Featured Publications
Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment
Moor SE, Tusubira AK, Wood D, Akiteng AR, Galusha D, Tessier-Sherman B, Donroe EH, Ngaruiya C, Rabin TL, Hawley NL, Armstrong-Hough M, Nakirya BD, Nugent R, Kalyesubula R, Nalwadda C, Ssinabulya I, Schwartz JI. Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment. BMJ Open 2022, 12: e059949. PMID: 35863829, PMCID: PMC9310153, DOI: 10.1136/bmjopen-2021-059949.Peer-Reviewed Original ResearchConceptsPeer support groupsAvailability of medicinesHealthcare providersPatient preferencesHealth facilitiesHealth educationRural UgandaFacility-based managementCost of treatmentLow-resource settingsDiabetes mellitusNakaseke districtDiscrete choice experimentHealthcare service deliveryAverage respondentIntervention designHTNMedicineUgandan shillingsDCE attributesProvidersGroupService deliveryImproved hypertension control at six months using an adapted WHO HEARTS-based implementation strategy at a large urban HIV clinic in Uganda
Muddu M, Semitala FC, Kimera I, Mbuliro M, Ssennyonjo R, Kigozi SP, Katwesigye R, Ayebare F, Namugenyi C, Mugabe F, Mutungi G, Longenecker CT, Katahoire AR, Ssinabulya I, Schwartz JI. Improved hypertension control at six months using an adapted WHO HEARTS-based implementation strategy at a large urban HIV clinic in Uganda. BMC Health Services Research 2022, 22: 699. PMID: 35610717, PMCID: PMC9131679, DOI: 10.1186/s12913-022-08045-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlood PressureFemaleHIV InfectionsHumansHypertensionMaleMiddle AgedUgandaWorld Health OrganizationConceptsLarge urban HIV clinicUrban HIV clinicHTN outcomesHIV clinicHypertension controlViral suppressionHIV outcomesHTN treatmentFurther implementation researchHIV viral suppressionProportion of patientsPre-post studyVaried clinical settingsAdult PLHIVBP controlHTN controlHTN screeningCare cascadeHIV careLifestyle counselingClinic visitsDiastolic BPHIV controlIndependent predictorsSystolic BPImpact of a COVID-19 National Lockdown on Integrated Care for Hypertension and HIV
Schwartz JI, Muddu M, Kimera I, Mbuliro M, Ssennyonjo R, Ssinabulya I, Semitala FC. Impact of a COVID-19 National Lockdown on Integrated Care for Hypertension and HIV. Global Heart 2021, 16: 9. PMID: 33598389, PMCID: PMC7863843, DOI: 10.5334/gh.928.Peer-Reviewed Original ResearchConceptsHealth facilitiesPublic health facilitiesCOVID-19 national lockdownHTN controlHIV clinicUgandan patientsClinical outcomesChronic conditionsHypertensionIntegrated careHIVCOVID-19National lockdownMovement restrictionsMedicineNationwide lockdownOutcomesAntiretroviralsLockdownPatientsClinicCohortMotor vehicle transportationCareIntegrated Hypertension and HIV Care Cascades in an HIV Treatment Program in Eastern Uganda: A Retrospective Cohort Study.
Muddu M, Tusubira AK, Sharma SK, Akiteng AR, Ssinabulya I, Schwartz JI. Integrated Hypertension and HIV Care Cascades in an HIV Treatment Program in Eastern Uganda: A Retrospective Cohort Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2019, 81: 552-561. PMID: 31045649, PMCID: PMC6625912, DOI: 10.1097/qai.0000000000002067.Peer-Reviewed Original ResearchConceptsRetrospective cohort studyCare cascadeHIV careCohort studyHIV programsPrimary cardiovascular disease risk factorsCardiovascular disease risk factorsHIV care cascadeHIV care programsBlood pressure controlProportion of patientsDisease risk factorsHIV treatment programsViral load monitoringManagement of hypertensionHIV clinicEastern UgandaHIV treatmentRisk factorsCardiovascular diseaseHypertensionCare programPressure controlTreatment programHIV
2023
Diabetes mellitus care cascade among a cohort of persons living with HIV and hypertension in Uganda: A retrospective cohort study
Ambangira F, Sharman J, Muddu M, Kimera I, Namara D, Musimbaggo D, Namugenyi C, Ssenyonjo R, Mbuliro M, Katwesigye R, Schwartz J, Semitala F, Ssinabulya I. Diabetes mellitus care cascade among a cohort of persons living with HIV and hypertension in Uganda: A retrospective cohort study. International Journal Of STD & AIDS 2023, 34: 728-734. PMID: 37269360, DOI: 10.1177/09564624231179497.Peer-Reviewed Original ResearchConceptsDiabetes mellitusLarge urban HIV clinicNon-suppressed viral loadNon-communicable disease burdenUrban HIV clinicHIV care programsRetrospective cohort studyCohort of personsAppropriate diabetes careDiabetes mellitus careNon-communicable diseasesDual HIVCare cascadeHIV clinicCohort studyGlycaemic controlMedian ageViral loadRetrospective studyDiabetes careDisease burdenMellitus careCare programHIVHypertension
2022
Integrated multi-month dispensing of antihypertensive and antiretroviral therapy to sustain hypertension and HIV control
Kimera ID, Namugenyi C, Schwartz JI, Musimbaggo DJ, Ssenyonjo R, Atukunda P, Mutungi G, Mugabe F, Ambangira F, Mbuliro M, Katwesigye R, Neupane D, Ssinabulya I, Semitala FC, Delles C, Muddu M. Integrated multi-month dispensing of antihypertensive and antiretroviral therapy to sustain hypertension and HIV control. Journal Of Human Hypertension 2022, 37: 213-219. PMID: 35246602, PMCID: PMC8896410, DOI: 10.1038/s41371-022-00655-3.Peer-Reviewed Original ResearchMeSH KeywordsAnti-HIV AgentsAntihypertensive AgentsFemaleHIV InfectionsHumansHypertensionLongitudinal StudiesMaleMiddle AgedConceptsHIV viral suppressionHypertension controlViral suppressionBlood pressureElevated systolic blood pressureHIV treatment outcomesMean blood pressureProportion of patientsSystolic blood pressureRetention of patientsPatient-centered approachAntiretroviral therapyHIV clinicStable patientsHIV controlHIV treatmentMean ageTreatment outcomesHypertensionPatientsHealthcare providersClinical encountersMonthsBaselineLongitudinal study
2021
Causes of medication non-adherence and the acceptability of support strategies for people with hypertension in Uganda: A qualitative study
Wilkinson R, Garden E, Nanyonga RC, Squires A, Nakaggwa F, Schwartz JI, Heller DJ. Causes of medication non-adherence and the acceptability of support strategies for people with hypertension in Uganda: A qualitative study. International Journal Of Nursing Studies 2021, 126: 104143. PMID: 34953374, DOI: 10.1016/j.ijnurstu.2021.104143.Peer-Reviewed Original ResearchConceptsCauses of medicationPoor medication adherenceNon-communicable diseasesHypertension controlMedication adherenceCommon non-communicable diseasesMedication side effectsLack of symptomsUrban private hospitalsMonthly group meetingsHealth Belief ModelTraditional herbal medicineHypertensive medicationsUntreated hypertensionAdherence clubsAdherence interventionsConventional content analysis approachText remindersSide effectsHypertensionPatientsMedicationsPatient effortHealthcare providersContext-specific barriersSocial Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda
Tusubira AK, Nalwadda CK, Akiteng AR, Hsieh E, Ngaruiya C, Rabin TL, Katahoire A, Hawley NL, Kalyesubula R, Ssinabulya I, Schwartz JI, Armstrong-Hough M. Social Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda. Annals Of Global Health 2021, 87: 86. PMID: 34458110, PMCID: PMC8378074, DOI: 10.5334/aogh.3308.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesSelf-care practicesPrescribed medicinesConventional medicinePatient's social support networkRural UgandaSelf-care activitiesBlood sugar levelsCross-sectional qualitative studyResource-limited settingsSelf-care effortsSocial support networksSocial supportNCD clinicsNineteen patientsAdult patientsHealth facilitiesPatientsPatient strategiesManaging diabetesHypertensionSelf-CareDiabetesDiagnostic testsLow-income countries
2019
Self-management of non-communicable diseases in low- and middle-income countries: A scoping review
Hearn J, Ssinabulya I, Schwartz JI, Akiteng AR, Ross HJ, Cafazzo JA. Self-management of non-communicable diseases in low- and middle-income countries: A scoping review. PLOS ONE 2019, 14: e0219141. PMID: 31269070, PMCID: PMC6608949, DOI: 10.1371/journal.pone.0219141.Peer-Reviewed Original Research