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 ResearchConceptsLarge 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 BPIntegrated 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
2022
The risk of hyperglycemia associated with use of dolutegravir among adults living with HIV in Kampala, Uganda: A case-control study
Namara D, Schwartz JI, Tusubira AK, McFarland W, Birungi C, Semitala FC, Muddu M. The risk of hyperglycemia associated with use of dolutegravir among adults living with HIV in Kampala, Uganda: A case-control study. International Journal Of STD & AIDS 2022, 33: 1158-1164. PMID: 36222490, PMCID: PMC9691558, DOI: 10.1177/09564624221129410.Peer-Reviewed Original ResearchConceptsUse of dolutegravirRisk of hyperglycemiaCase-control studyDTG useDiabetes mellitusSubsequent diagnosisOral glucose tolerance testOdds of hyperglycemiaMedical record abstractionGlucose tolerance testMultivariable logistic regressionInterviewer-administered questionnaireNon-communicable diseasesTimes greater oddsDiagnosis of hyperglycemiaDTG exposureAlternate regimensAntiretroviral agentsRecord abstractionMultivariable analysisPotential confoundersPlasma glucoseTolerance testClinical dataHyperglycemia
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
2019
Cost-Related Insulin Underuse Among Patients With Diabetes.
Herkert D, Vijayakumar P, Luo J, Schwartz JI, Rabin TL, DeFilippo E, Lipska KJ. Cost-Related Insulin Underuse Among Patients With Diabetes. JAMA Internal Medicine 2019, 179: 112-114. PMID: 30508012, PMCID: PMC6583414, DOI: 10.1001/jamainternmed.2018.5008.Peer-Reviewed Original Research
2018
Hemolytic Anemia and Gastric Carcinoid in a Russian Seafarer: Highlighting the Role of Diagnostic Technologies in Modern Clinical Practice.
Chaunzwa TL, O'Shea J, Boggs NA, Schwartz JI, Gibson J, Gielissen KA. Hemolytic Anemia and Gastric Carcinoid in a Russian Seafarer: Highlighting the Role of Diagnostic Technologies in Modern Clinical Practice. The Yale Journal Of Biology And Medicine 2018, 91: 243-246. PMID: 30258311, PMCID: PMC6153615.Peer-Reviewed Original ResearchConceptsAutoimmune gastritisNeurologic functionGastric carcinoidsPernicious anemiaHemolytic anemiaElevated lactate dehydrogenase levelMicroangiopathic hemolytic anemiaGastric carcinoid tumorsLactate dehydrogenase levelsNormal neurologic functionDifferent medical specialistsModern clinical practiceHealth insurance providersMicroangiopathic anemiaRepeat endoscopyAtypical presentationCarcinoid tumorsEndoscopic biopsyMapping biopsyTumor burdenIntramedullary hemolysisLow haptoglobinDehydrogenase levelsOccupational exposureReticulocyte count
2017
Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study
Ojo TT, Hawley NL, Desai MM, Akiteng AR, Guwatudde D, Schwartz JI. Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study. BMC Public Health 2017, 17: 947. PMID: 29233114, PMCID: PMC5727968, DOI: 10.1186/s12889-017-4954-8.Peer-Reviewed Original ResearchConceptsVillage health teamsNon-communicable diseasesNCD preventionVHT membersHealth teamsMaternal-child healthMedical personnelCross-sectional studyResource-limited settingsEastern UgandaNCD servicesHealth workersReferral toolMajor barrierInfectious diseasesMayuge districtHealth issuesDiseaseThematic qualitative analysisPotential rolePreventionRole expansionCommunity awarenessFocus group discussionsEssential personnelEvaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India
Mohanan M, Giardili S, Das V, Rabin TL, Raj SS, Schwartz JI, Seth A, Goldhaber-Fiebert JD, Miller G, Vera-Hernández M. Evaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India. Bulletin Of The World Health Organization 2017, 95: 343-352e. PMID: 28479635, PMCID: PMC5418816, DOI: 10.2471/blt.16.179556.Peer-Reviewed Original ResearchConceptsChildhood diarrheaHealth care providers' knowledgeTelemedicine programHypothetical patient vignettesStandardized patient methodHealth care providersHigh-quality careDifferences linear regression modelPatients MethodsProvider knowledgeAppropriate carePatient vignettesPneumoniaDiarrheaCareSocial franchisingProvider performanceLinear regression modelsSocial franchising programsRegression modelsRepresentative sampleProgram implementationProvidersRural areas
2015
The Know-Do Gap in Quality of Health Care for Childhood Diarrhea and Pneumonia in Rural India
Mohanan M, Vera-Hernández M, Das V, Giardili S, Goldhaber-Fiebert JD, Rabin TL, Raj SS, Schwartz JI, Seth A. The Know-Do Gap in Quality of Health Care for Childhood Diarrhea and Pneumonia in Rural India. JAMA Pediatrics 2015, 169: 349-357. PMID: 25686357, PMCID: PMC5023324, DOI: 10.1001/jamapediatrics.2014.3445.Peer-Reviewed Original ResearchConceptsHealth care practitionersChildhood diarrheaCare practitionersChildhood mortalityHealth careStandardized patientsHarmful treatmentCorrect treatmentMost health care practitionersKey diagnostic questionsLocal health care practitionersOral rehydration saltsUnannounced standardized patientsDiagnostic questionsCross-sectional studyPediatric health care practitionersQuality of careHigher knowledge scoresDiarrhea treatmentRehydration saltsActual careMAIN OUTCOMEMultivariable regressionAppropriate carePneumonia