Nelson Ssewante

Scopus Publications

Efficacy and cost-effectiveness of outdoor residual spraying with α-cypermethrin, pirimiphos-methyl, and deltamethrin against sand flies: a pragmatic cluster randomised controlled field trial in Uganda
Kamoga Livingstone, Edwin Kigozi, Nelson Ssewante, Blaise Kiyimba, Shamim Nabidda, Elvis Seremba, Andrew Munerya, Richard Achuma, Damiano Lomokol, Nantume Olivia, Patrick Banadda Matovu, Daniel Tamale, Patrick Sagaki, Joshua Epuitai, Felix Bongomin, Scovia Nalugo Mbalinda
Tropical Medicine and Health, 2026
Introduction Visceral leishmaniasis (VL) is a significant public health challenge in East Africa. Achieving the WHO 2030 target of reducing VL mortality to below 1% requires novel control strategies. In this study, we evaluated the efficacy and cost-effectiveness of three insecticide formulations for outdoor residual insecticide spraying (ORS) in selected villages of Amudat district, Uganda. Methods A pragmatic clustered randomised controlled field trial was conducted in five clusters. Three clusters were randomly allocated to receive ORS with either α-cypermethrin, pirimiphos-methyl, or deltamethrin, while two clusters served as untreated controls. The primary outcome was the change in sandfly counts per trap-night, measured using CDC light and sticky traps before and after the intervention. These were compared using the Wilcoxon signed-rank test to assess reductions independent of other villages. Then, we used negative binomial regression with a log link of trap-nights to model sandfly counts, which were included as an offset to account for variation in sampling effort. Results After spraying the insecticides in the intervention villages, the sandfly population declined by 62%, 60%, and 49% with α-cypermethrin, pirimiphos-methyl, and deltamethrin, respectively. Sandfly captures increased by fourfold (353%) in the control villages in the same period. Using a negative binomial regression with village-clustered standard errors, α-cypermethrin reduced sandfly counts by 92% compared to the change in control villages (IRR = 0.08, 95% CI 0.07–0.38, p < 0.001). Pirimiphos-methyl and deltamethrin reduced counts by 91% (IRR = 0.09, 95% CI 0.07–0.45) and 89% (IRR = 0.11, 95% CI 0.10–0.56), respectively. A cost-effectiveness analysis showed that α-cypermethrin emerged as a more cost-effective option, followed by deltamethrin and lastly pirimiphos-methyl, with annual cost per village of $382, $390 and $408, respectively. Conclusion Our findings provide tentative observations that may guide vector control programmes. The relatively high efficacy and favourable cost-effectiveness of α-cypermethrin are suggestive that it could be a suitable option for inclusion in integrated vector management strategies targeting outdoor sandfly populations in this region.
Concordance of rapid diagnostic test results between health facility registers and health management information systems: a multi-country evaluation
Abibatou Konaté-Touré, Corine Ngufor, Arthur Mpimbaza, Sunday Atobatele, Ese Akpiroroh, Nelson Ssewante, Idelphonse B. Ahogni, Orphée M. A. Kangah Kouakou, Valérie A. Bedia-Tanoh, Jacques Agnon, Cyriaque Affoukou, Bosco Agaba, Onyebuchi Okoro, Michael Humes, Kevin Griffith, Anatole N. N. Mian, Antoine M. Tanoh, Kim A. Lindblade, William Yavo
Malaria Journal, 2026
Background Accurate routine surveillance data are essential for malaria control and elimination. However, the multistep reporting process used in most malaria-affected countries can introduce discrepancies between health facility registers and national health management information systems, often based on the District Health Information System 2 (DHIS2). This study assessed the concordance of malaria rapid diagnostic test (RDT) data across facility registers, monthly summary forms (MSFs) and the DHIS2 in four sub-Saharan countries. Methods In 2023, we conducted an observational study in Benin, Côte d’Ivoire, Nigeria, and Uganda, using harmonized tools and methods. In each country, 16 public primary health care facilities were selected from two regions. The total number of RDTs and positive results from health facility registers, MSFs and the DHIS2 were compared over three to five months. We assessed concordance using Bland–Altman plots, weighted absolute percentage error (WAPE)-based aggregate data reporting accuracy (WADRA), and verification factors (VFs). System- and facility-level differences were examined by stratifying indicators by region, baseline outpatient volume and test positivity rate. Results Across 64 facilities, 104,396 RDTs (58,304 positives, 55.8%) were recorded in registers, compared to 112,435 (62,903 positives, 55.9%) in MSFs and 110,771 (62,761 positives, 56.7%) in DHIS2. Benin showed the highest concordance across data sources, while Nigeria and Uganda had the lowest. Positive RDT results were more likely to be reported than total RDTs, particularly in Nigeria, where VFs indicated consistent overreporting (mean VF 0.74, 95% CI: 0.61–0.89). WADRA analysis showed low reporting accuracy for positive RDTs in 6 (38%) Nigerian and 5 (31%) Ugandan facilities. Regional differences were notable in Nigeria and Uganda. In Nigeria, higher outpatient volume was associated with lower concordance; no trend was seen for baseline test positivity rate. Conclusions Substantial variation in RDT data concordance was observed across countries and facilities. Concordance was strongest between MSFs and DHIS2, suggesting data entry was not a significant issue. Strengthening routine data validation and using accuracy and direction-sensitive metrics, such as WADRA and VFs, could improve malaria data reliability. Further research should explore system-level factors influencing data quality and identify scalable solutions.
Characteristics of healthcare workers and health facilities associated with inaccurate recording of malaria rapid diagnostic test results: a multi-country study
Sunday Atobatele, Arthur Mpimbaza, Corine Ngufor, William Yavo, Abibatou Konate-Toure, Idelphonse Ahogni, Nelson Ssewante, Evelyn Orya, Ese Akpiroroh, Onyebuchi Okoro, Bosco Agaba, Augustin Kpemasse, Jacques Agnon, Antoine Mea Tanoh, Cyriaque Affoukou, Jimmy Opigo, Godwin Ntadom, Hilary Okagbue, Eugene C. Eugene, John J. Aponte, Emily Hilton, Natalie Galles, Radina Soebiyanto, Shawna Cooper, Chukwu Okoronkwo, Michael Humes, Kevin Griffith, Kim A. Lindblade, Sidney Sampson
Malaria Journal, 2026
Background Malaria rapid diagnostic tests (RDTs) have improved case management and surveillance across sub-Saharan Africa by reducing presumptive treatment and enhancing diagnostic specificity. However, healthcare workers’ (HCWs) concerns about limitations of RDTs, the lack of other diagnostic tools and patient expectations may result in non-adherence to RDT outcomes in treatment decisions. This study aimed to determine associations between HCW characteristics and the accuracy of recording malaria RDT results. Methods A multi-country, mixed-methods observational study was conducted in 64 public health facilities across Benin, Côte d’Ivoire, Nigeria, and Uganda between June and December 2023. HCW demographic characteristics, attitudes and perceptions of RDTs, and proficiency performing RDTs were collected via surveys and structured observations. Completed RDTs were photographed, interpreted by a trained panel, and compared with health facility registers. Multivariable logistic regression models were used to identify factors associated with misrecording. Results Among more than 100,000 RDTs performed by 499 HCWs, 5.1–7.3% of results were misrecorded as positive, and 0.7–3.7% were misrecorded as negative. The test positivity rate (TPR) was highest in Côte d’Ivoire (59.7%) and lowest in Nigeria (45.3%). Overall agreement on RDT results between the external panel and the result recorded by HCWs in the health facility register ranged from 90.2% in Nigeria to 94.3% in Benin. Misrecording of negative or invalid results as positive varied by country. In Benin, older HCWs and those with stronger malaria knowledge were less likely to misrecord, but HCWs who believed patients should still be treated after a negative test were more likely to do so. In Côte d’Ivoire, community health workers had higher odds of misrecording, while higher education reduced the risk. In Nigeria, medical auxiliary staff were less likely to misrecord than other cadres. In Uganda, misrecording was more common in high-volume, high-positivity facilities and among HCWs recently observed by a supervisor. Conclusion Misrecording of RDT results is influenced by a combination of individual, contextual, and systemic factors, with differing patterns for results misrecorded as positive and negative. Improving malaria surveillance will require interventions that address both HCW behaviour and broader facility- and system-level influences.
Are malaria rapid diagnostic test results stable over time to support verification of surveillance data?
Corine Ngufor, Kim A. Lindblade, Sunday Atobatele, Arthur Mpimbaza, Idelphonse Ahogni, Nelson Ssewante, Ese Akpiroroh, Augustin Kpemasse, Onyebuchi Okoro, Bosco Agaba, Shawna Cooper, Kevin Griffith, Michael Humes
Malaria Journal, 2025
Background Rapid diagnostic tests (RDTs) have improved malaria case management by enabling point-of-care confirmation of infection, particularly in low-resource settings. In addition to clinical use, RDT results recorded in health facility registers are a critical component of national malaria surveillance systems. Recently, national programmes have explored using stored RDT cassettes to validate register data. However, manufacturers caution that results should be read within 15–30 min, raising concerns about result validity after this period. This study evaluated the stability of RDT results over a one-month period to assess whether stored cassettes can reliably reflect initial test outcomes. Methods A prospective, observational study was conducted in 48 health facilities across Benin, Nigeria, and Uganda from June to September 2023. A digital artificial intelligence (AI)-powered RDT reader (HealthPulse, Audere, Seattle WA USA) was used to photograph RDTs immediately after interpretation by health workers and again at one week and one month. RDTs were stored under typical health facility conditions during the study. Images were independently interpreted by a trained panel, with results categorized as positive, negative, invalid, or uninterpretable. Only RDTs with valid interpretations at all three time points were included in the final analysis. Positive and negative predictive values (PPV and NPV) were calculated to measure the accuracy of results from stored RDTs relative to the initial interpretation. Results Out of 54,251 RDTs captured, 45,155 (83.2%) met inclusion criteria. At one month, 95.1% of initially positive RDTs remained positive, and 95.3% of initially negative RDTs remained negative. The PPV of a positive result at one month was 96.3% (95% CI 96.1, 96.5), while the NPV of a negative result was 93.8% (95% CI 93.4, 94.1). Most result changes occurred within the first week. Faint lines were associated with higher rates of change in both directions; 26.8% changing from positive to negative and 48.1% changing from negative to positive. Stability of results also varied across RDT products and specific test lines. Conclusions Stored RDT cassettes maintain high result stability over one month and can serve as a reliable reference to verify health facility records. Result changes were linked to premature interpretation, faint lines or product- or line-specific characteristics. Adherence to manufacturer-recommended read times may reduce the proportion of RDTs that change from negative to positive. These findings support the utility of stored RDTs in improving data quality and rational antimalarial use in malaria-affected settings.
Accuracy of recording of malaria rapid diagnostic test results in Uganda
Nelson Ssewante, Jane Frances Namuganga, Anne Katahoire, Jenipher Musoke, Noel Mutesi, Michael Humes, Kevin Griffith, John J. Aponte, Radina Soebiyanto, Shawna Cooper, Bosco Agaba, Jimmy Opigo, Kim A. Lindblade, Arthur Mpimbaza
Malaria Journal, 2025
BACKGROUND: Malaria rapid diagnostic tests (RDTs) have been critical in promoting the rational use of antimalarials and strengthening malaria surveillance. However, the accuracy of routinely reported RDT results in Uganda remains unclear. The study's objective was to measure the level of agreement between healthcare workers (HCWs) and an external panel's RDT results among lower-level public health facilities in Busoga and Lango regions, Uganda. METHODS: A prospective study was conducted in 16 public health facilities in four purposively selected districts in Uganda. At each study site, images of all RDTs were taken as soon as the HCW had finished interpreting the test results and uploaded into HealthPulse (Audere, Seattle, WA USA), a digital RDT reader. Corresponding patient data was captured from the outpatient department (OPD) register, including demographics and RDT test results. RDT images were sent to a trained, external panel for interpretation. Cohen's kappa statistic (κ) was used to determine agreement. The associations between characteristics of health facilities, HCWs and RDTs and the level of agreement were analysed using meta-analytical approaches. RESULTS: From June to November 2023, 40,049 RDT images were captured, of which 37,137 (92.7%) were included in the analysis. Overall, the test positivity rate based on OPD records was 61.8%. The overall agreement was strong (κ 0.81, 95% confidence interval [CI] 0.76, 0.85). Where disagreement occurred, HCWs misrecorded more RDT results as positive (7.2%) than negative (1.9%). Agreement was higher in Busoga (κ 0.86, 95% CI 0.83, 0.88) compared to Lango (κ 0.78, 95% CI 0.75, 0.81). Lower agreement levels were also associated with certain RDT products and RDTs with faint lines. CONCLUSION: The study found a strong level of agreement between HCWs' RDT results and an external panel. However, significant proportions of results were misrecorded as positive or negative, particularly in the Lango region. Targeted interventions, such as RDT validation exercises and tailored refresher training, are recommended to enhance RDT reporting accuracy in Uganda.
Evaluating the performance of an artificial intelligence-based electronic reader for malaria rapid diagnostic tests across Benin, Côte d’Ivoire, Nigeria and Uganda
Kim A. Lindblade, Corine Ngufor, William Yavo, Sunday Atobatele, Arthur Mpimbaza, Nelson Ssewante, Ese Akpiroroh, Abibatou Konaté-Toure, Idelphonse Ahogni, Augustin Kpemasse, Antoine Mea Tanoh, Godwin Ntadom, Jimmy Opigo, Stephanie Zobrist, Kevin Griffith, Michael Humes
Malaria Journal, 2025
BACKGROUND: The introduction of malaria rapid diagnostic tests (RDTs) has expanded the parasitological confirmation of malaria at all levels of health systems in sub-Saharan Africa, improving case management and surveillance. However, concerns persist regarding healthcare worker adherence to RDT outcomes and the accuracy of RDT results recorded in health facility registers. Electronic RDT readers have been proposed to improve the consistency of interpretation and reporting. The HealthPulse smartphone application (Audere, Seattle, WA, USA), an RDT reader using an artificial intelligence (AI) computer vision algorithm, was assessed against a trained human panel interpreting RDT results from photographs to determine the application's performance characteristics. METHODS: In 2023, the Malaria Rapid Diagnostic Test Capture and Reporting Assessment (MaCRA) was implemented in health facilities in Benin, Côte d'Ivoire, Nigeria, and Uganda. Study staff photographed malaria RDTs using the HealthPulse application after healthcare workers performed and interpreted the tests. A trained panel of external reviewers interpreted the RDT images and served as the reference standard. RDTs in the images were classified according to the manufacturer's instructions as positive, negative or invalid (i.e., no visible control line) or labelled as uninterpretable (i.e., visibility was impeded). The performance of the HealthPulse AI algorithm was evaluated using percent accuracy, recall (i.e., sensitivity and specificity), precision (i.e., positive and negative predictive values), and F1 scores (harmonic mean of recall and precision) weighted by the number of each outcome. Logistic regression was applied to assess factors influencing recall across countries, RDT products, presence of faint lines, and anomalies. RESULTS: Of the 110,843 RDT images collected, 106,877 (96.4%) were included in the analysis. The AI algorithm demonstrated high accuracy (96.8%; 95% confidence interval (CI) 96.7%, 96.9%) compared with the panel interpretation and an overall F1 score of 96.6. Recall and precision were > 97% for positive and negative outcomes but much lower for invalid (recall: 84.8%; precision: 42.8%) and uninterpretable (recall: 0.8%; precision: 2.3%) classifications. AI performance varied by country, RDT product, the presence of faint lines and the quality of the image. When test lines were faint, the AI algorithm was significantly less likely to recall both positive results (adjusted odds ratio (aOR) 0.02; 95% CI 0.02, 0.02) and negative results (aOR 0.10; 95% CI 0.07, 0.16). CONCLUSIONS: The HealthPulse AI algorithm demonstrated strong agreement with a trained panel in interpreting malaria RDT images across diverse settings. However, the reduced performance for invalid outcomes and varying performance by country, RDT product and faint lines highlight the need for further research and refinement. The HealthPulse application shows potential as a supportive tool in research, training, surveillance, and quality assurance.
Assessing the accuracy of the recording and reporting of malaria rapid diagnostic test results in four African countries: methods and key results
Kim A. Lindblade, Arthur Mpimbaza, Corine Ngufor, William Yavo, Sunday Atobatele, Ese Akpiroroh, Abibatou Konaté-Touré, Idelphonse Ahogni, Nelson Ssewante, Bosco Agaba, Augustin Kpemasse, Jacques Agnon, Onyebuchi Okoro, Godwin Ntadom, Antoine Tanoh, Cyriaque Affoukou, Jimmy Opigo, Shawna Cooper, John J. Aponte, Kevin Griffith, Radina Soebiyanto, Michael Humes
Malaria Journal, 2025
Background Rapid diagnostic test (RDT) results are the foundation of both case management and malaria surveillance across sub-Saharan Africa. However, RDT results may be misrecorded in health facility registers by healthcare workers (HCWs), either unintentionally or deliberately, for example, to justify treatment based on clinical judgment. A multi-country evaluation was conducted to quantify the extent of RDT misrecording and identify factors associated with recording and reporting accuracy. This report summarizes the study’s methods, key findings, and implications for improving malaria RDT data quality. Methods A mixed-methods observational study was implemented in Benin, Côte d'Ivoire, Nigeria, and Uganda in 2023. At participating health facilities, images of RDTs were captured at the point of care and later reviewed by a trained, external panel. Agreement between the panel’s interpretation and the result recorded in the register was assessed using weighted mean Cohen’s kappa (κ). Secondary objectives included identifying factors associated with inaccurate recording, assessing the durability of RDT results after 1 month of storage, evaluating accuracy of data obtained from the District Health Information System 2 (DHIS2), and measuring the observer effect of the start of the study on test positivity rates (TPR) reported to DHIS2. Results A total of 102,337 RDT results was observed. Agreement between register-recorded results and the external panel was high, ranging from κ = 0.80 (95% confidence interval [CI] 0.75, 0.85) in Nigeria to κ = 0.88 (95% CI 0.84, 0.92) in Benin. HCWs were more likely to misrecord results as positive (range: 5.1–7.3%) than negative (range: 0.7–3.7%), and patient age was associated with misrecording results in all countries except Nigeria. After the study began in Côte d’Ivoire, TPRs reported from the DHIS2 declined significantly more in study than control facilities (rate ratio: 0.80, 95% CI 0.76, 0.84). Conclusions Although HCWs generally recorded RDT results accurately, the disproportionately higher proportion of results misrecorded as positive raises concern about possible intentional misreporting. The observed TPR decrease after study onset in Côte d’Ivoire suggests some HCWs can be motivated to reduce misrecording and improve the quality of malaria case management and surveillance data.
Infection prevention and control: knowledge, practices and associated factors among cleaners at a National Referral Hospital in Uganda
Edwin Kigozi, Livingstone Kamoga, Nelson Ssewante, Patrick Banadda, Faith Atai, Lydia Kabiri, Scovia Nalugo Mbalinda
Infection Prevention in Practice, 2024
While most infection prevention and control (IPC) studies focus on healthcare professionals, IPC is everyone's responsibility in any healthcare facility. There is little known about the IPC knowledge among the cleaners who are responsible for housekeeping, environmental cleaning, and waste management within hospitals. This study sought to evaluate the knowledge and practice of IPC among cleaners at Mulago National Referral Hospital (MNRH) to establish a foundation for empowering a strategic workforce that will improve IPC practices within the hospital. A cross-sectional study was conducted among the cleaners in a national referral hospital in Uganda. The participants were purposively sampled, and data was collected using a web-based, interviewer-administered, questionnaire about IPC knowledge and practices. Of the 120 cleaners recruited, 52.5% were female. Good IPC knowledge was demonstrated in 58.3%, and 30.8% reported good IPC practices. Participants with at least 5 years' work experience had higher knowledge levels (aOR: 10.3, P=0.006, 95% CI: 2–54). Those closely supervised had lower IPC knowledge compared with those with less supervision. Participants with fixed work schedules (aOR: 0.2, P=0.028, 95%CI: 0–0.8), were less likely to exhibit good IPC practices. In addition, 63.1% were knowledgeable about waste segregation, recognising bin colours and the correct disposal of sharps and needles. Despite good compliance with personal protective equipment, poor hand-washing practices were reported. A positive correlation between knowledge and practice scores was established. Hospital cleaners in a national referral hospital in Uganda IPC reported poor infection prevention practices despite good knowledge. For IPC knowledge and practice to correlate positively, ongoing practical training is vital to maintain knowledge and good practice to establish a successful IPC program.
Antimicrobial resistance in bacterial wound, skin, soft tissue and surgical site infections in Central, Eastern, Southern and Western Africa: A systematic review and meta-analysis
Edward J. M. Monk, Timothy P. W. Jones, Felix Bongomin, Winnie Kibone, Yakobo Nsubuga, Nelson Ssewante, Innocent Muleya, Lauryn Nsenga, V. Bhargavi Rao, Kevin van Zandvoort
Plos Global Public Health, 2024
Antimicrobial resistance (AMR) is a major global threat and AMR-attributable mortality is particularly high in Central, Eastern, Southern and Western Africa. The burden of clinically infected wounds, skin and soft tissue infections (SSTI) and surgical site infections (SSI) in these regions is substantial. This systematic review reports the extent of AMR from sampling of these infections in Africa, to guide treatment. It also highlights gaps in microbiological diagnostic capacity. PubMed, MEDLINE and Embase were searched for studies reporting the prevalence of Staphylococcus aureus, Eschericheria coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Acinetobacter baumannii in clinically infected wounds, SSTI and SSI in Central, Eastern, Southern or Western Africa, and studies reporting AMR from such clinical isolates. Estimates for proportions were pooled in meta-analyses, to estimate the isolation prevalence of each bacterial species and the proportion of resistance observed to each antibiotic class. The search (15th August 2022) identified 601 articles: 59 studies met our inclusion criteria. S. aureus was isolated in 29% (95% confidence interval [CI] 25% to 34%) of samples, E. coli in 14% (CI 11% to 18%), K. pneumoniae in 11% (CI 8% to 13%), P. aeruginosa in 14% (CI 11% to 18%) and A. baumannii in 8% (CI 5% to 12%). AMR was high across all five species. S. aureus was resistant to methicillin (MRSA) in >40% of isolates. E. coli and K. pneumoniae were both resistant to amoxicillin-clavulanic acid in ≥80% of isolates and resistant to aminoglycosides in 51% and 38% of isolates respectively. P. aeruginosa and A. baumannii were both resistant to anti-pseudomonal carbapenems (imipenem or meropenem) in ≥20% of isolates. This systematic review found that a large proportion of the organisms isolated from infected wounds, SSTI and SSI in Africa displayed resistance patterns of World Health Organisation (WHO) priority pathogens for critical or urgent antimicrobial development.
Basic life support, a necessary inclusion in the medical curriculum: a cross-sectional survey of knowledge and attitude in Uganda
Nelson Ssewante, Godfrey Wekha, Angelique Iradukunda, Phillip Musoke, Andrew Marvin Kanyike, Germinah Nabukeera, Nicholas Kisaakye Wamala, Wilson Zziwa, Lauben Kamuhangire, Jonathan Kajjimu, Tonny Stone Luggya, Andrew Tagg
BMC Medical Education, 2022
Background Uganda continues to depend on a health system without a well-defined emergency response system. This is in the face of the rising cases of out-of-hospital cardiac arrest contributed largely to the high incidence of road traffic accidents. Non-communicable diseases are also on the rise further increasing the incidence of cardiac arrest. Medical students are key players in the bid to strengthen the health system which warrants an assessment of their knowledge and attitude towards BLS inclusion in their study curriculum. Methods A descriptive cross-sectional study was conducted in 2021 among undergraduate medical students across eight public and private universities in Uganda. An online-based questionnaire was developed using Google forms and distributed via identified WhatsApp groups. Chi-square or Fisher’s exact test and logistic regression were performed in STATA 15 to assess the association between knowledge of BLS and demographics. P < 0.05 was considered statistically significant. Results Out of the total 354 entries obtained, 351 were analyzed after eligibility screening. Of these, (n = 250, 71.2%) were male less than 25 years (n = 273, 77.8%). Less than half (n = 150, 42.7%) participants had undergone formal BLS training. Less than a third of participants (n = 103, 29.3%) had good knowledge (≥ 50%) with an overall score of 42.3 ± 12.4%. Age (p = 0.045), level of academic progress (p = 0.001), and prior BLS training (p = 0.033) were associated with good knowledge. Participants with prior training were more likely to have more BLS knowledge (aOR: 1.7, 95% CI: 1.1–2.7, p = 0.009). The majority (n = 348, 99.1%) believed that BLS was necessary and would wish (n = 343, 97.7%) to have it included in their curriculum. Conclusions Undergraduate medical students have poor BLS knowledge but understand its importance. Institutions need to adopt practical teaching methods such as clinical exposures, field experience in collaboration with local implementers, and participating in community health promotion campaigns.
Research involvement among undergraduate health profession students in a resource-limited setting: awareness, attitude, motivators and barriers
Blaise Kiyimba, Linda Atulinda, Racheal Nalunkuma, Ignatius Asasira, Jonathan Kabunga, Davis Banturaki, Anastacia Ssebbowa Nabyonga, Rachel Nakiganda, Rachael Ndyabawe, Jonathan Nkalubo, Nelson Ssewante, Felix Bongomin, Sabrina Bakeera-Kitaka
BMC Medical Education, 2022
Psychological Distress and Access to Mental Health Services Among Undergraduate Students During the COVID-19 Lockdown in Uganda
Brandy Nantaayi, Rodney Kato Ndawula, Phillip Musoke, Nelson Ssewante, Lourita Nakyagaba, Joyce Nakiganda Wamala, Emmanuel Arthur Makai, Babrah Wannyana, Nicholas Kisaakye Wamala, Andrew Marvin Kanyike, Gabriel Madut Akech, Daniel Ojilong, Drake Agira, Ann Barbra Nakimuli, Asaph Asiimwe, Felix Bongomin
Frontiers in Psychiatry, 2022
Assessment of knowledge, attitude and practice of first aid among taxi operators in a Kampala City Taxi Park, Uganda: A cross-sectional study
Nelson Ssewante, Godfrey Wekha, Moureen Namusoke, Bereta Sanyu, Ayub Nkwanga, Racheal Nalunkuma, Ronald Olum, Lawrence Katumba Ssentongo, Rachel Ahabwe, Sharon Esther Kalembe, Vanessa Nalwoga Nantagya, Joseph Kalanzi
African Journal of Emergency Medicine, 2022
Double Face Mask Use for COVID-19 Infection Prevention and Control Among Medical Students at Makerere University: A Cross-Section Survey
Racheal Nalunkuma, Derrick Bary Abila, Nelson Ssewante, Blaise Kiyimba, Edwin Kigozi, Ruth Ketty Kisuza, Fulugensio Kasekende, Jonathan Nkalubo, Sam Kalungi, Winters Muttamba, Sarah Kiguli
Risk Management and Healthcare Policy, 2022
Diabetic Complications and Associated Factors: A 5-Year Facility-Based Retrospective Study at a Tertiary Hospital in Rwanda
Angelique Iradukunda, Shallon Kembabazi, Nelson Ssewante, Andrew Kazibwe, Jean Damascene Kabakambira
Diabetes Metabolic Syndrome and Obesity, 2021
Colorectal cancer in uganda: A 10-year, facility-based, retrospective study
Godfrey Wekha, Nelson Ssewante, Angelique Iradukunda, Micheal Jurua, Shadia Nalwoga, Sharon Lanyero, Ronald Olum, Felix Bongomin
Cancer Management and Research, 2021
A preliminary report on herbal medicine use among patients hospitalized at two-large COVID-19 treatment centers in Uganda
Phillip Musoke, Jerom Okot, Vivien Nanfuka, Pius Rwamafa, Joseph Masajjage, Ivan Kisuule, Brandy Nantaayi, Nelson Ssewante, Felix Bongomin
Risk Management and Healthcare Policy, 2021
Fear of COVID-19 and the media influence on herbal medication use in uganda: A cross-sectional study
Phillip Musoke, Brandy Nantaayi, Rodney Ndawula Kato, Babrah Wannyana, Nelson Ssewante, Godfrey Wekha, Ronald Olum, Lourita Nakyagaba, Dianah Rhoda Nassozi, Germinah Nabukeera, Andrew Marvin Kanyike, Daniel Ojilong, Gabriel Madut Akech, Jonathan Kajjimu, Joshua Kiwumulo, Drake Agira, Jerom Okot, Felix Bongomin
Risk Management and Healthcare Policy, 2021

Nelson Ssewante

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