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 programHIVDisparities 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 model
2024
Current out of pocket care costs among HIV and hypertension co-morbid patients in urban and peri-urban Uganda
Cameron D, Morrell L, Kagoya F, Kiggundu J, Hutchinson B, Twine R, Schwartz J, Muddu M, Mutungi G, Kayima J, Katahoire A, Longenecker C, Nugent R, Loya D, Semitala F. Current out of pocket care costs among HIV and hypertension co-morbid patients in urban and peri-urban Uganda. PLOS Global Public Health 2024, 4: e0003423. PMID: 39321165, PMCID: PMC11423963, DOI: 10.1371/journal.pgph.0003423.Peer-Reviewed Original ResearchCost of careHousehold incomeCo-morbid patientsCare costsMedian monthly household incomeHIV careCOVID-19 lockdownCascade of HIV careHIV care costsSocio-demographic characteristicsQuarter of patientsDistricts of UgandaIntegration of careMedian monthly costBorrow moneyOut-of-pocket costsDisease co-morbiditiesMonthly household incomePeri-urban UgandaService integrationUgandaHTN careCo-morbiditiesEast AfricaHypertension care
2023
Using the RE-AIM framework to evaluate the implementation and effectiveness of a WHO HEARTS-based intervention to integrate the management of hypertension into HIV care in Uganda: a process evaluation
Muddu M, Semitala F, Kimera I, Musimbaggo D, Mbuliro M, Ssennyonjo R, Kigozi S, Katwesigye R, Ayebare F, Namugenyi C, Mugabe F, Mutungi G, Longenecker C, Katahoire A, Schwartz J, Ssinabulya I. Using the RE-AIM framework to evaluate the implementation and effectiveness of a WHO HEARTS-based intervention to integrate the management of hypertension into HIV care in Uganda: a process evaluation. Implementation Science Communications 2023, 4: 102. PMID: 37626415, PMCID: PMC10463385, DOI: 10.1186/s43058-023-00488-2.Peer-Reviewed Original ResearchLarge HIV clinicManagement of hypertensionRE-AIM frameworkHIV careBlood pressureHeart interventionsHealthcare providersViral suppressionNational guidelinesTask shiftingHIV viral suppressionDiastolic blood pressureSystolic blood pressureOptimal viral suppressionTraining healthcare providersAdult PLHIVHIV clinicHypertension controlHypertension medicationsLifestyle counselingHIV outcomesHypertension managementClinic appointmentsMean ageMonth 21
2021
Hypertension care cascade at a large urban HIV clinic in Uganda: a mixed methods study using the Capability, Opportunity, Motivation for Behavior change (COM-B) model
Muddu M, Ssinabulya I, Kigozi SP, Ssennyonjo R, Ayebare F, Katwesigye R, Mbuliro M, Kimera I, Longenecker CT, Kamya MR, Schwartz JI, Katahoire AR, Semitala FC. Hypertension care cascade at a large urban HIV clinic in Uganda: a mixed methods study using the Capability, Opportunity, Motivation for Behavior change (COM-B) model. Implementation Science Communications 2021, 2: 121. PMID: 34670624, PMCID: PMC8690902, DOI: 10.1186/s43058-021-00223-9.Peer-Reviewed Original ResearchAntiretroviral therapyHIV clinicHIV integrationCare cascadeHIV careHTN treatmentLarge urban HIV clinicART adherence counselingHypertension care cascadeLarge HIV clinicLow patient knowledgeUrban HIV clinicProportion of patientsAnti-hypertensive medicinesRisk of mortalityAdult PLHIVHTN careHTN complicationsHTN screeningConclusionThe prevalenceAdherence counselingMiddle-income countriesTreatment initiationPatient knowledgeBP machines