GHES LMIC Fellow 2016-2017

Home Institution: Makerere University, Uganda
U.S. Institution: Yale University

Project Title: Disparities in asthma care in Uganda

Despite the availability of effective treatment, asthma patients continue to experience disproportionate morbidity from asthma. Some groups of patients receive less and lower quality asthma care than others and hence experience poorer health outcomes. In Uganda, data on disparities in asthma diagnosis and care is still insufficient and the most vulnerable or priority populations to asthma care disparities are unknown. Contributing factors to the disparities in care are usually complex and are an interrelated set of individual, provider, healthcare system,societal and environmental factors. Some of the contributing factors potentially include socioeconomic status, age, gender, and geographic location (proximity to care) among others.

Identifying patient groups or categories at risk of asthma care disparities in primary care settings in Uganda would help in identifying barriers to receiving good quality asthma care. In the long run, this would facilitate the process of finding ways of overcoming barriers to good quality asthma care among patients at risk, hence reducing morbidity from asthma due to disparities in asthma care.

Research Questions:

1. What proportion of patients with uncontrolled asthma are managed according to asthma care guidelines at hospital enrollment in Uganda?

2. What factors contribute to uncontrolled asthma among patients presenting to hospital in Uganda?