ALERTs in Covid-19

Adherence, Lived Experiences and Resilient Transformation among “slumdwellers” (ALERTs) in COVID-19:

A study of Ki-Mombasa and Kabalagala-Kataba slums in Kampala.

The research project seeks to develop evidence – from a sociobehavioral perspective – of how Ugandan COVID19 guidelines operate, are being perceived, experienced in practice and potential barriers to their adherence and compliance among urban slum communities in Kampala.

Background

COVID-19 is a new epidemic and there is a dearth of knowledge on its clinical, economic, social and long-term effects and outcomes on the urban poor. High levels of non-compliance to preventive guidelines have been observed; as people in slums try to adjust lifestyles within their reality of largely impoverished and crowded living circumstances. A possible explanation for observed non-adherence could be poor public perception and ownership of the national response, including related guidelines. Uganda’s approach to containing COVID-19 has been described as largely top-down, limited in community consultation or participation. This study will generate evidence on the experiences of Uganda’s urban poor during COVID-19, their perception of [COVID-19] risk, adherence to policy guidelines and local innovations for survival.

About the Research

  • The study is a mixed methods cross-sectional assessment of COVID 19 experiences among people living in Kampala slums
  • The empirical data will inform a behavioral intervention design
  • The study sites are Ki-Mombasa and Kabalagala Kataba slums in Kampala, Uganda

Expected Outcomes

  1. The study will generate evidence on the COVID 19 pandemic among communities living in Ugandan slums.
  2. Study findings will inform responsive policy and guidelines to improve their health and wellbeing.
  3. Evidence from the study will inform the design of tailored and robust community-led interventions for health and wellbeing.
  4. The study team will support community members and other key stakeholders implement these interventions in a sustainable manner
  5. Creation of lasting, impactful and solution-oriented partnerships between academia and research institutions like Makerere and Gulu Universities with other key stakeholders working with and in Uganda’s informal settlements.

About the Research Team

Dr Gloria Seruwagi

Principal Investigator (PI)

Prof. Stephen Lawoko

Co-Investigator

Catherine Nakidde

Co-Investigator

Hilda Namakula

Co-Investigator

Dr Eric Lugada

Co-Investigator

Project Contacts

  1. Gloria Seruwagi, (B.SWSA, MPH, PhD), Centre for Health and Social Economic Improvement (CHASE-i) 
  1. Prof. Stephen Lawoko (B.Stat, M. Stat, PhD), Gulu University, Department of Public Health, Faculty of Medicine

       3. Catherine Nakidde (BSc., MA, MPH) Centre for Health and Social Economic Improvement (CHASE-i), Makerere University

       4. Hilda Namakula (BA., MA) Centre for Health and Social Economic Improvement (CHASE-i), Makerere University

       5. Dr Eric Lugada (MBChB, PhD), Centre for Health and Social Economic Improvement (CHASE-i), Makerere University

Funding: This study is funded by The Government of Uganda, through the Makerere University Research and Innovations Fund (MakRIF).

Project Partners

Related:

  • ALERTs has a nested study on “Education in COVID-19” which you can read more about here.

Catherine Nakidde Nzesei

BSc. | MA | MPH | PhD ongoing

Associate Director of Programmes

Catherine Nakidde Nzesei is the Centre’s Associate Director of Programmes – providing leadership and support to the Programmes Unit across all projects, teams and associates.

Catherine is a public health specialist with graduate training in public health, health promotion and international development. A recipient of the 2022 Commonwealth Scholarship, she embarked on a PhD in public pealth at UCL which is driven by her passion for health system strengthening – and building on previous work around Strengthening Health Professional Regulation in Uganda and Kenya. Catherine’s PhD examines systems and processes for continuous quality improvement of healthcare professional training.

Catherine’s professional interests revolve around leveraging impact from effective systems and empowering vulnerable population categories to enable them to fulfil their potential – whether in a professional, community or personal setting. Some of her previous work has focused on understanding the experiences of refugees and slum dwellers in the COVID-19 pandemic as well as health system resilience. Since inception, Catherine has directly supported for several Centre projects including those on Reproductive Maternal Newborn Child and Adolescent Health (RMNCAH), refugee health and wellbeing, Quality Improvement (QI) and livelihoods.