Browsing by Author "Nanyunja Miriam"

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Development of HMIS in poor countries: Uganda as a case study
(Uganda Martyrs University Press, 2005-04) Kintu Peter; Nanyunja Miriam; Nzabanita Amos; Magoola Ruth
Planning, monitoring and evaluation of healthcare programmes provides a strong foundation for the realisation of quality health service delivery systems. This involves regular collection, analysis and interpretation of health information to guide proper decision-making and design of appropriate interventions. Therefore, establishment of a robust management information system in any health program is crucial for the efficient delivery of health services to the population. The main challenges are in-patient data collection and processing, regular availability of HMIS tools, data utilisation, and electronic data management
Intention to vaccinate against COVID-19 and adherence to non-pharmaceutical interventions against COVID-19 prior to the second wave of the pandemic in Uganda: a cross-sectional study
(BMJ, 2022-06-02) Wafula Solomon Tsebeni; Mugume IInnocent B; Sensasi Benjamin; Okware Solome; Chimbaru Alexander; Nanyunja Miriam; Talisuna Ambrose; Kabanda Richard; Bakyaita Tabley; Wanyenze Rhoda K; Byakika-Tusiime Jayne
The resurgence in cases and deaths due to COVID-19 in many countries suggests complacency in adhering to COVID-19 preventive guidelines. Vaccination, therefore, remains a key intervention in mitigating the impact of the COVID-19 pandemic. This study investigated the level of adherence to COVID-19 preventive measures and intention to receive the COVID-19 vaccine among Ugandans. A nationwide cross-sectional survey of 1053 Ugandan adults was conducted in March 2021 using telephone interviews. Main outcome measures Participants reported on adherence to COVID-19 preventive measures and intention to be vaccinated with COVID-19 vaccines. Overall, 10.2% of the respondents adhered to the COVID-19 preventive guidelines and 57.8% stated definite intention to receive a SARS-CoV-2 vaccine. Compared with women, men were less likely to adhere to COVID-19 guidelines (Odds Ratio (OR)=0.64, 95% CI 0.41 to 0.99). Participants from the northern (4.0%, OR=0.28, 95% CI 0.12 to 0.92), western (5.1%, OR=0.30, 95% CI 0.14 to 0.65) and eastern regions (6.5%, OR=0.47, 95% CI 0.24 to 0.92), respectively, had lower odds of adhering to the COVID-19 guidelines than those from the central region (14.7%). A higher monthly income of ≥US$137 (OR=2.31, 95% CI 1.14 to 4.58) and a history of chronic disease (OR=1.81, 95% CI 1.14 to 2.86) were predictors of adherence. Concerns about the chances of getting COVID-19 in the future (Prevalence Ratio (PR)=1.26, 95% CI 1.06 to 1.48) and fear of severe COVID-19 infection (PR=1.20, 95% CI 1.04 to 1.38) were the strongest predictors for a definite intention, while concerns for side effects were negatively associated with vaccination intent (PR=0.75, 95% CI 0.68 to 0.83). Behaviour change programmes need to be strengthened to promote adherence to COVID-19 preventive guidelines as vaccination is rolled out as another preventive measure. Dissemination of accurate, safe and efficacious information about the vaccines is necessary to enhance vaccine uptake.
Uganda’s experience in Ebola virus disease outbreak preparedness, 2018–2019
(BMC, 2020) Aceng Ruth Jane; Ario Alex R.; Muruta Allan N.; Makumbi Issa; Nanyunja Miriam; Komakech Innocent; Bakainaga Andrew N.; Talisuna Ambrose O.; Mwesigye Collins; Mpairwe Allan M.; Tusiime Jayne B.; Lali William Z.; Katushabe Edson; Ocom Felix; Mugagga Kaggwa; Bongomin Bodo; Kasule Hafisa; Mwoga Joseph N.; Sensasi Benjamin; Mwebembezi Edmund; Katureebe Charles; Sentumbwe Olive; Nalwadda Rita; Mbaka Paul; Fatunmbi Bayo S.; Nakiire Lydia; Lamorde Mohammed; Walwema Richard; Kambugu Andrew; Nanyondo Judith; Okware Solome; Ahabwe Peter B.; Nabukenya Immaculate; Kayiwa Joshua; Wetaka Milton M.; Kyazze Simon; Kwesiga Benon; Kadobera Daniel; Bulage Lilian; Nanziri Carol; Monje Fred; Aliddeki Dativa M.; Ntono Vivian; Gonahasa Doreen; Nabatanzi Sandra; Nsereko Godfrey; Nakinsige Anne; Mabumba Eldard; Lubwama Bernard; Sekamatte Musa; Kibuule Michael; Muwanguzi David; Amone Jackson; Upenytho George D.; Driwale Alfred; Seru Morries; Sebisubi Fred; Akello Harriet; Kabanda Richard; Mutengeki David K.; Bakyaita Tabley; Serwanjja Vivian N.; Okwi Richard; Okiria Jude; Ainebyoona Emmanuel; Opar Bernard T.; Mimbe Derrick; Kyabaggu Denis; Ayebazibwe Chrisostom; Sentumbwe Juliet; Mwanja Moses; Ndumu Deo B.; Bwogi Josephine; Balinandi Stephen; Nyakarahuka Luke; Tumusiime Alex; Kyondo Jackson; Mulei Sophia; Lutwama Julius; Kaleebu Pontiano; Kagirita Atek; Nabadda Susan; Oumo Peter; Lukwago Robinah; Kasozi Julius; Masylukov Oleh; Kyobe Henry Bosa; Berdaga Viorica; Lwanga Miriam; Opio Joe C.; Matseketse David; Eyul James; Oteba Martin O.; Bukirwa Hasifa; Bulya Nulu; Masiira Ben; Kihembo Christine; Ohuabunwo Chima; Antara Simon N.; Owembabazi Wilberforce; Okot Paul B.; Okwera Josephine; Amoros Isabelle; Kajja Victoria; Mukunda Basnet S.; Sorela Isabel; Adams Gregory; Shoemaker Trevor; Klena John D.; Taboy Celine H.; Ward Sarah E.; Merrill Rebecca D.; Carter Rosalind J.; Harris Julie R.; Banage Flora; Nsibambi Thomas; Ojwang Joseph; Kasule Juliet N.; Stowell Dan F.; Brown Vance R.; Zhu Bao-Ping; Homsy Jaco; Nelson Lisa J.; Tusiime Patrick K.; Olaro Charles; Mwebesa Henry G.; Woldemariam Yonas Tegegn
Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda’s experience in EVD preparedness. : On 4 August 2018, the Uganda Ministry of Health (MoH) activated the Public Health Emergency Operations Centre (PHEOC) and the National Task Force (NTF) for public health emergencies to plan, guide, and coordinate EVD preparedness in the country. The NTF selected an Incident Management Team (IMT), constituting a National Rapid Response Team (NRRT) that supported activation of the District Task Forces (DTFs) and District Rapid Response Teams (DRRTs) that jointly assessed levels of preparedness in 30 designated high-risk districts representing category 1 (20 districts) and category 2 (10 districts). The MoH, with technical guidance from the World Health Organisation (WHO), led EVD preparedness activities and worked together with other ministries and partner organisations to enhance community-based surveillance systems, develop and disseminate risk communication messages, engage communities, reinforce EVD screening and infection prevention measures at Points of Entry (PoEs) and in high-risk health facilities, construct and equip EVD isolation and treatment units, and establish coordination and procurement mechanisms. As of 31 May 2019, there was no confirmed case of EVD as Uganda has continued to make significant and verifiable progress in EVD preparedness. There is a need to sustain these efforts, not only in EVD preparedness but also across the entire spectrum of a multi-hazard framework. These efforts strengthen country capacity and compel the country to avail resources for preparedness and management of incidents at the source while effectively cutting costs of using a “fire-fighting” approach during public health emergencies.