Full Text Journal Articles by
Author Josaphat Byamugisha

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Antenatal Doppler ultrasound implementation in a rural sub-Saharan African setting: exploring the perspectives of women and healthcare providers.

Sam Ali, Olive Kabajaasi, Michael G Kawooya, Josaphat Byamugisha, David Zakus, Aris T Papageorghiou, Kerstin Klipstein-Grobusch, Marcus J Rijken,

<h4>Background</h4>The World Health Organization recommends research to evaluate the effects of a single third trimester Doppler ultrasound examination on preventable deaths in unselected-risk pregnancies, particularly in low- and middle-income countries (LMICs) where the evidence base is scarce. While evaluating such technologies, researchers often ignore women and health care provider perspectives. ... Read more >>

Reprod Health (Reproductive health)
[2021, 18(1):199]

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Biobanking: Strengthening Uganda's Rapid Response to COVID-19 and Other Epidemics.

Rogers Kamulegeya, David Patrick Kateete, Bernard S Bagaya, Emmanuel Nasinghe, Winters Muttamba, Gideon Nsubuga, Edgar Kigozi, Fred Ashaba Katabazi, Fred Nakwagala, Sam Kalungi, Josaphat Byamugisha, William Worodria, Rose Magala, Bruce Kirenga, Moses L Joloba,

<b><i>Introduction:</i></b> SARS-CoV-2 is a fatal disease of global public health concern. Measures to reduce its spread critically depend on timely and accurate diagnosis of virus-infected individuals. Biobanks can have a pivotal role in elucidating disease etiology, translation, and advancing public health. In this article, we show how a biobank has ... Read more >>

Biopreserv Biobank (Biopreservation and biobanking)
[2021, :]

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Infant Exposure to Dolutegravir Through Placental and Breast Milk Transfer: A Population Pharmacokinetic Analysis of DolPHIN-1.

Laura Dickinson, Stephen Walimbwa, Yashna Singh, Julian Kaboggoza, Kenneth Kintu, Mary Sihlangu, Julie-Anne Coombs, Thokozile R Malaba, Josaphat Byamugisha, Henry Pertinez, Alieu Amara, Joshua Gini, Laura Else, Christie Heiberg, Eva Maria Hodel, Helen Reynolds, Landon Myer, Catriona Waitt, Saye Khoo, Mohammed Lamorde, Catherine Orrell, ,

<h4>Background</h4>Rapid reduction in human immunodeficiency virus (HIV) load is paramount to prevent peripartum transmission in women diagnosed late in pregnancy. We investigated dolutegravir population pharmacokinetics in maternal plasma, umbilical cord, breast milk, and infant plasma samples from DolPHIN-1 participants (NCT02245022) presenting with untreated HIV late in pregnancy (28-36 weeks gestation).<h4>Methods</h4>Pregnant ... Read more >>

Clin Infect Dis (Clinical infectious diseases : an official publication of the Infectious Diseases Society of America)
[2021, 73(5):e1200-e1207]

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Pregnant women, their male partners and health care providers' perceptions of HIV self-testing in Kampala, Uganda: Implications for integration in prevention of mother-to-child transmission programs and scale-up.

Joseph Rujumba, Jaco Homsy, Femke Bannink Mbazzi, Zikulah Namukwaya, Alexander Amone, Gordon Rukundo, Elly Katabira, Josaphat Byamugisha, Mary Glenn Fowler, Rachel L King,

<h4>Background</h4>HIV status awareness is critical for HIV prevention and care but HIV testing rates remain low in Uganda, especially among men. One suggested approach to increase access and utilisation of HIV testing services is HIV self-testing. We explored perceptions of pregnant and lactating women and their male partners who attended ... Read more >>

PLoS One (PloS one)
[2021, 16(6):e0253616]

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Incidence, associated risk factors, and the ideal mode of delivery following preterm labour between 24 to 28 weeks of gestation in a low resource setting.

Herbert Kayiga, Diane Achanda Genevive, Pauline Mary Amuge, Josaphat Byamugisha, Annettee Nakimuli, Andrew Jones,

<h4>Background</h4>Preterm labour, between 24 to 28 weeks of gestation, remains prevalent in low resource settings. There is evidence of improved survival after 24 weeks though the ideal mode of delivery remains unclear. There are no clear management protocols to guide patient management. We sought to determine the incidence of preterm ... Read more >>

PLoS One (PloS one)
[2021, 16(7):e0254801]

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Comparative analysis of perinatal outcomes and birth defects amongst adolescent and older Ugandan mothers: evidence from a hospital-based surveillance database.

Robert Serunjogi, Linda Barlow-Mosha, Daniel Mumpe-Mwanja, Dhelia Williamson, Diana Valencia, Sarah C Tinker, Michelle R Adler, Joyce Namale-Matovu, Dennis Kalibbala, Jolly Nankunda, Evelyn Nabunya, Doreen Birabwa-Male, Josaphat Byamugisha, Philippa Musoke,

<h4>Background</h4>Uganda has one of the highest adolescent pregnancy rates in sub-Saharan Africa. We compared the risk of adverse birth outcomes between adolescents (age 12-19 years) and mothers (age 20-34 years) in four urban hospitals.<h4>Methods</h4>Maternal demographics, HIV status, and birth outcomes of all live births, stillbirths, and spontaneous abortions delivered from August 2015 ... Read more >>

Reprod Health (Reproductive health)
[2021, 18(1):56]

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Why women die after reaching the hospital: a qualitative critical incident analysis of the 'third delay' in postconflict northern Uganda.

Gasthony Alobo, Emmanuel Ochola, Pontius Bayo, Alex Muhereza, Violah Nahurira, Josaphat Byamugisha,

<h4>Objectives</h4>To critically explore and describe the pathways that women who require emergency obstetrics and newborn care (EmONC) go through and to understand the delays in accessing EmONC after reaching a health facility in a conflict-affected setting.<h4>Design</h4>This was a qualitative study with two units of analysis: (1) critical incident technique (CIT) ... Read more >>

BMJ Open (BMJ open)
[2021, 11(3):e042909]

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Correction to: Cost of hospital care of women with postpartum haemorrhage in India, Kenya, Nigeria and Uganda: a financial case for improved prevention.

Fiona Theunissen, Isotta Cleps, Shivaprasad Goudar, Zahida Qureshi, Olorunfemi Oludele Owa, Kidza Mugerwa, Gilda Piaggio, A Metin Gülmezoglu, Miriam Nakalembe, Josaphat Byamugisha, Alfred Osoti, Sura Mandeep, Teko Poriot, George Gwako, Sunil Vernekar, Mariana Widmer,

Reprod Health (Reproductive health)
[2021, 18(1):57]

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Comparative analysis of perinatal outcomes and birth defects amongst adolescent and older Ugandan mothers: Evidence from a hospital-based surveillance database

Robert Serunjogi, Linda Barlow-Mosha, Daniel Mumpe-Mwanja, Dhelia Williamson, Diana Valencia, Sarah Tinker, Michelle Adler, Joyce Namale-Matovu, Dennis Kalibbala, Jolly Nankunda, Evelyn Nabunya, Doreen Birabwa-Male, Josaphat Byamugisha, Philippa Musoke,

<h4>Background: </h4> Uganda has one of the highest adolescent pregnancy rates in sub-Saharan Africa. We compared the risk of adverse birth outcomes between adolescents (age 12-19 years) and mothers (age 20-34 years) in four urban hospitals. <h4>Methods: </h4>: Maternal demographics, HIV status, and birth outcomes of all live births, stillbirths, ... Read more >>

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Abortion-related near-miss morbidity and mortality in 43 health facilities with differences in readiness to provide abortion care in Uganda.

Susan Atuhairwe, Kristina Gemzell-Danielsson, Josaphat Byamugisha, Frank Kaharuza, Nazarius Mbona Tumwesigye, Claudia Hanson,

<h4>Introduction</h4>With a view to inform policy for improved postabortion care, we describe abortion-related near-miss and mortality by sociodemographic risk factors and management options by pregnancy trimester in Uganda.<h4>Methods</h4>This secondary data analysis used an adapted WHO near-miss methodology to collect cross-sectional maternal near-miss and abortion complications data at 43 health facilities ... Read more >>

BMJ Glob Health (BMJ global health)
[2021, 6(2):]

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Evaluating the Instructional Design and Effect on Knowledge, Teamwork, and Skills of Technology-Enhanced Simulation-Based Training in Obstetrics in Uganda: Stepped-Wedge Cluster Randomized Trial.

Anne Antonia Cornelia van Tetering, Maartje Henrica Martine Segers, Peter Ntuyo, Imelda Namagambe, M Beatrijs van der Hout-van der Jagt, Josaphat K Byamugisha, S Guid Oei,

<h4>Background</h4>Simulation-based training is a common strategy for improving the quality of facility-based maternity services and is often evaluated using Kirkpatrick's theoretical model. The results on the Kirkpatrick levels are closely related to the quality of the instructional design of a training program. The instructional design is generally defined as the ... Read more >>

JMIR Med Educ (JMIR medical education)
[2021, 7(1):e17277]

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Cost of hospital care of women with postpartum haemorrhage in India, Kenya, Nigeria and Uganda: a financial case for improved prevention.

Fiona Theunissen, Isotta Cleps, Shivaprasad Goudar, Zahida Qureshi, Olorunfemi Oludele Owa, Kidza Mugerwa, Gilda Piaggio, A Metin Gülmezoglu, Miriam Nakalembe, Josaphat Byamugisha, Alfred Osoti, Sura Mandeep, Teko Poriot, George Gwako, Sunil Vernekar, Mariana Widmer,

<h4>Objective</h4>Access to quality, effective lifesaving uterotonics in low and middle-income countries (LMICs) remains a major barrier to reducing maternal deaths from postpartum haemorrhage (PPH). Our objective was to assess the costs of care for women who receive different preventative uterotonics, and with PPH and no-PPH so that the differences, if ... Read more >>

Reprod Health (Reproductive health)
[2021, 18(1):18]

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Storage conditions of oxytocin in a tropical climate in a low-income country.

Ella Larissa de Vries, Anne Antonia Cornelia van Tetering, M Beatrijs van der Hout, Luc Jozef Johannes Derijks, Simon Peter Sseguya, Imelda Namagembe, Josaphat Byamugisha, S Guid Oei,

<h4>Objective</h4>To establish the storage conditions of oxytocin in a health facility in a low-income country with a tropical climate, as suboptimal storage may lead to ineffectiveness of drugs essential to prevent and treat postpartum hemorrhage.<h4>Methods</h4>At Mulago National Referral Hospital (28 000-33 000 deliveries/year) in Kampala, Uganda, temperature logging Safe-Rx cards were placed ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2021, 154(1):44-48]

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A Randomized Trial of Laryngeal Mask Airway in Neonatal Resuscitation.

Nicolas J Pejovic, Susanna Myrnerts Höök, Josaphat Byamugisha, Tobias Alfvén, Clare Lubulwa, Francesco Cavallin, Jolly Nankunda, Hege Ersdal, Mats Blennow, Daniele Trevisanuto, Thorkild Tylleskär,

<h4>Background</h4>Face-mask ventilation is the most common resuscitation method for birth asphyxia. Ventilation with a cuffless laryngeal mask airway (LMA) has potential advantages over face-mask ventilation during neonatal resuscitation in low-income countries, but whether the use of an LMA reduces mortality and morbidity among neonates with asphyxia is unknown.<h4>Methods</h4>In this phase ... Read more >>

N Engl J Med (The New England journal of medicine)
[2020, 383(22):2138-2147]

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Adverse Neonatal Birth Outcomes Among Adolescent Pregnancies in Kampala, Uganda Between 2015 –2018

Robert Serunjogi, Linda Barlow-Mosha, Daniel Mumpe-Mwanja, Dhelia Williamson, Diana Valencia, Sarah Tinker, Michelle Adler, Joyce Namale-Matovu, Dennis Kalibbala, Jolly Nankunda, Evelyn Nabunya, Doreen Birabwa-Male, Josaphat Byamugisha, Philippa Musoke,

<h4>Background: </h4> Uganda has one of the highest adolescent pregnancy rates in sub-Saharan Africa. We compared the risk of adverse birth outcomes between adolescents (age 12-19 years) and older mothers (age 20-34 years) in four urban hospitals. <h4>Methods: </h4>: Maternal demographics, HIV status, and birth outcomes of all live births, ... Read more >>

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Feasibility and acceptability of mobile phone data collection for longitudinal follow-up among patients treated for obstetric fistula in Uganda.

Alison M El Ayadi, Hadija Nalubwama, Justus K Barageine, Suellen Miller, Susan Obore, Othman Kakaire, Abner Korn, Felicia Lester, Nadia G Diamond-Smith, Haruna Mwanje, Josaphat Byamugisha,

Rapid dissemination of mobile technology provides substantial opportunity for overcoming challenges reaching rural and marginalized populations. We assessed feasibility and acceptability of longitudinal mobile data capture among women undergoing fistula surgery in Uganda (<i>n</i> = 60) in 2014-2015. Participants were followed for 12 months following surgery, with data captured quarterly, followed by ... Read more >>

Health Care Women Int (Health care for women international)
[2020, :1-15]

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Changes in Bone Mineral Density During and After Lactation in Ugandan Women With HIV on Tenofovir-Based Antiretroviral Therapy.

Florence Nabwire, Ann Prentice, Matthew M Hamill, Mary Glenn Fowler, Josaphat Byamugisha, Adeodata Kekitiinwa, Gail R Goldberg,

Antiretroviral therapy (ART) in people living with human immunodeficiency virus (HIV) is associated with bone loss, but data are limited in lactation, when physiological bone mineral mobilization is occurring. This research charted changes in areal bone mineral density (aBMD) during and after lactation in Ugandan women with HIV (WWH) initiated ... Read more >>

J Bone Miner Res (Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research)
[2020, 35(11):2091-2102]

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A health care professionals training needs assessment for oncology in Uganda.

Josaphat Byamugisha, Ian G Munabi, Aloysius G Mubuuke, Amos D Mwaka, Mike Kagawa, Isaac Okullo, Nixon Niyonzima, Pastan Lusiba, Peruth Ainembabazi, Caroline Kankunda, Dennis D Muhumuza, Jackson Orem, Diana Atwine, Charles Ibingira,

<h4>Background</h4>Cancer incidence and mortality in sub-Saharan Africa are increasing and do account for significant premature death. The expertise of health care providers is critical to downstaging cancer at diagnosis and improving survival in low- and middle-income countries. We set out to determine the training needs of health care providers for ... Read more >>

Hum Resour Health (Human resources for health)
[2020, 18(1):62]

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Smartphone app for neonatal heart rate assessment: an observational study.

Susanna Myrnerts Höök, Nicolas J Pejovic, Francesco Cavallin, Clare Lubulwa, Josaphat Byamugisha, Jolly Nankunda, Thorkild Tylleskär, Tobias Alfven,

<h4>Background</h4>Heart rate (HR) assessment is crucial in neonatal resuscitation, but pulse oximetry (PO) and electrocardiography (ECG) are rarely accessible in low-resource to middle-resource settings. This study evaluated a free-of-charge smartphone application, NeoTap, which records HR with a screen-tapping method bypassing mental arithmetic calculations.<h4>Methods</h4>This observational study was carried out during three ... Read more >>

BMJ Paediatr Open (BMJ paediatrics open)
[2020, 4(1):e000688]

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A Health Care Professionals Training Needs Assessment for Oncology in Uganda

Josaphat Byamugisha, Ian Munabi, Aloysius Mubuuke, Amos Mwaka, Mike Kagawa, Isaac Okullo, Nixon Niyonzima, Pastan Lusiba, Peruth Ainembabazi, Caroline Kankunda, Dennis Muhumuza, Jackson Orem, Diana Atwine, Charles Ibingira,

<h4>Background: </h4> Cancer incidence and mortality in sub-Saharan Africa are increasing and do account for significant premature death. The expertise of the health care providers is critical to down staging cancer at diagnosis and improving survival in low- and middle-income countries. We set out to determine the training needs of ... Read more >>

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Health Workers’perspectives on Vacuum Extraction in Mulago Hospital, Uganda

Manuela Capelle, Barbara Nolens, John Lule, Josaphat Byamugisha, Jos van Roosmalen, Thomas van den Akker,

<h4>Background: </h4> The objective of this manuscript is toexplore perceptions of health workersregardingthe use of vacuum extraction, two years after the implementation of training programme, in Mulago Hospital, Uganda. <h4>Methods: </h4>: A cross-sectional survey among midwives, residents and consultant obstetricians,was performed. It was composed of questions pertaining to vacuum extraction, ... Read more >>

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Perceived Causes of Obstetric Fistula and Predictors of Treatment Seeking among Ugandan Women: Insights from Qualitative Research.

Hadija Nalubwama, Alison M El Ayadi, Justus K Barageine, Josaphat Byamugisha, Othman Kakaire, Susan Obore, Haruna Mwanje, Suellen Miller,

Many obstetric fistula patients remain untreated or present late to treatment despite increasing surgical availability in Uga nda. We explored women's perceptions of the cause of their obstetric fistula and their treatment seeking behaviours, including barriers and facilitators to timely care access. In-depth interviews and focus group discussions were conducted ... Read more >>

Afr J Reprod Health (African journal of reproductive health)
[2020, 24(2):129-140]

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Incidence and characteristics of pregnancy-related death across ten low- and middle-income geographical regions: secondary analysis of a cluster randomised controlled trial.

N Vousden, E Holmes, P T Seed, M F Gidiri, S Goudar, J Sandall, S Chinkoyo, L Y Kumsa, A Brown, U Charantimath, M Bellad, A Nakimuli, B Vwalika, L C Chappell, A H Shennan, ,

<h4>Objective</h4>The aim of this article is to describe the incidence and characteristics of pregnancy-related death in low- and middle-resource settings, in relation to the availability of key obstetric resources.<h4>Design</h4>This is a secondary analysis of a stepped-wedge cluster randomised controlled trial.<h4>Setting</h4>This trial was undertaken at ten sites across eight low- and ... Read more >>

BJOG (BJOG : an international journal of obstetrics and gynaecology)
[2020, 127(9):1082-1089]

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Dolutegravir versus efavirenz in women starting HIV therapy in late pregnancy (DolPHIN-2): an open-label, randomised controlled trial.

Kenneth Kintu, Thokozile R Malaba, Jesca Nakibuka, Christiana Papamichael, Angela Colbers, Kelly Byrne, Kay Seden, Eva Maria Hodel, Tao Chen, Adelline Twimukye, Josaphat Byamugisha, Helen Reynolds, Victoria Watson, David Burger, Duolao Wang, Catriona Waitt, Miriam Taegtmeyer, Catherine Orrell, Mohammed Lamorde, Landon Myer, Saye Khoo, ,

<h4>Background</h4>Late initiation of HIV antiretroviral therapy (ART) in pregnancy is associated with not achieving viral suppression before giving birth and increased mother-to-child transmission of HIV. We aimed to investigate virological suppression before giving birth with dolutegravir compared with efavirenz, when initiated during the third trimester.<h4>Methods</h4>In this randomised, open-label trial, DolPHIN-2, ... Read more >>

Lancet HIV (The lancet. HIV)
[2020, 7(5):e332-e339]

Cited: 7 times

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"[Repeat] testing and counseling is one of the key [services] that the government should continue providing": participants' perceptions on extended repeat HIV testing and enhanced counseling (ERHTEC) for primary HIV prevention in pregnant and lactating women in the PRIMAL study, Uganda.

Femke Bannink Mbazzi, Zikulah Namukwaya, Alexander Amone, Francis Ojok, Juliane Etima, Josaphat Byamugisha, Elly Katabira, Mary Glenn Fowler, Jaco Homsy, Rachel King, ,

BACKGROUND:The 'Primary HIV Prevention among Pregnant and Lactating Ugandan Women' (PRIMAL) randomized controlled trial aimed to assess an enhanced counseling strategy linked to extended postpartum repeat HIV testing and enhanced counseling among 820 HIV-negative pregnant and lactating women aged 18-49 years and 410 of their male partners to address the first ... Read more >>

BMC Public Health (BMC public health)
[2020, 20(1):694]

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