المؤلفون: Dustin G Gibson, Ankita Meghani, Charles Ssemagabo, Adaeze Wosu, Gulam Muhammed Al Kibria, Tryphena Nareeba, Collins Gyezaho, Edward Galiwango, Judith Kaija Nanyonga, George W Pariyo, Dan Kajungu, Elizeus Rutebemberwa, Adnan Ali Hyder

المصدر: PLOS Global Public Health, Vol 4, Iss 6, p e0002998 (2024)

مصطلحات موضوعية: Public aspects of medicine, RA1-1270

الوصف: In light of the suboptimal noncommunicable disease (NCD) risk factor surveillance efforts, the study's main objectives were to: (i) characterize the epidemiological profile of NCD risk factors; (ii) estimate the prevalence of hypertension; and (iii) identify factors associated with hypertension in a peri-urban and rural Ugandan population. A population-based cross-sectional survey of adults was conducted at the Iganga-Mayuge Health and Demographic Surveillance System site in eastern Uganda. After describing sociodemographic characteristics, the prevalence of NCD risk factors and hypertension was reported. Prevalence ratios for NCD risk factors were calculated using weighted Poisson regression to identify factors associated with hypertension. Among 3220 surveyed respondents (mean age: 35.3 years (standard error: 0.1), 49.4% males), 4.4% were current tobacco users, 7.7% were current drinkers, 98.5% had low fruit and vegetable consumption, 26.9% were overweight, and 9.3% were obese. There was a high prevalence of hypertension and prehypertension, at 17.1% and 48.8%, respectively. Among hypertensive people, most had uncontrolled hypertension, at 97.4%. When we examined associated factors, older age (adjusted prevalence ratio (APR): 3.1, 95% CI: 2.2-4.4, APR: 5.2, 95% CI: 3.7-7.3, APR: 8.9, 95% CI: 6.4-12.5 among 30-44, 45-59, and 60+-year-old people than 18-29-year-olds), alcohol drinking (APR: 1.6, 95% CI: 1.3-2.0, ref: no), always adding salt during eating (APR: 1.6, 95% CI: 1.1-2.2, ref: no), poor physical activity (APR: 1.3, 95% CI: 1.1-1.6, ref: no), overweight (APR: 1.3, 95% CI: 1.1-1.5, ref: normal weight), and obesity (APR: 2.0, 95% CI: 1.6-2.4, ref: normal weight) had higher prevalence of hypertension than their counterparts. The high prevalence of NCD risk factors highlights the immediate need to implement and scale-up population-level strategies to increase awareness about leading NCD risk factors in Uganda. These strategies should be accompanied by concomitant investment in building health systems capacity to manage and control NCDs.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2767-3375

URL الوصول: https://doaj.org/article/ec3e0ee6b55a49fb9fcfad39442dd556

المؤلفون: Lydia Di Stefano, Matteo Bottecchia, Judith Yargawa, Joseph Akuze, M. Moinuddin Haider, Edward Galiwango, Francis Dzabeng, Ane B. Fisker, Bisrat Misganaw Geremew, Simon Cousens, Joy E. Lawn, Hannah Blencowe, Peter Waiswa, and the Every Newborn-INDEPTH Study Collaborative Group

المصدر: Population Health Metrics, Vol 19, Iss S1, Pp 1-16 (2021)

مصطلحات موضوعية: Stillbirth, Household survey, Foetal loss, Demographic and Health Surveys, Low- and middle-income country, Perinatal death, Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Household surveys remain important sources of maternal and child health data, but until now, standard surveys such as Demographic and Health Surveys (DHS) have not collected information on maternity care for women who have experienced a stillbirth. Thus, nationally representative data are lacking to inform programmes to address the millions of stillbirths which occur annually. Methods The EN-INDEPTH population-based survey of women of reproductive age was undertaken in five Health and Demographic Surveillance System sites in Bangladesh, Ethiopia, Ghana, Guinea-Bissau and Uganda (2017–2018). All women answered a full birth history with additional questions on pregnancy losses (FBH+) or full pregnancy history (FPH). A sub-sample, including all women reporting a recent stillbirth or neonatal death, was asked additional maternity care questions. These were evaluated using descriptive measures. Associations between stillbirth and maternal socio-demographic characteristics, babies’ characteristics and maternity care use were assessed using a weighted logistic regression model for women in the FBH+ group. Results A total of 15,591 women reporting a birth since 1 January 2012 answered maternity care questions. Completeness was very high (> 99%), with similar proportions of responses for both live and stillbirths. Amongst the 14,991 births in the FBH+ group, poorer wealth status, higher parity, large perceived baby size-at-birth, preterm or post-term birth, birth in a government hospital compared to other locations and vaginal birth were associated with increased risk of stillbirth after adjusting for potential confounding factors. Regarding association with reported postnatal care, women with a stillbirth were more likely to report hospital stays of > 1 day. However, women with a stillbirth were less likely to report having received a postnatal check compared to those with a live birth. Conclusions Women who had experienced stillbirth were able to respond to questions about pregnancy and birth, and we found no reason to omit questions to these women in household surveys. Our analysis identified several potentially modifiable factors associated with stillbirth, adding to the evidence-base for policy and action in low- and middle-income contexts. Including these questions in DHS-8 would lead to increased availability of population-level data to inform action to end preventable stillbirths.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/1478-7954

URL الوصول: https://doaj.org/article/7c457536245e42e8969c3b7eae1c55ca

المؤلفون: Hannah Blencowe, Matteo Bottecchia, Doris Kwesiga, Joseph Akuze, M. Moinuddin Haider, Edward Galiwango, Francis Dzabeng, Ane B. Fisker, Yeetey Akpe Kwesi Enuameh, Bisrat Misganaw Geremew, Tryphena Nareeba, Susannah Woodd, Alexandra Beedle, Kimberly Peven, Simon Cousens, Peter Waiswa, Joy E. Lawn, the Every Newborn-INDEPTH Study Collaborative Group

المصدر: Population Health Metrics, Vol 19, Iss S1, Pp 1-19 (2021)

مصطلحات موضوعية: Stillbirth, Survey, Measurement, Classification, Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Household surveys remain important sources of stillbirth data, but omission and misclassification are common. Classifying adverse pregnancy outcomes as stillbirths requires accurate reporting of vital status at birth and gestational age or birthweight for every pregnancy. Further categorisation, e.g. by sex, or timing (intrapartum/antepartum) improves data to understand and prevent stillbirth. Methods We undertook a cross-sectional population-based survey of women of reproductive age in five health and demographic surveillance system sites in Bangladesh, Ethiopia, Ghana, Guinea-Bissau and Uganda (2017–2018). All women answered a full birth history with pregnancy loss questions (FBH+) or a full pregnancy history (FPH). A sub-sample across both groups were asked additional stillbirth questions. Questions were evaluated using descriptive measures. Using an interpretative paradigm and phenomenology methodology, focus group discussions with women exploring barriers to reporting birthweight for stillbirths were conducted. Thematic analysis was guided by an a priori codebook. Results Overall 69,176 women reported 98,483 livebirths (FBH+) and 102,873 pregnancies (FPH). Additional questions were asked for 1453 stillbirths, 1528 neonatal deaths and 12,620 surviving children born in the 5 years prior to the survey. Completeness was high (> 99%) for existing FBH+/FPH questions on signs of life at birth and gestational age (months). Discordant responses in signs of life at birth between different questions were common; nearly one-quarter classified as stillbirths on FBH+/FPH were reported born alive on additional questions. Availability of information on gestational age (weeks) (58.1%) and birthweight (13.2%) was low amongst stillbirths, and heaping was common. Most women (93.9%) were able to report the sex of their stillborn baby. Response completeness for stillbirth timing (18.3–95.1%) and estimated proportion intrapartum (15.6–90.0%) varied by question and site. Congenital malformations were reported in 3.1% stillbirths. Perceived value in weighing a stillborn baby varied and barriers to weighing at birth a nd knowing birthweight were common. Conclusions Improving stillbirth data in surveys will require investment in improving the measurement of vital status, gestational age and birthweight by healthcare providers, communication of these with women, and overcoming reporting barriers. Given the large burden and effect on families, improved data must be made available to end preventable stillbirths.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/1478-7954

URL الوصول: https://doaj.org/article/4fb89a673e4e4c09aac728891c470824

المؤلفون: Judith Yargawa, Kazuyo Machiyama, Victoria Ponce Hardy, Yeetey Enuameh, Edward Galiwango, Kassahun Gelaye, Kaiser Mahmud, Sanne M. Thysen, Damazo T. Kadengye, Vladimir Sergeevich Gordeev, Hannah Blencowe, Joy E. Lawn, Angela Baschieri, John Cleland, the Every Newborn-INDEPTH Study Collaborative Group

المصدر: Population Health Metrics, Vol 19, Iss S1, Pp 1-18 (2021)

مصطلحات موضوعية: Pregnancy intention, Fertility, Measurement, Assessment, Survey, Retrospective reporting, Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270

الوصف: Abstract Background An estimated 40% of pregnancies globally are unintended. Measurement of pregnancy intention in low- and middle-income countries relies heavily on surveys, notably Demographic and Health Surveys (DHS), yet few studies have evaluated survey questions. We examined questions for measuring pregnancy intention, which are already in the DHS, and additional questions and investigated associations with maternity care utilisation and adverse pregnancy outcomes. Methods The EN-INDEPTH study surveyed 69,176 women of reproductive age in five Health and Demographic Surveillance System sites in Ghana, Guinea-Bissau, Ethiopia, Uganda and Bangladesh (2017–2018). We investigated responses to survey questions regarding pregnancy intention in two ways: (i) pregnancy-specific intention and (ii) desired-versus-actual family size. We assessed data completeness for each and level of agreement between the two questions, and with future fertility desire. We analysed associations between pregnancy intention and number and timing of antenatal care visits, place of delivery, and stillbirth, neonatal death and low birthweight. Results Missing data were

وصف الملف: electronic resource

Relation: https://doaj.org/toc/1478-7954

URL الوصول: https://doaj.org/article/48b1fe9090cb4464a9984b7da6479f7a

المؤلفون: Simon Kasasa, Davis Natukwatsa, Edward Galiwango, Tryphena Nareeba, Collins Gyezaho, Ane Baerent Fisker, Mezgebu Yitayal Mengistu, Francis Dzabeng, M. Moinuddin Haider, Judith Yargawa, Joseph Akuze, Angela Baschieri, Claudia Cappa, Debra Jackson, Joy E. Lawn, Hannah Blencowe, Dan Kajungu, the Every Newborn-INDEPTH Study Collaborative Group

المصدر: Population Health Metrics, Vol 19, Iss S1, Pp 1-15 (2021)

مصطلحات موضوعية: Neonatal death, Stillbirth, Survey, Birth certificates, Birth registration, Death registration, Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Birth registration is a child’s first right. Registration of live births, stillbirths and deaths is foundational for national planning. Completeness of birth registration for live births in low- and middle-income countries is measured through population-based surveys which do not currently include completeness of stillbirth or death registration. Methods The EN-INDEPTH population-based survey of women of reproductive age was undertaken in five Health and Demographic Surveillance System sites in Bangladesh, Ethiopia, Ghana, Guinea-Bissau and Uganda (2017–2018). In four African sites, we included new/modified questions regarding registration for 1177 stillbirths and 11,881 livebirths (1333 neonatal deaths and 10,548 surviving the neonatal period). Questions were evaluated for completeness of responses, data quality, time to administer and estimates of registration completeness using descriptive statistics. Timing of birth registration, factors associated with non-registration and reported barriers were assessed using descriptive statistics and logistic regression. Results Almost all women, irrespective of their baby’s survival, responded to registration questions, taking an average of 70% of stillbirths occurring in facilities, only 2.5% were reported as registered. Conclusions Questions on birth, stillbirth and death registration were feasible in a household survey. Completeness of birth registration is low in all four sites, but stillbirth and neonatal death registration was very low. Closing the registration gap amongst facility births could increase registration of both livebirths and facility deaths, including stillbirths, but will require co-ordination between civil registration systems and the often over-stretched health sector. Investment and innovation is required to capture birth and especially deaths in both facility and community systems.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/1478-7954

URL الوصول: https://doaj.org/article/bd1fe23b4f444e06b152b204de9a7395

المؤلفون: Nukhba Zia, Mitchell Loeb, Dan Kajungu, Edward Galiwango, Marie Diener-West, Stephan Wegener, George Pariyo, Adnan A. Hyder, Abdulgafoor M. Bachani

المصدر: BMC Public Health, Vol 20, Iss 1, Pp 1-13 (2020)

مصطلحات موضوعية: Child disability, Adaptation, Validation, UNICEF/Washington group child functioning module, Iganga-Mayuge health and demographic surveillance site, Uganda, Public aspects of medicine, RA1-1270

الوصف: Abstract Background The UNICEF/Washington Group Child Functioning Module (CFM) assesses child functioning among children between 5 and 17 years of age. This study adapted and validated the CFM at the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) in Uganda. Methods This cross-sectional study was conducted between September 2018–January 2019 at the IM-HDSS. Respondents were caregivers of children between 5 and 17 years of age who were administered modified Washington Group short set (mWG-SS) and CFM. The responses were recorded on a 4-point Likert scale. Descriptive analysis was conducted on child and caregiver demographic characteristics. Exploratory factor analysis (EFA) assessed underlying factor structure, dimensionality and factor loadings. Cronbach’s alpha was reported as an assessment of internal consistency. Face validity was assessed during the translation process, and concurrent validity of CFM was assessed through comparison with disability short form. Results Out of 1842 caregivers approached, 1439 (78.1%) participated in the study. Mean age of children was 11.06 ± 3.59 years, 51.4% were males, and 86.1% had a primary caregiver. Based on EFA, vision, hearing, walking, self-care, communication, learning, remembering, concentrating, accepting change, behavior control, and making friends loaded on factor 1 - “Motor and Cognition,” while anxiety and depression loaded on factor 2 - “Mood”. Cronbach’s alpha for the overall CFM was 0.899 (good internal consistency). Cronbach’s alpha for each extracted factor was excellent, motor and cognition (0.904), and mood (0.902). CFM had acceptable face validity. Spearman’s rank correlation between scores of CFM and modified WG short set was 0.51 (p-value

وصف الملف: electronic resource

Relation: http://link.springer.com/article/10.1186/s12889-020-09455-1; https://doaj.org/toc/1471-2458

URL الوصول: https://doaj.org/article/5da83a9711f94eaf8dbcde7fc74cb442

المؤلفون: Nukhba Zia, Abdulgafoor M. Bachani, Dan Kajungu, Edward Galiwango, Mitchell Loeb, Marie Diener-West, Stephen Wegener, George Pariyo, Adnan A. Hyder

المصدر: PLoS ONE, Vol 17, Iss 4 (2022)

مصطلحات موضوعية: Medicine, Science

الوصف: Introduction There is scarcity of data on children with disabilities living in low-and-middle-income countries, including Uganda. This study describes disability prevalence and explores factors associated with different disability categories. It highlights the value of using a standardized, easy-to-use tool to determine disability in children and contextualizing disability in children in light of their developmental needs. Methods A cross-sectional study was conducted between September 2018–January 2019 at the Iganga-Mayuge Health and Demographic Surveillance Site in Uganda. Respondents were caregivers of children between 5–17 years and were administered an in-depth Child Functioning Module (CFM). The outcome variable, disability, was defined as an ordered categorical variable with three categories–mild, moderate, and severe. Generalized ordered logit model was applied to explore factors associated with disability categories. Results Out of 1,842 caregivers approached for the study, 1,439 (response: 78.1%) agreed to participate in the study. Out of these 1,439, some level of disability was reported by 67.89% (n = 977) of caregivers. Of these 977 children with disability, 48.01% (n = 692) had mild disability and 15.84% (n = 228) had moderate disability, while 3.96% (n = 57) had severe disability. The mean (SD) score for mild disability was 2.22±1.17, with a median of 2. The mean and median for moderate disability was 5.26±3.28 and 4 (IQR:3–6), and for severe disability was 14.23±9.51 and 12 (IQR:6–22). The most common disabilities reported were depression (54.83%) and anxiety (50.87%). Statistically significant association was found for completion of immunization status and school enrollment when controlled for a child’s age, sex, having a primary caregiver, age of mother at child’s birth, family system, family size and household wealth quintile. Conclusion This study suggests association between incomplete immunization status and school enrollment for children with disability. These are areas for further exploration to ensure inclusive health and inclusive education of children with disabilities in Uganda.

وصف الملف: electronic resource

Relation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012358/?tool=EBI; https://doaj.org/toc/1932-6203

URL الوصول: https://doaj.org/article/dbe48f7a69d04fd3b85ec1478189f1af

المؤلفون: Joseph Akuze, DSTA, Hannah Blencowe, PhD, Peter Waiswa, PhD, Angela Baschieri, PhD, Vladimir S Gordeev, PhD, Doris Kwesiga, MSc, Ane B Fisker, PhD, Sanne M Thysen, PhD, Amabelia Rodrigues, PhD, Gashaw A Biks, PhD, Solomon M Abebe, PhD, Kassahun A Gelaye, PhD, Mezgebu Y Mengistu, PhD, Bisrat M Geremew, PhD, Tadesse G Delele, VMD, Adane K Tesega, MPH, Temesgen A Yitayew, MSc, Simon Kasasa, PhD, Edward Galiwango, MA, Davis Natukwatsa, BSc, Dan Kajungu, PhD, Yeetey AK Enuameh, PhD, Obed E Nettey, MPhil, Francis Dzabeng, MSc, Seeba Amenga-Etego, MSc, Sam K Newton, ProfPhD, Charlotte Tawiah, MSc, Kwaku P Asante, PhD, Seth Owusu-Agyei, ProfPhD, Nurul Alam, PhD, Moinuddin M Haider, MPH, Ali Imam, MPH, Kaiser Mahmud, MSc, Simon Cousens, ProfDipMathStat, Joy E Lawn, ProfFRCPCH, Tadesse Awoke Ayele, Telake Bisetegn Bisetegn, Nafisa Delwar, Lemma Derseh Gezie, Collins Gyezaho, Judith Kaija, Kazuyo Machiyama, Grace Manu, Alexander A Manu, Justiniano SD Martins, Tesfahun Melese, Sayed S Alam, Tryphena Nareeba, Victoria Ponce Hardy, Charles Zandoh, Fred Arnold, Peter Byass, Trevor Croft, Kobus Herbst, Sunita Kishor Kishor, Florina Serbanescu

المصدر: The Lancet Global Health, Vol 8, Iss 4, Pp e555-e566 (2020)

مصطلحات موضوعية: Public aspects of medicine, RA1-1270

الوصف: Summary: Background: An estimated 5·1 million stillbirths and neonatal deaths occur annually. Household surveys, most notably the Demographic and Health Survey (DHS), run in more than 90 countries and are the main data source from the highest burden regions, but data-quality concerns remain. We aimed to compare two questionnaires: a full birth history module with additional questions on pregnancy losses (FBH+; the current DHS standard) and a full pregnancy history module (FPH), which collects information on all livebirths, stillbirths, miscarriages, and neonatal deaths. Methods: Women residing in five Health and Demographic Surveillance System sites within the INDEPTH Network (Bandim in Guinea-Bissau, Dabat in Ethiopia, IgangaMayuge in Uganda, Matlab in Bangladesh, and Kintampo in Ghana) were randomly assigned (individually) to be interviewed using either FBH+ or FPH between July 28, 2017, and Aug 13, 2018. The primary outcomes were stillbirths and neonatal deaths in the 5 years before the survey interview (measured by stillbirth rate [SBR] and neonatal mortality rate [NMR]) and mean time taken to complete the maternity history section of the questionnaire. We also assessed between-site heterogeneity. This study is registered with the Research Registry, 4720. Findings: 69 176 women were allocated to be interviewed by either FBH+ (n=34 805) or FPH (n=34 371). The mean time taken to complete FPH (10·5 min) was longer than for FBH+ (9·1 min; p

وصف الملف: electronic resource

Relation: http://www.sciencedirect.com/science/article/pii/S2214109X20300449; https://doaj.org/toc/2214-109X

URL الوصول: https://doaj.org/article/93783e8456ee485ab38e64e6189757e2

المؤلفون: Helen Byomire Ndagije, Leonard Manirakiza, Dan Kajungu, Edward Galiwango, Donna Kusemererwa, Sten Olsson, Anne Spinewine, Niko Speybroeck

المصدر: PLoS ONE, Vol 14, Iss 5, p e0203721 (2019)

مصطلحات موضوعية: Medicine, Science

الوصف: BackgroundPatients experiencing adverse drug events (ADE) in many developing countries are in the best position to report these events to the authorities but need to be empowered to do so. Systematic evaluation of community engagement and patient support especially in rural areas would provide evidence for a program to monitor potential harm from medicines. The aim of this study was to assess the effects of a community dialogue and sensitization (CDS) program on the knowledge, attitude and practises of community members for reporting ADE.MethodsThis an uncontrolled before-after study was conducted in two eastern Ugandan districts between September 2016 and August 2017.ResultsAfter implementation of the community dialogue and sensitization (CDS) program, there was an overall 20% (95% CI:16% to 25%) increase in knowledge about ADE in the community compared to before the program began. Awareness levels increased by 50% (95% CI: 37% to 63%) among those with little or no education and by41% (95% CI: 31% to 52%) among young people (15-24 years). Furthermore, 5% (95% CI: 3% to 7%) more respondents recognized the need for reporting ADEs compared to before the program. Finally, there was a significant increase of 115% (95% CI:137% to 217%) in respondent recognition and reporting of ADEs compared to the beginning of the CDS program. Overall, this community found the CDS program acceptable and proposed aspects that could be improved for future use.ConclusionOur evaluation showed that the CDS program increased knowledge and improved attitudes by catalyzing discussions among community members and healthcare professionals on health issues and monitoring safety of medicines compared to before the program. Successful implementation of the program depends on holistic health systems strengthening and adaptation to the community's way of life.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/1932-6203

URL الوصول: https://doaj.org/article/843c4b0e650d4a9ca698bdf3515e44fb

المؤلفون: Karin Källander, Helena Hildenwall, Peter Waiswa, Edward Galiwango, Stefan Peterson, George Pariyo

المصدر: Bulletin of the World Health Organization, Vol 86, Iss 5, Pp 332-338 (2008)

مصطلحات موضوعية: Public aspects of medicine, RA1-1270

الوصف: OBJECTIVE: To review individual case histories of children who had died of pneumonia in rural Uganda and to investigate why these children did not survive. METHODS: This case-series study was done in the Iganga/Mayuge demographic surveillance site, Uganda, where 67 000 people were visited once every 3 months for population-based data and vital events. Children aged 1-59 months from November 2005 to August 2007 were included. Verbal and social autopsies were done to determine likely cause of death and care-seeking actions. FINDINGS: Cause of death was assigned for 164 children, 27% with pneumonia. Of the pneumonia deaths, half occurred in hospital and one-third at home. Median duration of pneumonia illness was 7 days, and median time taken to seek care outside the home was 2 days. Most first received drugs at home: 52% antimalarials and 27% antibiotics. Most were taken for care outside the home, 36% of whom first went to public hospitals. One-third of those reaching the district hospital were referred to the regional hospital, and 19% reportedly improved after hospital treatment. The median treatment cost for a child with fatal pneumonia was US$ 5.8. CONCLUSION: There was mistreatment with antimalarials, delays in seeking care and likely low quality of care for children with fatal pneumonia. To improve access to and quality of care, the feasibility and effect on mortality of training community health workers and drug vendors in pneumonia and malaria management with prepacked drugs should be tested.

وصف الملف: electronic resource

Relation: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862008000500009&lng=en&tlng=en; https://doaj.org/toc/0042-9686

URL الوصول: https://doaj.org/article/966d3f9f203c4773b5b1280bdfb164d5