2023
Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda
Ingenhoff R, Munana R, Weswa I, Gaal J, Sekitoleko I, Mutabazi H, Bodnar B, Rabin T, Siddharthan T, Kalyesubula R, Knauf F, Nalwadda C. Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda. BMC Public Health 2023, 23: 881. PMID: 37173687, PMCID: PMC10176286, DOI: 10.1186/s12889-023-15704-w.Peer-Reviewed Original ResearchConceptsCommunity health workersNon-communicable diseasesHealthcare workersRural UgandaHealth workersCHW knowledgeNCD screeningDiabetes mellitusMiddle-income countriesCHW characteristicsHypertensionCHW programsCare deliveryHealthcare accessHealthcare professionalsReferralPatient accessHealthcare systemSuccessful program implementationDiabetesPatientsProfessionals' perceptionsFramework methodFocus group discussionsScreening
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
2019
Trends of admissions and case fatality rates among medical in-patients at a tertiary hospital in Uganda; A four-year retrospective study
Kalyesubula R, Mutyaba I, Rabin T, Andia-Biraro I, Alupo P, Kimuli I, Nabirye S, Kagimu M, Mayanja-Kizza H, Rastegar A, Kamya MR. Trends of admissions and case fatality rates among medical in-patients at a tertiary hospital in Uganda; A four-year retrospective study. PLOS ONE 2019, 14: e0216060. PMID: 31086371, PMCID: PMC6516645, DOI: 10.1371/journal.pone.0216060.Peer-Reviewed Original ResearchConceptsTrend of admissionsCase fatality rateAnnual percentage changeHIV/AIDSFatality rateMedical wardsDual burdenFour-year retrospective studyHigh case fatality ratePercentage changeNon-TB pneumoniaChronic kidney diseaseDate of dischargeCause of hospitalizationMajority of patientsProportion of hospitalizationsDate of admissionProportion of admissionsRisk of deathCause of morbidityAdult medical wardsDate of deathNon-communicable diseasesNon-infectious diseasesHealth system improvement
2016
Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study
Siddharthan T, Rabin T, Canavan ME, Nassali F, Kirchhoff P, Kalyesubula R, Coca S, Rastegar A, Knauf F. Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study. PLOS ONE 2016, 11: e0166411. PMID: 27851785, PMCID: PMC5112982, DOI: 10.1371/journal.pone.0166411.Peer-Reviewed Original ResearchConceptsChronic disease managementDoctor-patient communicationHeart failurePatient Activation Measure scoresUganda Heart InstitutePrevention of exacerbationsDisease-specific knowledgePatient Activation MeasureMulago National ReferralOverall clinical careOutpatient clinical settingNon-communicable diseasesImplementation of PatientHigh-income settingsPatient-centered carePatient-centered educationKnowledge of diseaseProspective cohortSecondary outcomesMiddle-income countriesPrimary outcomeCardiology clinicOutpatient departmentOverall careTreatment optionsAn educational booklet for patient-centred health education about a non-communicable disease in low-income and middle-income countries
Siddharthan T, Nassali F, Kalyesubula R, Coca S, Rastegar A, Rabin T, Knauf F. An educational booklet for patient-centred health education about a non-communicable disease in low-income and middle-income countries. The Lancet Global Health 2016, 4: s25. DOI: 10.1016/s2214-109x(16)30030-4.Peer-Reviewed Original Research
2015
Towards reframing health service delivery in Uganda: the Uganda Initiative for Integrated Management of Non-Communicable Diseases
Schwartz JI, Dunkle A, Akiteng AR, Birabwa-Male D, Kagimu R, Mondo CK, Mutungi G, Rabin TL, Skonieczny M, Sykes J, Mayanja-Kizza H. Towards reframing health service delivery in Uganda: the Uganda Initiative for Integrated Management of Non-Communicable Diseases. Global Health Action 2015, 8: 26537. PMID: 25563451, PMCID: PMC4292588, DOI: 10.3402/gha.v8.26537.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesHealth service deliveryIntegrated health services deliveryTraining of HCWsChronic disease preventionHealthcare worker trainingMiddle-income countriesService deliveryDisease preventionCommunicable diseasesHealth systemDouble burdenDiseaseWorker trainingMultidisciplinary research collaborationBurdenDeliveryMorbidityMajor roleManagementMortalityIntegrated ManagementCarePrevention