Abstract Background Water is the most abundant resource on earth, however water scarcity affects more than 40% of people worldwide. Access to safe drinking a basic human right and United Nations Sustainable Development Goal (SDG) 6. Globally, waterborne diseases such as cholera are responsible for over two million deaths annually. Cholera major cause ill-health in Africa Uganda. This study aimed determine physicochemical characteristics surface spring endemic communities Uganda order promote...

The communities in fishing villages the Great Lakes Region of Africa and particularly Uganda experience recurrent cholera outbreaks that lead to considerable mortality morbidity. We evaluated epidemiology population characteristics better target prevention control interventions contribute its elimination from those communities.

Abstract Background Uganda has been confronted with a sustained influx of refugees for decades. This prompted the government to explore opportunities integrate into local service structures including its national health system. paper chronicles history policies and strategies that have influenced integration system in investigates factors impacted policy evolution progression. Methods We used case study approach drew on document review key informant interviews 28 respondents at subnational...

Northern Uganda was severely affected by two decades of civil war that led to the displacement and encampment an estimated 1.6 million inhabitants. The objective this study assess community perspectives, attitude factors influence use family planning (FP) services in post conflict Gulu district. We conducted a cross sectional using multistage sampling technique. All three counties district were purposely selected. Two sub-counties per county four parishes sub-county randomly A total 24...

Cholera is a major public health problem in the African Great Lakes basin. Two hypotheses might explain this observation namely; lakes are reservoirs of toxigenic V. cholerae O1 and O139 bacteria or cholera outbreaks result repeated pathogen introduction from neighboring communities / countries but facilitate introductions. A prospective study was conducted Uganda between February 2015 January 2016 which 28 selected surface water sources were tested for presence species using rapid test...

Identifying key barriers to accessing quality-assured and affordable antimicrobials among forcibly displaced persons in Uganda, Yemen Colombia investigating their (1) utilisation patterns of antibiotics, (2) knowledge about antimicrobial resistance (AMR) (3) perception the quality received. Pilot cross-sectional survey. Data were collected from five health facilities Kiryandongo refugee settlement (Bweyale, Uganda), three camps for internally (IDPs) Dar Sad district (Aden, Yemen) a with high...

Abstract Background With the increasing number of protracted refugee crises globally, it is essential to ensure strong national health information systems (HIS) in displacement settings that include refugee-sensitive data and disaggregation by status. This multi-country study aims assess degree integration into HIS Jordan, Lebanon, Uganda identify strengths weaknesses their terms collecting reporting on refugee-related indicators. Methods The employs a comparative country analysis approach...

Background Untreated syphilis in pregnancy is associated with adverse clinical outcomes to the infant. In low- and middle-income countries Asia Latin America, 20%-30% of women are not tested for during pregnancy. We evaluated cost-effectiveness increasing coverage antenatal screening 11 Asian 20 American countries, using a point-of-care immunochromatographic strip (ICS) test. Methods The decision analytical models reported incremental costs per disability-adjusted life years (DALYs) averted...

Prolonged civil war and unrest has dominated the short history of South Sudan resulting in long-term displacement millions people since 1990s. Since December 2013, over one million Sudanese refugees have fled into Uganda. International national responses to refugee influx country been managed through parallel integrated care assistance mechanisms. In order enhance effectiveness responsiveness programmes host communities country, governments aid agencies should promote integration services.

Abstract Background There are limited data on awareness of cervical cancer risk factors and symptoms among refugee populations living in Uganda. In this study, we sought to determine the knowledge women Palabek settlement, northern Methods We conducted a cross-sectional study. 815 (aged 18–60 years) were randomly selected using multistage sampling settlement. Data collected pre-tested, structured questionnaires. Logistic regression models used magnitudes association between socio-demographic...

Abstract Background Health supply chain systems are essential for effective and efficient healthcare system by ensuring availability of quality medicines health supplies. While several interventions have been made to ensure the supplies, facilities continue report stockouts in Uganda. Objectives This study aimed assess status performance across all levels care Methods was a cross-sectional conducted 128 public private-not-for-profit 48 districts These included from Centres II, III, IV,...

Despite recent improvements in child survival, neonatal mortality remains high most developing countries. Countries affected by humanitarian emergencies continue to report the highest rates.To assess essential newborn care practices and its determinants amongst mothers of infants aged 0-6 months refugee settlements Adjumani district.A cross-sectional study was conducted among settlements, district. A total 561 were selected using systematic sampling technique from households. Data collected...

Abstract Background Humanitarian health assistance programmes have expanded from temporary approaches addressing short-term needs to providing long-term interventions in emergency settings. Measuring sustainability of humanitarian services is important towards improving the quality refugee Objective To explore following repatriation refugees west Nile districts Arua, Adjumani and Moyo. Methods This was a qualitative comparative case study conducted three refugee-hosting Adjumani, In-depth...

Background . In 2013, the World Health Organization (WHO) revised 2012 guidelines on use of antiretroviral drugs (ARVs) for prevention mother-to-child transmission (PMTCT) human immunodeficiency virus (HIV). The new recommended lifelong therapy (ART) all HIV-positive pregnant and breastfeeding women irrespective CD4 count or clinical stage (also referred to as Option B+). Uganda started implementing B+ in basing WHO guidelines. Despite impressive benefits strategy, implementation challenges,...

Repatriation is a fundamental and often preferred solution to the refugee crisis around world. This study explored process of repatriation South Sudanese refugees from West Nile districts in Uganda.This was retrospective analysis three west Adjumani, Arua, Moyo, Uganda. Both qualitative data were collected.The findings showed that several stakeholders involved exercise including government at central district levels, United Nations agencies non-governmental organizations, communities. The...

Integration has emerged as a key strategy for promoting equitable access to health services refugees and host populations. This study explored the perceptions experiences of stakeholders on integration populations in two purposefully selected refugee-hosting districts Adjumani Obongi West Nile region, Uganda. used case design. Key informant interviews were conducted with 28 respondents. Data analysed thematically. Quirkos software was manage analyse data. Respondents indicated that is...

Coronavirus disease 2019 (COVID-19) control measures presented impediments for prevention of mother-to-child transmission HIV (PMTCT) programming in Uganda. Nationwide implemented April-June 2020 included a public transport ban and mandatory travel permits pregnant women to access clinics. Program adaptations instituted continuity services community drug delivery home-based DNA-PCR testing HIV-exposed infants (HEI). We examined the effect COVID-19 program on PMTCT service uptake central

Abstract Background Forcibly displaced population are exposed to many socioeconomic determinants, which predispose them negative health outcomes, like antimicrobial resistant infections (AMR) and inaccessibility life saving antibiotics. Poor quality antibiotics pose a threat in further driving AMR these populations. Although there (inter-)national policies place fight is gap recognizing the specific challenges for people. Our study wanted investigate nexus of global by identifying analyzing...

Abstract Low-and-middle-income countries (LMICs) face overwhelming challenges providing health services to their populations, and even more for provision of displaced populations. Little is known about how are organized delivered populations in these especially following repatriation. Objective To examine the organization delivery repatriation South Sudanese refugees Uganda from three west Nile districts Arua, Adjumani, Moyo. Methods We conducted a qualitative case study West refugee hosting...