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The effect of community dialogues and sensitization on patient reporting of adverse events in rural Uganda: uncontrolled before-after study

The effect of community dialogues and sensitization on patient reporting of adverse events in rural Uganda: uncontrolled before-after study

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dc.contributor.author Helen B. Ndagije
dc.contributor.author Leonard Manirakiza
dc.contributor.author Dan Kajungu
dc.contributor.author Edward Galiwango
dc.contributor.author Donna Kusemererwa
dc.contributor.author Sten Olsson
dc.contributor.author Anne Spinewine
dc.contributor.author Niko Speybroeck
dc.date.accessioned 2021-01-11T13:51:39Z
dc.date.available 2021-01-11T13:51:39Z
dc.date.issued 2018
dc.identifier.uri https://combine.alvar.ug/handle/1/49406
dc.description.abstract Background: The patients that experience adverse events are in the best position to report them, only if they were empowered to do so. Systematic community engagement and support to patients in a rural setting to monitor any potential harm from medicines should provide evidence for patient safety. Methods: This paper describes an uncontrolled before and after study aimed at assessing the effect of a community engagement strategy, the Community Dialogues and Sensitization (CDS) intervention between January and April 2017, on the knowledge, attitude and practice of reporting adverse drug events by community members in the two eastern Ugandan dis-tricts. A representative cross-sectional baseline household survey was done prior to the inter-vention in September 2016 (n=1034) and the end-line survey (n=827) in July 2017. Results: After implementation of the CDS intervention, there was an overall 20% (95% CI=16-25) increase in awareness about adverse drug events in the community. The young people (15-24 years) demonstrated a 41% (95% CI =31-52) increase and the un-educated showed a 50% (95% CI=37-63) increase in awareness about adverse drug events. The atti-tudes towards reporting increased overall by 5% in response to whether there was a need to report ADEs (95% CI =3-7). An overall 115% (95% CI =137-217) increase in the population that had ever experienced ADEs was also reported. Conclusion: Our evaluation shows that the CDS intervention increases knowledge, improves attitudes by catalyzing discussions among community members and health workers on health issues and monitoring safety of medicines.
dc.publisher Cold Spring Harbor Laboratory
dc.title The effect of community dialogues and sensitization on patient reporting of adverse events in rural Uganda: uncontrolled before-after study
dc.type Preprint
dc.identifier.doi 10.1101/402503
dc.identifier.mag 2889437448
dc.identifier.lens 008-526-720-403-391
dc.identifier.spage 402503
dc.subject.lens-fields Adverse effect
dc.subject.lens-fields Community engagement
dc.subject.lens-fields Sensitization
dc.subject.lens-fields Patient safety
dc.subject.lens-fields Population
dc.subject.lens-fields Potential harm
dc.subject.lens-fields Patient reporting
dc.subject.lens-fields Before after study
dc.subject.lens-fields Family medicine
dc.subject.lens-fields Medicine


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