Featured Publications
Improved 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 programHIVNoncommunicable Diseases In East Africa: Assessing The Gaps In Care And Identifying Opportunities For Improvement
Siddharthan T, Ramaiya K, Yonga G, Mutungi GN, Rabin TL, List JM, Kishore SP, Schwartz JI. Noncommunicable Diseases In East Africa: Assessing The Gaps In Care And Identifying Opportunities For Improvement. Health Affairs 2015, 34: 1506-1513. PMID: 26355052, PMCID: PMC4568565, DOI: 10.1377/hlthaff.2015.0382.Peer-Reviewed Original ResearchConceptsNoncommunicable diseasesCommunicable diseasesPrimary health care systemNoncommunicable disease managementDisease managementPublic health initiativesHealth service deliveryHealth care systemBasic science researchEssential medicationsCommunicable diseases managementHealth initiativesSocial determinantsHealth systemNutritional transitionDiseaseLow-income countriesCare systemMedical trainingService deliveryMedicationsPrevalenceCareLooking 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
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 ResearchConceptsHIV 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
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 Case Reports and Technical NotesConceptsAutoimmune 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
Guidance on the diagnosis and management of asthma among adults in resource limited settings
Kirenga BJ, Schwartz JI, de Jong C, van der Molen T, Okot-Nwang M. Guidance on the diagnosis and management of asthma among adults in resource limited settings. African Health Sciences 2015, 15: 1189-1199. PMID: 26958020, PMCID: PMC4765426, DOI: 10.4314/ahs.v15i4.18.Peer-Reviewed Original ResearchConceptsResource limited settingsManagement of asthmaLimited settingsInternational asthma guidelinesQuality asthma careRecurrent respiratory symptomsLikelihood of asthmaCurrent wheezeSteroid therapyAsthma guidelinesSalbutamol administrationAsthma careClinical improvementExpiratory volumeRespiratory symptomsAsthma diagnosisAllergic diseasesPatient educationClinical dataFamily historyAsthmaSeverity gradingAssessment of controlHealth providersInternational guidelines