Browsing by Author "Andua, Martine D."

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    Healthcare Evidence-Based Management: Towards Overcoming its Barriers in Uganda’s Local Government Healthcare System
    (Texila International Journal of Public Health, 2018) Asaku, Stanley T.; Karyeija, Gerald K.; Alinda, Fred; Ojwang, Kennedy O.; Andua, Martine D.; Anguzu, Patrick Y.
    This article identifies local barriers and potential promoters of healthcare evidence-based management decision-making in Uganda’s local government context. It puts to local context feasible measures for increasing research evidence utilization by healthcare decision-makers, as part of the efforts to make research more beneficial to intended users, and ultimate recipients of the services. The findings were a result of a cross- sectional semi-structured questionnaire survey of 225 clustered healthcare authorities1 in Arua District Local Government, West Nile Sub-region of Uganda. The survey data were triangulated with nine key informant interviews (KIIs). Analysis reveals existence of multiple barriers at individual, organizational and system’s levels of the local government healthcare management. Standing out prominently were barriers related to attitude, perceptions and beliefs of healthcare managers, dissemination, accessibility, communication, participation, engagement, capacity, knowledge, skills, cost, time, staffing, workload, leadership, policy enforcement, and culture. Other barriers related to researchers were their competence, authority and level of mutual trust. Fortunately, most of these barriers are consistent with those reported previously by other studies in developing countries. Through a critical logical analysis, recommended strategies for increasing utilization of research evidence were combined into five broad categories; stakeholders’ engagement and participation, contextualized dissemination, capacity building, local leadership and democracy, and knowledge marketing, awareness and visibility. Again, these are not naïve, but important is the manner and details in which they have been contextualized. Hence, this article adds to existing knowledge about multifactorial contextual nature of barriers and promoters of research evidence utilization, and the importance of action research in providing evidence for improving quality of healthcare service delivery.
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    Individual Predictors of Healthcare Research Utilization: A case of Arua District Local Government, West Nile Uganda
    (Texila International Journal of Public Health, 2018) Asaku, Stanley T.; Karyeija, Gerald K.; Alinda, Fred; Ojwang, Kennedy O.; Andua, Martine D.; Anguzu, Patrick Y.
    Despite increasing knowledge of potential benefits of research utilization in improving quality of healthcare management decision (HMDs) outcomes and practice, the use of research evidence by healthcare authorities continues to be a global concern. We examined individual predictors of research utilization in management decisions of healthcare authorities in a local government’s context of Arua district in West Nile Uganda. The observational cross-sectional survey design was used, involving 225 questionnaires and nine key informant interviews, and the extent of influence of individual variables on research uptake was determined by estimation of predicted probabilities, and the corresponding odds ratios and coefficients using the binary logistic regression model. The results reveal that research utilization was significantly influenced by individual characteristics, whose overall predicted probability was 0.030 (p<0.05) with attitudinal variables being most significant, whereby belief in research-based HMDs (p= 0.020) or improved quality of HMDs (p= 0.012) recorded high corresponding odds ratios. Hence, the study substantiates the multifactorial nature of research utilization, being influenced to varying extents by individual factors, and emphasizes attitudinal change, information sharing and capacity building to increase uptake.
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    Organizational Context and Healthcare Research Utilization in Arua District Local Government, Uganda
    (Texila International Journal of Public Health, 2013) Asaku, Stanley T.; Karyeija, Gerald K.; Alinda, Fred; Ojwang, Kennedy O.; Andua, Martine D.; Anguzu, Patrick Y.
    Despite increasing knowledge of potential benefits of research utilization in improving quality of healthcare management decision (HMDs) outcomes and practice, the use of research evidence by healthcare authorities continues to be a global concern. We examined the organizational contextual predictors of research utilization in management decisions of healthcare authorities in Arua district local government. The observational cross-sectional survey design was used, involving 225 questionnaires and nine key informant interviews, and the extent of influence of organizational contests was determined by estimation of predicted probabilities, and the corresponding odds ratios and coefficients using the binary logistic regression model. The results reveal that research utilization was significantly influenced by organizational context, whose overall predicted probability was 0.001 (p<0.05), with access to library (p=0.023), performance monitoring (p=0.029), information sharing (p=0.014) and participation in formal meetings (p=0.016) being significant predictors with fairly high odds ratios. These findings highlight the combined importance of performance monitoring, sharing information (social capital), access to library and participation in formal meetings (formal interaction) as significant predictors of increased research utilization. Even-though, sharing information showed strongest positive influence, which implies that workplace measures that promote sharing of information were about four times more likely to increase research uptake