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Primary care provider notions on instituting community-based geriatric support in Uganda.
Ssensamba, Jude Thaddeus; Nakafeero, Mary; Musana, Hellen; Amollo, Mathew; Ssennyonjo, Aloysius; Kiwanuka, Suzanne N.
Afiliação
  • Ssensamba JT; Division of Infectious Diseases and Geriatric Health, Center for Innovations in Health Africa, Kampala, Uganda. Jtssensamba@cihauganda.org.
  • Nakafeero M; Health Care Programmes, VIVES University of Applied Sciences, Kortrijk, Belgium. Jtssensamba@cihauganda.org.
  • Musana H; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda. Jtssensamba@cihauganda.org.
  • Amollo M; Division of Infectious Diseases and Geriatric Health, Center for Innovations in Health Africa, Kampala, Uganda.
  • Ssennyonjo A; School of Public Health, Department of Epidemiology and Biostatistics, Makerere University College of Health Sciences, Kampala, Uganda.
  • Kiwanuka SN; Division of Infectious Diseases and Geriatric Health, Center for Innovations in Health Africa, Kampala, Uganda.
BMC Geriatr ; 22(1): 258, 2022 03 29.
Article em En | MEDLINE | ID: mdl-35351013
ABSTRACT

BACKGROUND:

Understanding of the most economical and sustainable models of providing geriatric care to Africa's rising ageing population is critical. In Uganda, the number of old adults (60 years and above) continues to rise against absence of policies and guidelines, and models for providing care to this critical population. Our study explored public primary health care provider views on how best community-based geriatric support (CBGS) could be instituted as an adaptable model for delivering geriatric care in Uganda's resource-limited primary public health care settings.

METHODS:

We interviewed 20 key informants from four districts of Bukomansimbi, Kalungu, Rakai, and Lwengo in Southern Central Uganda. Respondents were leads (in-charges) of public primary health units that had spent at least 6 months at the fore said facilities. All interviews were audio-recorded, transcribed verbatim, and analysed based on Hsieh and Shannon's approach to conventional manifest content analysis.

RESULTS:

During analysis, four themes emerged 1) Structures to leverage for CBGS, 2) How to promote CBGS, 3) Who should be involved in CBGS, and 4) What activities need to be leveraged to advance CBGS? The majority of the respondents viewed using the existing village health team and local leadership structures as key to the successful institutionalization of CBGS; leveraging community education and sensitization using radio, television, and engaging health workers, family relatives, and neighbors. Health outreach activities were mentioned as one of the avenues that could be leveraged to provide CBGS.

CONCLUSION:

Provider notions pointed to CBGS as a viable model for instituting geriatric care in Uganda's public primary healthcare system. However, this requires policymakers to leverage existing village health team and local governance structures, conduct community education and sensitization about CBGS, and bring onboard health workers, family relatives, and neighbors.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Saúde Pública / Pessoal de Saúde Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Aged / Humans País/Região como assunto: Africa Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Uganda

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Saúde Pública / Pessoal de Saúde Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Aged / Humans País/Região como assunto: Africa Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Uganda