Publications by authors named "J Birungi"
Background: World Vision launched the Inclusive Playful Parenting for a Brighter Childhood (IPP4BC) project in identified vulnerable communities in Nepal and Uganda to mitigate risk for children at risk of poor development due to COVD 19. The intervention, based on the nurturing care framework, offered a customized parenting curriculum for young children, emphasizing holistic development through behavior change approaches tailored to local contexts.
Objective: To evaluate the effect of the IPP4BC project, on early childhood development (ECD) and care outcomes of children under 6 years in vulnerable communities in Nepal and Uganda, particularly those affected by the COVID-19 pandemic.
Article Synopsis
- - The study focused on cancer patients in Mbarara, Uganda, who developed infections after chemotherapy, aiming to assess the 30-day fatality rate and identify risk factors for mortality.
- - Out of 150 patients studied, 42% died within 30 days, with pneumonia being the most common infection; factors such as high qSOFA and UVA scores were linked to increased mortality.
- - The research concluded that the mortality rate for these infections was significant and highlighted the effectiveness of clinical risk scores (ECOG, qSOFA, UVA) in predicting patient outcomes.
Background: Peer-delivered HIV self-testing (HIVST) and sexually transmitted infection self-sampling (STISS) may promote adherence to oral pre-exposure prophylaxis (PrEP), but no studies have analyzed this approach among transgender women (TGW) in sub-Saharan Africa.
Setting: The Peer study was a cluster randomized trial in Uganda (October 2020-July 2022; NCT04328025).
Methods: Ten TGW peer groups, each with 1 TGW peer and 8 TGW, were randomized 1:1 to receive quarterly in-clinic HIV testing with PrEP refills as standard-of-care (SOC) or SOC plus monthly peer delivery of oral-fluid HIVST, STISS, and PrEP refills (intervention).
Article Synopsis
- The study aimed to assess how well participants retained care and managed chronic conditions (hypertension, diabetes, HIV) over two years in East Africa, specifically in Tanzania and Uganda.
- Involving 2273 participants, the study found that 84.5% were retained in care after roughly 8 months, with a follow-up revealing that 54.3% of the original participants continued to engage with the integrated care services.
- Outcomes showed that, among those who stayed for longer follow-up, control rates for hypertension, diabetes, and HIV were notable, with many participants effectively managing their health conditions by the end of the study period.
Background: Individuals at high risk for type 2 diabetes are also at an increased risk for developing cardiovascular disease (CVD). Although there are separate trials examining the effects of lifestyle interventions on absolute CVD risk among people at high risk for type 2 diabetes, a comprehensive evidence synthesis of these trials is lacking.
Objective: We will systematically synthesize the evidence on the effects of lifestyle interventions in reducing absolute CVD risk and CVD risk factors among people at high risk for type 2 diabetes.