A5032151013- Primary Care and Health Outcomes
- Global Health and Surgery
- Global Health Workforce Issues
- COVID-19 and healthcare impacts
- Global Maternal and Child Health
- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Innovations in Medical Education
- Global Cancer Incidence and Screening
- Vaccine Coverage and Hesitancy
- COVID-19 and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Economic and Financial Impacts of Cancer
- Occupational and environmental lung diseases
- COVID-19 epidemiological studies
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- COVID-19 Pandemic Impacts
- COVID-19 Clinical Research Studies
- Viral Infections and Outbreaks Research
- Clinical Reasoning and Diagnostic Skills
- Health Literacy and Information Accessibility
University of Rwanda
2015-2025
Aarhus University
2015-2025
Partners In Health
2022-2025
University of Global Health Equity
2023-2024
Harvard Global Health Institute
2021
Harvard University
2021
Brigham and Women's Hospital
2021
University of Southern California
2021
University of Kigali
2018-2020
Abstract Background Large scale physical distancing measures and movement restrictions imposed to contain COVID-19, often referred as ‘ lockdowns ’, abruptly ubiquitously restricted access routine healthcare services. This study describes reported barriers coping mechanisms accessing among chronic care patients during the nationwide COVID-19 lockdown in Rwanda. Methods cross-sectional was conducted enrolled pediatric development, HIV/AIDS, non-communicable diseases, mental health, oncology...
Background: Silicosis is one of the most common forms pneumoconiosis worldwide. In Rwanda - there paucity data on silicosis burden and occupational risk among underground miners. Methods: We conducted a cross-sectional study all miners from 8 cassiterite (tin ore) mining sites in Kayonza district, Eastern Rwanda. Questionnaire chest radiography were collected at Rwinkwavu District Hospital. Two radiologists reviewed using ILO criteria, with third radiologist reviewing films rating...
Telemedicine interventions, while promising for enhancing healthcare access, require an evaluation of feasibility and acceptability to inform field implementation. This qualitative study explored the a telemedicine intervention in which surgical incision photos taken by community health workers (CHWs) were sent hospital-based general practitioners diagnose site infections (SSIs) following cesarean section rural Rwanda. As timeline coincided with beginning COVID-19 pandemic we additionally...
Introduction The paucity of data on perioperative outcomes in low- and middle-income countries complicates the design implementation targeted interventions to improve delivery safe, affordable, accessible timely surgical anaesthesia care services. We assessed patients undergoing at three Rwandan rural hospitals—Butaro District Hospital, Kirehe Hospital Rwinkwavu Hospital—supported by Partners In Health/Inshuti Mu Buzima—an international non-governmental organisation. Methods conducted a...
Understanding cultural perceptions of illness is crucial for effective healthcare delivery. This study examines the ethnomedical concept ikirimi, a culturally recognized in Rwanda characterized by perceived uvula abnormalities, and its traditional management through uvulectomy. explores understanding causes, symptoms, treatments, as well barriers to integrating modern healthcare. An exploratory qualitative approach was employed, involving in-depth semi-structured interviews with eight...
The COVID-19 pandemic has disrupted health services worldwide, which may have led to increased mortality and secondary disease outbreaks. Disruptions vary by patient population, geographic area, service. While many reasons been put forward explain disruptions, few studies empirically investigated their causes. We quantify disruptions outpatient services, facility-based deliveries, family planning in seven low- middle-income countries during the relationships between intensity of national...
Objective During the COVID-19 pandemic, community health workers (CHWs) served as front-line in response while maintaining services. We aimed to understand challenges faced by Rwanda’s CHWs during a nationwide lockdown that occurred between March and May 2020 assessing availability of trainings, supplies supervision exploring perceived needs challenges. Design setting This study was mixed-method conducted three Rwandan districts: Burera, Kirehe Kayonza. Main outcome measure Using data...
Patient-provider communication is an interpersonal interaction between a patient and health care provider. This study explored patients' preferences perceptions on what factors influence the patient-provider in primary settings Rwanda. In-depth semi-structured interviews with 15 individuals including 8 limited literacy. A thematic inductive analysis was used. Patients valued providers expressed need for interacting caring, empathic who can share all information they want involve them their...
Background Delivery of effective healthcare is contingent on the quality communication between patient and provider. Little known about primary providers’ perceptions with patients in Rwanda. Aim To explore patient-provider (PPC) analyse ways which providers present reflect practice problems. Methods Qualitative, in-depth, semi structured interviews nine health care providers. An abductive analysis supplemented by framework method was applied. A narrative approach allowed emergence...
Abstract Background Family Medicine is a novel discipline in many countries, where the motivation for training and value added to communities not well-described. Our purpose was understand reason behind choice of as profession, impact on communities, Medicine’s characterizing qualities, perceived by family doctors around world. Methods One-question video interviews were conducted using an appreciative inquiry approach, with volunteer participants at 2016 World Organization Doctors conference...
Background/Aims Paediatric surgical care is a critical component of child health and basic universal coverage therefore should be included in comprehensive evaluations capacity. This study adapted validated the Children’s Surgical Assessment Tool (CSAT), tool developed for district tertiary hospitals Nigeria to evaluate hospital infrastructure, workforce, service delivery, financing, training capacity paediatric surgery, use Rwanda.
Radiotherapy is an essential component of cancer treatment, yet many countries do not have adequate capacity to serve all patients who would benefit from it. Allocation systems are needed guide patient prioritization for radiotherapy in resource-limited contexts. These should be informed by allocation principles deemed relevant stakeholders. This study explores the ethical dilemmas and views decision-makers engaged real-world scarce resources at a center Rwanda order identify principles....
Little is known about the burden of silicosis in Africa, despite extensive mining and construction operations region putting numerous people at risk. The implementation experience costs case-finding for occupational lung disease resource-limited settings are also currently unknown. We describe first-ever project rural Rwanda using chest X-ray, symptom questionnaires, spirometry. This was coupled with routine noncommunicable diabetes hypertension. performed an ingredient-based analysis all...
International medical electives are well-accepted in education, with the flow of students generally being North–South. In this article we explore learning outcomes Rwandan family medicine residents who completed their final year elective South Africa. We compare South-South to those North–South from literature. In-depth interviews were conducted postgraduate a 4-week Africa during training. The thematically analysed an inductive way. reported important four overarching domains namely:...
• In this case, we focus on primary care research education. Twinning of individual Ph.D. students under strong institutional south–south or south–north partnerships may help build capacity for loc...
The COVID-19 pandemic has caused disruptions in access to routine healthcare services worldwide, with a particularly high impact on chronic care patients and low middle-income countries. In this study, we used routinely collected electronic medical records data assess the of cancer at Butaro Cancer Center Excellence (BCCOE) rural Rwanda.We conducted retrospective time-series study among all Rwandan who received BCCOE between 1 January 2016 31 July 2021. primary outcomes interest included...
Skill-mix imbalance is a global concern for primary healthcare in low-income countries. In Rwanda, facilities (health centres, HCs) are predominantly led by nurses. They have to diagnose multitude of health complaints. Whether they feel capable undertaking this responsibility has yet be explored.
Background External supervision of primary healthcare facilities in low- and middle-income countries often has a managerial main purpose which the role support for professional development is unclear. Aim To explore how Rwandan supervisors providers (supervisees) perceive evaluative formative functions external supervision. Design Qualitative, exploratory study. Data Focus group discussions: three with supervisors, providers, one mixed (n = 31). Findings were discussed individual groups...
During the COVID-19 pandemic in Rwanda, Partners In Health Inshuti Mu Buzima collaborated with Butaro Cancer Center of Excellence (BCCOE) to mitigate disruptions cancer care by providing patients free transportation treatment sites and medication delivery at patients' local health facilities. We assessed relationship between facilitated access self-reported wellbeing outcomes. This cross-sectional telephone survey included enrolled BCCOE March 2020. used linear regression compare six...