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    I am alone and isolated”: a qualitative study of experiences of women living with genital fistula in Uganda
    (Springer, 2015) Barageine, Justus Kafunjo; Beyeza-Kashesya, Jolly; Byamugisha, Josaphat K.; Tumwesigye, Nazarius Mbona; Almroth, Lars; Faxelid, Elisabeth
    Background: Globally, 2–3 million women are estimated to have a genital fistula, with an annual incidence of 50,000–100,000 women. Affected women remain silent within their communities, and their experiences often go unnoticed. Our objective was to explore the experiences of Ugandan women living with genital fistulas to understand how their lives were affected and how they coped with the condition. Methods: We conducted 8 focus group discussions (FGDs) with 56 purposively selected women with a genital fistula seeking treatment at Mulago Hospital, Uganda. Data were transcribed and analysed using qualitative content analysis. Results: Women with a fistula were living a physically changed and challenging life, living socially deprived and isolated, living psychologically stigmatised and depressed, and living marital and sexual lives that were no longer joyful. The women’s experiences were full of life changes and coping strategies, and they used both problem- and emotion-focused coping strategies to deal with the challenges. They devised ways to reduce the smell of urine to reduce the stigma, rejection and isolation. While trying to cope, the women found themselves alone and isolated. Women either isolated themselves or were isolated by society, including by close relatives and their husbands. Their sex lives were no longer enjoyable, and generally, women felt a loss of their marital and sexual rights. Conclusion: Women with a fistula make adjustments in their lives to cope with the physical, social, psychological and sexual challenges. They use both problem- and emotion-focused coping to minimise their sense of isolation, as well as the rejection and stigma associated with fistula. These findings are essential for counselling patients, families and community members affected by a fistula. In similar contexts, health programmes should go beyond fistula closure and target communities and families to reduce the stigma and isolation faced by women with genital fistula.
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    Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda
    (MDPI, 2018) Swahn, Monica H.; Culbreth, Rachel; Tumwesigye, Nazarius Mbona; Topalli, Volkan; Wright, Eric; Rogers Kasirye
    This paper examines problem drinking, alcohol-related violence, and homelessness among youth living in the slums of Kampala—an understudied population at high-risk for both alcohol use and violence. This study is based on a cross-sectional survey conducted in 2014 with youth living in the slums and streets of Kampala, Uganda (n = 1134), who were attending Uganda Youth Development Link drop-in centers. The analyses for this paper were restricted to youth who reported current alcohol consumption (n = 346). Problem drinking patterns were assessed among youth involved in alcohol-related violence. Mediation analyses were conducted to examine the impact of homelessness on alcohol-related violence through different measures of problem drinking. Nearly 46% of youth who consumed alcohol were involved in alcohol-related violence. Problem drinkers were more likely to report getting in an accident ( 2 = 6.8, df = 1, p = 0.009), having serious problems with parents ( 2 = 21.1, df = 1, p < 0.0001) and friends ( 2 = 18.2, df = 1, p < 0.0001), being a victim of robbery ( 2 = 8.8, df = 1, p = 0.003), and going to a hospital ( 2 = 15.6, df = 1, p < 0.0001). For the mediation analyses, statistically significant models were observed for frequent drinking, heavy drinking, and drunkenness. Interventions should focus on delaying and reducing alcohol use in this high-risk population.
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    Hybrid Mobility: The Future of Internationalization and Student Mobility in East Africa
    (BIGSAS, 2023) Amutuhaire, Tibelius; El Allame, El Kirat Y.
    Internationalization and student mobility are topical issues in higher education. Universities continue to invest in increasing inbound student mobility and how to produce globally competent graduates. However, only a small percentage of higher education students benefit from mobility. Further, the COVID-19 pandemic introduced several changes that constituted the responses to the challenges posed by this pandemic. The most prominent responsewas the change from the traditional modes of teaching to web-based ones. Considering such changes, the nature of student mobility during the post-pandemic period is not clear.With the limited technological development, it is not clearwhether universities in the Global South will continue to exploit the COVID-19 responses for student mobility. This paper explores the possibilities of hybrid student mobility as an alternative to the traditional students’ physical mobility across national borders. Through a systematic literature review, the paper points out the benefits of adopting hybrid mobility and the limitations towards achieving the desired end. The paper is based on the Connectivism Learning Theory, which underscores the importance of technology in teaching and learning. With this theory, the authors argue that technology can be incorporated into the teaching and learning processes to make student mobility more inclusive.