Health systems readiness to provide geriatric friendly care services in Uganda: a cross-sectional study

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dc.contributor.authorSsensamba, Jude Thaddeus
dc.contributor.authorMukuru, Moses
dc.contributor.authorNakafeero, Mary
dc.contributor.authorSsenyonga, Ronald
dc.contributor.authorKiwanuka, Suzanne N.
dc.date.accessioned2022-08-26T21:15:25Z
dc.date.available2022-08-26T21:15:25Z
dc.date.issued2019
dc.description.abstractAs ageing emerges as the next public health threat in Africa, there is a paucity of information on how prepared its health systems are to provide geriatric friendly care services. In this study, we explored the readiness of Uganda’s public health system to offer geriatric friendly care services in Southern Central Uganda. Methods: Four districts with the highest proportion of old persons in Southern Central Uganda were purposively selected, and a cross-section of 18 randomly selected health facilities (HFs) were visited and assessed for availability of critical items deemed important for provision of geriatric friendly services; as derived from World Health Organization’s Age-friendly primary health care centres toolkit. Data was collected using an adapted health facility geriatric assessment tool, entered into Epi-data software and analysed using STATA version 14. Kruskal-Wallis and Dunn’s post hoc tests were conducted to determine any associations between readiness, health facility level, and district. Results: The overall readiness index was 16.92 (SD ±4.19) (range 10.8–26.6). This differed across districts; Lwengo 17.91 (SD ±3.15), Rakai 17.63 (SD ±4.55), Bukomansimbi 16.51 (SD ±7.18), Kalungu 13.74 (SD ±2.56) and facility levels; Hospitals 26.62, Health centers four (HCIV) 20.05 and Health centers three (HCIII) 14.80. Low readiness was due to poor scores concerning; leadership (0%), financing (0%), human resources (1.7%) and health management information systems (HMIS) (11.8%) WHO building blocks. Higher-level HFs were statistically significantly friendlier than lower-level HFs (p = 0.015). The difference in readiness between HCIIIs and HCIVs was 2.39 (p = 0.025). Conclusion: There is a low readiness for public health facilities to provide geriatric friendly care services in Uganda. This is due to gaps in all of the health system building blocks. There is a need for health system reforms in Uganda to adequately cater for service provision for older adults if the 2020 global healthy ageing goal is to be met.en_US
dc.identifier.citationSsensamba, J. T., Mukuru, M., Nakafeero, M., Ssenyonga, R., & Kiwanuka, S. N. (2019). Health systems readiness to provide geriatric friendly care services in Uganda: a cross-sectional study. BMC geriatrics, 19(1), 1-13. https://doi.org/10.1186/s12877-019-1272-2en_US
dc.identifier.urihttps://doi.org/10.1186/s12877-019-1272-2
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4434
dc.language.isoenen_US
dc.publisherBMC geriatricsen_US
dc.subjectHealth facility readinessen_US
dc.subjectGeriatric careen_US
dc.subjectUgandaen_US
dc.subjectHealth systemsen_US
dc.subjectPublic health facilitiesen_US
dc.subjectAfricaen_US
dc.titleHealth systems readiness to provide geriatric friendly care services in Uganda: a cross-sectional studyen_US
dc.typeArticleen_US
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