Browsing by Author "Mukooza, Edward Kibikyo"

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    Adherence to Self-care Practices among Diabetes Mellitus Patients at a Tertiary Hospital in Eastern Uganda
    (International Scientific Indexing, 2023-06-30) Kiruyi, Samuel; Mukooza, Edward Kibikyo; Higenyi, Emmanuel; Rajab, Kalidi; Walusimbi, David; Ansiima, Sheila; Kitutu, Freddy Eric
    Adherence to self-care practices among diabetes mellitus patients is vital in achieving optimal glycemic control and delaying the progression of the disease complications. There is limited information regarding diabetes self-care among diabetic patients in Eastern Uganda, where the disease is most prevalent. The aim of this study was to determine the level of adherence to diabetes mellitus self-care practices and the associated factors among adult diabetic outpatients at a tertiary hospital in Eastern Uganda. A cross-sectional study was conducted at Mbale Regional Referral Hospital in Eastern Uganda between September and October 2020, on a sample of 156 diabetic patients recruited through systematic random sampling. A structured questionnaire was used to collect data through self-report. Descriptive and Logistic regression analyses were conducted using STATA version 15.0, and a 5% level of significance. Most of the study participants were female (63.8%) with an average age of 52.3 years (SD 13.8). The prevalence of adherence to self-care was 36.5%. The factors associated with adherence to self-care were good diabetes knowledge (AOR=2.5; 95% CI= 1.2-5.3, p = 0.016), and high self-efficacy (AOR=3.9; 95% CI= 1.8 – 8.7, p = 0.001). Less than half of the patients attending the diabetic clinic at Mbale Regional Referral Hospital in Eastern Uganda adhere to self-care practices. Patients ought to receive comprehensive, consistent, and contextualized diabetes education to enrich their knowledge, as well as a boost of their self-efficacy through interventions like counseling, positive feedback, role models, and peer education.
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    Drug and Therapeutics Committee Structure and Roles in Hospitals: A Scoping Review
    (International Scientific Indexing, 2023-12-29) Kiruyi, Samuel; Nagadya, Catherine; Walusimbi, David; Mukooza, Edward Kibikyo; Higenyi, Emmanuel; Rajab, Kalidi
    Drug and Therapeutics Committees (DTCs) have been identified and promoted as a fundamental model in advancing the rational management and use of essential medicines and health supplies in hospitals since the 1970s. However, there is still a scarcity of comprehensive literature on their current structure and actual roles performed in various countries. We conducted a scoping review using the Pubmed and ResearchGate databases and included eligible articles published between 2010 and 2023, to assess the structure and roles performed by hospital DTCs. The database search yielded 47 potential records, but only seven of these were eligible for inclusion. Studies included were from both highincome and low- and middle-income countries. The structure of DTCs is generally similar across these countries, with minor contextual variations. All DTCs are heterogeneous in composition and contain both medical and non-medical staff. The DTC leadership comprises a chairperson who is usually a senior clinician, and a secretary who is usually a pharmacist. The majority of the DTCs have at least one sub-committee, and antimicrobial stewardship is the most common. The DTCs still perform their customary roles, although their role scope is expanding. In some countries, the DTCs have taken on additional roles due to the evolving medicines management and use problems, and technologies. There is however still a dearth of recent primary data on the structure and roles of DTCs in many countries. We recommend more primary research to understand the status of DTCs in various countries and to provide more insights into the existence and functionality of the DTC sub-committees.