Imelda Namagembe

Case Western Reserve University School of Medicine , Cleveland, Ohio, United States

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Publications (2)4.4 Total impact

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    ABSTRACT: The purpose of this study was to summarise the current state of healthcare quality improvement literature focusing on sub-Saharan Africa. Conventional methods of searching the literature were quickly found to be inadequate or inappropriate, given the different needs of practitioners in sub-Saharan Africa, and the inaccessibility of the literature. The group derived a core list of what were deemed exemplary quality improvement articles, based on consensus and a search into the "grey" literature of quality improvement. Quality improvement articles from sub-Saharan Africa are difficult to find, and suffer from a lack of centrality and organisation of literature. Efforts to address this are critical to fostering the growth of quality improvement literature in developing country settings.
    Quality and Safety in Health Care 10/2010; 19(5):416-9. · 2.16 Impact Factor
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    ABSTRACT: The World Health Organization estimated alcohol consumption in Uganda to be one of the highest in the world. We examined alcohol consumption among Ugandan women prior to and after learning of pregnancy. We developed a screening algorithm using factors that predicted alcohol consumption in this study. In 2006, we surveyed 610 women attending antenatal care at the national referral hospital in Kampala, Uganda about consumption of traditional and commercial alcoholic beverages before and after learning of pregnancy. Predictors of alcohol consumption during pregnancy were examined and a practical screening algorithm was developed for use in antenatal clinics. One hundred eighty women (30%) drank alcohol at least monthly before learning of their pregnancy. Among these women, almost one-third reported usual consumption of at least one beverage type at quantities that equal binging levels for women. Overall, 151 women (25%) consumed alcohol after learning of pregnancy. Commercial beverages, particularly beer, were consumed more often than traditional drinks. A two-stage screening algorithm asking women about their religion, male partner or friends' drinking, and any lifetime drinking predicted self-reported consumption of alcohol during pregnancy with 97% sensitivity and 89% specificity. Alcohol consumption among pregnant Ugandan women attending antenatal care is high. A feasible screening algorithm can help providers target education and counseling to women who are likely drinking during pregnancy. Given the preference for commercial alcoholic beverages, it is recommended that labels be placed prominently on bottled alcoholic beverages warning of the adverse effects of consuming alcohol during pregnancy.
    Maternal and Child Health Journal 08/2009; 14(4):492-500. · 2.24 Impact Factor

Publication Stats

8 Citations
4.40 Total Impact Points

Institutions

  • 2009
    • Case Western Reserve University School of Medicine
      • Department of Epidemiology and Biostatistics
      Cleveland, Ohio, United States
    • Case Western Reserve University
      • Department of Epidemiology and Biostatistics
      Cleveland, OH, United States