Mulago Hospital

About: Mulago Hospital is a healthcare organization based out in Kampala, Uganda. It is known for research contribution in the topics: Population & Health care. The organization has 542 authors who have published 545 publications receiving 34804 citations.

Clinical and haemodynamic patterns in endomyocardial fibrosis.

Abstract: In recent years endomyocardial fibrosis has attracted increasing attention as an important cause of heart disease in the equatorial parts ofAfrica. Bedford and Konstam (1946) described the disease in West and East African troops; Davies in 1948 documented the pathology of the condition, and Ball et al. (1954) drew attention to the frequency of its occurrence and described in detail the clinical picture. Subsequently the workers at Kampala have reported the electrocardiographic and phonocardiographic findings (Williams and Somers, 1960; Somers and Williams, 1960). Other cases have been reported in the Sudan (O'Brien, 1954); on the Gold Coast (Edington, 1954); in Ceylon (Nagaratnam and Dissanayake, 1959); in Kenya (Turner and Manson-Bahr, 1960), and in West Africa (Abrahams, 1959). The purpose of this paper is to describe the haemodynamic findings in a series of patients with endomyocardial fibrosis and relate these to the clinical findings. Fifteen patients were studied and the diagnosis made on clinical grounds. The ages ranged from eleven to fifty-five, seven were male and eight female. A clinical examination was made and an electrocardiogram and chest X-ray taken in all cases. Cardiac catheterization was carried out and the intracardiac pressures recorded by a Statham strain gauge connected to a transistor amplifier and photographic recorder. All measurements of pressure were made 5 cm. below the sternal angle. In selected cases phonocardiograms were taken with a photographic recorder. The circulation time from the right atrium to the ear was measured by injecting Coomassie-blue dye into the right atrium and recording its arrival at the ear with a photoelectric cell attached to the transilluminated ear (Gabe and Shillingford, 1961).

Nursing care of AIDS patients in Uganda.

Abstract: This article reports the findings from a participatory action research study concerning the experience of Ugandan nurses caring for individuals with HIV illness. Six key informants from government and non-governmental organizations were interviewed using a semistructured format. Six nurses from a large national referral hospital in Kampala, Uganda, participated in 10 focus group meetings during a period of 11 months. In-depth interviews, focus groups, and photovoice were used to collect the data. Findings indicate that nurses faced many challenges in their daily care, including poverty, insufficient resources, fear of contagion, and lack of ongoing education. Nurses experienced moral distress due to the many challenges they faced during the care of their patients. Moral distress may lead nurses to quit their jobs, which would exacerbate the acute shortage of nurses in Uganda. This study provides important knowledge for guiding clinical practice and nursing education in resource-constrained countries like Uganda.

Community referral in home management of malaria in western Uganda: a case series study.

Abstract: Background Home Based Management of fever (HBM) was introduced as a national policy in Uganda to increase access to prompt presumptive treatment of malaria. Pre-packed Chloroquine/Fansidar combination is distributed free of charge to febrile children <5 years. Persisting fever or danger signs are referred to the health centre. We assessed overall referral rate, causes of referral, referral completion and reasons for non-completion under the HBM strategy.

Socioeconomic Status, Gender, and Risk of HIV‐1 Infection in a Rural Community in South West Uganda

Abstract: This report explores the hypothesis that the presence of HIV infection in rural south west Uganda is associated with socioeconomic status and gender. As part of an ethnographic, medical, and serological survey in 15 villages in Masaka district, population 9,950 persons, data were collected on a series of possible socioeconomic indicators. Serological specimens were collected from all consenting individuals for the determination of HIV serostatus. In five selected study villages, there was a good correlation between wealth rankings made by selected local residents and four socioeconomic indices, namely, type of dwelling, available land size, ownership of cattle, and an index of household items. These indices were applied to the full data set to rank the households in all villages. The resulting ranking was matched against HIV-1 status of household heads and, subsequently, their first-degree relatives. Analyzing the data from the 15 villages combined, there was evidence from all four indicators that both male and female heads of the poorest households were most likely to be HIV positive. The increased risk of HIV infection of the poor may be due in part to the income-generating strategies they adopt to survive.