- Radiology practices and education
- Radiation Dose and Imaging
- Ultrasound in Clinical Applications
- Global Maternal and Child Health
- Iron Metabolism and Disorders
- Hemoglobinopathies and Related Disorders
- Global Health and Surgery
- Advanced X-ray and CT Imaging
- Diagnosis and treatment of tuberculosis
- Prenatal Screening and Diagnostics
- Pregnancy and preeclampsia studies
- Congenital Heart Disease Studies
- Infectious Diseases and Tuberculosis
- Innovations in Medical Education
- Maternal and fetal healthcare
- Tuberculosis Research and Epidemiology
- Healthcare cost, quality, practices
- Child Nutrition and Water Access
- Amoebic Infections and Treatments
- Neonatal and fetal brain pathology
- Parasites and Host Interactions
- Abdominal Trauma and Injuries
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Neonatal Respiratory Health Research
Mengo Hospital
2016-2025
Makerere University
2009-2023
Muhimbili National Hospital
2023
University of California, Los Angeles
2022
University of Oxford
2022
National Institutes of Health
2022
University Radiology
2021
World Health Organization
2020
Mulago Hospital
1997-2010
The World Health Organization (WHO) undertook the development of a rapid guide on use chest imaging in diagnosis and management coronavirus disease 2019 (COVID-19). was developed over 2 months by using standard WHO processes, except for "rapid reviews" online meetings panel. evidence review supplemented survey stakeholders regarding their views acceptability, feasibility, impact equity, resource relevant modalities (chest radiography, CT, lung US). guideline group had broad expertise country...
The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR) in Sub-Saharan Africa (SSA). Rural may be defined as imaging requirements communities. In SSA, over 80% population is rural. literature was reviewed determine need Africa, interventions. Up 50% patients health facilities Uganda require imaging, largely ultrasound plain radiography. Uganda, performed, on an average, deserving urban areas, compared 10-13 % areas. Imaging has...
Background In June of 2010, an antenatal ultrasound program to perform basic screening for high-risk pregnancies was introduced at a community health care center in rural Uganda. Whether the addition scanning visits would encourage or discourage potential patients unknown. Our study sought evaluate trends numbers and deliveries clinic, pre- post-introduction determine what effect presence clinic had on these metrics. Methods Findings Records Nawanyago were reviewed obtain number 42 months...
Abstract Africa has seen an upsurge in diagnostic imaging utilization, with benefits of efficient and accurate diagnosis, but these could easily be offset by undesirable effects attributed to unjustified, unoptimized poor quality examinations. This paper aims present Africa’s position regarding safety imaging, give reasons for the rising interest safety, define from African context, list drivers Africa, discuss impact COVID-19 on review progress using Bonn Call Action framework while...
Although World Health Organization guidelines recommend clinical judgment and chest radiography for diagnosing tuberculosis in HIV-infected adults with unexplained cough negative sputum smears acid-fast bacilli, the diagnostic performance of this approach is unknown. Therefore, we sought to assess accuracy symptoms, physical signs, radiographic findings population a low-income country high incidence tuberculosis.We performed cross-sectional study enrolling consecutive inpatients bacilli at...
Objective: We describe chest radiograph (CXR) findings in a population with high prevalence of human immunodeficiency virus (HIV) and tuberculosis (TB) order to identify radiological features associated TB; compare CXR between HIV-seronegative HIV-seropositive patients correlate CD4 T-cell count. Methods: Consecutive adult admitted national referral hospital cough duration 2 weeks or longer underwent diagnostic evaluation for TB other pneumonias, including sputum examination mycobacterial...
A two-phased retrospective cross-sectional study analysed the occupational dose and radiation protection practice among medical workers in two hospitals UAE. Phase 1 evaluated using a questionnaire, whereas phase 2 assessed dose. Readings of 952 thermoluminescence dosimeters were analyzed. The result showed 52% have good level practice. analyzedAverage annual effective per worker ranged from 0.39 to 0.83 mSv. Cardiologists nurses displayed higher average compared other workers. There no...
The preponderance of global maternal and neonatal deaths occurs in low-resource countries. risk factors that lead to these are often detectable with ultrasound (US) potentially preventable. We assessed the impact performing US scanning during antenatal care (ANC) on reproductive health service utilization a rural Ugandan district. This pragmatic comparative study was conducted 2 constituencies Mpigi district Uganda. In 5 intervention sites located Mawokota North constituency, facility...
Diagnostic Reference Levels (DRLs), typically set at the 75th percentile of dose distribution from surveys conducted across a broad user base using specified dose-measurement protocol, are recommended for radiological examinations. There is need to develop and implement DRLs as standardisation optimisation tool protection patients Computed Tomography (CT) facilities.This was retrospective cross-sectional study in seven (7) different CT scan facilities which participants were recruited by...
Introduction Diagnosing dementia remains challenging in low-income settings due to limited diagnostic options and the absence of definitive biomarkers. The use brain MRI diagnosis is infrequent Uganda, even when it used, subtle findings like mild regional atrophy are often overlooked, despite being crucial for imaging diagnosis. Objective purpose this study was explore perceptions practices personnel physicians regarding as a approach Uganda. Methods This an exploratory qualitative involving...
In under-resourced communities, there are several preventable pregnancy complications that can lead to significant maternal or perinatal morbidity and mortality when left untreated. The lack of access prenatal imaging is one many factors contribute the greater rates in such populations. Analysis most common suggest even limited obstetric ultrasound could have a positive impact, particularly rural context which prompt transport patient capable facility. authors describe their work establish...
In June of 2010, an antenatal ultrasound program was introduced to perform basic screening examinations at a health care clinic in rural Uganda. The impact the on existing infrastructure including proportion and number women receiving recommended visits unknown. aim this study investigate relationship between advent interventions their visits. Change absolute numbers services provided also assessed. Records Nawanyago were reviewed determine total specific before after HIV testing,...
Introduction: the third Sustainable Development Goal (SDG) relates to Universal Health Coverage (UHC) and provision of quality essential health services. The Government Uganda has operationalized this through National Policy which stresses importance availability functioning medical equipment in facilities. There have been efforts by Ministry Atomic Energy Council compile an inventory imaging country, however, information not widely published. purpose study was conduct audit registered...
We describe how current radiological best practices are predicated on a sophisticated technological ecosystem usually comprised of multiple large-scale displays, and integrated record keeping communication systems driven by high-speed networks. At the same time, development low-cost ultrasound (U/S) devices for low-resource settings trends towards small-scale, independent with palm-sized screens. reviewed existing literature, analyzed findings from two years fieldwork in Uganda, conducted an...
Introduction: Uganda has limited health resources. It is important to measure the need for imaging in order set policy and plan services. Objectives: The first specific objective was develop apply four needs indices on a case study basis, five selected Ugandan hospitals. were: Imaging Load (IL), Burden (IB), Type Specific (TSIB), Disease (DSIB). second explore perceptions of patient, referring clinician, radiologist regarding values, meaning, patient care. Materials Methods: This...
Abstract Background The World Health Organization recommends research to evaluate the effects of a single third trimester Doppler ultrasound examination on preventable deaths in unselected-risk pregnancies, particularly low- and middle-income countries (LMICs) where evidence base is scarce. While evaluating such technologies, researchers often ignore women health care provider perspectives. This study explored views experiences healthcare providers regarding use advanced technology optimize...