Lilian Bulage
Datos Biográficos
| ID | 7733283 |
|---|---|
| NOMBRE | Lilian Bulage |
| NOMBRES | Lilian |
| APELLIDO | Bulage |
| FIRMA | BULAGE L |
| AFILIACIONES | Ministry of Health |
| ORCID | 0000-0002-4027-5485 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2017 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Risk factors for malaria-related mortality among children under five at Mbale Regional Referral Hospital, Uganda, 2020–2024
Malaria remains a major global health burden, with 264 million cases and 569,000 deaths in 2023. Uganda ranks third globally in malaria cases and tenth in deaths, with 95% of the country endemic and children under five most vulnerable. Despite control efforts, Mbale Regional Referral Hospital (MRRH) in Eastern Uganda reported a pediatric malaria case fatality rate of 2.7% between 2020 and 2024. This study aimed to identify factors associated with…
Using a quality improvement approach to improve reporting of malaria deaths in Namutumba District, Eastern Uganda, 2022–2023
Background Reporting malaria deaths is critical for assessing prevention and case management interventions. In Uganda, malaria mortality is recorded in inpatient registers and reported through weekly and monthly surveillance reports. During a data quality assessment in Namutumba District in October 2022, we found more malaria deaths in health facility registers than were reported. We conducted a continuous quality improvement initiative to improv…
Long-term impact of 10-valent pneumococcal conjugate vaccine among children <5 years, Uganda, 2014–2021
Pneumonia is the second leading cause of hospital admissions and deaths among children 30%) every year while Kasese District had persistently high mortality rates (68–150 deaths per 100,000 children
Rift Valley fever outbreak among animal handlers in Kinyogoga Village, Nakaseke District, Central Uganda
Rift Valley fever (RVF) is a viral zoonosis which occurs sporadically in Uganda. On July 24, 2023, a 24-year-old male animal husbandry officer from Nakaseke District presented to a hospital in Kampala District with history of intermittent nosebleeds. He tested positive for Rift Valley fever virus (RVFV) by reverse transcriptase polymerase chain reaction (RT-PCR). We investigated to identify the source, estimate the magnitude, and determine the dr…
Assessment of healthcare worker resilience at the epicenter of the 2022 Sudan virus disease outbreak in Uganda
Most HCWs at the SVD outbreak epicenter had low resilience, largely related to fear of infection and stigma. Older age, longer work experience, and access to psychological counselling were associated with higher resilience. Providing targeted mental health support and reducing workplace infection concerns could help strengthen HCW resilience in future outbreaks
Knowledge, attitudes, and practices regarding anthrax among affected communities, Kazo district, South-Western uganda, May 2022
Good knowledge about anthrax among residents of a repeatedly-affected community may not have translated to safe practices. Compensating farmers for anthrax-positive carcasses in exchange for permitting safe animal disposal might reduce risk of transmission
Syndromic surveillance during 2022 Uganda Martyrs’ commemoration
Mass gatherings frequently include close, prolonged interactions between people, which presents opportunities for infectious disease transmission. Over 20,000 pilgrims gathered at Namugongo Catholic and Protestant shrines to commemorate 2022 Uganda Martyr’s Day. We described syndromes suggestive of key priority diseases particularly COVID–19 and viral hemorrhagic fever (VHF) among visiting pilgrims during May 25–June 5, 2022. We conducted a surve…
Investigation of Covid-19 outbreak at a refugee transit centre, Kisoro District, Uganda, June–July 2022
Due to conflict in the Democratic Republic of Congo (DRC), approximately 34,000 persons arrived at Nyakabande Transit Centre (NTC) between March and June 2022. On June 12, 2022, Kisoro District reported >330 cases of COVID-19 among NTC residents. We investigated the outbreak to assess its magnitude, identify risk factors, and recommend control measures. We defined a confirmed case as a positive SARS-CoV-2 antigen test in an NTC resident during Ma…
Cross border population movements across three East African states
The frequent population movement across the five East African Countries poses risk of disease spread in the region. A clear understanding of population movement patterns is critical for informing cross-border disease control interventions. We assessed population mobility patterns across the borders of the East African states of Kenya, Uganda, and Rwanda. In November 2022, we conducted Focus Group Discussions (FGDs), Key Informant Interviews (KIIs…
Stigma among ebola disease survivors in Mubende and Kassanda districts, Central Uganda, 2022
Ebola disease survivors often experience stigma in multiple forms, including felt (perceived) stigma, enacted (action-based) stigma, and institutional stigma. On September 20, 2022, Uganda declared a Sudan Virus Disease (species orthoebolavirus sudanense ) outbreak after a patient with confirmed Sudan virus (SUDV) infection was identified in Mubende District. The outbreak led to 142 confirmed and 22 probable cases over the next two months. We exa…
Evaluation of response to a cholera outbreak in January 2024 using the 7–1–7 timeliness metrics
Response to an imported cholera outbreak at Elegu border point demonstrated Uganda's preparedness in managing cross-border disease outbreaks. Achieving the 7-1-7 targets highlighted the country's-built capacity to detect, notify, and respond to such events. Continued investment in local-level disease detection, communication, and national-level resource mobilization will be crucial to sustaining future effective cross-border outbreak prevention a…
Uganda’s experience in establishing an electronic compendium for public health emergencies
Uganda has implemented several interventions that have contributed to prevention, early detection, and effective response to Public Health Emergencies (PHEs). However, there are gaps in collecting and documenting data on the overall response to these PHEs. We set out to establish a comprehensive electronic database of PHEs that occurred in Uganda since 2000. We constituted a core development team, developed a data dictionary, and worked with Heal…
Community dialogue meetings among district leaders improved their willingness to receive Covid-19 vaccines in Western Uganda, May 2021
COVID-19 dialogue meetings led to district leaders' increased risk perception, reduced concerns, and improvement in perceived vaccine benefits, vaccine access, and willingness to receive the COVID-19 vaccine. These could potentially influence public vaccine uptake if leaders are vaccinated publicly as a result. Broader use of such meetings with leaders could increase vaccine uptake among themselves and the community
Timeliness and completeness of weekly surveillance data reporting on epidemic prone diseases in Uganda, 2020–2021
Weekly surveillance reporting on epidemic prone diseases improved modestly over time, but timeliness of reporting was poor. Further investigations to identify barriers to reporting timeliness for surveillance data are needed to address the variations in reporting
Malaria outbreak facilitated by engagement in activities near swamps following increased rainfall and limited preventive measures
In April 2019, the District Health Office of Oyam District, Uganda reported an upsurge in malaria cases exceeding expected epidemic thresholds, requiring outbreak response. We investigated the scope of outbreak and identified exposures for transmission to inform control measures. A confirmed case was a positive malaria rapid diagnostic test or malaria microscopy from 1 January—30 June 2019 in a resident or visitor of Acaba Sub-county, Oyam Distri…
Evaluation of public health surveillance systems in refugee settlements in Uganda, 2016–2019
The surveillance system in the refugee settlements was functional with many performing attributes but with many remaining gaps. There was low capacity for detection, response and data analysis and interpretation in all the refugee settlements. There is need for improvement to align surveillance systems in refugee settlements with the mainstream surveillance system in the country. Implementing Partners should be urged to offer support for surveill…
Large outbreak of Jimsonweed (Datura stramonium) poisoning due to consumption of contaminated humanitarian relief food
This was the largest documented outbreak caused by food contamination with tropane alkaloids. Implicated food was immediately withdrawn. Routine food safety and quality checks could prevent future outbreaks
Malaria outbreak facilitated by increased mosquito breeding sites near houses and cessation of indoor residual spraying, Kole district, Uganda, January-June 2019
Stagnant water formed by increased rainfall likely provided increased breeding sites that drove this outbreak. Cessation of IRS preceded the malaria upsurges. We recommend re-introduction of IRS and removal of mosquito breeding sites in Kole District
Risk perception and psychological state of healthcare workers in referral hospitals during the early phase of the Covid-19 pandemic, Uganda
Forty-four percent of HCWs surveyed in hospitals treating COVID-19 patients during the early COVID-19 epidemic in Uganda reported psychological distress related to fear of infection, stigma, and inadequate PPE. Higher perceived personal risk towards COVID-19 was associated with increased psychological distress. To optimize patient care during the pandemic and future outbreaks, workplace management may consider identifying and addressing HCW conce…
Violence and discrimination among Ugandan residents during the Covid-19 lockdown
A substantial proportion of Ugandan residents experienced violence and/or discrimination during the COVID-19 lockdown, mostly perpetrated by law enforcement officers. We recommend mitigation of the collateral impact of lockdowns with interventions that focus on improving policing quality, ensuring continuity of essential services, and strengthening support systems for vulnerable groups including males
Early cases of Sars-CoV-2 infection in Uganda
BACKGROUND: On March 13, 2020, Uganda instituted COVID-19 symptom screening at its international airport, isolation and SARS-CoV-2 testing for symptomatic persons, and mandatory 14-day quarantine and testing of persons traveling through or from high-risk countries. On March 21, 2020, Uganda reported its first SARS-CoV-2 infection in a symptomatic traveler from Dubai. By April 12, 2020, 54 cases and 1257 contacts were identified. We describe the e…
Uganda’s experience in Ebola virus disease outbreak preparedness, 2018–2019
BACKGROUND: Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda's experience in EVD preparedness. RESULTS: On 4 August 2018, the Uganda Ministry of…
Level and Determinants of Adherence to Covid-19 Preventive Measures in the First Stage of the Outbreak in Uganda
We conducted an online survey in the first two months of the Coronavirus Disease 2019 (COVID-19) epidemic in Uganda to assess the level and determinants of adherence to and satisfaction with the COVID-19 preventive measures recommended by the government. We generated Likert scales for adherence and satisfaction outcome variables and measured them with four preventive measures, including handwashing, wearing face masks, physical distancing, and co…
Comprehensive knowledge of HIV prevention among fishing communities of Lake Kyoga, Uganda, 2013
Half of the population of Lake Kyoga fishing community had comprehensive knowledge of HIV prevention. Long distances from health facilities reduced the level of comprehensive knowledge on HIV transmission. HIV testing increased the level of comprehensive knowledge on HIV transmission. Ministry of health should ensure that HIV/AIDS information; education and communication and HIV counseling and testing activities are intensified in fishing communi…
Factors Associated with Utilisation of Couple HIV Counselling and Testing Among HIV-Positive Adults in Kyoga Fishing Community Uganda, May 2017
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A large and persistent outbreak of typhoid fever caused by consuming contaminated water and street-vended beverages
Contaminated water and street-vended beverages were likely vehicles of this outbreak. At our recommendation authorities closed unsafe water sources and supplied safe water to affected areas
Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda
Background: Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnerships is critical for sustainability of such a system. Uganda has made significant progress in responding to emergencies during the past quarter century,…
The logic model for Uganda’s health sector preparedness for public health threats and emergencies
Background: Uganda is an ecological hot-spot with infectious disease transmission belts which exacerbates its vulnerability to epidemics. Its proximity to the Congo Basin, climate change pressure on eco-systems, increased international travel and globalization, and influx of refugees due to porous borders, has compounded the problem. Public Health Events are a major challenge in the region with significant impact on Global Health Security.Objecti…
Fatal cases associated with eating chapatti contaminated with organophosphate in Tororo District, Eastern Uganda, 2015
Few cases of organophosphate poisoning in developing countries have been investigated using clinical and epidemiological methods. On 30 October 2015, 3 students at Mukuju School, Tororo District, Uganda, died soon after eating chapatti (locally-made flat bread) from the same food stand. Ministry of Health investigated to identify the cause and recommend prevention measures. We defined a case as onset during 30–31 October 2015 in a resident of Muk…
Early cases of Sars-CoV-2 infection in Uganda
BACKGROUND: On March 13, 2020, Uganda instituted COVID-19 symptom screening at its international airport, isolation and SARS-CoV-2 testing for symptomatic persons, and mandatory 14-day quarantine and testing of persons traveling through or from high-risk countries. On March 21, 2020, Uganda reported its first SARS-CoV-2 infection in a symptomatic traveler from Dubai. By April 12, 2020, 54 cases and 1257 contacts were identified. We describe the e…
Uganda’s experience in Ebola virus disease outbreak preparedness, 2018–2019
BACKGROUND: Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda's experience in EVD preparedness. RESULTS: On 4 August 2018, the Uganda Ministry of…
Level and Determinants of Adherence to Covid-19 Preventive Measures in the First Stage of the Outbreak in Uganda
We conducted an online survey in the first two months of the Coronavirus Disease 2019 (COVID-19) epidemic in Uganda to assess the level and determinants of adherence to and satisfaction with the COVID-19 preventive measures recommended by the government. We generated Likert scales for adherence and satisfaction outcome variables and measured them with four preventive measures, including handwashing, wearing face masks, physical distancing, and co…
Comprehensive knowledge of HIV prevention among fishing communities of Lake Kyoga, Uganda, 2013
Half of the population of Lake Kyoga fishing community had comprehensive knowledge of HIV prevention. Long distances from health facilities reduced the level of comprehensive knowledge on HIV transmission. HIV testing increased the level of comprehensive knowledge on HIV transmission. Ministry of health should ensure that HIV/AIDS information; education and communication and HIV counseling and testing activities are intensified in fishing communi…
Factors Associated with Utilisation of Couple HIV Counselling and Testing Among HIV-Positive Adults in Kyoga Fishing Community Uganda, May 2017
Risk perception and psychological state of healthcare workers in referral hospitals during the early phase of the Covid-19 pandemic, Uganda
Forty-four percent of HCWs surveyed in hospitals treating COVID-19 patients during the early COVID-19 epidemic in Uganda reported psychological distress related to fear of infection, stigma, and inadequate PPE. Higher perceived personal risk towards COVID-19 was associated with increased psychological distress. To optimize patient care during the pandemic and future outbreaks, workplace management may consider identifying and addressing HCW conce…
Violence and discrimination among Ugandan residents during the Covid-19 lockdown
A substantial proportion of Ugandan residents experienced violence and/or discrimination during the COVID-19 lockdown, mostly perpetrated by law enforcement officers. We recommend mitigation of the collateral impact of lockdowns with interventions that focus on improving policing quality, ensuring continuity of essential services, and strengthening support systems for vulnerable groups including males
Malaria outbreak facilitated by engagement in activities near swamps following increased rainfall and limited preventive measures
In April 2019, the District Health Office of Oyam District, Uganda reported an upsurge in malaria cases exceeding expected epidemic thresholds, requiring outbreak response. We investigated the scope of outbreak and identified exposures for transmission to inform control measures. A confirmed case was a positive malaria rapid diagnostic test or malaria microscopy from 1 January—30 June 2019 in a resident or visitor of Acaba Sub-county, Oyam Distri…
Evaluation of public health surveillance systems in refugee settlements in Uganda, 2016–2019
The surveillance system in the refugee settlements was functional with many performing attributes but with many remaining gaps. There was low capacity for detection, response and data analysis and interpretation in all the refugee settlements. There is need for improvement to align surveillance systems in refugee settlements with the mainstream surveillance system in the country. Implementing Partners should be urged to offer support for surveill…
Large outbreak of Jimsonweed (Datura stramonium) poisoning due to consumption of contaminated humanitarian relief food
This was the largest documented outbreak caused by food contamination with tropane alkaloids. Implicated food was immediately withdrawn. Routine food safety and quality checks could prevent future outbreaks
Malaria outbreak facilitated by increased mosquito breeding sites near houses and cessation of indoor residual spraying, Kole district, Uganda, January-June 2019
Stagnant water formed by increased rainfall likely provided increased breeding sites that drove this outbreak. Cessation of IRS preceded the malaria upsurges. We recommend re-introduction of IRS and removal of mosquito breeding sites in Kole District
Uganda’s experience in establishing an electronic compendium for public health emergencies
Uganda has implemented several interventions that have contributed to prevention, early detection, and effective response to Public Health Emergencies (PHEs). However, there are gaps in collecting and documenting data on the overall response to these PHEs. We set out to establish a comprehensive electronic database of PHEs that occurred in Uganda since 2000. We constituted a core development team, developed a data dictionary, and worked with Heal…
Community dialogue meetings among district leaders improved their willingness to receive Covid-19 vaccines in Western Uganda, May 2021
COVID-19 dialogue meetings led to district leaders' increased risk perception, reduced concerns, and improvement in perceived vaccine benefits, vaccine access, and willingness to receive the COVID-19 vaccine. These could potentially influence public vaccine uptake if leaders are vaccinated publicly as a result. Broader use of such meetings with leaders could increase vaccine uptake among themselves and the community
Timeliness and completeness of weekly surveillance data reporting on epidemic prone diseases in Uganda, 2020–2021
Weekly surveillance reporting on epidemic prone diseases improved modestly over time, but timeliness of reporting was poor. Further investigations to identify barriers to reporting timeliness for surveillance data are needed to address the variations in reporting
Syndromic surveillance during 2022 Uganda Martyrs’ commemoration
Mass gatherings frequently include close, prolonged interactions between people, which presents opportunities for infectious disease transmission. Over 20,000 pilgrims gathered at Namugongo Catholic and Protestant shrines to commemorate 2022 Uganda Martyr’s Day. We described syndromes suggestive of key priority diseases particularly COVID–19 and viral hemorrhagic fever (VHF) among visiting pilgrims during May 25–June 5, 2022. We conducted a surve…
Investigation of Covid-19 outbreak at a refugee transit centre, Kisoro District, Uganda, June–July 2022
Due to conflict in the Democratic Republic of Congo (DRC), approximately 34,000 persons arrived at Nyakabande Transit Centre (NTC) between March and June 2022. On June 12, 2022, Kisoro District reported >330 cases of COVID-19 among NTC residents. We investigated the outbreak to assess its magnitude, identify risk factors, and recommend control measures. We defined a confirmed case as a positive SARS-CoV-2 antigen test in an NTC resident during Ma…
Cross border population movements across three East African states
The frequent population movement across the five East African Countries poses risk of disease spread in the region. A clear understanding of population movement patterns is critical for informing cross-border disease control interventions. We assessed population mobility patterns across the borders of the East African states of Kenya, Uganda, and Rwanda. In November 2022, we conducted Focus Group Discussions (FGDs), Key Informant Interviews (KIIs…
Stigma among ebola disease survivors in Mubende and Kassanda districts, Central Uganda, 2022
Ebola disease survivors often experience stigma in multiple forms, including felt (perceived) stigma, enacted (action-based) stigma, and institutional stigma. On September 20, 2022, Uganda declared a Sudan Virus Disease (species orthoebolavirus sudanense ) outbreak after a patient with confirmed Sudan virus (SUDV) infection was identified in Mubende District. The outbreak led to 142 confirmed and 22 probable cases over the next two months. We exa…
Evaluation of response to a cholera outbreak in January 2024 using the 7–1–7 timeliness metrics
Response to an imported cholera outbreak at Elegu border point demonstrated Uganda's preparedness in managing cross-border disease outbreaks. Achieving the 7-1-7 targets highlighted the country's-built capacity to detect, notify, and respond to such events. Continued investment in local-level disease detection, communication, and national-level resource mobilization will be crucial to sustaining future effective cross-border outbreak prevention a…
Using a quality improvement approach to improve reporting of malaria deaths in Namutumba District, Eastern Uganda, 2022–2023
Background Reporting malaria deaths is critical for assessing prevention and case management interventions. In Uganda, malaria mortality is recorded in inpatient registers and reported through weekly and monthly surveillance reports. During a data quality assessment in Namutumba District in October 2022, we found more malaria deaths in health facility registers than were reported. We conducted a continuous quality improvement initiative to improv…
Long-term impact of 10-valent pneumococcal conjugate vaccine among children <5 years, Uganda, 2014–2021
Pneumonia is the second leading cause of hospital admissions and deaths among children 30%) every year while Kasese District had persistently high mortality rates (68–150 deaths per 100,000 children
Medicine (28 obras) · Environmental health (18 obras) · Public health (16 obras) · Nursing (12 obras) · Disease (10 obras) · Outbreak (10 obras) · Family medicine (9 obras) · Viral Infections and Outbreaks Research (9 obras) · Biostatistics (8 obras) · Internal Medicine (8 obras)