Assessment of the current capacity of intensive care units in Uganda; A descriptive study

Atumanya, Patience; Sendagire, Cornelius; Wabule, Agnes; Mukisa, John; Ssemogerere, Lameck; Kwizera, Arthur; Agaba, Peter

doi:10.1016/j.jcrc.2019.10.019

Cited by 57 publications

(57 citation statements)

References 32 publications

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“…The country has a robust yet poorly functional public health network, a virus research institute and a currently refurbished national referral hospital. However, the country has limited intensive care capacity with only intensive care bed and 15 functional intensive care units (Atumanya et al, 2020). These are very few compared to the population of approximately 40 million people.…”

Section: Resultsmentioning

confidence: 99%

Policy Decisions and Response to Fight 2019 Novel Coronavirus Disease in Uganda: A review of Attributes, Comprehensiveness and Implications to Improve Resilience to Future Pandemics

Kiwanuka¹,

Waswa²,

Alemayehu³

et al. 2020

Preprint

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Uganda experiences recurrent epidemics. However, policies enacted to prevent or prepare for future epidemics remain unclear. This paper reviews policies that are shaping responses to the Coronavirus disease (COVID-19) in Uganda. An integrative systematic review approach using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) was adopted. Databases including organizational websites, bibliographical databases, and newsletters were searched for records on policies addressing response to COVID-19. Quality appraisal was conducted using the von Wright’s logic of events framework and the AGREE II (Appraisal of Guidelines, Research and Evaluation) checklist. A descriptive qualitative narrative approach was used for data analysis. Fifteen papers are included in this review. Uganda’s preparedness to COVID-19 was initiated before the first case was identified on 21 March 2020. Most documents included in our final analysis were soft policy (nonstatutory) documents (n=10). MoH implemented four public orders: notification of COVID-19; prohibition of entry into Uganda; control of COVID-19; prevention of COVID-19; requirements and conditions of entry into Uganda. In addition, the office of the president implemented three directives as of 08 May 2020; the initial directive included preparatory instructions to the public and ministries before the first case of COVID-19 was registered. Subsequently, three other presidential directives were established; two of these instituted lockdown measures while one instituted the first phase of releasing some lockdown measures. Soft policies identified in this review included guidelines (n=4); press releases (n=4) and mitigation measures. Three out of the four guidelines were clinical practice guidelines, these include quarantine of individuals in the context of containment of COVID-19, COVID-19 preparedness and response plan-laboratory manual, and national guidelines for management of COVID-19 patients.Conclusion: Uganda has experience built from response to previous epidemics. Uganda has robust policies in place to respond to COVID-19. Comprehensive Policies integrating human capital, research and economical aspects of an epidemic can increase and better prepare Uganda for future.

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Section: Resultsmentioning

confidence: 99%

Policy Decisions and Response to Fight 2019 Novel Coronavirus Disease in Uganda: A review of Attributes, Comprehensiveness and Implications to Improve Resilience to Future Pandemics

Kiwanuka¹,

Waswa²,

Alemayehu³

et al. 2020

Preprint

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“…Apart from the Antarctica, Africa is one of the least affected continents with less than 1000 cases across the continent and only 27 deaths as of March 21, 2020 [2]. This is probably a matter of time since there were until recently frequent and large travel volumes between Asia and Africa due to the good commercial relationships between the two continents and a number of countries in Africa receiving a high number of airline travelers from high-risk cities within China [4]. In fact, over the past decade, air transport between China and Africa has risen to about 630% as a result of the rapid expansion of Chinese investment in Africa [5].…”

Section: To the Editormentioning

confidence: 99%

Is Sub-Saharan Africa prepared for COVID-19?

Nuwagira

Muzoora

2020

Trop Med Health

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“…It is recommended that such patients be treated in Intensive Care Units (ICUs) since protocolized care in the ICU has been shown to improve outcome in patients with STBI [15][16][17]. Ugandan ICUs are resource-constrained with few functional beds, low human resource and high mortality rates [18][19][20]. It is also unknown how patients with TBI admitted to Ugandan ICUs compare with others in either a similar or higher income setting.…”

Section: Introductionmentioning

confidence: 99%

Burden, Predictors and Short-Term Outcomes of Traumatic Brain Injury Among Patients Admitted to Ugandan Intensive Care Units

Wabule¹,

Mwanje²,

Obua³

et al. 2020

AJCEM

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Assessment of the current capacity of intensive care units in Uganda; A descriptive study

Cited by 57 publications

References 32 publications

Policy Decisions and Response to Fight 2019 Novel Coronavirus Disease in Uganda: A review of Attributes, Comprehensiveness and Implications to Improve Resilience to Future Pandemics

Policy Decisions and Response to Fight 2019 Novel Coronavirus Disease in Uganda: A review of Attributes, Comprehensiveness and Implications to Improve Resilience to Future Pandemics

Is Sub-Saharan Africa prepared for COVID-19?

Burden, Predictors and Short-Term Outcomes of Traumatic Brain Injury Among Patients Admitted to Ugandan Intensive Care Units

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