Robert Wamala

Modern contraceptive use among women in Uganda: An analysis of trend and patterns (1995-2011)

There is an extensive body of literature concerning modern contraceptive use among women in Uganda. A questionable aspect however is whether the impact of factors associated with modern contraceptive use has remained the same in the recent past. Demographic Health Survey (DHS) data of women in the period 1995-2011 was adopted to establish an understanding of this issue. The focus in the investigations was none pregnant sexually active women. Variations in patterns of modern contraceptive use were assessed by socio-economic and demographic characteristics of women using a logistic regression based on a complex survey design. In the results, an upward trend in modern contraceptive use - from 11.6% in 1995 to 32.1% in 2011 - shows that progress has been made in this regard. Increased odds of modern contraceptive use across the study period were noted among women with primary and post-primary education, those in urban areas, women in the higher wealth quartiles and those with a higher number of surviving children (p < 0.01). Further, reduced odds of modern contraceptive use across the study period were noted among married women and those in cohabiting relationships (p < 0.05). The study however demonstrates variations in the impact of these factors across the study period. All the same, efforts towards enhancing modern contraceptive use in the near future should focus on enhancing: (i) literacy levels of woman particularly, (ii) access to and affordability of the services, and (iii) awareness campaigns on family planning use targeting both men and women.

Predictors of Time to Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

Globally, there is extant literature on patterns and dynamics of postpartum contraceptive use with hardly any evidence examining time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. Methods. The analysis was based on data from 2011 Uganda Demographic and Health Survey on a sample of 2983 married women with a birth in the past three years preceding the survey and had resumed sexual intercourse. A time-to-contraceptive use was adopted in the analysis using life tables based on the Kaplan-Meier estimates, while the Log-Rank Chi-square tests assessed the variables to be included in regression analysis. Cox-Proportional Hazard regression was run to identify the predictors of time-to-contraceptive use among postpartum women in Uganda. Sampling weights were applied in the analysis to ensure representativeness. Results. The median time-to-contraceptive use was 19 months (range 0–24). Time to adoption of modern contraceptive use was significantly longer among women with no formal education, residing in northern region, who ( , CI: 0.40–0.78) had delivered at home/traditional birth attendant ( , CI: 0.60–0.93), had 1–3 antenatal care visits ( , CI: 0.70–0.98), and were in poorest wealth quintile. Conclusions. Measures for enhancing modern contraceptive use during and after the postpartum period should focus on (i) addressing hindrances in accessing family planning, particularly among poor and noneducated women; (ii) integration of family planning service delivery into routine ANC through counseling; and (iii) promoting deliveries in health facilities.

Do pre-entry tests predict competencies required to excel academically in law school?: An empirical investigation

Purpose – Prospective students of law are required to demonstrate competence in certain disciplines to attain admission to law school. The grounding in the disciplines is expected to demonstrate competencies required to excel academically in law school. The purpose of this study is to investigate the relevance of the law school admission test to predicting the competencies. Design/methodology/approach – The assessment is based on administrative records of 815 students admitted at Makerere University’s law school on the basis of their performance in the test. Grades obtained in advanced level (A-Level) of secondary education subjects, namely, literature, history, divinity and economics, were adopted as a measure of competence in the disciplines. The outcome of the test was modeled by performance of enrollees in the subject, their characteristics (gender, nationality, entry scheme and academic qualifications at enrollment) and first-year grade point average using a quantile regression. Findings – With the e...

Do prior studies matter?: Predicting proficiencies required to excel academically in law school at Makerere University, Uganda

Purpose – Introduction of law school admission examinations has increased the debate regarding the relevance of prior studies for the enrollees in the program. The key issues of contention are whether prior studies reliably predict academic achievement of enrollees, and demonstrate proficiencies required for admission in the program. The purpose of this paper is to use administrative records of law students at Makerere University – over a four-year stipulated period of bachelor’s studies – to investigate the above-mentioned issues further. Design/methodology/approach – Panel data of 2,485 records enable us to explore time variant and invariant factors in the course of bachelor’s candidature. Findings – About 81 per cent of differentials in academic achievement was found to be due to variation across students. In addition to confirming prior academic attainment as a contributing factor to variations in academic achievement, our findings affirm that competence in literature, history and divinity predicts su...

Predictors of time to first birth after first marriage among women in Uganda

The objective of this paper was to investigate factors associated with time to first birth after first marriage among women in Uganda. The assessment was made using data sourced from the 2011 Uganda Demographic and Health survey. The analysis was done using a time-to-event approach involving life tables, log-rank and the Cox Proportional Hazards model. In the results, the median time to first birth after first marriage was 2 years (range, 1-36). The key predictors of having a live birth after first marriage were loss of a pregnancy either spontaneously or induced, knowledge of ovulation cycle and late sexual debut (p < 0.05). In particular, the chances of first birth after first marriage were lower among women who had ever lost a pregnancy and women having their sexual intercourse at a later age. On the contrary, the chances of having a first child after marriage were higher among women at higher ages at first marriage and those who were aware of their ovulation cycle.

Productivity in Academia: An Assessment of Causal Linkages between Output and Outcome Indicators.

Purpose – The purpose of this paper is to investigate causal linkages between output and outcome indicators of productivity in academia. Design/methodology/approach – The duration of teaching service and the number of graduate students supervised to completion were adopted as output indicators of productivity. Equivalent outcome indicators were the number of (co)authored books (including book chapters and monographs) and journal articles, respectively. In the investigations, a structural equation modeling approach was adopted. Findings – The number of students supervised to completion directly impact the number of (co)authored articles (p < 0.05). The duration of teaching service indirectly influences (co)authored articles by directly impacting the number of students supervised to completion (p < 0.05). Research limitations/implications – The causal linkages between the indicators of productivity are an indication of the level of research activity of academia. However, the study does not provide an exhaus...