Browsing by Author "Nakiwala Stella Regina"

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Care for people living with disabilities in the West Nile region of Uganda:
(Uganda Martyrs University Press, 2009-12-01) Waelkens Maria-Pia; Bakaitwoha Everd Maniple; Nakiwala Stella Regina
Disability is a common occurrence in many countries and a subject of much discussion and lobby. People with disability (PWD) are frequently segregated in society and by-passed for many opportunities. Stigma hinders their potential contribution to society. Doctors with Africa CUAMM, an Italian NGO, started a project to improve the life of PWD in the West Nile region in northwestern Uganda in 2003. An orthopaedic workshop, a physiotherapy unit and a community-based rehabilitation programme were set up as part of the project. This ex-post evaluation found that the project made an important contribution to the life of the PWD through its activities, which were handed over to the local referral hospital for continuation after three years. The services have been maintained and their utilisation has been expanded through a network of outreach clinics. Community-based rehabilitation (CBR) workers mobilise the community for disability assessment and supplement the output of qualified health workers in service delivery. However, the quality of care during clinics is still poor on account of large numbers. In the face of the departure of the international NGO, a new local NGO has been formed by stakeholders to take over some functions previously done by the international NGO, such as advocacy and resource mobilisation. This is an example of a local resource facilitating the sustainability of good initiatives. Among other things, this paper recommends that the CBR programme be strengthened and expanded to cover the entire region. It also recommends that outreach clinics should be planned in a better way in order to reduce the workload of the health workers and improve the quality of care. It also recommends that the local NGO should be supported to fit into the shoes of the more experienced but exiting international NGO.
Common Medical Errors and Error Reporting Systems in Selected Hospitals of Central Uganda
(International Journal of Public Health Research, 2015-08-30) Katongole Simon Peter; Anguyo DDM Onzima Robert; Nanyingi Miisa; Nakiwala Stella Regina
Medical errors are under studied in the developing world, therefore, this study set out to identify common errors committed during provision of health care and error management systems in the hospitals with reference to central Uganda. This was a descriptive cross sectional study carried out between January 16th and January 22nd 2012 in four hospitals in central Uganda (2 Public hospitals and 2 Catholic Private not for profit hospitals). A total of 160 health workers participated in the study. Respondents were interviewed the on errors they had committed or witnessed happening in their hospitals during the 3 months preceding this study. Patients’ records of the three months preceding the study were also reviewed to identify the common medical errors that had been committed. Of the six hundred and eighteen records that were reviewed’ medication (17.2%) and diagnostic (40.5%) were the commonest medical errors. Health workers too mentioned medication (58%) and diagnostic (53%) as the commonest errors they had witnessed or committed in the hospitals. No formal error reporting system existed in all the hospitals. Errors committed or witnessed were mainly disclosed to supervisors and/or colleagues during handover of duty and informal interactions. Lack of feedback, fear of punishment and litigation were the major impediments to disclosing errors. Error reporting importance was highly perceived by health workers. Instituting a mechanism of formal error reporting and management should be considered by the hospitals and the ministry of health so that errors can be used as a mechanism for ‘prevention by past experience’