2025
Implementation strategies to integrate HIV and hypertension care in Kampala and Wakiso districts, Uganda: study protocol for a stepped wedge cluster randomized trial (PULESA-Uganda)
Longenecker C, Kiggundu J, Ayebare F, Muddu M, Kayima J, Mutungi G, Ssinabulya I, Schwartz J, Spiegelman D, Tong G, Nugent R, Aifah A, Kagoya F, Cameron D, Hutchinson B, Kamya M, Katahoire A, Semitala F. Implementation strategies to integrate HIV and hypertension care in Kampala and Wakiso districts, Uganda: study protocol for a stepped wedge cluster randomized trial (PULESA-Uganda). BMC Health Services Research 2025, 25: 1060. PMID: 40790739, PMCID: PMC12341278, DOI: 10.1186/s12913-025-13281-9.Peer-Reviewed Original ResearchConceptsCluster randomized trialHypertension careHIV clinicHealth workersWakiso districtStepped-wedge cluster randomized trialRates of HIV viral suppressionImplementation strategiesQuality HIV careClinical health workersBaseline hypertension prevalenceResource intensive strategyFacility-based costsLife expectancy gainsHIV viral suppressionBP controlPatient BP controlHTN careHuman-centered design approachRandomized trialsHIV careImplementation outcomesHypertension prevalencePre-implementationNon-AIDS comorbidities
2024
Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR)
He A, Kanduma E, Pérez-Escamilla R, Buckshee D, Chaquisse E, Cuco R, Desai M, Munguambe D, Reames S, Manuel I, Spiegelman D, Xu D. Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR). PLOS Global Public Health 2024, 4: e0003174. PMID: 39236014, PMCID: PMC11376584, DOI: 10.1371/journal.pgph.0003174.Peer-Reviewed Original ResearchConsolidated Framework for Implementation ResearchSafe Childbirth ChecklistBirth attendantsImplementation researchFocus group discussionsChildbirth practicesWHO Safe Childbirth ChecklistQualitative studyReduce adverse birth outcomesChildbirth-related complicationsGroup discussionsQuality of careNeonatal deathWeak health systemsAdverse birth outcomesPre-implementation assessmentEvidence-based practiceDeductive thematic analysisLow-resource settingsNeonatal mortality rateHealth systemMaternity carePre-implementationBirth outcomesProvider motivation
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