Department of Community Health: Recent submissions
Now showing items 61-80 of 435
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Gaps in vaccine management practices during vaccination outreach sessions in rural settings in southwestern Uganda
(BMC Infectious Diseases, 2023)Background: Outreach efforts were developed to bolster people’s access to and use of immunization services in underserved populations. However, there have been multiple outbreaks of diseases like measles in Uganda, prompting ... -
Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes
(Circulation: Cardiovascular Quality and Outcomes, 2023)Improving in-hospital cardiac arrest (IHCA) quality of care for adult and pediatric patients—not simply survival—requires a comprehensive set of programs and actions. Ideally, these should be embedded in a system of care ... -
Experiences and perceptions of urine sampling for tuberculosis testing among HIV patients: a multisite qualitative descriptive study
(BMJ Open, 2023)Objectives: Evidence on the acceptability of urine- based assays for tuberculosis (TB) diagnosis among patients remains limited. We sought to describe patients’ experiences and perceptions of urine sampling for TB testing ... -
Higher Levels of Alcohol Use Are Associated With Latent Tuberculosis Infection in Adults Living With Human Immunodeficiency Virus
(Clinical Infectious Diseases, 2021)We assessed associations between hazardous alcohol use and latent tuberculosis infection (LTBI) among adults living with human immunodeficiency virus (HIV) in Uganda. We compared tuberculin skin test positivity across ... -
Evaluation of the modified colorimetric resazurin microtiter plate-based antibacterial assay for rapid and reliable tuberculosis drug susceptibility testing
(BMC microbiology, 2014)Background: The resazurin microtiter assay (classic REMA), a colorimetric liquid culture-based drug susceptibility assay for Mycobacterium tuberculosis (MTB), has been endorsed by the World Health Organization. The assay ... -
Biomarker Testing to Estimate Under-Reported Heavy Alcohol Consumption by Persons with HIV Initiating ART in Uganda
(AIDS and Behavior, 2010)Alcohol affects the transmission and treatment of HIV, yet may be under-reported in resource-limited settings. We compared self-reported alcohol consumption with levels of plasma carbohydrate-deficient transferrin (%CDT), ... -
The relationship between HAART use and sexual activity among HIV-positive women of reproductive age in Brazil, South Africa, and Uganda
(AIDS care,: Psychological and Socio-medical Aspects of AIDS/HIV, 2008)The purpose of this study was to determine whether current HAARTuse is associated with recent sexual intercourse among HIV-infected women (18_49 years) from Brazil, South Africa and Uganda. We conducted an analysis of ... -
Malaria in camps for internally-displaced persons in Uganda: evaluation of an insecticide-treated bednet distribution programme
(Transactions of the Royal Society of Tropical Medicine and Hygiene, 2004)Malaria is a key health problem among displaced populations in malaria-endemic areas. Mass distribution of insecticide-treated bednets (ITN) to prevent malaria is often carried out in complex emergencies, but there are few ... -
CD4R cell count at antiretroviral therapy initiation and economic restoration in rural Uganda
(Aids, 2014)Objective: To determine whether earlier initiation of antiretroviral therapy (ART) is associated with better economic outcomes. Design: Prospective cohort study of HIV-positive patients on ART in rural Uganda. Methods: ... -
A cross-sectional study of prevalence and predictors of risky sexual behavior among school-going adolescents in Mbarara municipality, Uganda
(African Health Sciences, 2023)Background: Adolescents in Sub-Saharan Africa are at a greater risk of experiencing the adverse consequences of risky sexual behavior such as unwanted pregnancy and school drop-out than adolescents from other regions. Objectives: ... -
Patterns of care in two HIV continuity clinics in Uganda, Africa: a time-motion study
(AIDS care, 2008)The study objectives were to identify opportunities to improve the quality of care in resource-limited settings by examining the workflow and patient activities at two large outpatient HIV clinics in Uganda. Using time ... -
Food Insecurity and Sexual Risk in an HIV Endemic Community in Uganda
(AIDS and Behavior, 2011)Food insecurity has been linked to high-risk sexual behavior in sub-Saharan Africa, but there are limited data on these links among people living with HIV/AIDS, and on the mechanisms for how food insecurity predisposes ... -
Failure to Initiate Antiretroviral Therapy, Loss to Follow-up and Mortality Among HIV-Infected Patients During the Pre-ART Period in Uganda
(JAIDS Journal of Acquired Immune Deficiency Syndromes, 2013)Background: Delays and failures in initiation of antiretroviral therapy (ART) among treatment eligible patients may compromise the effectiveness of HIV care in Africa. An accurate understanding, however, of the pace and ... -
Career intentions of final year medical students in Uganda after graduating: the burden of brain drain
(BMC Medical Education, 2015)Background: Uganda has severe shortage of human resources for health despite the heavy disease burden. The country has one of the highest fertility, and population growth rates in the world and is in dire need of trained ... -
Use of a context-specific package to increase sputum smear monitoring among people with pulmonary tuberculosis in Uganda: a quality improvement study
(BMJ Open Quality, 2023)Background: People with bacteriologically confirmed pulmonary tuberculosis (BC-PTB) require sputum smear monitoring (SSM) to ascertain response to anti-TB treatment and cure from TB disease. We aimed to increase SSM at 2, ... -
Use of symptom screening and sputum microscopy testing for active tuberculosis case detection among HIV-infected patients in real-world clinical practice in Uganda
(Journal of acquired immune deficiency syndromes, 2016)Background: The uptake of intensified active TB case finding among HIV-infected patients using symptom screening is not well understood. We evaluated the rate and completeness of each interim step in the TB “diagnostic ... -
Updating vital status by tracking in the community among patients with epidemic Kaposi sarcoma who are lost to follow-up in sub-Saharan Africa
(BMC cancer, 2017)Background: Throughout most of sub-Saharan Africa (and, indeed, most resource-limited areas), lack of death registries prohibits linkage of cancer diagnoses and precludes the most expeditious approach to determining cancer ... -
Factors associated with retention of health workers in remote public health centers in Northern Uganda: a cross‑sectional study
(Human Resources for Health, 2023)Background: Health worker retention in remote and hard-to-reach areas remains a threat in most low- and middle income countries, and this negatively impacts health service delivery. The health workforce inequity is ... -
Empiric Deworming and CD4 Count Recovery in HIVInfected Ugandans Initiating Antiretroviral Therapy
(PLoS neglected tropical diseases, 2014)Background: There is conflicting evidence on the immunologic benefit of treating helminth co-infections (‘‘deworming’’) in HIV-infected individuals. Several studies have documented reduced viral load and increased CD4 count ... -
Program Implementation of Option B– at a President’s Emergency Plan for AIDS Relief-Supported HIV Clinic Improves Clinical Indicators But Not Retention in Care in Mbarara, Uganda
(AIDS patient care and STDs, 2017)2013 WHO guidelines for prevention of mother to child transmission recommend combination antiretroviral therapy (ART) for all pregnant women, regardless of CD4 count (Option B/B+). We conducted a retrospective analysis of ...