Time is flying by so quickly! For the past two weeks we have been working with participating women on photography. So far everyone has loved taking photos, although we are having some charging challenges (it can be hard to re-charge the digital cameras in some communities). We have also been doing more activity based sessions where we go and weed gardens, dig, make charcoal, weave baskets etc. Everyone has found these conversations less narrow in focus but more valuable for context and lived experiences. For example, we talked about the difficulty in walking long distances and then working with a baby on your back, but when babies are young and you need to breastfeed there are no other options. And women talked about how nice it was to feel close to the baby even when they are working. When women are interested, I try to give as much information as possible about the Canadian context but without children of my own, I sometimes find it difficult to really share that knowledge.
For Seba, Charity and I, we all feel so lucky that we have been able to speak with so many people. Community members, Health care workers, passionate key informants etc. Right now the government Dr.’s are on strike. The context in which health care is delivered is incredibly complex, but we were consistently humbled by the passion and dedication of everyone we have talked to.
In the next few weeks, we have some remaining Health Centers to visit and hospital data to enter!
Grace Asaasira is a very experienced Ugandan researcher. She has been working with IHACC for the past 5 years. She completed her diploma in gender and development studies and is now pursuing a Bachelor’s in community psychology at Makerere University. Her research interests are primarily in domestic violence and gender roles in Uganda. She has been an amazing team member and conducted surveys and focus group discussions for this work. We are so excited to have her as part of the team!
Mackenzie is a first year student in the Master of Public Health and International Development Studies program at the University of Guelph, where she completed an Honours Bachelor of Biomedical Science with a minor in Nutritional and Nutraceutical Science in 2016. As part of her undergraduate research, Mackenzie worked in Cambodia studying the sodium intake of rural Cambodians. This has shaped her interest in Global Health and Nutrition.
As part of her Masters, Mackenzie is traveling to Southwestern Uganda to examine how national recommendations for antenatal care are being implemented at the community level by health care facilities to elicit understanding and compliance in women receiving care. The project aims to understand national, community and individual levels of maternal nutritional care. Using qualitative data obtained through focus group discussions and key informant interviews, the objectives of the project are to improve efficiency and delivery of antenatal care, as well as improving other areas of maternal nutrition services in the region.
This week we finished our focus group discussions and Phiny (MSc. Student from Makerere University) joined us! With the Batwa Development Program we had selected 3 communities to work with reflecting different experiences and access to formal maternal health services. We (Grace, Phiny, Seba, Charity and Nia) visited each community three times and had themed discussions on general maternal health experiences, health seeking behavior and traditional medicines and maternal health practices. It was very humbling listening to so many women speak about their experiences. We also loved learning local herbs and traditional practices related to maternal health. I am always in awe of how strong, resilient, knowledgeable and poignant women are. I am so appreciative of these opportunities to learn.
We absolutely loved the opportunity to work and get to know everyone. It was really nice to go back each week and pick up where we left off!
Now we are focusing on hospital data entry and meeting with the 10 women working with us on the in-depth experience study. Yesterday we hung out with Abias. For the next few weeks she will be taking photos to capture important aspects of maternal health. Next week we will be giving out the remaining cameras to the other women participating!
Bakiga women talking about maternal health in SW Uganda
Demonstration of herb preparation
Abias explaining some of her photos to Seba and Phiny
Written by Nia King, BSc and research assistant from the University of Guelph
Originally posted here
About two weeks ago I arrived in Uganda to work as a research assistant alongside Kate Patterson (PhD candidate), investigating rural maternal health and working to develop a knowledge translation strategy for IHACC Uganda. We are staying at the Monkey House, and have been joined by a wide variety of interesting visitors, including a group of external hospital auditors, tropical health students from the London School of Tropical Health and Medicine, two Americans who have spent the past two years driving in a camper van across Africa, and Dr. Kellerman, founder of Bwindi Community Hospital. This has made for a very lively and fun living environment!
With the quantitative maternal health surveys having been completed this past summer, we are now working with local research associates Seba, Charity, and Grace to conduct qualitative focus group discussions and individual interviews with mothers and fathers in Batwa and Bakiga communities throughout the Kanungu District. As the primary focus of Kate’s research is Indigenous maternal health, we are conducting repeated weekly focus group discussions with women in three Batwa settlements, chosen to capture the variety in geographies and access to healthcare. By spending approximately six hours discussing with each group of women, we are starting to capture and understand many of the nuances related to maternal health in rural Uganda. In addition to these focus groups, we have conducted focus group discussions with Batwa men and Bakiga (non-Indigenous) women. Kate has also been working with 9 Batwa women conducting repeated individual interviews to gather personal narratives surrounding maternal health. Through these various engagements, we have met many amazing women throughout the past couple weeks and look forward to providing them with a platform to voice their challenges and concerns. Our findings are intended to inform maternal health programs and delivery at the Bwindi Community Hospital and surrounding healthcare facilities.
When not in the communities, we have had the opportunity to partake in several hikes, including one that leads to a ridge overlooking the Ugandan and Democratic Republic of Congo border. Kate was also amazing and arranged a birthday party (including a homemade banana-nutella cake) for me last week, which made spending my birthday away from home extra special.
Overall our work is progressing smoothly here. I am so lucky to have the opportunity to live in this amazing part of the world and to learn from all of Kate’s experience. I look forward to the next two weeks—the time here is flying and pretty soon I’ll be hopping on a plane back home!
I cannot believe I have already been in Uganda for 6 weeks!
My first week in Kampala was great. I got to meet with Dr. Lwasa from Makerere University (and a member of my doctoral committee) in person! I also had a chance to catch up with Jamen and Grace key Indigenous Health and Adaptation to Climate Change team members.
After getting all the logistics and planning out of the way with Jamen and Grace, I made my way down to Buhoma (with a token stop at the equator!). Upon arrival in Buhoma I met with key collaborators at Bwindi Community Hospital, the Batwa Development Program, and Dr. Scott Kellermann (the founder/funder of both organizations). I am so lucky that I get to work with such amazing partners and see the changes they are making in the lives of those who live in their communities!
For the past few weeks I have worked with Charity and Seba to enroll 10 women in a qualitative interview study lasting 3 months. So far we have met with each woman at least twice. These are going so well, much better than I had anticipated. All the women are so thoughtful, articulate and engaging.
We have also identified and contacted all health center IIIs, IVs and Hospitals in the District. We have conducted interviews with midwives and maternal health at 8 centers so far. It has been an amazing opportunity to meet with many different people and see so much of Kanungu District.
Next week I am expecting Nia, Grace and Phiny to join me!
Charity demonstrating a birthing position
Maternity ward with bed nets at a Health IV
Goat stew at community lunch
ANC day at a Health Centre IV
Kitariro Women’s craft and gathering place
Batwa woman looking showing us her fields