BackgroundOur aim was to estimate the prevalence of abnormal glucose regulation (AGR) (i.e. diabetes and pre-diabetes) its associated factors among people aged 35-60 years so as clarify relevance targeted screening in rural Africa. MethodsA population-based survey 1,497 (786 women 711 men) conducted a predominantly Demographic Surveillance Site eastern Uganda. Participants responded lifestyle questionnaire, following which their Body Mass Index (BMI) Blood Pressure (BP) were measured....

Background Few studies have examined the behavioural correlates of non-communicable, chronic disease risk in low-income countries. The objective this study was to identify socio-behavioural characteristics associated with being overweight or hypertensive a setting, so as highlight possible interventions and target groups. Methods A population based survey conducted Health Demographic Surveillance Site (HDSS) eastern Uganda. 1656 individuals aged 35 60 years had their Body Mass Index (BMI)...

Patient–centered care (PCC) is increasingly recognized as a key dimension of quality healthcare, but unfortunately remains poorly implemented in practice. This paper explores the current state PCC sub-Saharan Africa and potential barriers to its implementation, with focus on public first line health services. We develop an analytical framework based expert knowledge, field experience, conceptual literature review. Factors contributing (lack of) implementation are structured three distinct...

The burden of type 2 diabetes is increasing rapidly, not least in Sub-Saharan Africa, and disadvantaged populations are disproportionally affected. Self-management a key strategy for people at risk or with diabetes, but implementation challenge. objective this study to assess the determinants self-management from an perspective three settings: two rural districts Uganda, urban township South socio-economically suburbs Sweden. Data collection followed exploratory multiple-case design,...

Diarrhea causes 1.6 million deaths annually, including 525,000 children. Further, chronic diarrhea puts children at risk for mineral deficiencies, malnutrition, and stunting which, in turn, can result cognitive deficits, poor performance school, decreased disease immunity adulthood. Most is caused by water contaminated fecal matter. Interventions to improve clean sanitation save lives; however, challenges persist informal settlements. In this study, we explored the views of residents...

The occurrence of landslides and floods in East Africa has increased over the past decades with enormous Public Health implications massive alterations lives those affected. In Uganda, Elgon region is reported to have highest making this area vulnerable. This study aimed at understanding both coping strategies underlying causes vulnerability Mt. region.We conducted a qualitative three districts Bududa, Manafwa Butalejja eastern Uganda. Six Focus Group Discussions (FGDs) eight Key Informant...

Despite the increasing burden of diabetes in Uganda, little is known about quality type 2 mellitus (T2DM) care especially rural areas. Poor a serious limitation to control and its complications. This study assessed barriers service delivery two districts Eastern Uganda.This was mixed methods cross-sectional study, conducted six facilities. A randomly selected sample 377 people with interviewed using pre-tested interviewer administered questionnaire. Key informant interviews were also...

The prevalence of metabolic syndrome (MetS) has increased significantly in sub-Saharan African countries, including Uganda. Females are disproportionately affected by MetS compared to males. This study evaluated the effects 12 weeks community-based nutrition education (NE), physical activity (PA), and motivational interviewing (MI) interventions on its components among females reproductive age central We conducted a randomised parallel-group trial involving 120 aged 15–49 years with Wakiso...

Metabolic syndrome (MetS) poses a significant challenge to global public health, due its strong association with Type 2 diabetes and cardiovascular disease. Waist circumference (WC) is convenient metric for diagnosing MetS. Our study sought establish waist cut-off points that predict MetS among females of reproductive age in Wakiso district, central Uganda.The data collected were from cross-sectional conducted Uganda, involving 697 randomly selected aged 15 49, between 9 th June 2021 17...

Glycated haemoglobin (HbA1C) has been suggested to replace glucose tests in identifying diabetes and pre-diabetes. We assessed agreement between fasting plasma (FPG) HbA1C rapid classifying abnormal regulation (AGR), their utility for preventive screening rural Africa.A population-based survey of 795 people aged 35-60 years was conducted a mainly district Uganda. FPG measured using On-Call® Plus glucometers, classified World Health Organization (WHO) American Diabetes Association (ADA)...

<title>Abstract</title> <bold>Background:</bold>Alzheimer's disease and related dementia (ADRD) present growing global health challenges, especially in aging populations such as Uganda. In Uganda, familial caregiving, predominantly undertaken by female relatives, is the primary form of support for patients with ADRD. Cultural stigma around limited access to services amplify caregivers' challenges. This study examined psychological distress, depression, quality life (QoL) among family...

Background: Despite adoption of the ‘test-and-treat’ strategy, a high proportion antiretroviral therapy (ART) naïve people living with HIV (PLHIV) enrol in care with, and die advanced disease (AHD) Uganda. In this study, we aimed to determine prevalence AHD among ART adults enrolling associated factors at selected public health facilities Kampala, Methods: From April July 2022, conducted mixed-methods study Kiswa Health Centre III, Kitebi Kawaala IV. The involved cross-sectional enrolment...

Alzheimer's disease and related dementias (ADRD) present growing global health challenges, especially in aging populations, such as Uganda. In Uganda, familial caregiving, predominantly undertaken by female relatives, is the primary form of support provided to patients with ADRD. Cultural stigma around dementia limited access services amplify caregivers' challenges. This study examined psychological distress, depression, quality life (QoL) among family caregivers ADRD Wakiso District,

With a human immunodeficiency virus (HIV) prevalence of 2.1% among 15-24 year olds, opportunities for further integration sexual and reproductive health (SRH) HIV prevention services young people in Uganda exist. We examine range factors that contribute to variance risky behaviour Ugandans.A cross-sectional, nationally representative household survey was conducted between February March 2016. The questionnaire used assessed knowledge, attitudes practices related SRH aged 10-24 years. A...

Interventions for prevention of type 2 diabetes ought to be acceptable target communities. We assessed perceptions about and lifestyle change among people afflicted or at high risk this disease in a low income setting Iganga Uganda. Twelve focus group discussions (FGDs) eight participants each were conducted, balancing rural peri-urban (near the Municipality) residence gender. The FGDs involved with suspected (based on fasting plasma glucose (FPG), pre-diabetes obese normal FPG. Content...

Introduction Type 2 diabetes (T2D) is increasingly contributing to the global burden of disease. Health systems in most parts world are struggling diagnose and manage T2D, especially low-income middle-income countries, among disadvantaged populations high-income countries. The aim this study determine added benefit community interventions onto health facility interventions, towards glycaemic control persons with diabetes, reduction plasma glucose prediabetes. Methods analysis An adaptive...

The burden of type 2 diabetes in Sub-Saharan Africa is projected to double by 2040, partly attributable rapidly changing diets. In this paper, we analysed how community members rural Uganda understood the concept a healthy or unhealthy diet, food preparation and serving practices inform process facilitating knowledge skill necessary for self-management care diabetes. This was qualitative study involving 20 focus group discussions eight in-depth interviews among those at risk, patients with...

<title>Abstract</title> Background The prevalence of Metabolic Syndrome (MetS) in sub-Saharan African countries including Uganda is on the rise. Females reproductive age (15–49 years) are more affected by MetS than males leading to adverse maternal and perinatal outcomes. This study assessed associated factors among females Wakiso district, central inform policy. Methods We conducted a community-based cross-sectional 697 women using multistage sampling method. In first stage, 32...

This paper reports on the use of reciprocal learning for identifying, adopting and adapting a type 2 diabetes self-management support intervention in multisite implementation trial conducted rural setting low-income country (Uganda), periurban township middle-income (South Africa) socioeconomically disadvantaged suburbs high-income (Sweden). The process was guided by framework knowledge translation structured into three cycles, allowing balance between evidence, stakeholder interaction...

Health systems in many low- and middle-income countries are struggling to manage type 2 diabetes (T2D). Management of glycaemia via well-organized care can reduce T2D incidence, associated morbidity mortality. The primary aim this study was evaluate the effectiveness facility plus community interventions (integrated care), compared only (facility care) towards improvement outcomes Uganda South Africa. A pragmatic cluster randomized trial design used compare among participants with those at...

Abstract Type 2 diabetes (T2D) and its complications are increasing rapidly in low- middle-income countries, as well among socioeconomically disadvantaged populations high-income countries. Support for healthy lifestyle self-management is paramount but not implemented health systems, there need knowledge on how to design implement interventions that contextualized patient centered address special needs of population groups. The SMART2D project implements evaluates a intervention participants...

Practical experiments with deliberative democracy, instituted random samples of the public, have had success in many countries. But this approach has never before been tried Sub-Saharan Africa. Reflecting on first two applications Uganda, we apply same criteria for commonly used such projects most advanced Can work successfully a public low literacy and education? it some critical policy choices faced by rural Uganda? This essay reflects quantitative qualitative results from Uganda's...

Background: Our objective was to describe the clinical presentation of new diabetes patients in a rural hospital, enhance detection low resource settings.Methods: A case series assessment 103 consecutively enrolled at Iganga Hospital Eastern Uganda conducted. All underwent basic through clinic's routine procedures.Following diagnosis, variables pertinent study (symptoms, blood pressure, anthropometry, and glucose) were secondarily abstracted from their records. Results: Fiftty two percent...