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Item Students’ Health Seeking Behaviour and its Rationale at Uganda Christian University(Texila International Journal, 2018-09-28) Mukooza, Edward Kibikyo; Carabine, Deirdre; Kikule, EkiriaUganda Christian University’s records of 2013-2014 show that approximately 30% of the 3,300 students in the Easter Semester did not register for and therefore could not use the University’s health services. This study analysed Uganda Christian University students’ health seeking behaviour in order to identify their preferred health care services and rationale for their choice, and the barriers to the University’s health system. A cross-sectional and mixed design was applied. Data was collected with a questionnaire administered to a sample of 424 Uganda Christian University students in April 2015. Quantitative data was analysed with SPSS 16. Qualitative data was analysed by content analysis. Most students came from urban (51%) or peri-urban (23.4%) homes and had parents or guardians with post-secondary school education (80%). Most of the students used the university’s Allan Galpin Health Centre (78%) when in need of health care but given choice, they would prefer other health facilities, especially those nearest. The most frequent reason for choice was convenience. The females perceived their state of health differently from the males (p-value 0.03) and they had more unmet health needs. Barriers include unavailability of needed services, long queues, poor customer care, lack of trust in the service, waiting to see if the health problem would resolve and lack of relevant information. The findings are similar to those from studies done in similar contexts. Key influencers of health seeking behaviour were convenience and gender. Unavailability of needed services and customer care issues were barriers to the University health services.Item Investigation of the Practices, Legislation, Supply Chain, and Regulation of Opioids for Clinical Pain Management in Southern Africa: A Multi-sectoral, Cross-National, Mixed Methods Study(Elsevier, 2018-03-03) Namisango, Eve; Allsop, Mathew; Powell, Richard A.; Friedrichsdorf, Stefan J.; Luyiraka, Emmanuel B.K.; Kiyange, Fatiya; Mukooza, Edward Kibikyo; Ntege, Chris; Garanganga, Eunice; Ginindza-Mdluli, Mavis Ntombifuthi; Mwangi-Powell, Faith; Mondlane, Lidia Justino; Harding, RichardSub-Saharan Africa faces an increasing incidence and prevalence of life-limiting and life-threatening conditions. These conditions are associated with a significant burden of pain linked to high morbidity and disability that is poorly assessed and undertreated. Barriers to effective pain management partly relate to lack of access to opioid analgesia and challenges in their administration. To identify country-specific and broader regional barriers to access, as well as the administration of opioids, and generate recommendations for advancing pain management in Southern Africa. A parallel mixed methods design was used across three countries: Mozambique, Swaziland, and Zimbabwe. Three activities were undertaken: 1) a review of regulatory and policy documentation, 2) group interviews, and 3) a self-administered key informant survey. Barriers to accessing opioid analgesics for medical use include overly restrictive controlled medicines’ laws; use of stigmatizing language in key documents; inaccurate actual opioid consumption estimation practices; knowledge gaps in the distribution, storage, and prescription of opioids; critical shortage of prescribers; and high out-of-pocket financial expenditures for patients against a backdrop of high levels of poverty. Policies and relevant laws should be updated to ensure that the legislative environment supports opioid access for pain management. Action plans for improving pain treatment for patients suffering from HIV or non-communicable diseases should address barriers at the different levels of the supply chain that involve policymakers, administrators, and service providers. J Pain Symptom Manage 2018;55:851e863. 2017 American Academy of Hospice and Palliative Medicine.Item Students’ Health Seeking Behaviour and its Rationale at Uganda Christian University(Texila International Journal, 2018-09-28) Mukooza, Edward Kibikyo; Carabine, Deirdre; Kikule, EkiriaUganda Christian University’s records of 2013-2014 show that approximately 30% of the 3,300 students in the Easter Semester did not register for and therefore could not use the University’s health services. This study analysed Uganda Christian University students’ health seeking behaviour in order to identify their preferred health care services and rationale for their choice, and the barriers to the University’s health system. A cross-sectional and mixed design was applied. Data was collected with a questionnaire administered to a sample of 424 Uganda Christian University students in April 2015. Quantitative data was analysed with SPSS 16. Qualitative data was analysed by content analysis. Most students came from urban (51%) or peri-urban (23.4%) homes and had parents or guardians with post-secondary school education (80%). Most of the students used the university’s Allan Galpin Health Centre (78%) when in need of health care but given choice, they would prefer other health facilities, especially those nearest. The most frequent reason for choice was convenience. The females perceived their state of health differently from the males (p-value 0.03) and they had more unmet health needs. Barriers include unavailability of needed services, long queues, poor customer care, lack of trust in the service, waiting to see if the health problem would resolve and lack of relevant information. The findings are similar to those from studies done in similar contexts. Key influencers of health seeking behaviour were convenience and gender. Unavailability of needed services and customer care issues were barriers to the University health services.Item The Prevalence and Determinants of Anaemia among Clients of the AIDS Support Organisation-Entebbe, Uganda(Texila International Journals, 2021-12-28) Mukooza, Edward Kibikyo; Nakyeyune, Lydia; Seguya, Henry; Kikule, EkriaAnaemia, a common hematological disorder in HIV infection, compromises the quality of life and treatment outcomes. At The AIDS Support Organisation (TASO), Entebbe, the records for the 2016-2018 period show a 10% prevalence of anaemia which is lower than that in literature where it is said to be up to 95%. This study determined the prevalence, type, severity, and determinants of anaemia among people living with HIV and AIDS who receive care from TASO Entebbe in Uganda. A questionnaire was used to collect data from 624 TASO clients. A checklist identified the clients’ Antiretroviral Therapy (ART) combination and viral load. The selected clients’ Body Mass Index (BMI) was calculated to assess their nutritional status. A Fully Automated Humacount 60TS Three-Part Hematology Analyzer was used to measure hemoglobin and to do a full blood count. A blood film from each sample was manually examined for the type of anaemia. Data analysis was done with Stata MP 15. The prevalence of anaemia was 44.4%, and the anaemia was mostly mild (54.15%) to moderate (40.80%). Anaemia of inflammation was the commonest type (>58%). Gender, viral suppression, nutritional status, nutritional education, marital and economic status were significantly associated with the anaemia. Duration on ART had a protective effect, but this was not statistically significant. The prevalence of anaemia (44.4%) among the TASO-Entebbe Uganda clients was high, but the anaemia was mostly mild to moderate (>94%) and of inflammation type (>58%). Management of anaemia in HIV requires intentional screening since it compromises treatment outcomes.Item Health Risk Associated with Near-Road Ambient Air Concentration of Particulate Matter in Mukono Municipal Council, Uganda(Texila International Journals, 2021-03-31) Mukooza, Edward Kibikyo; Kizza-Nkambwe, SarahMore than 98% of urban centres exceeding 100,000 people in Low and Middle-Income Countries (LMICs), do not meet the WHO air quality limits. Data on air pollution from LMICs is scarce. We measured the mean concentrations of near-road PM2.5 in the period of Aug.-Dec. 2020, described the Mukono Municipality’s near-road populations’ exposure to PM2.5, and assessed the associated health risk. PurpleAir PA-II laser particle counters, measured near-road ambient air PM2.5 concentration in Mukono Municipality during the period of 09/1/20 to 12/04/20. Excel Toolpak was used for data analysis and the health risk assessed with the WHO AirQ+ tool. The mean ambient near–road PM2.5 in Mukono Municipality were 30.97, 33.84 and 47.74 ug/m3for background, near-unpaved and near-paved roads, respectively. Mukono Municipality’s population was exposed to ambient PM2.5 concentrations higher than the WHO annual limit of 10 ug/m3. This level of air pollution is associated with preventable annual premature deaths of up to 133.11 per 100,000 population. Vehicles were assumed to be the predominant source of near-road ambient air PM2.5 pollution. The Municipality’s population was exposed to near-road ambient air PM2.5 exceeding the WHO annual limit by as much as *4.7 for the paved roads, *3.3 for the unpaved roads and *3 for the background. This leads to increased risk of preventable premature deaths in the Municipality.Mukono Municipality could monitor PM2.5; guide developers to placebuildings more than 100 meters away from roadsides and should promotepolicies for newer vehicles on Ugandan roads.Item Effects of Lifting COVID-19 Lockdown on Ambient Air Particulate Matter and Associated Health Risk at Uganda Christian University’s Main Campus, Mukono(Texila International Journal, 2020-09-30) Mukooza, Edward Kibikyo; Kizza-Nkambwe, SarahLockdowns control the spread of SARS-CoV-2 virus and are associated with improved air quality. Uganda imposed a lockdown beginning March 18th and begun easing it on the 2nd of June 2020. This study analysed ambient air PM2.5 at Uganda Christian University’s (UCU) main campus during and after the lockdown. Health risk reflected by avoidable premature deaths associated with poorer air quality due to lifting of the lockdown was also estimated. Laser particle counter, Purple Air PA-II, measured ambient Air PM2.5 concentration at UCU main campus for the lockdown period of 8th April to 30th June 2020. Excel Toolpak was used for data analysis and the health risk assessed with the World Health Organisation’s AirQ+ tool. The 24-hour ambient mean PM2.5 count was 16.61 μg/m³ during the lockdown and it increased to 35.57 μg/m³ on lifting of the lockdown. The increased PM2.5 is associated with a higher risk of preventable premature deaths. Vehicles using adjacent roadways were the likely source of ambient air PM2.5 at UCU. Ambient air PM2.5 during the lockdown was moderate on the Air Quality Index and it deteriorated to unhealthy for sensitive people during the lifting of the lockdown which raised the risk of preventable premature deaths. Air quality at UCU main campus could be improved by planting a wide vegetation fence next to the adjacent roads, using cleaner fuel in the University’s kitchen, lobbying for paving Bishop Road and placing new buildings away from roads. These would improve health including Covid-19 outcomes.Item The Health and Socio-Economic Status of the Buvuma Main Island Community in Buvuma District, Uganda(Texila International Journal, 2020-09-30) Mukooza, Edward Kibikyo; Kikule, Ekiria; Mugarura, Evatt; Semuju, Stephen; Kusiima, Maureen; Ubomba Jaswa, Peter; Kanyesigye, EdwardUganda Christian University’s Department of Public Health with Buvuma District local government, the local communities and the local Anglican Church of Uganda conducted a study to assess the household health and socio-economic status of communities on Buvuma’s main island. The Study design was cross-sectional and descriptive. The sample was 212 households and data were collected using Pretested Questionnaires, Focus Group Discussions, and Key Informants Interviews. Most respondents (59.9%) were female, aged 18-59 years (89.9%) with primary education (48.1%). About 21% of respondents had no formal education. Housing was mainly (73.1%) one or two roomed with earthen floors in 84.4%.; the lake was a source of water in 41% of households and water was used untreated in 36.8% of households; latrine coverage was 62.7%. Wood (70.5%) and charcoal (29.5%) were the energy sources for cooking and solar energy was used for lighting in 54.3% of the households. Malaria was the commonest cause of morbidity; 100% of households had nets, but 32.1% did not use them. 92% of mothers received antenatal care but 88.2% delivered in health facilities. Income was mostly from subsistence farming (74%) with per capita income of 20,000 to 50,000 Uganda shillings for 45% households. Most income (54%) was spent on children’s education. About 50.9% of respondents did not own land but 89.6% had a garden to grow food. Overall, the study community, in a hard to reach island district, had poorer health and socio-economic indicators than the Country.Item Adherence to Self-care Practices among Diabetes Mellitus Patients at a Tertiary Hospital in Eastern Uganda(International Scientific Indexing, 2023-06-30) Kiruyi, Samuel; Mukooza, Edward Kibikyo; Higenyi, Emmanuel; Rajab, Kalidi; Walusimbi, David; Ansiima, Sheila; Kitutu, Freddy EricAdherence to self-care practices among diabetes mellitus patients is vital in achieving optimal glycemic control and delaying the progression of the disease complications. There is limited information regarding diabetes self-care among diabetic patients in Eastern Uganda, where the disease is most prevalent. The aim of this study was to determine the level of adherence to diabetes mellitus self-care practices and the associated factors among adult diabetic outpatients at a tertiary hospital in Eastern Uganda. A cross-sectional study was conducted at Mbale Regional Referral Hospital in Eastern Uganda between September and October 2020, on a sample of 156 diabetic patients recruited through systematic random sampling. A structured questionnaire was used to collect data through self-report. Descriptive and Logistic regression analyses were conducted using STATA version 15.0, and a 5% level of significance. Most of the study participants were female (63.8%) with an average age of 52.3 years (SD 13.8). The prevalence of adherence to self-care was 36.5%. The factors associated with adherence to self-care were good diabetes knowledge (AOR=2.5; 95% CI= 1.2-5.3, p = 0.016), and high self-efficacy (AOR=3.9; 95% CI= 1.8 – 8.7, p = 0.001). Less than half of the patients attending the diabetic clinic at Mbale Regional Referral Hospital in Eastern Uganda adhere to self-care practices. Patients ought to receive comprehensive, consistent, and contextualized diabetes education to enrich their knowledge, as well as a boost of their self-efficacy through interventions like counseling, positive feedback, role models, and peer education.Item Drug and Therapeutics Committee Structure and Roles in Hospitals: A Scoping Review(International Scientific Indexing, 2023-12-29) Kiruyi, Samuel; Nagadya, Catherine; Walusimbi, David; Mukooza, Edward Kibikyo; Higenyi, Emmanuel; Rajab, KalidiDrug and Therapeutics Committees (DTCs) have been identified and promoted as a fundamental model in advancing the rational management and use of essential medicines and health supplies in hospitals since the 1970s. However, there is still a scarcity of comprehensive literature on their current structure and actual roles performed in various countries. We conducted a scoping review using the Pubmed and ResearchGate databases and included eligible articles published between 2010 and 2023, to assess the structure and roles performed by hospital DTCs. The database search yielded 47 potential records, but only seven of these were eligible for inclusion. Studies included were from both highincome and low- and middle-income countries. The structure of DTCs is generally similar across these countries, with minor contextual variations. All DTCs are heterogeneous in composition and contain both medical and non-medical staff. The DTC leadership comprises a chairperson who is usually a senior clinician, and a secretary who is usually a pharmacist. The majority of the DTCs have at least one sub-committee, and antimicrobial stewardship is the most common. The DTCs still perform their customary roles, although their role scope is expanding. In some countries, the DTCs have taken on additional roles due to the evolving medicines management and use problems, and technologies. There is however still a dearth of recent primary data on the structure and roles of DTCs in many countries. We recommend more primary research to understand the status of DTCs in various countries and to provide more insights into the existence and functionality of the DTC sub-committees.Item BRCA1 Protein Expression in Epithelial Ovarian Cancer and Associated Clinicopathological Factors in Uganda(Wiley, 2024-10-21) Okecha, Tonny; Abila, Derrick B.; Nabbale, Dorothy L.; Katongole, Fauz; Yahaya, James Joseph; Lukande Robert; Kalungi, Sam; Nalwoga, HawaBRCA1 gene dysfunction seen in epithelial ovarian carcinomas often results from germline mutations, somatic mutations, and promoter methylation. Identi0cation of tumors with loss of BRCA1 protein expression has shown to have therapeutic and prognostic implications. *e aim of this study was to determine the expression of BRCA1 protein in epithelial ovarian cancer (EOC) and the associated clinicopathological characteristics. This was a cross-sectional laboratory-based study that used para5n-embedded tissue blocks of patients histologically diagnosed with EOC from January 2010 to August 2018. Tissue sections were stained with hematoxylin and eosin (H&E) for histological con0rmation and with immunohistochemistry (IHC) using a mouse-derived monoclonal antibody MS110 for BRCA1 protein expression. *e association between BRCA1 protein expression and independent variables was determined using Pearson’s Chi-square test. A total of 104 tissue blocks from patients with EOC were included in the study with a mean age of 48.7 ± 12.8 years. Serous tumors were the most common which comprised 74.0% (77/104) of all the tumors and majority of them 75.3% (58/77) were high grade. Loss of expression of BRCA1 protein expression was found in 33.7% (33/98) of all the cases. *ere was no statistically signi0cant association between BRCA1 expression and age of patients, tumor grade, and histological subtype. There is a high expression of altered BRCA1 expression in tissues of EOC. Although it has not shown association with age of patients, histology types, and tumor grade, further studies need to assess its inCuence of the survival of cancer patients with EOC.Item Prevalence and risk factors associated with hypopharyngo-esophageal foreign bodies impaction: a cross-sectional study(Wiley, 2025-03-18) Kabazzi, Edrisa; Namwagala, Justine; Alunga, John R .; Byaruhanga, Richard; Okecha, Tonny; Yahaya, James JosephIngestion of foreign bodies (FBs) is an emergency condition which may be associated with challenges for their removal. We aimed to assess the prevalence and factors associated with hypopharyngo-esophageal foreign bodies (HP-EFBs) impaction. A cross-sectional study was conducted at Mulago national referral hospital in Uganda from August 2018 to May 2019. The study consisted of 150 patients aged 6 months to 49 years with suspicion of HP-EFBs impaction. Binary logistic regression analysis was applied to determine factors associated with HP-EFBs. Statistical significance was set at P < 0.05. The median age of the patients was 7.1 (4.3–16.4) years, and males accounted for the majority (64%, n = 96) of the patients. Clinically, majority (62.0%, n = 93) of the patients had dysphagia. The prevalence of HP-EFBs was (33.3%, n = 50). Majority (76.0%, n = 38) of the FBs were coins. Being aged ≤5 years (aOR = 1.47, 95% CI = 2.18–3.39, P = 0.043), being a child attending school (aOR = 2.03, 95% CI = 1.56–4.92, P = 0.037), and being under caretakers aged ≤25 years (aOR = 6.83, 95% CI = 1.88–24.79), P = 0.003) were associated with increased risk of HP-EFBs impaction. This study has shown increased risk of HP-EFBs impaction particularly in male children and those attending school. Also, patients who were under younger caretakers had increased odds of HP-EFBs impaction. There is a need for caretakers and teachers at school to provide emphasis for children to always have precaution to avoid impaction of FBs.Item Prognostic Factors for Overall Survival of Patients with Prostate Cancer in Kyadondo County, Uganda(Hindawi, 2020-01-27) Yahaya, James Joseph; Okecha, Tonny; Odida, Michael; Wabinga, HenryProstate cancer is the second most common cancer among men globally. A few studies that have been done in Uganda on survival of patients with prostate cancer indicate that, the overall survival of patients with prostate cancer in Uganda is poor. The aim of this study was to determine the 3-year overall survival rate of a cohort of patients with prostate cancer residing in Kyadondo County who were diagnosed from 2012 to 2014. The secondary objective was to correlate the overall survival with the clinicopathological prognostic factors. Materials and Methods. This was a retrospective cohort study which involved 136 patients who were diagnosed histologically with prostate cancer at the department of pathology between 2012 and 2014. The cases were registered at the Kampala cancer registry and followed up to 31st December 2017. Data analysis was done using STATA version 12.0. The Kaplan-Meir curves were used for analysis of the 3-year overall survival rate. Hazard ratio (HR) and Log-rank test at 95% confidence interval under Cox-regression model were used to evaluate the effect of the covariates on the 3-year overall survival rate. < 0.05 was considered statistically significant. Results. More than half of the cases, 55.9% ( = 76) had Gleason score >8. Most of the patients, 67.7% ( = 92) had advanced disease at diagnosis. The 3-year overall survival rate was 67.6% with median survival of 36.5 months and range of 0–65 months. Clinical stage of the patients (HR = 1.65, = 0.039), Gleason score (HR = 1.88, = 0.008 ), and lymphovascular invasion (HR = 0.37, = 0.002) were the independent predictors of the 3-year overall survival rate in this study. Conclusion. The 3-year overall survival of prostate cancer patients in Uganda is poor. Most of the patients with are diagnosed with advanced clinical stages (stage III and IV). The Gleason score, clinical stage and lymphovascular invasion can powerfully predict independently the overall survival of patients with prostate cancer. This implies that the Gleason score, clinical stage and lymphovascular invasion may be used to predict the overall survival of patients with prostate cancer even prior prostatectomy.Item Malignant Mixed Mullerian Tumor: A Case Report About a Uterine Tumor’s Case(Elsevier, 2022-05-20) Morgan, Emanuel D; Okecha, Tonny; Yahaya, James J.; Othieno, EmmanuelIntroduction: Malignant mixed Mullerian tumor (MMMT) is an exceedingly rare and aggressive tumor which occurs predominantly in postmenopausal women though it has been reported rarely in premenopausal women. Case presentation: A 54-year old nulliparous postmenopausal female presented with a 3-month history of vaginal bleeding, mild lower abdominal pain and weight loss. Ultrasound revealed markedly enlarged uterus with a hyper-echoic solid and cystic mass and a right adnexal complex mass. Total abdominal hysterectomy and bilateral salpingioopherectomy were done. Histopathological features were consistent with MMMT. The patient is currently stable after 6 cycles of adjuvant chemotherapy which consisted of paclitaxel and carboplatin. Clinical discussion: MMMT of the uterus is rare, high-grade neoplasms comprising only 1–2% of uterine cancers and 3–5% of all uterine malignancies. This tumor may arise in the ovaries, fallopian tubes and vagina. Histologically, MMMT is a biphasic tumor composed of both epithelial (carcinoma) elements and mesenchymal (sarcoma) elements; though, which component is responsible for the tumor’s aggressive biological behavior remains undetermined. Conclusion: MMMT is a rare and aggressive tumor which is commonly seen in postmenopausal women with high rate of recurrence therefore, Radical surgery and close follow-up is mandatory since the role of chemoradiotherapy remains unclear in the management of patients with this tumor. Both stage of the tumor and myometrial invasion are considered as potential prognostic factors.Item Role Conflict and Burnout among Administrators in Higher Institutions of Education in Uganda(East African Nature and Science Organisation, 2023-10-16) Faith Mbabazi; Wilson Eduan; Mary Kagoire OchengThe purpose of this study was to find out the relationship between role conflict and burnout among administrators in higher education institutions in Uganda. There have been a number of studies on academicians in universities, but not much research has been done on administrators, especially in Uganda. The respondents included midlevel administrators such as deans, directors, heads of department, heads of sections, academic registrars, librarians, directors of services and human resource officers. This was a survey research design carried out on administrators in universities. The questionnaire, which was a combination of role conflict questions and Maslach burnout inventory, was administered to the administrators who had been randomly selected from universities. The findings indicated that role conflict was not a predictor of burnout dimensions of emotional exhaustion, cynicism and professional efficacy; however, coupled with demographics, the results changed, and there was a positive significant relationship, especially with age on emotional exhaustion. It was recommended that university top administrators should be interested in the mental state of their staff because, as earlier noted, emotional exhaustion was the most significant burnout dimension predicted by role conflictsItem Head Teacher’s Support Role on the Quality of Inclusive Education in Secondary Schools in Iganga District(Advances in Social Sciences and Management, 2023-12) Lastone Balyaino; Muweesi Charles; Mary Kagoire Ochieng; Isabirye Christopher; Faith Mbabazi MusinguziThe study investigated the Head Teacher’s support Role in the Quality of Inclusive Education in Secondary Schools in the Iganga District. It examined the head teacher’s mandates in the realization of quality inclusive education in selected secondary schools. Explicitly, the study determined the influence of the head teacher's support role on the quality of inclusive education in secondary schools. This study adopted a cross-sectional survey design, drawing on quantitative and qualitative research approaches with a sample size of 83 respondents. Interview guides and questionnaires were used for data collection. SPSS software version 23 was used with a focus on descriptive statistics. The verbatim method was used for qualitative data. The study revealed that there was a moderate positive or constructive significant correlation between the head teacher's support role and achievement of quality inclusive education in selected secondary Schools (r=.514** p < 0.05). The study established that putting in place continuous professional development workshops, welfare, giving support supervision and provision of teaching aids, while other factors or issues remain constant, is most likely to better the process of inclusive education quality in secondary school. Conclusively the study revealed that the Head teacher's planning, support and motivation cannot work in isolation in the attainment of quality inclusive education. Monetary and nonmonetary ways greatly influence the quality of inclusive education. Also, the study recommends head teachers make relevant plans and increase support and motivation to uplift secondary schools' quality of inclusive education.Item Records Management Practices and School Management Decisions in Selected Secondary Schools in Kibuku District, Eastern Uganda(East African Nature and Science Organisation, 2025-06-16) Kataike, Rita; Turyahabwe, Remigio; Owomugisha, Evelyn; Mbabazi, FaithThe study examined the effect of records management practices on school management decisions in selected secondary schools in Kibuku District, Eastern Uganda. The objectives of the study included: i) to establish the effect of records management practices on academic decisions, and ii) to examine the effect of records management practices on administrative decisions in selected secondary schools. A cross-sectional survey design was used to guide this study. The study involved 113 respondents. These were purposively and simply randomly selected. The questionnaires, interview guide and focus group discussion helped in collecting the data. Quantitative data was analyzed by use of frequencies and percentages as well as SPSS, whereas, qualitative data was analyzed using thematic content analysis. The study findings revealed that records management practices have a significant effect on academic decisions in selected secondary schools in the Kibuku District (r=.686**, p=0.001). The study also revealed that records management practices have a significant effect on administrative decisions in selected secondary schools in Kibuku district (r=.342**, p=0.001). The study concluded that records management practices in administrative and financial decisions had the highest significant positive relationship on the school management decisions in secondary schools. It was concluded that records management practices play a key role in the management of academic institutions, so they should be handled seriously. The study recommended that records management practices should be improved through the introduction of computerized formats such as e-payment of fees, and digitized systems to check teachers’ lass attendance. In the same way, secondary schools should draft a records management policy to govern and regulate the management of students' academic records.Item Experiences of Mid-Level Administrators in Ugandan Universities: A Study of Multiple Role Conflicts(East African Nature and Science Organisation, 2025-06-20) Faith Mbabazi; Wilson Eduan; Mary Kagoire Ocheng; Stella Amero EduanThis qualitative study explores the experiences of mid-level administrators in Ugandan public universities, focusing on role conflicts arising from their multiple responsibilities. Grounded in Role Conflict Theory, the research explores time-based, strain-based, and behaviour-based conflicts among 20 administrators at Makerere and Kyambogo Universities. The study was guided by the following research questions: What are the strain-based experiences of mid-level administrators regarding their workload? How do time-based constraints affect their workplace responsibilities? What behavioural challenges arise when executing multiple roles? This qualitative study adopted a constructivist approach, focusing on participants' lived experiences (Creswell, 2014). It targeted mid-level administrators (e.g., deans, bursars, heads of sections, etc.) due to their multifaceted roles. Twenty participants were purposively selected for their expertise. Data were collected via semi-structured interviews, conducted face-to-face and online during the COVID-19 lockdown. Interviews were audio-recorded, with brief notes for follow-up. Pseudonyms ensured confidentiality. Thematic analysis categorized data into time-based, strain-based, and behavior-based themes, aligned with Role Conflict Theory. Findings reveal that extended work hours, heavy workloads, and challenges in switching roles lead to stress, burnout, and work-life imbalances. Gender, marital status, and age influence these experiences, with female and younger administrators reporting higher strain. The study recommends enhanced training and resource support to mitigate role conflicts. Implications for university administration and future research are discussed.Item Head Teachers’ Team Leadership Practices’ Influence on Financial Performance in Church of Uganda Founded Secondary Schools in Namirembe Diocese(East African Journal of Education Studies, 2024-10) Tumuhimbise, M. Jasper; Muweesi, Charles; Buluma, Alfred; Mbabazi, Faith; Ochenge, Kagoire Mary; Eryenyu, Charles; Kitayimbwa, M. John; Wanyana, MercyThe influence of Head Teachers’ team leadership practices on financial performance is highly acknowledged. The paper aims to highlight the challenges of head teachers’ team practices and advance insights on how they can be overcome to enhance financial performance. The methodology employed was a mixed-methods approach. Quantitative data was gathered through questionnaires assessing perceptions of the above metrics. Qualitative data was collected through documentary review of reports and interviews to explore the underlying mechanisms through which the variables above interrelate. The total number of respondents were 326 sampled from eight out of twenty-three schools. Quantitative analysis revealed that it has a coefficient of 0.52 and a value of 0.004 which indicates a strong correlation and statistically significant relationship between effective team leadership and financial health. This indicated that a team leader yielded better cash flow management, alignment with financial objectives, and overall sustainability. Qualitative insights supported the above crucial role that head teachers’ have in engaging teams of CFSs in shaping financial decision-making processes. The study concludes by emphasizing the need to foster team cohesion, positive financial culture and ensuring the long-term sustainability of CFSs. Recommendations include strengthening leadership development programs that are not available currently in Church of Uganda. Further, to enhance team dynamics and aligning leadership practices with organizational goals to optimize financial performance in these settings. Keywords: Leadership, Team, Finance Performance, Church Founded School.Item Techniques Used by Teachers in Teaching Literacy and Numeracy in Selected Primary Schools in Kongwa District, Tanzania(Paradigm Academic Press, 2024-01) Zilpa Graceford Masenje; Charles Muweesi; Mary Kagoire Ochieng; Tendo Shira Namagerob; Faith Mbabazi MusinguziThe study investigated techniques used by teachers in the teaching of literacy and numeracy in selected Primary Schools in Kongwa District. It examined the factors that contribute to pupils’ inadequate literacy and numeracy skills. A cross-sectional survey research design, with a sample size (N=95) was used. Simple Random Sampling and Census Inquiry techniques were adopted. Quantitative data were analyzed using SPSS and the Qualitative data were analyzed using the verbatim method. The study findings suggested that there were literacy and numeracy issues in these particular Primary Schools since most of the Teachers lacked the skills needed to impart these abilities the majority of the Teachers never used the brainstorming technique, and others never used cooperative learning to teach literacy and numeracy. Likewise, few of these teachers’ use playing games as a technique for teaching literacy and numeracy. The study concluded that the majority of the teachers never used brainstorming, cooperative learning, and the use of play games as techniques to deliver lessons to learners. The study recommends retraining Teachers, employing teachers who have qualifications and cooperative teaching.Item Expression of Her-2 and Ki-67 in Gastric Cancer Formalin Fixed Paraffin Embedded Tissue Blocks and Their Correlation with Histological Grades at the Uganda Cancer Institute Pathology Laboratory(Dovepress, 2025-12-15) Wasswa, Hassan; Birungi, Abraham; Amadile, Lawrence; Kasadha, Richard; Nabaasa, Saphurah; Ninsiima, Jolly Lydia; Okecha, Tonny; Ssedyabane, Frank; Atwine, Raymond; Tibenderana, LaubenBackground: Her-2/neu, the human epidermal growth factor receptor-2, is an oncogene reported to be excessively expressed in gastric cancer. This over-expression is a criteria for treatment with trastuzumab. An antigen linked to nuclear proliferation is Ki-67, and the level of gastric cancer aggression is reflected in its expression. Objective: To determine the expression of Her-2 and Ki-67 in gastric cancer formalin-fixed paraffin-embedded (FFPE) tissue blocks and their correlation with histological grades at the Uganda Cancer Institute pathology laboratory, with each block representing one gastric cancer case. Methods: A laboratory cross-sectional study was conducted among 75 endoscopic gastric cancer patient cases. Each case was assessed utilizing immunohistochemistry (IHC) for the expression of Her-2 and Ki-67. Spearman correlation coefficient was used to ascertain the expression and its correlation to histological grades. Results: The age range of gastric cancer cases was 26 to 80 years, with a mean age of 54. Poorly differentiated histology (43%) was the most profound. Her-2 over-expression was 20%. High Ki-67 expression was 56%, and the low Ki-67 expression was 7%. Her-2 overexpression correlated significantly with moderate differentiation (rs = 0.336, p = 0.003) and poor differentiation (rs = −0.229, p = 0.048). A significant correlation between moderate differentiation of gastric carcinoma with low intensity of Ki-67 staining was noted (rs = 0.255, p = 0.028). Conclusion: The aggressiveness of gastric cancer may be indicated by the over-expression of Her-2 and a high Ki-67. What This Study Adds: This study provides additional information on the relevance of Her-2 and a high Ki-67 over-expression in diagnosis, prognostic monitoring, and management of gastric cancer in Uganda.