Dusabe-Richards, E.; Rutakumwa, R.; Zalwango, F.; Asiimwe, A.; Kintu, E.; Ssembajja, F.; Seeley, J. (2016) Abstract: There are limited data on the challenges faced by carers, in particular older carers, in managing the difficult task of status disclosure for HIV positive children. We report findings from qualitative interviews with 18 care dyads of older people and HIV positive children living in rural southwest Uganda. Our data provide insights into perceptions and norms influencing communication during and following disclosure among both carers and children, including those shaped by gendered expectations of girls' and boys' sexual behaviour. Young participants reported several advantages of knowing their status and showed considerable resilience in the face of HIV disclosure. Better and more support is needed to help health workers and carers (particularly older carers) manage cross-generational communication around HIV disclosure and other related aspects of sexual and reproductive health as critical aspects of children's psychosocial development and wellbeing.

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Background: Traditional eye medicine (TEM) is frequently used to treat microbial keratitis (MK) in many parts of Africa. Few reports have suggested that this is associated with a worse outcome. We undertook this large prospective study to determine how TEM use impacts presentation and outcome of MK and to explore reasons why people use TEM for treatment in Uganda. Methods: In a mixed method prospective cohort study, we enrolled patients presenting with MK at the two main eye units in Southern Uganda between December 2016 and March 2018 and collected information on history, TEM use, microbiology and 3-month outcomes. We conducted qualitative interviews with patients, carers traditional healers on reasons why people use TEM. Outcome measures included presenting vision and at 3-months, comparing TEM Users versus Non-Users. A thematic coding framework was deployed to explore reasons for use of TEM. Results: Out of 313 participants enrolled, 188 reported TEM use. TEM Users had a delayed presentation; median presenting time 18 days versus 14 days, p= 0.005; had larger ulcers 5.6 mm versus 4.3 mm p=0.0005; a worse presenting visual acuity median logarithm of the minimum angle of resolution (Log MAR) 1.5 versus 0.6, p=0.005; and, a worse visual acuity at 3 months median Log MAR 0.6 versus 0.2, p=0.010. In a multivariable logistic regression model, distance from the eye hospital  and delayed presentation were associated with TEM use. Reasons for TEM use included lack of confidence in conventional medicine, health system breakdown, poverty, fear of the eye hospital, cultural belief in TEM, influence from traditional healers, personal circumstances and ignorance. Conclusion: TEM users had poorer clinical presentation and outcomes. Capacity building of the primary health centres to improve access to eye care and community behavioural change initiatives against TEM use should be encouraged.

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This paper discusses the morphosyntactic properties of relative clause constructions in the Runyankore-Rukiga language cluster (Bantu, JE13/14, Uganda). Relative clauses in this paper are categorized into nominal and clausal relatives on the basis of their exhibited morphosyntactic properties. The nominal relative clause category comprises elements which have been previously regarded as adjectives (Morris and Kirwan 1972;Taylor 1985) which include some color terms among other lexical items. The second category, namely clausal relatives, is subcategorized into subject and object clausal relatives. The subject clausal relative is realized within the subject nominal prefix by differential tone marking while the object clausal relative is an obligatory agreement-bearing complementizer which stands alone in agreement with the object antecedent. This paper describes the properties and use of the object relative marker as it has previously been regarded as a demonstrative or a pronoun. The paper offers an alternative position to the status of the object relative clause marker, proposing that it is not a pronoun equivalent to the English Wh-relative pronoun, and that it is not a demonstrative per se, but rather an agreement-bearing complementizer that heads a CP. The paper further asserts that the augment is not a relative clause marker as it is stated in Morris andKirwan (1972) andTaylor (1985) but expresses a restrictive relative clause when present. As part of syntax, the paper discusses agreement properties in relative clause constructions and reports that a clausal relative takes the agreement of the head of the relative clause, but this is not always the case since anti-agreement cases are reported. Data for the analysis comes from authentic written materials and elicited constructions.