Assessing the Performance of Imaging Health Systems in Five Selected Hospitals in Uganda

Kawooya, Michael; Pariyo, George; Malwadde, Elsie Kiguli; Byanyima, Rosemary; Kisembo, Harriet

doi:10.4103/2156-7514.94225

Cited by 7 publications

(5 citation statements)

References 29 publications

(31 reference statements)

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“…Training focussed on scaling up the numbers of human resource for imaging in these rural areas is key in increasing coverage and health-systems efficiency. [ 8 44 ]…”

Section: The Way Forward: Responsibility Of the State And Training Inmentioning

confidence: 99%

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Kawooya

2012

Journal of Clinical Imaging Science

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The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR) training in Sub-Saharan Africa (SSA). Rural radiology may be defined as imaging requirements of the rural communities. In SSA, over 80% of the population is rural. The literature was reviewed to determine the need for imaging in rural Africa, the challenges, and training interventions. Up to 50% of the patients in the rural health facilities in Uganda may require imaging, largely ultrasound and plain radiography. In Uganda, imaging is performed, on an average, in 50% of the deserving patients in the urban areas, compared to 10–13 % in the rural areas. Imaging has been shown to increase the utilization of facility-based rural health services and to impact management decisions. The challenges in the rural areas are different from those in the urban areas. These are related to disease spectrum, human resource, and socio-economic, socio-cultural, infrastructural, and academic disparities. Countries in Sub-Saharan Africa, for which information on training intervention was available, included: Uganda, Kenya, Tanzania, Rwanda, Zambia, Ghana, Malawi, and Sudan. Favorable national policies had been instrumental in implementing these interventions. The interventions had been made by public, private-for-profit (PFP), private-not-for profit (PNFP), local, and international academic institutions, personal initiatives, and professional societies. Ultrasound and plain radiography were the main focus. Despite these efforts, there were still gross disparities in the RR services for SSA. In conclusion, there have been training interventions targeted toward RR in Africa. However, gross disparities in RR provision persist, requiring an effective policy, plus a more organized, focused, and sustainable approach, by the stakeholders.

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“…Training focussed on scaling up the numbers of human resource for imaging in these rural areas is key in increasing coverage and health-systems efficiency. [ 8 44 ]…”

Section: The Way Forward: Responsibility Of the State And Training Inmentioning

confidence: 99%

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Kawooya

2012

Journal of Clinical Imaging Science

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“…This calls for evidence-based planning, and purchasing of equipment. The disease burden within communities and at health facilities dictate on the type, level of technological sophistication and number of equipment to be purchased [ 14 , 15 ]. Use of evidence-based clinical imaging guidelines is also likely to improve appropriateness of imaging decisions and supposedly influencing management and treatment decisions, and hopefully impacting treatment outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…One survey quantified the imaging needs in five selected hospitals in Uganda, based on the disease burdens in these hospitals and reported on how the existing imaging equipment addressed these needs, concluding that existing imaging equipment met only 36% of the imaging needs in these hospitals. This survey also reported that up to 50% of patients attending these selected hospitals required some type of imaging, but mostly ultrasound and X-ray [ 14 , 15 ]. For Uganda, the Atomic Energy Council (AEC) maintains an up to date countrywide inventory of radiology imaging devices.…”

Section: Introductionmentioning

confidence: 99%

An audit of registered Ugandan radiology equipment resources

Kiguli-Malwadde¹,

Byanyima²,

Kawooya³

et al. 2020

Pan Afr Med J

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Introduction the third Sustainable Development Goal (SDG) relates to Universal Health Coverage (UHC) and provision of quality essential health services. The Government of Uganda has operationalized this through the National Health Policy which stresses the importance of availability of functioning medical equipment in health facilities. There have been efforts by the Ministry of Health and Atomic Energy Council in Uganda to compile an inventory of imaging equipment in the country, however, this information has not been widely published. The purpose of this study was to conduct an audit of registered radiology equipment in Uganda and establish their functional status. Methods a cross-sectional descriptive study that involved a desktop review of the equipment registry at the Uganda Atomic Energy Council was conducted. Data was collected on a number of variables including type of equipment, location, functional status, modality and density per million people. Results the audit revealed 625 pieces of equipment spread over 354 health facilities. The majority (397) were plain X-ray machines followed by dental X-ray machines at 120. There were only 3 Radiotherapy machines. Most were recorded as being functional with only 0.1% of the equipment non-functional. Most of the equipment was in the central region which has the third highest population density. The majority of the equipment belonged to private health facilities. Conclusion Uganda lags behind the WHO recommended ratio of equipment versus the population (20 per million population). Most of the equipment is the plain X-ray machine with a few more advanced technologies in both public and private health facilities.

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“…The Radiology department provides ultrasonography and other imaging services. The ultrasound scan imaging modality is the second most common imaging modality in this department after general radiology 12 .…”

Section: Methodsmentioning

confidence: 99%

Prevalence and risk factors of gallstone disease in patients undergoing ultrasonography at Mulago hospital, Uganda

et al. 2020

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Background: Gallstone disease (GSD) is the most prevalent medical condition in the pancreatobiliary system. The burden of GSD and its complications are major public health issues globally. It is a common cause of surgical intervention, contributing substantially to health care costs. Most patients are asymptomatic, however 20% become symptomatic after 10 years. Its preva- lence differs among populations and remains unknown in Uganda. Objective: To determine the prevalence and risk factors of GSD in patients undergoing abdominal ultrasonography at Mulago hospital, Uganda. Methods: This was a cross-sectional study at the Department of Radiology in Mulago hospital. Convenient sampling was used to recruit individuals having an abdominal ultrasound scan. Questionnaires were used to assess risk factors, and an abdominal exam was performed for individuals with gallstones to assess symptomatology. Results: The prevalence of GSD was 22%. Statistically significant factors associated with GSD were a history of hormonal contraceptive use OR 3.2 (1.88-5.41) and a history of previous biliary symptoms OR 2.9 (1.68-4.91). Ninety-four percent of individuals with gallstones had epigastric/right upper quadrant pain. Conclusion: The prevalence of GSD is high in Mulago hospital; use of hormonal contraceptives and a previous history of biliary symptoms were significant risk factors for GSD in this study. Majority of patients with GSD were symptomatic with epigastric pain as the cardinal symptom. We recommend a countrywide screening program using abdominal ultrasonography to determine the prevalence of GSD in the general population. There is need to study further the risk of hormonal contraceptive use and GSD. Women on these contraceptives should be informed of the potential risk, and offered alternative options where feasible. Keywords: Gallstone disease; ultrasonography; Mulago hospital; Uganda.

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Assessing the Performance of Imaging Health Systems in Five Selected Hospitals in Uganda

Cited by 7 publications

References 29 publications

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

An audit of registered Ugandan radiology equipment resources

Prevalence and risk factors of gallstone disease in patients undergoing ultrasonography at Mulago hospital, Uganda

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