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Disparities in availability of essential medicines to treat non-communicable diseases in Uganda: A Poisson analysis using the Service Availability and Readiness Assessment

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  • Mari Armstrong-Hough
  • Sandeep P Kishore
  • Sarah Byakika
  • Gerald Mutungi
  • Marcella Nunez-Smith
  • Jeremy I Schwartz

Abstract

Objective: Although the WHO-developed Service Availability and Readiness Assessment (SARA) tool is a comprehensive and widely applied survey of health facility preparedness, SARA data have not previously been used to model predictors of readiness. We sought to demonstrate that SARA data can be used to model availability of essential medicines for treating non-communicable diseases (EM-NCD). Methods: We fit a Poisson regression model using 2013 SARA data from 196 Ugandan health facilities. The outcome was total number of different EM-NCD available. Basic amenities, equipment, region, health facility type, managing authority, NCD diagnostic capacity, and range of HIV services were tested as predictor variables. Findings: In multivariate models, we found significant associations between EM-NCD availability and region, managing authority, facility type, and range of HIV services. For-profit facilities’ EM-NCD counts were 98% higher than public facilities (p

Suggested Citation

  • Mari Armstrong-Hough & Sandeep P Kishore & Sarah Byakika & Gerald Mutungi & Marcella Nunez-Smith & Jeremy I Schwartz, 2018. "Disparities in availability of essential medicines to treat non-communicable diseases in Uganda: A Poisson analysis using the Service Availability and Readiness Assessment," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-12, February.
  • Handle: RePEc:plo:pone00:0192332
    DOI: 10.1371/journal.pone.0192332
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    References listed on IDEAS

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    1. Margaret Ewen & Marjolein Zweekhorst & Barbara Regeer & Richard Laing, 2017. "Baseline assessment of WHO’s target for both availability and affordability of essential medicines to treat non-communicable diseases," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-13, February.
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    1. Jovana Milenković & Dragana Lakić & Nataša Bogavac-Stanojević, 2023. "Analysis of the Professional Aspects of Medical Drugs Industry in the Republic of Serbia in Times of COVID-19 Pandemic," Sustainability, MDPI, vol. 15(11), pages 1-16, May.
    2. Andrew K Tusubira & Ann R Akiteng & Brenda D Nakirya & Ritah Nalwoga & Isaac Ssinabulya & Christine K Nalwadda & Jeremy I Schwartz, 2020. "Accessing medicines for non-communicable diseases: Patients and health care workers’ experiences at public and private health facilities in Uganda," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-17, July.

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