Browsing by Author "Nsereko, Norman"

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    Community Based Non Communicable Disease Services as a Predictor of Improved Quality of Life of People Living with HIV in Uganda: A Randomized Controlled Trial
    (Journal of Environmental Science and Public Health, 2020) Ddamulira, Christopher; Nsereko, Norman; Musoke, Miph; Kiyingi, Frank Pio
    A comprehensive and culturally applicable community based Non Communicable Diseases (NCD) services package was implemented with an aim to test the effectiveness of the community based NCD services on the quality of life (QoL) of people with HIV. The Randomized Controlled Trial (RCT) was conducted to compare the effectiveness of the community based NCD services as intervention. The control group received the usual HIV services in the community. Participants were randomly allocated to receive weekly and monthly intervention sessions using the standard care in the community ARV drug distribution points. Paired and independent t-tests were performed to compare changes in the QoL scores at the baseline and the endline. Between November and December 2018, 1076 individuals were screened, of whom 438 were randomly assigned to either the intervention or control group in the ratio of 1:1. The post intervention results revealed that the community based NCD services were effective and improved the QoL in all the three domains; the physical, environmental and social relationship domains. The QoL was higher at endline across all domains in the treatment group compared to the control group, the mean differences were statistically significant (p = 0.000 < 0.05). Thus, the community based NCD services were efficacious in improving QoL of HIV infected people. Findings could be utilized at regular community service settings for its sustainability and long-term effect. The intervention created improved understanding of HIV and NCD integration health promotion strategies and community support systems activities by the VHT, ART expert clients and the community volunteers.
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    The Effect of Community Based Non-Communicable Disease Services on the Quality of Life of People Living with HIV in Uganda: A Randomized Controlled Trial
    (Direct Research Journal of Public Health and Environmental Technology, 2020) Ddamulira, Christopher; Nsereko, Norman; Musoke, Miph
    A comprehensive and culturally applicable community based Non Communicable Diseases (NCD) services package was implemented with an aim to test the effectiveness of the community based NCD services that integrate HIV and Non-Communicable Diseases in communities to improve the quality of life (QoL) of people with HIV living with NCDs in Uganda. The Randomized Controlled Trial (RCT) was conducted to compare the efficacy of the community based NCD services as intervention. The control group received the usual HIV services in the community by the HIV expert clients in Uganda. Participants were randomly allocated to receive weekly and monthly intervention sessions by village health teams (VHTs), expert clients and community volunteers or standard care in the community ARV drug distribution points. Independent t-tests were performed to compare changes in the QoL scores at the baseline and the endline. The effect of the intervention on the QoL was tested using Pearson correlation and linear regression analysis. Between November and December 2018, 1076 individuals were screened, of whom 438 were randomly assigned to either the intervention or control group in the ratio of 1:1. The post intervention results revealed that the community based NCD services were effective and contributed 31.9% to the overall improved the QoL in all the three domains; the physical, environmental and social relationship domains. Therefore, designing such interventions in all community HIV drug distribution points would reduce the co-morbidities related to NCDs and HIV, and improve the overall quality of life. Furthermore, it could be useful to reduce stigma and increase their social support network. Findings could be utilized at regular community service settings for its sustainability and long-term effect. The intervention created improved understanding of HIV and NCD integration health promotion strategies and community support systems activities by the VHT, ART expert clients and the community volunteers.
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    Philosophical Perspectives on Community Based Non- Communicable Disease Services and the Quality of Life of People Living with HIV in Uganda
    (Journal of Environmental Science and Public Health, 2020) Ddamulira, Christopher; Nsereko, Norman; Akankwasa, Edith; Musoke, Miph; Kiyingi, Frank Pio
    The review paper traces and expounds the philosophical thinking on the history of the community based Non Communicable Disease(NCD) Services as a measure to improve the Quality of Life (QoL) of people with NCDs living with HIV. It explores how the historical trends, the contributions and the key contributors to the events for the advancement of the community based NCD services as key intervention for the improvement of QoL for people living with HIV. The historical and philosophical aspects of the paper guides the readers and writers on NCDs and HIV to gain a deep understanding of the trends of community NCD services and the quality of life of people with NCDs living with HIV and AIDS. It explored how people with HIV and on Anti-Retroviral Therapy (ART) become susceptible to Hypertension(HT) and Diabetes Mellitus(DM). In absence of the community based NCD services, the physical health, environmental wellbeing and social relationship QoL domains will remain poor for all the patients receiving HIV services in communities. Consequently, the coburden of NCDs and HIV will increase in case the prevention strategies are not implemented, the susceptibility to NCDs among the patients will increase and compromise their quality of life. The philosophical and theoretical aspects of the paper guides institutions on the development and implementation of the community based NCD services to mitigate on the effects of NCDs and improve the QoL among HIV patients on ART receiving services in communities. The philosophical and theoretical aspects of the paper guides policy development and evaluates implementation strategies to mitigate the NCD effects among people living with HIV. Good health and good QoL are fundamental human rights that have existed since the birth of medicine by the early philosophers that was supported by the modern understanding of the concept of health as noted by the constitution of the World Health Organization (WHO).