Suzanne N Kiwanuka
Dados Biográficos
| ID | 7581499 |
|---|---|
| NOME | Suzanne N Kiwanuka |
| PRENOMES | Suzanne N |
| SOBRENOME | Kiwanuka |
| ASSINATURA | KIWANUKA S N |
| AFILIAÇÕES | Makerere University |
| ORCID | 0000-0003-4729-4897 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 36 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 36 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Resilience of health systems in Africa to infectious disease shocks
Strong and resilient health systems are those equipped to withstand shocks and continue providing quality services as response measures are implemented. We conducted a qualitative evidence synthesis of stakeholders' understanding of health system resilience in Africa, focusing on definitions and attributes. We searched for peer-reviewed articles and grey literature, filtered for Africa, from 1980 to November 2025, using the SPIDER framework. The …
Willingness and perceived ability to pay for Uganda’s proposed national health insurance scheme among informal sector workers in Iganga and Mayuge districts, Uganda
High out-of-pocket expenditures (OOPE) continue to make access to healthcare a challenge among informal sector workers in most low-income countries. In response, Uganda has proposed a national health insurance scheme (NHIS), although the informal sector’s willingness and ability to pay for it remains unexplored. This study assessed the willingness and perceived ability to pay for the proposed NHIS, along with their determinants, among informal se…
Help-seeking among women with disabilities who experience domestic violence in Uganda
BACKGROUND: Women with disabilities face heightened vulnerability to domestic violence and often encounter multiple barriers to seeking help. However, empirical evidence on help-seeking behaviour among this group in low-resource settings remains limited. OBJECTIVE: The study assessed factors associated with help-seeking among women with disabilities following exposure to domestic violence in Uganda using nationally representative data. METHODS: W…
Gendered time use among specializing medical doctors at Makerere University, Uganda
BACKGROUND: Previous research shows that gendered differences in time use unfairly impact women's career advancement and influence workforce management. Despite a growing body of literature on gendered time use, the topic has not been well documented among specializing medical doctors in sub-Saharan African countries, including Uganda. OBJECTIVES: This study was conducted among specialist medical doctors at Makerere University to: (i) analyze gen…
Priority setting in times of crises
BACKGROUND: While priority setting is recognized as critical for promoting accountability and transparency in health system planning, its role in supporting rational, equitable and fair pandemic planning and responses is less well understood. This study aims to describe how priority setting was used to support planning in the initial stage of the pandemic response in a subset of countries in the Western Pacific Region (WPR). METHODS: We purposive…
Schools of public health as a cornerstone for pandemic preparedness and response
Equity in family planning policies and programs in Uganda
There is lack of a common understanding and definition of equity in FP programs in Uganda. There is need to build consensus on the definitions and measurements of equity with a multidimensional lens to inform clear policy and programming focus on equity in FP programs and outcomes. To improve equitable access to and use of FP services, attention must be paid to addressing implementation, client and policy constraints
Improving testing capacity for Covid-19
Background: African countries leveraged testing capacities to enhance public health action in response to the COVID-19 pandemic. This paper describes experiences and lessons learned during the improvement of testing capacity throughout the COVID-19 response in Senegal, Uganda, Nigeria, and the Democratic Republic of the Congo (DRC). Methods: The four countries' testing strategies were studied using a mixed-methods approach. Desk research on COVID…
Harnessing digital technology for Covid-19 response in Uganda
COVID-19 was one of the greatest disruptors of the 21st century, causing significant morbidity and mortality globally. Countries around the world adopted digital technologies and innovations to support the containment of the pandemic. This study explored the use of digital technology and barriers to its utilisation in responding to COVID-19 and sustaining essential health services in Uganda to inform response to future public health emergencies i…
Maintaining essential health services during Covid-19
The COVID-19 pandemic severely disrupted the delivery of essential health services (EHS) worldwide, contributing to excess morbidity and mortality from preventable conditions. Some countries employed innovative strategies that may have enabled their health systems to be more resilient than others in responding to COVID-19. This cross-country analysis aimed to identify beneficial practices and policies employed by six low- and middle-income countr…
Consequences of school closures due to Covid-19 in DRC, Nigeria, Senegal, and Uganda
In 2020 and 2021, Governments across the globe instituted school closures to reduce social interaction and interrupt COVID-19 transmission. We examined the consequences of school closures due to COVID-19 across four sub–Saharan African countries: the Democratic Republic of Congo (DRC), Nigeria, Senegal, and Uganda. We conducted a qualitative study among key informants including policymakers, school heads, students, parents, civil society represen…
Unintended consequences of implementing non-pharmaceutical interventions for the Covid-19 response in Africa
INTRODUCTION: The coronavirus (COVID 19) pandemic is one of the most terrifying disasters of the twenty-first century. The non-pharmaceutical interventions (NPIs) implemented to control the spread of the disease had numerous positive consequences. However, there were also unintended consequences-positively or negatively related to the nature of the interventions, the target, the level and duration of implementation. This article describes the uni…
Covid-19 surveillance in Democratic Republic of Congo, Nigeria, Senegal and Uganda
All the four countries demonstrated a prompt public health surveillance response and adopted similar approaches to surveillance with some adaptations as the pandemic progresses. There is need for investments to enhance surveillance approaches and systems including decentralizing surveillance to the subnational and community levels, strengthening capabilities for genomic surveillance and use of digital technologies, among others. Investing in heal…
The private sector in knowledge brokering for international development
This article contributes to the emerging body of knowledge on the role of the private sector in knowledge brokering in international development because very little is known about the role of the private sector. It attempts to validate the findings of the only literature review to date (Kiwanuka et al, In Press) on the subject and other literature on knowledge brokering by consulting international experts in the field of knowledge brokering, iden…
Private sector engagement in the Covid-19 response
Priority setting and equity in Covid-19 pandemic plans
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degr…
Research for universal health coverage
BACKGROUND: There is international consensus on the need for countries to work towards achieving universal health coverage (UHC) whereby the population is given access to all appropriate promotive, preventive, curative and rehabilitative services at affordable cost. The World Health Organisation (2013) urges all countries to undertake research to customise UHC within national development agendas. OBJECTIVE: To describe the process used to priorit…
A framework to support the integration of priority setting in the preparedness, alert, control and evaluation stages of a disease pandemic
The COVID-19 pandemic, where the need-resource gap has necessitated decision makers in some contexts to ration access to life-saving interventions, has demonstrated the critical need for systematic and fair priority setting and resource allocation mechanisms. Disease outbreaks are becoming increasingly common and priority setting lessons from previous disease outbreaks could be better harnessed to inform decision making and planning for future di…
Designing for Scale and taking scale to account
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…
Challenges in implementing emergency obstetric care (EmOC) policies
Uganda is among the sub-Saharan African Countries which continue to experience high preventable maternal mortality due to obstetric emergencies. Several Emergency Obstetric Care (EmOC) policies rolled out have never achieved their intended targets to date. To explore why upstream policy expectations were not achieved at the frontline during the MDG period, we examined the implementation of EmOC policies in Uganda by; exploring the barriers frontl…
Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda
The maternal health challenges faced by adolescents in Kibuku have a cultural, legal, social and health service dimension. There is therefore need to look at a multi-faceted approach to holistically address them. CSCs that are targeted at the entire community are unlikely to address specific needs of vulnerable groups such as adolescents. To address the maternal health challenges of adolescents, there is need to have separate meetings with adoles…
Influence of community scorecards on maternal and newborn health service delivery and utilization
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
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…
Maternal and newborn health needs for women with walking disabilities; “the twists and turns”
Women with walking disabilities have needs addressable by their communities and the health system. Communities, and health workers need to be sensitized on these needs and policies to meet and implement health system-related needs of women with disability
Balancing the cost of leaving with the cost of living
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…
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Research translation to inform national health policies
BACKGROUND: Research and evidence can have an impact on policy and practice, resulting in positive outcomes. However, research translation is a complex, dynamic and non-linear process. Although universities in Africa play a major role in generating research evidence, their strategic approaches to influence health policies and decision making are weak. This study was conducted with the aim of understanding the process of translating research into …
Knowledge and perceptions of brucellosis in the pastoral communities adjacent to Lake Mburo National Park, Uganda
There was moderate overall knowledge of human and animal brucellosis among the participants. Majority of the participants believed that close proximity to wildlife contributes to the presence of the disease in the area. There is a need for collaboration between the public health, veterinary and wildlife sectors to provide health education on brucellosis for better management of the disease in the communities
Balancing the cost of leaving with the cost of living
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
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
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
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
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…
Experiences of using a participatory action research approach to strengthen district local capacity in Eastern Uganda
BACKGROUND: To achieve a sustained improvement in health outcomes, the way health interventions are designed and implemented is critical. A participatory action research approach is applauded for building local capacity such as health management. Thereby increasing the chances of sustaining health interventions. OBJECTIVE: This study explored stakeholder experiences of using PAR to implement an intervention meant to strengthen the local district …
‘Nurture the sprouting bud; do not uproot it’ . Using saving groups to save for maternal and newborn health
BACKGROUND: Saving groups are increasingly being used to save in many developing countries. However, there is limited literature about how they can be exploited to improve maternal and newborn health. OBJECTIVES: This paper describes saving practices, factors that encourage and constrain saving with saving groups, and lessons learnt while supporting communities to save through saving groups. METHODS: This qualitative study was done in three distr…
Applying the model of diffusion of innovations to understand facilitators for the implementation of maternal and neonatal health programmes in rural Uganda
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…
Maternal and newborn health needs for women with walking disabilities; “the twists and turns”
Women with walking disabilities have needs addressable by their communities and the health system. Communities, and health workers need to be sensitized on these needs and policies to meet and implement health system-related needs of women with disability
Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda
The maternal health challenges faced by adolescents in Kibuku have a cultural, legal, social and health service dimension. There is therefore need to look at a multi-faceted approach to holistically address them. CSCs that are targeted at the entire community are unlikely to address specific needs of vulnerable groups such as adolescents. To address the maternal health challenges of adolescents, there is need to have separate meetings with adoles…
Influence of community scorecards on maternal and newborn health service delivery and utilization
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…
Research for universal health coverage
BACKGROUND: There is international consensus on the need for countries to work towards achieving universal health coverage (UHC) whereby the population is given access to all appropriate promotive, preventive, curative and rehabilitative services at affordable cost. The World Health Organisation (2013) urges all countries to undertake research to customise UHC within national development agendas. OBJECTIVE: To describe the process used to priorit…
A framework to support the integration of priority setting in the preparedness, alert, control and evaluation stages of a disease pandemic
The COVID-19 pandemic, where the need-resource gap has necessitated decision makers in some contexts to ration access to life-saving interventions, has demonstrated the critical need for systematic and fair priority setting and resource allocation mechanisms. Disease outbreaks are becoming increasingly common and priority setting lessons from previous disease outbreaks could be better harnessed to inform decision making and planning for future di…
Designing for Scale and taking scale to account
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…
Challenges in implementing emergency obstetric care (EmOC) policies
Uganda is among the sub-Saharan African Countries which continue to experience high preventable maternal mortality due to obstetric emergencies. Several Emergency Obstetric Care (EmOC) policies rolled out have never achieved their intended targets to date. To explore why upstream policy expectations were not achieved at the frontline during the MDG period, we examined the implementation of EmOC policies in Uganda by; exploring the barriers frontl…
The private sector in knowledge brokering for international development
This article contributes to the emerging body of knowledge on the role of the private sector in knowledge brokering in international development because very little is known about the role of the private sector. It attempts to validate the findings of the only literature review to date (Kiwanuka et al, In Press) on the subject and other literature on knowledge brokering by consulting international experts in the field of knowledge brokering, iden…
Private sector engagement in the Covid-19 response
Priority setting and equity in Covid-19 pandemic plans
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degr…
Improving testing capacity for Covid-19
Background: African countries leveraged testing capacities to enhance public health action in response to the COVID-19 pandemic. This paper describes experiences and lessons learned during the improvement of testing capacity throughout the COVID-19 response in Senegal, Uganda, Nigeria, and the Democratic Republic of the Congo (DRC). Methods: The four countries' testing strategies were studied using a mixed-methods approach. Desk research on COVID…
Harnessing digital technology for Covid-19 response in Uganda
COVID-19 was one of the greatest disruptors of the 21st century, causing significant morbidity and mortality globally. Countries around the world adopted digital technologies and innovations to support the containment of the pandemic. This study explored the use of digital technology and barriers to its utilisation in responding to COVID-19 and sustaining essential health services in Uganda to inform response to future public health emergencies i…
Medicine (28 obras) · Global Maternal and Child Health (25 obras) · Nursing (21 obras) · Political science (20 obras) · Business (18 obras) · Economic growth (18 obras) · Environmental health (18 obras) · Public health (17 obras) · Economics (16 obras) · Population (12 obras)