JUDE MULOWOOZA THADDEUS
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QUALITY IMPROVEMENT PROCESS METRICS FOR CAESAREAN SECTION IN UGANDA, A LOWER-RESOURCE SETTING: DEVELOPMENT AND FEASIBILITY ASSESSMENT
REFNo: HS1768ES
Löfgren, J., Kadobera, D., Forsberg, B. C., Mulowooza, J., Wladis, A., & Nordin, P. (2015a). District-level surgery in Uganda: Indications, interventions and perioperative mortality. Surgery, 158(1), 7-16. https://doi.org/10.1016/j.surg.2015.03.022
Löfgren, J., Kadobera, D., Forsberg, B. C., Mulowooza, J., Wladis, A., & Nordin, P. (2015b). Surgery in district hospitals in rural Uganda-indications, interventions, and outcomes. Lancet, 385 Suppl 2, S18. https://doi.org/10.1016/s0140-6736(15)60813-3
Löfgren, J., Mulowooza, J., Nordin, P., Wladis, A., & Forsberg, B. C. (2015). Cost of surgery in a low-income setting in eastern Uganda. Surgery, 157(6), 983-991. https://doi.org/10.1016/j.surg.2015.01.026
Mulowooza, J., Santos, N., Isabirye, N., Inhensiko, I., Sloan, N. L., Shah, S., Butrick, E., Waiswa, P., & Walker, D. (2021). Midwife-performed checklist and ultrasound to identify obstetric conditions at labour triage in Uganda: A quasi-experimental study. Midwifery, 96, 102949. https://doi.org/10.1016/j.midw.2021.102949
Santos, N., Mulowooza, J., Isabirye, N., Inhensiko, I., Sloan, N. L., Shah, S., Butrick, E., Waiswa, P., & Walker, D. (2021). Effect of a labor triage checklist and ultrasound on obstetric referral at three primary health centers in Eastern Uganda. Int J Gynaecol Obstet, 153(1), 130-137. https://doi.org/10.1002/ijgo.13420
Shah, S., Santos, N., Kisa, R., Mike Maxwell, O., Mulowooza, J., Walker, D., & Muruganandan, K. M. (2020). Efficacy of an ultrasound training program for nurse midwives to assess high-risk conditions at labor triage in rural Uganda. PLoS One, 15(6), e0235269. https://doi.org/10.1371/journal.pone.0235269
Waiswa, P., Wanduru, P., Okuga, M., Kajjo, D., Kwesiga, D., Kalungi, J., Nambuya, H., Mulowooza, J., Tagoola, A., & Peterson, S. (2021). Institutionalizing a Regional Model for Improving Quality of Newborn Care at Birth Across Hospitals in Eastern Uganda: A 4-Year Story. Glob Health Sci Pract, 9(2), 365-378. https://doi.org/10.9745/ghsp-d-20-00156
GENERAL OBJECTIVE: To understand perspectives on caesarean patient care coordination and quality, develop a caesarean process quality assessment instrument, and assess feasibility, usability, and acceptability of the instrument through a pilot study in Iganga District Hospital in Eastern Uganda and its referring health centres.
SPECIFIC OBJECTIVES
1. To understand key stakeholders’ perspectives on patient flow through caesarean care pathways, including key transition and decision points, and opportunities for improving care efficiency and safety.
2. To understand providers’ views on currently employed and alternative caesarean process quality metrics.
3. To understand patient experiences of caesarean decision making and flow through caesarean care.
4. To develop a set of caesarean quality process metrics reflecting the importance of transdisciplinary high-quality care for improving CS-related outcomes
5. To understand the feasibility of assessment of the proposed caesarean process indicators.
6. To understand the usability of the proposed caesarean process indicators.
7. To test the validity of the proposed caesarean process indicators.
8. To compare the strengths and weaknesses of each indicator and approach.
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Uganda |
2021-12-15 |
2024-12-15 |
Medical and Health Sciences |
Non-Clinical Trial |
Non-degree Award |
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