IPCHS

Contents tagged: uganda

Aug. 29, 2018 Africa Publication

Data value and care value in the practice of health systems: A case study in Uganda

In anthropology, interest in how values are created, maintained and changed has been reinvigorated. This case study, draws on this literature to interrogate concerns about the relationship between data collection and the delivery of patient care within global health. They followed a pilot study conducted in Kayunga, Uganda that aimed to improve the collection of health systems data in five public health centres and it´s observed that measurement, calculation and narrative practices could be assigned care-value or data-value and that the attempt to improve data collection within health facilities transferred ‘data-value’ into health centres with little consideration among project staff for its impact on care

care giving, data collection, ethics in public health, health systems, uganda, value care

Feb. 8, 2022 Africa Publication

Engaging and empowering people and communities, Strengthening governance and accountability, Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Developing a patient-centered community-based model for management of multi-drug resistant tuberculosis in Uganda: a discrete choice experiment

The advent of all-oral regimens for the management of multi-drug resistant tuberculosis (MDR-TB) makes the implementation of community-based directly observed therapy (CB-DOT) a possibility for this group of patients. We set out to determine patient preferences for different attributes of a community-based model for the management of MDR-TB in Uganda. The preferred model consisted of a CHW giving DOT at home and travel vouchers to enable attendance of monthly clinic follow-up visits to tertiary referral hospitals for treatment monitoring. People with MDR-TB prefer to be supported to take their medicine at home by a member of their community.

community-based care, directly observed therapy, discrete choice experiment, multi-drug resistant tuberculosis, uganda

June 12, 2023 Africa Publication

Implementing integrated care clinics for HIV-infection, diabetes and hypertension in Uganda (INTE-AFRICA): process evaluation of a cluster randomised controlled trial

Sub-Saharan Africa is experiencing a dual burden of chronic human immunodeficiency virus and non-communicable diseases. A pragmatic parallel arm cluster randomised trial (INTE-AFRICA) scaled up ‘one-stop’ integrated care clinics for HIV-infection, diabetes and hypertension at selected facilities in Uganda. These clinics operated integrated health education and concurrent management of HIV, hypertension and diabetes. A process evaluation (PE) aimed to explore the experiences, attitudes and practices of a wide variety of stakeholders during implementation and to develop an understanding of the impact of broader structural and contextual factors on the process of service integration.

diabetes, hiv, hypertension, integrated care, non-communicable disease, uganda