Gerald Mutungi
Dados Biográficos
| ID | 6777469 |
|---|---|
| NOME | Gerald Mutungi |
| PRENOMES | Gerald |
| SOBRENOME | Mutungi |
| ASSINATURA | MUTUNGI G |
| AFILIAÇÕES | Ministry of Health |
| ORCID | 0000-0002-6338-6815 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 12 |
| TOTAL DE CITAÇÕES | 3 |
| TOTAL COMO AUTOR | 12 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2015 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Changes in the prevalence of the common risk factors for non-communicable diseases in Uganda between 2014 and 2023
Non-communicable diseases (NCDs) remain the biggest contributor to global mortality. An important way to control NCDs is to focus on reducing the prevalence of the common NCD risk factors for better NCD prevention planning. Uganda conducted its first nationally representative NCD risk factor survey in 2014, and a second in 2023. We analyzed the prevalence of the common NCD risk factors to assess changes in these between 2014 and 2023. Both survey…
Harnessing HIV clinics to deliver integrated hypertension care for People living with HIV in Uganda
Access to antiretroviral therapy has led to better treatment outcomes for aging people living with HIV worldwide. However, in Uganda and other parts of sub-Saharan Africa, PLHIV with comorbidities like hypertension experience fragmented healthcare access, despite existing guidelines for the integration of non-communicable diseases into HIV care. We assessed knowledge, attitudes, and practices of PLHIV regarding hypertension care, and their percep…
Estimated cost-savings from integrated care for HIV, diabetes and hypertension in sub-Saharan Africa
Background In a cluster-randomised trial in Uganda and Tanzania, we showed that integrated management, compared with standard vertical care, could achieve a high standard of care for diabetes and hypertension without adversely affecting outcomes for HIV. However, evidence on the value for money of integrated care is needed to inform policy.Objective Our economic evaluation aimed to establish the value for money of integrated care compared with ve…
National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022
BACKGROUND: Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022. METHODS: We collated physical activity reported …
Current out of pocket care costs among HIV and hypertension co-morbid patients in urban and peri-urban Uganda
Background Despite improvements to the cascade of HIV care in East Africa, access to care for non-communicable disease co-morbidities like hypertension (HTN) remains a persistent problem. The integration of care for these conditions presents an opportunity to achieve efficiencies in delivery as well as decrease overall costs for patients. This study aims to build evidence on the burden of current out-of-pocket costs of care among HIV-HTN co-morbi…
Scaling up integrated care for HIV and other chronic conditions in routine health care settings in sub-Saharan Africa
Evidence on the benefits of integrated care remains limited. More robust evidence will be essential to guide scale-up beyond research sites
‘Implementability’ matters
The ‘implementation gap’ between national plans and successful implementation is a central theme in addressing non-communicable diseases (NCDs). It is a factor that has undermined Sustainable Development Goal 3.4, which aims to achieve a one-third reduction in premature mortality from four major NCDs by 2030. Responding to the potential of implementation research to support low-income and middle-income countries to effectively advance their strat…
Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa
Conducting intervention studies in Africa, where medicines supply for chronic conditions is inequitable and patchy, raises major ethical issues. \n \nHere we discuss what should the ethical approach be for a research programme in terms of provision of a steady and sustainable supply of medicines for patients with diabetes and hypertension
Healthcare delivery for paediatric and adolescent diabetes in low resource settings
The management of type 1 diabetes (T1DM) includes setting up organised follow-up clinics. A programme for establishing such clinics in Uganda commenced in 2009. The clinics were established along the chronic care model and were integrated into the health structure of other chronic diseases. Web-based electronic medical records were utilised to establish a centralised registry. All children with diabetes below 18 years of age were encouraged to en…
Alcohol use among adults in Uganda
BACKGROUND: There are limited data on levels of alcohol use in most sub-Saharan African countries. OBJECTIVE: We analyzed data from Uganda's non-communicable diseases risk factor survey conducted in 2014, to identify alcohol use prevalence and associated factors. DESIGN: The survey used the World Health Organization STEPS tool to collect data, including the history of alcohol use. Alcohol users were categorized into low-, medium-, and high-end us…
Burden of cumulative risk factors associated with non-communicable diseases among adults in Uganda
The non-communicable disease burden is on the increase, with more participants reporting to have at least two risk factors. Our findings imply that, besides endogenous factors, exogenous factors such as region, residence status, land tenure system and behavioral characteristics have significant causal effects on the cumulative NCD risk factors. Subsequently, while developing interventions to combat cumulative risk factors of NCDs, the Ministry of…
Towards reframing health service delivery in Uganda
BACKGROUND: The burden of non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is accelerating. Given that the capacity of health systems in LMICs is already strained by the weight of communicable diseases, these countries find themselves facing a double burden of disease. NCDs contribute significantly to morbidity and mortality, thereby playing a major role in the cycle of poverty, and impeding development. METHODS: Integ…
Scaling up integrated care for HIV and other chronic conditions in routine health care settings in sub-Saharan Africa
Evidence on the benefits of integrated care remains limited. More robust evidence will be essential to guide scale-up beyond research sites
Towards reframing health service delivery in Uganda
BACKGROUND: The burden of non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is accelerating. Given that the capacity of health systems in LMICs is already strained by the weight of communicable diseases, these countries find themselves facing a double burden of disease. NCDs contribute significantly to morbidity and mortality, thereby playing a major role in the cycle of poverty, and impeding development. METHODS: Integ…
Alcohol use among adults in Uganda
BACKGROUND: There are limited data on levels of alcohol use in most sub-Saharan African countries. OBJECTIVE: We analyzed data from Uganda's non-communicable diseases risk factor survey conducted in 2014, to identify alcohol use prevalence and associated factors. DESIGN: The survey used the World Health Organization STEPS tool to collect data, including the history of alcohol use. Alcohol users were categorized into low-, medium-, and high-end us…
Burden of cumulative risk factors associated with non-communicable diseases among adults in Uganda
The non-communicable disease burden is on the increase, with more participants reporting to have at least two risk factors. Our findings imply that, besides endogenous factors, exogenous factors such as region, residence status, land tenure system and behavioral characteristics have significant causal effects on the cumulative NCD risk factors. Subsequently, while developing interventions to combat cumulative risk factors of NCDs, the Ministry of…
Healthcare delivery for paediatric and adolescent diabetes in low resource settings
The management of type 1 diabetes (T1DM) includes setting up organised follow-up clinics. A programme for establishing such clinics in Uganda commenced in 2009. The clinics were established along the chronic care model and were integrated into the health structure of other chronic diseases. Web-based electronic medical records were utilised to establish a centralised registry. All children with diabetes below 18 years of age were encouraged to en…
Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa
Conducting intervention studies in Africa, where medicines supply for chronic conditions is inequitable and patchy, raises major ethical issues. \n \nHere we discuss what should the ethical approach be for a research programme in terms of provision of a steady and sustainable supply of medicines for patients with diabetes and hypertension
‘Implementability’ matters
The ‘implementation gap’ between national plans and successful implementation is a central theme in addressing non-communicable diseases (NCDs). It is a factor that has undermined Sustainable Development Goal 3.4, which aims to achieve a one-third reduction in premature mortality from four major NCDs by 2030. Responding to the potential of implementation research to support low-income and middle-income countries to effectively advance their strat…
Scaling up integrated care for HIV and other chronic conditions in routine health care settings in sub-Saharan Africa
Evidence on the benefits of integrated care remains limited. More robust evidence will be essential to guide scale-up beyond research sites
National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022
BACKGROUND: Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022. METHODS: We collated physical activity reported …
Current out of pocket care costs among HIV and hypertension co-morbid patients in urban and peri-urban Uganda
Background Despite improvements to the cascade of HIV care in East Africa, access to care for non-communicable disease co-morbidities like hypertension (HTN) remains a persistent problem. The integration of care for these conditions presents an opportunity to achieve efficiencies in delivery as well as decrease overall costs for patients. This study aims to build evidence on the burden of current out-of-pocket costs of care among HIV-HTN co-morbi…
Changes in the prevalence of the common risk factors for non-communicable diseases in Uganda between 2014 and 2023
Non-communicable diseases (NCDs) remain the biggest contributor to global mortality. An important way to control NCDs is to focus on reducing the prevalence of the common NCD risk factors for better NCD prevention planning. Uganda conducted its first nationally representative NCD risk factor survey in 2014, and a second in 2023. We analyzed the prevalence of the common NCD risk factors to assess changes in these between 2014 and 2023. Both survey…
Harnessing HIV clinics to deliver integrated hypertension care for People living with HIV in Uganda
Access to antiretroviral therapy has led to better treatment outcomes for aging people living with HIV worldwide. However, in Uganda and other parts of sub-Saharan Africa, PLHIV with comorbidities like hypertension experience fragmented healthcare access, despite existing guidelines for the integration of non-communicable diseases into HIV care. We assessed knowledge, attitudes, and practices of PLHIV regarding hypertension care, and their percep…
Estimated cost-savings from integrated care for HIV, diabetes and hypertension in sub-Saharan Africa
Background In a cluster-randomised trial in Uganda and Tanzania, we showed that integrated management, compared with standard vertical care, could achieve a high standard of care for diabetes and hypertension without adversely affecting outcomes for HIV. However, evidence on the value for money of integrated care is needed to inform policy.Objective Our economic evaluation aimed to establish the value for money of integrated care compared with ve…
Medicine (11 obras) · Environmental health (6 obras) · Health care (6 obras) · Global Public Health Policies and Epidemiology (5 obras) · HIV/AIDS Research and Interventions (5 obras) · Business (4 obras) · Demography (4 obras) · Economic growth (4 obras) · Family medicine (4 obras) · HIV-related health complications and treatments (4 obras)