This field attachment was done at UG Prison Kitgum where I was attached for a period of two months. This report covers the practical experience, knowledge and exposure that I was able to get from this Prison setting as well as the challenges faced together with steps I took to deal with them. Chapter one gives a brief background about this attachment, UPS and training of the Prison Officer. It includes vision and mission of UPS, programmes and policies and the significance of field attachment. Chapter two covers my observations from the whole experience in field attachment and the activities carried out on attachment. These include; Duty Officer IC Reception IC Boma and Kitchen IC Court General administration Chapter three gives a summary of the report, conclusion and outlines recommendations made based on the challenges faced while carrying out the above different duties.

I have been training with Finance department under Local Government Finance Commission for a period of two months. Its from here I had the opportunity to apply the principles and techniques which I learnt theoretically to real life situations as well as encountering the different demand and changes of a work place. Its one of the best experiences I have ever had in life.

Introduction: This study was part of studies aimed at assess risk factors associated with low birth weight among teenage mothers at Buwambo Health Centre IV with the purpose to generate possible interventions to reduce on Low birth weight. This study aimed at establishing the knowledge, attitude and practices associated with low birth weight among teenage mothers at Buwambo Health Centre IV Methodology: This study used a descriptive cross-sectional study design and employed both quantitative and qualitative approaches of data collection. This was a cross sectional study design that used quantitative methodology on a sample of 30 teen mothers who delivered low birth weight babies who were purposively selected to participate in the study. A questionnaire was designed. Data was analysed manually and presented using percentages, figures and tables. Results: The findings of this study revealed that, (93%) were females, (60%) were in the age bracket of 16 years – 19 year, (53%) attained the primary level of education, (87%) were not married, and (77%) were unemployed. The study demonstrated prevalence of low birth weight babies was 100% among women attending at Buwambo Health Centre IV ; maternal morbidity factors: maternal illness during pregnancy (97%); maternal nutritional factors: pregnant mothers having less than 2 meals a day (63%) and lack of folic acid supplement during pregnancy (67%). Conclusion: This study was conducted at the OPD clinic of Buwambo Health Centre IV and the findings of this study revealed prevalence of low birth weight babies was 100% among women attending at Buwambo Health Centre IV (100%); maternal morbidity factors: maternal illness during pregnancy; maternal nutritional factors: pregnant mothers having less than 2 meals a day and lack of folic acid supplement during pregnancy.

Background TB and HIV remain the major health problem in Uganda. HIV is the leading risk after for the development of TB and TB is the leading cause of death in people with HIV/AIDS with the prevalenceof7.3% and approximated 50-60%of TB patients co-infected with HIV. The purpose of this study was to compile a report on the prevalence of pulmonary TB in HIV sero-positive patients attending ART clinic at Entebbe grade B hospital. . Methods: across sectional study was used for all males and female of any age attending Entebbe grade B hospital. Results among the 200 HIV sero-positive patients interviewed, 14% were co-infected with TB and among them,64% were males and 36% were females. Patients having a low CD4 below 250 were highly pre disposed to TB with 23% followed by smoking with16%.Patients with drenching night sweats had the highest percentage of smear positive with43% followed by cough with 28%. Conclusion since the increase in HIV infection rate leads to increase in TB disease, there is need to re-examine the strategies for their control, the development of programs with an integrated approach to inducing behavioral change and promoting condom use may reduce the infectivity of HIV transmitters and the susceptibility of HIV exposed persons. Recommendation all patients attending HIV clinic should be assessed and tested for TB .HIV and TB mass awareness campaigns among people. This should be done at community level as part of primary health care.

Objective: To establish factors contributing to non-adherence to antiretroviral therapy (ART) among HIV infected clients attending ART clinic at Ndejje Health Centre IV. Method: This was a descriptive cross sectional study design involving 133 HIV infected respondents on ART. Respondents were sampled via systematic random method after acquisition of verbal consent. Data was collected using a semi structured and pre-coded researcher administered questionnaire. Data was entered in Epi-data v3.1 and then exported to Epi-Info v3.3.1 for statistical analysis at 95% confidence level using chi-square tests, fisher’s exact test and logistic regression analysis. Results were presented in a tabular and graphical form. Probability values less than 0.05 were considered statistically important Results: 53.4% of the respondents were females, 52.6% were of the age group 40-59 years, 50.4% were married, and37.6% had attained primary level of education. Only 63% of the respondents ‟were adherent to the prescribed ARVs. The most commonly cited factors for nona dherence to ART by the respondents were: long waiting hour sintheclinic14.3%, patient health worker relationship 9.1%, financial constraints, distance, & transport cost 8.3%, loosing appointments card5. 3%, 4.5% side effects of the drugs and patient health worker ratio. At bivariate level of analysis, tendency for respondents of or get medications wallowing (p<0,001), ARV related side effects (p=0.002), service pro-viderattitude (p=0.004) and routine HIV counseling (p=0.008) were significantly correlated with adherence. However, via multiple logistic regression analysis, forgetting to take ARVs (adjusted OR=42,95%CI:5-348,p<0.001)and experience of ARV related side effects(adjusted OR=4,95%CI: 1-12, p=0.01) were powerfully and significantly associated with non-adherence to ART. Conclusion: ARV related toxicities/side effects and patient tendency to forget medication swallowing remarkably accounted for non-adherence to ART among clients seeking comprehensive HIV care at ART clinic of Ndejje health centre iv Recommendation: Early detection, diagnosis and appropriate management of patient related ART side effects in combination with new treatment reminder strategies are highly required for patient ART adherence.