Elizabeth Ekirapa Kiracho

Biographic Data

ID6259497
NAMEElizabeth Ekirapa Kiracho
GIVEN NAMESElizabeth Ekirapa
FAMILY NAMEKiracho
SIGNATUREKIRACHO E E
AFFILIATIONSMakerere University
ORCID0000-0001-6938-2068
VERIFIEDYes
TOTAL WORKS40
TOTAL CITATIONS15
WORKS AS AUTHOR40
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2009
LATEST PUBLICATION YEAR2026
H-INDEX2

  • Digitising payments for campaign health workers in Africa

    Open AccessPeter Waiswa, Juliet Aweko et al.ARTICLEBMJ Global Health2026

    box Front-line health workers are essential for mass vaccination campaigns in Africa, but their motivation and performance are often undermined by delayed, insecure and inefficient cash-based payment systems

  • A research agenda for digital payments of health workers in large-scale health campaigns in sub-Saharan Africa

    Open AccessPeter Waiswa, Juliet Aweko et al.ARTICLEBMJ Global Health2026

    INTRODUCTION: Digital payments are increasingly favoured over cash for remunerating healthcare workers in large-scale health campaigns due to perceived advantages in efficiency and security. However, evidence to guide their scaling and optimisation is limited. This study aimed to identify and prioritise a global research agenda for digital payments in health campaigns in sub-Saharan Africa (SSA). METHODS: We employed the Child Health and Nutritio…

  • A landscape analysis of enablers and barriers to digital payments to health workers during large-scale immunisation campaigns in sub-Saharan Africa

    Open AccessVincent Micheal Kiberu, Noel Namuhani et al.ARTICLEGlobal Health Action2026

    BACKGROUND: Timely and consistent digital payment of health workers is crucial for improving the effectiveness of immunization campaigns and achieving the polio eradication goals by 2026. However, evidence on the enablers and barriers to digital payments in sub-Saharan Africa (SSA) is limited. OBJECTIVE: To explore the enablers and barriers to digital payments for immunization campaign health workers in eight selected SSA countries. METHODS: An e…

  • Associations between digital financial services and health campaign workers’ perceived satisfaction, motivation and performance in Nigeria

    Open AccessFolashayo Adeniji, David Ayobami Adewole et al.ARTICLEBMJ Global Health2025

    BACKGROUND: Understanding the association between digital payment services and health worker outcomes is critical to improving public health outcomes and optimising health workforce efficiency. This study examined the link between digital payment systems and health campaign workers' perceived satisfaction, motivation and performance in Nigeria. METHODS: A national survey was conducted among 821 polio immunisation workers who participated in campa…

  • Assessing the feasibility of partner-implemented digital payment systems for health workers

    Open AccessMichael Ediau, Elizabeth Ekirapa Kiracho et al.ARTICLEBMJ Global Health2025

    BACKGROUND: The heightening of efforts to eradicate vaccine-preventable diseases through mass vaccination campaigns has contributed to a growing demand for effective and efficient payment mechanisms for frontline vaccination workers in large-scale campaigns. Subsequently, the Uganda Ministry of Health (MoH) adopted digital payments for campaign workers, which were either implemented by the government or partners. We specifically explored stakehol…

  • The effect of supporting districts to operationalise digital payments for vaccination campaign workers

    Open AccessPeter Waiswa, Molly Mcconnell et al.ARTICLEBMJ Global Health2025

    INTRODUCTION: A motivated and satisfied health workforce is critical for the success of mass vaccination campaigns targeting diseases like polio. This study examined whether supporting districts to implement electronic cash (e-cash) payments, instead of cash, increased e-cash usage and improved vaccine campaign healthcare workers' (VCHWs) motivation and satisfaction during an oral poliovirus vaccination campaign in 2022 in Uganda. METHODS: In Nov…

  • Mapping care pathways

    Open AccessMonica Jordan, Elizabeth Ekirapa Kiracho et al.ARTICLEGlobal Public Health2025

    In Uganda, where HIV prevalence remains high, innovative strategies are sought to achieve 95-95-95 targets in combating the epidemic. In 2020, Uganda joined the Activity-Based Costing and Management (ABC/M) Initiative, a multi-country effort to monitor resource allocation and funding for HIV services. As part of this Initiative, data collectors generated process maps, specific to each facility, from the data collected by observing patients as the…

  • Inequity in the use of long-lasting insecticidal nets before and after nationwide mass distribution campaign in 48 districts of Uganda

    Open AccessJaffer Okiring, Paul Katamba et al.ARTICLEBMC Public Health2025

    LLIN use level significantly increased following a nationwide distribution campaign. It appears that respondent's relationship with the household head explains most of the variation in LLIN use, while the least wealthy households seem to be dropping off at a faster rate in the use of LLINs following a nationwide distribution campaign. Strategies targeting LLIN use among the most disadvantaged households following a mass distribution campaigns are…

  • Do cash or digital payment modalities affect community health worker performance? – a case study of a remote refugee settlement in Western Uganda

    Open AccessMichael T Wagaba, David Musoke et al.ARTICLEGlobal Health Action2024

    BACKGROUND: There is inadequate evidence about the influence of digital and cash payment modalities on the performance of Community Health Workers (CHWs) in underserved communities, such as refugee settlements. OBJECTIVE: To compare the performance of CHWs when paid in cash or digitally in Kyaka II refugee settlement, Uganda. METHODS: A comparative cross-sectional mixed methods design was used. Secondary data comprising 247 CHW reports during a s…

  • Equity in vaccine coverage in Uganda from 2000 to 2016

    Open AccessAnthony Ssebagereka, Gatien De Broucker et al.ARTICLEBMC Public Health2024

    The past two decades have seen significant improvements in vaccine coverage and equity, thanks to the efforts to strengthen routine immunization and ongoing supplemental immunization activities such as the Family Health Days. While maintaining the regular provision of vaccines to all regions, efforts should be made to alleviate the impact of low maternal education and literacy on vaccination uptake

  • The Unequal Economic and Livelihood Impacts of Covid-19 Lockdowns

    Open AccessDavid Musoke, Kevin Deane et al.ARTICLEINQUIRY The Journal of Health…2024

    Lockdowns were a key policy response to the COVID-19 pandemic. While they were viewed as a necessary intervention, concerns were raised about their potential for harmful economic and livelihood impacts. However, few studies have addressed the unequal economic and livelihood impacts of lockdowns. Our article reports findings from a qualitative study conducted in Uganda on economic and livelihood impacts of COVID-19 lockdowns in urban and rural set…

  • The effects of Covid-19 lockdown measures on health and healthcare services in Uganda

    Open AccessDavid Musoke, Sarah Nalinya et al.ARTICLEPLOS Global Public Health2023

    Many countries across the world instituted lockdowns as a measure to prevent the spread of COVID-19. However, these lockdowns had consequences on health systems. This study explored effects of the COVID-19 lockdown measures on health and healthcare services in Uganda. The qualitative study employed focus group discussions (FGDs), household interviews, and key informant interviews (KIIs) in both an urban (Kampala district) and rural (Wakiso distri…

  • Prevention and management of type 2 diabetes mellitus in Uganda and South Africa

    Open AccessD Guwatudde, Peter Delobelle et al.ARTICLEPLOS Global Public Health2022

    Health systems in many low- and middle-income countries are struggling to manage type 2 diabetes (T2D). Management of glycaemia via well-organized care can reduce T2D incidence, and associated morbidity and mortality. The primary aim of this study was to evaluate the effectiveness of facility plus community care interventions (integrated care), compared to facility only care interventions (facility care) towards improvement of T2D outcomes in Uga…

  • Effect of community-level intervention on antenatal care attendance

    Open AccessSolomon Tsebeni Wafula, Aisha Nalugya et al.ARTICLEGlobal Health Action2022

    BACKGROUND: Early Initiation of antenatal care (ANC) and at least four visits during pregnancy allow screening and support for a healthy lifestyle and self-care during pregnancy however, community-directed interventions to improve access to these services are rarely explored. OBJECTIVE: To assess the effect of community health worker (CHW) involvement on utilisation of antenatal services during pregnancy in resource-constrained rural settings in …

  • Momentum for policy change

    Open AccessFreddie Ssengooba, Aloysius Ssennyonjo et al.ARTICLEGlobal Health Action2021

    BACKGROUND: Results-based financing initiatives have been implemented in many countries as stand-alone projects but with little integration into national health systems. Results-based financing became more prominent in Uganda's health policy agenda in 2014-2015 in the context of the policy imperative to finance universal health coverage. OBJECTIVE: To explore plausible explanations for the increased policy interest in the scale-up of results-base…

  • Designing for Scale and taking scale to account

    Open AccessElizabeth Ekirapa Kiracho, Christine Aanyu et al.ARTICLEInternational Journal for Equity…2021

    Governments seeking to scale up CSCs and to take scale to account should keenly adapt existing models to the local implementation context with strategic and meaningful involvement of key legitimate local and sub national leaders in decision making during the design and implementation process. However, they should watch out for elite capture and develop mitigating strategies. Social accountability practitioners should document their planning and a…

  • Influence of community scorecards on maternal and newborn health service delivery and utilization

    Open AccessElizabeth Ekirapa Kiracho, Noel Namuhani et al.ARTICLEInternational Journal for Equity…2020

    The community score cards created opportunities for community leaders and communities to work together to identify innovative ways of dealing with the health service delivery and utilization challenges that they face. Local leaders should encourage the availability of safe spaces for dialogue between communities, health workers and leaders where performance and utilization challenges can be identified and solutions proposed and implemented jointl…

  • Applying the model of diffusion of innovations to understand facilitators for the implementation of maternal and neonatal health programmes in rural Uganda

    Open AccessLigia Paina, Gertrude Namazzi et al.ARTICLEGlobalization and Health2019

    In Uganda, more than 336 out of every 100,000 women die annually during childbirth. Pregnant women, particularly in rural areas, often lack the financial resources and means to access health facilities in a timely manner for quality antenatal, delivery, and post-natal services. For nearly the past decade, the Makerere University School of Public Health researchers, through various projects, have been spearheading innovative interventions, embedde…

  • Dietary patterns and practices in rural eastern Uganda

    Open AccessJuliet Kiguli, Helle Mølsted Alvesson et al.ARTICLEAppetite2019Cited by: 2References: 43

    BACKGROUND: The burden of type 2 diabetes in Sub-Saharan Africa is projected to double by 2040, partly attributable to rapidly changing diets. In this paper, we analysed how community members in rural Uganda understood the concept of a healthy or unhealthy diet, food preparation and serving practices to inform the process of facilitating knowledge and skill necessary for self-management and care for type 2 diabetes. This was a qualitative study i…

  • Balancing the cost of leaving with the cost of living

    Open AccessSuzanne N Kiwanuka, Martha Akulume et al.ARTICLEGlobal Health Action2017

    BACKGROUND: Health worker retention in rural and underserved areas remains a persisting problem in many low and middle income countries, and this directly affects the quality of health services offered. OBJECTIVE: This paper explores the drivers of long-term retention and describes health worker coping mechanisms in rural Uganda. METHODS: A descriptive qualitative study explored the factors that motivated health workers to stay, in three rural di…

  • Characteristics of community savings groups in rural Eastern Uganda

    Open AccessMutebi Aloysius, Rornald Muhumuza Kananura et al.ARTICLEGlobal Health Action2017

    BACKGROUND: Rural populations in Uganda have limited access to formal financial Institutions, but a growing majority belong to saving groups. These saving groups could have the potential to improve household income and access to health services. OBJECTIVE: To understand organizational characteristics, benefits and challenges, of savings groups in rural Uganda. METHODS: This was a cross-sectional descriptive study that employed both quantitative a…

  • Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda

    Open AccessAngela N Kisakye, Rornald Muhumuza Kananura et al.ARTICLEGlobal Health Action2017

    BACKGROUND: Support supervision is one of the strategies used to check the quality of services provided at health facilities. From 2013 to 2015, Makerere University School of Public Health strengthened support supervision in the district of Kibuku, Kamuli and Pallisa in Eastern Uganda to improve the quality of maternal and newborn services. OBJECTIVE: This article assesses quality improvements in maternal and newborn care services and practices d…

  • A cascade model of mentorship for frontline health workers in rural health facilities in Eastern Uganda

    Open AccessJudith Ajeani, Richard Mangwi Ayiasi et al.ARTICLEGlobal Health Action2017

    BACKGROUND: There is increasing demand for trainers to shift from traditional didactic training to innovative approaches that are more results-oriented. Mentorship is one such approach that could bridge the clinical knowledge gap among health workers. OBJECTIVES: This paper describes the experiences of an attempt to improve health-worker performance in maternal and newborn health in three rural districts through a mentoring process using the casc…

  • Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda

    Open AccessRornald Muhumuza Kananura, Moses Tetui et al.ARTICLEGlobal Health Action2017

    BACKGROUND: Knowledge of obstetric danger signs and adequate birth preparedness (BP) are critical for improving maternal services utilization. OBJECTIVES: This study assessed the effect of a participatory multi-sectoral maternal and newborn intervention on BP and knowledge of obstetric danger signs among women in Eastern Uganda. METHODS: The Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study was implemented in three distr…

  • Working with community health workers to improve maternal and newborn health outcomes

    Open AccessGertrude Namazzi, Monica Okuga et al.ARTICLEGlobal Health Action2017

    BACKGROUND: Preventable maternal and newborn deaths can be averted through simple evidence-based interventions, such as the use of community health workers (CHWs), also known in Uganda as village health teams. However, the CHW strategy faces implementation challenges regarding training packages, supervision, and motivation. OBJECTIVES: This paper explores knowledge levels of CHWs, describes the coverage of home visits, and shares lessons learnt f…