James K Tumwine
Datos Biográficos
| ID | 5482425 |
|---|---|
| NOMBRE | James K Tumwine |
| NOMBRES | James K |
| APELLIDO | Tumwine |
| FIRMA | TUMWINE J K |
| AFILIACIONES | Makerere University |
| VERIFICADO | No |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAS | 15 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 2 |
| PRIMER AÑO DE PUBLICACIÓN | 1989 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 2 |
Association between early alcohol use and academic achievement among primary school children in Uganda
Child alcohol use is a public health concern in Uganda. This study assessed academic achievement skills and their association with alcohol use among primary school children in Mbale district, Uganda. This cross-sectional study assessed academic achievement skills (word reading, sentence comprehension, spelling, and math computation) in 6–13-year-old primary school children using the Wide Range Achievement Test, Fifth Edition (WRAT-5). Participant…
Incidence and Risk Factors for Low Birthweight and Preterm Birth in Post-Conflict Northern Uganda
Background: Annually, an estimated 20 million (13%) low-birthweight (LBW) and 15 million (11.1%) preterm infants are born worldwide. A paucity of data and reliance on hospital-based studies from low-income countries make it difficult to quantify the true burden of LBW and PB, the leading cause of neonatal and under-five mortality. We aimed to determine the incidence and risk factors for LBW and preterm birth in Lira district of Northern Uganda. M…
Fetal heart rate monitoring practices at a public hospital in Northern Uganda – what health workers document, do and say
When compared to national and international guidelines, FHR monitoring is sub-optimal in the studied setting. Approximately one in four women was not monitored during the first stage of labor. Barriers to appropriate FHR monitoring included shortage of staff and devices, institutional challenges and mother's negative attitudes. These barriers need to be addressed in order to reduce neonatal mortality
Caries experience and oral health related quality of life in a cohort of Ugandan HIV-1 exposed uninfected children compared with a matched cohort of HIV unexposed uninfected children
The prevalence of untreated caries in primary teeth and quality of life impacts was high in this study population. HIV-1 exposed uninfected children were not more likely than HUU children to experience dental caries or have impaired oral health related quality of life. Given the global expansion of the HEU child population, the present findings indicating no adverse effect of pre- and post-natal HIV-1 exposure on caries in deciduous teeth are rea…
The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan
Globally, suboptimal breastfeeding contributes to more than 800,000 child deaths annually. In South Sudan, few women breastfeed early. We assessed the effect of a Baby-Friendly Hospital Initiative training on early initiation of breastfeeding at Juba Teaching Hospital in South Sudan. We carried out the training for health workers after a baseline survey. We recruited 806 mothers both before and four to six months after training. We used a modifie…
Key Decision Makers and Actors in Selected Newborn Care Practices
Knowledge of key decision makers and actors in newborn care is necessary to ensure that health interventions are targeted at the right people. This was a cross-sectional study carried out in Lira district, Northern Uganda. Multivariable logistic regression was used to determine factors associated with mothers being the key decision maker regarding where to give birth from and when to initiate breastfeeding. Fathers were the key decision makers on…
Risk Factors for Childhood Stunting in 137 Developing Countries
BACKGROUND: Stunting affects one-third of children under 5 y old in developing countries, and 14% of childhood deaths are attributable to it. A large number of risk factors for stunting have been identified in epidemiological studies. However, the relative contribution of these risk factors to stunting has not been examined across countries. We estimated the number of stunting cases among children aged 24-35 mo (i.e., at the end of the 1,000 days…
Early Childhood Developmental Status in Low- and Middle-Income Countries
BACKGROUND: The development of cognitive and socioemotional skills early in life influences later health and well-being. Existing estimates of unmet developmental potential in low- and middle-income countries (LMICs) are based on either measures of physical growth or proxy measures such as poverty. In this paper we aim to directly estimate the number of children in LMICs who would be reported by their caregivers to show low cognitive and/or socio…
Effects of an exclusive breastfeeding intervention for six months on growth patterns of 4–5 year old children in Uganda
ClinicalTrials.gov.no. NCT00397150 . Registered 7th of November 2006
Child survival and BCG vaccination
The risk of early childhood death in Mbale, Uganda is unacceptably high. BCG vaccination was associated with an increased likelihood of child survival
Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa
ClinicalTrials.gov: NCT00397150
Infant feeding among HIV-positive mothers and the general population mothers
In many respects, HIV-positive mothers fed their infants less favourably than mothers in the general population, with potentially detrimental effects on both the child's nutrition and the risk of HIV transmission. Mixed feeding and pre-lacteal feeding were widespread. Breastfeeding duration was shorter among HIV-positive mothers. Higher educational level and being socio-economically better off were associated with more beneficial infant feeding p…
Determinants of infant growth in Eastern Uganda
Sub-optimal infant feeding practices after birth, poor household wealth, age, gender and family size were associated with growth among Ugandan infants
Boys are more stunted than girls in Sub-Saharan Africa
Antenatal HIV testing in rural eastern Uganda in 2003
BACKGROUND: Uganda began to implement the prevention of mother-to-child transmission (PMTCT) of HIV programme in 2000, and by the end of 2003 it had expanded to cover 38 of the 56 districts including Mbale District. However, reports from Mbale Hospital showed that less than 10% of pregnant women accepted antenatal HIV testing. We therefore conducted a study to determine the proportion of pregnant women who tested for HIV and the gaps and barriers…
Intimate partner violence against women in eastern Uganda
Intimate partner violence is common in eastern Uganda and is related to gender inequality, multiple partners, alcohol, and poverty. Accordingly, programmes for the prevention of intimate partner violence need to target these underlying factors. The suggested link between intimate partner violence and HIV risky behaviours or prevention strategies calls for further studies to clearly establish this relationship
Predictors of poor anthropometric status among children under 2 years of age in rural Uganda
Mothers' education but not fathers' education, household assets or land ownership is the best predictor of child health inequalities in rural Uganda
BACKGROUND: Health and nutrition inequality is a result of a complex web of factors that include socio-economic inequalities. Various socio-economic indicators exist however some do not accurately predict inequalities in children. Others are not intervention feasible. OBJECTIVE: To examine the association of four socio-economic indicators namely: mothers' education, fathers' education, household asset index, and land ownership with growth stuntin…
Waiting at the tap
This paper reports on changes in water supplies in 16 sites in nine East African urban centres (including Nairobi and Dar es Salaam) between 1967 and 1997. The sites included both low-income and affluent neighbourhoods. In most sites, water supplies had deteriorated. For sites that already had piped water in 1967, most received less water per day in 1997 and had more unreliable supplies. For households without piped supplies, the average time spe…
Waiting at the tap
This paper reports on changes in water supplies in 16 sites in nine East African urban centres (including Nairobi and Dar es Salaam) between 1967 and 1997. The sites included both low-income and affluent neighbourhoods. In most sites, water supplies had deteriorated. For sites that already had piped water in 1967, most received less water per day in 1997 and had more unreliable supplies. For households without piped supplies, the average time spe…
Community participation as myth or reality
‘Community participation’ in health, as a slogan, is often abused. This paper argues that the attitude of most hearth workers to the causes of ill-health is influenced by their class aspirations, which are often different from those of the poor and unhealthy. Ill-health, and lack of development in general, is seen as the result of a struggle between the ‘haves’ and the ‘have-nots’ at all levels. Projects and anecdotal examples from meetings with …
Waiting at the tap
This paper reports on changes in water supplies in 16 sites in nine East African urban centres (including Nairobi and Dar es Salaam) between 1967 and 1997. The sites included both low-income and affluent neighbourhoods. In most sites, water supplies had deteriorated. For sites that already had piped water in 1967, most received less water per day in 1997 and had more unreliable supplies. For households without piped supplies, the average time spe…
Community participation as myth or reality
‘Community participation’ in health, as a slogan, is often abused. This paper argues that the attitude of most hearth workers to the causes of ill-health is influenced by their class aspirations, which are often different from those of the poor and unhealthy. Ill-health, and lack of development in general, is seen as the result of a struggle between the ‘haves’ and the ‘have-nots’ at all levels. Projects and anecdotal examples from meetings with …
Community participation as myth or reality
‘Community participation’ in health, as a slogan, is often abused. This paper argues that the attitude of most hearth workers to the causes of ill-health is influenced by their class aspirations, which are often different from those of the poor and unhealthy. Ill-health, and lack of development in general, is seen as the result of a struggle between the ‘haves’ and the ‘have-nots’ at all levels. Projects and anecdotal examples from meetings with …
Waiting at the tap
This paper reports on changes in water supplies in 16 sites in nine East African urban centres (including Nairobi and Dar es Salaam) between 1967 and 1997. The sites included both low-income and affluent neighbourhoods. In most sites, water supplies had deteriorated. For sites that already had piped water in 1967, most received less water per day in 1997 and had more unreliable supplies. For households without piped supplies, the average time spe…
Waiting at the tap
This paper reports on changes in water supplies in 16 sites in nine East African urban centres (including Nairobi and Dar es Salaam) between 1967 and 1997. The sites included both low-income and affluent neighbourhoods. In most sites, water supplies had deteriorated. For sites that already had piped water in 1967, most received less water per day in 1997 and had more unreliable supplies. For households without piped supplies, the average time spe…
Mothers' education but not fathers' education, household assets or land ownership is the best predictor of child health inequalities in rural Uganda
BACKGROUND: Health and nutrition inequality is a result of a complex web of factors that include socio-economic inequalities. Various socio-economic indicators exist however some do not accurately predict inequalities in children. Others are not intervention feasible. OBJECTIVE: To examine the association of four socio-economic indicators namely: mothers' education, fathers' education, household asset index, and land ownership with growth stuntin…
Antenatal HIV testing in rural eastern Uganda in 2003
BACKGROUND: Uganda began to implement the prevention of mother-to-child transmission (PMTCT) of HIV programme in 2000, and by the end of 2003 it had expanded to cover 38 of the 56 districts including Mbale District. However, reports from Mbale Hospital showed that less than 10% of pregnant women accepted antenatal HIV testing. We therefore conducted a study to determine the proportion of pregnant women who tested for HIV and the gaps and barriers…
Intimate partner violence against women in eastern Uganda
Intimate partner violence is common in eastern Uganda and is related to gender inequality, multiple partners, alcohol, and poverty. Accordingly, programmes for the prevention of intimate partner violence need to target these underlying factors. The suggested link between intimate partner violence and HIV risky behaviours or prevention strategies calls for further studies to clearly establish this relationship
Predictors of poor anthropometric status among children under 2 years of age in rural Uganda
Boys are more stunted than girls in Sub-Saharan Africa
Determinants of infant growth in Eastern Uganda
Sub-optimal infant feeding practices after birth, poor household wealth, age, gender and family size were associated with growth among Ugandan infants
Infant feeding among HIV-positive mothers and the general population mothers
In many respects, HIV-positive mothers fed their infants less favourably than mothers in the general population, with potentially detrimental effects on both the child's nutrition and the risk of HIV transmission. Mixed feeding and pre-lacteal feeding were widespread. Breastfeeding duration was shorter among HIV-positive mothers. Higher educational level and being socio-economically better off were associated with more beneficial infant feeding p…
Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa
ClinicalTrials.gov: NCT00397150
Child survival and BCG vaccination
The risk of early childhood death in Mbale, Uganda is unacceptably high. BCG vaccination was associated with an increased likelihood of child survival
Risk Factors for Childhood Stunting in 137 Developing Countries
BACKGROUND: Stunting affects one-third of children under 5 y old in developing countries, and 14% of childhood deaths are attributable to it. A large number of risk factors for stunting have been identified in epidemiological studies. However, the relative contribution of these risk factors to stunting has not been examined across countries. We estimated the number of stunting cases among children aged 24-35 mo (i.e., at the end of the 1,000 days…
Early Childhood Developmental Status in Low- and Middle-Income Countries
BACKGROUND: The development of cognitive and socioemotional skills early in life influences later health and well-being. Existing estimates of unmet developmental potential in low- and middle-income countries (LMICs) are based on either measures of physical growth or proxy measures such as poverty. In this paper we aim to directly estimate the number of children in LMICs who would be reported by their caregivers to show low cognitive and/or socio…
Effects of an exclusive breastfeeding intervention for six months on growth patterns of 4–5 year old children in Uganda
ClinicalTrials.gov.no. NCT00397150 . Registered 7th of November 2006
The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan
Globally, suboptimal breastfeeding contributes to more than 800,000 child deaths annually. In South Sudan, few women breastfeed early. We assessed the effect of a Baby-Friendly Hospital Initiative training on early initiation of breastfeeding at Juba Teaching Hospital in South Sudan. We carried out the training for health workers after a baseline survey. We recruited 806 mothers both before and four to six months after training. We used a modifie…
Key Decision Makers and Actors in Selected Newborn Care Practices
Knowledge of key decision makers and actors in newborn care is necessary to ensure that health interventions are targeted at the right people. This was a cross-sectional study carried out in Lira district, Northern Uganda. Multivariable logistic regression was used to determine factors associated with mothers being the key decision maker regarding where to give birth from and when to initiate breastfeeding. Fathers were the key decision makers on…
Fetal heart rate monitoring practices at a public hospital in Northern Uganda – what health workers document, do and say
When compared to national and international guidelines, FHR monitoring is sub-optimal in the studied setting. Approximately one in four women was not monitored during the first stage of labor. Barriers to appropriate FHR monitoring included shortage of staff and devices, institutional challenges and mother's negative attitudes. These barriers need to be addressed in order to reduce neonatal mortality
Caries experience and oral health related quality of life in a cohort of Ugandan HIV-1 exposed uninfected children compared with a matched cohort of HIV unexposed uninfected children
The prevalence of untreated caries in primary teeth and quality of life impacts was high in this study population. HIV-1 exposed uninfected children were not more likely than HUU children to experience dental caries or have impaired oral health related quality of life. Given the global expansion of the HEU child population, the present findings indicating no adverse effect of pre- and post-natal HIV-1 exposure on caries in deciduous teeth are rea…
Incidence and Risk Factors for Low Birthweight and Preterm Birth in Post-Conflict Northern Uganda
Background: Annually, an estimated 20 million (13%) low-birthweight (LBW) and 15 million (11.1%) preterm infants are born worldwide. A paucity of data and reliance on hospital-based studies from low-income countries make it difficult to quantify the true burden of LBW and PB, the leading cause of neonatal and under-five mortality. We aimed to determine the incidence and risk factors for LBW and preterm birth in Lira district of Northern Uganda. M…
Association between early alcohol use and academic achievement among primary school children in Uganda
Child alcohol use is a public health concern in Uganda. This study assessed academic achievement skills and their association with alcohol use among primary school children in Mbale district, Uganda. This cross-sectional study assessed academic achievement skills (word reading, sentence comprehension, spelling, and math computation) in 6–13-year-old primary school children using the Wide Range Achievement Test, Fifth Edition (WRAT-5). Participant…
Medicine (17 obras) · Child Nutrition and Water Access (14 obras) · Environmental health (14 obras) · Public health (12 obras) · Nursing (11 obras) · Demography (10 obras) · Pediatrics (10 obras) · Global Maternal and Child Health (9 obras) · Biostatistics (8 obras) · Demography (8 obras)