publication . Article . Other literature type . 2019

Qualitative evaluation of the outcomes of care and treatment for children and adolescents with nodding syndrome and other epilepsies in Uganda

Abbo, Catherine; Mwaka, Amos Deogratius; Opar, Bernard Toliva; Idro, Richard;
Open Access
  • Published: 01 Apr 2019 Journal: Infectious Diseases of Poverty, volume 8 (eissn: 2049-9957, Copyright policy)
  • Publisher: Springer Science and Business Media LLC
Abstract
Background In 2012, the Ugandan Government declared an epidemic of Nodding Syndrome (NS) in the Northern districts of Gulu, Kitgum, Lamwo and Pader. Treatment guidelines were developed and NS treatment centres were established to provide symptomatic control and rehabilitation. However, a wide gap remained between the pre-defined care standards and the quality of routine care provided to those affected. This study is to qualitatively assess adherence to accepted clinical care standards for NS; identify gaps in the care of affected children and offer Clinical Support Supervision (CSS) to Primary Health Care (PHC) staff at the treatment centres; and identify psycho...
Subjects
free text keywords: Psychosocial, Family medicine, medicine.medical_specialty, medicine, Government, Public health, Clinical audit, business.industry, business, Clinical support, Rehabilitation, medicine.medical_treatment, Veterinary medicine, Wide gap, Nodding Syndrome, Epilepsy, Multi-disciplinary, Clinical support supervision, Uganda, Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270, Case Study
Related Organizations
48 references, page 1 of 4

Spencer, PS, Vandemaele, K, Richer, M, Palmer, V, Chungong, S, Anker, M. Nodding syndrome in Mundri county, South Sudan: environmental, nutritional and infectious factors. Afr Health Sci. 2013; 13: 183-204 [OpenAIRE] [PubMed]

Foltz, JL, Makumbi, I, Sejvar, JJ, Malimbo, M, Ndyomugyenyi, R, Atai-Omoruto, AD. An epidemiologic investigation of potential risk factors for nodding syndrome in Kitgum District, Uganda. PLoS One. 2013; 8 (6): e66419 [OpenAIRE] [PubMed] [DOI]

Idro, Richard, Opoka, Robert Opika, Aanyu, Hellen T, Kakooza-Mwesige, Angelina, Piloya-Were, Theresa, Namusoke, Hanifa, Musoke, Sarah Bonita, Nalugya, Joyce, Bangirana, Paul, Mwaka, Amos Deogratius, White, Steven, Chong, Kling, Atai-Omoruto, Anne D, Mworozi, Edison, Nankunda, Jolly, Kiguli, Sarah, Aceng, Jane Ruth, Tumwine, James K. Nodding syndrome in Ugandan children—clinical features, brain imaging and complications: a case series. BMJ Open. 2013; 3 (5): e002540 [OpenAIRE] [DOI]

Colebunders, R, Hendy, A, Mokili, JL, Wamala, JF, Kaducu, J, Kur, L. Nodding syndrome and epilepsy in onchocerciasis endemic regions: comparing preliminary observations from South Sudan and the Democratic Republic of the Congo with data from Uganda. BMC Res Notes. 2016; 9: 182 [OpenAIRE] [PubMed] [DOI]

Kaiser, C, Asaba, G, Leichsenring, M, Kabagambe, G. High incidence of epilepsy related to onchocerciasis in West Uganda. Epilepsy Res. 1998; 30: 247-251 [OpenAIRE] [PubMed] [DOI]

Kaiser, C, Kipp, W, Asaba, G, Mugisa, C, Kabagambe, G, Rating, D. The prevalence of epilepsy follows the distribution of onchocerciasis in a west Ugandan focus. Bull World Health Organ. 1996; 74: 361 [OpenAIRE] [PubMed]

7.Ovuga E, Kipp W, Mungherera M, Kasoro S. Epilepsy and retarded growth in a hyperendemic focus of onchocerciasis in rural western Uganda. East Afr Med J. 1992;69:554–6.

Kaiser, C, Pion, S, Boussinesq, M. Head nodding syndrome and river blindness: a parasitologic perspective. Epilepsia.. 2009; 50: 2325-2326 [OpenAIRE] [PubMed] [DOI]

Idro, R, Musubire, KA, Byamah Mutamba, B, Namusoke, H, Muron, J, Abbo, C. Proposed guidelines for the management of nodding syndrome. Afr Health Sci. 2013; 13: 219-232 [OpenAIRE] [PubMed]

Buttery, Y, Bury TaM, J. Implementing evidence through audit. Evidence-based healthcare: a practical guide for therapists. 1998: 182-207

Grol, R. Successes and failures in the implementation of evidence-based guidelines for clinical practice. Med Care. 2001; 39: II46-II54 [OpenAIRE] [PubMed] [DOI]

Mwaka, D, Kitara, D, Orach, C. The enigmatic nodding syndrome outbreak in northern Uganda: an analysis of the disease burden and national response strategies. Health Policy Plan. 2015; 31: 285-292 [OpenAIRE] [PubMed]

Musisi, S, Akena, D, Nakimuli-Mpungu, E, Abbo, C, Okello, J. Neuropsychiatric perspectives on nodding syndrome in northern Uganda: a case series study and a review of the literature. Afr Health Sci. 2013; 13: 205-218 [OpenAIRE] [PubMed]

Idro, R, Namusoke, H, Abbo, C, Mutamba, BB, Kakooza-Mwesige, A, Opoka, RO. Patients with nodding syndrome in Uganda improve with symptomatic treatment: a cross-sectional study. BMJ Open. 2014; 4: 11 [OpenAIRE] [DOI]

Madden, D. Building a culture of patient safety. Report of the commission on patient safety and quality assurance. 2008

48 references, page 1 of 4
Abstract
Background In 2012, the Ugandan Government declared an epidemic of Nodding Syndrome (NS) in the Northern districts of Gulu, Kitgum, Lamwo and Pader. Treatment guidelines were developed and NS treatment centres were established to provide symptomatic control and rehabilitation. However, a wide gap remained between the pre-defined care standards and the quality of routine care provided to those affected. This study is to qualitatively assess adherence to accepted clinical care standards for NS; identify gaps in the care of affected children and offer Clinical Support Supervision (CSS) to Primary Health Care (PHC) staff at the treatment centres; and identify psycho...
Subjects
free text keywords: Psychosocial, Family medicine, medicine.medical_specialty, medicine, Government, Public health, Clinical audit, business.industry, business, Clinical support, Rehabilitation, medicine.medical_treatment, Veterinary medicine, Wide gap, Nodding Syndrome, Epilepsy, Multi-disciplinary, Clinical support supervision, Uganda, Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270, Case Study
Related Organizations
48 references, page 1 of 4

Spencer, PS, Vandemaele, K, Richer, M, Palmer, V, Chungong, S, Anker, M. Nodding syndrome in Mundri county, South Sudan: environmental, nutritional and infectious factors. Afr Health Sci. 2013; 13: 183-204 [OpenAIRE] [PubMed]

Foltz, JL, Makumbi, I, Sejvar, JJ, Malimbo, M, Ndyomugyenyi, R, Atai-Omoruto, AD. An epidemiologic investigation of potential risk factors for nodding syndrome in Kitgum District, Uganda. PLoS One. 2013; 8 (6): e66419 [OpenAIRE] [PubMed] [DOI]

Idro, Richard, Opoka, Robert Opika, Aanyu, Hellen T, Kakooza-Mwesige, Angelina, Piloya-Were, Theresa, Namusoke, Hanifa, Musoke, Sarah Bonita, Nalugya, Joyce, Bangirana, Paul, Mwaka, Amos Deogratius, White, Steven, Chong, Kling, Atai-Omoruto, Anne D, Mworozi, Edison, Nankunda, Jolly, Kiguli, Sarah, Aceng, Jane Ruth, Tumwine, James K. Nodding syndrome in Ugandan children—clinical features, brain imaging and complications: a case series. BMJ Open. 2013; 3 (5): e002540 [OpenAIRE] [DOI]

Colebunders, R, Hendy, A, Mokili, JL, Wamala, JF, Kaducu, J, Kur, L. Nodding syndrome and epilepsy in onchocerciasis endemic regions: comparing preliminary observations from South Sudan and the Democratic Republic of the Congo with data from Uganda. BMC Res Notes. 2016; 9: 182 [OpenAIRE] [PubMed] [DOI]

Kaiser, C, Asaba, G, Leichsenring, M, Kabagambe, G. High incidence of epilepsy related to onchocerciasis in West Uganda. Epilepsy Res. 1998; 30: 247-251 [OpenAIRE] [PubMed] [DOI]

Kaiser, C, Kipp, W, Asaba, G, Mugisa, C, Kabagambe, G, Rating, D. The prevalence of epilepsy follows the distribution of onchocerciasis in a west Ugandan focus. Bull World Health Organ. 1996; 74: 361 [OpenAIRE] [PubMed]

7.Ovuga E, Kipp W, Mungherera M, Kasoro S. Epilepsy and retarded growth in a hyperendemic focus of onchocerciasis in rural western Uganda. East Afr Med J. 1992;69:554–6.

Kaiser, C, Pion, S, Boussinesq, M. Head nodding syndrome and river blindness: a parasitologic perspective. Epilepsia.. 2009; 50: 2325-2326 [OpenAIRE] [PubMed] [DOI]

Idro, R, Musubire, KA, Byamah Mutamba, B, Namusoke, H, Muron, J, Abbo, C. Proposed guidelines for the management of nodding syndrome. Afr Health Sci. 2013; 13: 219-232 [OpenAIRE] [PubMed]

Buttery, Y, Bury TaM, J. Implementing evidence through audit. Evidence-based healthcare: a practical guide for therapists. 1998: 182-207

Grol, R. Successes and failures in the implementation of evidence-based guidelines for clinical practice. Med Care. 2001; 39: II46-II54 [OpenAIRE] [PubMed] [DOI]

Mwaka, D, Kitara, D, Orach, C. The enigmatic nodding syndrome outbreak in northern Uganda: an analysis of the disease burden and national response strategies. Health Policy Plan. 2015; 31: 285-292 [OpenAIRE] [PubMed]

Musisi, S, Akena, D, Nakimuli-Mpungu, E, Abbo, C, Okello, J. Neuropsychiatric perspectives on nodding syndrome in northern Uganda: a case series study and a review of the literature. Afr Health Sci. 2013; 13: 205-218 [OpenAIRE] [PubMed]

Idro, R, Namusoke, H, Abbo, C, Mutamba, BB, Kakooza-Mwesige, A, Opoka, RO. Patients with nodding syndrome in Uganda improve with symptomatic treatment: a cross-sectional study. BMJ Open. 2014; 4: 11 [OpenAIRE] [DOI]

Madden, D. Building a culture of patient safety. Report of the commission on patient safety and quality assurance. 2008

48 references, page 1 of 4
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publication . Article . Other literature type . 2019

Qualitative evaluation of the outcomes of care and treatment for children and adolescents with nodding syndrome and other epilepsies in Uganda

Abbo, Catherine; Mwaka, Amos Deogratius; Opar, Bernard Toliva; Idro, Richard;