DOCSLIB.ORG

Analysis of the Effect of Leadership Styles on Staff Retention in Selected Private Hospitals in Kampala District, Uganda

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Analysis of the Effect of Leadership Styles on Staff Retention in Selected Private Hospitals in Kampala District, Uganda European Journal of Business and Management www.iiste.org ISSN 2222-1905 (Paper) ISSN 2222-2839 (Online) Vol.8, No.9, 2016 Analysis of the Effect of Leadership Styles on Staff Retention in Selected Private Hospitals in Kampala District, Uganda DR. MARTIN ONSIRO RONALD Senior Lecturer, School of Business and Economics, Mount Kenya University NAMATOVU LUBEGA AISHA Assistant Lecturer, Kampala International University, Dar es Salaam Constituent College, Tanzania DR. MARTIN J. BABU Lecturer, Department of Business and management, Kampala International University, Dar es Salaam Constituent College, Tanzania ABSTRACT This study aimed to investigate the influence of leadership styles on retention of staff in the selected private hospitals. The objectives were: to investigate the leadership styles practiced in private hospitals in Kampala district, to establish the staff retention strategies in private hospitals in Kampala and to establish the relationship between leadership styles and staff retention. The study was based on trait theory and situational leadership theory. A descriptive correlation and cross-sectional designs were used for the study to achieve the objectives of the study. Hospitals were selected from the 5 divisions of Kampala. A non standardized structured questionnaire of content and purpose was the main instrument for data collection. A total of 215 respondents were involved in the study. The study found that turnover rate is attributed to non-uniformity of the leadership policies practiced in the hospitals where some of the staff is availed with services and others are not. It was revealed that there is a positive relationship between leadership styles and staff retention. In conclusion, there is need for uniform implementation and fairness of leadership styles and policies in order to maintain staff. Leaders in the private hospitals should fairly lead their staff in order to maintain and enhance staff retentions. KEYWORDS: Leadership styles; Staff retention; private hospitals 1.1 INTRODUCTION In today’s private health care climate, retention of staff is more desirable than ever before. The role of leaders in employee retention is critical since literature indicates that staffs leave leaders and not organization Beardwell (2007). Harvey et al (2007) further emphasized that People leave their bosses and not their jobs. According to Kaliprasad (2006), a company may try to bring all these factors into play to enhance employee retention, an employee can still choose to leave the workplace because of, bad leadership and management. The issue of leadership style and their relevance to management development has received considerable attention Bass (1990). Bass (1990) further identified over 7500 studies on leadership in the organizational psychology and management literature. The findings of these studies suggest that some balance is needed between "consideration" and “initiating structure" in order to satisfy both individual needs and organizational goals. Also, the majority of the 7500 studies concluded that "initiating structure" is normally associated with efficiency and effectiveness in task performance, while "consideration" is normally considered to be correlated with job satisfaction and retention. Alexander et al(1982) According to the 2006 World Health Organization (W.H.O) report, there is a serious human resource crisis in the health sector in developing countries, particularly in Africa. The total health workforce in Africa is estimated at 1,640,000, with an average of 2.3 health workers per 1,000 people. Of the total health workforce in Africa, 83% (1,360,000) are health service providers and 17% (280,000) are health management and support workers (World Health report 2006). In the USA, the current health staff shortage has evolved over the past 30 years. Staff shortages were present in 1990 with a USA vacancy rate of 11% and settled down in 1992 Abrahamson (2009). After 1992, adequate numbers of staff were present in the healthcare system for approximately 5 years. In 1997, the demand for staff started to outpace the supply in the workforce and by 2001; the US vacancy rate had reached 13% (Abrahamson, 2009). It steadily increased to the current global turnover rate reaching as high as 21% (Hayhurst et al, 2005). Buchan & Aiken (2008) asserts that the staff shortage both in the public and private healthcare sectors is a global phenomenon that needs to be in check for better health service provision. In South Africa, there is enough evidence to suggest that high levels of staff retention and consequent reduced staffing levels have an adverse effect on the performance and quality of care as well as patient satisfaction 141 European Journal of Business and Management www.iiste.org ISSN 2222-1905 (Paper) ISSN 2222-2839 (Online) Vol.8, No.9, 2016 Needleman et al (2002). The loss of experienced staff results in decreased competence within the organization, lack of continuity and the loss of institutional memory, all of which impact on the effectiveness and efficiency of health service organizations. In Uganda therefore, staff retention, especially of clinical staff working in private hospitals, has remained persistently low. Available data indicate that over 46% of leavers in the financial year 2009/2010 joined government services (Ministry of Health 2010). Worker shortages are linked to three factors including decreasing student enrolment in health training institutions, delays or freezes in hiring of qualified professionals and high turnover among those already employed. The fact that the problem of low retention of health workers is costly affects continuity of care and raises the potential for turnover of remaining employees, who suffer from stress and burnout from taking on the additional work burden. 1.2 RESEARCH PROBLEM Private hospitals in Uganda are operating in a highly competitive environment which requires them to establish effective leadership styles that enhance staff retention in order to gain competitive advantage and reputation. There are some major issues facing these hospitals that are high numbers of patients with no significant increase in the number of staff. This creates disillusionment among the staff due to heavy workload and long working hours. This situation is compounded by poor remuneration therefore leading to hospitals loosing staff and raising capacity concerns. Majority of the staff that are sent for further training abroad find better services and do not return. In these hospitals, there is lack of adequate employment of leadership styles in the management in many private hospitals. This has left many staff especially doctors and nurses in total frustration resulting into lack of morale and job satisfaction. It is therefore for this reason that the researchers were intrigued to carry out the study to investigate if there is influence of leadership styles on retention of staff in selected private hospitals in Kampala district. 1.3 OBJECTIVES 1. To investigate the leadership styles practiced in private hospitals in Kampala district 2. To establish the staff retention strategies in private hospitals in Kampala district. 3. To assess the relationship between the leadership styles and staff retention in private hospitals in Kampala district? 1.4 HYPOTHESIS 1. There is a positive relationship and influence between laissez faire leadership style and staff retention 2. There is a positive relationship and influence between democratic leadership style and staff retention 3. There is a positive relationship and influence between transformational leadership style and staff retention. 4. There is a positive relationship and influence between leadership styles and staff retention in Kampala district. 1.5 METHODOLOGY The researcher used mixed approach that is qualitative and quantitative. Descriptive correlation research design and cross-sectional design were used. Descriptive research refers to studies that have as their main objective the accurate portrayal of the characteristics of people, situations, or groups, and the frequency with which certain phenomenon occur (Polit & Beck 2004). In this case a descriptive design was used because the study intended to describe the leadership styles and staff retention in private hospitals in Kampala district. The primary intent of correlation studies is to explain the nature of relationships in the real world, not to determine cause and effect (Houser 2008). A cross sectional design was used because the population was studied at the same time in the same place for a short period of time. Therefore, a descriptive correlation and cross sectional design was the best for the study. The study targeted the doctors and nurses working in the selected private hospitals of Kampala District which has 15 private hospitals. By random sampling the study covered four private hospitals in the district that is Kibuli Muslim Hospital, Case Medical Centre, Rubaga Hospital, and Kadic hospital with a total population of 215 doctors and nurses. This was taken as the sample size of the study. 142 European Journal of Business and Management www.iiste.org ISSN 2222-1905 (Paper) ISSN 2222-2839 (Online) Vol.8, No.9, 2016 Table 1 Distribution of the total target population of respondents Position Total Hospital Doctors Nurses Kibuli 24 36 60 Case 24 21 45 Rubaga 21 39 60 Kadic 27 23 50 Total 96 119 215 Source: Administrators’ census counts (2013) A structured questionnaire as the major instrument was used for data collection. Two sets of questionnaires were used with similar
Load more

Recommended publications
  • Report from Microresearch Curriculum Development Meeting April 28-30, 2014 Halifax, Canada
    This report may be presented as received by IDRC from Dr MacDonald and Robert Bortolussi. It has not been subjected to peer review or other review processes. This work is used with the permission of Robert Bortolussi and Noni MacDonald. © 2014, Robert Bortolussi and Noni MacDonald. Report from MicroResearch Curriculum Development Meeting April 28-30, 2014 Halifax, Canada Eisha Grant in Halifax presenting outcomes of her research in Uganda 1 Funding and “In Kind” contributions for MicroResearch Curriculum Development Meeting • International Development Research Council (IDRC) Canada • Global Health Research Initiative (GHRI) Canada • Department Foreign Affairs, Trade and Development (DFATD) Canada • IWK Health Centre & Foundation, Halifax, Canada • Department of Paediatrics, Dalhousie University, Halifax, Canada • Tanzanian Training Centre International Health (TTCIH) Tanzania • Mbarara University for Science and Technology (MUST) Uganda • University of Nairobi (UoN) Kenya • With ongoing support to MicroResearch from: Canadian Child Health Clinician Scientist Program Healthy Child Uganda Dalhousie Medical Research Foundation Dalhousie University Makerere University University of Alberta University of Calgary BC Women’s and Children’s Hospital Foundation Canadian Paediatric Society Society of Obstetricians and Gynaecologists of Canada Process Pathways Private donations 2 Background: Poverty, hunger, illiteracy, maternal and child deaths in lower income developing countries (LIDC) are social and health issues that the world began to address in 2000 by pledging to achieve eight Millennium Development Goals (MDGs) by 2015. Building on MDG achievements, the United Nations proposed the Action Agenda for Sustainable Development (2013), including further actions to improve health outcomes. Developing local capacity to sustain and improve on health gains is a challenge since resource limited LIDC bear 25% of the globe’s disease burden with less than 1% of its healthcare professionals (HCP).
    [Show full text]
  • The Status of Clinical Diagnostic Imaging Services in Uganda's Regional Referral Hospitals
    THE STATUS OF CLINICAL DIAGNOSTIC IMAGING SERVICES: 9(1) 27-36 UMU Press 2011 THE STATUS OF CLINICAL DIAGNOSTIC IMAGING SERVICES IN UGANDA’S REGIONAL REFERRAL HOSPITALS Hillary Onziga*, Everd Maniple# and Vincent Bwete# *Corresponding author. P.O. BOX 10952, Kampala, Uganda or 126, Arua, Uganda. E-mail: [email protected] #Faculty of Health Sciences, Uganda Martyrs University, P.O. Box 5498, Kampala, Uganda Abstract Background: Clinical imaging is an essential component of health care which supports and improves the effectiveness of clinical decision-making. Quality care saves lives and resources of both the patient and the health system. However, many developing countries have neglected diagnostics, especially clinical imaging. Non-use of or poor imaging services lead to wrong diagnosis and treatment, unnecessary health expenditures, and poor health outcomes. Regional Referral Hospitals should have good diagnostic imaging services to provide expert care and bridge the continuum of care by stemming the flow of uncomplicated cases from general hospitals to National Referral Hospitals. Aim: To determine the situation of diagnostic imaging services at regional referral hospitals in Uganda. Methods: A descriptive cross-sectional survey of all the nine Regional Referral Hospitals of Uganda was done in 2007. Environmental inspection of the imaging units, process observation and exit interviews with 156 patients present on the day of the visit were done to assess their satisfaction with the imaging services. Staff were also interviewed. However, quality validation of the imaging outputs was not done. Selected health facilities in the capital Kampala were visited to obtain data on patients referred from upcountry. Five-year hospital records were reviewed for outputs.
    [Show full text]
  • Crocs September 05.Indd
    HOMES & CONSTRUCTION SATURDAY VISION, September 5, 2015 49 BUSINESS MANHOLE COVERS MOTORS SALE ALUMINIUM Paints RITVER PAINTS CRANE ROOFINGS SALE COFFEE SHOP FOR SALE LOANS **Special o er** in Garden City QUICK LOANS Cast-Iron Manhole Covers FOR SALE 0790-563925. O753787238 for Full Bowler/ Floor Traps Isuzu ELF UAK 0787-428943. NOTICES QUICK LOANS 0754761024 LOST ALUMINIUM, STEEL & AMIR ISSAH ALUMINIUM FABRICATION NO. 1 Giant Alluminium Lost Driving Permit Profi le manufacturer in No: 10497364/2/1 East Africa 0756-600400. LOST DRIVING PERMIT 7th Street Industrial Area ARCE ENGINEERING No. 10000769/6/2 0772570973, WORKS Nabende Stephen # 1 Producer of 0701-487955. 0702726184, Aluminium & Steel Texture Coatings 0712989498, Fabricators VIJAY ENTERPRISES LTD LOST PASSPORT Decorative Coatings 0793938429, For: Stone Finishing Specialized in Aluminium +250733154731 • Doors & Windows No. B0627734 Fabrication of: • Cladding, Curtain walling Ocircan Spinage Davis Gypsum Ceilings 0772-768017. • Curtain Wall & Aluminium • Shop fronts Cornices SOFA REPAIR • Display counters, Cladding LOST DRIVING PERMIT • Doors & Windows • Acoustic Ceiling & MODERN IMAGE • Roller shutters, Gates, No. 10363301/3/1 • Offi ce Partitions INTERIOR DESIGNERS Collapsible Burglar proofs. Magezi Peter • Gypsum Ceiling for Home Plot 81-85, 7th Street, 0753-855542. & O ce Before Industrial Area • Sheet Metal Engineering Tel: 0312-262 472, LOST DRIVING PERMIT Work 0753-710055 No. 10360359/1/1 Plot 201, 6th Street 0772-419695 Senoga G. Kizito Industrial Area, Kampala. Tel: 0751-747480, 0751-747482 INFORMATION SERVICE EMERGENCY Iganga Hospital: Tel. 242022, POLICE AND FIRE BRIGADE: 242045 Code 043 After Ring: 999 or 342222/3. Jinja Hospital: Tel. 122000/1/2/3/4/5, PACKAGING BOXES Code 043 Africa Air Rescue (AAR) 258527, Kabale Hospital: Tel.
    [Show full text]
  • List of Bonded Warehouses in Uganda
    List of Bonded Warehouses in Uganda 1.Atlas Cargo Systems BONDED WAREHOUSES Plot 1 Kireka Road/Sabuni Road, Mbuya Opp. Shell & Gaz Petro Stations P.O. Box 7765 Kampala 0414245 861/236 704/6/7/8 [email protected] 2. Space Registration BONDED WAREHOUSES Plot 2 Kyadondo Road Nakasero P.O. Box 3842 Kampala 0312276555, 0772640358 3. Cadam Enterprises Ltd BONDED WAREHOUSES Plot 4-6 Naguru Road Naguru P.O. Box 27627 Kampala 0414340 347/438, 0772412 704 4. Symbion Uganda Ltd. BONDED WAREHOUSES Plot 14 Parliament Avenue Jubilee Insurance Plaza, 7th Floor P.O. Box 7671 Kampala 0312260252, 0414251142 5. General Agencies (U) Ltd BONDED WAREHOUSES Plot 1 7th Street, Industrial Area P.O. Box 23013 Kampala 414255 52/95 6. Bureau Veritas Uganda BONDED WAREHOUSES Plot 30 Lugogo By pass P.O BOX 40323 Kampala 0792280280, 0792280281 http://www.bureauveritas.com 7. Multiple ICD BONDED WAREHOUSES Plot M612 Ntinda RoadNtinda Industrial Area P.O. Box 28884 Kampala 414288 35/71 [email protected] 8. Intertek International Ltd BONDED WAREHOUSES Plot 3-5 port bell road 0414230990, 0414231990 info@[email protected] http://www.intertek.com 9. SDV Transami (U) Ltd BONDED WAREHOUSES Plot M-611 Ntinda Road Ntinda Industrial Area P.O. Box 5501 Kampala 0414336 000, 0312-211 000 [email protected] 10. Uganda National Bureau of Standards (UNBS) BONDED WAREHOUSES Bweyogelele Branch P.O BOX 6329 Kampala 0414222367, 0414505995 [email protected] http://www.unbs.go.ug 11. Maersk Uganda Ltd BONDED WAREHOUSES 5th Street, Industrial Area P.O. Box 28687 Kampala 414433 7/8 [email protected] 12.
    [Show full text]
  • Atomic Energy Council Annual Report 2012/2013
    Atomic Energy Council 1 Annual Report 2012/2013 ATOMIC ENERGY COUNCIL ANNUAL REPORT FOR 2012/2013 “To regulate the peaceful applications and management of ionizing radiation for the protection and safety of society and the environment from the dangers resulting from ionizing radiation” Atomic Energy Council 2 Annual Report 2012/2013 FOREWARD The Atomic Energy Council was established by the Atomic Energy Act, 2008, Cap. 143 Laws of Uganda, to regulate the peaceful applications of ionizing radiation in the country. The Council consists of the policy organ with five Council Members headed by the Chairperson appointed by the Minister and the full time Secretariat headed by the Secretary. The Council has extended services to various areas of the Country ranging from registering facilities that use radiation sources, authorization of operators, monitoring occupational workers, carrying out inspections in facilities among others. The Council made achievements which include establishing the Secretariat, gazetting of the Atomic Energy Regulations, 2012, developing safety guides for medical and industrial practices, establishing systems of notifications, authorizations and inspections, establishing national and international collaborations with other regulatory bodies and acquisition of some equipment among others. The Council has had funding as the major constraint to the implementation of the Act and the regulations coupled with inadequate equipment and insufficient administrative and technical staff. The Council will focus on institutional development, establishing partnerships and collaborations and safety and security of radioactive sources. The Council would like to thank the government and in particular the MEMD, the International Atomic Energy Agency, United States Nuclear Regulatory Commission and other organizations and persons who have helped Council in carrying out its mandate.
    [Show full text]
  • The Status of Social Security Systems in Uganda: Challenges and Opportunities
    THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA: CHALLENGES AND OPPORTUNITIES Paul Bukuluki John-Bosco Mubiru REALITY CHECK THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA: CHALLENGES AND OPPORTUNITIES Paul Bukuluki John-Bosco Mubiru Makerere University School of Social Sciences, College of Humanities and Social Sciences,Makerere University, Kampala, Uganda November 2014 The views expressed in this publication do not necessarily reflect the views of the Konrad-Adenauer-Stiftung but rather those of the author. CHALLENGES AND OPPORTUNITIES i REALITY CHECK THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA: CHALLENGES AND OPPORTUNITIES ISBN: 978 9970 477 03 6 Authors Paul Bukuluki John-Bosco Mubiru Konrad-Adenauer-Stiftung, Uganda Programme 51A, Prince Charles Drive, Kololo P.O. Box 647, Kampala Tel. +256 414 25 46 11 www.kas.de © Konrad-Adenauer-Stiftung e.V. 2014 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior written permission on the Konrad-Adenauer- Stiftung. ii THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA CONTENTS Foreword ............................................................................ vi List of acronyms and abbreviations ................................... vii 1.0.Introduction ..................................................................1 1.1.Background about Uganda ................................................ 2 1.2.Poverty and Vulnerability Context in Uganda ........................ 4 1.2.1.Income inequality
    [Show full text]
  • Annual Report 2013-2014
    ATOMIC ENERGY COUNCIL ANNUAL REPORT 2013/2014 JULY 1, 2013 - JUNE 30, 2014 “To regulate the peaceful applications and management of ionizing radiation for the protection and safety of society and the environment from the dangers resulting from ionizing radiation.” FOREWORD The Atomic Energy Council (AEC) is an Independent government regulatory body established by Atomic Energy Act, No. 24 of 2008, with a mandate to regulate the peaceful applications and management of ionizing radiation for the protection and safety of society and the environment from dangers resulting from ionizing radiation; to regulate the peaceful applications of ionizing radiation in the country. AEC has a number of regulatory functions which include among others; Development of Safety guides, Review & Assessment of documentation; Inspection and Enforcement, Registration, authorization and Licensing; Monitoring of occupationally exposed workers; Radioactive waste management; Environmental monitoring; Formation of a Radiological Emergency and Response Committee; Nuclear Security. Other than performing its regulatory functions, the Council made achievements which included; Establishment of cooperation with USNRC and TAEC, development of a strategic plan for Council, Radioactive contamination testing among others. The Council’s major constraint to the implementation of its regulatory functions is funding, coupled ZLWK LQDGHTXDWH HTXLSPHQW DQG LQVXIÀFLHQW QXPEHU RI DGPLQLVWUDWLYH DQG WHFKQLFDO VWDII7KH Council will focus onstrengthening its regulatory infrastructure, enhancing
    [Show full text]
  • PROTECTION of WORKERS and HUMAN RIGHTS DEFENDERS from INTIMIDATION!! ­ Legal Aid Service Provider's …
    12/9/2016 PRESS STATEMENT: PROTECTION OF WORKERS AND HUMAN RIGHTS DEFENDERS FROM INTIMIDATION!! ­ Legal Aid Service Provider's … PRESS STATEMENT: PROTECTION OF WORKERS AND HUMAN RIGHTS DEFENDERS FROM INTIMIDATION!! 10 November 2016 ­ Hits: 310 PRESS STATEMENT: PROTECTION OF WORKERS AND HUMAN RIGHTS DEFENDERS FROM INTIMIDATION!! Page 2 All Pages 9th November 2016 Mengo, Kampala For Immediate Release LASPNET, a National network of 52 Legal Aid Service Providers in Uganda, in concerned about the alleged violation of workers' rights by a Flower farm called Royal Van Zanten and condemns the act of intimidation of Human Rights Defenders particularly FIDA­Uganda and others who are making efforts to offer support to the workers that were allegedly poisoned by the chemicals. As has been continuously reported in the press since 14th October 2016, 82 workers at the farm were allegedly affected after being forced to enter a greenhouse within a few minutes of spraying with chemicals which caused them headaches, dizziness, skin and eye irritation, difficulty in breathing, abdominal pain and vomiting. Many collapsed and were rushed to the farm clinic. The reports indicate that when the symptoms persisted they were referred to a clinic outside the farm although denied to collect personal medical forms on instructions of RVZ, despite interventions by Uganda Horticulture Industrial Service Providers and Allied Workers Union (UHISPAWU). Subsequently, the workers contacted the Uganda Association of Women Lawyers (FIDA­U) and Uganda Horticulture Industrial Service Providers and Allied Workers Union (UHISPAWU), the two organizations later transferred 46 women workers to a private hospital for tests and treatment and later to Kadic Hospital The predicament of the workers of Royal Van Zanten, and others working in similar circumstances especially low skilled workers are not isolated incidences.
    [Show full text]
  • CIC Approved Medical Service Providers
    CIC GROUP COUNTY NAME OF SERVICE PROVIDER PHYSICAL ADDRESS TELEPHONE NO. SERVICES OFFERED CATEGORY A Nairobi County THE NAIROBI HOSPITAL Argwings Kodhek Road, Hurlingham 2722160 / 2845000/0722-204-114 OUTPATIENT/INPATIENT Nairobi County Nairobi Hospital-Warwick Centre UN Avenue- Warwick 0729 110 202/2718822 OUTPATIENT Nairobi County Nairobi Hospital Galleria Mall Galleria Mall along langata road near bomas of kenya 0788 715 433/8895000 OUTPATIENT Nairobi County THE MATER HOSPITAL South B 0732 163 000/0722 828 629 OUTPATIENT/INPATIENT Nairobi County Mater Hospital-Development Clinic (branch) Development house, 1st floor 0719-333-222 / 0206903600 OUTPATIENT Nairobi County Mater Buruburu Clinic Fairlane,above Uchumi Supermarket 0719-888-444 / 020-690-3700 OUTPATIENT Nairobi County Mater Hospital-Westlands Clinic Westlands square,above uchumi supermarket,1st floor 0714-660-862 / 0734-778-800 OUTPATIENT Nairobi County Mater hospital Kasarani Clinic Thika road mall2nd floorjuction of Thika , Kamiti road 0726-433-179 / 0731-000-994 OUTPATIENT Nairobi County Mater Embakasi Clinic TAJ MALL,2nd floor above Uchumi 0734-300-333 / 020-690-3500 OUTPATIENT Kiambu County Mater Thika Clinic Tuskys 3rd floor, Thika town 07122-299-880 OUTPATIENT Nairobi County GERTRUDES CHILDREN’S HOSPITAL Muthaiga Road 722898948 OUTPATIENT/INPATIENT Nairobi County Gertrudes Embakasi Clinic Airport road 0721-394-306, 0731-333-301/020 820 784 OUTPATIENT Nairobi County Gertrudes Nairobi west Clinic Kodi Road 0721-394-306, 0735-639-063 OUTPATIENT Nairobi County Gertrudes Lavington
    [Show full text]
  • Situation Analysis to Determine the Acceptability and Feasibility of Male Circumcision Promotion in Uganda
    Situation Analysis to Determine the Acceptability and Feasibility of Male Circumcision Promotion in Uganda FINAL REPORT DRAFT 1.1 Principal Investigator: Dr. Sebastian Olikira Baine Makerere University School of Public Health Room 322, Mulago Hospital Complex Kampala, Uganda Co-Investigator: Dr. Alex Opio Ministry of Health Kampala, Uganda Co-Investigator: Dr. Nazarius Mbona Tumwesigye Makerere University School of Public Health PO box 7072 Kampala, Uganda Technical Monitor: Dr. Sarah Thomsen Behavioral and Biomedical Sciences Family Health International Research Triangle Park, NC 27709 USA Project Director: Angela Akol Family Health International Plot 6, Kafu Road Kampala, Uganda 1 ACRONYMS FGD Focus group discussion FHI Family Health International HIV/AIDS Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome HCIV Health Center IV MC Male circumcision MMC Medical male circumcision MUSPH Makerere University School of Public Health NGO Non-governmental organization PSU Primary sampling unit SSU Secondary sampling unit STI Sexually transmitted infection SWOT Strengths, weaknesses, opportunities, threats UNAIDS The Joint United Nations Program on HIV/AIDS WHO World Health Organization 2 INTRODUCTION Results from three randomized trials in South Africa, Kenya, and Uganda provide evidence that male circumcision reduces the sexual transmission of HIV from women to men by at least 50%. Based on this compelling data, the WHO and UNAIDS have issued a set of recommendations for the use of male circumcision (MC) in HIV prevention efforts.
    [Show full text]
  • Expansion of the Private Health Sector in East and Southern Africa
    Expansion of the private health sector in east and southern Africa Jane Doherty School of Public Health, University of the Witwatersrand With the Health Economics Unit University of Cape Town In the Regional Network for Equity in Health in East and Southern Africa (EQUINET) EQUINET DISCUSSION PAPER 87 August 2011 with support from IDRC (Canada) Table of contents Executive summary.................................................................................................... 2 1. Introduction ......................................................................................................... 4 2. Methods .............................................................................................................. 4 3. The IFC’s case for expanding the private health sector ...................................... 5 4. Opportunities for private investment in the health sector .................................... 5 5. Changing private sector investment patterns in East and Southern Africa......... 8 5.1 New private financing initiatives ............................................................................... 8 5.2 Increasing investment in profitable components of the health sector....................... 9 5.3 Overall trends in the region .................................................................................... 11 6. Issues in private sector expansion ................................................................... 12 6.1 Limited information on the impact of the for-profit private sector...........................
    [Show full text]
  • Incidence and Risk Factors for Delirium Among Mechanically Ventilated Patients in an African Intensive Care Setting: an Observational Multicenter Study
    Hindawi Publishing Corporation Critical Care Research and Practice Volume 2015, Article ID 491780, 7 pages http://dx.doi.org/10.1155/2015/491780 Research Article Incidence and Risk Factors for Delirium among Mechanically Ventilated Patients in an African Intensive Care Setting: An Observational Multicenter Study Arthur Kwizera,1 Jane Nakibuuka,2 Lameck Ssemogerere,1 Charles Sendikadiwa,2 Daniel Obua,1 Samuel Kizito,3 Janat Tumukunde,1 Agnes Wabule,1 and Noeline Nakasujja4 1 Department of Anaesthesia, Makerere University College of Health Sciences, Mulago National Referral Hospital, P.O. Box 7051, Kampala, Uganda 2Department of Internal Medicine, Mulago Hospital Complex, Mulago Hill, P.O. Box 7051, Kampala, Uganda 3Department of Clinical Epidemiology and Biostatistics, Makerere University College of Health Sciences, Mulago National Referral Hospital, P.O. Box 7051, Kampala, Uganda 4Department of Psychiatry, Makerere University College of Health Sciences, Mulago National Referral Hospital, P.O. Box 7051, Kampala, Uganda Correspondence should be addressed to Arthur Kwizera; [email protected] Received 4 March 2015; Revised 19 March 2015; Accepted 23 March 2015 AcademicEditor:MarcusJ.Schultz Copyright © 2015 Arthur Kwizera et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aim. Delirium is common among mechanically ventilated patients in the intensive care unit (ICU). There are little data regarding delirium among mechanically ventilated patients in Africa. We sought to determine the burden of delirium and associated factors in Uganda. Methods. We conducted a multicenter prospective study among mechanically ventilated patients in Uganda.
    [Show full text]