Abstract:
BACKGROUND:This article is based on information collected about the situation of double orphans who are heading households in Rakai District, Uganda. The information will be used as justification and guidance for planning actions to improve the situation of these and similar children. This research is thus the first step in an Action Research approach leading to specific interventions. The aim of this article is to describe the situation of these orphaned children, with an emphasis on the psychosocial challenges they face. METHODS:The study involved interviews, focus group discussions, observations and narratives. Forty-three heads of sibling-headed households participated. Information derived from informal discussions with local leaders is also included. The responses were analyzed using a modified version of Giorgi's psychological phenomenological method as described by Malterud 1. RESULTS:Factors such as lack of material resources, including food and clothes, limited possibilities to attend school on a regular basis, vast responsibilities and reduced possibilities for social interaction all contribute to causing worries and challenges for the child heads of households. Most of the children claimed that they were stigmatized and, to a great extent, ignored and excluded from their community. The Local Council Secretary ("Chairman") seemed to be the person in the community most responsible and helpful, but some chairmen seemed not to care at all. The children requested counseling for themselves as well as for community members because they experienced lack of understanding from other children and from adult community members. CONCLUSION:The children experienced their situation as a huge and complex problem for themselves as well as for people in their villages. However, the situation might improve if actions focused on practical and psychological issues as well as on sensitization about the children's situation could be initiated. In addition to the fact that these children need adult guidance to become citizens who act in accordance with the expectations in their communities, material aid is important in order to reduce the children's experiences of being "different" and constantly experiencing survival anxieties. Before my parents died, I was schooling without facing any problems and my heart was at rest. When they died I went to live with Jjajja [grandmother]. She fell very sick and I came out of school for a full term to look after her. I was treating Jjajja but she was not getting better. She died...so...I got my schoolmates' books and copied notes that they had taken while I was away from school...I face the problem of not having good friends. Some see me as a disease...other people are not bad. Some call me names and say that I am stupid, that I probably inherited the stupidity from my mother or father...Ever since my parents died, I have not had peace. I spend most of the time thinking, crying and struggling within myself asking God why He really had to do such a thing and saying to myself that: "God, help me overcome these problems!" Girl, 15.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Dalen N,Nakitende AJ,Musisi Sdoi
10.1186/1471-2458-9-321subject
Has Abstractpub_date
2009-09-04 00:00:00pages
321issn
1471-2458pii
1471-2458-9-321journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Contrary to intuition, use of lower strength nicotine e-liquids might not offer reduced health risk if compensatory puffing behaviour occurs. Compensatory puffing (e.g. more frequent, longer puffs) or user behaviour (increasing the wattage) can lead to higher temperatures at which glycerine and propylene gly...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3653-1
更新日期:2016-09-20 00:00:00
abstract:BACKGROUND:There is a huge interest by faith-based organizations (FBOs) in sub-Saharan Africa and elsewhere in HIV prevention interventions that build on the religious aspects of being. Successful partnerships between the public health services and FBOs will require a better understanding of the conceptual framing of H...
journal_title:BMC public health
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更新日期:2014-03-05 00:00:00
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journal_title:BMC public health
pub_type:
doi:10.1186/1471-2458-12-S1-S5
更新日期:2012-01-01 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08968-z
更新日期:2020-06-03 00:00:00
abstract:BACKGROUND:Little is known about preschool parents' cognitions, barriers, supports and modeling of key obesogenic behaviors, including breakfast, fruit and vegetable consumption, sugary beverage intake, feeding practices, portion sizes, active playtime, reduced screen-time, sleep and selection of child-care centers wit...
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pub_type: 杂志文章
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更新日期:2015-02-26 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
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更新日期:2017-08-14 00:00:00
abstract:BACKGROUND:Chronic kidney disease (CKD) is a common and growing health problem that requires adequate Knowledge by health care providers to reduce the progress of the disease. Thus, this study aimed to assess the care provider's Knowledge, attitude, and practices toward CKD. METHOD:A cross-sectional study conducted am...
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pub_type: 杂志文章
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更新日期:2020-07-09 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
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更新日期:2016-02-27 00:00:00
abstract:BACKGROUND:In 2016, India reported 709 acute diarrheal disease (ADD) outbreaks (> 25% of all outbreaks). Tribal populations are at higher risk with 27% not having accessibility to safe drinking water and 75% households not having toilets. On June 26, 2017 Pedda-Gujjul-Thanda, a tribal village reported an acute diarrhea...
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pub_type: 杂志文章
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更新日期:2020-02-14 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6022-4
更新日期:2018-09-24 00:00:00
abstract:BACKGROUND:Age disparities in sexual relationships have been proposed as a key risk factor for HIV transmission in Sub-Saharan Africa, but evidence remains inconclusive. The SIHR study, a cluster randomised trial of a cash transfer programme in Malawi, found that young women in the intervention groups were less likely ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-5327-7
更新日期:2018-03-27 00:00:00
abstract:BACKGROUND:Few data are available on prescriber adherence to tuberculosis (TB) treatment guidelines. In particular, excessively long treatment carries a risk of avoidable adverse effects and represents a waste of healthcare resources. We examined factors potentially associated with excessively long treatment. METHODS:...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-495
更新日期:2010-08-18 00:00:00
abstract:BACKGROUND:The burden of disease of hearing disorders among adults is high, but a significant part goes undetected. Screening programs in combination with the delivery of hearing aids can alleviate this situation, but the economic attractiveness of such programs is unknown. This study aims to evaluate the population-le...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-135
更新日期:2009-05-12 00:00:00
abstract:BACKGROUND:The sexual and reproductive health (SRH) status of female sex workers is influenced by a wide range of demographic, behavioural and structural factors. These factors vary considerably across and even within settings. Adopting an overly standardised approach to sex worker programmes may compromise its impact ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4346-0
更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Smoking and physical inactivity are major risk factors for heart disease. Linking strategies that promote improvements in fitness and assist quitting smoking has potential to address both these risk factors simultaneously. The objective of this study is to compare the effects of two exercise interventions (h...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-2631-3
更新日期:2015-12-29 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-424
更新日期:2013-05-01 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09458-y
更新日期:2020-09-15 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-016-3119-5
更新日期:2016-07-07 00:00:00
abstract:BACKGROUND:The hypothesis of fetal origins of adult disease has during the last decades received interest as an explanation of chronic, e.g. cardiovascular, disease in adulthood stemming from fetal environmental conditions. Early programming and enduring dysregulations of the hypothalamic-pituitary-adrenal (HPA axis), ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-346
更新日期:2010-06-17 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5412-y
更新日期:2018-04-12 00:00:00
abstract:BACKGROUND:This cross-sectional study aimed to look for an association in young children between whole body bone mineral content (BMC) and areal bone mineral density (aBMD) and dairy consumption as well as sedentary behaviour (SB) and physical activity (PA). Moreover, we investigated whether there was an interaction ef...
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pub_type: 杂志文章
doi:10.1186/s12889-015-2077-7
更新日期:2015-07-28 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3084-z
更新日期:2016-05-11 00:00:00
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pub_type: 杂志文章
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更新日期:2020-11-25 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1101
更新日期:2013-12-01 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
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更新日期:2015-11-06 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7455-0
更新日期:2019-08-14 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
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更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:The world's highest HIV infection rates are found in Sub-Saharan Africa (SSA), where adult prevalence in most countries exceeds 25%. Food shortages and malnutrition have combined with HIV/AIDS to bring some countries to the brink of crisis. The aim of this study was to describe prevalence of malnutrition amo...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/1471-2458-8-226
更新日期:2008-07-02 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3140-8
更新日期:2016-07-08 00:00:00
abstract:BACKGROUND:Health literacy is the ability to access to, understand, evaluate and use of essential health information to make basic health decisions. This study aimed to develop and psychometrically evaluate an instrument for measuring health literacy among adults (the Health Literacy Instrument for Adults - HELIA). ME...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08787-2
更新日期:2020-05-12 00:00:00