Browsing by Author "Reginald Nalugala"

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    An examination of the structural linkages between households and community health services in realization of accelerated primary healthcare delivery in Kisumu County, Kenya: a systematic review
    (F1000Research, 2024-11-13) James M. Wakiaga; Reginald Nalugala
    Background The provision of community health services (CHS) is critical in accelerating primary health care delivery to vulnerable and deprived populations. This systematic review study has been conducted to interrogate the interrelationship between households and community health services in accelerating primary healthcare delivery synthesizing the available empirical studies. The findings are to inform a primary research on structural linkages between households and CHS in Kisumu County, Kenya. Methods This study applied a descriptive approach using a systematic review technique to provide context and substance to the two main research questions: (1) how does the interaction between households and CHWs affect utilization of CHS to promote equity and right to health? (2) How do health-seeking behaviours of households influence their decision-making regarding choices of CHS? We screened the literature from Google scholar, JSTOR, SAGE and EBSCO based on our inclusion criteria, resulting in 21 studies. These studies were assessed for quality and eligibility and data extracted based on relevance to the research study. Results Households place primacy on trust and confidentiality in the interaction with CHWs and this affects uptake of CHS. The social determinants of health are also critical in influencing the healthseeking behaviour of households and individuals and their choice of CHS. The successful models of CHS share the characteristic of community ownership and participation and provides for comprehensive health care teams. Conclusion CHS are critical for the acceleration of primary health care delivery. It forms an important pathway for the achievement of universal health coverage, which is an outcome required for Sustainable Development Goal 3 on health.
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    Ownership of Health Data as the new Frontier for the Future of VODAN-Africa
    (Journal of HyoJeong Academia, 2024) Reginald Nalugala; Mirjam Van Reisen
    The Covid19 situation created a state of unequal use of data to produce vaccines. Africa was not in control over sovereign decision-making relating to the health of its citi-zens and to access of the data pertaining to it. The available digital architecture in Africa health facilities allowed data to be siphoned to Europe and the US at will. The purpose of the research is to argue why medical data once created should be held in ownership of the facility where the data is produced under the regulatory framework of the county and national state jurisdiction. This is referred as data that is Findable, Accessible (under well-defined conditions) Interoperable and Reusable (FAIR). The study inventories the addi-tional benefits of FAIR data for health purposes as means to assist Africa generate (self-)employment benefits to many unemployed youths based on the value that data holds in the digital economy. The study was carried out using a case study approach with four health facilities in Kenya, to help identify the contribution of the FAIR data concept to producing a sustainable outcome for health data management in Kenya. The paper dis-cussed the potential challenges which should be overcome to realize the full potential of FAIR data for a sovereign management of the health data in Kenya. Health data remained as an asset for the health facility for providing improved health at point of care. The find-ings show digital health data has an economic value and health benefit if well managed at point of production.