scholarly journals Assessing Knowledge, Attitudes and Practices Towards COVID-19 Public Health Preventive Measures Among Patients at Mulago National Referral Hospital

2021 ◽  
Vol Volume 14 ◽  
pp. 221-230
Author(s):  
Nelson Twinamasiko ◽  
Ronald Olum ◽  
Anna Maria Gwokyalya ◽  
Innocent Nakityo ◽  
Enock Wasswa ◽  
...  
Keyword(s):  
Public Health ◽  
Preventive Measures ◽  
Referral Hospital ◽  
Attitudes And Practices ◽  
Mulago National Referral Hospital ◽  
Knowledge Attitudes And Practices ◽  
National Referral Hospital

Knowledge, Attitudes, and Practices on Malaria Preventive Measures of Migrants Attending a Public Health Clinic in Northern Italy

2006 ◽  
Vol 9 (3) ◽  
pp. 160-162 ◽  
Author(s):  
Carla Scolari ◽  
Simona Tedoldi ◽  
Caterina Casalini ◽  
Carmelo Scarcella ◽  
Alberto Matteelli ◽  
...  
Keyword(s):  
Public Health ◽  
Preventive Measures ◽  
Northern Italy ◽  
Health Clinic ◽  
Attitudes And Practices ◽  
Public Health Clinic ◽  
Knowledge Attitudes And Practices

scholarly journals Findings of a Cross-Sectional Survey on Knowledge, Attitudes, and Practices about COVID-19 in Uganda: Implications for Public Health Prevention and Control Measures

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Gerald Okello ◽  
Jonathan Izudi ◽  
Steven Teguzirigwa ◽  
Allan Kakinda ◽  
Guido Van Hal
Keyword(s):  
Public Health ◽  
Preventive Measures ◽  
Control Measures ◽  
Health Prevention ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Online Social Media ◽  
Positive Attitudes ◽  
Knowledge Attitudes And Practices

Background. The coronavirus disease (COVID-19) morbidity is rising in Uganda. However, data are limited about people’s knowledge, attitudes, and practices. Objective. To determine knowledge about COVID-19, attitudes towards presidential directives and Ministry of Health (MoH) guidelines, and adherence to practicing public health preventive measures (KAP) in Uganda. Methods. This cross-sectional survey was conducted between April 28 and May 19, 2020. Data were collected using online social media platforms, websites, and popular media outlets. We descriptively summarized data and categorized KAP scores as knowledgeable about COVID-19, positive attitude towards presidential directives and MoH guidelines, and adherent to public health preventive measures, respectively. We tested sex differences in KAP using tests of significance and established independently associated factors using modified Poisson regression analysis, reported using adjusted prevalence risk ratio (aPR) with 95% confidence interval (CI). Results. We studied 362 participants with the following sociodemographic characteristics: 86 (23.8%) aged 25-29 years, 212 (58.6%) males, 270 (74.6%) with tertiary or university levels of education, and 268 (74.0%) urban residents. Of the 362 participants, 264 (93.9%) were knowledgeable about COVID-19 (94.1% males and 93.8% females), 51.3% had positive attitudes towards presidential directives and MoH guidelines (51.0% male and 51.8% female), and 175 (48.3%) were adherent to practicing public health preventive measures (42.9% males and 56.0% females). Compared to males, our data shows that females were more adherent to practicing public health preventive measures (aPR, 1.23; 95% CI, 1.01-1.53), knowledgeable about COVID-19 (aPR, 1.01; 95% CI, 0.95-1.07), and had positive attitudes towards directives and guidelines (aPR, 1.01; 95% CI, 0.82-1.25). Conclusions. This study shows that public health prevention efforts should be directed to closing the identified gaps in KAP among Ugandans in order to halt the spread of COVD-19 in Uganda as well as the East African region.

scholarly journals High rates of gastroesophageal cancers in patients with dyspepsia undergoing upper gastrointestinal endoscopy in Uganda

2021 ◽  
Vol 09 (07) ◽  
pp. E997-E1000
Author(s):  
Ronald Mbiine ◽  
Cephas Nakanwagi ◽  
Olivia Kituuka
Keyword(s):  
Positive Association ◽  
Referral Hospital ◽  
Outcome Variable ◽  
Mulago Hospital ◽  
Upper Gastrointestinal Endoscopy ◽  
Female Ratio ◽  
Mulago National Referral Hospital ◽  
Male To Female ◽  
Upper Gastrointestinal ◽  
National Referral Hospital

Abstract Background and study aims Dyspepsia is the most common presenting symptom in the gastrointestinal clinic of Mulago National Referral hospital. The etiology is essentially not fully described in our patient population. This study was therefore conducted to establish the causes of dyspepsia based on endoscopic diagnosis among patients with dyspepsia seeking care at the National Referral hospital of Uganda. Patients and methods This retrospective study conducted in the endoscopy unit of Mulago hospital reviewed 356 patient endoscopy reports spanning January 2018 to July 2020 with a focus on those with a referral indication of dyspepsia. Age and sex were the independent variables of interest while the endoscopy findings as reported by the endoscopist were the outcome variable of interest. Results Of the 356 endoscopy reports reviewed, 159 met the inclusion criterion of dyspepsia as the indication. Participant mean age was 47.7 years (± 16.53) with the majority (25.79 %) in the fifth decade while the male to female ratio was 1. The majority of patients had organic dyspepsia (90.57 %) while the commonest finding was gastritis 69 (43.4 %). Gastroesophageal cancers represented (18) 11.32 % of all findings. There was a positive association between age > 50 years with gastroesophageal cancers (7.639) as well as age < 50 years and functional dyspepsia (2.794); however, all these were not statistically significant (P = 0.006 and (P = 0.095, respectively). Conclusions Organic/structural dyspepsia comprises over 90 % of investigated dyspepsia with 11 % comprising cancer among patients seeking endoscopy at the National Referral Hospital of Uganda.

scholarly journals Pre-injury alcohol use and road traffic injury among patients at Mulago National Referral Hospital, Kampala, Uganda: Cross-sectional study

2019 ◽  
Vol 30 (4) ◽  
pp. 17-25 ◽  
Author(s):  
Claire Biribawa ◽  
Olive Kobusingye ◽  
Possy Mugyenyi ◽  
Ezekiel Baguma ◽  
Emmanuel Bua ◽  
...  
Keyword(s):  
Emergency Department ◽  
Alcohol Use ◽  
Road Traffic ◽  
Alcohol Intoxication ◽  
Referral Hospital ◽  
High Rate ◽  
Traffic Injury ◽  
Mulago National Referral Hospital ◽  
Injured Patients ◽  
National Referral Hospital

Background: Uganda has a high rate of road traffic injuries (RTI). Alcohol use increases traffic injury risk and severity through impairment of road-use skills and hazard perception. Few studies have examined this problem in Uganda. We therefore assessed the prevalence and determinants of pre-injury alcohol use among road traffic injured patients at Mulago National Referral Hospital, Kampala Uganda. Methods: We enrolled 330 eligible adult RTI patients consecutively in a crosssectional study, at the emergency department in Mulago National Referral Hospital from March-May, 2016. We assessed pre-injury alcohol use using BACtrack professional Breathalyzer, alcohol intoxication assessment tool and alcohol use selfreport covering the period of 6 hours before the injury. We assessed injury severity using Glasgow Coma Scale and Kampala Trauma Score. We estimated prevalence ratios [PR] using modified Poisson regression. Results: Prevalence of pre-injury alcohol use among injured patients was 29.7%. Pedestrians (44%) had the greatest percentage of alcohol use when compared to other road users. Pre-injury alcohol use was associated with mortality at the Emergency Department, PR: 2.33 [1.39 – 3.9]. Conclusion and recommendations: Pre-injury alcohol use is high among pedestrians and yet prevention efforts target mostly motorists. Pre-injury alcohol use also resulted into increased mortality at Emergency Department. We recommend prevention efforts to not only target motorists but also pedestrians.

scholarly journals User - provider perspectives to overcome the challenges of TB/HIV service integration at Mulago National Referral Hospital _ Kampala

2021 ◽  
Vol 21 (1) ◽  
pp. 248-53
Author(s):  
Jane Namakula Katende ◽  
Kizito Omona
Keyword(s):  
Health Care Providers ◽  
Health Workers ◽  
Service Integration ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Hiv Services ◽  
Provider Perspectives ◽  
Mulago National Referral Hospital ◽  
National Referral Hospital

Background: Tuberculosis and Human Immunodeficiency Virus epidemics in sub-Saharan Africa have been closely related and persistent, proving a considerable burden for healthcare provision. This has complicated utilization of services, with noted opinions on the integration of these services from both users and providers of the services. Objectives: To establish the users and the provider’s perspectives in overcoming the challenges of TB/HIV services inte- gration at Mulago National Referral Hospital. Methods: Descriptive cross-sectional design, with predominantly qualitative methods was used. Qualitative aspect adopted phenomenological design. Participants were randomly selected for FGDs and Key informants. An observation checklist collected quantitative data from the patients to measure level of services integration. Findings: Level of service integration of TB/HIV services was at 68% (below the acceptable 100% level). Opinions from the users pointed to; increasing number of work-days for TB/HIV service provision, strengthening sensitisation and health education and integrating other services like reproductive health services, among others. Health care providers opinions pointed to increasing trainings for health workers, increasing staffing and need for more support from Ministry of Health. Conclusion: Opinions from both users and providers were similar. These ranged from increasing awareness to the users and healthcare providers about the integration of services. Keywords: User - provider perspectives; TB/HIV service integration; Mulago National Referral Hospital.

scholarly journals Factors associated with undernutrition among children with sickle cell disease attending the sickle cell clinic in Mulago National Referral Hospital, Uganda

2019 ◽  
Author(s):  
Rosta Asiimwe ◽  
Rornald Muhumuza Kananura ◽  
Richard Kajjura ◽  
Adoke Yeka
Keyword(s):  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Older Age ◽  
Referral Hospital ◽  
Childhood Mortality ◽  
Mulago Hospital ◽  
Cell Disease ◽  
Factors Associated ◽  
Mulago National Referral Hospital ◽  
National Referral Hospital

Abstract Background Sickle cell disease (SCD) is among the neglected non-communicable diseases, which significantly contributes to early childhood mortality. In Uganda, over 20,000 children are estimated to be sicklers. Undernutrition is common among children with SCD and contributes to increased morbidity and mortality. There is paucity of data on prevalence of undernutrition and associated factors in Uganda. Objective To assess the extent of undernutrition and related factors among children aged 5-12 years with SCD attending the sickle cell clinic at Mulago hospital, Uganda. Methods A total of 263 children with SCD attending the sickle cell clinic at Mulago National Referral hospital were recruited consecutively between May and June 2017. The nutritional status of the children was assessed by weight-for-age, BMI-for-age, and height-for-age z-scores calculated using STATA in accordance with WHO 2007 growth standards. Binomial regression was conducted to assess the predictors of undernutrition. Results About 20.2%, 11.4%, and 13.7% of the children were underweight, wasted and stunted respectively. Wasting was significantly associated with older age (10-12 years) (AOR=4.20, CI=2.18-8.10) and living in a female headed household (AOR=0.43, CI=0.19-0.99). Stunting was significantly associated with older age (10-12 years) (AOR=2.90, CI=1.39-6.06). Underweight was significantly associated with older age (10-12 years) (AOR=2.23, CI=1.05-5.16). Conclusion Underweight, wasting and stunting were prevalent among children with SCD attending Mulago hospital. The factors associated with undernutrition were older age and living in a female headed household.

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