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
Current out of pocket care costs among HIV and hypertension co-morbid patients in urban and peri-urban Uganda
Cameron D, Morrell L, Kagoya F, Kiggundu J, Hutchinson B, Twine R, Schwartz J, Muddu M, Mutungi G, Kayima J, Katahoire A, Longenecker C, Nugent R, Loya D, Semitala F. Current out of pocket care costs among HIV and hypertension co-morbid patients in urban and peri-urban Uganda. PLOS Global Public Health 2024, 4: e0003423. PMID: 39321165, PMCID: PMC11423963, DOI: 10.1371/journal.pgph.0003423.Peer-Reviewed Original ResearchCost of careHousehold incomeCo-morbid patientsCare costsMedian monthly household incomeHIV careCOVID-19 lockdownCascade of HIV careHIV care costsSocio-demographic characteristicsQuarter of patientsDistricts of UgandaIntegration of careMedian monthly costBorrow moneyOut-of-pocket costsDisease co-morbiditiesMonthly household incomePeri-urban UgandaService integrationUgandaHTN careCo-morbiditiesEast AfricaHypertension care
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