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 deliveryImpact 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 transportationCareDisparities in availability of essential medicines to treat non-communicable diseases in Uganda: A Poisson analysis using the Service Availability and Readiness Assessment
Armstrong-Hough M, Kishore SP, Byakika S, Mutungi G, Nunez-Smith M, Schwartz JI. Disparities in availability of essential medicines to treat non-communicable diseases in Uganda: A Poisson analysis using the Service Availability and Readiness Assessment. PLOS ONE 2018, 13: e0192332. PMID: 29420640, PMCID: PMC5805288, DOI: 10.1371/journal.pone.0192332.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesHIV servicesHealth centersHealth facility preparednessHealth service readinessEssential medicinesPrimary health centersReferral health centersHealth facility typeUgandan health facilitiesFacility typePoisson regression modelsHIV careHIV counselingFacility preparednessReadiness assessment toolGeneral HospitalPredictors of readinessHealth facilitiesService readinessMultivariate analysisSignificant associationDiagnostic capacityHigher countsMultivariate modelLooking at non-communicable diseases in Uganda through a local lens: an analysis using locally derived data
Schwartz JI, Guwatudde D, Nugent R, Kiiza CM. Looking at non-communicable diseases in Uganda through a local lens: an analysis using locally derived data. Globalization And Health 2014, 10: 77. PMID: 25406738, PMCID: PMC4240853, DOI: 10.1186/s12992-014-0077-5.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesNCD epidemicHealth systemImportant chronic conditionsNCD risk factorsExcessive alcohol intakeChronic respiratory diseasesMental health disordersRoad traffic accidentsMiddle-income countriesAlcohol intakeChronic conditionsRisk factorsRespiratory diseaseHealth facilitiesHealth disordersNutritional transitionDiseaseNCD policiesSaharan AfricaEpidemicTraffic accidentsRepresentative dataMulti-sector partnershipsUganda
2023
Planning for Hospital Discharge for Older Adults in Uganda: A Qualitative Study Among Healthcare Providers Using the COM-B Framework
Owokuhaisa J, Schwartz J, Wiens M, Musinguzi P, Rukundo G. Planning for Hospital Discharge for Older Adults in Uganda: A Qualitative Study Among Healthcare Providers Using the COM-B Framework. Journal Of Multidisciplinary Healthcare 2023, 16: 3235-3248. PMID: 37936911, PMCID: PMC10627173, DOI: 10.2147/jmdh.s430489.Peer-Reviewed Original ResearchDischarge planningHealthcare providersOlder adultsHealth facilitiesPatient careHealthcare service deliveryRoutine clinical care settingsProper discharge planningHealthcare provider perspectiveClinical care settingsNon-communicable diseasesHome-based careCOM-B frameworkUgandan health systemQuality patient careHospital dischargeContinuous medical educationInpatient wardsCare settingsAudio-recorded interviewsHealth systemProvider perspectivesInfluence behaviour changeQualitative exploratory studyService delivery
2021
Social 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
2020
Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study
Tusubira A, Nalwadda C, Akiteng A, Armstrong-Hough M, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Kalyesubula R, Ssinabulya I, Schwartz J. Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study. The Lancet Global Health 2020, 8: s19. DOI: 10.1016/s2214-109x(20)30160-1.Peer-Reviewed Original ResearchNon-communicable diseasesSelf-care practicesPhysical activityManagement of NCDsDaily vigorous physical activityEssential NCD medicinesRural UgandaMost respondentsModerate physical activityMixed-methods studyVigorous physical activitySelf-care programFocus group discussionsNCD clinicsAdult patientsMost patientsSwollen footPatient adherenceSaharan AfricaMean ageNCD medicinesNCD patientsWeight managementAlcohol abstinenceHealth facilitiesDevelopment of a discrete choice experiment to understand patient preferences for diabetes and hypertension management in rural Uganda
Moor S, Tusubira A, Akiteng A, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Armstrong-Hough M, Nalwadda C, Nugent R, Kalyesubula R, Ssinabulya I, Schwartz J. Development of a discrete choice experiment to understand patient preferences for diabetes and hypertension management in rural Uganda. The Lancet Global Health 2020, 8: s22. DOI: 10.1016/s2214-109x(20)30163-7.Peer-Reviewed Original ResearchNon-communicable diseasesPatient preferencesHealth facilitiesCommon non-communicable diseasesRural UgandaCause of deathHealth care providersHealth service deliveryFormative qualitative researchAvailability of medicinesPeer support groupsHealth care systemPublic health officialsHypertension managementMiddle-income countriesRural patientsDiscrete choice experimentExpert consensusNakaseke districtPatientsCommunicable diseasesDiabetesLow-income countriesInternational content expertsHealth officials
2018
Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards
Rogers HE, Akiteng AR, Mutungi G, Ettinger AS, Schwartz JI. Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards. BMC Health Services Research 2018, 18: 606. PMID: 30081898, PMCID: PMC6080524, DOI: 10.1186/s12913-018-3426-x.Peer-Reviewed Original ResearchConceptsRegional Referral HospitalHealth Centre IVPublic sector health facilitiesGeneral HospitalNCD screeningHealth facilitiesEssential Noncommunicable Disease InterventionsManagement guidelinesDiabetes management guidelinesManagement of NCDsRandom blood glucosePrimary health careNon-communicable diseasesInter-facility variabilityOnly laboratory testBlood pressure machineLow-resource settingsNCD clinicsPublic sector facilitiesDiabetes clinicReferral hospitalPatient RegistryBlood glucoseProvider knowledgeNCD burden