De-identified SARA Uganda 2013 database with variables defined

SARA Uganda 2013 database with variables used in analysis for this manuscript. De-identified. Original database is property of Uganda Ministry of Health

Poisson regression model predicting greater availability of NCD essential medicines (final/preferred model).

<p>Poisson regression model predicting greater availability of NCD essential medicines (final/preferred model).</p

Stratified distribution of study variables and their association with availability of NCD medicines.

<p>Stratified distribution of study variables and their association with availability of NCD medicines.</p

Distribution of EM-NCD counts in sampled facilities from the 2013 Uganda SARA survey.

<p>Distribution of EM-NCD counts in sampled facilities from the 2013 Uganda SARA survey.</p

Essential medicines for treating non-communicable diseases (EM-NCD) included in the 2013 Uganda SARA survey.

<p>Essential medicines for treating non-communicable diseases (EM-NCD) included in the 2013 Uganda SARA survey.</p

Unadjusted and adjusted estimates for self-care education domains and adherence to medications.

Unadjusted and adjusted estimates for self-care education domains and adherence to medications.</p

Healthcare seeking and access to services and equipment for self-care.

Healthcare seeking and access to services and equipment for self-care.</p

Demographic characteristics of the participants.

BackgroundImplementing effective self-care practices for non-communicable diseases (NCD) prevents complications and morbidity. However, scanty evidence exists among patients in rural sub-Saharan Africa (SSA). We sought to describe and compare existing self-care practices among patients with hypertension (HTN) and diabetes (DM) in rural Uganda.MethodsBetween April and August 2019, we executed a cross-sectional investigation involving 385 adult patients diagnosed with HTN and/or DM. These participants were systematically randomly selected from three outpatient NCD clinics in the Nakaseke district. Data collection was facilitated using a structured survey that inquired about participants’ healthcare-seeking patterns, access to self-care services, education on self-care, medication compliance, and overall health-related quality of life. We utilized Chi-square tests and logistic regression analyses to discern disparities in self-care practices, education, and healthcare-seeking actions based on the patient’s conditions.ResultsOf the 385 participants, 39.2% had only DM, 36.9% had only HTN, and 23.9% had both conditions (HTN/DM). Participants with DM or both conditions reported more clinic visits in the past year than those with only HTN (P = 0.005). Similarly, most DM-only and HTN/DM participants monitored their weight monthly, unlike those with only HTN (PConclusionCompared to rural Ugandans with HTN-only, participants with DM had greater utilization of healthcare services, exposure to self-care education, and adherence to medicine and self-monitoring behaviors. These findings should inform ongoing efforts to improve and integrate NCD service delivery in rural SSA.</div

De-identified data set.

BackgroundImplementing effective self-care practices for non-communicable diseases (NCD) prevents complications and morbidity. However, scanty evidence exists among patients in rural sub-Saharan Africa (SSA). We sought to describe and compare existing self-care practices among patients with hypertension (HTN) and diabetes (DM) in rural Uganda.MethodsBetween April and August 2019, we executed a cross-sectional investigation involving 385 adult patients diagnosed with HTN and/or DM. These participants were systematically randomly selected from three outpatient NCD clinics in the Nakaseke district. Data collection was facilitated using a structured survey that inquired about participants’ healthcare-seeking patterns, access to self-care services, education on self-care, medication compliance, and overall health-related quality of life. We utilized Chi-square tests and logistic regression analyses to discern disparities in self-care practices, education, and healthcare-seeking actions based on the patient’s conditions.ResultsOf the 385 participants, 39.2% had only DM, 36.9% had only HTN, and 23.9% had both conditions (HTN/DM). Participants with DM or both conditions reported more clinic visits in the past year than those with only HTN (P = 0.005). Similarly, most DM-only and HTN/DM participants monitored their weight monthly, unlike those with only HTN (PConclusionCompared to rural Ugandans with HTN-only, participants with DM had greater utilization of healthcare services, exposure to self-care education, and adherence to medicine and self-monitoring behaviors. These findings should inform ongoing efforts to improve and integrate NCD service delivery in rural SSA.</div

Unadjusted and adjusted estimates for self-care related problems among patients with hypertension (HTN) and diabetes (DM) in rural Uganda.

Unadjusted and adjusted estimates for self-care related problems among patients with hypertension (HTN) and diabetes (DM) in rural Uganda.</p