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Artykuły w czasopismach na temat "Preventive health services – Uganda"

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Nshakira-Rukundo, Emmanuel, Essa Chanie Mussa, Nathan Nshakira, Nicolas Gerber i Joachim von Braun. "Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach". International Journal of Health Economics and Management 21, nr 2 (10.02.2021): 203–27. http://dx.doi.org/10.1007/s10754-021-09294-6.

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AbstractThe effect of voluntary health insurance on preventive health has received limited research attention in developing countries, even when they suffer immensely from easily preventable illnesses. This paper surveys households in rural south-western Uganda, which are geographically serviced by a voluntary Community-based health insurance scheme, and applied propensity score matching to assess the effect of enrolment on using mosquito nets and deworming under-five children. We find that enrolment in the scheme increased the probability of using a mosquito net by 26% and deworming by 18%. We postulate that these findings are partly mediated by information diffusion and social networks, financial protection, which gives households the capacity to save and use service more, especially curative services that are delivered alongside preventive services. This paper provides more insight into the broader effects of health insurance in developing countries, beyond financial protection and utilisation of hospital-based services.
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Makika, Maya, Fred Matovu, Wasswa Matovu i Mesele Araya. "Effect of Out-of-Pocket Health Expenditure on Household Welfare: Evidence from Uganda National Household Survey: 2016–2017". Tanzanian Economic Review 12, nr 1 (30.06.2022): 18–34. http://dx.doi.org/10.56279/ter.v12i1.94.

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Out-of-Pocket health expenditures (OOP) in Uganda are increasingly rising due to the limited share of the national budget allocation to the health sector. Using Uganda National Household Survey data (UNHS) 2016/17, this study investigates the effect of OOP health expenditures on household welfare in Uganda. Due to the presence of endogeneity, the study employs a robust sampling instrumental variable technique to control for simultaneous causality between household welfare and the OOP health expenditure variable in the model. The findings show that a unit increase in OOP health expenditure reduces household food consumption expenditure by 9% and the household asset base by 2%, respectively. This study thus recommends the effective implementation of the Uganda National Health Insurance Scheme (NHIS), increased investment in preventive care services, and promotion of activities aimed at empowering health beneficiaries in Uganda to improve their household welfare.
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Basaza, Robert, Otieno Emmanuel i Christopher Keith Haddock. "Assessment of needle stick injuries among healthcare workers: A cross-sectional study from Kakiri military and SOS hospitals, Uganda". International Journal of Healthcare 8, nr 1 (7.12.2021): 10. http://dx.doi.org/10.5430/ijh.v8n1p10.

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The Ugandan military medical services work together with the civilian public health system to deliver quality healthcare. This Partnership is the mainstay of health service delivery in Uganda. The burden of needle stick injuries (NSIs) is increasing in Uganda’s larger health industry; however, data on needle stick injury in military and public health facilities is lacking. No published data exist on comparative studies for a mix of facilities both military and civilian health settings. This study represents the first time this issue has been studied in a military or public health hospital in Uganda. A hospital-based, cross-sectional study was conducted in July 2018 to September 2019 in Kakiri Military and SOS Hospitals in Uganda using a structured questionnaire. Respondents were purposively selected based on the objectives of study, occupation status and department (N = 310). The overall prevalence of NSIs among respondents was 27.2% and prevalence rates for the two facilities was nearly identical. The largest percentage of NSIs occurred during drawing venous blood samples (49.4%). Significant predictors of NSI were gender, occupational status, age, poor knowledge on prevention and post exposure of NSI, and less professional experience. Infection control practices were lacking in both selected health facilities. Over a quarter of HCWs in Uganda reported NSIs, which places them at significant health risk. Fostering the practice of universal precautions, best infection control practices and training of healthcare workers on bio-safety measures can reduce the prevalence of NSIs.
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Kanobere, Harbart. "Enhancing IPTp Program Implementation: Provider Practices, Challenges, and Malaria Prevalence among Pregnant Women in Uganda". IDOSR JOURNAL OF SCIENCE AND TECHNOLOGY 10, nr 1 (13.03.2024): 43–50. http://dx.doi.org/10.59298/idosr/jst/24/101.234350.

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Malaria remains a formidable public health threat, particularly in sub-Saharan Africa, where pregnant women face heightened vulnerability. Intermittent Preventive Treatment in pregnancy with Sulfadoxine Pyrimethamine (IPTp-SP) stands as a pivotal strategy in malaria prevention efforts. However, its full potential is hindered by challenges in implementation. This study, conducted at Bushenyi Health Centre IV in Uganda, scrutinized provider practices, challenges encountered, and malaria prevalence among pregnant women attending antenatal care services. Through a descriptive cross-sectional approach involving 151 pregnant mothers and 15 antenatal care providers, analysis revealed noteworthy insights. While a majority of pregnant women received IPTp-SP, adherence to WHO guidelines regarding administration timing and frequency was suboptimal. Notably, over half of the providers reported stockouts of IPTp-SP, leading to significant delays in replenishment and impeding service delivery. Moreover, providers identified a crucial link between women's knowledge and IPTp uptake. The study also uncovered a malaria prevalence of 7.9% among pregnant women. These findings underscore the urgent need to address implementation challenges, particularly in supply chain management and health education, to fortify malaria prevention strategies for pregnant women in Uganda. Keywords: Malaria, Pregnant women, IPTp-SP, Antenatal care, Implementation challenges, Supply chain management, Health education, Uganda.
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Muga, Winstoun, i Emmy Kageha Igonya. "'What are you doing here?': (mis)trust, COVID-19 pandemic, and sexual reproductive health rights". Journal of the British Academy 11s6 (2023): 49–67. http://dx.doi.org/10.5871/jba/011s6.049.

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We explore how the government’s messaging on COVID-19 pandemic response perpetuated mistrust and impeded people’s ability to access and utilise sexual and reproductive health (SRH) services. While the need for SRH information increased, public health messages fostered mistrust in sexual and reproductive health services. We draw on in-depth interviews and focus group discussions conducted among women, girls, and healthcare providers in five African countries (Burkina Faso, Ethiopia, Kenya, Malawi, and Uganda) between May and October 2021. We show how trust was largely eroded through preventive measures, such as stay-at-home directives, social distancing, curfews, and lockdowns. We argue that, on one hand, while state-led epidemic preparedness and response were geared towards the common good, i.e., controlling the virus, on the other hand, de-prioritisation of much-needed services for sexual and reproductive health and rights (SRHR), as well as a lack of transparency among some of the service providers, bred mistrust in healthcare. We conclude that ambiguity in communication and implementation of COVID-19 prevention measures further compromised access to and utilisation of sexual and reproductive health services.
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Nalukwago, Judith, Bolanle Olapeju, Anna Passaniti, Musa Kimbowa, Arzum Ciloglu, Glory Mkandawire, Richard Kabanda i Douglas Storey. "Effects of Coronavirus Pandemic on Young Adults’ Ability to Access Health Services and Practice Recommended Preventive Measures". Global Journal of Health Science 13, nr 11 (20.09.2021): 14. http://dx.doi.org/10.5539/gjhs.v13n11p14.

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Given the limited attention to young adults as key contributors to the spread of COVID-19 in Uganda, this study examines the effects of the outbreak on the ability of young adults aged 18-29 to access health services and practice preventive measures. A national population-based mobile phone survey was conducted in December 2020. Multivariable regression analyses were used to explore the effect of the COVID-19 pandemic on access to health care services. Control variables included region, education level, parity, and source of health information. The majority (98%) perceived COVID-19 as a serious threat to Ugandans. Although the majority reported handwashing (97%) and masking (92%), fewer respondents avoided shaking hands (39%), ensured physical distancing (57%), avoided groups of more than four people (43%), stayed home most days (30%), avoided touching eyes, nose, and mouth (14%), and practiced sneezing/coughing into their elbow (7%). Participants noted that the COVID-19 pandemic affected their ability to access family planning (40%), HIV (49%), maternal health (55%), child health (56%), and malaria (63%) services. The perceived effect of the COVID-19 pandemic on services was higher for those in the Northern region (OR= 2.00, 95% CI 1.00-4.02), those with higher education OR= 2.26, 95% CI 1.28-3.99), those with five plus children (OR= 2.05, 95% CI 0.92-4.56), and those who trust radio for COVID-19 information (OR= 1.65, 95% CI 1.01-2.67). The findings show the pragmatic importance of understanding the dynamic characteristics and behavioral patterns of young adults in the context of COVID-19 to inform targeted programming.
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Dongo, John Paul, Stephen M. Graham, Joseph Nsonga, Fred Wabwire-Mangen, Elizabeth Maleche-Obimbo, Ezekiel Mupere, Rodrigo Nyinoburyo i in. "Implementation of an Effective Decentralised Programme for Detection, Treatment and Prevention of Tuberculosis in Children". Tropical Medicine and Infectious Disease 6, nr 3 (14.07.2021): 131. http://dx.doi.org/10.3390/tropicalmed6030131.

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Childhood tuberculosis (TB) is consistently under-detected in most high-burden countries, including Uganda, especially in young children at high risk for severe disease and mortality. TB preventive treatment (TPT) for high-risk child contacts is also poorly implemented. The centralised concentration of services for child TB at the referral level is a major challenge in the prevention, detection and treatment of TB in children. In 2015, the DETECT Child TB Project was implemented in two districts of Uganda and involved decentralisation of healthcare services for child TB from tertiary to primary healthcare facilities, along with establishing linkages to support community-based household contact screening and management. The intervention resulted in improved case finding of child and adult TB cases, improved treatment outcomes for child TB and high uptake and completion of TPT for eligible child contacts. A detailed description of the development and implementation of this project is provided, along with findings from an external evaluation. The ongoing mentorship and practical support for health workers to deliver optimal services in this context were critical to complement the use of training and training tools. A summary of the project’s outcomes is provided along with the key challenges identified and the lessons learnt.
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Ssewanyana, Sarah, i Ibrahim Kasirye. "The Cost Effectiveness of Family Planning Services in Uganda". Journal of African Development 20, nr 1 (1.04.2018): 3–11. http://dx.doi.org/10.5325/jafrideve.20.1.0003.

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Abstract Although Uganda has devoted an increasing amount of resources to health interventions, funding for reproductive health services as well as general health sector remains inadequate. This study examines the cost effectiveness of four family planning interventions, namely, oral contraception, female sterilization, injectables, and condoms. Using the 2006 Uganda Demographic and Health Survey and the Uganda National Household Survey data we estimate cost effectiveness ratios in relation to the number of births averted for women aged 15-49 years. We find that only one out of five women using some form of contraceptive and a quarter of the women using contraceptives rely on traditional methods that are less effective in preventing child births. With regard to efficiency, we find that injectables are the most cost effective intervention. Nonetheless, we do not recommend solely targeting women in the reproductive age category with this particular method of contraception without due regard to differences in physiology and socioeconomic characteristics.
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Ndagire, Emma, Yoshito Kawakatsu, Hadija Nalubwama, Jenifer Atala, Rachel Sarnacki, Jafesi Pulle, Rakeli Kyarimpa i in. "Examining the Ugandan health system’s readiness to deliver rheumatic heart disease-related services". PLOS Neglected Tropical Diseases 15, nr 2 (16.02.2021): e0009164. http://dx.doi.org/10.1371/journal.pntd.0009164.

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Background In 2018, the World Health Assembly mandated Member States to take action on rheumatic heart disease (RHD), which persists in countries with weak health systems. We conducted an assessment of the current state of RHD-related healthcare in Uganda. Methodology/Principal findings This was a mixed-methods, deductive simultaneous design study conducted in four districts of Uganda. Using census sampling, we surveyed health facilities in each district using an RHD survey instrument that was modeled after the WHO SARA tool. We interviewed health workers with experience managing RHD, purposively sampling to ensure a range of qualification and geographic variation. Our final sample included 402 facilities and 36 health workers. We found major gaps in knowledge of clinical guidelines and availability of diagnostic tests. Antibiotics used in RHD prevention were widely available, but cardiovascular medications were scarce. Higher levels of service readiness were found among facilities in the western region (Mbarara district) and private facilities. Level III health centers were the most prepared for delivering secondary prevention. Health worker interviews revealed that limited awareness of RHD at the district level, lack of diagnostic tests and case management registries, and absence of clearly articulated RHD policies and budget prioritization were the main barriers to providing RHD-related healthcare. Conclusions/Significance Uganda’s readiness to implement the World Health Assembly RHD Resolution is low. The forthcoming national RHD strategy must focus on decentralizing RHD diagnosis and prevention to the district level, emphasizing specialized training of the primary healthcare workforce and strengthening supply chains of diagnostics and essential medicines.
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King, Rachel, Zubayiri Sebyala, Moses Ogwal, George Aluzimbi, Rose Apondi, Steven Reynolds, Patrick Sullivan i Wolfgang Hladik. "How men who have sex with men experience HIV health services in Kampala, Uganda". BMJ Global Health 5, nr 4 (kwiecień 2020): e001901. http://dx.doi.org/10.1136/bmjgh-2019-001901.

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In sub-Saharan Africa, men who have sex with men (MSM) are socially, largely hidden and face disproportionate risk for HIV infection. Attention to HIV epidemics among MSM in Uganda and elsewhere in sub-Saharan Africa has been obscured by repressive governmental policies, criminalisation, stigma and the lack of basic epidemiological data describing these epidemics. In this paper, we aim to explore healthcare access, experiences with HIV prevention services and structural barriers to using healthcare services in order to inform the acceptability of a combination HIV prevention package of services for men who have sex with men in Uganda. We held focus group discussions (FGDs) with both MSM and healthcare providers in Kampala, Uganda, to explore access to services and to inform prevention and care. Participants were recruited through theoretical sampling with criteria based on ability to answer the research questions. Descriptive thematic coding was used to analyse the FGD data. We described MSM experiences, both negative and positive, as they engaged with health services. Our findings showed that socio-structural factors, mediated by psychological and relational factors impacted MSM engagement in care. The socio-structural factors such as stigma, homophobia and policy issues emerged strongly as did the mediating factors such as relations with specific health staff and a social support structure. A combination intervention addressing structural, social and psychological barriers could have an impact even in the precarious policy environment where this study was conducted.
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Rozprawy doktorskie na temat "Preventive health services – Uganda"

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Rukundo, Emmanuel Nshakira [Verfasser]. "Effects of community-based health insurance on child health outcomes and utilisation of preventive health services : Evidence from rural south-western Uganda / Emmanuel Nshakira Rukundo". Bonn : Universitäts- und Landesbibliothek Bonn, 2018. http://d-nb.info/1173898611/34.

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Kagaayi, Joseph. "Indices to Predict the Risk of HIV in Rakai, Uganda: Application to the Scale-up of Safe Male Circumcision for HIV Prevention". Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1393439536.

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Carrigan, Amanda Jane. "Determining the Cost-Effectiveness of Preventive Health Services". Thesis, The University of Arizona, 2010. http://hdl.handle.net/10150/146241.

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The purpose of the thesis was to explore the issues surrounding the cost and implementation of prevention. Specifically, methods for determining cost-effectiveness and measuring the health benefits conferred from prevention were explored and services that have been determined to be cost-effective were discussed. Through interviews with health care professionals, administrators, and public health professors, perceptions of the benefits and costs of prevention were explored. Barriers to the implementation of prevention were discussed. The thesis concludes with suggestions on steps that health care providers and policy-makers can take to improve the health of the U.S. population through prevention.
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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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Berry, Elizabeth. "PREVENTIVE DENTAL SERVICES FOR INFANTS AND SUBSEQUENT UTILIZATION OF DENTAL SERVICES". VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1708.

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The purpose of this study was to examine the use of dental services for young children following a preventive oral health intervention in a pediatric medical clinic. Over a 3 year period (2005-2008), children 0-36 months of age, enrolled in Medicaid, were provided preventive oral health services in a medical setting. Descriptive statistics and multivariate logistic regression were used to determine the effect receiving the preventive oral health services in a medical setting with the outcomes of dental utilization. 15% were determined to have dental caries at the intervention and 42% found to have a dental visit post-intervention. Children determined to have decay at the intervention were significantly more likely to have one or more restorative or adjunctive service post-intervention. After receiving preventive oral health care in a medical clinic, the resulting utilization of dental services was higher than what is commonly reported for dental utilization in infant populations of low-income children.
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Redemo, Matilda, i Linda Radak. "Preventive nursing, an interview study on cervical cancer in south-western Uganda". Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26839.

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Syfte: Syftet med denna studie är att belysa hur sjuksköterskor/barnmorskor upplever möjligheter och svårigheter att arbeta förebyggande med livmoderhalscancer i Uganda.Bakgrund: Livmoderhalscancer är den andra vanligaste cancerformen hos kvinnor världen över. Livmoderhalscancer är mest förekommande i Afrika söder om Sahara. I Uganda finns det få sjuksköterskor och barnmorskor som kan utföra hälsosamtal och screening av cellförändringar. Med rätt förebyggande insatser kan incidensen av livmoderhalscancer minska.Metod: En kvalitativ intervjustudie baserad på åtta semistrukturerade intervjuer. Intervjumaterialet analyserades med hjälp av innehållsanalys.Resultat: Sjuksköterskorna och barnmorskorna upplevde att förebyggande insatser möjliggjordes genom screening, behandlingar och outreaches, hälsosamtal och utbildning av hälso- och sjukvårdspersonal samt finansiering. Svårigheterna med att arbeta förebyggande med livmoderhalscancer var bristande stöd från regeringen, svåråtkomlig omgivning, attityder i samhället och brist på kunskap. Slutsats: Uganda behöver bättre finansiering, mer utbildad personal samt tillgång till vaccin och behandlingar för att förbättra förebyggandet av livmoderhalscancer. Ett nationellt screening-program som infattar hela befolkningen skulle påverka det förebyggande arbetet positivt.
Aim: The aim of this study was to elucidate how nurses/midwives perceive thepossibilities and obstacles to practice preventive nursing regarding cervical cancer in Uganda.Background: Cervical cancer is the second most common cancer form amongst women worldwide. The highest incidence of cervical cancer is found in sub- Saharan Africa. In Uganda there are few nurses and midwives to support cervical cancer screening and health talks. With the right preventive measures the incidence rate could be decreased.Method: A qualitative study design based on eight semi-structured interviews. The data was analysed using content analysis.Results: The perceived possibilities to practise preventive nursing were prevention through screening, outreaches and treatments, prevention through health education and practical training plus financing. Obstacles elucidated during the interviews were lack of support from the government, remote places hard to reach, attitudes in the community and lack of knowledge.Conclusion: In order to enhance the preventive measures regarding cervical cancer, Uganda is in need of better funding, more trained staff, access to vaccine and adequate treatments. It would also be beneficial with a nation wide screening program.
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Guo, Jong-long. "Comparisons of clinical preventive services utilization among elderly, middle-aged and young adults in five Texas sites /". Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.

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Lapierre, Sophie. "The logistics of preventive health services using fixed and mobile facilities". Diss., Georgia Institute of Technology, 1995. http://hdl.handle.net/1853/24353.

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Marine, Marjorie Butler. "Marketing health care services for a preventive health care agency : a categorical study". Virtual Press, 1987. http://liblink.bsu.edu/uhtbin/catkey/530368.

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The purpose of the study was to determine the needs of one marketing segment of clients seen in a contraceptive clinic in the Midwest. The marketing segment targeted for study was women with positive Pap smears. A comparison group of women with negative Pap smears was sampled from the same clinic during the time frame July 1, 1982, to July 1, 1984.Nine research questions were investigated. Responses have been reported relative to the following questions:1. Does the incidence of positive Pap smears depend on the presence of cervical infection a woman may have?2. Does the incidence of positive Pap smears depend on whether or not a woman smokes?3. Does the incidence of positive Pap smears depend on the type of contraceptive (pill or barrier) used by a woman?4. Does the incidence of positive Pap smears depend number of abortions experienced by a woman?5. Does the incidence of positive Pap smears depend on the number of pregnancies experienced by a woman?6. Does the incidence of positive Pap smears depend on whether the woman is white or black?7. Does the incidence of positive Pap age of the woman?8. Does the incidence of positive Pap smears depend on the smears depend on whether the woman is married or not?9. Does the incidence of positive Pap smears depend on the educational status of the woman?Five conclusions were drawn from findings of the study and were confined to the population for the study, clients of the selected clinic:1. Women with positive Pap smears are more likely to have infections than women with negative Pap smears.2. Women who have had abortions are more likely to have positive Pap smears.3. The incidence of positive Pap smears is associated with pregnancies; that is women with one or more pregnancies are more likely to have positive Pap smears.4. A higher proportion of black women have positive Pap smears than white women.5. Women with less education have more positive Pap smears than women with higher levels of education.
Department of Educational Administration and Supervision
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Musana, Imelda Atai Madgalene. "Effect of Access to Health Services on Neonatal Mortality in Uganda". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7828.

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Since 2006, Uganda has experienced a nonchanging neonatal mortality rate of 27 out of 1,000 live births, which is higher than the global average of 19 deaths for every 1,000 live births. The purpose of this retrospective cross-sectional study was to determine factors affecting access to health services and their impact on newborn deaths in Uganda. Mosley and Chen's model for child survival in developing nations provided the framework for the study. Secondary data from the 2016 demographic and health survey (UDHS) collected by the Uganda Bureau of Statistics (UBOs) was used. A total of 7,538 cases were used and analyzed using binary logistic regression and one-way analysis of covariance (ANCOVA). The results showed attending less than 4 antenatal care (ANC) visits during pregnancy increased the odds of neonatal deaths 1.57 times, while not taking antimalarial drugs during pregnancy increased the odds of neonatal deaths 1.67 times. However, receiving 4 or more tetanus toxoid (TT) vaccine doses before pregnancy was not statistically associated with an increased risk of neonatal death (p = .597). Also, there was no significant relationship between neonatal mortality and whether distance to health facilities was a challenge (p = .276) or receiving medical assistance during childbirth (p = .420). While there were significant differences in deaths of newborns in geographic regions while controlling for the number of ANC visits (p = .023), there were no differences while controlling for all three covariates, F(4, 117) = 2.00, p = .098. Findings may be used to inform government policies on ANC and malaria prevention during pregnancy, which may reduce neonatal mortality rates in Uganda.
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Książki na temat "Preventive health services – Uganda"

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Uganda AIDS Commission. Uganda HIV/AIDS Partnership Committee, red. Accelerating HIV prevention: The road map towards universal access to HIV prevention in Uganda. Kampala?]: The Republic of Uganda, 2007.

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Nsabagasani, Xavier. Social dynamics of VCT and disclosure in Uganda. Kampala, Uganda: UPHOLD Project, 2006.

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Muhangi, Denis, i Edward Mwebaza. Baseline analysis fn the policy environment for access to sexual and reproductive health and rights and HIV & AIDS services for LGBT persons in Uganda. Kampala - Uganda: HRAPF with the support of DFPA, 2018.

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1951-, Weissberg Roger P., red. Establishing preventive services. Thousand Oaks, Calif: Sage Publications, 1997.

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M, Altevogt Bruce, Institute of Medicine (U.S.). Forum on Neuroscience and Nervous System Disorders, Uganda National Academy of Sciences. Forum on Health and Nutrition i National Academies Press (U.S.), red. Mental, neurological, and substance use disorders in Sub-Saharan Africa: Reducing the treatment gap, improving quality of care : summary of a joint workshop by the Institute of Medicine and the Uganda National Academy of Sciences. Washington, D.C: National Academies Press, 2010.

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Canada. Dept. of National Health and Welfare., red. Preventive dental services. Wyd. 2. [Ottawa]: Minister of National Health and Welfare, 1988.

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United States. Congress. Office of Technology Assessment., red. Benefit design: Clinical preventive services. Washington, DC: Office of Technology Assessment, U.S. Congress, 1993.

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Centers for Medicare & Medicaid Services (U.S.). Staying healthy: Medicare's preventive services. [Baltimore, Maryland?]: Centers for Medicare & Medicaid Services, 2004.

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United States. Congress. Office of Technology Assessment., red. Benefit design: Clinical preventive services. Washington, DC: Office of Technology Assessment, U.S. Congress, 1993.

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U.S. Preventive Services Task Force. Guide to clinical preventive services: Report of the U.S. Preventive Services Task Force. Baltimore: Williams & Wilkins, 1989.

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Części książek na temat "Preventive health services – Uganda"

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Macklem, Gayle L. "Providing Preventive Services in Schools". W Preventive Mental Health at School, 1–18. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8609-1_1.

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Perry, Brian, Bernard Bett, Eric Fèvre, Delia Grace i Thomas Fitz Randolph. "Veterinary epidemiology at ILRAD and ILRI, 1987-2018." W The impact of the International Livestock Research Institute, 208–38. Wallingford: CABI, 2020. http://dx.doi.org/10.1079/9781789241853.0208.

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Abstract This chapter describes the activities of the International Livestock Research Institute (ILRI) and its predecessor, the International Laboratory for Research on Animal Diseases (ILRAD) from 1987 to 2018. Topics include scientific impacts; economic impact assessment; developmental impacts; capacity development; partnerships; impacts on human resources capacity in veterinary epidemiology; impacts on national animal health departments and services; impacts on animal health constraints in developing countries; impacts on ILRI's research and strategy; the introduction of veterinary epidemiology and economics at ILRAD; field studies in Kenya; tick-borne disease dynamics in eastern and southern Africa; heartwater studies in Zimbabwe; economic impact assessments of tick-borne diseases; tick and tick-borne disease distribution modelling; modelling the infection dynamics of vector-borne diseases; economic impact of trypanosomiasis; the epidemiology of resistance to trypanocides; the development of a modelling technique for evaluating control options; sustainable trypanosomiasis control in Uganda and in the Ghibe Valley of Ethiopia; spatial modelling of tsetse distributions; preventing and containing trypanocide resistance in the cotton zone of West Africa; rabies research; the economic impacts of rinderpest control; applying economic impact assessment tools to foot and mouth disease (FMD) control, the southern Africa FMD economic impact study; economic impacts of FMD in Peru, Colombia and India; economic impacts of FMD control in endemic settings in low- and middle-income countries; the global FMD research alliance (GFRA); Rift Valley fever; economic impact assessment of control options and calculation of disability-adjusted life years (DALYs); RVF risk maps for eastern Africa; land-use change and RVF infection and disease dynamics; epidemiology of gastrointestinal parasites; priorities in animal health research for poverty reduction; the Wellcome Trust Epidemiology Initiatives; the broader economic impact contributions; the responses to highly pathogenic avian influenza; the International Symposium on Veterinary Epidemiology and Economics (ISVEE) experience, the role of epidemiology in ILRAD and ILRI and the impacts of ILRAD and ILRI's epidemiology; capacity development in veterinary epidemiology and impact assessment; impacts on national animal health departments and services; impacts on animal health constraints in developing countries and impacts on ILRI's research and strategy.
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Jimbo, Masahito. "Providing Preventive Services to Men: A Substantial Challenge?" W Men's Health in Primary Care, 45–55. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-26091-4_4.

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Faramand, Taroub Harb. "Integrating Gender to Improve HIV Services in Uganda". W Improving Health Care in Low- and Middle-Income Countries, 195–208. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43112-9_12.

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Bar-Yam, Yaneer, Dion Harmon, Keith Nesbitt, May Lim, Suzanne Smith i Bradley A. Perkins. "Opportunities in Delivery of Preventive Services in Retail Settings". W Handbook of Systems and Complexity in Health, 879–87. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-4998-0_49.

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Hornblow, Andrew R. "Preventive and Promotional Goals of Community Mental Health Services". W Epidemiology and Community Psychiatry, 331–36. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_48.

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Ouma, Paul, Peter M. Macharia, Emelda Okiro i Victor Alegana. "Methods of Measuring Spatial Accessibility to Health Care in Uganda". W 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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Namer, Yudit, i Oliver Razum. "Access to Primary Care and Preventive Health Services of LGBTQ+ Migrants, Refugees, and Asylum Seekers". W SpringerBriefs in Public Health, 43–55. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-73630-3_5.

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Napakol, Angella. "Framing the AIDS Discourse: A Critic of Journalistic Source Norms in Uganda’s HIV and AIDS Print News". W Health Crises and Media Discourses in Sub-Saharan Africa, 237–52. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-95100-9_14.

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AbstractThrough reportage, media have played a key role in HIV/AIDS prevention and awareness in Uganda. Uganda’s success in reducing the percentage of HIV infection together with key supportive factors such as political will have been discussed internationally. Media have been credited with relaying information about HIV/AIDS to different groups of people in the public and acting as change agents. This study looks at media as key players in the HIV and AIDS prevention journey in Uganda and therefore seeks to investigate how two major newspaper outlets; New Vision and Daily Monitor framed the issue of HIV/AIDS—looking particularly at the who, between authority and none authority sources contributed most to the HIV/AIDS narrative as news stories’ sources. A quantitative content analysis was carried out of New Vision and Daily Monitor newspapers’ articles spanning 20 years of coverage. Results indicate that despite the important role played, media depended more on authority sources of information compared to none authority sources. This paper argues that lay people such as PLWHA or their caregivers have lived experiences which if shared, could affect the adoption of recommended HIV/AIDS preventive measures.
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Mønsted, Troels. "A Matter of Distance? A Qualitative Study of Data-Driven Early Lifestyle Assessment in Preventive Healthcare". W Quantifying Quality of Life, 467–81. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94212-0_19.

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AbstractAn essential objective of preventive healthcare is to assess the lifestyle of citizens and identify those with health risk behaviors long time before they develop a lifestyle-related disease. In spite of lasting attempts to support preventive healthcare services in reaching individuals at risk through information campaigns, systematic health check programs, and more recently, data-driven approaches, citizens remain at a distance to the preventive healthcare services. The purpose of this chapter is to investigate the reasons for this distance between citizens and preventive care offers and the potential of quantified-self technologies for decreasing this. The analysis shows that while data-driven approaches to lifestyle assessment do assist preventive care services in screening a large population, they do not solve the fundamental challenge; that citizens are often challenged in relating to the risk assessment and in the consequences of their current behaviors on a long timescale. Based on these findings, two design implications are elicited to guide design of systems based on quantified-self to support early assessment and improvement of potentially unhealthy lifestyle, potentially improving health and quality of life in the long term.
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Streszczenia konferencji na temat "Preventive health services – Uganda"

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Kiberu, Vincent Micheal, i Vincent Micheal Kiberu. "E-Health Readiness Assessment in Uganda: Integration of Telemedicine Services into Public Healthcare System". W 2016 IEEE International Conference on Healthcare Informatics (ICHI). IEEE, 2016. http://dx.doi.org/10.1109/ichi.2016.43.

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Gokhale, Swapna S. "Comparing the Impact of Unhealthy Behaviors and Preventive Services on Chronic Health Outcomes". W 2020 IEEE/ACM International Conference on Advances in Social Networks Analysis and Mining (ASONAM). IEEE, 2020. http://dx.doi.org/10.1109/asonam49781.2020.9381443.

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Mujisha, Geoffrey, i Kenneth Kulu. "P813 Community-based health services delivery among key and priority populations – a case study in uganda". W Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.861.

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Peters, Charlotte, Marieke Bijen, Nicole Dukers-Muijrers, Christian Hoebe i Fraukje Mevissen. "O13.5 Reaching home-based female sex workers with preventive sexual health care services in The Netherlands". W Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.180.

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Huo, Xingyue, i Joseph Finkelstein. "Abstract PO-195: Factors affecting disparities in delivery of preventive services to cancer survivors". W Abstracts: AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; October 2-4, 2020. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp20-po-195.

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Khan, Arshia A., Michael Reuter, Nam Phung i Syed S. Hafeez. "Wireless solution to prevent decubitus ulcers: Preventive weight shifting guide, monitor, and tracker app for wheel chair users with spinal cord injuries (phase II)". W 2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom). IEEE, 2016. http://dx.doi.org/10.1109/healthcom.2016.7749500.

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Kumar, Anil, i Younus Sheikh. "An Assessment of Health Hazards in Valves for Gaseous Oxygen Service: Sources and Preventive Measures". W ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-86018.

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Oxygen content in air is approximately 21% by volume. With many industrial uses, mainly in the manufacture of steel and chemicals, for metal cutting, welding ,hardening & scarfing, it is being transported as a non-liquefied gas at pressures of 138 bar (13800000 Pa) or above, also as a cryogenic fluid at pressures and temperatures below 13.8bar (1380000 Pa) & −146.5°C (126.65K). Commonly we found air separation plants produce ultra-pure oxygen (> 99.9% purity) via liquefaction of atmospheric air and separation of the oxygen by fractionation and thereby transported to the needy areas via pipelines. The research efforts directed towards technical assessment to establish the correlations between valve construction and turbulence and solving the complications in the transported ultra-pure oxygen gas in the pipelines and through mounted valves. Hence, it is necessary to study the performance, complexities and fire hazards associated with the valves transporting it and the preventive measures to avoid any catastrophic failure in ultra-pure gaseous oxygen services. The study was conducted on two isolation valves — each of ball and globe of relative size. It was realized that velocities of the ultrapure gaseous oxygen on the impingement sites inside the valve are beyond the safe limit as recommended by European Industrial Gas Association (EIGA) [4] and various other prominent industrial gas manufacturers. Moreover, globe valve gave relatively less turbulence and velocity at initial opening of the valve. The study revealed that majority of health hazards & accidents on industrial usage of ultra-pure gaseous oxygen media are the result of the inadequate awareness of the degreasing or cleaning and optimum material selection and construction of the valve and fittings on the industrial pipeline.
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Mwebaze, Moses M. "The Role of Mobile Learning in Supporting Community Health Workers’ Continuous Learning: A Case of a Village Health Teams Training APP". W Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.3349.

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The purpose of this study is to assess the role of mobile learning in supporting Community Health Workers referred to as Village Health Teams in Uganda. Continuous learning with a smartphone application (App). The study aimed to objectify the concept of using Mobile learning to support CHWs’ training, which is presently considered to be irregular, and underfunded. A Mobile App prototype is used as a study tool to digitize training content on the subject of diseases, reproductive health, sanitation, and family wellbeing. The study involved 41 respondent participants categorized as CHWs, paramedical students, and Community Health Leaders. The variables for the study included the prevalence of smartphone devices, ease of Mobile App use, challenges of the existing approach to training and information delivery, App accessibility issues, and anticipated technical challenges. Despite the conspicuous challenges of mobile technology, the study findings suggest that mobile learning is a favorable alternative to support the training of CHWs. The identified advantages relate to geographic convenience, numerous mobile services, ease of access, update, storage, and sharing of content. However, imminent challenges include the availability of devices among CHWs, lack of electricity, unreliable network, and lack of internet data. Interventions by stakeholders to mitigate challenges are highlighted and mobile learning recommendations are expanded.
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Rahman, Saleh M. M., Cynthia M. Harris, Miaisha Mitchell i Karam F. A. Soliman. "Abstract A29: Community and academic partnership to prevent breast cancer: Experience from the Community Outreach and Preventive Services Core of a P20 Center". W Abstracts: Sixth AACR Conference: The Science of Cancer Health Disparities; December 6–9, 2013; Atlanta, GA. American Association for Cancer Research, 2014. http://dx.doi.org/10.1158/1538-7755.disp13-a29.

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Jeannin, Antoine, Rodrigo Vieira Camara de Castro, Jonathan Peter i Sebastien de Tessieres. "Enhanced Use of Digital Solutions to Enable New Health Care Services on Calm Buoys". W Offshore Technology Conference. OTC, 2021. http://dx.doi.org/10.4043/31126-ms.

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Summary Offshore fields present a growing need to guarantee safety and productivity while minimizing operational costs and increasing remote assistance. Brownfields are more exposed to risks due to the presence of aged assets requiring in depth inspections to assess potential life extensions. This challenge was tackled with a comprehensive approach to asset integrity management based on the enhanced use of digital solutions to enable new health care services on offshore assets, like CALM Buoys. In line with the recent Oil & Gas industry trends, new digital technologies have been recently developed and deployed on board our fleet of CALM (Catenary Anchor Leg Mooring) Buoys, such as the 3C Telemetry system, Inspection Tablets, the IDEA Web Portal and the Marine Drone. All these new digital solutions will be presented in the proposed paper concerning their technical capabilities and the overall integrity performance improvements achieved with their enhanced use on offshore assets. The 3C Telemetry system converts and upgrades CALM Buoys into smart, internet-friendly offloading terminals, connecting the system to Cloud services and ensuring secured data transmission, treatment, storage, and privacy, while delivering reliable accurate information to operators anywhere in the world. Inspection tablets are used to optimize health check campaigns on Buoys with a real-time and remote back office engineering support. These systems can also be connected to the IDEA (Imodco Digital Experience Access) Web Portal to allow online data visualization and analysis of the mooring systems performance. "The Marine Drone is an unmanned survey vehicle to perform diverless UWILD (Underwater Inspection in Lieu of Dry-docking). The system can perform in depth visual inspections with its ROV (Remotely Operated Vehicle) and high-resolution subsea layout mapping of CALM buoys’ structures with its 3D bathymetry system, all providing high quality digital data post processed by advanced analytical tools for integrity analysis and preventive maintenance planning" (Castro, R., et al. 2020). Data management has become the most valuable asset for companies seeking to have a better understanding and to continuously improve operations. This paper will demonstrate how Buoys and passive (process wise) equipment, like Turrets, can be operated in new ways: 1. Connected Asset (IoT): 3C Telemetry, Tablets, and the Marine Drone. 2. Platform to share/connect data to algorithms/users: IDEA System. 3. New operating business models enabled by health care approach.
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Raporty organizacyjne na temat "Preventive health services – Uganda"

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Kaawa-Mafigiri, David, Megan Schmidt-Sane i Tabitha Hrynick. Key Considerations for RCCE in the 2022 Ebola Outbreak Response in Greater Kampala, Uganda. Institute of Development Studies, listopad 2022. http://dx.doi.org/10.19088/sshap.2022.037.

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On 20 September 2022, an outbreak of the Sudan strain of Ebola Virus Disease – SVD – was announced as the first laboratory-confirmed patient was identified in a village in Mubende District in central Uganda. Uganda’s Ministry of Health (MoH) activated the National Task Force and developed and deployed a National Response Plan, which includes the activation of District Task Forces. The target areas include the epicentre (Mubende and Kassanda districts) and surrounding areas, as well as Masaka, Jinja and Kampala cities. This is of great concern, as Kampala is the capital city with a high population and linkages to neighbouring districts and international locations (via Entebbe Airport). It is also a serious matter given that there has been no outbreak of Ebola before in the city. This brief details how Risk Communication and Community Engagement (RCCE) activities and approaches can be adapted to reach people living in Greater Kampala to increase adoption of preventive behaviours and practices, early recognition of symptoms, care seeking and case reporting. The intended audiences include the National Task Force and District Task Forces in Kampala, Mukono, and Wakiso Districts, and other city-level RCCE practitioners and responders. The insights in this brief were collected from emergent on-the-ground observations from the current outbreak by embedded researchers, consultations with stakeholders, and a rapid review of relevant published and grey literature. This brief, requested by UNICEF Uganda, draws from the authors’ experience conducting social science research on Ebola preparedness and response in Uganda. It was written by David Kaawa-Mafigiri (Makerere University), Megan Schmidt-Sane (Institute of Development Studies (IDS)), and Tabitha Hrynick (IDS), with contributions from the MoH, UNICEF, the Center for Health, Human Rights and Development (CEHURD), the Uganda Harm Reduction Network (UHRN), Population Council and CLEAR Global/Translators without Borders. It includes some material from a SSHAP brief developed by Anthrologica and the London School of Economics. It was reviewed by the Uganda MoH, University of Waterloo, Anthrologica, IDS and the RCCE Collective Service. This brief is the responsibility of SSHAP.
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Nelson, Heidi D., Amy Cantor, Jesse Wagner, Rebecca Jungbauer, Ana Quiñones, Rongwei Fu, Lucy Stillman i Karli Kondo. Achieving Health Equity in Preventive Services. Agency for Healthcare Research and Quality (AHRQ), grudzień 2019. http://dx.doi.org/10.23970/ahrqepccer222.

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Cantor, Amy, Heidi D. Nelson, Miranda Pappas, Chandler Atchison, Brigit Hatch, Nathalie Huguet, Brittny Flynn i Marian McDonagh. Effectiveness of Telehealth for Women’s Preventive Services. Agency for Healthcare Research and Quality (AHRQ), czerwiec 2022. http://dx.doi.org/10.23970/ahrqepccer256.

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Objectives. To evaluate the effectiveness, use, and implementation of telehealth for women’s preventive services for reproductive healthcare and interpersonal violence (IPV), and to evaluate patient preferences and engagement for telehealth, particularly in the context of the coronavirus (COVID-19) pandemic. Data sources. Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL databases (July 1, 2016, to March 4, 2022); manual review of reference lists; suggestions from stakeholders; and responses to a Federal Register Notice. Review methods. Eligible abstracts and full-text articles of telehealth interventions were independently dual reviewed for inclusion using predefined criteria. Dual review was used for data abstraction, study-level risk of bias assessment, and strength of evidence (SOE) rating using established methods. Meta-analysis was not conducted due to heterogeneity of studies and limited available data. Results. Searches identified 5,704 unique records. Eight randomized controlled trials, one nonrandomized trial, and seven observational studies, involving 10,731 participants, met inclusion criteria. Of these, nine evaluated IPV services and seven evaluated contraceptive care, the only reproductive health service studied. Risk of bias was low in one study, moderate in nine trials and five observational studies, and high in one study. Telehealth interventions were intended to replace usual care in 14 studies and supplement care in 2 studies. Delivery modes included telephone (5 studies), online modules (5 studies), and mobile applications (1 study), and was unclear or undefined in five studies. There were no differences between telehealth interventions to supplement contraceptive care and comparators for rates of contraceptive use, sexually transmitted infection, and pregnancy (low SOE); evidence was insufficient for abortion rates. There were no differences between telehealth IPV services versus comparators for outcomes measuring repeat IPV, depression, post-traumatic stress disorder, fear of partner, coercive control, self-efficacy, and safety behaviors (low SOE). The COVID-19 pandemic increased telehealth utilization. Barriers to telehealth interventions included limited internet access and digital literacy among English-speaking IPV survivors, and technical challenges and confidentiality concerns for contraceptive care. Telehealth use was facilitated by strategies to ensure safety of individuals who receive IPV services. Evidence was insufficient to evaluate access, health equity, or harms outcomes. Conclusions. Limited evidence suggests that telehealth interventions for contraceptive care and IPV services result in equivalent clinical and patient-reported outcomes as in-person care. Uncertainty remains regarding the most effective approaches for delivering these services, and how to best mobilize telehealth, particularly for women facing barriers to healthcare.
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Jones, Theresa, i Elisabeth Storer. Key Considerations: Adherence to COVID-19 Preventive Measures in Greater Kampala, Uganda. Institute of Development Studies (IDS), marzec 2022. http://dx.doi.org/10.19088/sshap.2022.005.

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This brief sets out key considerations for risk communications and community engagement (RCCE) to promote adherence to COVID-19 preventive measures in greater Kampala, Uganda. It looks at adherence to COVID-19 preventive measures, assesses the challenges to their adoption and outlines key considerations for partners working in RCCE and the wider COVID-19 emergency response. The brief responds to concern (as of March 2022) about COVID-19 transmission in informal urban areas in Uganda due to their high population density, limited sanitary infrastructure, and reported low uptake of vaccination. Ensuring effective communication and engagement with a series of preventative measures is essential in limiting the spread of COVID-19. The Ministry of Health and response partners have been proactive, however interventions and guidance for COVID-19 have taken limited account of social science research about the perceptions and practices related to COVID-19 regulations. This brief aims to address this gap so these data may be used to inform more effective and practicable guidance for vulnerable groups. This brief draws primarily on an analysis of existing scientific and grey literature. Additional primary data was collected through consultation with six social science and RCCE experts who focus on this geographical area. The brief was requested by UNICEF Uganda in consultation with the Uganda Ministry of Health (MoH) RCCE subcommittee and the RCCE technical working group for the Eastern and South Africa region (ESAR). It was developed for SSHAP by Theresa Jones (Anthrologica) and supported by Elizabeth Storer (London School of Economics), with contributions and reviews by colleagues at Anthrologica, the Institute of Development Studies (IDS), UNICEF ESARO and Uganda, Makerere University, the London School of Hygiene and Tropical Medicine (LSHTM), Dreamline Products and the IFRC.
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Mahoney, Linda. The utilization of preventive health care services by low income members of a comprehensive prepaid health plan : the impact of outreach services. Portland State University Library, styczeń 2000. http://dx.doi.org/10.15760/etd.1777.

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Maffioli, Alessandro, Rafael Anta, Jose Perez Lu, Diether Beuermann, Maria Fernanda Rodrigo i Patricia J. García. Information and Communication Technologies, Prenatal Care Services and Neonatal Health. Inter-American Development Bank, maj 2015. http://dx.doi.org/10.18235/0011695.

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We evaluate the effectiveness of sending text messages to pregnant women containing appointment reminders and suggestions for healthy behaviors during pregnancy. Receiving messages had an overall positive effect of 5 percent on the number of prenatal care visits attended. Moreover, for women who live close to their assigned health center and who have higher educational attainment, the intervention positively affected vitamin intake compliance, APGAR scores, and birth weight. Evidence suggests that reminders are more effective among those who are more able to understand the future benefits of preventive care (more educated) and who face lower transaction costs of going to prenatal care checkups (located near health centers). No evidence of geographical spillover effects was found.
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Makumbi, Fredrick, Simon Peter Sebina Kibira, Lilian Giibwa, Chelsea Polis, Margaret Giorgio, Patrick Segawa, Lillibet Namakula i Ricardo Mimbela. Access to Contraceptive Services Among Adolescents in Uganda During the COVID-19 Pandemic. Guttmacher Institute, listopad 2021. http://dx.doi.org/10.1363/2021.33206.

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Key Points The COVID-19 pandemic and its associated restrictions raised concerns that adolescents in Uganda may face barriers to receiving family planning commodities and services. Public and private service statistics data reveal that Uganda experienced smaller and shorter pandemic-related disruptions in adolescent access to sexual and reproductive health services than were initially anticipated. A temporary dip in service visits during April 2020 was followed by a return to previous levels and even an increase in family planning visits among adolescent women during the remainder of 2020. These results speak to the resilience of the health system, which continued to provide services, and the impact of actions by partners to support access to reproductive health supplies and services. The Ministry of Health and other stakeholders should take the following steps to ensure adolescents’ continued access to sexual and reproductive health services throughout the remainder of the pandemic: Document and foster the adaptions and processes that helped ensure continuity of services during the COVID-19 restrictions, so that similar measures may be adopted in future crises. Promote meaningful participation of young people in COVID-19 task forces, to ensure that relevant policies are gender-inclusive and respond to young people’s sexual and reproductive health needs. Classify contraceptive care as an essential service, integrate it with COVID-19 response interventions and ensure that it remains fully operational and open before, during and after any future lockdowns.
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Arrieta, Alejandro, Ariadna García Prado i Jorge Guillén. The Private Health Care Sector and the Provision of Prenatal Care Services in Latin America. Inter-American Development Bank, lipiec 2009. http://dx.doi.org/10.18235/0011081.

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Private providers have become an important source of health care in Latin America, yet there is still little documentation on them, especially regarding their role as providers of preventive and public health interventions. This paper uses Demographic and Health Surveys from various Latin American countries to compare the effectiveness of the private and public sectors in providing prenatal care. Although the number of prenatal visits is higher in the private sector, this is not accompanied by better delivery outcomes. We discuss different strategies to improve the role of private providers.
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Macinko, James, Inês Dourado i Frederico C. Guanais. Chronic Diseases, Primary Care and Health Systems Performance: Diagnostics, Tools and Interventions. Inter-American Development Bank, listopad 2011. http://dx.doi.org/10.18235/0007980.

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Growing exposure to risk factors in combination with low levels of access to preventive care are increasing unmet health needs. LAC has been experiencing a "nutrition transition" towards less healthy diets. Thirty to sixty percent of the region's population does not achieve the minimum recommended levels of physical activity and obesity is rising rapidly. Inadequate access to high quality health services, including clinical prevention and diagnostic services and difficult access to essential medicines are significant contributing factors to the growing burden of chronic disease.
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Arrieta, Alejandro, i Ariadna García Prado. Series of Avoidable Hospitalizations and Strengthening Primary Health Care: The Case of Chile. Inter-American Development Bank, grudzień 2012. http://dx.doi.org/10.18235/0006952.

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This paper studies the effect of ambulatory and hospital coinsurance rates on HACSC among individuals with private insurance in Chile. During the last decade, Chile's private health sector has experienced a dramatic increase in its hospitalization rates, growing at four times the rate of ambulatory visits (see graph 1). Such evolution has raised concern among policy makers, interested in promoting more preventive services, and a major use of ambulatory care. The growth on the prevalence of chronic diseases has also set up the alarm. A burden disease study made in 2007 shows that 84% of the total diseases in the country were non-communicable diseases (Universidad Católica de Chile, 2008). The 2003 National Health Survey showed that only a small fraction of those affected by a chronic disease had their condition under control (Bitrán et al, 2010). In this context, coinsurance can be a valuable tool for dealing with cost escalating problems in the health system while, at the same time, promoting more ambulatory visits and preventive services and less HCSC.
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