Search

Geographic mobility may disrupt continuity of care and contribute to poor clinical outcomes among people receiving treatment for tuberculosis (TB). This may occur especially where health services are not well coordinated across international borders, particularly in lower and middle income country settings. In this work, we describe mobility and the relationship between mobility and unfavorable TB treatment outcomes (i.e., death, loss to follow-up, or treatment failure) among a cohort of adults who initiated TB treatment at one of 12 health facilities near Lake Victoria. We abstracted data from health facility records for all 776 adults initiating TB treatment during a 6-month period at the selected facilities in Kenya, Tanzania, and Uganda. We interviewed 301 cohort members to assess overnight travel outside one’s residential district/sub-county. In our analyses, we estimated the proportion of cohort members traveling in 2 and 6 months following initiation of TB treatment, explored correlates of mobility, and examined the association between mobility and an unfavorable TB treatment outcome. We estimated that 40.7% (95% CI: 33.3%, 49.6%) of people on treatment for TB traveled overnight at least once in the 6 months following treatment initiation. Mobility was more common among people who worked in the fishing industry and among those with extra-pulmonary TB. Mobility was not strongly associated with other characteristics examined, however, suggesting that efforts to improve TB care for mobile populations should be broad ranging. We found that in this cohort, people who were mobile were not at increased risk of an unfavorable TB treatment outcome. Findings from this study can help inform development and implementation of mobility-competent health services for people with TB in East Africa.

Supplemental material, sj-docx-1-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, sj-docx-3-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, sj-docx-2-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, sj-docx-4-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, sj-docx-2-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, sj-docx-3-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, sj-docx-4-whe-10.1177_17455057221103993 for Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers by Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A Price, Noah Kiwanuka and Olivier Degomme in Women’s Health

Supplemental material, Supplementary_table_4_and_5_09APR2020 for Antenatal Care Practices Among Hard-to-Reach Fishing Communities on Lake Victoria: A Community-Based Cross-Sectional Survey by Ali Ssetaala, Joan Nabawanuka, Gideon Matovu, Nusula Nakiragga, Judith Namugga, Phiona Nalubega, Henry Lutalo Kaluuma, Katrina Perehudoff, Kristien Michielsen, Bernard Bagaya, Noah Kiwanuka and Olivier Degomme in Journal of Primary Care & Community Health

Additional file 1.

Additional file 1. Screening, enrolment and follow up of fisher folks in rural and semi urban Uganda.

SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related documents. (DOC 123 kb)

SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related documents. (DOC 123 kb)