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Article ; Online: Benchmarking infection control training and practice in Africa: A long-term strategy needed now.

Ayebare, Rodgers Rodriguez / Mayanja, Faridah

2019 Volume 48, Issue 4, Page(s) 465–466

MeSH term(s)	Africa/epidemiology ; Benchmarking ; Developing Countries ; Humans ; Infection Control/methods ; Infection Control/standards ; Infection Control Practitioners/education
Language	English
Publishing date	2019-09-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2019.07.017
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Article ; Online: Adoption of COVID-19 triage strategies for low-income settings.

Ayebare, Rodgers R / Flick, Robert / Okware, Solome / Bodo, Bongomin / Lamorde, Mohammed

The Lancet. Respiratory medicine

2020 Volume 8, Issue 4, Page(s) e22

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Triage
Keywords	covid19
Language	English
Publishing date	2020-03-11
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	2686754-0
ISSN	2213-2619 ; 2213-2600
ISSN (online)	2213-2619
ISSN	2213-2600
DOI	10.1016/S2213-2600(20)30114-4
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Article ; Online: Bacterial contamination of healthcare worker’s mobile phones

Fred Tusabe / Maureen Kesande / Afreenish Amir / Olivia Iannone / Rodgers Rodriguez Ayebare / Judith Nanyondo

Global Security: Health, Science and Policy, Vol 7, Iss 1, Pp 1-

a case study at two referral hospitals in Uganda

2022 Volume 6

Abstract: Hospital and community-acquired infections are escalating and pose significant public health unhealthiness worldwide. The advancements of telemedicine and automation of healthcare records are supported by cellphones, laptops and wearable devices. This ... ...

Abstract	Hospital and community-acquired infections are escalating and pose significant public health unhealthiness worldwide. The advancements of telemedicine and automation of healthcare records are supported by cellphones, laptops and wearable devices. This study focused on the incidence of healthcare workers’ mobile phones becoming contaminated with pathogenic bacteria and their possible roles as vehicles of transmission of antimicrobial-resistant bacteria. A case study at two referral hospitals in Uganda between May and October 2020. Self-administered questionnaires were administered to participants after informed consent. Mobile phones of the participants in different departments of the hospitals were swabbed and samples were collected and transported to the microbiology laboratory for bacterial culture and antimicrobial susceptibility tests. The point prevalence of Healthcare workers’ mobile phone bacterial contamination with one or more species was 93%. Organisms isolated were E. coli 5.6% (1), Micrococcus spp 11.1% (2), Coagulase-negative staphylococci, CoNS, 61.1% (11) and Bacillus spp 22.2% (4). About 45% of the organisms were multidrug-resistant. Resistance was major to penicillin, cotrimoxazole, ciprofloxacin and Gentamicin, respectively. The isolated E. coli was resistant to all antibiotics used in the study. Only 15% (2) of the participants disinfected their phones at least once a week and 8% cleaned their hands after using a mobile phone. Healthcare Workers’ mobile phones can act as fomites for the transmission of multidrug-resistant microorganisms. This study provides strong evidence for developing and strengthening disinfection protocols for mobile phones and does not underscore the importance of hand hygiene in the middle of a patient encounter especially when the HCW grabs a phone but doesn’t re-clean their hands before patient contact. Abbreviations: MDR, Multidrug-resistant; WHO, World Health Organization; IPC, infection prevention and control; HHC, hand hygiene compliance; JMEDICC, Joint Mobile ...
Keywords	mobile phones ; healthcare workers ; referral hospitals bacterial contamination ; uganda ; Public aspects of medicine ; RA1-1270 ; Military Science ; U
Subject code	360
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Adoption of COVID-19 triage strategies for low-income settings

Ayebare, Rodgers R / Flick, Robert / Okware, Solome / Bodo, Bongomin / Lamorde, Mohammed

Lancet Respir Med

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #7527
Database	COVID19

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Article ; Online: Adoption of COVID-19 triage strategies for low-income settings

Ayebare, Rodgers R / Flick, Robert / Okware, Solome / Bodo, Bongomin / Lamorde, Mohammed

The Lancet Respiratory Medicine

2020 Volume 8, Issue 4, Page(s) e22

Keywords	Pulmonary and Respiratory Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	2686754-0
ISSN	2213-2619 ; 2213-2600
ISSN (online)	2213-2619
ISSN	2213-2600
DOI	10.1016/s2213-2600(20)30114-4
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Leveraging investments in Ebola preparedness for COVID-19 in Sub-Saharan Africa.

Ayebare, Rodgers / Waitt, Peter / Okello, Stephen / Kayiira, Mubaraka / Atim Ajok, Maureen / Nakatudde, Irene / Bhadelia, Nahid / Lamorde, Mohammed

AAS open research

2020 Volume 3, Page(s) 3

Abstract: The emergence of SARS-CoV-2 in China and transmission to more than 80 territories worldwide, including nine countries in Africa, presents a delicate situation for low-resource settings. Countries in Eastern and Central Africa have been on high alert ... ...

Abstract	The emergence of SARS-CoV-2 in China and transmission to more than 80 territories worldwide, including nine countries in Africa, presents a delicate situation for low-resource settings. Countries in Eastern and Central Africa have been on high alert since mid-2018 in anticipation of regional spread of the Ebola virus from the Democratic Republic of Congo. Significant investment has been made to support enhanced surveillance at point of entry and hospitals, infection control practices, clinical case management, and clinical research. With a new threat on the horizon, African countries have an opportunity to leverage the existing capacities for Ebola preparedness to brace for the imminent threat.
Keywords	covid19
Language	English
Publishing date	2020-03-18
Publishing country	England
Document type	Journal Article
ISSN	2515-9321
ISSN (online)	2515-9321
DOI	10.12688/aasopenres.13052.1
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Article ; Online: Support for the response to COVID-19 in Uganda: contribution of the global health security program at Makerere University's Infectious Diseases Institute.

Lamorde, Mohammed / Ayebare, Rodgers / Bulwadda, Daniel / Nanyondo, Judith / Nakiire, Lydia / Walwema, Richard / Otita, Morgan / Mukiibi, Peter / Nabukenya, Immaculate / Kakooza, Francis / Kambugu, Andrew

African health sciences

2022 Volume 22, Issue Spec Issue, Page(s) 80–84

Abstract: Background: Outbreaks are occurring at increasing frequency and they require multisectoral and multi-stakeholder involvement for optimal response. The Global Health Security Agenda is a framework that governments and other stakeholders can use to ... ...

Abstract	Background: Outbreaks are occurring at increasing frequency and they require multisectoral and multi-stakeholder involvement for optimal response. The Global Health Security Agenda is a framework that governments and other stakeholders can use to strengthen countries' capacities to prevent, detect and respond to outbreaks but there are few examples of academic programs using this approach. Methods: This is a narrative review of contributions of Makerere University through the Global Health Security Program at the Infectious Diseases Institute (IDI). Information was sourced from peer-reviewed publications and grey literature highlighting work done between 2017 - 2021. Results: Aligned to GHSA, IDI made contributions to strengthen national and subnational capacities for biosafety and biosecurity, sample collection and transportation, electronic disease surveillance, infection prevention and control, case management prior to COVID-19 that were subsequently used to support response efforts for COVID-19 in Uganda. Conclusion: The IDI Global Health Security program provides a model that can be used by institutions to deliberately develop capacities relevant to outbreak preparedness and response.
MeSH term(s)	Humans ; Global Health ; COVID-19 ; Uganda/epidemiology ; Universities ; Disease Outbreaks/prevention & control ; Communicable Diseases/epidemiology
Language	English
Publishing date	2022-10-27
Publishing country	Uganda
Document type	Review ; Journal Article
ZDB-ID	2240308-5
ISSN	1729-0503 ; 1680-6905
ISSN (online)	1729-0503
ISSN	1680-6905
DOI	10.4314/ahs.v22i2.13S
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Article ; Online: Using the RE-AIM framework to evaluate the implementation and effectiveness of a WHO HEARTS-based intervention to integrate the management of hypertension into HIV care in Uganda: a process evaluation.

Muddu, Martin / Semitala, Fred Collins / Kimera, Isaac Derick / Musimbaggo, Douglas Joseph / Mbuliro, Mary / Ssennyonjo, Rebecca / Kigozi, Simon Peter / Katwesigye, Rodgers / Ayebare, Florence / Namugenyi, Christabellah / Mugabe, Frank / Mutungi, Gerald / Longenecker, Chris T / Katahoire, Anne R / Schwartz, Jeremy I / Ssinabulya, Isaac

Implementation science communications

2023 Volume 4, Issue 1, Page(s) 102

Abstract: Background: World Health Organization (WHO) HEARTS packages are increasingly used to control hypertension. However, their feasibility in persons living with HIV (PLHIV) is unknown. We studied the effectiveness and implementation of a WHO HEARTS ... ...

Abstract	Background: World Health Organization (WHO) HEARTS packages are increasingly used to control hypertension. However, their feasibility in persons living with HIV (PLHIV) is unknown. We studied the effectiveness and implementation of a WHO HEARTS intervention to integrate the management of hypertension into HIV care. Methods: This was a mixed methods study at Uganda's largest HIV clinic. Components of the adapted WHO HEARTS intervention were lifestyle counseling, free hypertension medications, hypertension treatment protocol, task shifting, and monitoring tools. We determined the effectiveness of the intervention among PLHIV by comparing hypertension and HIV outcomes at baseline and 21 months. The RE-AIM framework was used to evaluate the implementation outcomes of the intervention at 21 months. We conducted four focus group discussions with PLHIV (n = 42), in-depth interviews with PLHIV (n = 9), healthcare providers (n = 15), and Ministry of Health (MoH) policymakers (n = 2). Results: Reach: Among the 15,953 adult PLHIV in the clinic, of whom 3892 (24%) had been diagnosed with hypertension, 1133(29%) initiated integrated hypertension-HIV treatment compared to 39 (1%) at baseline. Among the enrolled patients, the mean age was 51.5 ± 9.7 years and 679 (62.6%) were female. Effectiveness: Among the treated patients, hypertension control improved from 9 to 72% (p < 0.001), mean systolic blood pressure (BP) from 153.2 ± 21.4 to 129.2 ± 15.2 mmHg (p < 0.001), and mean diastolic BP from 98.5 ± 13.5 to 85.1 ± 9.7 mmHg (p < 0.001). Overall, 1087 (95.9%) of patients were retained by month 21. HIV viral suppression remained high, 99.3 to 99.5% (p = 0.694). Patients who received integrated hypertension-HIV care felt healthy and saved more money. Adoption: All 48 (100%) healthcare providers in the clinic were trained and adopted the intervention. Training healthcare providers on WHO HEARTS, task shifting, and synchronizing clinic appointments for hypertension and HIV promoted adoption. Implementation: WHO HEARTS intervention was feasible and implemented with fidelity. Maintenance: Leveraging HIV program resources and adopting WHO HEARTS protocols into national guidelines will promote sustainability. Conclusions: The WHO HEARTS intervention promoted the integration of hypertension management into HIV care in the real-world setting. It was acceptable, feasible, and effective in controlling hypertension and maintaining optimal viral suppression among PLHIV. Integrating this intervention into national guidelines will promote sustainability.
Language	English
Publishing date	2023-08-25
Publishing country	England
Document type	Journal Article ; Review
ISSN	2662-2211
ISSN (online)	2662-2211
DOI	10.1186/s43058-023-00488-2
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Article ; Online: Leveraging investments in Ebola preparedness for COVID-19 in Sub-Saharan Africa [version 1; peer review

Rodgers Ayebare / Peter Waitt / Stephen Okello / Mubaraka Kayiira / Maureen Atim Ajok / Irene Nakatudde / Nahid Bhadelia / Mohammed Lamorde

AAS Open Research, Vol

3 approved]

2020 Volume 3

Abstract	The emergence of SARS-CoV-2 in China and transmission to more than 80 territories worldwide, including nine countries in Africa, presents a delicate situation for low-resource settings. Countries in Eastern and Central Africa have been on high alert since mid-2018 in anticipation of regional spread of the Ebola virus from the Democratic Republic of Congo. Significant investment has been made to support enhanced surveillance at point of entry and hospitals, infection control practices, clinical case management, and clinical research. With a new threat on the horizon, African countries have an opportunity to leverage the existing capacities for Ebola preparedness to brace for the imminent threat.
Keywords	Medicine ; R ; Science ; Q
Language	English
Publishing date	2020-03-01T00:00:00Z
Publisher	F1000 Research Ltd
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Improved hypertension control at six months using an adapted WHO HEARTS-based implementation strategy at a large urban HIV clinic in Uganda.

Muddu, Martin / Semitala, Fred C / Kimera, Isaac / Mbuliro, Mary / Ssennyonjo, Rebecca / Kigozi, Simon P / Katwesigye, Rodgers / Ayebare, Florence / Namugenyi, Christabellah / Mugabe, Frank / Mutungi, Gerald / Longenecker, Chris T / Katahoire, Anne R / Ssinabulya, Isaac / Schwartz, Jeremy I

BMC health services research

2022 Volume 22, Issue 1, Page(s) 699

Abstract: Objectives: To adapt a World Health Organization HEARTS-based implementation strategy for hypertension (HTN) control at a large urban HIV clinic in Uganda and determine six-month HTN and HIV outcomes among a cohort of adult persons living with HIV ( ... ...

Abstract	Objectives: To adapt a World Health Organization HEARTS-based implementation strategy for hypertension (HTN) control at a large urban HIV clinic in Uganda and determine six-month HTN and HIV outcomes among a cohort of adult persons living with HIV (PLHIV). Methods: Our implementation strategy included six elements: health education, medication adherence, and lifestyle counseling; routine HTN screening; task shifting of HTN treatment; evidence-based HTN treatment protocol; consistent supply of HTN medicines free to patients; and inclusion of HTN-specific monitoring and evaluation tools. We conducted a pre-post study from October 2019 to March 2020 to determine the effect of this strategy on HTN and HIV outcomes at baseline and six months. Our cohort comprised adult PLHIV diagnosed with HTN who made at least one clinic visit within two months prior to study onset. Findings: We enrolled 1,015 hypertensive PLHIV. The mean age was 50.1 ± 9.5 years and 62.6% were female. HTN outcomes improved between baseline and six months: mean systolic BP (154.3 ± 20.0 to 132.3 ± 13.8 mmHg, p < 0.001); mean diastolic BP (97.7 ± 13.1 to 85.3 ± 9.5 mmHg, p < 0.001) and proportion of patients with controlled HTN (9.3% to 74.1%, p < 0.001). The HTN care cascade also improved: treatment initiation (13.4% to 100%), retention in care (16.2% to 98.5%), monitoring (16.2% to 98.5%), and BP control among those initiated on HTN treatment (2.2% to 75.2%). HIV cascade steps remained high (> 95% at baseline and six months) and viral suppression was unchanged (98.7% to 99.2%, p = 0.712). Taking ART for more than two years and HIV viral suppression were independent predictors of HTN control at six months. Conclusions: A HEARTS-based implementation strategy at a large, urban HIV center facilitates integration of HTN and HIV care and improves HTN outcomes while sustaining HIV control. Further implementation research is needed to study HTN/HIV integration in varied clinical settings among diverse populations.
MeSH term(s)	Adult ; Blood Pressure ; Female ; HIV Infections/complications ; HIV Infections/epidemiology ; HIV Infections/therapy ; Humans ; Hypertension/diagnosis ; Hypertension/epidemiology ; Hypertension/therapy ; Male ; Middle Aged ; Uganda/epidemiology ; World Health Organization
Language	English
Publishing date	2022-05-25
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-022-08045-8
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