DOCSLIB.ORG

Seeking Health Care from a General Hospital in Uganda

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Seeking Health Care from a General Hospital in Uganda View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector African Journal of Emergency Medicine (2016) 6, 174–179 African Federation for Emergency Medicine African Journal of Emergency Medicine www.afjem.com www.sciencedirect.com ORIGINAL RESEARCH ARTICLES Seeking health care from a general hospital in Uganda following a fracture or a dislocation La recherche de soins de sante´ aupre`s d’un hoˆpital ge´ne´ral en Ouganda suite a` une fracture ou une luxation Isaac Kajja a,*, Cees Th. Smit Sibinga b a Department of Orthopedics, School of Medicine, College of Health Sciences, Makerere University, PO Box 7072, Kampala, Uganda b International Development of Transfusion Medicine, University of Groningen, Netherlands Received 28 January 2016; revised 25 April 2016; accepted 23 May 2016 Available online 25 July 2016 Introduction: Selecting a treatment approach and a facility to get treated from, poses a challenge in musculoskeletal injuries in Africa. The study aimed at determining demographic and injury characteristics of patients with musculoskeletal injuries and how these impact the time and reason for presenting to a general hospital in Uganda. Methods: An observational study was carried out at Entebbe general hospital on patients presenting with musculoskeletal injuries between 1 November 2014 and 28 February 2015. The patient demographics, injury characteristics, duration of injury to presentation for treatment and reason for seeking treatment from this hospital were noted. Results: A total of 101 patients were recruited. Of these, 95 had fractures while six had dislocations. Patients took an average of 96 h before presenting for care, females taking significantly longer than males (191.2 and 58.6 h respectively, p = 0.005). The fractured segment of bone significantly influenced the patients’ choice for care at this hospital (p = 0.02). Discussion: Entebbe General Hospital serves a young and unemployed population for musculoskeletal injuries. These patients present late for care, especially females. Patients base their choice for care from this hospital on the character of the injury. Introduction: La se´ lection d’une approche de traitement et d’un e´ tablissement ou` l’on peut se faire soigner pose un proble` me en matie` re de le´ sions musculosquelettiques en Afrique. L’e´ tude visait a` de´ terminer les caracte´ ristiques de´ mographiques et des blessures des patients atteints de le´ sions musculosquelettiques et leur incidence sur le de´ lai et le motif de la consultation dans un hoˆpital ge´ ne´ ral en Ouganda. Me´thodes: Une e´ tude d’observation a e´ te´ effectue´ ea` l’hoˆpital ge´ ne´ ral d’Entebbe sur des patients pre´ sentant des le´ sions musculosquelettiques entre le 1er novembre 2014 et le 28 fe´ vrier 2015. Les donne´ es de´ mographiques des patients, les caracte´ ristiques des blessures, le de´ lai entre la blessure et la consultation en vue de se faire traiter, et le motif de la recherche de traitement aupre` s cet hoˆpital ont e´ te´ enregistre´ s. Re´sultats: Au total, 101 patients ont e´ te´ e´ tudie´ s. Parmi ceux-ci, 95 souffraient de fractures alors que 6 souffraient de luxations. Les patients ont mis en moyenne 96 heures a` consulter pour se faire soigner, les femmes prenant bien plus de temps que les hommes (191,2 et 58,6 heures respectivement, p = 0,005). Le segment fracture´ de l’os a influence´ de fac¸on significative le choix des patients de se faire soigner dans cet hoˆpital (p = 0,02). Discussion: L’hoˆpital ge´ ne´ ral d’Entebbe a pour patients une population jeune et sans emploi en ce qui concerne les le´ sions musculosquelettiques. Ceux-ci se pre´ sentent de fac¸on tardive pour obtenir des soins, en particulier les femmes. Les patients fondent leur choix de prise en charge par cet hoˆpital en fonction de la nature de la blessure. African relevance Introduction The study provides insight into the patterns of injury that present to poorly resourced hospitals. Selecting a treatment approach and setting to get treatment Local governments should disseminate information on following trauma possess a challenge to the patient in available health facilities to their populations. Africa.1,2 The Anderson and Newman framework3 states that More research is required in African health financing. health service utilization is governed by three main factors: predisposition, enablement and perception of need for care. * Correspondence to Isaac Kajja. [email protected] In Uganda, health care following musculoskeletal (MSK) Peer review under responsibility of African Federation for Emergency Medicine. injury (in this study representing a fracture and/or a disloca- tion) is provided either by the western biomedical approaches (WBA) or by traditional bone setters (TBS). The patient with Production and hosting by Elsevier MSK injury haphazardly seeks for WBA care since Uganda http://dx.doi.org/10.1016/j.afjem.2016.05.008 2211-419X Ó 2016 African Federation for Emergency Medicine. Production and hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Seeking health care following a fracture or a dislocation 175 has no established guidelines disseminated to the general pop- reduction and splinting of closed fractures. Additionally, the ulation showing which health facility handles what type of medical officers and surgeons debride open fractures, screen injuries. Given the staff crisis in Sub-Sahara African Hospi- and refer patients requiring definitive orthopedic surgical inter- tals,4 the number and level of training of staff at a given level vention to hospitals with orthopedic surgeons. of health facilities are not uniform. Here, some general hospi- Following ethics clearance from the research and ethics tals have two or three general doctors while others have one or committee of Makerere University School of Medicine, a ver- none. Worse still, some groups of service providers are not reg- bal consent from the patient or the guardian of a child was ulated by any legal body (Table 1). These factors put doubt in sought. A pretested questionnaire was used to collect data. the patients’ minds as to whether the accessible facilities have Data were collected at the time when the patient had received the appropriate staff, supplies and equipment necessary to the appropriate orthopedic care. A non-randomized procedure manage their injuries. It is postulated that the above challenges was used to consecutively recruit 101 patients. Patients with lead to delays in presentation for WBA care and poor clinical dislocations, and open or closed fractures were included. outcomes of MSK injuries. Additionally, the pattern of injury Unconscious patients without a caretaker to answer key ques- may influence the patient’s decision to seek for WBA care from tions in the questionnaire were excluded. a particular hospital. Patient demographics noted included age, sex, level of edu- Therefore, the study aimed at a) defining the demographics cation, occupation, distance between the patient’s home and of patients and how these relate to the former’s decision to the hospital, whether a patient had received initial treatment seek for WBA care at a selected general hospital, b) establish- from any other hospital before seeking care from the hospital ing how demographics and injury characteristics relate to the under study and the cause of injury. The time interval between time of presentation for care and c) identifying the factors onto injury and presentation for care was noted. which patients base their decisions to seek WBA care from this Injury characteristics noted included injury type (disloca- hospital. tion or fracture), fracture pattern (simple, segmental or com- minuted), fracture location (upper limb, spine, pelvis or Methods lower limb), bone fractured, segment of bone involved in frac- ture (shaft, proximal peri-articular or distal peri-articular), The study was conducted from 1st November 2014 to 28th joint dislocated and the time of day when injury occurred. February 2015 in Entebbe General Hospital (a mid-level hos- The reasons onto which patients based their decisions to pital) in Uganda. This public hospital is situated on the high- seek treatment from this hospital were also noted. way from Entebbe International Airport to Kampala city. For Analysis was done using SPSS, version 21.0; SPSS Inc. Chi- purposes of this study, Ugandan health facilities were grouped cago, IL, USA. Cross tabulations of variables were con- into three levels: (i) national and regional referral hospitals- structed and Fisher’s exact test and chi-square with p-values higher level facilities, that have orthopedic surgeons in their were calculated to determine statistical significance, if any. A staff establishment, (ii) general hospitals- mid-level facilities, one way analysis of variation (ANOVA) was performed to that have medical officers, general surgeons and orthopedic compare means between groups and Pearson’s correlation assistants in their staff establishment, and (iii) Health Center index was performed to identify relationships between contin- IV with a general doctor, Health Center III with a medical uous variables. A p-value was predetermined at p < 0.05. assistant, Health Center II with a nurse in their staff establish- ment and can give emergency care to MSK injuries, consti- Results tuted the lower level. As stipulated in the Ministry of Health Human Resource Information System (HRIS) Strengthening From 1st November 2014 to 28th February 2015, 101 patients Plan 2010/11–2014/15,5 this hospital provides preventive, pro- were recruited in the study. These included 72 (71.3%) males motive, curative, maternity, in-patient health services, surgery, and 29 (28.7%) females. Their ages ranged from three to blood transfusion, laboratory and medical imaging services. 79 years, with a mean of 24.8 (SD 16.7) years. During the study However, its operations are limited by factors like a small staff period, four unconscious patients without a caretaker were (it serves a population of about 500,000 people but has two excluded.
Load more

Recommended publications
  • Environmental Consequences of Sand Mining on the Shores of Lake Victoria: a Case of Study of Kiyirira Village Katabi Sub Countø’, ~4 Akiso District
    Environmental Consequences of Sand mining on the shores of Lake Victoria: A case of study of Kiyirira Village Katabi Sub CountØ’, ~4 akiso District By LUUTU IVAN BEM/0993/21 /DU Supervised by DR. TWAHA BASAMBA ALl A research Report submitted in partial fulfillment of thep ward of the degree in Bachelor of En~ ironmental management of Kampala International University SEPTEMBER 2005 DECLARA ION I, Luutu Ivan, I declare that, this work is original and has not been submitted in part or whole, to any institution of higher learning or any University for any degree or other award. The s~urces of information quoted in here have been duly acknowledged. Signature~~~ Date ~OtO5 LUUTU IVAN This dissertation has been submitted with ñiy a~proval as the University supervisor. Signature.. Date..9— DR. TWAHA BASAMBA ALT DEDICAnON This work is dedicated to my Lord, Jesus Christ~ my dear family especially my mother, Ms. Nakalinzi Sarah who toiled to see me through my academic, arena and my late grandfather, Mr. Mukasa Joseph. 4 II ACNowLEJ~EME~ I acknowledge with sincere apprecia~joj and gratitude the assistance given to me by various people. Special thanks are extended to my supervi~ i.e. Dr. Twaha Basamba Au, Miss Tumushabe Ann and Mrs. Abesiga Nancy for their guidance, suggestio~ and encouragement through out the study. Lastly, am also grateful to my father, Mr. ICizito George, my brother and sisters, ICayizzi Henry, Namubiru Flavta, Namutebi Diana Vicky, my uncles, aunties as well as my grandmothe~~ I cannot also forget my colleagues who assisted me in one way or another when I needed their suppoft and encouragement especially, Ireri, Ammon, I4adija, Gibson, Peter, Henry, Opira and the rest.
    [Show full text]
  • Vote:752 Entebbe Municipal Council Quarter2
    Local Government Quarterly Performance Report FY 2017/18 Vote:752 Entebbe Municipal Council Quarter2 Terms and Conditions I hereby submit Quarter 2 performance progress report. This is in accordance with Paragraph 8 of the letter appointing me as an Accounting Officer for Vote:752 Entebbe Municipal Council for FY 2017/18. I confirm that the information provided in this report represents the actual performance achieved by the Local Government for the period under review. Name and Signature: Accounting Officer, Entebbe Municipal Council Date: 29/08/2019 cc. The LCV Chairperson (District) / The Mayor (Municipality) 1 Local Government Quarterly Performance Report FY 2017/18 Vote:752 Entebbe Municipal Council Quarter2 Summary: Overview of Revenues and Expenditures Overall Revenue Performance Ushs Thousands Approved Budget Cumulative Receipts % of Budget Received Locally Raised Revenues 4,313,592 2,705,669 63% Discretionary Government Transfers 6,002,056 766,052 13% Conditional Government Transfers 7,609,309 3,043,100 40% Other Government Transfers 30,000 5,751,205 19171% Donor Funding 0 0 0% Total Revenues shares 17,954,957 12,266,026 68% Overall Expenditure Performance by Workplan Ushs Thousands Approved Cumulative Cumulative % Budget % Budget % Releases Budget Releases Expenditure Released Spent Spent Planning 124,414 45,109 61,869 36% 50% 137% Internal Audit 47,230 22,879 22,879 48% 48% 100% Administration 1,609,033 872,146 872,146 54% 54% 100% Finance 1,049,758 1,051,096 1,051,096 100% 100% 100% Statutory Bodies 1,122,556 664,327 664,327
    [Show full text]
  • “We Have to Keep on Improvising”
    “WE HAVE TO KEEP ON IMPROVISING” AN ETNOGRAPHIC FIELD STUDY ABOUT THE CHALLENGES AND STRATEGIES OF NURSES IN CENTRAL UGANDA MADELEINE RAHMBERG LINNEA STENLUND ”WE HAVE TO KEEP ON IMPROVISING” AN ETNOGRAPHIC FIELD STUDY ABOUT THE CHALLENGES AND STRATEGIES OF NURSES IN CENTRAL UGANDA MADELEINE RAHMBERG LINNEA STENLUND Rahmberg, M & Stenlund, L. We have to keep on improvising. An ethnographic field study about the challenges and strategies of nurses in central Uganda. Degree project in nursing 15 credit points. Malmö University: Faculty of health and society, Department of care science, 2015. Aim: To explore what kind of challenges nurses are facing in their work at a hospital in central Uganda and what strategies they used due to these challenges. Background: In Uganda, life expectancy is 53 years old and 50% of the population is under 14 years. This means that the spectrum of diseases looks different in comparison from European countries. The most common causes of death are malaria, pneumonia and complications related to HIV and AIDS. State funding of health care is lower than in other sub-Saharan countries. The hospital in Entebbe should, as recommended by the Ugandan Ministry of Health, have 46 nurses and 11 doctors but in the present situation the number of nurses are 18 and 7 doctors. Method: An ethnographic study based on observations of the nurses at the hospital in Entebbe, Uganda and interviews with nurses at the same hospital. The study was done in four weeks from November to December 2014. The material was analysed using content analysis. Findings: The nurses experienced that the biggest challenges in their work was the shortage of staff, lack of equipment and dependence on relatives of patients.
    [Show full text]
  • ENTEBBE MC BFP.Pdf
    Local Government Budget Framework Paper Vote: 752 Entebbe Municipal Council Structure of Budget Framework Paper Foreword Executive Summary A: Revenue Performance and Plans B: Summary of Department Performance and Plans by Workplan C: Draft Annual Workplan Outputs for 2013/14 Page 1 Local Government Budget Framework Paper Vote: 752 Entebbe Municipal Council Foreword This Budget Frame Work Paper has been prepared through wide consultations with the relevant stakeholders and it will serve as a background to the 2013/14 Budget. In particular, the paper will help the Municipality leaders to focus on the priorities and the level of expenditure that will enable execution of the mandated services efficiently and effectively using the available resources. The document has been prepared in line with the principals of the Fiscal Development Strategy (FDS), which introduces some flexibility in the recurrent non-wage grant allocation by the Local government. The main thrust for the next financial year will be to increase the Local Revenue by implementing the Revenue Enhancement Plan. We also hope to improve the productivity of the existing Revenue Resources so as to facilitate the sectors to enable them fulfill their mandates. Successful implementation of the planned activities will depend on availability and timely disbursement of funds as well as the proper coordination of ongoing programmes. I wish to thank the Central Government for its continued support, the council and the Municipal Planning Committee for the commitment and the Municipal Planning unit for the technical assistance rendered in the preparation of the Budget Framework Paper. ACKNOWLEDGEMENT This Budget Framework Paper is intended to facilitate the Budget preparatory process for the Financial Year 2013/14 by providing background information and identifying expenditure priorities for the medium term.
    [Show full text]
  • Vote: 555 Wakiso District Structure of Budget Estimates - PART ONE
    Local Government Budget Estimates Vote: 555 Wakiso District Structure of Budget Estimates - PART ONE A: Overview of Revenues and Expenditures B: Detailed Estimates of Revenue C: Detailed Estimates of Expenditure D: Status of Arrears Page 1 Local Government Budget Estimates Vote: 555 Wakiso District A: Overview of Revenues and Expenditures Revenue Performance and Plans 2012/13 2013/14 Approved Budget Receipts by End Approved Budget June UShs 000's 1. Locally Raised Revenues 2,144,169 1,791,635 3,239,245 2a. Discretionary Government Transfers 3,059,586 2,970,715 2,942,599 2b. Conditional Government Transfers 32,601,298 31,996,803 36,235,037 2c. Other Government Transfers 10,299,801 4,724,322 4,865,053 3. Local Development Grant 962,178 652,142 991,290 4. Donor Funding 0 795,158 Total Revenues 49,067,033 42,135,617 49,068,381 Expenditure Performance and Plans 2012/13 2013/14 Approved Budget Actual Approved Budget Expenditure by UShs 000's end of June 1a Administration 1,673,530 1,422,732 1,658,273 2 Finance 876,480 826,781 981,379 3 Statutory Bodies 996,706 786,619 1,242,096 4 Production and Marketing 3,314,816 3,219,151 3,191,107 5 Health 5,350,708 5,126,200 6,580,574 6 Education 24,488,156 23,891,768 27,393,555 7a Roads and Engineering 9,464,392 3,891,931 4,560,385 7b Water 1,007,375 652,692 972,899 8 Natural Resources 467,285 286,132 615,856 9 Community Based Services 848,277 724,202 712,587 10 Planning 409,569 422,709 983,878 11 Internal Audit 169,739 107,085 175,793 Page 2 Local Government Budget Estimates Vote: 555 Wakiso District 2012/13 2013/14 Approved Budget Actual Approved Budget Expenditure by UShs 000's end of June Grand Total 49,067,033 41,358,002 49,068,381 Wage Rec't: 24,004,735 23,918,051 27,484,152 Non Wage Rec't: 16,069,523 11,035,117 12,068,153 Domestic Dev't 8,992,775 6,404,834 8,720,918 Donor Dev't 0 0 795,158 Page 3 Local Government Budget Estimates Vote: 555 Wakiso District B: Detailed Estimates of Revenue 2012/13 2013/14 UShs 000's Approved Budget Receipts by End Approved Budget of June 1.
    [Show full text]
  • Vote: 752 Entebbe Municipal Council Structure of Workplan
    Local Government Workplan Vote: 752 Entebbe Municipal Council Structure of Workplan Foreword Executive Summary A: Revenue Performance and Plans B: Summary of Department Performance and Plans by Workplan C: Draft Annual Workplan Outputs for 2012/13 D: Details of Annual Workplan Activities and Expenditures for 2012/13 Page 1 Local Government Workplan Vote: 752 Entebbe Municipal Council Foreword Entebbe Municipal Council plans to spend 13,129,558,000/= during the FY2012/13 as listed below:- LR=2,182,639,000/= (16.6% of the budget), Discretionary Govt transfers=773,986,000/= (5.9%of the total budget),Conditional Govt transfers 4,098,108,000/= (31% of the budget), Other Govt transfers 5,824,150,000/= (44.6% of the budget) and lastly LDG of 250,675,000/= (1.9% of the budget). Page 2 Local Government Workplan Vote: 752 Entebbe Municipal Council Executive Summary Revenue Performance and Plans 2011/12 2012/13 Approved Budget Receipts by End Approved Budget June UShs 000's 1. Locally Raised Revenues 1,872,166 940,587 1,995,231 2a. Discretionary Government Transfers 917,345 906,306 773,986 2b. Conditional Government Transfers 3,490,835 3,471,491 4,098,108 2c. Other Government Transfers 2,454,377 1,034,840 1,087,946 3. Local Development Grant 250,878 238,334 250,675 Total Revenues 8,985,601 6,591,558 8,205,946 Revenue Performance in 2011/12 Entebbe Municipal council planned to collect local revenue(LR) of Shs 1,872,166,000/= and by June 2012 it achieved 50.2% (shs.
    [Show full text]
  • Motivation and Employee Performance in Public Pharmaceutical Sector in Uganda: a Case of National Medical Stores Nabulya Olivi
    MOTIVATION AND EMPLOYEE PERFORMANCE IN PUBLIC PHARMACEUTICAL SECTOR IN UGANDA: A CASE OF NATIONAL MEDICAL STORES BY NABULYA OLIVIA KINTU 2016/FEB/MHRM/M219129/WKD A DISSERTATION SUBMITTED TO THE SCHOOL OF BUSINESS ADMINISTRATION IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF THE DEGREE OF MASTERS OF SCIENCE IN HUMAN RESOURCE MANAGEMENT OF NKUMBA UNIVERSITY OCTOBER, 2018 1 DECLARATION I hereby declare that this of dissertation titled “Motivation and Employee Performance in Public Pharmaceutical Sector in Uganda, focusing on National Medical Stores" is my own work towards the accomplishment of Masters degree in Human Resource Management and that, to the best of my knowledge, it contains no material previously published by another person nor material which has been accepted for the award of another degree of the University except where due acknowledgement has been made in the text. However, references from the work of others have been clearly stated. Signature:...................................................................................... NABULYA OLIVIA KINTU Date: ................................................................................................. i APPROVAL This research dissertation is submitted to the School of Business Administration with my approval as the research supervisor. SIGNATURE……………………….………..……………….………….. Dr. E.B. Mugerwa (Supervisor) DATE……………………………………..……………….……………… ii DECLARATION I dedicate this report to Almighty God, my parents, Mr. Ben Kintu and Mrs. Mary Kamya Kintu, my Mother Mrs. Jane Kayizi (late) my brothers, Sisters, my husband and children and Mr. Francis Ssengendo who morally and financially supported me through my academics and finally to all those who encouraged and believed with me that I can make it despite ups and downs that I went through. Thank you Lord…... iii ACKNOWLEDGEMENT My gratitude goes to the Almighty God for granting me good health, guidance, and helping me this far in my education.
    [Show full text]
  • Study Protocol
    Study Protocol Title: Does Neonatal BCG Immunisation Provide Protection Against Heterologous Invasive Infectious Disease by Stimulating the Innate Immune System? ISRCTN: 59683017 Names of applicants: 1) Dr Sarah Prentice 2) Dr Stephen Cose Position of applicants: 1) Wellcome Trust Clinical Fellow, London School of Hygiene and Tropical Medicine, UK 2) Senior Immunologist, MRC/UVRI Uganda Research Unit on AIDS, Entebbe, UG Lecturer in Immunology, London School of Hygiene & Tropical Medicine, London, UK Hon. Senior Lecturer, Makerere University College of Health Sciences, Kampala, UG Sponsor Professor Alison M. Elliott, Programme Head, MRC/UVRI Uganda Research Unit on AIDS, Entebbe, UG Professor of Tropical Medicine, London School of Hygiene & Tropical Medicine, London, Primary Supervisor Dr Stephen Cose Senior Immunologist, MRC/UVRI Uganda Research Unit on AIDS P.O Box 49, Entebbe, Uganda Lecturer in Immunology, London School of Hygiene & Tropical Medicine, London, UK Hon. Senior Lecturer, Makerere University College of Health Sciences, Kampala, UG Secondary Supervisor Professor Hazel Dockrell Professor of Immunology London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK. Clinical Trial Sponsor London School of Hygiene and Tropical Medicine Collaborating Institutions Dr Moses Muwanga, Medical Superintendent, Entebbe General Hospital, Entebbe, UG Dr Robert Asaba, Medical Superintendent, Kisubi Hospital, Kisubi, UG London School of Hygiene & Tropical Medicine, UK Dr Alexander Drakesmith, Weatherall Institute for
    [Show full text]
  • Factors Associated with Early Discontinuation of Contraceptive Implants Among Women of Reproductive Age in Wakiso District, a Facility Based Cross-Sectional Study
    FACTORS ASSOCIATED WITH EARLY DISCONTINUATION OF CONTRACEPTIVE IMPLANTS AMONG WOMEN OF REPRODUCTIVE AGE IN WAKISO DISTRICT, A FACILITY BASED CROSS-SECTIONAL STUDY BY DDUNGU UMARU MB.Ch.B (Mak) A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF MASTERS OF PUBLIC HEALTH OF MAKERERE UNIVERSITY NOVEMBER 2019 APPROVAL i DECLARATION ii ACKNOWLEDGEMENT I extend my gratitude and sincere appreciation to all those that supported me in ensuring that this study is a success. My sincere thanks go to my supervisors Dr. Simon Peter Kibira and Mr. Ssenyonga for availing adequate time for engagements and support during the period of the study. I also thank the district health team especially health facility in-charges of Wakiso district for support and coordination during data collection in their respective facilities. Special recognition goes to Dr. Sseviri Mathias, Betty Nabuuma and Namulondo Edith sharing information about the district during literature review. Special thanks go to my research assistants who were committed and provided valuable time in data collection. They included Nabagesera Prever, Nakiyimba Viola, Tindimweebwa Ruth, Nakalembe Margaret Bateera Ann and all assistants from private health facilities who participated in data collection. On a similar note, I also thank all respondents who participated in the study for their time and efforts to respond to questions as honestly as possible. Lastly, appreciate the support from my work manager Dr. Kirima Andrew who provided a favorable studying environment
    [Show full text]
  • Uganda Pdf Icon[187 KB, 2 Pages]
    INTERNATIONAL ACTIVITIES REPORT FY 2014–2015 UGANDA OVERVIEW Since 2008, the Centers for Disease Control and HIGHLIGHTS Prevention (CDC) has provided funding to the Uganda • Hosted two Symposia where we disseminated National Influenza Center (NIC). The aim of the data on influenza in Uganda. cooperative agreement is to consolidate achievements • Inaugurated the Uganda National Immunization in influenza surveillance from the first round of funding Technical Advisory Group (UNITAG). and develop a sustainability plan. In 2014, new funding • Presented the National Immunization Policy to was provided by CDC to assist Uganda in defining Uganda Parliament. a road map for introduction of seasonal influenza • Organized a meeting for the Influenza Technical vaccines and their increased use through a process of Committees of the UNITAG and KENITAG (Kenya informed analysis of available scientific evidence and National Immunization Advisory Group) to assessment of the needs and barriers. explore possibilities for collaboration. SURVEILLANCE We have maintained an efficient routine influenza LABORATORY surveillance system in Uganda that collects, analyzes The laboratory received 2,093 SARI samples and 1,781 and reports quality data on severe acute respiratory ILI samples from the sentinel sites. All samples were infections (SARI) and/or influenza-like illness (ILI), and tested. We did not discard any samples, an indication it includes virologic and epidemiologic data on both that the sample collection, storage, and transportation children and adults. The system collects, analyses and are doing well. There were 178 (8.5%) SARI and 275 reports epidemiologic and virologic data on both (15.4%) ILI samples positive for an influenza virus. All mild and severe influenza-associated disease from positive samples were subtyped.
    [Show full text]
  • ATOMIC ENERGY COUNCIL (AEC) Protecting the Public and Environment
    ATOMIC ENERGY COUNCIL (AEC) Protecting the Public and Environment ! ATOMIC ENERGY COUNCIL ENHANCES FACILITY COMPLIANCE WITH RADIATION PROTECTION AND NUCLEAR SAFETY The Atomic Energy Council (AEC) has continued to nuclear safety is verified through the authorization and implementation of the radiation safety requirements of Council will deal with this as the law provides. The public is facilities which are licensed to avoid or mitigate the risks make tremendous progress in regulating Atomic Energy inspection processes by assessing the levels of compliance the Atomic Energy Act No.24 of 2008 and Atomic Energy encouraged to inform the Council about facilities operating associated with unregulated exposure to ionizing radiation applications in the country. Established by the Atomic Energy with regulatory requirements. Regulations, 2012. During the same period, 1463 radiation without authorization for the necessary action to protect the which may cause radiation hazards dangerous to human Act No.24 of 2008(AEA,2008) the Council is mandated to safety inspections have been conducted. These inspections public from any risks associated with ionizing radiation. health. regulate the peaceful applications of ionizing radiation in Over the last five financial years, there has been significant include announced, unannounced, follow-up and special Uganda to provide for the protection and safety of society and improvement in compliance levels in radiation protection, inspections. A lot of progress has been made in Management AEC will continue to liaise with unlicensed facilities to provide The table below shows the licensed and unlicensed facilities environment from dangers resulting from ionizing radiation. nuclear safety and nuclear security in the country. In the of disused and orphaned radioactive sources, Environmental them with the appropriate regulatory guidance concerning as at 15/12/2020.
    [Show full text]
  • 11932258 01.Pdf
    䌎䌯㪅 ࠙ࠟࡦ࠳࿖ ਛᄩ࠙ࠟࡦ࠳࿾ၞක≮ᣉ⸳ᡷༀ⸘↹ Ḱ஻⺞ᩏ㧔੍஻⺞ᩏ㧕 ႎ๔ᦠ ᐔᚑᐕ᦬ 㧔ᐕ㧕 ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ ၮ⋚ 㪡㩷㪩 ⚻ᷣၮ⋚㐿⊒ㇱ 㪇㪐㪄㪇㪋㪌 ࠙ࠟࡦ࠳࿖ ਛᄩ࠙ࠟࡦ࠳࿾ၞක≮ᣉ⸳ᡷༀ⸘↹ Ḱ஻⺞ᩏ㧔੍஻⺞ᩏ㧕 ႎ๔ᦠ ᐔᚑᐕ᦬ 㧔ᐕ㧕 ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ ⚻ᷣၮ⋚㐿⊒ㇱ ᐨ ᢥ ᣣᧄ࿖᡽ᐭߪ࠙ࠟࡦ࠳࿖ߩⷐ⺧ߦၮߠ߈ޔห࿖ߩޟਛᄩ࠙ࠟࡦ࠳࿾ၞක≮ᣉ⸳ᡷୃ⸘↹ޠߦଥࠆḰ ஻⺞ᩏ㧔੍஻⺞ᩏ㧕ࠍⴕ߁ߎߣࠍ᳿ቯߒޔ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ߪᐔᚑ 20 ᐕ 11 ᦬ 2 ᣣࠃࠅᐔᚑ 20 ᐕ 11 ᦬ 26 ᣣ߹ߢ⺞ᩏ࿅ࠍ⃻࿾ߦᵷ㆜ߒ߹ߒߚޕ ߎߩႎ๔ᦠ߇ޔ੹ᓟ੍ቯߐࠇࠆᧄᩰ⺞ᩏߩታᣉޔߘߩઁ㑐ଥ⠪ߩෳ⠨ߣߒߡᵴ↪ߐࠇࠇ߫ᐘ޿ߢߔޕ ⚳ࠊࠅߦޔ⺞ᩏߦߏදജߣߏᡰេࠍ޿ߚߛ޿ߚ㑐ଥฦ૏ߦኻߒޔᔃࠃࠅᗵ⻢↳ߒ਄ߍ߹ߔޕ ᐔᚑ 21 ᐕ 3 ᦬ ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ ⚻ᷣၮ⋚㐿⊒ㇱ㐳 㤥ᩉ ବਯ ⋡ ᰴ ⋡ ᰴ ࿾ ࿑ ౮ ⌀ ⇛⺆⴫ ╙㧝┨ ⺞ᩏ᭎ⷐ ·············································································································································1 㧝㧙㧝 ⷐ⺧ౝኈ ·········································································································································1 㧝㧙㧞 ⺞ᩏ⋡⊛ ·········································································································································2 㧝㧙㧟 ⺞ᩏ࿅ߩ᭴ᚑ··································································································································2 㧝㧙㧠 ⺞ᩏᣣ⒟ ·········································································································································3 㧝㧙㧡 ਥⷐ㕙⺣⠪······································································································································3 㧝㧙㧢 ⺞ᩏ⚿ᨐ᭎ⷐ··································································································································5 㧝㧙㧢㧙㧝 వᣇߣߩද⼏⚿ᨐ ··············································································································5
    [Show full text]