Young African Refugees for Integral Development (YARID).
The increasing number of refugees in Uganda is putting a significant strain on the country’s already limited resources, particularly those for healthcare. The government has implemented policies in response to the crisis. However, numerous obstacles have hampered these efforts. The aim of this article is to review previously published research by synthesising global evidence on factors that impede refugees’ access to healthcare services across the country. Articles published between 2016 and 2022 were searched in the Google Scholar and PubMed central databases. Google Scholar yielded 21,300, PubMed Central 637, and 5 articles from cross-references, however. The PRISMA framework was used to structure the selection, and 21 studies from different fields and settings met the inclusion criteria. The most frequently cited factors that impede access to and utilisation of needed healthcare services were sociocultural considerations such as stigma and discrimination, health system anomalies that led to mistrust of healthcare services and workers by refugee populations, and financial difficulties. In order to overcome these obstacles, the government and humanitarian organisations ought to carry out a comprehensive screening with leaders of refugee communities and local refugee organisations in order to comprehend the conditions of refugees. They ought to pay particular attention to the differences between the various cultures and settings, as well as the flow of the healthcare system, in order to sensitise people and raise awareness about the healthcare system. To make it easier for refugees to access and use the necessary healthcare services, specific health policies should be implemented. When looking for healthcare, equal rights and freedom of movement should be top priorities
BackgroundUgandan women, on average, give birth to nearly two more children than they want, one of the highest levels of excess fertility in Sub-Saharan Africa. More than half of pregnancies in Uganda are unintended, and almost a third of these end up in abortions. The purpose of the study was to assess the barriers that affect birth control use among women of reproductive age in the Bwaise slum.Methodology A cross-sectional study design and systematic random sampling were used to reach 384 study participants. Data were collected using questionnaires through direct interviews. The Chi-square test was used to establish the hypothesis, the association between independent variables and the dependent variable was performed, and a p-value < 0.05 was accepted as statistically significant at 95% CI. ResultsKnowledge is universal (99.7 %). Each woman was aware of at least 2.7 birth control options on average, with 91.4% knowing at least one option and 86 % knowing at least one advantage of using birth control. About 66.4% of participants have ever used a birth control option, and at the moment of the survey, only 37.2% reported using a birth control option. Association between the use of birth control and knowledge about a facility with birth control services, distance to the facility, lack of money, previous experience of side effects, and religious discouragement were noted. ConclusionWomen of childbearing age in the Bwaise slums used contraceptives below the national target of 50% with a high dropout rate. Side effects, lack of money, lack of knowledge of a facility, distance to the facility, and religious discouragements impact the use of birth control in the Bwaise slum.Recommendation:Active outreaches to relay comprehensive information about birth control options, involving women of childbearing age, and religious and cultural leaders in the Bwaise slum are needed.
Background The need to control childbirth and maintain a manageable family size is a fact of modern life. This is because of the social and economic realities of the modern world system. Because of this, the practice of contraception has remained in the spotlight. To increase birth control uptake, knowledge and awareness are frequently used. However, evidence on birth control knowledge among populations in low socioeconomic settings in Africa is limited. The goal of this research was to look into women's knowledge of birth control options in the Bwaise slum. Methodology Using a cross-sectional study design, we interviewed 384 women aged 15–49 years, selected through systematic random sampling. Data on socioeconomic characteristics, knowledge of birth control options, and birth control use were collected using a structured questionnaire. Descriptive and inferential statistics (chi-square set at 0.05 level of significance) analysis were done using IBM SPSS version 21. Results The mean age of participants was 29.39 years. There is a high level of knowledge and awareness of birth control options but with relatively low uptake, 91.4% of women knew at least one option. 66.4% of respondents reported using any birth control options in the past compared to 37.2% currently using. Injectable, oral pills and Norplant/implant were the most known and used options. Age, level of education, marital status, and income were significantly associated with the use of birth control (p< 0.05). Conclusion and recommendation Our findings show that respondents have high knowledge of birth control but low use. We, therefore, recommend that government health agencies conduct a sensitization campaign aimed at the increase in the utilization of birth control services involving religious and cultural leaders. Women of reproductive age, to attend at least one SRH counseling session, in any health facility, to be updated with relevant news on birth control services.
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