ArticleBMC health services research2023
Essential health services delivery and quality improvement actions under drought and food insecurity emergency in north-east Uganda.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Extreme weather effects on health services and communities in low and lower-middle income countries: a thematic systematic review.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2026Pooled it
- Long term cardiometabolic outcomes in COVID positive patients.Journal of public health research · 2026Review
- Health data reporting challenges in public health facilities in the age of DHIS2: a mixed-methods study in the Teso sub-region of Uganda.BMC health services research · 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
- Translating the strategy of integrating comprehensive nutrition assessment, counselling, and support into action using a grounded theory approach in Tororo district, Uganda.Journal of health, population, and nutrition · 2025Article
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Authors and funding
17 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEssential health services can be disrupted due to several naturally occurring public health emergencies such as drought, flood, earthquake and outbreak of infectious diseases. However, little evidence exists on the status of essential health services delivery under the effect of drought and food insecurity. North-east Uganda is severely affected by prolonged drought that significantly affected the livelihood of the residents. Therefore, we aimed to determine the current status of essential health services and quality improvement (QI) actions in health facilities in north-east Uganda.
methodsWe used a descriptive cross-sectional study design to assess the availability of essential health service and quality improvement activities in drought and food insecurity affected districts of north-east Uganda. We included a total of 150 health facilities from 15 districts with proportionated multistage sampling method. We interviewed health facilities' managers and services focal persons using structured questionnaire and observation checklist. We used a descriptive statistic to analyze the data with SPSS version 22.
resultsA few health facilities (8.7%) had mental health specialist. There was also lack of capacity building training on essential health services. Considerable proportion of health facilities had no non-communicable diseases (38.3%), mental health (47.0%), and basic emergency obstetric care (40.3%) services. Stock out of essential medicines were observed in 20% of health facilities. There was lack of supportive supervision, and poor documentation of QI activities.
conclusionEssential health service and QI were suboptimal in drought and food insecure emergency affected districts. Human resource deployment (especially mental health specialist), provision of capacity building training, improving non-communicable diseases, mental health and basic emergency obstetric care services are required to improve availability of essential health services. Supporting supply chain management to minimize stock out of medicines, and promoting QI activities are also vital to assure quality of health service in drought and food insecurity affected districts in north-Eastern Uganda.
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