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Articoli di riviste sul tema "CARE-Uganda"

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Kaggwa, Mark Mohan, Sheila Harms e Mohammed A. Mamun. "Mental health care in Uganda". Lancet Psychiatry 9, n. 10 (ottobre 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, n. 7 (2 luglio 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, n. 11 (novembre 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 e 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 (gennaio 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, n. 5 (2 maggio 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, n. 4 (19 giugno 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 e Malabika Sarker. "Antenatal Care Services in Rural Uganda". Qualitative Health Research 22, n. 5 (9 gennaio 2012): 619–29. http://dx.doi.org/10.1177/1049732311431897.

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NAKAKEETO-KIJJAMBU, MARGARET, e YVONNE E. VAUCHER. "High-Risk Newborn Care in Uganda". Pediatric News 46, n. 6 (giugno 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, n. 8 (25 agosto 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, n. 5 (settembre 2010): 699–707. http://dx.doi.org/10.1016/j.jhealeco.2010.06.004.

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Tesi sul tema "CARE-Uganda"

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Waiswa, Peter. "Understanding newborn care in Uganda : towards future interventions /". Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-869-3/.

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Droti, B. "Availability of health care for older persons in primary care facilities in Uganda". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2014. http://researchonline.lshtm.ac.uk/2021054/.

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Background. This thesis evaluated the health care available and delivered to older persons (≥50years) at primary care facilities in Uganda in order to identify gaps and weaknesses and to suggest potential solutions for improving the quality of their care. Methods. The study was conducted in 48 primary care facilities across Uganda. It involved structured interviews with the persons in-charge of the facilities to determine what health care was provided at their facility; analysis of the numbers of outpatients attending the clinics to determine the absolute and relative caseloads due to older persons; structured interviews with health workers to determine their knowledge, attitudes and practices regarding the care of older persons; and structured exit interviews with older persons and younger adults (35-49 years) to determine their perceptions of the services they had received from the facility. Study participants were selected through a multistage stratified random sampling method designed to give a representative sample of Ugandan government primary care clinics and outpatients. Data were analysed using methods for complex multistage surveys. Findings. Availability of services: The study found important gaps and weaknesses in the availability of services, equipment and amenities that were considered to be particularly important for the care of older persons and that were enquired about in the study. Availability was particularly low for non-communicable diseases and at lower level (levels II and III) primary care facilities. Caseload: A total of 11,847 out of 140,338 total visits (8%) were made by older persons. Infectious illnesses (63%), as opposed to chronic non-communicable diseases (32%), were the most commonly diagnosed illnesses among the older persons. Knowledge, attitudes and practices of health workers: In total, 145 health workers (92% of target) were interviewed. Using predefined criteria, 32% of them were classified as having poor knowledge of geriatrics and 68% as having at least satisfactory knowledge. Most of them (97%) were classified as having neutral attitudes towards older persons. Although hardly any of them (0.6%) was classified as having bad practices overall; a substantial proportion reported not giving older persons and younger adults autonomy (46-49%), health education (15-35%), prompt attention (19-30%), and or screening for diseases that are common in older persons (14-17%). Perceptions of older persons and younger adults of the services they had received: In total, 244 older persons (96% of target) and 96 younger adults (100% of target) were interviewed. Although only 16-17% were classified as having received poor treatment overall, a substantial proportion reported not being screened for common diseases found in older persons (65-70%), receiving prompt attention (66-76%), having autonomy (70-80%), or receiving health education (30-39%). Only 1-2% perceived they had received poor service from the primary care facilities. Generally, older persons were not treated differently from younger adults (p=0.52) and their perceptions of the services were similar (p=0.21). Conclusion. There were important gaps and weaknesses in services important for the care of older persons, and in the knowledge, attitudes and practices of the health workers. The Ministry of Health should therefore investigate how they might improve services for older persons at all levels of primary care facilities.
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Fernández, Alexis Martínez. "Authorization schema for electronic health-care records : For Uganda". Thesis, KTH, Kommunikationssystem, CoS, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101165.

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This master’s thesis project began at the Karolinska University Hospital. This thesis discusses how to design an authorization schema focused on ensuring each patient’s data privacy within a hospital information system. It begins with an overview of the current problem, followed by a review of related work. The overall project’s goal is to create and evaluate an authorization schema that can ensure each patient’s data confidentiality. Authorization has currently become a very important aspect in information systems, to the point of being a necessity when implementing a complete system for managing access control in certain complex environments. This requirement lead to the approach that this master thesis takes for effectively reasoning about authorization requests in situations where a great number of parameters could affect the access control assessment. This study is part of the ICT4MPOWER project developed in Sweden by both public and private organizations with the objective of improving health-care aid in Uganda through the use of information and communication technologies.  More concretely, this work defines an authorization schema that can cope with the increasing needs of sophisticated access control methods where a complex environment exists and policies require certain flexibility.
Detta examensarbete projektet startade vid Karolinska Universitetssjukhuset. Denna avhandling diskuterar hur man designar ett tillstånd schema fokuserat på att säkerställa varje patients dataskydd inom ett sjukhus informationssystem. Det börjar med en översikt över det aktuella problemet, följt av en genomgång av arbete. Projektets övergripande mål är att skapa och utvärdera ett tillstånd schema som kan garantera varje patient data sekretess. Bemyndigande har för närvarande blivit en mycket viktig aspekt i informationssystem, till den grad att vara nödvändigt att genomföra komplett system för hantering av åtkomstkontroll i vissa komplexa miljöer. Detta är i själva verket den strategi som detta examensarbete tar för att effektivt resonemang om en ansökan om godkännande i situationer där ett stort antal parametrar kan påverka i åtkomstkontroll bedömningen. Denna studie är en del av ICT4MPOWER projektet utvecklades i Sverige av både offentliga och privata organisationer i syfte att förbättra stödet sjukvård i Uganda med användning av informations-och kommunikationsteknik.<p> Mer konkret definierar detta arbete ett tillstånd schema som kan hantera de ökande behoven av sofistikerade metoder för åtkomstkontroll där en komplex miljö finns och politik kräver en viss flexibilitet.
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Mayanja, Rehema. "Decentralized health care services delivery in selected districts in Uganda". Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Decentralization of health services in Uganda, driven by the structural adjustment programme of the World Bank, was embraced by government as a means to change the health institutional structure and process delivery of health services in the country. Arising from the decentralization process, the transfer of power concerning functions from the top administrative hierachy in health service provision to lower levels, constitutes a major shift in management, philosophy, infrastructure development, communication as well as other functional roles by actors at various levels of health care. This study focused its investigation on ways and levels to which the process of decentralization of health service delivery has attained efficient and effective provision of health services. The study also examined the extent to which the shift of health service provision has influenced the role of local jurisdictions and communities. Challenges faced by local government leaders in planning and raising funds in response to decentralized health serdelivery were examined.
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Nankwanga, Annet. "Factors influencing utilisation of postnatal services in Mulago and Mengo Hospitals Kampala, Uganda". Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Maternal and child-health and health education are three major concerns of public health organisations and researchers throughout the world. Health education for mothers is a strategy many countries have adopted to improve maternal and child-health. The present study was carried out in Uganda with the objective of exploring the factors influencing the utilisation of postnatal services at Mulago and Mengo hospitals, a government and private hospital. Both hospitals are located in Kampala district in Uganda. The survey, was completed by 330 women who responded to a structured questionnaire that was given to them six to eight weeks after delivery. Questions that were asked generated demographic information about the mothers
mothers&rsquo
knowledge about postnatal services
mothers&rsquo
socio-economic status and barriers to utilisation of the postnatal services. The participants included all women who delivered in Mulago and Mengo hospitals in November 2003 except for those who had had a neonatal death. The data was analysed using descriptive and inferential statistics. Some of the key findings of the study were that most women lacked awareness about postnatal services and those who knew about these services only knew about immunisation and family planning services. The majority of the mothers did not know about other services, such as physiotherapy, counselling, growth monitoring, and physical examination. Lack of money for transport or service costs, distance from the health care facility, not being aware of the services, lack of somebody to take care of the child at home were some of the main barriers to utilisation of postnatal services. Others included, lack of education, lack of employment, lack of decision-making powers, and lack of time to go back for the service. The ministry of health should educate women and communities about the importance of postnatal care, its availability, and the importance of women having decision-making power over their own health. The health service organization should improve on the quality of care by ensuring that services are provided at convenient hours with privacy, confidentiality and respect and it should evaluate the services periodically from the users perspective to maintain the quality of service.
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Nannini, Maria. "Accessibility to Health Care and Financial Obstacles: Evidence from Uganda". Doctoral thesis, Università degli studi di Trento, 2021. http://hdl.handle.net/11572/299960.

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The research project intends to investigate the issue of health care accessibility with respect to financial obstacles focusing on the case study of Uganda, where impoverishing effects due to health services utilisation are critical for the population well-being. The thesis consists of three independent chapters aimed to examine multiple aspects which are relevant for health coverage and financial protection. In the first chapter, a political economy perspective is adopted to analyse the country experience of health financing reforms for Universal Health Coverage through a desk review and Key Informant Interviews. In the second chapter, household data from a rural district are employed to explore how the provision of social support through social networks operates at the behavioural level for overcoming barriers to health care utilisation and coping with financial hardship due to health expenditures. The analysis presented in the third chapter relies on a longitudinal household survey to assess the impact of a Community Health Financing pilot program on health expenditures and coping strategies. Overall, the thesis can contribute to the current debate on health coverage in Low- and Middle-Income Countries. On one side, the new evidence based on the collection of primary data and the adoption of innovative methodologies allows to advance the academic knowledge on financial protection. On the other side, the main research findings have the potential to inform policy design and policy making to effectively improve health coverage outcomes in informal settings.
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Nannini, Maria. "Accessibility to Health Care and Financial Obstacles: Evidence from Uganda". Doctoral thesis, Università degli studi di Trento, 2021. http://hdl.handle.net/11572/299960.

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Abstract (sommario):
The research project intends to investigate the issue of health care accessibility with respect to financial obstacles focusing on the case study of Uganda, where impoverishing effects due to health services utilisation are critical for the population well-being. The thesis consists of three independent chapters aimed to examine multiple aspects which are relevant for health coverage and financial protection. In the first chapter, a political economy perspective is adopted to analyse the country experience of health financing reforms for Universal Health Coverage through a desk review and Key Informant Interviews. In the second chapter, household data from a rural district are employed to explore how the provision of social support through social networks operates at the behavioural level for overcoming barriers to health care utilisation and coping with financial hardship due to health expenditures. The analysis presented in the third chapter relies on a longitudinal household survey to assess the impact of a Community Health Financing pilot program on health expenditures and coping strategies. Overall, the thesis can contribute to the current debate on health coverage in Low- and Middle-Income Countries. On one side, the new evidence based on the collection of primary data and the adoption of innovative methodologies allows to advance the academic knowledge on financial protection. On the other side, the main research findings have the potential to inform policy design and policy making to effectively improve health coverage outcomes in informal settings.
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Kiracho, Elizabeth Ekirapa. "Equity in the allocation of primary health care resources in Uganda". Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/8915.

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Arkeberg, Emelie, e Forsgren Felicia Michélsen. "Self-care as a nursing action in the care of patients with diabetes type II in Uganda". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-317198.

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Bakgrund: Egenvård och utbildning i egenvård som omvårdnadsåtgärd är en viktig del i behandlingen av kroniskt sjuka patienter då det bidrar till att patienten blir delaktig i sin egen vård och hälsa samt att det kan förhindra försämring och komplikationer. Diabetes Mellitus typ II (DMT2) är en kronisk sjukdom där egenvård är central och kan göra skillnad för patientens hälsa. Kopplat till ökningen av DMT2 över hela världen, speciellt i låg- och medelinkomstländer, är sjuksköterskors arbete med egenvård och utbildning i egenvård av stor vikt. Få tidigare studier har fokuserat på hur sjuksköterskor i Uganda arbetar med egenvård inom DMT2. Syfte: Syftet med studien var att undersöka hur sjuksköterskor arbetar med egenvård och utbildning av egenvård som omvårdnadsåtgärd för att upprätthålla och förbättra hälsan hos patienter med diabetes typ II i Uganda. Metod: Deskriptiv kvalitativ design. Semi-strukturerade intervjuer hölls individuellt med sex sjuksköterskor på en endokrinologisk avdelning samt på en diabetesmottagning på ett sjukhus i Uganda. Huvudresultat: Intervjusvaren resulterade efter analys i tre kategorier och en underkategori; Patientundervisning, Klargöra patientens ansvar, Ta hänsyn till svårigheter samt underkategorin Identifiera behovet av ökad kunskap. Kategorin Patientundervisning beskriver hur sjuksköterskor arbetade med patientundervisning för att bibehålla och förbättra patientens hälsa och vilka huvudområden som ingick i undervisningen för att ge patienten möjligheter att uppnå egenvård. Under kategorin Klargöra patientens ansvar visas hur sjuksköterskor arbetar med patienternas förmåga att ta ansvar för genomförandet av egenvård. Kategorin Ta hänsyn till svårigheter beskriver vilka svårigheter som upplevdes avseende egenvård och utbildning av egenvård, samt hur sjuksköterskorna hanterade dessa. Slutsats: Sjuksköterskorna upplevde att arbetet med patientundervisning gav goda resultat och bättre hälsoförståelse hos patienterna, fortsatt patientutbildning för patienter med DMT2 i Uganda upplevs därför viktig. Sjuksköterskornas arbete med att klargöra patientens eget ansvar i arbetet med egenvård upplevs som viktigt för att behandlingen ska bli optimal och för att patientens hälsa på lång sikt ska kunna bibehållas och förbättras. De svårigheter som sjuksköterskorna upplevde och som de måste ta hänsyn till var komplexa och relaterade till så väl hälso- och sjukvårdssystemet liksom det omgivande samhället i Uganda.
Background: Self-care and education in self-care as a nursing action is an important part in the treatment of chronic diseases, since it involves the patients and increases the control of their own care and health. Diabetes Mellitus type II (DMT2) is a chronic disease where self-care is a central component in the care. One nursing responsibility is to educate the patient about self-care. DMT2 is increasing globally, specifically in low and middle-income countries, why nurses’ work with self-care and education of self-care as a nursing action in diabetes care is important. Few previous studies have focused on how nurses work with self-care of DMT2 in Uganda. Objective: The aim of the study was to explore how nurses work with self-care and education of self-care as a nursing action in order to maintain and improve the health of patients with diabetes type II in Uganda. Method: Descriptive qualitative design. Semi-structured interviews were held individually with six nurses working in an out-, or in-patient clinic on a hospital in Uganda. Results: Analysis of the interviews generated three categories and one sub category; Patient education, Emphasize patients’ responsibilities, Handle the difficulties and the sub-category Identify the need for increased knowledge. The category “Patient education” describes how the nurses worked with patient education in order to maintain and improve the patients’ health. The category “Emphasize patients’ responsibilities” describes how nurses work to strengthen the patients’ ability and their own responsibilities to maintain and improve their own health. The category “Handle the difficulties” describes the nurses’ experienced difficulties related to working with self-care and education about self-care. Conclusion: The nurses experienced that their work with patient education increased patients’ knowledge about diabetes and created a better understanding of the importance of self-care. Continuous patient education and the nurses’ work with emphasizing the patients’ responsibilities is experienced as important in order for the patients to maintain and improve in their health. The difficulties experienced by the nurses in this study were complex and are related to the health care system as well as the surrounding society in Uganda.
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Lawson, David. "Uganda : a microeconometric analysis of health, health care demand and chronic poverty". Thesis, University of Nottingham, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404035.

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Libri sul tema "CARE-Uganda"

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Wright, Keith. Community based health care in Uganda: The experiences of the Uganda Community Based Health Care Association. [Kampala]: The Association, 1992.

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L, Ovuga Emilio B., a cura di. Psychiatry for primary health care in Uganda. Kampala: Fountain Publishers, 2006.

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

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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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Uganda. Ministry of Health. Reproductive Health Division., a cura di. Essential maternal and neonatal care clinical guidelines for Uganda. Kampala, Uganda: Ministry of Health, Reproductive Health Division, 2001.

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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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Ampaire, Christine. Child care arrangements in Uganda: Their implications for working mothers. [Addis Ababa: s.n., 1999.

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Division, Uganda Health Training. Review of activities for 1992 and plan of operation for January-December 1993. Entebbe [Uganda]: Ministry of Health, Health Training Division, 1993.

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Sarah, Ssewanyana. Demand for health care services in Uganda implications for poverty reduction. Kampala, Uganda: Economic Policy Research Centre, 2004.

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Capitoli di libri sul tema "CARE-Uganda"

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Downing, Julia, Jane Nakawesi e Rose Kiwanuka. "Paediatric Palliative Care in Uganda". In Pediatric Palliative Care: Global Perspectives, 41–64. Dordrecht: Springer Netherlands, 2011. http://dx.doi.org/10.1007/978-94-007-2570-6_4.

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Mugisha, James. "Sociocultural Aspects of Health Promotion in Palliative Care in Uganda". In Health Promotion in Health Care – Vital Theories and Research, 303–12. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_21.

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AbstractDespite its vital importance, health promotion has not occupied its due place in public health in Uganda. The country is engulfed into a rising wave of both communicable and non-communicable conditions. This rising burden of both communicable and non-communicable conditions turns health promotion and palliative care essential health care packages; though there is little to show that these two important programs are getting vital support at policy and service delivery levels. A new theoretical framework that is anchored into sociocultural issues is essential in guiding the design and delivery of both health promotion and palliative care in Uganda. The salutogenic theory puts socio-cultural issues at the centre of developing health promotion and palliative care and, seems to solve this dilemma. In this chapter, illustrations from indigenous communities in Uganda are employed to demonstrate the challenges to the health promotion and palliative care agenda in the country and how they can be addressed. Uganda Ministry of Health should develop robust structures within public health for development of health promotion and palliative care in the country. Research should be conducted on the effectiveness of the current strategies on health promotion and palliative care and their cultural sensitivity and appropriateness. Given the limited resources available for development of health care in Uganda, as an overall strategy, health promotion and palliative care should be anchored in public health and its (public health) resources.
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Namukwaya, Elizabeth, Amos Deogratius Mwaka, Eve Namisango, Mark Donald Mwesiga e Julia Downing. "Current State of Palliative Care in Uganda". In Palliative Care for Chronic Cancer Patients in the Community, 267–78. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-54526-0_24.

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Ouma, Paul, Peter M. Macharia, Emelda Okiro e Victor Alegana. "Methods of Measuring Spatial Accessibility to Health Care in Uganda". In Practicing Health Geography, 77–90. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63471-1_6.

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AbstractEnsuring everyone has access to health care regardless of demographic, geographic and social economic status is a key component of universal health coverage. In sub-Saharan Africa, where populations are often sparsely distributed and services scarcely available, reducing distances or travel time to facilities is key in ensuring access to health care. This chapter traces the key concepts in measuring spatial accessibility by reviewing six methods—Provider-to-population ratio, Euclidean distance, gravity models, kernel density, network analysis and cost distance analysis—that can be used to model spatial accessibility. The advantages and disadvantages of using each of these models are also laid out, with the aim of choosing a model that can be used to capture spatial access. Using an example from Uganda, a cost distance analysis is used to model travel time to the nearest primary health care facility. The model adjusts for differences in land use, weather patterns and elevation while also excluding barriers such as water bodies and protected areas in the analysis. Results show that the proportion of population within 1-h travel times for the 13 regions in the country varies from 64.6% to 96.7% in the dry period and from 61.1% to 96.3% in the wet period. The model proposed can thus be used to highlight disparities in spatial accessibility, but as we demonstrate, care needs to be taken in accurate assembly of data and interpreting results in the context of the limitations.
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Mwaka, Amos Deogratius, Henry Wabinga e Christopher Orach Garimoi. "Cancer Care in Countries in Transition in Africa: The Case of Uganda". In Cancer Care in Countries and Societies in Transition, 219–30. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22912-6_14.

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Sripad, Pooja, Caroline Johnson, Vandana Tripathi e Charlotte E. Warren. "Comparing Three Models of Fistula Care Among Five Facilities in Nigeria and Uganda". In Global Maternal and Child Health, 289–301. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-06314-5_20.

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Walakira, Eddy Joshua, Daniel Kikulwe, Ronald Luwangula, Mark Riley, Badru Bukenya e Ismael Ddumba-Nyanzi. "System Strengthening to Improve Alternative Care for Neglected and Child Survivors of Violence in Uganda: Critical Areas for Consideration". In Child Abuse and Neglect in Uganda, 253–70. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48535-5_13.

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Ruder, Bonnie, e Alice Emasu. "The Promise and Neglect of Follow-up Care in Obstetric Fistula Treatment in Uganda". In Global Maternal and Child Health, 37–55. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84514-8_3.

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AbstractConsidered the most severe of maternal morbidities, obstetric fistula is a debilitating childbirth injury that results in complete incontinence with severe physical and psychosocial consequences.The primary intervention for women with obstetric fistula is surgical repair, and success rates for repair are reported between 80% and 97%. However, successful treatment is commonly defined solely by the closure of the fistula defect and often fails to capture women who continue to experience urinary incontinence after repair. Residual incontinence post-fistula repair is both underreported and under-examined in the literature. Through a novel mixed-method study that examined clinical, quantitative, and qualitative aspects of residual incontinence post-repair, this chapter draws on in-depth interviews with women suffering with residual incontinence and fistula surgeons, participant observation, and a desk review of fistula policies and guidelines to argue that an inadequate model of fistula treatment that neglects follow-up care exists. We found that obstetric fistula policy has been determined in large part over the years by international development agencies and funding organizations, such as international nongovernmental organizations (INGOs). We argue that the neglect in follow-up care is evident in fistula policy and can be traced to a donor-funded treatment model that fails to prioritize and fund follow-up care as an essential component of fistula treatment, instead focusing on a “narrative of success” in fistula treatment. As a result, poor outcomes are underreported and women who experience poor outcomes are largely erased from the fistula narrative. This erasure has limited the attention, resources, research, and dedicated to residual incontinence, leaving out women suffering from residual incontinence largely without alternative treatment options.
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Ruder, Bonnie, e Alice Emasu. "Making the Case for Holistic Fistula Care: Implementation of a Model Reintegration Program in Uganda". In Global Maternal and Child Health, 429–40. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-06314-5_30.

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Bukuluki, Paul, David Kaawa-Mafigiri e Jude T. Rwemisisi. "Matriarchy in Patriarchal Societies: Burden of Care of Maternal Relatives and Vulnerability of Orphans from HIV Affected Households in Luwero District Uganda". In Child Abuse and Neglect in Uganda, 113–26. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48535-5_7.

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Atti di convegni sul tema "CARE-Uganda"

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Connolly, Maya. "P-197 Exploring the success of palliative care provision in uganda". In Dying for change: evolution and revolution in palliative care, Hospice UK 2019 National Conference, 20–22 November 2019, Liverpool. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjspcare-2019-huknc.219.

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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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Signorell, A., M. Hetzel, AK Tshefu, E. Omoluabi, P. Awor, M. Lambiris, N. Brunner et al. "Understanding and improving case management of severe febrile illness in highly malaria-endemic settings: an observational implementation study in the Democratic Republic of the Congo, Nigeria and Uganda". In MSF Scientific Days International 2022. NYC: MSF-USA, 2022. http://dx.doi.org/10.57740/16vw-z635.

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INTRODUCTION In sub-Saharan Africa, over 400,000 children die annually from malaria and other preventable illnesses. Little is known about where these children die, from which causes, and under which circumstances. A better understanding of these factors is crucial to effectively address the remaining burden of preventable childhood diseases and mortality. Rectal artesunate (RAS) is a potentially life-saving pre-referral treatment for children with severe malaria. However, limited evidence is available regarding the operational feasibility of incorporating RAS into the continuum of care for severe malaria, and the unanticipated consequences, like inappropriate use as artemisinin monotherapy or treatment of uncomplicated malaria, this could have on overall case management. METHODS The Community Access to Rectal Artesunate for Malaria (CARAMAL) study accompanied the implementation of RAS as a pre-referral treatment in DRC, Nigeria and Uganda. 8,563 children aged <5 years with severe febrile illnesses were detected and enrolled at primary care level, and 6,348 at referral health facilities. The children were followed up during admission and after 28 days to assess healthcare-seeking patterns, RAS use and acceptance, anti-malarial treatment received at the various points of contact with the health system, and health outcomes at day 28. ETHICS This study was approved by the World Health Organization’s Research Ethics Review Committee; the University of Kinshasa School of Public Health Ethics Committee; the Health Research Ethics Committee of the Adamawa State Ministry of Health and the National Health Research Ethics Committee, Nigeria; the Research and Ethics Committee of the Makerere University School of Public Health and the Uganda National Council for Science and Technology; and CHAI’s Scientific and Ethical Review Committee. RESULTS Post-RAS introduction, RAS was administered to 88% of eligible patients in DRC, 52% in Nigeria, and 70% in Uganda. We followed up 93% of enrolled children (13,870/14,911) 28 days after enrolment at home to determine status and healthcare trajectory. After roll-out, RAS users were less likely to complete referral than RAS non-users in the pre-roll-out phase in DRC (adjusted odds ratio, aOR: 0.48) and Uganda (aOR: 0.72). Postreferral treatment with parenteral artesunate was high (above 80%), but the administration of a full course of artemisinin-based combination therapy to complete treatment as per WHO guidelines was variable (from virtually zero in Nigeria to 65% in DRC). Hence, many children were in fact treated with artemisinin monotherapy. Case fatality rates (CFR) varied largely by country and place of initial presentation (range: 0.3% to 15%). RAS was associated with reduced likelihood of being dead or sick on day 28 only in Uganda (aOR: 0.61, p<0.05) where overall CFR was lowest. No protective effect was found in DRC and Nigeria. Most children were considered healthy on day 28, but over 60% had detectable malaria antigenaemia. CONCLUSION For RAS to be an effective pre-referral treatment for children with severe malaria in hard-to-reach locations, underlying health system factors need to be addressed to ensure a functional continuum of care. CONFLICTS OF INTEREST None declared
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Harris, C., B. George, U. Harris, M. Munyagwa e A. Greenough. "G258 Epilepsy in western uganda: using satellite clinics to remove barriers to seeking care". In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.251.

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Ben-Farhat, J., RC Nesbitt, PJ Bjertrup, C. Mambula, S. Balkan, CCH Hewison, E. Szumilin e H. Huerga. "Impact of Covid-19 on HIV care in Malawi and Uganda: mixed- methods study". In MSF Scientific Days International 2022. NYC: MSF-USA, 2022. http://dx.doi.org/10.57740/deah-n253.

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Lule, Scholar Herman, Mbaaga Ssebakumba, Francis Olweny, Jacquiline Mabweijano e Joel Kiryabwire. "3D.002 Delays and determinants of traumatic brain injury care outcome in low-income Uganda". In Virtual Pre-Conference Global Injury Prevention Showcase 2021 – Abstract Book. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-safety.78.

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Helwig, M., I. Sekitoleko, M. Bbuye, T. Siddharthan, P. D. Jackson e S. Zawedde Muyanja. "Effect of Socioeconomic Status on Tuberculosis Care and Diagnosis in Uganda During the COVID19 Pandemic". In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a5113.

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Musoke, Maria G. N. "Access and Use of Information by Primary Health Care Providers in Rural Uganda: A Qualitative Approach". In Proceedings of the International Conference on QQML2009. WORLD SCIENTIFIC, 2010. http://dx.doi.org/10.1142/9789814299701_0056.

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Schofield, Guy, Harriet Nakiganda, Emer Brangan, Wilson Acuda, Richard Huxtable e Lucy E. Selman. "1 Everyday ethical challenges in specialist palliative care practice in Uganda: a semi-structured interview study". In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress, Sustaining Each Other, Growing Together, 16–17 March 2023, The Edinburgh International Conference Centre (EICC), Edinburgh, Scotland. British Medical Journal Publishing Group, 2023. http://dx.doi.org/10.1136/spcare-2023-pcc.1.

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Padalkar, R., I. Sekitoleko, B. Mudashiru, M. Hammad, M. Helwig, S. Zawedde Muyanja, T. Siddharthan e P. D. Jackson. "Barriers to TB Care During the COVID19 Pandemic: A Comparison Between Urban and Rural Populations in Uganda". In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3766.

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Rapporti di organizzazioni sul tema "CARE-Uganda"

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Hunt, Jennifer. Bribery in Health Care in Peru and Uganda. Cambridge, MA: National Bureau of Economic Research, aprile 2007. http://dx.doi.org/10.3386/w13034.

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Parvez Butt, Anam, Barbara Gärber e Martin Walsh. Transforming Care After Conflict: How gendered care relations are being redefined in northern Uganda. Oxfam GB, dicembre 2017. http://dx.doi.org/10.21201/2017.1312.

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Okullo, Joel, Quinto Okello, Harriet Birungi, Ian Askew, Barbara Janowitz, Carmen Cuthbertson e Florence Ebanyat. Improving quality of care for family planning services in Uganda. Population Council, 2003. http://dx.doi.org/10.31899/rh4.1219.

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Bongiovanni, Annette, e 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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Wanyenze, Rhoda, Esther Buregyeya, Joseph Matovu, Rose Kisa, Joseph Kagaayi, Caroline Vrana-Diaz, Angela Malek et al. Increasing HIV self-testing and linkage to care for partners of women in antenatal care in Uganda. International Initiative for Impact Evaluation (3ie), luglio 2019. http://dx.doi.org/10.23846/tw2ie102.

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Lazzerini, Marzia, Humphrey Wanzira, Peter Lochoro e Giovanni Putoto. Improving the quality of care for children with acute malnutrition in Uganda. International Initiative for Impact Evaluation (3ie), luglio 2019. http://dx.doi.org/10.23846/tw6ie101.

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Sripad, Pooja, e Charlotte Warren. Formative research on factors influencing access to fistula care and treatment in Uganda. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1045.

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Ssali, Livingstone, Sam Kalibala, Josephine Birungi, Aggrey Egessa, Jonathan Wangisi, Joanne Okullu, Celestin Bakanda, Stephen Okoboi e Francis Obare. Retention of adolescents living with HIV in care, treatment, and support programs in Uganda. Population Council, 2014. http://dx.doi.org/10.31899/hiv9.1006.

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Rost, Lucia, e Sandrine A. Koissy-Kpein. Infrastructure and Equipment for Unpaid Care Work: Household survey findings from the Philippines, Uganda and Zimbabwe – 2017 Household Care Survey report. Oxfam GB, marzo 2018. http://dx.doi.org/10.21201/2017.1671.

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Chukwuemeka Ugwu, Chukwuemeka Ugwu. Effects of Quality Health Care and Support Networks on Maternal and Children Outcomes in Uganda. Experiment, maggio 2017. http://dx.doi.org/10.18258/9360.

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