Browsing by Author "Kizza, James"
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Item Assessing the effectiveness of information and technology on maternal health care access: evidence from Uganda DHS 2016(East African Journal of Business and Economics, 2024-09-20) Kizza, James; Wasswa, Gabriel; Tumwine, Geoffrey Norman; Mohebbi, Taha; Amwonya, DavidBackground: The growing importance of information and technology in improving healthcare access, though increasingly stressed, is not adequately researched. Seventy-five percent of maternal deaths in Uganda still arise from preventable diseases, partly due to a lack of awareness. The current study sought to establish the role of information and technology; and other demographic factors that affect maternal healthcare access. Methods: We estimate an ordered logistic regression on the UDHS 2016 data set. The study sample consisted of 11311 mothers aged 15-49. The study model distance and money to measure the severity of accessing health care services. Results: Information and technology play significant roles in improving access to healthcare. The significance increases the higher the frequency. Those who listen to the radio or watch television at least once a week are less likely to report severe problems in accessing health care than those who do not listen or watch at all (-0.11; -030) respectively. Reading newspapers or magazines less than once a week significantly affects healthcare access (-0.09). Possession of a mobile phone improves health care access (-0.60). Aging limits health access while urban residence (0.12), wealth (-0.42), education (-0.26) and partner’s occupation (-0.30) improve maternal health access. Conclusion: Information and technology play an essential role in improving maternal access to health care services and the frequency with which the information is provided matters. Access to maternal health care is positively related to urban residence, more education, a higher level of wealth index, and the partner’s occupation and negatively related to aging.Item Education and fertility preference among women in Uganda(Tanzania Journal of Health Research, 2024-07-26) Kizza, James; Wasswa, GabrielBackground: Women's education is pivotal in addressing elevated fertility rates, particularly in developing nations. Despite declining fertility rates, Uganda sustains a high fertility rate of 6.2, surpassing the sub-Saharan Africa regional average of 4.6. This heightened fertility poses a significant obstacle to Uganda's sustainable development goals. This study investigates the relationship between female education and fertility preference among Ugandan women in 2006, 2011 and 2016. Methods: The study used data from the Uganda Demographic and Health Survey for 2006, 2011, and 2016, with a sample of 6,216, 5,205, and 10,741 women, respectively. A multivariable logistic model was utilized to establish the relationship between female education and fertility preference. Results: Findings revealed the existence of an inverse relationship between female education and fertility preference over the years 2006, 2011 and 2016 (Primary OR=0.67, 95% CI 0.53-0.84; OR=0.58, 95% CI 0.45-0.74; OR=0.70, 95% CI 0.57-086) respectively. For secondary or more education, OR =0.43, 95% CI 0.22-0.87; OR=0.56, 95%CI 0.34-0.92, OR =0.80, 95% CI 0.56-1.14) respectively. Fertility preference is inversely related to the mother’s income status, age and number of living children. Fertility preference is positively associated with the ideal number of children and contraceptive use. Conclusion: This study has shown that female education helps to manage women’s fertility preferences. Educated women can access information and get better employment to decide on the desired family size. The study advocates for the continued education of females to empower them in actively shaping their desired family size. It is recommended that government efforts to strengthen universal access to education at both primary and secondary levels. To cater for those outside the school setting, we recommend the strengthening of programmes on sexual reproductive health that should include an open discussion on the ideal family size.