scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural Eastern Uganda

2019 ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Community Based ◽  
Control Programs ◽  
Continuous Quality ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background Well performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors that explain the low and high TSR across four districts in rural eastern Uganda.Methods We interviewed District TB and Leprosy Supervisors (DTLS), Laboratory focal persons (LFPs) and TB focal persons (TBFPs) from four districts in Eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes.Results The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and considered TB as a priority disease. The barriers that were common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities, and a poor implementation of community-based directly observed therapy short course.Conclusion This study shows several factors account for the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural Eastern Uganda

2019 ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Control Programs ◽  
Continuous Quality ◽  
Short Course ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background. Optimally performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors associated with the low and high TSR across four districts in rural eastern Uganda. Methods. We interviewed District TB and Leprosy Supervisors, Laboratory focal persons, and health facility TB focal persons from four districts in Eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes. Results . The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and prioritization of better management of people with TB. The barriers common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities , and a poor implementation of community-based directly observed therapy short course. Conclusion. This study shows that several factors are associated with the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural Eastern Uganda

2019 ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Control Programs ◽  
Continuous Quality ◽  
Short Course ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background. Optimally performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors associated with the low and high TSR across four districts in rural eastern Uganda. Methods. We interviewed District TB and Leprosy Supervisors, Laboratory focal persons, and health facility TB focal persons from four districts in Eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes. Results . The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and prioritization of better management of people with TB. The barriers common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities , and a poor implementation of community-based directly observed therapy short course. Conclusion. This study shows that several factors are associated with the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural eastern Uganda

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda. K. Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Control Programs ◽  
Continuous Quality ◽  
Short Course ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background Optimally performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors associated with the low and high TSR across four districts in rural eastern Uganda. Methods We interviewed District TB and Leprosy Supervisors, Laboratory focal persons, and health facility TB focal persons from four districts in eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes. Results The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and prioritization of better management of people with TB. The barriers common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities, and a poor implementation of community-based directly observed therapy short course. Conclusion This study shows that several factors are associated with the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural Eastern Uganda

2019 ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Control Programs ◽  
Continuous Quality ◽  
Short Course ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background. Optimally performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors influencing the low and high TSR across four districts in rural eastern Uganda. Methods. We interviewed District TB and Leprosy Supervisors, Laboratory focal persons, and health facility TB focal persons from four districts in Eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes. Results. The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and prioritization of better management of people with TB. The barriers common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities, and a poor implementation of community-based directly observed therapy short course. Conclusion. This study shows that several factors influence the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

scholarly journals Leveraging community based organizations and fintech to improve small-scale renewable energy financing in sub-Saharan Africa

2021 ◽  
Vol 73 ◽  
pp. 101949
Author(s):  
Hemen Mark Butu ◽  
Benyoh Emmanuel Kigha Nsafon ◽  
Sang Wook Park ◽  
Jeung Soo Huh
Keyword(s):  
Renewable Energy ◽  
Sub Saharan Africa ◽  
Small Scale ◽  
Community Based ◽  
Community Based Organizations ◽  
Sub Saharan

A cholera outbreak among semi-nomadic pastoralists in northeastern Uganda: epidemiology and interventions

2011 ◽  
Vol 140 (8) ◽  
pp. 1376-1385 ◽  
Author(s):  
M. J. CUMMINGS ◽  
J. F. WAMALA ◽  
M. EYURA ◽  
M. MALIMBO ◽  
M. E. OMEKE ◽  
...  
Keyword(s):  
Female Gender ◽  
Sub Saharan Africa ◽  
Cholera Outbreak ◽  
Community Based ◽  
Nomadic Pastoralists ◽  
Sub Saharan ◽  
Water And Sanitation Infrastructure ◽  
Sanitation Infrastructure ◽  
Village Health Teams

SUMMARYIn 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). This is the first epidemiological study of cholera reported from a setting of semi-nomadic pastoralism in sub-Saharan Africa. Public health interventions among semi-nomadic pastoralists should include a two-faceted approach to cholera prevention: intensive health education programmes to address behaviours inherited from insecure nomadic lifestyles, as well as improvements in water and sanitation infrastructure. The utilization of community-based village health teams provides an important method of implementing such activities.

Land conflicts and social differentiation in eastern Uganda

2017 ◽  
Vol 55 (3) ◽  
pp. 395-422 ◽  
Author(s):  
Matt Kandel
Keyword(s):  
Large Scale ◽  
Local Level ◽  
Sub Saharan Africa ◽  
Social Differentiation ◽  
Land Conflicts ◽  
Current Period ◽  
Post Conflict ◽  
Sub Saharan ◽  
Historical Developments ◽  
Eastern Uganda

ABSTRACTRising competition and conflict over land in rural sub-Saharan Africa continues to attract the attention of researchers. Recent work has especially focused on land governance, post-conflict restructuring of tenure relations, and large-scale land acquisitions. A less researched topic as of late, though one deserving of greater consideration, pertains to how social differentiation on the local-level shapes relations to land, and how these processes are rooted in specific historical developments. Drawing on fieldwork conducted in Teso sub-region of eastern Uganda, this paper analyses three specific land conflicts and situates them within a broad historical trajectory. I show how each dispute illuminates changes in class relations in Teso since the early 1990s. I argue that this current period of socioeconomic transformation, which includes the formation of a more clearly defined sub-regional middle class and elite, constitutes the most prominent period of social differentiation in Teso since the early 20th century.

What the People of Africa Think about International Organisations

Politeia ◽  
2019 ◽  
Vol 38 (2) ◽  
Author(s):  
Rod Alence
Keyword(s):  
Public Perceptions ◽  
Development Aid ◽  
Sub Saharan Africa ◽  
African Union ◽  
International Organisations ◽  
The People ◽  
Sub Saharan ◽  
Using Data ◽  
Peacekeeping Missions ◽  
Peace And Development

International organisations have long sought to promote peace and development in sub-Saharan Africa. Much research has focused on their policies and activities, but little is known about how people living in Africa view them. How aware are people in Africa of international organisations, and how helpful do they believe them to be? This article analyses public perceptions using data from Afrobarometer Round 4 surveys conducted in 20 countries. Awareness of international organisations is widespread, especially in countries that have experienced peacekeeping missions and among individuals who have completed primary school. Evaluations are favourable on balance, more so for the United Nations and other “global” organisations than for the African Union and its sub-regional bodies. Though most Africans see development aid as helpful, large and highly visible aid inflows are associated with concerns about the influence that donors and NGOs wield over recipient governments.

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