Uganda

Theory of Change (ToC) approach workshops are a useful approach for developing ToCs as a basis for mental health care plans because they facilitate logical, evidence based and contextualised plans, while promoting stakeholder buy in.
Because of the existing hierarchies within some health systems, strategies such as limiting the types of participants
and stratifying the workshops can be used to ensure productive workshops.

Uganda, like other low-income sub-Saharan African countries, bears a heavy burden of surgical conditions with low surgical output in health facilities and significant unmet need for surgical care. To address this lack of adequate surgical services in Uganda, a diverse group of local stakeholders met in Kampala, Uganda, in May 2008 to develop a roadmap of key policy actions that would improve surgical services at the national level.This article is a critical discussion of these health policy priorities with references to recent literature. [adapted from abstract]

Despite the huge burden of HIV in sub-Saharan Africa, there is little evidence of the multidimensional needs of patients with HIV infection to inform the person-centred care across physical, psychological, social and spiritual domains stipulated in policy guidance. We aimed to describe the problems experienced by people with HIV in Kenya and Uganda and the management of these problems by HIV outpatient services. [from abstract]

This article outlines a study to assess the feasibility, acceptability, and cost-effectiveness of introducing rapid syphilis tests for same-day testing and treatment of syphilis at established prevention of mother-to-child transmission (PMTCT) sites in Uganda. [from author]

This study aimed to highlight the shortcomings in knowledge, attitudes, and practices about infection control of recent graduates of clinical health sciences who started their one-year internship in Uganda so as to recommend areas in which infection control training could be improved. [adapted from author]

This article evaluates the cost effectiveness of facility-and home-based voluntary counseling and testing (VCT) utilizing community health workers with the primary outcome measure of extra cost per HIV sero-positive case identified to help for health service managers at primary care level in making decisions on suitable alternatives for VCT provision in rural communities in Uganda based on operational efficiency. [adapted from author]

This study attempts to evaluate if the provider-client experiences, perceptions and client satisfaction with the information provided differs between provider-initiated HIV testing and counselling, which is based on information-giving - and voluntary counselling and testing, which includes individualized client-centered counseling. [adapted from abstract]

This 54 minute video shares a presentation from Uganda’s Dr. Edward Mukooza. Drawing on his first-hand experience of serving as principal of the International Christian Medical Institute and of training and mentoring hundreds of health workers currently working at all levels of Uganda’s health system, Dr. Mukooza addresses the current status of human resources for health in Uganda. [adapted from publisher

This article assessed how a program for integrated community case management (iCCM) for children under 5 years addresses newborn care in three mid-western districts through document reviews, structured interviews, and focus group discussions with village health team members trained in iCCM, caregivers, and other stakeholders. [adapted from abstract]

This study compared effectiveness and use of community medicine distributors and drug use under integrated community case management and home-based management strategies in children 6–59 months of age in eastern Uganda. [adapted from abstract]

This study assessed the potential differences between urban and rural areas in the implementation of community case management is implemented for malaria and pneumonia and how community health workers are being used alongside other partners in health care provision. [adapted from introduction]

In this short video, Ugandan health workers, managers, and leaders show how the country’s efforts to strengthen its health workforce and increase access to quality care are paying off—and how service delivery has improved. [adapted from publisher]

This study examined the implementation of performance management of health care workers in order to propose strategies for improvement. [from abstract]

This study set out to assess the views of clinicians and managers on the use of task shifting as an effective way of alleviating shortages of skilled personnel at a facility level. [from abstract]

The study contributes to quality improvement programs responsible for accelerating reduction of maternal and neonatal morbidity and mortality in Uganda. It documents and informs clinicians, hospital managers, and policy makers about quality of care aspects that need to be improved in promoting newborns and maternal survival and well being during labor to promote women’s utilization of skilled attendance at birth. [from author]

The objective of this study was to assess the non-inferiority of a task-shifting HIV treatment model relying on peer counselors and nurses compared with a physician-centered model among HIV-1-positive women initiated on antiretroviral therapy (ART) at a prevention of mother-to-child transmission clinic in Mulago Hospital, Uganda. [from abstract]

A descriptive study was conducted to explore the challenges health workers face in providing HIV counselling and testing services to children in Uganda. [adapted from abstract]

This study aimed to determine the frequency of occupational exposure to HIV, the circumstances and predisposing factors, the high-risk groups, the extent to which exposures are reported and the post-exposure prophylaxis utilized by health-care workers and students in a Ugandan hospital. [from abstract]

This study was undertaken to assess the scope and nature of community-based education for various health worker cadres in Uganda. [from abstract]

This study aimed to assess health workers’ compliance with the procedures set in the focused antenatal care guidelines in rural Uganda, Tanzania and Burkina Faso; to compare the compliance within and among the three study sites; and to appraise the logistic and supply of the respective health facilities. [from abstract]

This analysis paper highlights the process of standard defining for Medical Education in a typically low resourced sub Saharan medial school environment. [from abstract]

Since 2004, Healthy Child Uganda (HCU) has trained volunteer community health workers in child health promotion in rural southwest Uganda. This study analyses the retention and motivation of volunteer community health workers trained by HCU. It presents retention rates over a 5-year period and provides insight into volunteer motivation. [from abstract]

Despite advances, insufficient progress has been made in implementing HRH interventions to improve access to qualified health workers. This qualitative study was conducted to determine the factors that define the enabling environment for successful implementation of HRH interventions in three countries: Kenya, Tanzania, and Uganda. [from publisher]

This article describes a public-private partnership (PPP) between the Peter C. Alderman Foundation and Ugandan government institutions that demonstrated the feasibility of delivering low cost, evidence-based mental health care to massively traumatized populations in northern Uganda through PPPs. [adapted from author]

The authors undertook a qualitative study, along with a large census and health-provider survey in to understand priorities for quality in health care from the perspectives of health workers and community members in Tororo District, Uganda and factors potentially amenable to change that could enable these qualities to be enacted to increase equitable access to quality health care for the local population. [adapted from author]

The objective of this study was to determine the type and number of different types of health care providers, and the quality, cost and utilization of care delivered by those providers in rural Uganda. [from abstract]

This report shares lessons learned from Uganda and, using this experience as a foundation, offers selected suggestions for how other countries might develop and implement HRH professional development programs at subnational levels. [from publisher]

This article outlines the development and use of an eight-month modular, in-service work-based training program in Uganda aimed at strengthening the capacity for monitoring and evaluation and continuous quality improvement in health service delivery. [adapted from abstract]

This research set out to explore with frontline health workers and their managers how working conditions affect attitudes, behaviour and practices. It also sought the positive side of the health worker experience. The report documents the experiences and views of 122 nursing health workers in all regions of Uganda covering government, not-for-profit and private ownership organisations. [adapted from author]

This study sought to determine appropriateness of treatment of common childhood illnesses at private sector drug shops in two rural districts of Uganda. [adapted from abstract]