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eMagazine February 2023

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OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>February</strong> <strong>2023</strong><br />

Women’s Health Education<br />

Section Editor: Sarah Cordisco, RN<br />

Staff Nurse at the University of Vermont<br />

What Are We Missing?<br />

Written by Joshua Matusuko<br />

Medical Student at MaKCHS<br />

Commentary<br />

Highlights<br />

Reflections<br />

Voice of Uganda<br />

Voices of Hispanic/Latinx<br />

Global Local<br />

Innovation and Technology<br />

Art to Remind Us of<br />

Who We Can Be<br />

Our Beautiful Planet<br />

Nursing Division<br />

Womens Health<br />

News<br />

Among the Letters<br />

Article of the Month<br />

Congratulations<br />

Photo Gallery<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

While in the emergency department of Katakwi<br />

hospital in Katakwi district approximately seven<br />

hours from Kampala, a middle-aged woman is<br />

rushed in with a compound fracture in the left lower<br />

limb. Quick debridement is performed on her wound<br />

and immediately POP placement is complete. She<br />

is seemingly intoxicated with alcohol. As she cried<br />

and groaned in severe pain, I wondered what could have brought her into such<br />

an unfortunate circumstance. Review from her history indicates that she was<br />

beaten by her husband, with whom she co-habits, after a fight.<br />

Ethically, such a case should have to be reported to police for justice to take<br />

its course, but I was informed that the patient stopped health personnel from<br />

reporting the matter to police, stating that she loves her husband and that it was<br />

a small misunderstanding and an accident. The health workers further inform<br />

us that it’s not the first time she has reported to the hospital with traumatic<br />

wounds, allegedly from beatings from her husband and they note that soon<br />

she may get a more threatening injury. This is a common case of gender-based<br />

violence (GBV) that is tragically only one of tens of thousands of cases reported<br />

annually and many more thousands that go unreported.<br />

GBV cases reduced 6.1% from 85,101 in 2017 to 79,888 in 2018, increased<br />

consistently by 3.1% in the following year, and then 9.8% to 90.489 from 2019 to<br />

2020. There were over seven thousand GBV cases every month and 251 every<br />

day in 2020, up from 6,867 cases every month and 228 cases daily in 2019 and<br />

48,650 GBV cases from January to June 2021, about 1142 cases monthly and 38<br />

daily. The national prevalence of violence against, even married, women by a<br />

partner: physical violence: 22.3%, sexual (16.6%), physical and sexual (9.3%); all<br />

lower than violence against teenagers aged 15-19 years; physical (23.5%), sexual<br />

(16.8%), and physical and sexual violence at 9.4% respectively (UDHS 2016, UBOS).<br />

Bukedi sub-region registered the highest percent of physical violence (32.6%),<br />

sexual violence (37.1%), and physical and sexual violence (18.6%) whereas Ankole<br />

registered the highest percent in emotional violence at 48.6% (UDHS 2016,<br />

UBOS). Over nine thousand 9,954 girls aged 15-17 were defiled in 2020 over 300<br />

victims of defilement were by HIV positive persons. One-hundred-twenty girls<br />

were defiled by parents in 2020 up (42.9% increase) from 84 in 2019 and 17,664<br />

domestic violence cases in 2020, up by 29% from 13,693 in 2019. There were over<br />

eighteen thousand victims of domestic violence in 2020: 3,408 male adults,<br />

13,145 female adults, 1,133 male juveniles, and 1,186 female juveniles (Annual Police<br />

Crime Report, 2020). Over fourteen thousand defilement cases were reported<br />

28

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