Book Chapters

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12504/317

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Migration and Social Transformation: Engaged Perspectives
(Machdohnil Limited, 2022) Mugisha, Marion Mutabazi
In this chapter, we propose to present the paths walked as a research team since 1990, when we formed a heterogeneous and diverse group in terms of age, gender, personality and academic training, today called the Research Group on African Migrations and Afro‐descendants in Argentina (GIMAAA)13. Intellectually and affectively involved in our work, a fruitful atmosphere was created for brainstorming, giving rise to a context of reciprocity from the passion that joined us ‐ research into migratory groups located in the province of Buenos Aires. Our physical workspace was established in the Migratory Movements section of the Ethnography Division of the Museum of Natural Sciences of La Plata National University (UNLP). In the early stages of our work, much of the focus was on sourcing funding to enable us to carry out the research. In the following sections, we will outline the periodization of the work carried out, taking account of the study’s central axes and the theoretical‐methodological approach developed by the group.
Rethinking the role of the state in health care financing: can community-based health insurance show the way?
(Shaker Publishing, 2010) Mugisha, M. Mutabazi; Mugumya, Firminus
Currently there are huge problems in financing even basic health care for most people in low-income countries. Over 1.8 bn people live in countries where public expenditure on health is, on average, less than US$ 20 per capita per year. This amount falls short of the US$ 34 minimum spending for basic services estimated by the Commission on Macroeconomics and Health of the World Health Organisation. Even worse, this budget is often directed to curative health care in urban centres, leaving the rural areas largely lacking health services (Hope, 2003). To understand a health-financing system, even that of communitybased health insurance, one needs to analyse the context of the broader goals of that system (Bennet, 2004; Carrin, 2003; Carrin et al., 2005). The World Health Organisation proposes that health systems should aim to ensure quality and equality, responsiveness to people's expectations, and fairness in the financial contributions to the health system. They should have four functions: provision of health services, creation of the necessary investment and training resources, sufficient financial resources so that people can access effective health care, and government stewardship. Health financing, which is the focus of this paper, comprises three elements: revenue collection, fund pooling and purchasing (Carrin et al.,2005). The importance of investing in health is no longer in doubt. According to the Commission on Macroeconomics and Health of the WHO, extending coverage of crucial health services, including a relatively small number of specific interventions affecting the world's poor, could save millions of lives every year, reduce poverty, spur economic development and promote global security (MoH, 2002).
Understanding imperatives for total school enrolment and retention among refugees: the somasoma initiative in nakivaale refugee camp in southwestern Uganda.
(2022) Mugumya, Firminus; Marion Mugisha Mutabazi; Hilary Asabaheebwa; Sylvanus Mushabe; Mukamba January; Arlene Akimana
Refugee children, most especially girls, are more likely to miss school or to fail to invest the required level of concentration to be able to learn (Meyer et al., 2019). The extent to which refugees build the necessary resilience to mitigate their situations, particularly those that affect children’s education is important to understand. This chapter examines critical imperatives for initiating, stimulating, and sustaining refugee interest to pursue good education outcomes for their children. It also examines factors that serve to undermine refugee resilience towards education and recommends strategies and alternatives for sustainable access to, and utilization of, basic education services for refugee children. It is informed by a detailed case study of a community‐based school readiness program in three communities in Nakivaale Refugee settlement in South‐Western Uganda. The case study involved meetings and interviews with refugee parents/ caregivers; leaders of community‐based services; community leaders; initiators/promoters of the education initiative; and instructors on the programme.
Meaning-making and health
(Health Behavior and Environmental Health. Springer, 2024-08-19) Knizek, Birthe Loa; Hagen, Julia; Hjelmeland, Heidi; Mugisha, James
During the last decades, meaning-making has come into focus as a valuable resource for health. Through life, a person might face different challenges such as bereavement, loss of abilities, and unemployment, among others, and the ability to cope with these is decisive for the person’s health and well-being. Making-meaning is a way of coping with difficult situations and can enhance a healing process of the biopsychosocial individual. As nobody lives in a vacuum, meaning-making is dependent on the cultural, social, and relationship context of a person and is an ever-ongoing process as both the individual, the context, and the interaction with the environment are constantly changing. This chapter discusses different models of meaning-making and provides examples of how they work in suicidality, illness, and loss. On this background, the chapter presents a new way of approaching individuals in difficult situations: the power threat meaning framework (PTMF). PTMF was developed as an alternative to diagnostic and medicalized thinking to provide a more contextual understanding of various challenges, emotional distress, and unusual or troubling behavior. The PTMF also offers practical guidance, which is presented briefly.
Shared Latrine Cleaning outcomes from a Community Led Total Sanitation (CLTS) Intervention in Kampala Slums
(Fountain publishers, 2021) Japheth, N. Kwiringira
The Sustainable Development Goals (SDGs) relating to sanitation also involve conservation of the environment, improvement in quality of education, promotion/advancement of gender equality, elimination of child mortality and reduction of poverty. Globally, 2.3 billion people lack access to improved sanitation facilities (WHO 2014). Of these, 600 million people use improved, but shared latrines (Ibid). While the national average sanitation in Uganda is at 70 per cent, the extent towhich latrines produce intended health benefits depends on how they are used, cleaned and maintained (Kwiringira, Atekyereza, Niwagaba and Günther 2014a; Kwiringira, Atekyereza, Niwagaba, and Günther 2014b; Kwiringira, Atekyereza, Niwagaba, Kabumbuli, Rwabukwali, Kulabako and Günther 2016; Kwiringira 2017). Most shared sanitation facilities in slums are abandoned after a short time of use due to disuse, lack of cleaning and poor maintenance (Kwiringira, Atekyereza, Niwagaba and Günther 2014a; WSP 2008). In Kampala, 70 per cent of the urban poor use shared latrines with 47 per cent of these latrines clean enough to be used and another 45 per cent of the facilities abandoned (Günther, Horst, Lüthi, Mosler, Niwagaba and Tumwebaze 2011; Günther, Horst, Lüthi, Mosler, Niwagaba and Tumwebaze 2012).
‘If they beat you and your children have eaten, that is fine…’ intersections of poverty, livelihoods and violence against women and girls in the Karamoja Region, Uganda
(The Palgrave handbook of Intersectionality in public policy, 2019-02-02) Rujumba, Joseph; Kwiringira, Japheth
Violence against women and girls (VAWG) is a common occurrence, but the daily struggles to meet survival needs take precedence over rights, entitlements and freedoms. As such, violence against women and girls thrives on deprivation, poverty, acceptance and concealment coupled with women’s dependence on men and male-dominated decision-making in most spheres of life. Even with increased awareness about VAWG, there was a fear to lose ‘care’ among women and custody over their children, which kept violence unreported and hidden. In practice, for policies and programmes to be effective, the multiple vulnerabilities of being female, mothers, poor, illiterate, married and the limitations on access and control over household and communal resources as intersectionalities need to be addressed. It is important for policy makers and programme implementers to continuously develop and adapt interventions and approaches considering the multilayered lived experiences of women and girls that expose them to and sustain violence.

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