Department of Community Health: Recent submissions
Now showing items 241-260 of 435
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Introduction of mobile phones for use by volunteer community health workers in support of integrated community case management in Bushenyi District, Uganda: development and implementation process
(BMC Health Services Research, 2014-05-12)Background: A substantial literature suggests that mobile phones have great potential to improve management and survival of acutely ill children in rural Africa. The national strategy of the Ugandan Ministry of Health calls ... -
Real-time Adherence Monitoring of Antiretroviral Therapy Among HIV-infected Adults and Children in Rural Uganda
(AIDS, 2013)A real-time wireless electronic adherence monitor(EAM) and weekly self-report of missed doses via interactive voice response (IVR) and short message service (SMS) queries were used to measure ART adherence in 49 adults and ... -
Intimate partner violence, spouse extramarital affairs, and depression among women in rural Uganda
(Research square, 2021-04-12)Background: Depression is highly prevalent among women compared to men. Women in rural areas are more at risk of depression compared to their peers in urban areas. Some of the factors associated with depression among married ... -
Diagnostic accuracy of Xpert MTB/RIF Ultra for tuberculous meningitis in HIV-infected adults: a prospective cohort study
(The Lancet Infectious Diseases, 2017-09-14)Background: WHO recommends Xpert MTB/RIF as initial diagnostic testing for tuberculous meningitis. However, diagnosis remains difficult, with Xpert sensitivity of about 50–70% and culture sensitivity of about 60%. We ... -
Internalized Stigma, Social Distance, and Disclosure of HIV Seropositivity in Rural Uganda
(Annals of Behavioral Medicine, 2013-05-21)Background: HIV is highly stigmatized, compromising both treatment and prevention in resource-limited settings. Purpose: We sought to study the relationship between internalized HIV-related stigma and serostatus disclosure ... -
Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda
(BMC pregnancy and childbirth, 2011)Background: Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and ... -
Increased Systemic Inflammation and Gut Permeability Among Women With Treated HIV Infection in Rural Uganda
(The Journal of Infectious Diseases, 2018-04-28)In a cohort of human immunodeficiency virus (HIV)–infected individuals and age- and sex-matched HIV-uninfected comparators, we assessed soluble CD14 (sCD14), sCD163, interleukin 6, intestinal fatty acid binding protein ... -
HIV-Associated Cryptococcal Meningitis Occurring at Relatively Higher CD4 Counts
(The Journal of infectious diseases, 2019)Background. Cryptococcal meningitis can occur in persons with less-apparent immunosuppression. We evaluated clinical characteristics and outcomes of persons with HIV-related Cryptococcus presenting with higher CD4 ... -
HIV Infection, Pulmonary Tuberculosis, and COPD in Rural Uganda: A Cross-Sectional Study
(Lung, 2018)Purpose HIV is associated with chronic obstructive pulmonary disease (COPD) in high resource settings. Similar relationships are less understood in low resource settings. We aimed to estimate the association between HIV ... -
Exploring drivers and barriers to the utilization of community client-led ART delivery model in South-Western Uganda: patients’ and health workers’ experiences
(BMC health services research, 2021)Background: In an effort to accommodate the growing number of HIV clients, improve retention in care and reduce health care burden, the differentiated service delivery (DSD) models were introduced in 2014. One such model, ... -
Impact of CD8+ T Cell Activation on CD4+ T Cell Recovery and Mortality in HIV-infected Ugandans Initiating Antiretroviral Therapy
(AIDS, 2011)Objectives—To assess whether T cell activation independently predicts the extent of CD4+ T cell recovery and mortality in HIV-infected Ugandans initiating antiretroviral therapy (ART). Design—Prospective cohort ... -
Incidence and Predictors of Hypertension in Adults with HIV Initiating Antiretroviral Therapy in Southwestern Uganda
(Journal of hypertension, 2016-10-01) -
Determinants of two-year mortality among HIV positive patients with Cryptococcal meningitis initiating standard antifungal treatment with or without adjunctive dexamethasone in Uganda
(PLOS NEGLECTED TROPICAL DISEASES, 2020-11-30)Globally, early initiation of antiretroviral therapy for HIV led to a reduction in the estimated mortality from cryptococcal meningitis (CCM) from 624,700 in 2009 to 181,100 in 2014. However, CCM remains one of the leading ... -
Determinants of Mortality in a Combined Cohort of 501 PatientsWith HIV-Associated Cryptococcal Meningitis: Implications for Improving Outcomes
(Clinical Infectious Diseases, 2013-12-06)Background: Cryptococcal meningitis (CM) is a leading cause of death in individuals infected with human immunodeficiency virus (HIV). Identifying factors associated with mortality informs strategies to improve outcomes. Methods: ... -
Xpert MTB/RIF Ultra for the diagnosis of HIV-associated tuberculous meningitis: a prospective validation study
(The Lancet infectious diseases, 2020)Introduction: Tuberculous meningitis accounts for 1–5% of tuberculosis cases. Diagnostic delay contributes to poor outcomes. We evaluated the performance of the new Xpert MTB/RIF Ultra (Xpert Ultra) for tuberculous meningitis ... -
Determinants of loss to follow-up among HIV positive patients receiving antiretroviral therapy in a test and treat setting: A retrospective cohort study in Masaka, Uganda
(PLOS ONE, 2020-04-07)Background: Retaining patients starting antiretroviral therapy (ART) and ensuring good adherence remain cornerstone of long-term viral suppression. In this era of test and treat (T&T) policy, ensuring that patients starting ... -
Health-profession students’ teaching and learning expectations in Ugandan medical schools: pre- and postcommunity placement comparison
(Advances in Medical Education and Practice, 2015)Purpose: The benefits of community-based medical education for both students and teachers are becoming increasingly clear. However, there is paucity of information about the importance of incorporating students’ thoughts ... -
Patient experiences and perspectives on Hypertension at a major referral hospital in rural southwestern Uganda
(2020)Objectives Novel care models are needed to address the large burden of hypertension globally. We aimed to explore how patients in rural Uganda experience and perceive hypertension in order to understand factors that ... -
Detection of Mycobacterium Tuberculosis Multiple Strains in Sputum Samples from Patients with Pulmonary Tuberculosis in South Western Uganda using MIRU-VNTR
(Research Square, 2021-09-09)Infections with multiple strains of Mycobacterium tuberculosis are now widely recognized as a common occurrence. Identification of patients infected with multiple strains, provides both insight into the disease dynamics ... -
Five-year retention of volunteer community health workers in rural Uganda: a population-based retrospective cohort
(Health Policy and Planning., 2021)Community health workers (CHWs) effectively improve maternal, newborn and child health (MNCH) outcomes in low-to-middle-income countries. However, CHW retention remains a challenge. This retrospective registry analysis ...