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 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.

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.

The big three versus NTDs - finding common purpose.

2021 ◽  
pp. 92-102
Author(s):  
Alan Fenwick ◽  
Wendie Norris ◽  
Becky McCall
Keyword(s):  
Sub Saharan Africa ◽  
Control Programs ◽  
Humanitarian Response ◽  
Common Purpose ◽  
Sub Saharan ◽  
First Time ◽  
National Control ◽  
Leprosy Control ◽  
Onchocerciasis Control

Abstract Even so, no country in sub-Saharan Africa before 2000 had national control programs for any of the seven programs, with the exception of cervical cancer. Onchocerciasis is the target of the Africa Program for Onchocerciasis Control (APOC) with the help of many NGOs organisation using the drug mectizan (ivermectin). The use of drug financing at APOC is revolutionary. They had, for the first time, established as a viable concept with leprosy control programs, and now, with APOC, demonstrated that pharmaceutical companies can and will reuse a drug and treat it as part of a humanitarian response. This book chapter focused on repurposing drugs against schistosomiasis.

scholarly journals Protocol for systematic review and meta-analysis of treatment success rate among adult patients with tuberculosis in sub-Saharan Africa

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024559 ◽  
Author(s):  
Jonathan Izudi ◽  
Daniel Semakula ◽  
Richard Sennono ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Treatment Success ◽  
Adult Patients ◽  
Sub Saharan Africa ◽  
Forest Plot ◽  
Kappa Statistics ◽  
Success Rates ◽  
Ethical Approval ◽  
Sub Saharan

IntroductionTuberculosis (TB) is a leading cause of mortality globally. Despite being curable, treatment success rates (TSRs) among adult patients with bacteriologically confirmed pulmonary TB (BC-PTB) in sub-Saharan Africa (SSA) differ considerably. This protocol documents and presents an explicit plan of a systematic review and meta-analysis to summarise TSR among adult patients with BC-PTB in SSA.Methods and analysisTwo reviewers will search and extract data from MEDLINE, EMBASE, Ovid, Cumulative Index to Nursing and Allied Health Literature and Web of Science electronic databases. Observational and interventional studies published between 1 July 2008 and 30 June 2018, involving adult patients with BC-PTB will be eligible. Data abstraction disagreements will be resolved by consensus with a third reviewer, while percentage agreement computed with kappa statistics. TSR will be computed with Metaprop, a Stata command for pooling proportions using DerSimonian and Laird random effects model and presented in a forest plot with corresponding 95% CIs. Heterogeneity between included studies will be assessed with Cochran’s Q test and quantified with I-squared values. Publication bias will be evaluated with funnel plots and tested with Egger’s weighted regression. Time trends in TSR will be calculated with cumulative meta-analysis.Ethics and disseminationNo ethical approval will be needed because data from previous published studies in which informed consent was obtained by primary investigators will be retrieved and analysed. We will prepare a manuscript for publication in a peer-reviewed journal and present the results at conferences.PROSPERO registration numberCRD42018099151.

scholarly journals Economic development thresholds for a green economy in sub-Saharan Africa

2019 ◽  
Vol 38 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Simplice A Asongu ◽  
Nicholas M Odhiambo
Keyword(s):  
Economic Development ◽  
Population Growth ◽  
Human Development ◽  
Generalized Method Of Moments ◽  
Sub Saharan Africa ◽  
Green Economy ◽  
Kuznets Curve ◽  
Sub Saharan ◽  
Using Data ◽  
The Empirical Analysis

This study investigates how increasing economic development affects the green economy in terms of CO2 emissions, using data from 44 countries in the sub-Saharan Africa for the period 2000–2012. The Generalized Method of Moments is used for the empirical analysis. The following main findings are established. First, relative to CO2 emissions, enhancing economic growth and population growth engenders a U-shaped pattern whereas increasing inclusive human development shows a Kuznets curve. Second, increasing gross domestic product growth beyond 25% of annual growth is unfavorable for a green economy. Third, a population growth rate of above 3.089% (i.e. annual %) has a positive effect of CO2 emissions. Fourth, an inequality-adjusted human development index of above 0.4969 is beneficial for a green economy because it is associated with a reduction in CO2 emissions. The established critical masses have policy relevance because they are situated within the policy ranges of adopted economic development dynamics.

scholarly journals Disability and Household Welfare in Ghana: Costs and Correlates

2020 ◽  
Author(s):  
Derek Asuman ◽  
Charles Godfred Ackah ◽  
Frank Agyire-Tettey
Keyword(s):  
Social Services ◽  
Household Survey ◽  
Extra Cost ◽  
Sub Saharan Africa ◽  
Economic Activities ◽  
Persons With Disabilities ◽  
Vulnerability To Poverty ◽  
Nationally Representative ◽  
Sub Saharan ◽  
Using Data

AbstractPersons with disabilities face substantial barriers that impede their integration and participation in social and economic activities. Households with disabled members may be vulnerable to poverty due to the extra cost of living with a disability. However, there exists a knowledge gap in the magnitude of the extra cost of disabilities in sub Saharan Africa. Using data from a nationally representative household survey, this paper estimates the extra cost of disabilities in Ghana. The paper further examines the welfare effects of households with persons with disabilities. Based on the standard of living approach, we estimate the extra cost to households with a person with disability to be 26% of annual household consumption expenditures. Adjusting for the extra cost of poverty, the incidence of poverty increases from 38.5 to 52.9% amongst households with a disabled member. Our findings suggest the need to improve the efficiency of support programs to persons with disabilities to mitigate the extra costs of disabilities and reduce their vulnerability to poverty. In addition, enhancing access to economic opportunities and social services for persons with disabilities will be imperative to improve their quality of life and dignity.

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