ArticleBMC geriatrics2019
Health systems readiness to provide geriatric friendly care services in Uganda: a cross-sectional study.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Characteristics and outcomes of hospitalized older adults admitted for medical reasons at university teaching hospitals in Rwanda.BMC geriatrics · 2026Article
- Perspectives of Primary Health Facility Leaders on the Contributions of Clinical Residents During Community Placement in Southwestern Uganda.Advances in medical education and practice · 2026Article
- Facilitators and barriers of general health service readiness in the primary level public health facilities of Baitadi, Nepal: A qualitative study.PLOS global public health · 2026Article
- "We Do Not Seem to Have Geriatric Wards": A Qualitative Analysis of Gaps in Healthcare Access Among Older Patients in Addis Ababa, Ethiopia.Health science reports · 2025Article
- Primary healthcare readiness for nutritionally at-risk infants aged under 6 months: a facility-based survey in Senegal.International health · 2025Article
- Assessment of the public health system preparedness to provide geriatric-friendly healthcare services in Punjab, India: A cross-sectional study.Journal of family medicine and primary care · 2025Article
- Prevalence of frailty and association with intrinsic capacity decline among community-dwelling older people in Cameroon: a cross sectional study.BMC geriatrics · 2025Article
- Global, regional, and national trends in peripheral arterial disease among older adults: findings from the global burden of disease study 2021.Aging clinical and experimental research · 2025Article
- Developing a customized model for aged-friendly comprehensive health centers in Iran: A protocol study.Journal of education and health promotion · 2025Article
- Assessment of the readiness of health facilities in urban areas to deliver geriatric-friendly care services: a cross-sectional study in Kampala City, Uganda.BMC geriatrics · 2024Article
- Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment.Journal of clinical medicine · 2024Review
- Article
- Access of older people to primary health care in low and middle-income countries: A systematic scoping review.PloS one · 2024Article
- Unlocking the WHO's Age-Friendly Healthcare Principles: Portugal's Quest and Recommendations.International journal of environmental research and public health · 2023Article
- Implementation of the World Health Organization Age-Friendly Principles: A Case Study from Portugal.International journal of environmental research and public health · 2023Article
- Developing a Conceptual Framework for an Age-Friendly Health System: A Scoping Review.International journal of health policy and management · 2023Article
- Provider and facility readiness for age-friendly health services for older adults in primary health care centres in southwest, Nigeria.PLOS global public health · 2023Article
- "We are never taught anything about the elderly." Establishing the gap in elderly health care competencies in nursing education in Uganda.BMC nursing · 2022Article
- Primary care provider notions on instituting community-based geriatric support in Uganda.BMC geriatrics · 2022Article
- 'We had to manage what we had on hand, in whatever way we could': adaptive responses in policy for decentralized drug-resistant tuberculosis care in South Africa.Health policy and planning · 2021Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAs ageing emerges as the next public health threat in Africa, there is a paucity of information on how prepared its health systems are to provide geriatric friendly care services. In this study, we explored the readiness of Uganda's public health system to offer geriatric friendly care services in Southern Central Uganda.
methodsFour districts with the highest proportion of old persons in Southern Central Uganda were purposively selected, and a cross-section of 18 randomly selected health facilities (HFs) were visited and assessed for availability of critical items deemed important for provision of geriatric friendly services; as derived from World Health Organization's Age-friendly primary health care centres toolkit. Data was collected using an adapted health facility geriatric assessment tool, entered into Epi-data software and analysed using STATA version 14. Kruskal-Wallis and Dunn's post hoc tests were conducted to determine any associations between readiness, health facility level, and district.
resultsThe overall readiness index was 16.92 (SD ±4.19) (range 10.8-26.6). This differed across districts; Lwengo 17.91 (SD ±3.15), Rakai 17.63 (SD ±4.55), Bukomansimbi 16.51 (SD ±7.18), Kalungu 13.74 (SD ±2.56) and facility levels; Hospitals 26.62, Health centers four (HCIV) 20.05 and Health centers three (HCIII) 14.80. Low readiness was due to poor scores concerning; leadership (0%), financing (0%), human resources (1.7%) and health management information systems (HMIS) (11.8%) WHO building blocks. Higher-level HFs were statistically significantly friendlier than lower-level HFs (p = 0.015). The difference in readiness between HCIIIs and HCIVs was 2.39 (p = 0.025).
conclusionThere is a low readiness for public health facilities to provide geriatric friendly care services in Uganda. This is due to gaps in all of the health system building blocks. There is a need for health system reforms in Uganda to adequately cater for service provision for older adults if the 2020 global healthy ageing goal is to be met.
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