A5103210323- Global Maternal and Child Health
- Child Nutrition and Water Access
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Asthma and respiratory diseases
- Child and Adolescent Health
- Healthcare Systems and Reforms
- Respiratory Support and Mechanisms
- Vaccine Coverage and Hesitancy
- Health Policy Implementation Science
- Pneumonia and Respiratory Infections
- Malaria Research and Control
- Mosquito-borne diseases and control
- Global Health Care Issues
- Respiratory and Cough-Related Research
- Global Public Health Policies and Epidemiology
- Allergic Rhinitis and Sensitization
- Opioid Use Disorder Treatment
- Poverty, Education, and Child Welfare
- Travel-related health issues
- Pediatric health and respiratory diseases
- Primary Care and Health Outcomes
- COVID-19 epidemiological studies
- Inhalation and Respiratory Drug Delivery
- HIV/AIDS Impact and Responses
- Forensic Toxicology and Drug Analysis
Electric Vehicle Challenge
2024
University of Oxford
2024
United Nations Children's Fund
2017-2021
Office of Adolescent Health
2020
Makerere University
2007-2020
WeMind
2015-2020
Uppsala University
1997-2020
Region Västra Götaland
2018
Lund University
2016
Skåne University Hospital
2015-2016
Objectives To investigate causes of and contributors to newborn deaths in eastern Uganda using a three delays audit approach. Methods Data collected on 64 neonatal from demographic surveillance site were coded for hierarchical model analysed modified determine contributing delays. A survey was conducted 16 health facilities capacity care. Results Of the babies, 33% died hospital/health centre, 13% private clinic 54% away facility. 47% occurred day birth 78% first week. Major death caretaker...
Four million neonatal deaths are estimated to occur each year and almost all in low income countries, especially among the poorest. There is a paucity of data on newborn health from sub-Saharan Africa few studies have assessed inequity uptake care practices. We socioeconomic differences use practices order inform policy programming Uganda.All mothers with infants aged 1-4 months (n = 414) Demographic Surveillance Site were interviewed. Households stratified into quintiles status (SES). Three...
Although evidence-based interventions to reach the Millennium Development Goals for Maternal and Neonatal mortality reduction exist, they have not yet been operationalised scaled up in Sub-Saharan African cultural health systems. A key concern is whether these internationally recommended practices are acceptable will be demanded by target community. We explored acceptability of two rural districts Uganda. conducted 10 focus group discussions consisting mothers, fathers, grand parents child...
Despite investments in providing free government health services Uganda, many caretakers still seek treatment from the drug shops/private clinics. The study aimed to assess determinants for use of facilities or clinics febrile illnesses children under five. Structured questionnaires were administered 1078 randomly selected households Iganga – Mayuge Demographic Surveillance site. Those with who had fever previous two weeks and sought care outside home interviewed on presenting symptoms why...
To explore factors associated with delay in seeking treatment outside the home for febrile children under five.Using a pre-tested structured questionnaire, all 9176 below 5 years Iganga-Mayuge Demographic Surveillance Site were enumerated. Caretakers of who had been ill within previous 2 weeks asked about presenting symptoms, type used, timing and distance to provider. Children sought care latest after one night compared those later.Those likely came from lowest socio-economic quintile (OR...
Summary Objective To determine the competence of community health workers (CHWs) to correctly assess, classify and treat malaria pneumonia among under‐five children after training. Methods Consultations 182 under‐fives by 14 CHWs in Iganga district, Uganda, were observed using standardised checklists. Each CHW saw 13 febrile children. Two paediatricians CHWs’ assessment, classification prescription treatment, while a laboratory scientist assessed use rapid diagnostic tests (RDTs). The...
Healthcare utilization has particular relevance as a public health and development issue. Unlike material human capital, there is little empirical evidence on the utility of social resources in overcoming barriers to healthcare developing country context. We sought assess utilization.To explore community perceptions among three different wealth categories factors influencing Eastern Uganda.We used qualitative study design using Focus Group Discussions (FGD) conduct study. Community meetings...
Use of diagnostics in integrated community case management (iCCM) fever is recognized as an important step improving rational use drugs and quality care for febrile under-five children. This study assessed household access, acceptability utilization health workers (CHWs) trained provided with malaria rapid diagnostic tests (RDTs) respiratory rate timers (RRTs) to practice iCCM.A total 423 households children were enrolled into the Iganga district, Uganda. Households selected from seven...
Importance Fentanyl has exacerbated the opioid use disorder (OUD) and overdose epidemic. Data on effectiveness of medications for OUD among patients using fentanyl are limited. Objective To assess sublingual or extended-release injection formulations buprenorphine treatment with without use. Design, Setting, Participants Post hoc analysis a 24-week, randomized, double-blind clinical trial conducted at 35 outpatient sites in US from December 2015 to November 2016 buprenorphine-naloxone vs...
Acute respiratory infections (ARI) are leading killers of children. Case management using community health workers (CHW) has halved ARI mortality in children Asia. WHO/UNICEF recommend integrating pneumonia into Home Management Malaria strategies. However, sub-Saharan Africa, CHW's performance to recognise is rarely demonstrated. We evaluated the ability CHWs assess rapid breathing under 5 year olds and explored caretaker interpretation symptoms. Ninety-six were for their skills count...
Uganda implemented health sector reforms to make services more accessible the population. An assessment of likely impact these is important for informing policy. This paper describes changes in utilization that occurred among poor and those rural areas between 2002/3 2005/6 associated factors.Secondary data analysis was done using socio-economic component National Household Surveys 2002/03 2005/06. The were identified from wealth quintiles constructed an asset based index derived Principal...
Summary Background The Ugandan Ministry of Health has adopted the WHO Home Based Fever Management strategy (HBM) to improve access antimalarial drugs for prompt (<24 h) presumptive treatment all fevers in children under 5 years. Village volunteers will distribute pre‐packed antimalarials free charge caretakers febrile 2 months years (‘Homapaks’). Objective To explore local understanding and practices childhood fever illnesses discuss implications HBM strategy. Methods Focus Group...
The Home-Based Management of Fever/Malaria (HBMF) strategy in rural Uganda was evaluated a quasi-experimental study. intervention consisted volunteers educating mothers and providing 3-day course pre-packaged chloroquine plus sulfadoxine/pyrimethamine tablets (HOMAPAK), free charge, for the treatment under-five fevers. Using structured questionnaire, information obtained on care-seeking practices before (n=498) 18 months after introduction HBMF (n=587). Assessment effect indicated 13.5%...
There is no clinically useful score to predict chronic obstructive pulmonary disease (COPD) exacerbations. We aimed derive this by analyzing data from three existing COPD clinical trials of budesonide/formoterol, formoterol, or placebo in patients with moderate-to-very-severe and a history exacerbations the previous year.Predictive variables were selected using Cox regression for time first severe exacerbation. determined absolute risk estimates an exacerbation identifying binomial model,...
Reducing neonatal-related deaths is one of the major bottlenecks to achieving Millennium Development Goal 4. Studies in Asia and South America have shown that neonatal mortality can be reduced through community-based interventions, but these not been adapted scalable intervention packages for sub-Saharan Africa where culture, health system policy environment different. In Uganda, outcomes are poor both mothers newborn babies. Policy opportunities include new national Health Sector Strategic...