WHO recommends the use of psychological interventions as first-line treatment for depression in low-income and middle-income countries. However, evaluations effectiveness cost-effectiveness such among people with HIV are scarce. Our aim was to establish group support psychotherapy (GSP) delivered by lay health workers living a rural area Uganda on large scale.In this cluster-randomised trial, we included 30 centres offering care. These were randomly assigned deliver either GSP or education...

The medicines retail sector (MRS) enables access to life-saving health commodities. Despite efforts harness this market for public goals, in low- and middle-income countries it is rarely incorporated into pandemic preparedness. This paper analyses the role of MRS response COVID-19 Uganda, extent which was national planning continuity essential services. We conducted a cross-sectional study using sequential mixed methods two purposively sampled rural districts central Uganda. Qualitative...

Retail drug shops play a significant role in managing pediatric fevers rural areas Uganda. Targeted interventions to improve seller practices require understanding of the retail shop market and motivations that influence practices. This study aimed at describing operational environment relation Uganda National Drug Authority guidelines for setup shops; characteristics, dispensing private febrile conditions among under-five children western Cross sectional survey 74 registered shops,...

Fever case management is a major challenge for improved child health globally, despite existence of cheap and effective survival technologies. The integrated Community Case Management (iCCM) intervention paediatric febrile illnesses though adopted by Uganda's Ministry Health to be implemented community workers, has not addressed the inaccess life-saving medicines diagnostics. Therefore, iCCM was in private drug shops evaluated its effect on appropriate treatment fever low malaria...

In 2012, Uganda initiated nationwide deployment of malaria rapid diagnostic tests (RDT) as recommended by national guidelines. Yet growing concerns about RDT non-compliance in various settings have spurred calls to deploy part enhanced support packages. An understanding how health workers currently manage non-malaria fevers, particularly for children, and challenges faced this work should also inform efforts.A qualitative study was conducted the low transmission area Mbarara District...

Although a number of intermediate transport initiatives have been used in some developing countries, available evidence reveals dearth local knowledge on the effect these rural informal mechanisms access to maternal health care services, cost implementing such schemes and their scalability. This paper, attempts provide insights into functioning markets facilitating care. It also demonstrates role that higher institutions learning can play designing projects increase utilization services.To...

Intervening in private drug shops to improve quality of care and enhance regulatory oversight may have health system effects that need be understood before scaling up any such interventions. We examine the processes through which a shop intervention culminated positive unintended other dynamic interactions within underlying system.A multifaceted consisting seller training, supply diagnostics subsidised medicines, use treatment algorithms, monthly supervision community sensitisation was...

This study demonstrates how the linear constrained optimization approach can be used to design a health benefits package (HBP) which maximises net disability adjusted life years (DALYs) averted given system constraints faced by country, and help assess marginal value of relaxing constraints. In analysis performed for Uganda, 45 interventions were included in HBP base scenario, resulting total 26.7 million DALYs averted. When task shifting pharmacists' nutrition officers' tasks nurses is...

Several purchasing arrangements coexist in Uganda, creating opportunities for synergy but also leading to conflicting incentives and inefficiencies resource allocation functions. This paper analyzes the key health care functions Uganda implications of various universal coverage (UHC). The data this were collected through a document review stakeholder dialogue. analysis was guided by Strategic Health Purchasing Progress Tracking Framework created Africa Resource Center (SPARC) its technical...

The spread of COVID-19 exposed the inadequacies inherent in health care systems many countries. and attendant demands for emergency treatment management put a significant strain on countries' systems, including hitherto strong systems. In Uganda, as government strived to contain COVID-19, other essential services were either disrupted or completely crowded out. Balancing provision at same time offering sexual reproductive rights (SRHR) proved be considerable challenge these circumstances....

Approximately 80% of individuals with disability reside in low- and middle-income countries where community-based rehabilitation (CBR) has been used as a strategy to improve disability. However, data relating severity among CBR beneficiaries low-income like Uganda remain scarce, particularly at the community or district level. To describe associated factors for persons physical disabilities receiving services Kayunga Uganda. A cross-sectional sample 293 adults service was recruited....

High maternal and infant mortality continue to be major challenges the attainment of Millennium Development Goals for many low middle-income countries. There is now evidence that voucher initiatives can increase access health services. However, a dearth knowledge exists on cost implications schemes. This paper estimates incremental costs demand supply side intervention aimed at increasing care services.This costing study was part quasi-experimental conducted in two districts Eastern Uganda...

<title>Abstract</title> Background: The COVID-19 pandemic significantly impacted Uganda, with the first case reported in March 2020, resulting extensive public health restrictions, including a lockdown, curfew, and closure of schools workplaces. Urban residents, particularly those living poverty informal settlements, faced heightened challenges due to inadequate access basic services, financial hardships, increased caregiving responsibilities, especially for women. Women risks gender-based...

In Uganda, more than 336 out of every 100,000 women die annually during childbirth. Pregnant women, particularly in rural areas, often lack the financial resources and means to access health facilities a timely manner for quality antenatal, delivery, post-natal services. For nearly past decade, Makerere University School Public Health researchers, through various projects, have been spearheading innovative interventions, embedded implementation research, reduce barriers care. this paper, we...

Pre-Exposure Prophylaxis (PrEP) is recommended as an additional HIV prevention measure for persons at substantial risk of acquisition. Although uptake PrEP among female sex workers (FSW) has increased, retention remains low, resulting in suboptimal benefits. This study aimed determining rates and associated factors FSW Kigali, Rwanda. We retrospectively studied records 309 abstracted from five (5) health centers the period between April-June 2020 2021. was defined presenting a scheduled...

The most effective way to finance universal health coverage (UHC) is through compulsory prepaid funds that flow the government budget. Public funds—including on-budget donor resources—allow for pooling and allocation of resources providers in a aligns with population needs. This particularly important low-income settings fiscal constraints. While much attention paid innovative sources additional financing UHC implementing strategic purchasing approaches, budget will continue be main source...

Abstract Introduction Health technology assessment (HTA) is an area that remains less implemented in low- and lower middle-income countries. The aim of the study to understand perceptions stakeholders Uganda toward HTA its role decision making, order inform potential implementation country. Methods takes a cross-sectional mixed methods approach, utilizing adapted version International Decision Support Initiative questionnaire with both semi-structured open-ended questions. We interviewed...

Community-based maternal and newborn care with home visits by community health workers (CHWs) are recommended WHO to complement facility-based care. As part of multi-country economic systems analyses, we aimed compare the content financial costs associated equipping CHWs or 'home visit kits' from seven studies in Bolivia, Ethiopia, Ghana, Malawi, South Africa, Tanzania Uganda. We estimated equivalent annual (EACs) kits per CHW constant 2015 USD. EAC at scale a population 100 000 assuming...

Inclusion of private sector in district helath systems; case study drug shops implementing modified Integrated Community Case Management (iCCM) strategy Rural Uganda

Abstract Introduction Health technology assessment (HTA) is an area that remains less implemented in low- and lower middle-income countries. The aim of the study to understand perceptions stakeholders Uganda towards HTA its role decision making, order inform potential implementation country. Methods takes a cross-sectional mixed methods approach, utilising adapted version International Decision Support Initiative questionnaire with both semi-structured open-ended questions. We interviewed...

ObjectivesMost refugees and internally displaced people (IDP) stay in low- middle-income settings. A substantial proportion are hosted by countries sub-Saharan African (SSA), which puts significant pressure on limited government healthcare budgets. As health economics may guide more optimal decision making, we scope the literature forcibly populations SSA to identify nature range of evidence.MethodsWe conducted a scoping review peer-reviewed gray English published from 2000 2021. Our search...

Background: There is a scarcity of data on integrating and scaling up mental health interventions for people living with HIV in sub-Saharan Africa. Methods: Thirty primary care centres (PHCs) were randomized 1:1 to offer Group Support Psychotherapy (GSP) or Education (GHE). Participants followed at 6 12 months thereafter. Primary outcomes change depression function scores, analysed by intention-to-treat using multilevel random effects regression analyses adjusting clustering PHCs. Secondary...

Background: World Health Organization and Ministry of (Uganda) recommend use microscopy for parasitological confirmation malaria. Microscopy involves either Giemsa or Field’s staining techniques. prefers recommends technique but most health facilities still technique. The objective this study was to compare the cost-effectiveness techniques in order inform malaria diagnosis policy practice Uganda. Methods: This a cross sectional cost effectiveness analysis from provider’s perspective...