather observational instruments in order to boost and act as a backup mechanism for modern weather observational instruments to increase accuracy and wide coverage of weather observations within Uganda. Results indicated that, respondents across the two pilot sites use a combination of plants, animals, insects, and human behaviours, meteorological and astrological indicators to observe and predict local prevailing weather conditions. Majority of the respondents particularly in Masaka district, believed that the use of indigenous knowledge to observe weather and climatic events is very reliable compared to their counterparts in Entebbe Municipality. Therefore, the integration of indigenous knowledge system in scientific weather observations is very vital.

The study explores the value of indigenous knowledge in mitigating and adapting to the effects of climate change in rural communities of Uganda. It provides an overview of how rural farmers use traditional and indigenous knowledge to predict weather changes to inform their adaptation and mitigation plans. The study intended to investigate how climate change effects were managed by the rural communities of Bakiga using indigenous knowledge and practices. Specifically, it sought to establish how local farmers’ innovations and practices were used to mitigate the effects of climate change and enhance food security. A case study research design with triangulation of data sources was employed. The study was conducted in Rukiga District, southwestern Uganda, where rural farmers were interviewed to explore their practices for reducing the effects of climate change to enhance food security. Thematic data analysis was used to get participants’ experiences and views regarding indigenous knowledge and effects of climate change mitigation. The findings indicate that rural farmers have indigenous practices of mitigating the effects climate change and contributing to the Sustainable Development Goals (SDGs).

Institutional quarantine was one of the key public health measures used to control the spread of the COVID-19. Institutional quarantine has been associated with several psychosocial and economic risks to affected individuals. However, little is known about the psychosocial and economic risks it poses to affected persons in low-resource countries, since it is a relatively new strategy for controlling disease spread in these settings. This article provides insights into the economic and psychosocial risks encountered by affected persons in a low-resource context. We conducted narrative interviews with 20 adults placed under institutional quarantine to contain the COVID-19 pandemic in Uganda. Institutional quarantine exposed affected persons to an intricate range of economic and psychosocial risks including loss of livelihoods and/or income, financial distress, fear, worry, anger, loneliness and stigma. The experience of specific risks was shaped by an intersection of individual and contextual factors. However, disregard for economic and social issues and shortcomings in the implementation of institutional quarantine contributed profoundly to the occurrence of risks. Integration of measures for identification and continuous management of the broad range of potential risks to individuals and bridging gaps in the implementation of institutional quarantine, may help to minimise associated economic and psychosocial risks.

Background: Condoms have proven to be an effective contraceptive barrier method of family planning and have played a vital role in preventing sexually transmitted diseases including HIV. However, existing evidence shows that utilization of condoms still remains low, especially among youth and adolescents. We aimed to determine the prevalence of condom use and associated factors among the students of Gulu university in Uganda. Methods: A cross-sectional study was conducted among undergraduate students of Gulu University between June and December 2023. The students were accessed from their respective faculties and chosen using a simple random sampling method. Data were collected using a pretested self-administered structured questionnaire. Condom use was defined as use of either male or female condom in the last sexual encounter in the previous six months. Results: A total of 404 participants, with a median age of 23 years (interquartile range (21.5-24) years) were enrolled in the study, 54.2%(n=219) of whom were male. Overall, 81.4%(n=329) of the participants were in senior classes (year 2,3,4, and 5) and 18.6%(n=75) were in their first year of study. The prevalence of condom use was 53.7%(n=217). Prevalence of condom use was 50.2%(n=109) among male and 49.8%(n=108) among female students. Year of study (senior class)(aPR = 1.4, 95% CI = 1.59, 3.54), having a sexual partner (aPR = 2.4, 95% CI = 1.89, 2.94), having a sexual partner within campus (aPR = 2.0, 95% CI = 1.69, 2.45), experience of condom bursting (aPR = 1.3, 95% CI = 1.08, 1.61), having sex in absence of condoms (aPR = 0.6, 95% CI = 0.44, 0.70), alcohol use (aPR = 1.2, 95% CI = 1.01, 1.45) were independently associated with condom use. Conclusion: Just over half of undergraduate students of Gulu university used condoms during sexual encounters. There should be heighten campaigns on condom use to prevent unintended pregnancies and sexually transmitted infections.

The purpose of this study is to establish whether digital literacy and insurtech adoption influence insurance inclusion in Uganda. Principally, we sought to determine whether insurtech adoption mediates the nexus between digital literacy and insurance inclusion. This study adopted a cross-sectional and quantitative correlational approach. The study’s sample was 391 individuals who had used digital platforms such as mobile phones and computers to access insurance products and services in Uganda. Data were collected using structured survey questionnaires. Partial Least Squares Structural Equation Modelling (PLSEM) was employed to test the hypothesised relationships. The results demonstrate that both digital literacy and insurtech adoption significantly and positively influence insurance inclusion. We also found digital literacy to be a significant and positive determinant of insurtech adoption. Markedly, it was found that insurtech adoption mediates the association between digital literacy and insurance inclusion in Uganda. However, this study was conducted in a developing country with an underdeveloped insurance market and with low technological advancement. This may affect generalisation of the study findings. This study’s novelty lies in establishing how digital literacy and insurtech adoption interplay to influence insurance inclusion in Uganda. This is the first study to examine the effect of digital literacy and insurtech adoption on insurance inclusion.