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Academic literature on the topic 'Medical care – Uganda – Evaluation'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Medical care – Uganda – Evaluation"

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Van Hout, Marie-Claire, Max Bachmann, Jeffrey V. Lazarus, Elizabeth Henry Shayo, Dominic Bukenya, Camila A. Picchio, Moffat Nyirenda, et al. "Strengthening integration of chronic care in Africa: protocol for the qualitative process evaluation of integrated HIV, diabetes and hypertension care in a cluster randomised controlled trial in Tanzania and Uganda." BMJ Open 10, no. 10 (October 2020): e039237. http://dx.doi.org/10.1136/bmjopen-2020-039237.

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IntroductionIn sub-Saharan Africa, the burden of non-communicable diseases (NCDs), particularly diabetes mellitus (DM) and hypertension, has increased rapidly in recent years, although HIV infection remains a leading cause of death among young-middle-aged adults. Health service coverage for NCDs remains very low in contrast to HIV, despite the increasing prevalence of comorbidity of NCDs with HIV. There is an urgent need to expand healthcare capacity to provide integrated services to address these chronic conditions.Methods and analysisThis protocol describes procedures for a qualitative process evaluation of INTE-AFRICA, a cluster randomised trial comparing integrated health service provision for HIV infection, DM and hypertension, to the current stand-alone vertical care. Interviews, focus group discussions and observations of consultations and other care processes in two clinics (in Tanzania, Uganda) will be used to explore the experiences of stakeholders. These stakeholders will include health service users, policy-makers, healthcare providers, community leaders and members, researchers, non-governmental and international organisations. The exploration will be carried out during the implementation of the project, alongside an understanding of the impact of broader structural and contextual factors.Ethics and disseminationEthical approval was granted by the Liverpool School of Tropical Medicine (UK), the National Institute of Medical Research (Tanzania) and TASO Research Ethics Committee (Uganda) in 2020. The evaluation will provide the opportunity to document the implementation of integration over several timepoints (6, 12 and 18 months) and refine integrated service provision prior to scale up. This synergistic approach to evaluate, understand and respond will support service integration and inform monitoring, policy and practice development efforts to involve and educate communities in Tanzania and Uganda. It will create a model of care and a platform of good practices and lessons learnt for other countries implementing integrated and decentralised community health services.Trial registration numberISRCTN43896688; Pre-results.
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Ovuga, Emilio, Jed Boardman, and Elizabeth G. A. O. Oluka. "Traditional healers and mental illness in Uganda." Psychiatric Bulletin 23, no. 5 (May 1999): 276–79. http://dx.doi.org/10.1192/pb.23.5.276.

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Aims and methodA cross-sectional, interview survey of the beliefs, knowledge, attitudes and practice towards mental illness of 29 traditional healers in the Pallisa district of Uganda was carried out.ResultsMany of the healers had experienced emotional problems that had been treated by other healers. Almost all had a family member who was also a traditional healer. They treated a wide range of conditions and all dealt with mental illness. Most believed that mental disorders were caused by supernatural processes. Many recognised the role of environmental agents. Their diagnosis and management of mental illness was eclectic. The healers were either traditional herbalists or spirit diviners or a mixture of both. Almost all referred patients to the district hospitals and were willing to work with government health services.Clinical implicationsThe results of the survey suggest the presence of fertile ground on which to build cooperation between traditional healers and medical services. Such cooperation may harness primary care resources more effectively. Sequential or simultaneous models of collaboration (or combinations of both) may be considered. Further work on specific treatments, their outcomes and the evaluation of collaborative models is needed.
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van Olmen, Josefien, Pilvikki Absetz, Roy William Mayega, Linda Timm, Peter Delobelle, Helle Mölsted Alvesson, Glorai Naggayi, et al. "Process evaluation of a pragmatic implementation trial to support self-management for the prevention and management of type 2 diabetes in Uganda, South Africa and Sweden in the SMART2D project." BMJ Open Diabetes Research & Care 10, no. 5 (September 2022): e002902. http://dx.doi.org/10.1136/bmjdrc-2022-002902.

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IntroductionType 2 diabetes (T2D) and its complications are increasing rapidly. Support for healthy lifestyle and self-management is paramount, but not adequately implemented in health systems. Process evaluations facilitate understanding why and how interventions work through analyzing the interaction between intervention theory, implementation and context. The Self-Management and Reciprocal Learning for Type 2 Diabetes project implemented and evaluated community-based interventions (peer support program; care companion; and link between facility care and community support) for persons at high risk of or having T2D in a rural community in Uganda, an urban township in South Africa, and socioeconomically disadvantaged urban communities in Sweden.Research design and methodsThis paper reports implementation process outcomes across the three sites, guided by the Medical Research Council framework for complex intervention process evaluations. Data were collected through observations of peer support group meetings using a structured guide, and semistructured interviews with project managers, implementers, and participants.ResultsThe countries aligned implementation in accordance with the feasibility and relevance in the local context. In Uganda and Sweden, the implementation focused on peer support; in South Africa, it focused on the care companion part. The community–facility link received the least attention. Continuous capacity building received a lot of attention, but intervention reach, dose delivered, and fidelity varied substantially. Intervention-related and context-related barriers affected participation.ConclusionsIdentification of the key uncertainties and conditions facilitates focus and efficient use of resources in process evaluations, and context relevant findings. The use of an overarching framework allows to collect cross-contextual evidence and flexibility in evaluation design to adapt to the complex nature of the intervention. When designing interventions, it is crucial to consider aspects of the implementing organization or structure, its absorptive capacity, and to thoroughly assess and discuss implementation feasibility, capacity and organizational context with the implementation team and recipients. These recommendations are important for implementation and scale-up of complex interventions.Trial registration numberISRCTN11913581.
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Nyqvist, Martina Björkman, Andrea Guariso, Jakob Svensson, and David Yanagizawa-Drott. "Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda." American Economic Journal: Applied Economics 11, no. 3 (July 1, 2019): 155–92. http://dx.doi.org/10.1257/app.20170201.

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The delivery of basic health products and services remains abysmal in many parts of the world where child mortality is high. This paper shows the results from a large-scale randomized evaluation of a novel approach to health care delivery. In randomly selected villages, a sales agent was locally recruited and incentivized to conduct home visits, educate households on essential health behaviors, provide medical advice and referrals, and sell preventive and curative health products. Results after 3 years show substantial health impact: under 5-years child mortality was reduced by 27 percent at an estimated average cost of $68 per life-year saved. (JEL I12, I18, J13, O15, O18)
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Kutyabami, Paul, Edson Ireeta Munanura, Rajab Kalidi, Sulah Balikuna, Margaret Ndagire, Bruhan Kaggwa, Winnie Nambatya, et al. "Evaluation of the Clinical Use of Ceftriaxone among In-Patients in Selected Health Facilities in Uganda." Antibiotics 10, no. 7 (June 25, 2021): 779. http://dx.doi.org/10.3390/antibiotics10070779.

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Ceftriaxone has a high propensity for misuse because of its high rate of utilization. In this study, we aimed at assessing the appropriateness of the clinical utilization of ceftriaxone in nine health facilities in Uganda. Using the World Health Organization (WHO) Drug Use Evaluation indicators, we reviewed a systematic sample of 885 patients’ treatment records selected over a three (3)-month period. Our results showed that prescriptions were written mostly by medical officers at 53.3% (470/882). Ceftriaxone was prescribed mainly for surgical prophylaxis at 25.3% (154/609), respiratory tract infections at 17% (104/609), and sepsis at 11% (67/609), as well as for non-recommended indications such as malaria at 7% (43/609) and anemia at 8% (49/609). Ceftriaxone was mostly prescribed once daily (92.3%; 817/885), as a 2 g dose (50.1%; 443/885), and for 5 days (41%; 363/885). The average score of inappropriate use of ceftriaxone in the eight indicators was 32.1%. Only 58.3% (516/885) of the ceftriaxone doses prescribed were administered to completion. Complete blood count and culture and sensitivity testing rates were 38.8% (343/885) and 1.13% (10/885), respectively. Over 85.4% (756/885) of the patients improved and were discharged. Factors associated with appropriate ceftriaxone use were gender, pregnancy status, days of hospitalization, health facility level of care, health facility type, and type of prescriber.
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Macnab, Andrew, Arabat Kasangaki, and Faith Gagnon. "Health Promoting Schools Provide Community-Based Learning Opportunities Conducive to Careers in Rural Practice." International Journal of Family Medicine 2011 (April 7, 2011): 1–5. http://dx.doi.org/10.1155/2011/892518.

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The World Health Organization conceived “health-promoting schools” as a means of providing the information and support systems necessary for the worldwide changes in behavior that are needed to improve health globally and decrease health care costs. We developed and evaluated a model of progressively implementing health-promoting schools with support from university medical school trainees in Canada and Uganda. The model uses oral health as a medium for establishing rapport and success around a topic with little stigma. The evaluation involved questionnaires of the Canadian trainees about practice intentions before and after involvement in the health-promoting schools to determine whether community-based learning in health-promoting schools resulted in more trainees planning to work in rural areas or underserved countries. We found that Canadian medical trainees cited their personal involvement and perceived ability to effect significant and identifiable positive change in both the school children and the community as reasons why they were more willing to practice in rural or under-served areas.
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Moodley, Shreya, Arabat Kasangaki, and Andrew J. Macnab. "Education in Global Health: Experience in Health-Promoting Schools Provides Trainees with Defined Core Competencies." ISRN Education 2012 (March 13, 2012): 1–7. http://dx.doi.org/10.5402/2012/718303.

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Introduction. Medical education has defined essential “universal” core competencies. The value of global health education gained through participation in a health-promoting school project was assessed using Canada’s CanMEDS roles and competencies. Methods. The project involved health care trainees in delivery of “Brighter Smiles,” a global health education program addressing children’s oral health in Canada and Uganda based on the WHO health-promoting (HP) school model. Multidisciplinary teams first visit a Canadian First Nations community for an introduction to HP schooling, team building, and experience working in different cultural environments and then have 4–6 weeks of global health project delivery in rural HP schools in Uganda in partnership with local College of Health Sciences trainees/faculty. Learning opportunities afforded were evaluated by conventional questionnaire and pilot categorization against the 7 CanMEDS roles (divided into 126 core competencies). Results. All collaborator and health Advocate competencies and 16/17 of the communicator roles were addressed. Overall, project experience included 88 (70%) of the 126 competencies. Conclusions. This pilot suggests CanMEDS criteria can be used to effectively evaluate trainee participation in HP school program delivery, allowing the comprehensive educational opportunities to acquire global health knowledge and skills reported by conventional evaluation to be formally categorized against defined educational roles and competencies.
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Tumwebaze, Henry, Elioda Tumwesigye, Jared M. Baeten, Ann E. Kurth, Jennifer Revall, Pamela M. Murnane, Larry W. Chang, and Connie Celum. "Household-Based HIV Counseling and Testing as a Platform for Referral to HIV Care and Medical Male Circumcision in Uganda: A Pilot Evaluation." PLoS ONE 7, no. 12 (December 13, 2012): e51620. http://dx.doi.org/10.1371/journal.pone.0051620.

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Mfinanga, Sayoki Godfrey, Moffat J. Nyirenda, Gerald Mutungi, Janneth Mghamba, Sarah Maongezi, Joshua Musinguzi, Joseph Okebe, et al. "Integrating HIV, diabetes and hypertension services in Africa: study protocol for a cluster randomised trial in Tanzania and Uganda." BMJ Open 11, no. 10 (October 2021): e047979. http://dx.doi.org/10.1136/bmjopen-2020-047979.

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Introduction HIV programmes in sub-Saharan Africa are well funded but programmes for diabetes and hypertension are weak with only a small proportion of patients in regular care. Healthcare provision is organised from stand-alone clinics. In this cluster randomised trial, we are evaluating a concept of integrated care for people with HIV infection, diabetes or hypertension from a single point of care. Methods and analysis 32 primary care health facilities in Dar es Salaam and Kampala regions were randomised to either integrated or standard vertical care. In the integrated care arm, services are organised from a single clinic where patients with either HIV infection, diabetes or hypertension are managed by the same clinical and counselling teams. They use the same pharmacy and laboratory and have the same style of patient records. Standard care involves separate pathways, that is, separate clinics, waiting and counselling areas, a separate pharmacy and separate medical records. The trial has two primary endpoints: retention in care of people with hypertension or diabetes and plasma viral load suppression. Recruitment is expected to take 6 months and follow-up is for 12 months. With 100 participants enrolled in each facility with diabetes or hypertension, the trial will provide 90% power to detect an absolute difference in retention of 15% between the study arms (at the 5% two-sided significance level). If 100 participants with HIV infection are also enrolled in each facility, we will have 90% power to show non-inferiority in virological suppression to a delta=10% margin (ie, that the upper limit of the one-sided 95% CI of the difference between the two arms will not exceed 10%). To allow for lost to follow-up, the trial will enrol over 220 persons per facility. This is the only trial of its kind evaluating the concept of a single integrated clinic for chronic conditions in Africa. Ethics and dissemination The protocol has been approved by ethics committee of The AIDS Support Organisation, National Institute of Medical Research and the Liverpool School of Tropical Medicine. Dissemination of findings will be done through journal publications and meetings involving study participants, healthcare providers and other stakeholders. Trial registration number NCT43896688.
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Chang, Larry W., Stella Alamo, Samuel Guma, Jason Christopher, Tara Suntoke, Richard Omasete, Jennifer P. Montis, Thomas C. Quinn, Margrethe Juncker, and Steven J. Reynolds. "Two-Year Virologic Outcomes of an Alternative AIDS Care Model: Evaluation of a Peer Health Worker and Nurse-Staffed Community-Based Program in Uganda." JAIDS Journal of Acquired Immune Deficiency Syndromes 50, no. 3 (March 2009): 276–82. http://dx.doi.org/10.1097/qai.0b013e3181988375.

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Dissertations / Theses on the topic "Medical care – Uganda – Evaluation"

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Jeppsson, Anders. "Decentralization and national health policy implementation in Uganda - a problematic process /." Malmö : Lund University, 2004. http://www.loc.gov/catdir/toc/fy0613/2006401986.html.

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Kyomuhendo, Grace Bantebya. "Treatment seeking behaviour among poor urban women in Kampala Uganda." Thesis, University of Hull, 1997. http://hydra.hull.ac.uk/resources/hull:4928.

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This thesis examines women's treatment seeking behaviour for their own illnesses and that of children underfive in Kamwokya . The focus is on the extent to which women's access to money and time use patterns affect treatment seeking. It has been argued that women's treatment seeking behaviour is influenced more by their time use than their access to and availability of money.The findings obtained through the use of case histories and in-depth interviews indicate that though women in Kamwokya have access to their own money, mainly through participation in income generating activities (business), illness management for children under-five and even more for the women themselves, remains problematic. Women are overworked and manage fragile businesses that require their personal attention and presence. Hence, treatment seeking is done in a manner that will ensure minimal disruption of businesses. Consequently children's health, and even more so, that of women , is compromised for the sake of other family needs.This thesis demonstrates that illness management is not context free, and that no one factor can explain the whole process ; it both affects and is affected by other things happening in the family. Due to the multiple roles women have to fulfil, "time use "is found to be the organising and central factor in illness management for both women and children in Kamwokya, whether from rich or poor households.The thesis concludes by suggesting that policy makers, health care providers and professionals ought to take into account the daily routines of family life in their plans and programmes. Strengthening of private sector health providers, health education programmes and increased awareness raising of male responsibilities towards their families are recommended as a way of improving the health of women and children in Uganda.
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Downing, Julia Dorothy. "A meta-evaluation of an HIV/AIDS palliative care education strategy in rural Uganda." Thesis, Manchester Metropolitan University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.434061.

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Friedman, Alexandra. "Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda." Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31832.

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Background Uganda lacks formal emergency care training programs to address its high burden of acute illness and injury. The Ugandan Ministry of Health (MoH) rolled out the World Health Organization’s (WHO) Basic Emergency Care (BEC) course, the first openaccess short course to provide comprehensive basic emergency training for health workers in low-resource settings. The BEC and its new online cases both require further evaluation. Aim and Objectives The study aimed to assess the BEC course and online cases’ impact with the following objectives: 1. Determine participants’ knowledge acquisition and self-efficacy in emergency care. 2. Evaluate BEC participants’ perceptions of the course and online cases. 3. Assess the online cases’ impact on participants’ knowledge and self-efficacy in emergency care. Methods Mixed methods design explored the BEC’s impact. MCQs and Likert scales assessed knowledge and self-efficacy, respectively, among 137 participants pre-BEC, post-BEC and six-months post-BEC using mixed model analysis of variance (ANOVA). FGDs assessed perceptions of the course and online cases post-BEC and six-months postBEC among 74 participants using thematic content analysis. Results Participants gained and maintained significant increases in MCQ averages and Likert scores. The pre-course cases group scored significantly higher on the pre-test MCQ than controls (p=0.004) and found cases most useful pre-BEC. Nurses experienced more significant initial gains and long-term decays in MCQ and self-rated knowledge than doctors (p=0.009, p< 0.05). Providers valued the ABCDE approach and reported improved emergency care management post-BEC. Resource constraints, untrained colleagues and knowledge decay limited the course’s utility. Conclusions Basic emergency care courses for low-resource settings can increase frontline providers’ long-term knowledge and self-efficacy in emergency care. Nurses experience greater initial gains and long-term losses in knowledge than doctors. Online adjuncts can enhance health professional education in LMICs. Future efforts should focus on increasing trainings and determining the need for re-training.
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Fickel, Jacqueline Jean. "Quality of care assessment : state Medicaid administrators' use of quality information." Full text (PDF) from UMI/Dissertation Abstracts International Access restricted to users with UT Austin EID, 2002. http://wwwlib.umi.com/cr/utexas/fullcit?p3077639.

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Chauvin, James Brodie. "An analysis of evaluative research : the case of primary health care." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24593.

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The primary health care (PHC) model is being actively promoted as an effective and lower-cost alternative to conventional health care delivery systems in many developing countries. Despite the fact that over 300 PHC projects of varying scale have been implemented and reported on throughout the Third World over the past two decades, there appears to be little evidence available to support the popular hypothesis that the availability and utilization of primary health care services necessarily results in significant improvements in health. The objective of this thesis is to identify alternative strategies for evaluating PHC projects which will establish credible and useful results. The thesis reviews the evolution of both the PHC model and evaluative research methodologies, and then presents a critical analysis of a set of PHC project evaluations. The aim of this exercise is to identify some of the major factors which have limited the validity, utility and significance of the evaluation results. The thesis suggests that less rigorous evaluative research designs and evaluative techniques which use a combination of quantitative and qualitative data be used to enhance the credibility and utility of evaluation results.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Hocutt, Peggy Lynn, and Peggy Lynn Hocutt. "Transitional Care Coach Program Evaluation at a Southwest Urban Medical Center." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625569.

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In an effort to reduce hospital 30-day readmissions a Transitional Care Coach Program (TCCP) was developed in 2014 at a Southwest Urban Medical Center. The CDC Framework for Program Evaluation (2012) applies insight and experience gained from past program experience to effect change in practice and improve patient outcomes. The evaluation seeks to determine TCCP utilization, to assess its impact on 30-day readmission rates for high-risk patients, to inform stakeholders of a viable follow-up program, and to determine evidence-based interventions for program improvement. This TCCP program evaluation describes characteristics of patients who participated in the program, assesses whether interventions were delivered as intended, and determines if interventions reduced hospital 30-day readmission rates compared to readmission rates prior to program implementation. Descriptive statistics are used to describe the patient population, health status, and program utilization. For the diagnoses of acute myocardial infarction (AMI), chronic obstructive pulmonary disease (COPD), heart failure (HF), and pneumonia (PNA), Chi-square test analyses were performed to compare 30-day readmission rates of the TCCP participants and readmission rates for this medical center for the time period prior to program implementation. The primary finding of this program evaluation is an overall numerical decrease in hospital readmission rate by 3% compared to the baseline data. Although the change (a decrease) was in the desired direction, the degree of change was not statistically significant based on pooled data. A statistically significant decrease was observed only for the AMI diagnosis. However, as any decrease in readmissions decreases the financial burden to both the organization and the patient, the TCCP appears to have had a positive impact. It is recommended that a renewed TCCP be conducted to allow for (1) an increased timespan for data collection, (2) an increased number of medical categories assessed to allow for more non-parametric statistical analysis (e.g. adding categories of Total Joint Replacement and Sepsis diagnoses), (3) tracking of number of days to readmittance to allow for improvement to be measured and analyzed beyond a single dichotomous category. Evidence-based recommendations have been made to continue and improve interventions that further reduce hospital readmissions.
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Cretikos, Michelle School of Anaesthetics Intensive Care &amp Emergency Medicine UNSW. "An evaluation of activation and implementation of the medical emergency team system." Awarded by:University of New South Wales. School of Anaesthetics, Intensive Care and Emergency Medicine, 2006. http://handle.unsw.edu.au/1959.4/25720.

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Problem investigated: The activation and implementation of the Medical Emergency Team (MET) system. Procedures followed: The ability of the objective activation criteria to accurately identify patients at risk of three serious adverse events (cardiac arrest, unexpected death and unplanned intensive care admission) was assessed using a nested, matched case-control study. Sensitivity, specificity and Receiver Operating Characteristic curve (ROC) analyses were performed. The MET implementation process was studied using two convenience sample surveys of the nursing staff from the general wards of twelve intervention hospitals. These surveys measured the awareness and understanding of the MET system, level of attendance at MET education sessions, knowledge of the activation criteria, level of intention to call the MET and overall attitude to the MET system, and the hospital level of support for change, hospital capability and hospital culture. The association of these measures with the intention to call the MET and the level of MET utilisation was assessed using nonparametric correlation. Results obtained: The respiratory rate was missing in 20% of subjects. Using listwise deletion, the set of objective activation criteria investigated predicted an adverse event within 24 hours with a sensitivity of 55.4% (50.6-60.0%) and specificity of 93.7% (91.2-95.6%). An analysis approach that assumed the missing values would not have resulted in MET activation provided a sensitivity of 50.4% (45.7- 55.2%) and specificity of 93.3% (90.8-95.3%). Alternative models with modified cut-off values provided different results. The MET system was implemented with variable success during the MERIT study. Knowledge and understanding of the system, hospital readiness, and a positive attitude were all significantly positively associated with MET system utilisation, while defensive hospital cultures were negatively associated with the level of MET system utilisation. Major conclusions: The objective activation criteria studied have acceptable accuracy, but modification of the criteria may be considered. A satisfactory trade-off between the identification of patients at risk and workload requirements may be difficult to achieve. Measures of effectiveness of the implementation process may be associated with the level of MET system utilisation. Trials of the MET system should ensure good knowledge and understanding of the system, particularly amongst nursing staff.
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McGuiness, Clare Frances. "Client perceptions : a useful measure of coordination of health care." View thesis entry in Australian Digital Theses Program, 2001. http://thesis.anu.edu.au/public/adt-ANU20020124.141250/index.html.

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Kirunda, Kakaire Ayub. "Using Personal Digital Assistants to Improve Healthcare Delivery in Uganda." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23073.

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Effective Health Systems make service provision easy for health workers, especially if they have access to the latest guidelines in a dynamic profession where new technologies are ever emerging. However, available data indicates that the health system in Uganda is constrained and still using old technologies despite the availability of newer technologies. As a result, this study sought to investigate the adoptability, cost effectiveness, and sustainability with regard to Personal Digital Assistants. The study, which was cross sectional in nature, was carried out in Mbale District in Eastern Uganda between 2008 and 2010. In depth interviews were conducted with health workers and key informants. Also, published and unpublished literature about theUganda Health Information Network was reviewed.The findings revealed that the use of Personal Digital Assistants also known as handheld computers can go a long way towards improving healthcare delivery in countryside health facilities. To health workers in remote places, the PDAs are a source of the latest clinical care guidelines for several diseases including HIV and AIDS as well as malaria. Health information systems have been improved and data collection and reporting have been eased by this technology. However, while evidence of viability of this technology exists, it still has challenges like power and delays in software updates among others.
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Books on the topic "Medical care – Uganda – Evaluation"

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The right to healthcare in Uganda: Report for the period Jan-June 2010. Kampala, Uganda: Foundation for Human Rights Initiative, 2010.

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Initiative, Foundation for Human Rights. The right to healthcare in Uganda: Report for the period Jan-June 2010. Kampala, Uganda: Foundation for Human Rights Initiative, 2010.

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Uganda, Health Management Consult. Study to evaluate the relative use of the cost resource use and health care financing and the burden of disease methodologies in resource management at district level: Government of Uganda-UNICEF Country Programme (1995-2000) : mid-term review : final study report. Kampala, Uganda: Health Management Consult Uganda, 1997.

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Uganda, AMREF. Better health for the people of Uganda: AMREF Uganda strategic plan. [Kampala?]: African Medical and Research Foundation, 2000.

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Asiimwe, Delius. The current private health care delivery in Uganda. [Kampala]: Makerere Institute of Social Research, 1999.

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Wisconsin. Legislature. Legislative Audit Bureau. Medical Assistance Program: An evaluation. Madison, Wisconsin: Legislative Audit Bureau, 2011.

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Hunt, Jennifer. Bribery in health care in Peru and Uganda. Cambridge, Mass: National Bureau of Economic Research, 2007.

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Hunt, Jennifer. Bribery in health care in peru and uganda. Cambridge, MA: National Bureau of Economic Research, 2007.

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Odwee, Jonathan O. O. The determinants of health care demand in Uganda: The case study of Lira District, northern Uganda. Nairobi: African Economic Research Consortium, 2006.

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Gérard, Gäfgen, and Oberender Peter, eds. Evaluation gesundheitspolitischer Massnahmen. Baden-Baden: Nomos, 1991.

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Book chapters on the topic "Medical care – Uganda – Evaluation"

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McKenzie, Katherine C. "Medical Evaluation of Asylum Seekers." In Refugee Health Care, 235–41. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0271-2_17.

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McKenzie, Katherine C. "Medical Evaluation of Asylum Seekers." In Refugee Health Care, 303–10. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47668-7_19.

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Jorgensen, Torben. "Criteria for Evaluation of Information Technology in Health Care." In Medical Informatics Europe ’90, 702–6. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-51659-7_132.

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Kostkova, Patty, and Gemma Madle. "User-Centered Evaluation Model for Medical Digital Libraries." In Knowledge Management for Health Care Procedures, 92–103. Berlin, Heidelberg: Springer Berlin Heidelberg, 2009. http://dx.doi.org/10.1007/978-3-642-03262-2_8.

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Ament, André, and Mariëlle L’Ortye. "Economic evaluation of electronic communication in health care (3I-project)." In Medical Informatics Europe ’90, 130–34. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-51659-7_27.

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Coilly, Audrey, and Didier Samuel. "Selection and Evaluation of the Recipient (Including Retransplantation)." In Medical Care of the Liver Transplant Patient, 1–12. Oxford, UK: Wiley-Blackwell, 2012. http://dx.doi.org/10.1002/9781444398441.ch1.

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Hall, Bonnie Huang. "Medical Marijuana for Chronic Pain." In Evaluation and Management of Chronic Pain for Primary Care, 197–209. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47117-0_14.

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Blogg, Suzanne, and Leanne Atkins. "Evaluation of Multifaceted Programs." In Improving Use of Medicines and Medical Tests in Primary Care, 297–314. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-2333-5_13.

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Byabagambi, John Bekiita. "Improving the Quality of Voluntary Medical Male Circumcision: A Case Study from Uganda." In Improving Health Care in Low- and Middle-Income Countries, 177–94. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43112-9_11.

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Beresford, Thomas P. "Psychiatric and Substance abuse Evaluation of the Potential Liver Transplant Recipient." In Medical Care of the Liver Transplant Patient, 62–74. Oxford, UK: Wiley-Blackwell, 2012. http://dx.doi.org/10.1002/9781444398441.ch6.

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Conference papers on the topic "Medical care – Uganda – Evaluation"

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Downing, J., G. Kivumbi, E. Nabirye, A. Ojera, R. Namwanga, R. Katusabe, M. Dusabimana, et al. "15 An evaluation of palliative care nurse prescribing: a mixed methods study in uganda." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.15.

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Söderberg, Marcus, and Sonny La. "Evaluation of adaptation strengths of CARE Dose 4D in pediatric CT." In SPIE Medical Imaging, edited by Robert M. Nishikawa and Bruce R. Whiting. SPIE, 2013. http://dx.doi.org/10.1117/12.2001694.

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De Fouw, M., J. Beltman, C. Nakisige, M. Boere, J. Orem, and AA Peters. "241 Care for cervical cancer patients in uganda is scarce; evaluation of clinical presentation and management in kampala." In IGCS Annual 2019 Meeting Abstracts. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/ijgc-2019-igcs.241.

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Kundel, Harold L., Sridhar B. Seshadri, Peter E. Shile, Marcia Polansky, Curtis P. Langlotz, Paul N. Lanken, Steven C. Horii, et al. "Evaluation of PACS in a medical intensive care unit: the effect of computed radiography." In Medical Imaging 1994, edited by R. Gilbert Jost. SPIE, 1994. http://dx.doi.org/10.1117/12.174335.

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Bryan, Stirling, Gwyneth C. Weatherburn, Joanne Taylor, and Martin J. Buxton. "Evaluation of PACS at Hammersmith Hospital: assessment of radiology department performance in the intensive care unit." In Medical Imaging 1993, edited by R. Gilbert Jost. SPIE, 1993. http://dx.doi.org/10.1117/12.152912.

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Inscoe, Christina R., Alex J. Billingsley, Connor Puett, Daniel Nissman, Jianping Lu, Yueh Lee, and Otto Zhou. "Preliminary imaging evaluation of a compact tomosynthesis system for potential point-of-care extremity imaging." In Physics of Medical Imaging, edited by Hilde Bosmans and Guang-Hong Chen. SPIE, 2020. http://dx.doi.org/10.1117/12.2549329.

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Fukuoka, Kenji, Shingo Aoki, and Yukie Majima. "Medical care system evaluation based on DEA of prefectures in Japan." In 2011 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE). IEEE, 2011. http://dx.doi.org/10.1109/fuzzy.2011.6007539.

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Willoughby, J., P. Duncan, and A. Trivedi. "Evaluation of a Formal Medical Intensive Care Unit Curriculum for Housestaff." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4788.

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Souza, M. C. D., M. V. Nobrega, and M. Silveira. "Proposition of an operational flow for medical electrical equipment evaluation for SUS Bahia." In 2011 Pan American Health Care Exchanges (PAHCE 2011). IEEE, 2011. http://dx.doi.org/10.1109/pahce.2011.5871835.

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Farr, Katherine, Talemwa Nalugwa, Priya Shete, Adithya Cattamanchi, Mariam Nantale, Christopher Ojok, Denis Oyuku, et al. "Late Breaking Abstract - The tuberculosis diagnostic evaluation cascade of care at microscopy centers linked to Xpert MTB/RIF hubs in Uganda." In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.oa1943.

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Reports on the topic "Medical care – Uganda – Evaluation"

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Bongiovanni, Annette, and Mary Greenan. Hospice Africa Uganda: End-of-project evaluation of palliative care services. Population Council, 2009. http://dx.doi.org/10.31899/hiv11.1019.

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Little, Bonnie. Outcome evaluation of medical care utilizing Goal attainment scaling. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2801.

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Olson, Carl T., Frances M. Reid, Nancy A. Niemuth, Mark R. Perry, and James E. Estep. A Medical Research and Evaluation Facility (MREF) and Studies Supporting the Medical Chemical Defense Program. Respiratory Casualty Care Management in the Field Medical Environment. Fort Belvoir, VA: Defense Technical Information Center, July 2000. http://dx.doi.org/10.21236/ada382527.

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James-Scott, Alisha, Rachel Savoy, Donna Lynch-Smith, and tracy McClinton. Impact of Central Line Bundle Care on Reduction of Central Line Associated-Infections: A Scoping Review. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0014.

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Purpose/Background Central venous catheters (CVC) are typical for critically ill patients in the intensive care unit (ICU). Due to the invasiveness of this procedure, there is a high risk for central line-associated bloodstream infection (CLABSI). These infections have been known to increase mortality and morbidity, medical costs, and reduce hospital reimbursements. Evidenced-based interventions were grouped to assemble a central line bundle to decrease the number of CLABSIs and improve patient outcomes. This scoping review will evaluate the literature and examine the association between reduced CLABSI rates and central line bundle care implementation or current use. Methods A literature review was completed of nine critically appraised articles from the years 2010-2021. The association of the use of central line bundles and CLABSI rates was examined. These relationships were investigated to determine if the adherence to a central line bundle directly reduced the number of CLABSI rates in critically ill adult patients. A summary evaluation table was composed to determine the associations related to the implementation or current central line bundle care use. Results Of the study sample (N=9), all but one demonstrated a significant decrease in CLABSI rates when a central line bundle was in place. A trend towards reducing CLABSI was noted in the remaining article, a randomized controlled study, but the results were not significantly different. In all the other studies, a meta-analysis, randomized controlled trial, control trial, cohort or case-control studies, and quality improvement project, there was a significant improvement in CLABSI rates when utilizing a central line bundle. The extensive use of different levels of evidence provided an excellent synopsis that implementing a central line bundle care would directly affect decreasing CLABSI rates. Implications for Nursing Practice Results provided in this scoping review afforded the authors a diverse level of evidence that using a central line bundle has a direct outcome on reducing CLABSI rates. This practice can be implemented within the hospital setting as suggested by the literature review to prevent or reduce CLABSI rates. Implementing a standard central line bundle care hospital-wide helps avoid this hospital-acquired infection.
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Gindi, Renee. Health, United States, 2019. Centers for Disease Control and Prevention (U.S.), 2021. http://dx.doi.org/10.15620/cdc:100685.

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Health, United States, 2019 is the 43rd report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The Health, United States series presents an annual overview of national trends in key health indicators. The 2019 report presents trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health care expenditures in a 20-figure chartbook. The Health, United States, 2019 Chartbook is supplemented by several other products including Trend Tables, an At-a-Glance table, and Appendixes available for download on the Health, United States website at: https://www.cdc.gov/nchs/hus/ index.htm. The Health, United States, 2019 Chartbook contains 20 figures and 20 tables on health and health care in the United States. Examining trends in health informs the development, implementation, and evaluation of health policies and programs. The first section (Figures 1–13) focuses on health status and determinants: life expectancy, infant mortality, selected causes of death, overdose deaths, suicide, maternal mortality, teen births, preterm births, use of tobacco products, asthma, hypertension, heart disease and cancer, and functional limitations. The second section (Figures 14–15) presents trends in health care utilization: use of mammography and colorectal tests and unmet medical needs. The third section (Figures 16–17) focuses on health care resources: availability of physicians and dentists. The fourth section (Figures 18–20) describes trends in personal health care expenditures, health insurance coverage, and supplemental insurance coverage among Medicare beneficiaries. The Highlights section summarizes major findings from the Chartbook. Suggested citation: National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021.
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Foreit, James R. Postabortion family planning benefits clients and providers. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1006.

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A woman’s fertility can return quickly following an abortion or miscarriage, yet recent data show high levels of unmet need for family planning (FP) among women who have been treated for incomplete abortion. This leaves many women at risk of another unintended pregnancy and in some cases subsequent repeated abortions and abortion-related complications. It is thus vital for programs to provide a comprehensive package of postabortion care (PAC) services that includes medical treatment, FP counseling and services, and other reproductive health services such as evaluation and treatment for sexually transmitted infections, HIV counseling and/or testing, and community support and mobilization. Providing FP services within PAC benefits clients and programs. Facilities that can effectively treat women with incomplete abortions can also provide contraceptive services, including counseling and appropriate methods. As stated in this brief, any provider who can treat incomplete abortion can also provide selected FP methods. Clients, providers, and programs benefit when FP methods are provided to postabortion clients at the time of treatment.
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Evaluation of United Nations-supported pilot projects for the prevention of mother-to-child transmission of HIV: Overview of findings. Population Council, 2003. http://dx.doi.org/10.31899/hiv2003.1008.

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Worldwide about 800,000 children a year get HIV infections from their mothers—either during pregnancy, childbirth, or breastfeeding. Countries have the potential to prevent a large share of these infections through low-cost, effective interventions. UN agencies have taken the lead in helping developing countries mount programs for prevention of mother-to-child transmission (PMTCT). This working paper presents key findings from an evaluation of UN-supported pilot PMTCT projects in 11 countries: Botswana, Burundi, Cote d’Ivoire, Honduras, India, Kenya, Rwanda, Tanzania, Uganda, Zambia, and Zimbabwe. Key findings include feasibility and coverage, factors contributing to program coverage, program challenges, scaling up, the special case of low-prevalence countries, and recommendations. The pilot experience has shown that introducing PMTCT programs into antenatal care in a wide variety of settings is feasible and acceptable to a significant proportion of antenatal care clients who have a demand for HIV information, counseling, and testing. As they go to scale, PMTCT programs can learn from the pilot phase, during which hundreds of thousands of clients were successfully reached.
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