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Evaluation of Antiretroviral Therapy Information System in Mbale Regional Referral Hospital, Uganda
EVALUATION OF ANTIRETROVIRAL THERAPY INFORMATION SYSTEM IN MBALE REGIONAL REFERRAL HOSPITAL, UGANDA. PETER OLUPOT-OLUPOT A mini-thesis submitted in partial fulfillment of the requirements for the degree of Master of Public Health in the School of Public Health, University of the Western Cape. SUPERVISOR: DR. GAVIN REAGON February 2009 1 KEY WORDS Health Information Systems HIV/AIDS ART Data Quality Timeliness Data Accuracy Data analysis Data use Use of information Availability 2 ACRONYMS AIDS Acquired Immune Deficiency Syndrome ACP AIDS Control Program ART Antiretroviral Therapy ART-IS Antiretroviral Therapy Information System ARV Antiretroviral CD4 Cluster of Differentiation 4 CDC Centers for Disease Control and Prevention EBR Electronic Based Records GFATM Global Fund to fight AIDS, Tuberculosis & Malaria GOU Government of Uganda IDC Infectious Disease Clinic IMR Infant Mortality Rate HAART Highly Active Antiretroviral Therapy HIS Health Information Systems HISP Health Information System Project HIT Health Information Technology HIV Human Immunodeficiency Virus HMIS Health Management Information Systems MAP Multi-country AIDS Program MMR Maternal Mortality Rate MOH Ministry of Health MPH Master of Public Health MRRH Mbale Regional Referral Hospital 3 NGO Non Governmental organization OI Opportunistic Infection OpenMRS Open Medical Record System PBR Paper Based Record PDA Personal Digital Assistant PEPFAR President’s (USA) Emergency Plan for AIDS Relief PLWA People Living with HIV/AIDS RHINONET Routine Health Information Network SOPH School of Public Health SSA Sub – Saharan Africa STI Sexually Transmitted Infection TASO The AIDS Support Organization TB Tuberculosis U5MR Under Five Mortality Rate UN United Nations UNAIDS United Nations Joint Program on AIDS UWC University of the Western Cape VCT Voluntary Counseling and Testing WHO World Health Organization 4 About the Evaluation The ART – IS at Mbale regional referral hospital is still an infant system which has been in operation for only 3 years. -
Annual Health Sector Performance Report
THE REPUBLIC OF UGANDA Annual Health Sector Performance Report Financial Year 2006/2007 October 2007 Blank Page Foreword The health sector in FY 2006/07 implemented the 2nd Year of the Health Sector Strategic Plan II (HSSP II). The focus has been on scaling up interventions and consolidating reforms initiated during the HSSP I and in the 1st Year of the HSSP II in order to achieve the Poverty Eradication Action Plan (PEAP) objectives and Millennium Development Goals (MDGs). The Uganda Demographic and Health Survey 2006 shows that there have been improvements in Infant Mortality Rate, Under5 Mortality Rate and Total Fertility Rate. The data is not conclusive on Maternal Mortality Ratio. These improvements in health outcomes indicate that it is indeed possible to make a difference in the life of Ugandans. The improvements in health outcomes were contributed to by different sectors; however the contribution of the health sector in terms of stewardship and advocacy, and improved coverage with good quality services for preventive, promotive and curative has been key. The AHSPR 2006/07 documents sector performance against agreed HSSP II indicators and Year II targets. The AHSPR 2006/07 indicates fairly good performance as shown by the performance against the 8 PEAP and HSSP II indicators. The sector performance for FY 2006/07 was on or above target for 3 indicators namely: Couple Years of Protection (CYP) a measure of family planning uptake; Proportion of children below 1 year that have received pentavalent vaccine 3rd dose; and New OPD attendance per capita. Sector performance was below target for 3 indicators namely: Proportion of deliveries taking place in government and PNFP health facilities; Proportion of health facilities with tracer medicines all the time (i.e. -
Psychiatric Hospitals in Uganda
Psychiatric hospitals in Uganda A human rights investigation w www.mdac.org mentaldisabilityadvocacy @MDACintl Psychiatric hospitals in Uganda A human rights investigation 2014 December 2014 ISBN 978-615-80107-7-1 Copyright statement: Mental Disability Advocacy Center (MDAC) and Mental Health Uganda (MHU), 2014. All rights reserved. Contents Foreword ...................................................................................................................................................................................................... 4 Executive summary ......................................................................................................................................................................................................... 6 1. Introduction, torture standards and hospitals visited.............................................................................................................................. 9 1(A). The need for human rights monitoring........................................................................................................................................................... 9 1(B). Uganda country profile .................................................................................................................................................................................... 10 1(C). Mental health ................................................................................................................................................................................................... -
Office of the Auditor General the Republic of Uganda
OFFICE OF THE AUDITOR GENERAL THE REPUBLIC OF UGANDA REPORT OF THE AUDITOR GENERAL ON THE FINANCIAL STATEMENTS OF MBALE REGIONAL REFERRAL HOSPITAL FOR THE YEAR ENDED 30TH JUNE 2016 Table of Contents LIST OF ACROYNMS ................................................................................................................................................. 2 1.0 INTRODUCTION ............................................................................................................................................ 5 2.0 AUDIT OBJECTIVES ..................................................................................................................................... 5 3.0 AUDIT PROCEDURES PERFORMED .......................................................................................................... 6 4.0 ENTITY FINANCING ..................................................................................................................................... 6 5.0 FINDINGS ....................................................................................................................................................... 7 5.1 Categorization of Findings ............................................................................................................................... 7 5.2 Summary of Findings ....................................................................................................................................... 7 6.0 DETAILED AUDIT FINDINGS .................................................................................................................... -
3Rd Annual Report 3.9.22.1248:3Rd Annual Report
The Power of Partnerships: The President’s Emergency Plan for AIDS Relief Third Annual Report to Congress The Power of Partnerships: The President’s Emergency Plan for AIDS Relief Third Annual Report to Congress Cover Photo Through HIV counseling and testing for couples at the U.S.-supported Kericho District Hospital, Joyce and David found out they are infected with HIV. Joyce was four months pregnant with her second child at the time of diagnosis. Thanks to the clinic’s program to prevent mother-to-child HIV transmission, Joyce delivered a baby boy who is HIV-negative. After a year of antiretroviral treatment, David has also gained weight and feels healthy – enabling him to provide for his family. Photo by Doug Shaffer This report was prepared by the Office of the United States Global AIDS Coordinator in collaboration with the United States Departments of State (including the United States Agency for International Development), Defense, Commerce, Labor, Health and Human Services (including the Centers for Disease Control and Prevention, the Food and Drug Administration, the Health Resources and Services Administration, the National Institutes of Health, the Substance Abuse and Mental Health Services Administration, and the Office of Global Health Affairs), and the Peace Corps. 2 ❚ The Power of Partnerships: The President’s Emergency Plan for AIDS Relief CONTENTS Acronyms and Abbreviations . 5 Overview – The Power of Partnerships . 9 Chapter 1 – Critical Intervention in the Focus Countries: Prevention. 27 Chapter 2 – Critical Intervention in the Focus Countries: Treatment . .55 Chapter 3 – Critical Intervention in the Focus Countries: Care . .79 Chapter 4 – Building Capacity: Partnerships for Sustainability . -
The Silent Gun: Changes in Alcohol Production, Sale, and Consumption in Post-Disarmament Karamoja, Uganda
Karamoja Resilience Support Unit (KRSU) THE SILENT GUN: CHANGES IN ALCOHOL PRODUCTION, SALE, AND CONSUMPTION IN POST-DISARMAMENT KARAMOJA, UGANDA September 2018 This publication was produced at the request of the United States Agency for International Development (USAID), Irish Aid, and the Department for International Development, United Kingdom (DFID). The authors of the report were Padmini Iyer, Jarvice Sekajja, and Elizabeth Stites. Photo on cover by Teba Arukol KARAMOJA RESILIENCE SUPPORT UNIT (KRSU) The Silent Gun: Changes in Alcohol Production, Sale, and Consumption in Post-Disarmament Karamoja, Uganda September 2018 This report was funded by the United States Agency for International Development, UK aid from the UK government, and Irish Aid. USAID Contract Number: 617-15-000014 Karamoja Resilience Support Unit www.karamojaresilience.org Implemented by: Feinstein International Center, Friedman School of Nutrition Science and Policy at Tufts University, P. O. Box 6934, Kampala, Uganda. Tel: +256 (0)41 4 691251 Suggested citation: Iyer, P., Sekajja, J., and Stites, E. (2018). The Silent Gun: Changes in Alcohol Production, Sale, and Consumption in Post-Disarmament Karamoja, Uganda. Karamoja Resilience Support Unit, USAID/Uganda, UK aid, and Irish Aid, Kampala. Disclaimer: The views expressed in the report do not necessarily reflect the views of the United States Agency for International Development or the United States government, UK aid or the UK government, or Irish Aid or the Irish government. TABLE OF CONTENTS ACKNOWLEDGEMENTS -
Antibiotic Resistance in Uganda: Situation Analysis and Recommendations
UGANDA NATIONAL ACADEMY OF SCIENCES Antibiotic Resistance in Uganda: Situation Analysis and Recommendations Antibiotic Resistance in Uganda: Situation Analysis and Recommendations a Uganda National Academy of Sciences A4 Lincoln House Makerere University P.O. Box 23911, Kampala, Uganda Tel: +256-414-53 30 44 Fax: +256-414-53 30 44 E-mail: [email protected] www.ugandanationalacademy.org This is a report of the Uganda National Academy of Sciences (UNAS). UNAS works to achieve improved prosperity and welfare for the people of Uganda by generating, SURPRWLQJVKDULQJDQGXVLQJVFLHQWL¿FNQRZOHGJHDQGE\JLYLQJHYLGHQFHEDVHGDGYLFH to government and civil society. UNAS was founded in 2000 and was granted a Charter E\+LV([FHOOHQF\WKH3UHVLGHQWRI8JDQGDLQ,WLVDQKRQRUL¿FDQGVHUYLFHRULHQWHG RUJDQL]DWLRQ IRXQGHG RQ SULQFLSOHV RI REMHFWLYLW\ VFLHQWL¿F ULJRU WUDQVSDUHQF\ PXWXDO respect, linkages and partnerships, independence, and the celebration of excellence. All rights reserved. Except as otherwise permitted by written agreement, no part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means—electronic, mechanical, photocopying, recording, or otherwise—without the prior permission of the copyright owner, the Uganda National Academy of Sciences. Suggested citation: UNAS, CDDEP, GARP-Uganda, Mpairwe, Y., & Wamala, S. (2015). Antibiotic Resistance in Uganda: Situation Analysis and Recommendations (pp. 107). Kampala, Uganda: Uganda National Academy of Sciences; Center for Disease Dynamics, Economics & Policy. ISBN: 978-9970-424-10-8 © Uganda National Academy of Sciences, August 2015 Antibiotic Resistance in Uganda: Situation Analysis and Recommendations i ACKNOWLEDGEMENTS $QWLPLFURELDOUHVLVWDQFH $05 KDVEHHQFODVVL¿HGDVDJOREDOKHDOWKWKUHDWWKDWWKUHDWHQV the gains achieved by anti-infectives. The world is therefore coming together to mobilize efforts to combat the problem. -
Annual Health Sector Performance Report
THE REPUBLIC OF UGANDA MINISTRY OF HEALTH ANNUAL HEALTH SECTOR PERFORMANCE REPORT FINANCIAL YEAR 2015/2016 Hon.Dr. Ruth Jane Aceng Minister of Health Hon. Sarah Opendi Hon. Dr. Joyce Moriku Minister of State for Health/ Minister of State for Health/ General Duties Primary Health Care Dr. Asuman Lukwago Permanent Secretary Prof. Anthony Mbonye Ag. Director General Health Services Dr. Henry G. Mwebesa Director Health Services Planning& Development yY Annual Health Sector Performance Report for Financial Year 2015/16 TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................ iv FOREWORD ................................................................................. Error! Bookmark not defined. LIST OF TABLES ........................................................................................................................... vi LIST OF FIGURES ....................................................................................................................... viii ACRONYMS ........................................................................................................................................ i FOREWORD ...................................................................................................................................... v 2 INTRODUCTION ......................................................................................................................... 1 2.1 Background ................................................................................................................................... -
UG-08 24 A3 Fistula Supported Preventive Facilities by Partners
UGANDA FISTULA TREATMENT SERVICES AND SURGEONS (November 2010) 30°0'0"E 32°0'0"E 34°0'0"E Gulu Gulu Regional Referral Hospital Agago The Republic of Uganda Surgeon Repair Skill Status Kalongo General Hospital Soroti Ministry of Health Dr. Engenye Charles Simple Active Surgeon Repair Skill Status Dr. Vincentina Achora Not Active Soroti Regional Referral Hospital St. Mary's Hospital Lacor Surgeon Repair Skill Status 4°0'0"N Dr. Odong E. Ayella Complex Active Dr. Kirya Fred Complex Active 4°0'0"N Dr. Buga Paul Intermediate Active Dr. Bayo Pontious Simple Active SUDAN Moyo Kaabong Yumbe Lamwo Koboko Kaabong Hospital qÆ DEM. REP qÆ Kitgum Adjumani Hospital qÆ Kitgum Hospital OF CONGO Maracha Adjumani Hoima Hoima Regional Referral Hospital Kalongo Hospital Amuru Kotido Surgeon Repair Skill Status qÆ Arua Hospital C! Dr. Kasujja Masitula Simple Active Arua Pader Agago Gulu C! qÆ Gulu Hospital Kibaale Lacor Hospital Abim Kagadi General Hospital Moroto Surgeon Repair Skill Status Dr. Steven B. Mayanja Simple Active qÆ Zombo Nwoya qÆ Nebbi Otuke Moroto Hospital Nebbi Hospital Napak Kabarole Oyam Fort Portal Regional Referral Hospital Kole Lira Surgeon Repair Skill Status qÆ Alebtong Dr. Abirileku Lawrence Simple Active Lira Hospital Limited Amuria Dr. Charles Kimera Training Inactive Kiryandongo 2°0'0"N 2°0'0"N Virika General Hospital Bullisa Amudat HospitalqÆ Apac Dokolo Katakwi Dr. Priscilla Busingye Simple Inactive Nakapiripirit Amudat Kasese Kaberamaido Soroti Kagando General Hospital Masindi qÆ Soroti Hospital Surgeon Repair Skill Status Amolatar Dr. Frank Asiimwe Complex Visiting qÆ Kumi Hospital Dr. Asa Ahimbisibwe Intermediate Visiting Serere Ngora Kumi Bulambuli Kween Dr. -
A Cholera Outbreak Among Semi-Nomadic Pastoralists in Northeastern Uganda: Epidemiology and Interventions
Epidemiol. Infect. (2012), 140, 1376–1385. f Cambridge University Press 2011 doi:10.1017/S0950268811001956 A cholera outbreak among semi-nomadic pastoralists in northeastern Uganda: epidemiology and interventions M.J.CUMMINGS1*, J. F. WAMALA 2,M.EYURA3,M.MALIMBO2,M.E.OMEKE3, 1 2,4 D. MAYER AND L. LUKWAGO 1 Albany Medical College, Albany, NY, USA 2 Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda 3 Moroto District Health Office, Moroto, Uganda 4 Makerere University School of Public Health, Kampala, Uganda (Accepted 31 August 2011; first published online 27 September 2011) SUMMARY In sub-Saharan Africa, many nomadic pastoralists have begun to settle in permanent communities as a result of long-term water, food, and civil insecurity. Little is known about the epidemiology of cholera in these emerging semi-nomadic populations. We report the results of a case-control study conducted during a cholera outbreak among semi-nomadic pastoralists in the Karamoja sub-region of northeastern Uganda in 2010. Data from 99 cases and 99 controls were analysed. In multivariate analyses, risk factors identified were: residing in the same household as another cholera case [adjusted odds ratio (aOR) 6.67, 95% confidence interval (CI) 2.83–15.70], eating roadside food (aOR 2.91, 95% CI 1.24–6.81), not disposing of children’s faeces in a latrine (aOR 15.76, 95% CI 1.54–161.25), not treating drinking water with chlorine (aOR 3.86, 95% CI 1.63–9.14), female gender (aOR 2.43, 95% CI 1.09–5.43), and childhood age (10–17 years) (aOR 7.14, 95% CI 1.97–25.83). -
Office of the Auditor General
THE REPUBLIC OF UGANDA OFFICE OF THE AUDITOR GENERAL ANNUAL REPORT OF THE AUDITOR GENERAL FOR THE YEAR ENDED 30TH JUNE 2014 VOLUME 2 CENTRAL GOVERNMENT ii Table Of Contents List Of Acronyms And Abreviations ................................................................................................ viii 1.0 Introduction .......................................................................................................................... 1 2.0 Report And Opinion Of The Auditor General On The Government Of Uganda Consolidated Financial Statements For The Year Ended 30th June, 2014 ....................... 38 Accountability Sector................................................................................................................... 55 3.0 Treasury Operations .......................................................................................................... 55 4.0 Ministry Of Finance, Planning And Economic Development ............................................. 62 5.0 Department Of Ethics And Integrity ................................................................................... 87 Works And Transport Sector ...................................................................................................... 90 6.0 Ministry Of Works And Transport ....................................................................................... 90 Justice Law And Order Sector .................................................................................................. 120 7.0 Ministry Of Justice And Constitutional -
Focus on Karamoja
Focus on Karamoja Special Report No. 3 – October 2008 to January 2009 region, Karamoja evinces the worst performance on standard humanitarian and development indicators in the country. Comparative Humanitarian and National Karamoja Development Indicators Life expectancy [UNDP 2007] 50.4 years 47.7 years Population living below poverty line [World Bank 2006] 31% 82% Maternal mortality rate (per 100,000 live births) [UDHS 2006] 435 750 Infant mortality rate (per 1,000 live births) [UNICEF/ WHO 2008] 76 105 Under 5 mortality rate (per 1,000 live births) [UNICEF/ WHO 2008] 134 174 Global Acute Malnutrition (GAM) rate [UNICEF/WFP 2008] 6% 9.5% Immunization (children 1-2 years, fully immunized) [UDHS 2006] 46% 48% Situation Overview Access to sanitation units Throughout the final quarter of 2008, the basic living [UNICEF 2008] 62% 9% conditions and welfare of populations across much of Access to safe water [UNICEF 2008] 63% 30% the Karamoja region continued to deteriorate, as rains came late and light, leading to a third consecutive year Literacy rate [UDHS 2006] 67% 11% of harvest failure, worsening the already precarious The low levels of access to basic social services, health of livestock – the population’s main livelihood – infrastructure, economic opportunity and other public and thus further jeopardizing food, nutritional and goods necessary to development are highlighted by livelihood security throughout the region. the preliminary findings of recent assessments in hard- Situated in north-eastern Uganda along the borders to-access parts of the region. with Sudan and Kenya, Karamoja is a semi-arid region In Loyoro sub-county (Kaabong District), where of Uganda comprising the five districts of Abim, insecurity resulted in almost no presence of district and Kaabong, Kotido, Moroto and Nakapirpirit.