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56. Burden of injury during the complex political emergency in northern Uganda

Author

Lett, Ronald R., Kobusingye, Olive Chifefe, and Ekwaru, Paul

Subjects
Wounds and injuries -- Causes of, Wounds and injuries -- Statistics, Political systems -- Causes of, Uganda -- Powers and duties, Uganda -- Political activity
Abstract

Background: War injury is a public health problem that warrants global attention. This study aims to determine the burden of injury during a complex emergency in sub-Saharan Africa. Methods: To [...]

Published
2006

58. Emergency medical systems in low- and middle-income countries: recommendations for action

Author

Kobusingye, Olive C., Hyder, Adnan A., Bishai, David, Hicks, Eduardo Romero, Mock, Charles, and Joshipura, Manjul

Subjects
Emergency medical services -- Equipment and supplies, Emergency medical services -- Services, Hospital information systems -- Usage, Information storage and retrieval systems -- Hospitals, Information storage and retrieval systems -- Usage
Abstract

Emergency medical care is not a luxury for rich countries or rich individuals in poor countries. This paper makes the point that emergency care can make an important contribution to reducing avoidable death and disability in low- and middle-income countries. But emergency care needs to be planned well and supported at all levels--at the national, provincial and community levels--and take into account the entire spectrum of care, from the occurrence of an acute medical event in the community to the provision of appropriate care at the hospital. The mix of personnel, materials, and health-system infrastructure can be tailored to optimize the provision of emergency care in settings with different levels of resource availability. The misconception that emergency care cannot be cost effective in low-income settings is demonstrably inaccurate. Emergencies occur everywhere, and each day they consume resources regardless of whether there are systems capable of achieving good outcomes. With better planning, the ongoing costs of emergency care can result in better outcomes and better cost-effectiveness. Every country and community can and should provide emergency care regardless of their place in the ratings of developmental indices. We make the case for universal access to emergency care and lay out a research agenda to fill the gaps in knowledge in emergency care. Keywords Emergency medical services/organization and administration; Emergency treatment/organization and administration; Triage; Transportation of patients; Allied health personnel/education; Cost-benefit analysis; Evidence-based medicine; Developing countries (source: MeSH, NLM). Mots cles Service medical urgences/organisation et administration; Traitement urgence/organisation et administration; Orientation patients; Transport sanitaire; Personnel sante auxiliaire/enseignement; Analyse cout benefice; Medecine factuelle; Pays en developpement (source: MeSH, INSERM). Palabras clave Servicios medicos de urgencia/organizacion y administracion; Tratamiento de urgencia/organizacion y administracion; Triaje; Transporte de pacientes; Tecnicos medios en salud/educacion; Analisis de costo-beneficio; Medicina basada en evidencia; Paises en desarrollo (fuente: DeCS, BIREME)., Introduction The goal of an effective emergency medical system should be to provide universal emergency care--that is, emergency care should be available to all who need it. However, there are [...]

Published
2005

63. Geospatial Distribution of Pedestrian Injuries and Associated Factors in the Greater Kampala Metropolitan Area, Uganda

Author

Oporia, Frederick, primary, Tumwesigye, Nazarius Mbona, additional, Isunju, John Bosco, additional, Nuwematsiko, Rebecca, additional, Bachani, Abdulgafoor Mahmood, additional, Kisakye, Angela Nakanwagi, additional, Nakafeero, Mary, additional, Li, Qingfeng, additional, Muneza, Fiston, additional, Kiwanuka, George, additional, Paichadze, Nino, additional, and Kobusingye, Olive, additional

Published
2020
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64. Global Neurotrauma Surveillance: Are National Databases Overrated? Comment on "Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries".

Author

Boeck, Marissa A., Ssenyonjo, Hussein, and Kobusingye, Olive C.

Subjects
DATA dictionaries, MIDDLE-income countries, NERVOUS system injuries, DATA analysis, COMPARATIVE studies
Abstract

Injuries are a public health crisis. Neurotrauma, a specific type of injury, is a leading cause of death and disability globally, with the largest burden in low- and middle-income countries (LMICs). However, there is a lack of quality neurotrauma-specific data in LMICs, especially at the national level. Without standard criteria for what constitutes a national registry, and significant challenges frequently preventing this level of data collection, we argue that singleinstitution or regional databases can provide significant value for context-appropriate solutions. Although granular data for larger populations and a universal minimum dataset to enable comparison remain the gold standard, we must put progress over perfection. It is critical to engage local experts to explore available data and build effective information systems to inform solutions and serve as the foundation for quality and process improvement initiatives. Other items to consider include adequate resource allocation and leveraging of technology as we work to address the persistent but largely preventable injury pandemic. [ABSTRACT FROM AUTHOR]

Published
2023
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66. Drowning in Uganda: examining data from administrative sources.

Author

Clemens, Tessa, Oporia, Frederick, Parker, Erin M., Yellman, Merissa A., Ballesteros, Michael F., and Kobusingye, Olive

Subjects
CAUSES of death, ACQUISITION of data methodology, RESEARCH methodology, DROWNING, RETROSPECTIVE studies, POPULATION geography, MEDICAL records, DESCRIPTIVE statistics
Published
2022
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70. State of pedestrian road safety in Uganda: are interventions failing or absent?

Author

Osuret, Jimmy, primary, Namatovu, Stellah, additional, Biribawa, Claire, additional, Balugaba, Bonny E, additional, Zziwa, Esther Bayiga, additional, Muni, Kennedy, additional, Ningwa, Albert, additional, Oporia, Frederick, additional, Mutto, Milton, additional, Kyamanywa, Patrick, additional, Guwatudde, David, additional, and Kobusingye, Olive, additional

Published
2019
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73. Emergency care surveillance and emergency care registries in low-income and middle-income countries: conceptual challenges and future directions for research

Author

Mowafi, Hani, primary, Ngaruiya, Christine, additional, O'Reilly, Gerard, additional, Kobusingye, Olive, additional, Kapil, Vikas, additional, Rubiano, Andres M, additional, Ong, Marcus, additional, Puyana, Juan Carlos, additional, Rahman, AKM Fazlur, additional, Jooma, Rashid, additional, Beecroft, Blythe, additional, and Razzak, Junaid, additional

Published
2019
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79. Disease Control Priorities, Third Edition (Volume 7) : Injury Prevention and Environmental Health

Author

Mock, Charles, Nugent, Rachel, Kobusingye, Olive, Smith, Kirk R., Mock, Charles, Nugent, Rachel, Kobusingye, Olive, and Smith, Kirk R.

Subjects
Public health administration, Accidents--Prevention, Wounds and injuries--Prevention, Environmental health
Abstract

The substantial burden of death and disability that results from interpersonal violence, road traffic injuries, unintentional injuries, occupational health risks, air pollution, climate change, and inadequate water and sanitation falls disproportionally on low- and middle-income countries. Injury Prevention and Environmental Health addresses the risk factors and presents updated data on the burden, as well as economic analyses of platforms and packages for delivering cost-effective and feasible interventions in these settings. The volume's contributors demonstrate that implementation of a range of prevention strategies-presented in an essential package of interventions and policies-could achieve a convergence in death and disability rates that would avert more than 7.5 million deaths a year.

Published
2017

80. Motorcycle taxi programme increases safe riding behaviours among its drivers in Kampala, Uganda.

Author

Muni, Kennedy, Kobusingye, Olive, Mock, Charles, Hughes, James P., Hurvitz, Philip M., and Guthrie, Brandon

Subjects
MORTALITY prevention, AUTOMOBILE driving, CONFIDENCE intervals, INTERVIEWING, MOTOR vehicles, MOTOR vehicle safety measures, SAFETY hats, TRAFFIC accidents, WORLD Wide Web, WOUNDS & injuries, CELL phones, PROFESSIONAL licenses, MOTOR vehicle occupants, HUMAN services programs, CROSS-sectional method, EVALUATION of human services programs
Published
2020
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82. Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017

Author

Nuwematsiko, Rebecca, primary, Kisakye, Angela Nakanwagi, additional, Musoke, David, additional, Bandoh, Delia, additional, Bulage, Lillian, additional, Ajumobi, Olufemi Olamide, additional, Oporia, Frederick, additional, Muneza, Fiston, additional, Paichadze, Nino, additional, Pariyo, George, additional, Bachani, Abdulgafoor, additional, Kobusingye, Olive, additional, Mugwanya, Kenneth, additional, and Ssempebwa, John, additional

Published
2018
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