Peter Waiswa
Dados Biográficos
| ID | 5485765 |
|---|---|
| NOME | Peter Waiswa |
| PRENOMES | Peter |
| SOBRENOME | Waiswa |
| ASSINATURA | WAISWA P |
| AFILIAÇÕES | Makerere University |
| ORCID | 0000-0001-8221-902X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 96 |
| TOTAL DE CITAÇÕES | 37 |
| TOTAL COMO AUTOR | 96 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Beyond Ebola disease
(De)coding perinatal deaths
BACKGROUND: To reduce perinatal deaths, identification of their causes is paramount. 'The WHO application of ICD-10 to deaths during the perinatal period' (ICD-PM) was developed to improve the quality of perinatal death data. OBJECTIVES: To determine stillbirth and very early neonatal death rates across 16 hospitals in Benin, Malawi, Tanzania, and Uganda, examine causes of death and associated maternal conditions applying the ICD-PM, and assess h…
Stillbirth and newborn data quality and use and related input and process factors
Background: High quality data is mandatory when shaping action-oriented policies aimed at reducing preventable neonatal deaths. Ethiopia has a high a neonatal mortality rate, but there has been limited assessment of the quality and use of newborn data, and its contributing factors. Methods: We conducted a cross-sectional study in Ethiopia from November 2022 to September 2023 in 35 sites: 24 facilities, 10 subnational data offices, and the Ministr…
Digitising payments for campaign health workers in Africa
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
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…
Stillbirth and newborn data quality and use and related input and process factors
Background: The reduction of preventable newborn deaths in low- and middle-income countries is a global priority. The availability of high-quality newborn and stillbirth data is essential for shaping action-oriented policies and interventions towards resolving these challenges. Using a mixed-methods approach, we evaluated the input and process factors hindering data quality and use in Uganda. Methods: We conducted a cross-sectional study from Nov…
A landscape analysis of enablers and barriers to digital payments to health workers during large-scale immunisation campaigns in sub-Saharan Africa
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…
Development of a multidimensional deprivation index for emerging municipalities and cities in Uganda
This study advances the measurement of urban living standards deprivation by developing a context-specific multidimensional deprivation index and estimating the extent of deprivation in Uganda’s newly gazetted municipalities and cities. The analysis draws on household listing data collected in November 2021 from 5987 households in Jinja City and Iganga Municipality. Exploratory and confirmatory factor analyses were used to identify latent depriva…
Women's experiences negotiating barriers and asserting agency on family planning in urban east-central Uganda
Many women in Uganda face barriers to using family planning in ways that are safe and responsive to their needs. This study explored the experiences of women in urban east-central Uganda to understand how they access, use, and navigate family planning services to identify opportunities for service improvement. Ten women participated in a three-month photovoice process combining photography with bi-monthly group discussions. Data were analysed usi…
Maternal and child healthcare coverage and trends
Novel approach - leveraging routine facility data, revealed MCH coverage was modestly consistently higher in RH districts over the years and RH status influenced ANC4 coverage. Overall district-CCI depended on Government investment and health systems performance implying increase in PHC financing could be a key driver to universal district-level improvement
WHO launches global network of institutes to strengthen capacity for health inequality monitoring
This article introduces the global WHO-managed Health Inequality Monitoring Network, which is dedicated to strengthening and expanding health inequality monitoring practices at global, regional and country levels. Launched in 2025, the Health Inequality Monitoring Network consists of 12 inaugural institutional members, represented by over 140 affiliated individuals spanning all world regions. The Network aims to: strengthen capacities for health …
Associations between digital financial services and health campaign workers’ perceived satisfaction, motivation and performance in Nigeria
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…
Feasibility, acceptability and preliminary effectiveness of the Hospital to Home discharge and follow-up programme in rural Uganda
INTRODUCTION: Over 60% of premature infants are born in Africa or South Asia. Infants born early, small or who become sick after birth have a higher risk of death, poor growth and developmental impairments. Innovative interventions tailored for low- and middle-income countries are essential to help these newborns survive and develop optimally. This study evaluated the feasibility, acceptability and preliminary effectiveness of Hospital to Home (H…
Salary delays among public sector primary care workers
BACKGROUND: Primary healthcare is crucial for universal health coverage in low- and middle-income countries. While research on improving workforce performance has focused on training and incentives, the impact of basic payment system functions remains underexplored. This study investigates salary delays among public-sector primary care workers across 16 low- and middle-income countries and the association of delays with worker outcomes. METHODS: …
Assessing the feasibility of partner-implemented digital payment systems for health workers
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
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…
Using causal loop diagrams to examine the interrelationships between factors influencing family planning utilisation in urban east central Uganda
INTRODUCTION: Despite progress in reducing Uganda's unmet need for family planning (FP), particularly in urban areas, it remains high with notable intraurban disparities. FP services in urban settings are delivered in a complex health system, which impacts service delivery and utilisation. Acknowledging the complexity of FP utilisation in these contexts, this study adopted a systems thinking approach, using causal loop diagrams (CLDs), to examine…
Opening the black box of agency in contraceptive decision-making
Mixed-methods evaluation of a Global South-North research fellowship in Uganda
Integrated, simultaneous training of Global South and North trainees offers novel opportunities to enhance equitable collaboration and research capacity in global health. While existing programs often focus on exchange rotations or separate training tracks, simultaneous training of Global South and North trainees in the same intensive program remains understudied. We describe the Global Health Experiential Fellowship (GHEF), which combines resear…
Engaging community groups to enhance healthcare access for persons with disabilities in rural Uganda
Community participation is a promising strategy for addressing local health needs through identification of context-specific challenges and developing sustainable solutions. However, its feasibility for persons with disabilities, who are often marginalized and excluded from participation, remains uncertain. Our study examines barriers and facilitators to community group participation in improving healthcare access for persons with disabilities in…
Facility newborn and stillbirth data use and enabling factors at different levels of the health system
Background: Improving data quality and use is a priority identified by the World Health Organization (WHO) to reduce stillbirths and newborn deaths; however, few studies have documented newborn and stillbirth data use in the African Region. To address this gap, we conducted a cross-sectional study from November 2022 to July 2024 in 12 regions and four city administrations across the Central African Republic (CAR), Ethiopia, Tanzania, and Uganda. …
Functionalities of electronic routine health information systems related to newborn data
Background: Adequate functionality of electronic routine health information systems (eRHISs) is crucial for data use, yet few studies explored it in relation to newborn and stillbirth data in Africa. Methods: We conducted this cross-sectional study between November 2022 and July 2024 in data offices at central and subnational levels in 12 regions and 4 city administrations in the Central African Republic (CAR), Ethiopia, Tanzania, and Uganda. Exc…
Organisational and management factors and related end-users’ perspectives relevant to newborn and stillbirth data at different levels of the health system
Background: As few studies systematically analysed organisational and management factors related to newborn and stillbirth data quality, we sought to identify specific gaps in these factors to provide evidence for planning tailored actions. Methods: We performed a cross-sectional survey in 12 regions and 4 city administrations in the Central African Republic (CAR), Ethiopia, Tanzania, and Uganda between November 2022 and July 2024, collecting dat…
Availability and the quality of key newborn data within routine health facility data
Background: With declining funding for population-based household surveys, routine health facility data offer a promising alternative for tracking newborn health and service quality. However, their utility depends on data quality. We assessed the quality of ten data elements within routine health information systems in the Central African Republic (CAR), Ethiopia, Tanzania, and Uganda, seven of which align with the Every Newborn Action Plan core …
Unwrapping the Global Financing Facility
The Global Financing Facility (GFF), launched in 2015, aims to catalyse funding for reproductive, maternal, newborn, child, and adolescent health, and nutrition. Few independent assessments have evaluated its processes and impact. We conducted a multi-layered policy analysis of GFF documents - the Investment Cases (ICs) and the GFF-linked World Bank Project Appraisal Documents (PADs) - examining the content of GFF documents for 28 countries, comp…
Preference‐Aligned Fertility Management as a Person‐Centered Alternative to Contraceptive Use‐Focused Measures
Equating contraceptive use with programmatic success is fundamentally flawed in failing to account for whether individuals desire contraceptive use; this is problematic because nonuse can reflect empowered decision‐making and use may reflect an individual's inability to refuse or discontinue a method. A rights‐based approach demands respect for individuals’ freedom to weigh options and choose how their desire for pregnancy prevention can be accom…
Newborn survival in Uganda
Each year in Uganda 141 000 children die before reaching their fifth birthday; 26% of these children die in their first month of life. In a setting of persistently high fertility rates, a crisis in human resources for health and a recent history of civil unrest, Uganda has prioritized Millennium Development Goals 4 and 5 for child and maternal survival. As part of a multi-country analysis we examined change for newborn survival over the past deca…
Overview, methods and results of multi-country community-based maternal and newborn care economic analysis
Home visits for pregnancy and postnatal care were endorsed by the WHO and partners as a complementary strategy to facility-based care to reduce newborn and maternal mortality. This article aims to synthesise findings and implications from the economic analyses of community-based maternal and newborn care (CBMNC) evaluations in seven countries. The evaluations included five cluster randomized trials (Ethiopia, Ghana, South Africa, Tanzania, Uganda…
How people-centred health systems can reach the grassroots
BACKGROUND: Quality improvement (QI) methods engage stakeholders in identifying problems, creating strategies called change ideas to address those problems, testing those change ideas and scaling them up where successful. These methods have rarely been used at the community level in low-income country settings. Here we share experiences from rural Tanzania and Uganda, where QI was applied as part of the Expanded Quality Management Using Informati…
Uganda Newborn Study (Unest) trial
The Uganda Newborn Study (UNEST) was a two-arm cluster Randomized Control Trial to study the effect of pregnancy and postnatal home visits by local community health workers called 'Village Health Teams' (VHT) coupled with health systems strengthening. To inform programme planning and decision making, additional economic and financial costs of community and facility components were estimated from the perspective of the provider using the Excel-bas…
Scaling up antiretroviral therapy in Uganda
BACKGROUND: Strengthened national health systems are necessary for effective and sustained expansion of antiretroviral therapy (ART). ART and its supply chain management in Uganda are largely based on parallel and externally supported efforts. The question arises whether systems are being strengthened to sustain access to ART. This study applies systems thinking to assess supply chain management, the role of external support and whether investmen…
Increasing access to institutional deliveries using demand and supply side incentives
BACKGROUND: Geographical inaccessibility, lack of transport, and financial burdens are some of the demand side constraints to maternal health services in Uganda, while supply side problems include poor quality services related to unmotivated health workers and inadequate supplies. Most public health interventions in Uganda have addressed only selected supply side issues, and universities have focused their efforts on providing maternal services a…
The effect of distance to formal health facility on childhood mortality in rural Tanzania, 2005–2007
BACKGROUND: Major improvements are required in the coverage and quality of essential childhood interventions to achieve Millennium Development Goal Four (MDG 4). Long distance to health facilities is one of the known barriers to access. We investigated the effect of networked and Euclidean distances from home to formal health facilities on childhood mortality in rural Tanzania between 2005 and 2007. METHODS: A secondary analysis of data from a co…
Newborn survival in Uganda
Each year in Uganda 141 000 children die before reaching their fifth birthday; 26% of these children die in their first month of life. In a setting of persistently high fertility rates, a crisis in human resources for health and a recent history of civil unrest, Uganda has prioritized Millennium Development Goals 4 and 5 for child and maternal survival. As part of a multi-country analysis we examined change for newborn survival over the past deca…
Every Newborn
Improving newborn care practices through home visits
BACKGROUND: Nearly all newborn deaths occur in low- or middle-income countries. Many of these deaths could be prevented through promotion and provision of newborn care practices such as thermal care, early and exclusive breastfeeding, and hygienic cord care. Home visit programmes promoting these practices were piloted in Malawi, Nepal, Bangladesh, and Uganda. OBJECTIVE: This study assessed changes in selected newborn care practices over time in p…
Differences in essential newborn care at birth between private and public health facilities in eastern Uganda
BACKGROUND: In Uganda and elsewhere, the private sector provides an increasing and significant proportion of maternal and child health services. However, little is known whether private care results in better quality services and improved outcomes compared to the public sector, especially regarding care at the time of birth. OBJECTIVE: To describe the characteristics of care-seekers and assess newborn care practices and services received at publi…
Newborn Health in Uganda
No abstract available. (Published: 31 March 2015) Citation : Glob Health Action 2015, 8 : 27363 - http://dx.doi.org/10.3402/gha.v8.27363 SPECIAL ISSUE : This paper is part of the Special Issue: Newborn health in Uganda . More papers from this issue can be found at http://www.globalhealthaction.net
Weeping in silence
BACKGROUND: Stillbirths do not register amongst national or global public health priorities, despite large numbers and known solutions. Although not accounted in statistics - these deaths count for families. Part of this disconnect is that very little is known about the lived experiences and perceptions of those experiencing this neglected problem. OBJECTIVE: This study aimed to explore local definitions and perceived causes of stillbirths as wel…
Strengthening health facilities for maternal and newborn care
BACKGROUND: In Uganda maternal and neonatal mortality remains high due to a number of factors, including poor quality of care at health facilities. OBJECTIVE: This paper describes the experience of building capacity for maternal and newborn care at a district hospital and lower-level health facilities in eastern Uganda within the existing system parameters and a robust community outreach programme. DESIGN: This health system strengthening study, …
Effect of the Uganda Newborn Study on care-seeking and care practices
BACKGROUND: Care for women and babies before, during, and after the time of birth is a sensitive measure of the functionality of any health system. Engaging communities in preventing newborn deaths is a promising strategy to achieve further progress in child survival in sub-Saharan Africa. OBJECTIVE: To assess the effect of a home visit strategy combined with health facility strengthening on uptake of newborn care-seeking, practices and services,…
‘As soon as the umbilical cord gets off, the child ceases to be called a newborn’
BACKGROUND: The first week of life is the time of greatest risk of death and disability, and is also associated with many traditional beliefs and practices. Identifying sick newborns in the community and referring them to health facilities is a key strategy to reduce deaths. Although a growing area of interest, there remains a lack of data on the role of sociocultural norms and practices on newborn healthcare-seeking in sub-Saharan Africa and the…
Engaging community health workers in maternal and newborn care in eastern Uganda
BACKGROUND: Community health workers (CHWs) have been employed in a number of low- and middle-income countries as part of primary health care strategies, but the packages vary across and even within countries. The experiences and motivations of a multipurpose CHW in providing maternal and newborn health have not been well described. OBJECTIVE: This study examined the perceptions of community members and experiences of CHWs around promoting matern…
Designing for action
BACKGROUND: There is a lack of literature on how to adapt new evidence-based interventions for maternal and newborn care into local health systems and policy for rapid scale-up, particularly for community-based interventions in low-income settings. The Uganda Newborn Study (UNEST) was a cluster randomised control trial to test a community-based care package which was rapidly taken up at national level. Understanding this process may help inform o…
Strategies for helping families prepare for birth
BACKGROUND: Promotion of birth preparedness and raising awareness of potential complications is one of the main strategies to enhance the timely utilisation of skilled care at birth and overcome barriers to accessing care during emergencies. OBJECTIVE: This study aimed to investigate factors associated with birth preparedness in three districts of eastern central Uganda. DESIGN: This was a cross-sectional baseline study involving 2,010 women from…
Improving child survival through a district management strengthening and community empowerment intervention
The UNICEF tools were adopted at district level and generally well perceived by the DHTs. The limited resources and fiscal decision space however can hinder implementation of prioritized activities. Community dialogues based on CRCs can bring service providers and the community together but need to be embedded in existing community structures for sustainability
Stillbirths
An estimated 2.6 million third trimester stillbirths occurred in 2015 (uncertainty range 2.4-3.0 million). The number of stillbirths has reduced more slowly than has maternal mortality or mortality in children younger than 5 years, which were explicitly targeted in the Millennium Development Goals. The Every Newborn Action Plan has the target of 12 or fewer stillbirths per 1000 births in every country by 2030. 94 mainly high-income countries and …
National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000
BACKGROUND: Previous estimates have highlighted a large global burden of stillbirths, with an absence of reliable data from regions where most stillbirths occur. The Every Newborn Action Plan (ENAP) targets national stillbirth rates (SBRs) of 12 or fewer stillbirths per 1000 births by 2030. We estimate SBRs and numbers for 195 countries, including trends from 2000 to 2015. METHODS: We collated SBR data meeting prespecified inclusion criteria from…
The performance of community health workers in the management of multiple childhood infectious diseases in Lira, northern Uganda – a mixed methods cross-sectional study
BACKGROUND: Community health workers (CHWs) have the potential to reduce child mortality by improving access to care, especially in remote areas. Uganda has one of the highest child mortality rates globally. Moreover, rural areas bear the highest proportion of this burden. The optimal performance of CHWs is critical. In this study, we assess the performance of CHWs in managing malaria, pneumonia, and diarrhea in the rural district of Lira, in nor…
Comparing performance of methods used to identify pregnant women, pregnancy outcomes, and child mortality in the Iganga-Mayuge Health and Demographic Surveillance Site, Uganda
BACKGROUND: In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify pregnancies and retrospectively capture pregnancy outcomes to provide data for decision making. However, little is known about th…
Bottleneck analysis at district level to illustrate gaps within the district health system in Uganda
BACKGROUND: Poor quality of care and access to effective and affordable interventions have been attributed to constraints and bottlenecks within and outside the health system. However, there is limited understanding of health system barriers to utilization and delivery of appropriate, high-impact, and cost-effective interventions at the point of service delivery in districts and sub-districts in low-income countries. In this study we illustrate t…
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
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
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…
Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices
BACKGROUND: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services. OBJECTIVES: This study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices. METHODS: The quasi-experimental pre- and post-comparison design had two main components: community mobilization and empowerment, and health provider c…
Maternal and neonatal implementation for equitable systems. A study design paper
BACKGROUND: Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability. OBJECTIVES: The study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach. METHODS: The study consisted of a quasi-experimental design, w…
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