Journal articles: 'CARE-Uganda'

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Kaggwa, Mark Mohan, Sheila Harms, and Mohammed A. Mamun. "Mental health care in Uganda." Lancet Psychiatry 9, no. 10 (October 2022): 766–67. http://dx.doi.org/10.1016/s2215-0366(22)00305-4.

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Smyth, Dion. "Politics and palliative care: Uganda." International Journal of Palliative Nursing 24, no. 7 (July 2, 2018): 362. http://dx.doi.org/10.12968/ijpn.2018.24.7.362.

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Duncan, Debbie. "Discovering health care in Uganda." Practice Nursing 22, no. 11 (November 2011): 607–8. http://dx.doi.org/10.12968/pnur.2011.22.11.607.

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Hearn, Jason, Sahr Wali, Patience Birungi, Joseph A. Cafazzo, Isaac Ssinabulya, Ann R. Akiteng, Heather J. Ross, Emily Seto, and Jeremy I. Schwartz. "A digital self-care intervention for Ugandan patients with heart failure and their clinicians: User-centred design and usability study." DIGITAL HEALTH 8 (January 2022): 205520762211290. http://dx.doi.org/10.1177/20552076221129064.

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Background The prevalence of heart failure (HF) is increasing in Uganda. Ugandan patients with HF report receiving limited information about their illness and associated self-care behaviours. Interventions targeted at improving HF self-care have been shown to improve patient quality of life and reduce hospitalizations in high-income countries. However, such interventions remain underutilized in resource-limited settings like Uganda. This study aimed to develop a digital health intervention that enables improved self-care amongst HF patients in Uganda. Methods We implemented a user-centred design (UCD) process to develop a self-care intervention entitled Medly Uganda. The ideation phase comprised a scoping review and preliminary data collection amongst HF patients and clinicians in Uganda. An iterative design process was then used to advance an initial prototype into a functional digital health intervention. The evaluation phase involved usability testing of the intervention amongst Ugandan patients with HF and their clinicians. Results Medly Uganda is a digital health intervention that allows patients to report daily HF symptoms, receive tailored treatment advice and connect with a clinician when showing signs of decompensation. The system harnesses Unstructured Supplementary Service Data (USSD) technology that is already widely used in Uganda for mobile phone-based financial transactions. Usability testing showed Medly Uganda to be both acceptable and feasible amongst clinicians, patients and caregivers. Conclusions Medly Uganda is a functional digital health intervention with demonstrated acceptability and feasibility in enabling Ugandan HF patients to better care for themselves. We are hopeful that the system will improve self-care efficacy amongst HF patients in Uganda.

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Guwatudde, David, Peter Delobelle, Pilvikki Absetz, Josefien Olmen Van, Roy William Mayega, Francis Xavier Kasujja, Jeroen De Man, et al. "Prevention and management of type 2 diabetes mellitus in Uganda and South Africa: Findings from the SMART2D pragmatic implementation trial." PLOS Global Public Health 2, no. 5 (May 2, 2022): e0000425. http://dx.doi.org/10.1371/journal.pgph.0000425.

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Health systems in many low- and middle-income countries are struggling to manage type 2 diabetes (T2D). Management of glycaemia via well-organized care can reduce T2D incidence, and associated morbidity and mortality. The primary aim of this study was to evaluate the effectiveness of facility plus community care interventions (integrated care), compared to facility only care interventions (facility care) towards improvement of T2D outcomes in Uganda and South Africa. A pragmatic cluster randomized trial design was used to compare outcomes among participants with T2D and those at high risk. The trial had two study arms; the integrated care arm, and the facility care arm; and in Uganda only, an additional usual care arm. Participants were enrolled at nine primary health facilities in Uganda, and two in South Africa. Participants were adults aged 30 to 75 years, and followed for up to 12 months. Primary outcomes were glycaemic control among participants with T2D, and reduction in HbA1c > = 3 mmol/mol among participants at high risk. Secondary outcomes were retention into care and incident T2D. Adjusted analysis revealed significantly higher retention into care comparing integrated care and facility care versus usual care in Uganda and integrated care versus facility care in South Africa. The effect was particularly high among participants at high risk in Uganda with an incident rate ratio of 2.46 [1.33–4.53] for the facility care arm and 3.52 [2.13–5.80] for the integrated care arm. No improvement in glycaemic control or reduction in HbA1c was found in either country. However, considerable and unbalanced loss to follow-up compromised assessment of the intervention effect on HbA1c. Study interventions significantly improved retention into care, especially compared to usual care in Uganda. This highlights the need for adequate primary care for T2D and suggest a role for the community in T2D prevention. Trial registration number: ISRCTN11913581.

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Credland, Nicola. "Critical care nursing in Mburara, Uganda." Nursing in Critical Care 19, no. 4 (June 19, 2014): 213. http://dx.doi.org/10.1111/nicc.12112_6.

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Conrad, Paul, Manuela De Allegri, Arinaitwe Moses, Elin C. Larsson, Florian Neuhann, Olaf Müller, and Malabika Sarker. "Antenatal Care Services in Rural Uganda." Qualitative Health Research 22, no. 5 (January 9, 2012): 619–29. http://dx.doi.org/10.1177/1049732311431897.

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NAKAKEETO-KIJJAMBU, MARGARET, and YVONNE E. VAUCHER. "High-Risk Newborn Care in Uganda." Pediatric News 46, no. 6 (June 2012): 19. http://dx.doi.org/10.1016/s0031-398x(12)70149-2.

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Downing, Julia. "Palliative care and education in Uganda." International Journal of Palliative Nursing 12, no. 8 (August 25, 2006): 358–61. http://dx.doi.org/10.12968/ijpn.2006.12.8.358.

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Hunt, Jennifer. "Bribery in health care in Uganda." Journal of Health Economics 29, no. 5 (September 2010): 699–707. http://dx.doi.org/10.1016/j.jhealeco.2010.06.004.

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Nakiyingi, Stella, and Dablin Mpuuga. "Multi-Level Analysis of Health Care Demand in Uganda: Empirical Evidence from the National Household Survey – 2016/17." Tanzanian Economic Review 11, no. 2 (February 28, 2022): 1–21. http://dx.doi.org/10.56279/ter.v11i2.81.

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This study examines determinants of health-care demand in Uganda, by estimating mixed-effects logistic regressions using data from the Uganda National Household Survey (UNHS) - 2016/17. The study firstly compares the 2012/13 and 2016/17 UNHS data and finds that the demand for health care in Uganda has decreased, except for the sub-regions of Busoga, Central I, and Kigezi. Secondly, the results from a mixed-effects regression on the entire sample show that health-care demand at an individual level is associated with individual’s age, smoking habits, and non-communicable disease (NCD) status, whereas household size and poverty status determine health-care demand at the household level. Running separate models for each region to investigate regional peculiarities, the results show disparities in health-care demand among regions in Uganda. Therefore, to improve efficacy and health-care seeking behaviours of Ugandans, policies should recognize and be tailored to address individual, household as well as regional peculiarities. JEL Codes: A10, I11, I19

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Schaefle, Kenneth J., Aloyse Habimana, Gideon Mhoza, and Sam Musominali. "Clinical officers in Uganda." JAAPA 37, no. 7 (June 25, 2024): 1–6. http://dx.doi.org/10.1097/01.jaa.0000000000000027.

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ABSTRACT The clinical role of a clinical officer in Uganda is very similar to that of a physician associate/assistant in the United States. This article describes the qualifications and workforce role of clinical officers in Uganda, as well as their use in two primary care programs that provide effective, low-cost medical care to a growing population with an increasing burden of chronic disease.

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Sserwanja, Quraish, David Mukunya, Prossy Nabachenje, Alleluyah Kemigisa, Paul Kiondo, Julius N. Wandabwa, and Milton W. Musaba. "Continuum of care for maternal health in Uganda: A national cross-sectional study." PLOS ONE 17, no. 2 (February 24, 2022): e0264190. http://dx.doi.org/10.1371/journal.pone.0264190.

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Introduction A continuum of maternal care approach can reduce gaps and missed opportunities experienced by women and newborns. We determined the level of coverage and factors associated with the continuum of maternal care in Uganda. Methods We used weighted data from the Uganda Demographic and Health Survey (UDHS) 2016. We included 10,152 women aged 15 to 49 years, who had had a live birth within five years preceding the survey. Stratified two-stage cluster sampling design was used to select participants. Continuum of maternal care was considered when a woman had at least four antenatal care (ANC) visits, had delivered in a health facility and they had at least one postnatal check-up within six weeks. We conducted multivariable logistic regression analysis to determine factors associated with completion of the continuum of maternal care using SPSS version 25. Results The level of coverage of complete continuum of maternal care was 10.7% (1,091) (95% CI: 10.0–11.2). About 59.9% (6,080) (95% CI: 59.0–60.8) had four or more antenatal visits while 76.6% (7,780) (95% CI: 75.8–77.5) delivered in a health facility and 22.5% (2,280) (95% CI: 21.5–23.2) attended at least one postnatal care visit within six weeks. The following factors were associated with continuum of maternal care; initiating ANC in the first trimester (AOR 1.49, 95% CI: 1.23–1.79), having secondary level of education (AOR 1.60, 95% CI: 1.15–2.22) and tertiary level of education (AOR 2.08 95% CI: 1.38–3.13) compared to no formal education, being resident in Central Uganda (AOR 1.44, 95% CI:1.11–1.89), Northern Uganda (AOR 1.35, 95% CI: 1.06–1.71) and Western Uganda (AOR 0.61, 95% CI: 0.45–0.82) compared to Eastern Uganda, and exposure to newspapers and magazines. Conclusion The level of coverage of the complete continuum of maternal care was low and varied across regions. It was associated with easily modifiable factors such as early initiation of ANC, exposure to mass media and level of education. Interventions to improve utilisation of the continuum of maternal care should leverage mass media to promote services, especially among the least educated and the residents of Western Uganda.

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Luyirika, E., and F. Kiyange. "A Regional Palliative Care Entity Working With a Host Government to Facilitate Exchange Visits From Across Africa to Improve Access to Controlled Medicines for Cancer Patients." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 164s. http://dx.doi.org/10.1200/jgo.18.17300.

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Background and context: The African Palliative Care Association (APCA) is a pan-African palliative care organization hosted in Uganda but supporting initiatives to integrate palliative care into national health systems across Africa. Uganda hosts one of the oldest cancer units in Africa and also reconstitutes its own oral liquid morphine to reduce barriers and cost of access to pain control for patients. Aim: The aim of this effort is to expose government officials and other NGOs from other African countries to best practices in oral morphine manufacture, distribution and access to controlled medicines for pain control in cancer and other conditions with a view to benchmark and establish similar or better systems. Strategy/Tactics: APCA working with its funders in consultation with the Ugandan Ministry of Health and Hospice Africa Uganda, facilitates other African ministries of health delegations to conduct study visits in Uganda to benchmark the oral morphine reconstitution, the supply chain mechanisms for its distribution to patients in both public and private hospitals and at home. Program/Policy process: APCA identifies countries with morphine access challenges and makes arrangements for key personnel in those countries in ministries of health, medicines control authority, central medicines stores and national palliative care associations where they exist to spend a study period in Uganda. While in Uganda, the delegations visit the oral morphine manufacturing facility, Hospice Africa Uganda, the Ministry of Health, national medical stores, National Drug Authority, joint medical stores and some of the palliative care providers and training facilities. Once the period with the various stakeholders in the country is completed, the visiting teams draw up plans for implementation and identify required technical assistance from APCA. The costing and sources of funding are identified including contribution from the government in need and then activities are implemented. Outcomes: As a result of this South-to-South approach, Uganda has hosted delegations from 14 African countries. At one instance, it involved the Minister Of Health from Swaziland heading a delegation to Uganda while others sent other high level delegates to the peer learning and bench marking. All these countries have taken steps to establish access to oral liquid morphine as well as policy and capacity building activities for their staff. Some of the countries like Malawi and Swaziland are already having morphine reconstitution and national palliative care policies while others such as Rwanda and Botswana are in the process of changing to the same system. Cancer and palliative care related activities are also being implemented in some of countries. Some countries have graduated to host others like Uganda does. What was learned: The South-to-South learning and bench marking visits are very practical in Africa and have triggered palliative care initiatives at national level.

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Kiruyi, Samuel. "Adherence to Self-care Practices among Diabetes Mellitus Patients at a Tertiary Hospital in Eastern Uganda." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 11, no. 2 (June 30, 2023): 291–304. http://dx.doi.org/10.21522/tijph.2013.11.02.art027.

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Adherence to self-care practices among diabetes mellitus patients is vital in achieving optimal glycemic control and delaying the progression of the disease complications. There is limited information regarding diabetes self-care among diabetic patients in Eastern Uganda, where the disease is most prevalent. The aim of this study was to determine the level of adherence to diabetes mellitus self-care practices and the associated factors among adult diabetic outpatients at a tertiary hospital in Eastern Uganda. A cross-sectional study was conducted at Mbale Regional Referral Hospital in Eastern Uganda between September and October 2020, on a sample of 156 diabetic patients recruited through systematic random sampling. A structured questionnaire was used to collect data through self-report. Descriptive and Logistic regression analyses were conducted using STATA version 15.0, and a 5% level of significance. Most of the study participants were female (63.8%) with an average age of 52.3 years (SD 13.8). The prevalence of adherence to self-care was 36.5%. The factors associated with adherence to self-care were good diabetes knowledge (AOR=2.5; 95% CI= 1.2-5.3, p = 0.016), and high self-efficacy (AOR=3.9; 95% CI= 1.8 – 8.7, p = 0.001). Less than half of the patients attending the diabetic clinic at Mbale Regional Referral Hospital in Eastern Uganda adhere to self-care practices. Patients ought to receive comprehensive, consistent, and contextualized diabetes education to enrich their knowledge, as well as a boost of their self-efficacy through interventions like counseling, positive feedback, role models, and peer education. Keywords: Diabetes, Self-care, Adherence, Eastern Uganda, Prevalence, Factors associated.

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Kitur, Gloria, Kevin Makori, and Chite Asirwa. "Abstract 84: The Process of Setting Up an Inter-Country Cancer Care Program in Low-And-Middle-Income Countries: A Case of International Cancer Institute’s Uganda Blueprint for Innovative Healthcare Access Program." Cancer Epidemiology, Biomarkers & Prevention 32, no. 6_Supplement (June 1, 2023): 84. http://dx.doi.org/10.1158/1538-7755.asgcr23-abstract-84.

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Abstract Purpose: Close to 70% of all cancer deaths occur in low- and middle-income countries (LMICs) with the rising cancer burden causing a strain on the already weak health care and economic infrastructures. The extrapolation of the experiences of cancer control programs in High Income Countries (HICs) to LMICs is often inappropriate requiring a regional scale up of successfully implemented cancer programs across LMICs. Methods: International Cancer Institute (ICI) is a non-governmental, not-for-profit organization whose main purpose is to expand education and training opportunities in cancer care, education and research across Sub-Saharan Africa through multisectoral corroborations and partnerships. ICI successfully implemented two Blueprint programs in Kenya thus sought to scale up the program to Western Uganda. An online search of key players in Cancer care in Uganda was conducted that identified six potential partners including Ministry of Health – Uganda, Uganda Cancer Institute (UCI), Uganda Cancer Society (UCS), Uganda Non-communicable Diseases Alliance (UNCDA), Mbarara Regional Referral Hospital and Mbarara University of Science and Technology. Virtual meetings were held with two of them with a site visit scheduled for face-to-face meetings. Results: ICI team met with UCS and UNCDA teams in Uganda where contacts of other potential partners were obtained resulting in face-to-face meetings with UCI; Mbarara Regional Referral Hospital; Ministry of Health Western Uganda; District leadership of Western Uganda; Kampala International University Teaching Hospital; and Kampala International University, Western Campus. An assessment of the scope of districts of focus, distribution of facilities and the health system structure was done. A technical working group with representatives from ICI and the identified partners will then be formed to guide program design, implementation, monitoring and evaluation. Conclusion: The process of setting up a cancer care program in LMICs applies not only new innovations but also resource appropriate interventions. Leveraging on existing partner expertise maximizes positive program outcomes. Citation Format: Gloria Kitur, Kevin Makori, Chite Asirwa. The Process of Setting Up an Inter-Country Cancer Care Program in Low-And-Middle-Income Countries: A Case of International Cancer Institute’s Uganda Blueprint for Innovative Healthcare Access Program [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 84.

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Bbaale, Edward. "Maternal education and childbirth care in Uganda." Australasian Medical Journal 4, no. 7 (August 1, 2011): 389–99. http://dx.doi.org/10.4066/amj.2011.72210.4066/amj.2011.722.

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Baishnab, Elora. "Medical Muzungu – primary care volunteering in Uganda." InnovAiT: Education and inspiration for general practice 7, no. 12 (January 10, 2014): 761–63. http://dx.doi.org/10.1177/1755738013513750.

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Fournier, Bonnie, Walter Kipp, Judy Mill, and Mariam Walusimbi. "Nursing Care of AIDS Patients in Uganda." Journal of Transcultural Nursing 18, no. 3 (July 2007): 257–64. http://dx.doi.org/10.1177/1043659607301301.

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Ismail, Yasmin, Alastair Watt, Kekibiina Allen, and Larry Pepper. "Providing HIV/AIDS care in Mbarara, Uganda." Lancet Infectious Diseases 3, no. 3 (March 2003): 169–71. http://dx.doi.org/10.1016/s1473-3099(03)00549-8.

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Jagwe, Jack G. M., and David Barnard. "The Introduction of Palliative Care in Uganda." Journal of Palliative Medicine 5, no. 1 (February 2002): 159–63. http://dx.doi.org/10.1089/10966210252785141.

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Opio-Odongo, J. M. A. "Prospects For Primary Health Care In Uganda." Community Development Journal 20, no. 4 (1985): 273–82. http://dx.doi.org/10.1093/cdj/20.4.273.

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Irumba, Lisa Christine, and Octivia Evelyn. "Community day care at hospice Africa Uganda." BMJ Supportive & Palliative Care 2, Suppl 1 (March 2012): A82.2—A82. http://dx.doi.org/10.1136/bmjspcare-2012-000196.240.

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Turyahabwe, Stavia, Muzamiru Bamuloba, Levicatus Mugenyi, Geoffrey Amanya, Raymond Byaruhanga, Joseph Fry Imoko, Mabel Nakawooya, et al. "Community tuberculosis screening, testing and care, Uganda." Bulletin of the World Health Organization 102, no. 06 (June 1, 2024): 400–409. http://dx.doi.org/10.2471/blt.23.290641.

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Bukuluki, Paul Mukisa, Sarah Kamya, Rogers Kasirye, and Anna Nabulya. "Facilitating the Transition of Adolescents and Emerging Adults From Care Into Employment in Kampala, Uganda: A Case Study of Uganda Youth Development Link." Emerging Adulthood 8, no. 1 (February 27, 2019): 35–44. http://dx.doi.org/10.1177/2167696819833592.

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Uganda has an increasing number of vulnerable youth in care who require support to transition into adult life. This article explores the agency enablers and the factors which hinder adolescents and emerging adults transitioning from care to adulthood, with an emphasis on the transition into work taking a case study of the Uganda Youth Development Link. Cross-sectional and case study designs were employed using structured questionnaires, focus group discussions, and in-depth interviews. Results show that care programs helped care leavers gain skills that facilitated self-reliance through employment in the formal sector and self-employment, a savings culture and expansion of social networks. Enablers included the mentors, exchange learning visits, placements with businesses, and positive social support networks. Unaffordable business premises, stigma and discrimination, limited access to credit, and insecurity inhibited successful post care transition. The conclusion emphasizes the importance of agency and structure in the transition out of care in Uganda.

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Lubbna, Syarifah, and Dr Geraldine Lane. "MENGEMBANGKAN PERAWATAN PALIATIF BERBASIS MASYARAKAT DI INDONESIA: BELAJAR DARI IMPLEMENTASI SUKSES DI INDIA DAN UGANDA." Jurnal Kesehatan 11, no. 2 (December 18, 2020): 133–49. http://dx.doi.org/10.38165/jk.v11i2.221.

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India dan Uganda adalah negara berkembang dengan tantangan dan potensi sumber daya yang mirip dengan Indonesia dalam kaitannya dengan upaya pengembangan perawatan paliatif. Namun, akhirnya kedua negara ini mampu mengatasi hambatan tersebut dan membuktikan bahwa perawatan paliatif sekarang tersedia dan dapat diakses oleh masyarakat. Studi ini bertujuan untuk mengeksplorasi layanan perawatan paliatif yang telah diimplementasikan di kedua negara tersebut, kemudian mengidentifikasi strategi yang digunakan yang mungkin dapat diadopsi untuk mendukung praktik perawatan paliatif berbasis komunitas (Community-based Palliative Care) di negara berkembang lainnya termasuk Indonesia. Metode dengan peninjauan cepat (rapid review) terhadap lima database elektronik dilakukan selama periode delapan minggu pada bulan April-Juni 2018. Penelitian yang telah dilakukan terkait praktik perawatan paliatif di India dan Uganda yang diterbitkan dalam bahasa Inggris dari tahun 2000 hingga 2018 adalah kriteria inklusinya. Semua judul dan abstrak (n = 542) ditinjau relevansinya, dan lima belas artikel yang relevan telah teridentifikasi. Perawatan paliatif berbasis komunitas di India dan Uganda diprakarsai oleh The Pain and Palliative Care Society (PPCS), dan Hospice Uganda (HU). Kolaborasi antara Non-goventmental Organisations (NGOs), pemerintah daerah, WHO, dan organisasi potensial lainnya telah diinisiasi untuk membantu memberikan pelatihan perawatan paliatif, peraturan dan kebijakan, serta memastikan ketersediaan morfin. Relawan komunitas juga dilatih untuk memberi dukungan kepada pasien dengan penyakit kronis dan keluarganya di masyarakat, terutama di daerah pedesaan, dengan kemampuan mengidentifikasi masalah, memberikan dukungan non-medis, dan bertindak sebagai 'jembatan' antara pasien dan profesional perawatan kesehatan. Media lokal juga dimanfaatkan untuk membantu meningkatkan kesadaran masyarakat yang lebih luas. Perkembangan perawatan paliatif berbasis komunitas di India dan Uganda dan strategi yang digunakan telah teridentifikasi. Oleh karena itu, beberapa rekomendasi telah diuraikan untuk mempromosikan pengembangan perawatan paliatif berbasis komunitas di Indonesia. Saran untuk peneliti selanjutnya adalah pentingnya mengeksplorasi bagaimana manajemen finansial yang efektif dilakukan pada praktik perawatan paliatif berbasis komunitas di negara berkembang lainnya dengan memaksimalkan peran relawan. Kata Kunci: Perawatan Paliatif; komunitas; relawan; perawatan di rumah; penyakit terminal; AbstractIndia and Uganda are developing countries with similar barriers and potential resources with Indonesia in relations to palliative care provision. However, they were finally able to tackle the barriers and prove that palliative care is now available and accessible in their communities. This study aims to explore the palliative care services that have been implemented in these two countries, and then to identify strategies used that might be needed in supporting community-based palliative care (CBPC) practices in other developing countries including Indonesia. A rapid review of five electronic databases was undertaken over an eight-week period in April-June 2018. Prior studies of palliative care practices in India and Uganda published in English from 2000 to 2018 were included. All titles and abstracts (n=542) were reviewed for relevance, and fifteen articles were identified. The CBPC in India and Uganda were initiated by the Pain and Palliative Care Society, and Hospice Uganda respectively. The collaborations between these NGOs, local governments, WHO, and other potential organizations have been initiated to help providing palliative care trainings, regulations and policies as well as ensuring availability of free morphine. The Community volunteers have been trained to support chronically ill patients and their families in society, particularly in rural areas, by identifying their issues, providing non-medical support, and acting as a ‘bridge’ between the patients and health care professionals. Local media was also utilized to help raising awareness of wider population. The development of CBPC in India and Uganda and the strategies used have been identified. Considering these strategies, some recommendations have been outlined to promote the development of community-based palliative care in local areas in Indonesia. It is recommended for the next researcher to explore funding management in the practice of community based palliative care by optimizing the role of volunteers.Keywords: Palliative care; community; volunteer; home care; terminal illness

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Pirani, Shafique, Edward Naddumba, Richard Mathias, Joseph Konde-Lule, J. Norgrove Penny, Titus Beyeza, Ben Mbonye, Jackson Amone, and Fulvio Franceschi. "Towards Effective Ponseti Clubfoot Care: The Uganda Sustainable Clubfoot Care Project." Clinical Orthopaedics and Related Research 467, no. 5 (March 24, 2009): 1154–63. http://dx.doi.org/10.1007/s11999-009-0759-0.

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Irumba, Lisa Christine, Benjamin Mwesige, Joyce Zalwango, Cynthia Kabagambe, Nixon Niyonzima, Mark Donald Mwesiga, Julia Downing, and Jackson Orem. "A Collaborative Partnership Between the Palliative Care Association of Uganda and the Uganda Cancer Institute to Strengthening Cancer Control, Survivorship, and Outcomes Through Research." JCO Global Oncology 10, Supplement_1 (July 2024): 10–11. http://dx.doi.org/10.1200/go-24-13000.

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PURPOSE Cancer remains a global health challenge with profound implications on individuals, families, and healthcare systems. The changing face of cancer care needs a holistic strategy that goes beyond conventional treatment modalities. Uganda's healthcare system is facing an increasing number of cancer cases, which highlights the need for creative solutions to enhance cancer outcomes, survivability, and control. UCI and PCAU host Uganda Conferences on Cancer and Palliative Care in partnership with the Ministry of Health. These bring together individuals and stakeholders involved in cancer and palliative care to share their research, and experiences of good practice and as such promote collaboration and networking in clinical practice, research, and training. METHODS Every 2 years, the conference brings together experts in the fields of cancer and palliative care, medical professionals, students, legislators, distinguished scholars, corporate partners, donors, and members of the public. Their structure includes plenary sessions, workshops, parallel presentations, special interest side events, poster presentations, and exhibitions. The theme is selected by the scientific committee who reflect on cancer and palliative care issues affecting the country at that time. During their delivery, there are research presentations, capacity building in oncology and palliative care, community engagement, sharing of compelling stories by survivors, and advocacy through involving other line ministries and policymakers. RESULTS 4 biennial conferences have been hosted, in 2017 when the Uganda Cancer Institute celebrated 50 years of existence 451 delegates from 17 countries, in 2019 350 delegates from 8 countries, in 2021 online during the COVID-19 pandemic 350 delegates on Zoom and others on Uganda Broadcasting Television, and in 2023 450 delegates from 13 countries attended. Conference proceedings and lessons have been published in ecancer and ehospice. CONCLUSION This collaborative initiative represents a novel approach to cancer care in Uganda through the exchange of ideas, experiences, and expertise among people with diverse backgrounds. Throughout the conferences, there is always a sense of optimism, resilience, and pledges to the ongoing development of cancer and palliative care services in Uganda.

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Kutalkova, K., M. Prochazka, and L. Matulnikova. "Prenatal Care in Uganda and the Czech Republic." Clinical Social Work and Health Intervention 9, no. 1 (March 16, 2018): 52–59. http://dx.doi.org/10.22359/cswhi_9_1_08.

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Kale, Sachin S. "Perspectives on spiritual care at Hospice Africa Uganda." International Journal of Palliative Nursing 17, no. 4 (April 2011): 177–82. http://dx.doi.org/10.12968/ijpn.2011.17.4.177.

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Sparrow, Jane. "A child-care open learning programme in Uganda." Development in Practice 2, no. 2 (January 1992): 125–27. http://dx.doi.org/10.1080/096145249100076741.

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Kagaha, Alexander, and Lenore Manderson. "Medical technologies and abortion care in Eastern Uganda." Social Science & Medicine 247 (February 2020): 112813. http://dx.doi.org/10.1016/j.socscimed.2020.112813.

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Kamonyo, Emmanuel S. "The Palliative Care Journey in Kenya and Uganda." Journal of Pain and Symptom Management 55, no. 2 (February 2018): S46—S54. http://dx.doi.org/10.1016/j.jpainsymman.2017.03.026.

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Merriman, Anne. "Uganda: Status of cancer pain and palliative care." Journal of Pain and Symptom Management 12, no. 2 (August 1996): 141–43. http://dx.doi.org/10.1016/0885-3924(96)00085-1.

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Stella, Neema, and Nankwanga Annet. "In Need of Care but Providers of Care: Grandparents Giving Fulltime Care to their Grandchildren in Rural Uganda." Anthropology – Open Journal 4, no. 1 (December 31, 2020): 1–8. http://dx.doi.org/10.17140/antpoj-4-119.

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Background In most African countries, the elderly face challenges that affect their health and wellbeing and are more pronounced because of the systemic factors of inadequate health care, food insecurity and the general care. Increasing population of the elderly persons in Uganda is raising concern than ever before. The purpose of this paper to ascertain care available to the rural elderly persons and their role as carers for their grandchildren and implications on their wellbeing. Methods This was a qualitative study conducted among the rural elderly aged 60 years and above in eight purposively selected district that included Lira, Nebbi, Kampala, Luwero, Pallisa, Jinja, Mbarara, and Ntungamo. The study sample consisted of 101 elderly person from whom in-depth interviews were conducted. Data was analysed using qualitative thematic content analysis. Results Rural elderly in Uganda face a lot of constraints that include access to healthcare and information, poor economic status, food insecurity and poor nutrition, and poor accommodation and housing conditions. Two broader themes emerged inductively from the analysis that include care available for the rural elderly and providing care to grandchildren. These themes generated several subthemes. Taking care of grandchildren crippled the elderly and reduced the economic benefits. That said some rural elderly were happy and felt fulfilled to care of the grandchildren despite the lack of resources. Conclusion The rural elderly in Uganda are living in doleful conditions with limited care and support. They need care but are the providers of care to the grandchildren. They are frails and may not afford to provide adequate care. They care for grandchildren many of whom are orphans and vulnerable yet they themselves need care. It is important the government and the community re-enforce this care not to put strain on elderly. The rural elderly unique challenges necessitates special targeting and mobilization of resources at the household, local, district and national levels.

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Olds, Peter K., Gabriel Nuwagaba, Paul S. Obwoya, Edwin Nuwagira, Jessica E. Haberer, and Samson Okello. "Patient-provider experiences with chronic non-communicable disease care during COVID-19 lockdowns in rural Uganda: A qualitative analysis." PLOS ONE 18, no. 12 (December 14, 2023): e0295596. http://dx.doi.org/10.1371/journal.pone.0295596.

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Non-communicable diseases (NCDs) are a growing health burden in Sub-Saharan Africa and especially Uganda, where they account for over one third of all deaths. During the COVID-19 pandemic, public health control measures such as societal “lockdowns” had a significant impact on longitudinal NCD care though no studies have looked at the lived experience around NCD care during the pandemic. Our objective was to understand the experience of NCD care for both patients and providers in southwestern Uganda during the COVID-19 pandemic. We conducted in-depth, in-person qualitative interviews with 20 patients living with hypertension, diabetes, and/or cardiac disease purposefully selected from the outpatient clinics at Mbarara Regional Referral Hospital and 11 healthcare providers from public health facilities in Mbarara, southwestern Uganda. We analyzed transcripts according to conventional content analysis. We identified four major themes that emerged from the interviews; (1) difficulty accessing medication; (2) food insecurity; (3) barriers to the delivery of NCD clinical care and (4) alternative forms of care. Pre-existing challenges with NCD care were exacerbated during COVID-19 lockdown periods and care was severely disrupted, leading to worsened patient health and even death. The barriers to care were exacerbations of underlying systemic problems with NCD care delivery that require targeted interventions. Future work should leverage digital health interventions, de-centralizing NCD care, improving follow-up, providing social supports to NCD patients, and rectifying supply chain issues.

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Nathan, Isabirye, Agnes Nyabigambo, Agnes Kayego, Peter Waiswa, Kele Moley, and Salimah Walani. "Readiness for implementation of preconception care in Uganda; a review on the current policy, health system barriers, opportunities and way forward." International Journal of Pregnancy & Child Birth 7, no. 3 (May 26, 2021): 68–72. http://dx.doi.org/10.15406/ipcb.2021.07.00231.

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Background: Uganda like other low-income countries, preconception health has received no attention. Communications in this article are derived from preliminary findings of an ongoing preconception baseline pilot in Luuka-a rural eastern district of Uganda. This is a phased study, including a desk review of literature and a short baseline pilot. Methods: The review followed the methodology of systematic reviews. Key electronic databases were searched including PUBMED/MEDLINE and google scholar. Also, reports from ministries/academic institution libraries and views from experts were done. English articles published post 2000, covering preconception care, barriers, facilitators and policies were included in the review. Out of 110 shortlisted abstracts, 28 were included. Studies were extracted onto structured formats and analysed using the narrative synthesis approach. Results: There exist unstructured preconception health and service guidelines in Uganda. Barriers to preconception service integration into the district’s health system include; lack of a clear policy, careworn health system and care seeker related factors. Opportunities for preconception service integration include; poor maternal and neonatal health indicators, positive change in health seeking behaviour, existence of a gap in the care continuum, functional VHT system to link the community to services, anticipated roll out of key family care practises by Ministry of Health Uganda, and improved access to radio & mobile phones. Conclusion: Formulation of clear preconception guidelines, testing health system integration approaches, stakeholders’ engagement, awareness creation and strengthening the supply side is recommended as a way forward

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de Loizaga, Sarah R., Jafesi Pulle, Joselyn Rwebembera, Jessica Abrams, Jenifer Atala, Emily Chesnut, Kristen Danforth, et al. "Development and User Testing of a Dynamic Tool for Rheumatic Heart Disease Management." Applied Clinical Informatics 14, no. 05 (October 2023): 866–77. http://dx.doi.org/10.1055/s-0043-1774812.

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Abstract Objective Most rheumatic heart disease (RHD) registries are static and centralized, collecting epidemiological and clinical data without providing tools to improve care. We developed a dynamic cloud-based RHD case management application with the goal of improving care for patients with RHD in Uganda. Methods The Active Community Case Management Tool (ACT) was designed to improve community-based case management for chronic disease, with RHD as the first test case. Global and local partner consultation informed selection of critical data fields and prioritization of application functionality. Multiple stages of review and revision culminated in user testing of the application at the Uganda Heart Institute. Results Global and local partners provided feedback of the application via survey and interview. The application was well received, and top considerations included avenues to import existing patient data, considering a minimum data entry form, and performing a situation assessment to tailor ACT to the health system setup for each new country. Test users completed a postuse survey. Responses were favorable regarding ease of use, desire to use the application in regular practice, and ability of the application to improve RHD care in Uganda. Concerns included appropriate technical skills and supports and potential disruption of workflow. Conclusion Creating the ACT application was a dynamic process, incorporating iterative feedback from local and global partners. Results of the user testing will help refine and optimize the application. The ACT application showed potential for utility and integration into existing care models in Uganda.

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Jonathan, Kivumbi. "Knowledge, Attitudes, and Practices of Family Planning among Mothers attending Antenatal Care in Rural Uganda: Implications for Maternal Health and Population Growth." IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS 9, no. 1 (April 11, 2024): 55–62. http://dx.doi.org/10.59298/idosr/jbbaf/24/91.5562.

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Family planning remains a critical aspect of maternal health and population management in Uganda, particularly in rural areas. Despite concerted efforts to increase awareness and accessibility, utilization rates remain suboptimal. This descriptive cross-sectional study aimed to assess the knowledge, attitudes, and practices of family planning among mothers attending antenatal care in Kyotera district, Uganda. A sample of 138 participants completed questionnaires, revealing a nuanced landscape: while overall knowledge of family planning was high (73.9%), a significant minority demonstrated poor understanding (26.1%). Similarly, though the majority exhibited positive attitudes towards family planning (71.0%), a substantial proportion held negative views (29.0%). Notably, 62.3% of mothers were not utilizing any family planning methods, despite 37.7% reporting usage, with injectable contraceptives being the most common (42.3%). These findings underscore the need for targeted education campaigns, enhanced service accessibility, and dispelling misconceptions to promote informed decision-making and uptake of family planning methods. Addressing these challenges is vital for improving maternal health outcomes and managing population growth in rural Uganda. Keywords: Family planning, Maternal health, Kyotera district, Rural Uganda, Antenatal care, Knowledge, Attitudes, Practices.

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Otto, David Ekwang, and David Mwesigwa Mwesigwa. "A perspective on the relationship between partnership and sustainability of child-care organisations in Uganda." Journal of Advanced Sociology 3, no. 1 (November 19, 2022): 73–81. http://dx.doi.org/10.47941/jas.1121.

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Purpose: This study aimed to discuss the relationship between partnership and sustainability of child care organisations in Uganda. This was largely so because it has become clearer that modern day child-care organisations lack ability to continue operating beyond the donor or sponsorship yet sustainability is a key ingredient in child-care organisational initiation. This limitation has placed cumulative burden on child-care organisations wishing to enhance their sustainability by ensuring that they put greater emphasis on partnerships in terms of coordination, networks and collaboration both from within and without. And bearing in mind the countless trials and the signal of dearth of partnership through networks, coordination and collaboration in not-for-profit child-care organisations in Uganda, the motivation of this study is on how Ugandan child-care organisations can achieve sustainability in the competitive 21st century. Methodology: The study adopted a desk review method, some earlier theories on child-care as well as various literatures on each of the three constructs of networks, coordination and collaboration are debated as a base for drawing recommendations to different stakeholders. Results: It can be noted that for sustainability to be achieved in a child-care organisation, emphasis needs to be put to the three issues of networks, coordination, and collaboration. Unique contribution to theory, policy and practice: The outcomes of this analysis are helpful to the different theories and policies on child care organisations in northern Uganda and the country in general.

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MOORE, ANN M., GABRIEL JAGWE-WADDA, and AKINRINOLA BANKOLE. "MEN'S ATTITUDES ABOUT ABORTION IN UGANDA." Journal of Biosocial Science 43, no. 1 (September 17, 2010): 31–45. http://dx.doi.org/10.1017/s0021932010000507.

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SummaryAbortion is illegal in Uganda except to save the life of the woman. Nevertheless, the practice is quite common: about 300,000 induced abortions occur annually among Ugandan women aged 15–49 (Singh et al., 2005) and a large proportion of these women require treatment for post-abortion complications. In the male-dominant culture of Uganda, where men control most of the financial resources, men play a critical part in determining whether women receive a safe abortion, or appropriate treatment if they experience abortion complications. This study examines men's roles in determining women's access to a safer abortion and post-abortion care. It draws on in-depth interviews carried out in 2003 with 61 women aged 18–60 and 21 men aged 20–50 from Kampala and Mbarara, Uganda. Respondents' descriptions of men's involvement in women's abortion care agreed that men's stated attitudes about abortion often prevented women from involving them in either the abortion or post-abortion care. Most men believe that if a woman is having an abortion, it must be because she is pregnant with another man's child, although this does not correspond with women's reasons for having an abortion – a critical disjuncture revealed by the data between men's perceptions of, and women's realities regarding, reasons for seeking an abortion. If the woman does experience post-abortion complications, the prevailing attitude among men in the sample was that they cannot support a woman in such a situation seeking care because if it had been his child, she would not have had a covert abortion. Since money is critical to accessing appropriate care, without men's support, women seeking an abortion may not be able to access safer abortion options and if they experience complications, they may delay care-seeking or may not obtain care at all. Barriers to involving men in abortion decision-making endanger women's health and possibly their lives.

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Kaberuka, Will, Alex Mugarura, Javan Tindyebwa, and Debra S. Bishop. "Factors determining child mortality in Uganda." International Journal of Social Economics 44, no. 5 (May 8, 2017): 633–42. http://dx.doi.org/10.1108/ijse-08-2015-0201.

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Purpose The purpose of this paper is to establish socio-economic factors and maternal practices that determine child mortality in Uganda. Design/methodology/approach The paper examines the role of sex, birth weight, birth order and duration of breastfeeding of a child; age, marital status and education of the mother; and household wealth in determining child mortality. The study employs a logistic regression model to establish which of the factors significantly impacts child mortality in Uganda. Findings The study established that education level, age and marital status of the mother as well as household wealth significantly impact child mortality. Also important are the sex, birth weight, birth order and breastfeeding duration. Research limitations/implications Policies aimed at promoting breastfeeding and education of female children can make a significant contribution to the reduction of child mortality in Uganda. Practical implications Health care intervention programs should focus on single, poor and uneducated mothers as their children are at great risk due to poor and inadequate health care utilization. Originality/value This paper could be the first effort in examining child mortality status in Uganda using a logistic regression model.

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Makika, Maya, Fred Matovu, Wasswa Matovu, and Mesele Araya. "Effect of Out-of-Pocket Health Expenditure on Household Welfare: Evidence from Uganda National Household Survey: 2016–2017." Tanzanian Economic Review 12, no. 1 (June 30, 2022): 18–34. http://dx.doi.org/10.56279/ter.v12i1.94.

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Out-of-Pocket health expenditures (OOP) in Uganda are increasingly rising due to the limited share of the national budget allocation to the health sector. Using Uganda National Household Survey data (UNHS) 2016/17, this study investigates the effect of OOP health expenditures on household welfare in Uganda. Due to the presence of endogeneity, the study employs a robust sampling instrumental variable technique to control for simultaneous causality between household welfare and the OOP health expenditure variable in the model. The findings show that a unit increase in OOP health expenditure reduces household food consumption expenditure by 9% and the household asset base by 2%, respectively. This study thus recommends the effective implementation of the Uganda National Health Insurance Scheme (NHIS), increased investment in preventive care services, and promotion of activities aimed at empowering health beneficiaries in Uganda to improve their household welfare.

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Ellis, Cathryn, Laura Schummers, and Jean-Francois Rostoker. "Reducing Maternal Mortality in Uganda: Applying the “Three Delays” Framework." International Journal of Childbirth 1, no. 4 (2011): 218–26. http://dx.doi.org/10.1891/2156-5287.1.4.218.

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PURPOSE: This article examines maternal mortality in Uganda through the “Three Delays” framework. This framework asserts that maternal mortality in developing countries results from three delays to accessing appropriate health care: (a) the delay in making a timely decision to seek medical assistance, (b) the delay in reaching a health facility, and (c) the delay in provision of adequate care at a health facility.STUDY DESIGN: This study provides a review and synthesis of literature published about maternal mortality, the “Three Delays” concept, Uganda, and sub-Saharan Africa between 1995 and 2010.MAJOR FINDINGS: The “Three Delays” framework has relevance in the Ugandan context. This framework allows for an integrated and critical analysis of the interactions between cultural factors that contribute to the first delay and inadequate emergency obstetrical care related to the third delay.MAJOR CONCLUSION: In order to reduce maternal mortality in Uganda, governments and institutions must become responsive to the cultural and health needs of women and their families. Initiatives that increase educational and financial status of women, antenatal care, and rates of institutional care may reduce maternal mortality in the long term. Improvements to emergency obstetrical services are likely to have the most significant impact in the short term.

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Campbell, Janis E., Jessica Beetch, Townsend Cooper, and Jianquan Cheng. "Infant mortality and its determinants in Uganda 2016: Using a geographically weighted regression approach." PLOS Global Public Health 3, no. 12 (December 20, 2023): e0002669. http://dx.doi.org/10.1371/journal.pgph.0002669.

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Infant mortality (IM) represents the overall health of a country or region as it relates to access to medicine, health care, and clean water in a population. IM remains understudied in many areas of Uganda, as many studies are from urban the capital (Kampala). The long-term goal of this research is the mitigation of IM and poor pregnancy outcomes in Uganda. Insights gained from geographic distribution of IM will allow adaptation of diagnosis, treatments, and interventions within the studied areas. Through using OLS and geographically weighted regression, this study has explored the significant factors and their heterogeneous and scaling effects in 2016 across Uganda. The empirical findings from this study include a significant association between IM and both being unmarried and preferring to speak Luganda when interviewed. Those unmarried may lack a social network to assist with income, childcare, and household chores representing decreased resources. Additionally, being interviewed in Luganda was associated over a large geographic area, which may represent not being comfortable in English, which is the language of education, commerce, and presumably health care, thus suggesting a disconnect with health care settings. These data suggest that strides can be made in Uganda by providing targeted resources to areas with high rates of unmarried mothers and those areas with high rates of Luganda as their language of choice.

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DeWyer, Alyssa, Amy Scheel, Jenipher Kamarembo, Rose Akech, Allan Asiimwe, Andrea Beaton, Bua Bobson, et al. "Establishment of a cardiac telehealth program to support cardiovascular diagnosis and care in a remote, resource-poor setting in Uganda." PLOS ONE 16, no. 8 (August 6, 2021): e0255918. http://dx.doi.org/10.1371/journal.pone.0255918.

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Introduction To address workforce shortages and expand access to care, we developed a telemedicine program incorporating existing infrastructure for delivery of cardiovascular care in Gulu, Northern Uganda. Our study had three objectives: 1) assess feasibility and clinical impact 2) evaluate patient/parent satisfaction and 3) estimate costs. Methods All cardiology clinic visits during a two-year study period were included. All patients received an electrocardiogram and echocardiogram performed by a local nurse in Gulu which were stored and transmitted to the Uganda Heart Institute in the capital of Kampala for remote consultation by a cardiologist. Results were relayed to patients/families following cardiologist interpretation. The following telemedicine process was utilized: 1) clinical intake by nurse in Gulu; 2) ECG and echocardiography acquisition in Gulu; 3) echocardiography transmission to the Uganda Heart Institute in Kampala, Uganda; 4) remote telemedicine consultation by cardiologists in Kampala; and 5) communication of results to patients/families in Gulu. Clinical care and technical aspects were tracked. Diagnoses and recommendations were analyzed by age groups (0–5 years, 6–21 years, 22–50 years and > 50 years). A mixed methods approach involving interviews and surveys was used to assess patient satisfaction. Healthcare sector costs of telemedicine-based cardiovascular care were estimated using time-driven activity-based costing. Results Normal studies made up 47%, 55%, 76% and 45% of 1,324 patients in the four age groups from youngest to oldest. Valvular heart disease (predominantly rheumatic heart disease) was the most common diagnosis in the older three age groups. Medications were prescribed to 31%, 31%, 24%, and 48% of patients in the four age groups. The median time for consultation was 7 days. A thematic analysis of focus group transcripts displayed an overall acceptance and appreciation for telemedicine, citing cost- and time-saving benefits. The cost of telemedicine was $29.48/visit. Conclusions Our data show that transmission and interpretation of echocardiograms from a remote clinic in northern Uganda is feasible, serves a population with a high burden of heart disease, has a significant impact on patient care, is favorably received by patients, and can be delivered at low cost. Further study is needed to better assess the impact relative to existing standards of care and cost effectiveness.

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Parkes-Ratanshi, Rosalind, Ruth Kikonyogo, Yu-Hsiang Hsieh, Edith Nakku-Joloba, Yukari C. Manabe, Charlotte A. Gaydos, and Anne Rompalo. "Point-of-care diagnostics: needs of African health care workers and their role combating global antimicrobial resistance." International Journal of STD & AIDS 30, no. 4 (January 9, 2019): 404–10. http://dx.doi.org/10.1177/0956462418807112.

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Point-of-care tests (POCTs) offer the opportunity for increased diagnostic capacity in resource-limited settings, where there is lack of electricity, technical capacity, reagents, and infrastructure. Understanding how POCTs are currently used and determining what health care workers (HCWs) need is key to development of appropriate tests. In 2016, we undertook an email survey of 7584 HCWs who had received training at the Infectious Diseases Institute, Uganda, in a wide variety of courses. HCWs were contacted up to three times and asked to complete the survey using Qualtrics software. Of 555 participants answering the survey (7.3% response rate), 62% completed. Ninety-one percent were from Uganda and 50.3% were male. The most commonly-used POCTs were pregnancy tests (74%), urine dipstick (71%), syphilis rapid test (66%), and Gram stain (41%). The majority (74%) practiced syndromic diagnosis for sexually transmitted infections/HIV. Lack of availability of POCTs, increased patient wait time, and lack of training were the leading barriers for POCT use. Increasing POCT availability and training could improve uptake of POCTs for sexually transmitted infections in Africa and decrease syndromic management. This could reduce overtreatment and slow the emergence of antibiotic resistance. This is the first published email survey of HCWs in Uganda; mechanisms to increase the response rate should be evaluated.

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Fraser, Brooke A., Richard A. Powell, Faith N. Mwangi-Powell, Eve Namisango, Breffni Hannon, Camilla Zimmermann, and Gary Rodin. "Palliative Care Development in Africa: Lessons From Uganda and Kenya." Journal of Global Oncology, no. 4 (December 2018): 1–10. http://dx.doi.org/10.1200/jgo.2017.010090.

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Purpose Despite increased access to palliative care in Africa, there remains substantial unmet need. We examined the impact of approaches to promoting the development of palliative care in two African countries, Uganda and Kenya, and considered how these and other strategies could be applied more broadly. Methods This study reviews published data on development approaches to palliative care in Uganda and Kenya across five domains: education and training, access to opioids, public and professional attitudes, integration into national health systems, and research. These countries were chosen because they are African leaders in palliative care, in which successful approaches to palliative care development have been used. Results Both countries have implemented strategies across all five domains to develop palliative care. In both countries, successes in these endeavors seem to be related to efforts to integrate palliative care into the national health system and educational curricula, the training of health care providers in opioid treatment, and the inclusion of community providers in palliative care planning and implementation. Research in palliative care is the least well-developed domain in both countries. Conclusion A multidimensional approach to development of palliative care across all domains, with concerted action at the policy, provider, and community level, can improve access to palliative care in African countries.

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Njeru, Paula, Martha Nassali, Christine Muhumuza, Martin Kaddamukasa, Aggrey Mukose, Fred Wabwire, Michael Haglund, Anthony Fuller, and Deborah Koltai. "Health systems capacity for epilepsy care in Uganda: A survey of health facilities in Western Uganda." Journal of the Neurological Sciences 455 (December 2023): 121564. http://dx.doi.org/10.1016/j.jns.2023.121564.

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Sakaya Barasa, Kennedy. "Quality of Antenatal Care Services in South-Western Uganda." American Journal of Health Research 3, no. 5 (2015): 279. http://dx.doi.org/10.11648/j.ajhr.20150305.13.

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Journal articles on the topic 'CARE-Uganda'

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