Papers by Aloysius Mutebi
Data files, program files and codebooks for the cost of pneumonia from the caregiver, facility an... more Data files, program files and codebooks for the cost of pneumonia from the caregiver, facility and societal perspectives. DOVE cost of illness study in Uganda.
cgdev.org
Kim Ashburn Nandini Oomman David Wendt Steven Rosenzweig ... With contributions from William Oked... more Kim Ashburn Nandini Oomman David Wendt Steven Rosenzweig ... With contributions from William Okedi, Caesar Cheelo, Dirce Costa, Freddie Ssengooba, Eleásara Antunes, Moses Arinaitwe, Susan Choolwe-Mulenga, Elizabeth Ekirapa Kiracho, Suzanne Kiwanuka, ...
Background: Many developing countries struggle to attain equitable, timely and efficient availabi... more Background: Many developing countries struggle to attain equitable, timely and efficient availability of potent vaccines at the health facility level. In Uganda, several challenges prevent the reliable distribution of vaccines from the district vaccine store to the health facility level (last mile). The currently practiced mixed push and pull system mode of vaccine delivery is unpredictable, unreliable, and often presents issues of poor vaccine management, vaccine stock-outs and missed opportunities for vaccination. The overall aim of the study was to improve the efficiency of the last mile delivery of vaccines by implementing an informed push model of vaccine delivery. Specifically, the study aimed to; improve vaccine lead time; standardise cold chain management practices during vaccine transportation; and cost the implementation of the informed push model. Methods: Mixed-methods approach to evaluate the impact of the informed push model on the last mile delivery of vaccines in Go...
Introduction Owing to the lack of local cost and clinical effectiveness data in sub-Saharan Afric... more Introduction Owing to the lack of local cost and clinical effectiveness data in sub-Saharan Africa, economic evaluations of the rotavirus vaccine are still limited in the region. In this study, we utilize different data sources including aggregated routine health information system data to examine the net benefits of the rotavirus vaccine in Uganda. We also present ways in which health facility data can be used to assess subnational vaccination coverage as well as the effect of the vaccine on diarrhoea hospitalization. Methods We used monthly health facility data collected between 2014 and 2021 to study the relationship between rollout of rotavirus vaccine and diarrhoea hospitalization. We gathered information from empirical studies on the cost of diarrhoea (household and health facility) and vaccine administration to estimate the costs averted due to the rotavirus vaccine. As household costs, we considered out-of-pocket payments associated with the episodes of diarrhoea and the pro...
Research Square (Research Square), Jun 21, 2023
Background: Diarrhea is one of the leading-causes of morbidity and mortality among children under... more Background: Diarrhea is one of the leading-causes of morbidity and mortality among children under age ve in Uganda. While there is an abundance of literature on disease burden, there is limited available evidence on the costs and economic burden of childhood diarrhea in Uganda. To ll this gap, we estimated the cost of childhood diarrhea in Uganda from a societal perspective. Methods: We used an incidence-based cost-of-illness approach capturing monthly healthcare facility data on staff, medications, capital costs, and hospitalrelated expenditures for childhood diarrhea patients in Uganda. We interviewed caregivers of children with diarrhea at 48 selected healthcare facilities in the public and private (for-pro t and not-for-pro t) sectors. We conducted phone interviews with caregivers 7-14 days post-discharge to capture additional out-ofpocket expenses and associated costs. We also captured caregiver costs related to diarrhea illness including, productivity/time loss, income, food, travel costs and other household characteristics. These costs were then aggregated into direct (medical and non-medical) and indirect costs and estimated by age, gender, type of care (outpatient, inpatient), type of facility, and wealth quintile. The impact of diarrheal disease to households in terms of catastrophic health expenditure was measured.
Journal of Interventional Epidemiology and Public Health
Vaccine: X, 2020
Background: There is very limited evidence about the economic cost of measles in low-income count... more Background: There is very limited evidence about the economic cost of measles in low-income countries. We estimated the cost of treating measles in Uganda from a societal perspective. Methods: We conducted an incidence-based cost-of-illness study in Uganda. We surveyed the facility staff, recording hospital-related expenditures for measles patients. We interviewed caregivers of children with measles at 48 selected healthcare facilities. We conducted phone interviews with caregivers 7-14 days post-discharge to capture additional out-of-pocket expenses and time costs.
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Papers by Aloysius Mutebi