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Prof Louise Ackers' Outputs (19)

Frugal innovation in wound management within a low resource inpatient setting: a case series (2023)
Journal Article
Stephens, M., Wynn, M., Pradeep, S., Ackers, L., & Namiiro, R. (2023). Frugal innovation in wound management within a low resource inpatient setting: a case series. Wounds UK, 19(3),

This article highlights challenges of wound care in low resource settings, considering opportunities for frugal innovation and our experiences while creating virtual wound care clinics across two global communities. In addition, we will discuss four... Read More about Frugal innovation in wound management within a low resource inpatient setting: a case series.

Virtual volunteering: A collaborative prosthetics research project (2023)
Journal Article
Kenney, L., Horder, C., Ackers, L., Ssekitoleko, R., Mulindwa, C., Hussaini, A., …Donovan-Hall, M. (in press). Virtual volunteering: A collaborative prosthetics research project

An international multi-disciplinary team has demonstrated a low-carbon way for clinicians and scientists in the UK to engage with global health, and how their counterparts in low-resource settings can benefit from these exchanges of expertise.

Repair strategies for assistive technology in low resource settings (2023)
Journal Article
Oldfrey, B., Holloway, C., Walker, J., McCormack, S., Deere, B., Kenney, L., …Miodownik, M. (2024). Repair strategies for assistive technology in low resource settings. Disability and Rehabilitation: Assistive Technology, 1-11. https://doi.org/10.1080/17483107.2023.2236142

Purpose
To investigate the practices of repair that exist for users of mobility assistive products in low resource settings, as well as the psychosocial impact that the repair, or non-repair, of these devices has on users’ lives.

Materials and Me... Read More about Repair strategies for assistive technology in low resource settings.

Evaluation of the current status of prosthetic rehabilitation services for major limb loss: a descriptive study in Ugandan Referral hospitals (2023)
Journal Article
Mulwinda, B., Nalwoga, R. P., Mwaka, E. S., Kenney, L. P. J., Ackers, L., & Ssekitoleko, R. T. (2024). Evaluation of the current status of prosthetic rehabilitation services for major limb loss: a descriptive study in Ugandan Referral hospitals. Disability and Rehabilitation, 46(5), 969-978. https://doi.org/10.1080/09638288.2023.2188266

Background: Low-income-and-middle-income countries (LMICs) have a large
burden of major limb loss. No recent study has reported on Uganda’s state of
public sector prosthetics services. This study aimed to document the landscape of
major limb loss,... Read More about Evaluation of the current status of prosthetic rehabilitation services for major limb loss: a descriptive study in Ugandan Referral hospitals.

The lived experience of people with upper limb absence living in Uganda : a qualitative study (2022)
Journal Article
Morgado-Ramirez, D., Nakandi, B., Ackers, H., Ssekitoleko, R., Mwaka, E., Kenney, L., …Donovan-Hall, M. (2022). The lived experience of people with upper limb absence living in Uganda : a qualitative study. African journal of disability, 11, 890. https://doi.org/10.4102/ajod.v11i0.890

Background: The impact of upper limb absence on people’s lived experiences remains severely under-explored, particularly in African countries, with implications for policy and service design.

Objectives: explore the lived experiences of people wit... Read More about The lived experience of people with upper limb absence living in Uganda : a qualitative study.

An exploration of midwives' understanding of antibiotic resistance and stewardship in Uganda (2022)
Journal Article
Welsh, J., & Ackers, H. (2022). An exploration of midwives' understanding of antibiotic resistance and stewardship in Uganda. African journal of midwifery and women's health, 16(2), 1-10. https://doi.org/10.12968/ajmw.2020.0028

Background/Aims A shortage of healthcare professionals has led to task shifting. Antibiotic prescribing is one such task that has been informally shifted to midwives in Uganda. This study aimed to explore the understanding of Ugandan midwives about a... Read More about An exploration of midwives' understanding of antibiotic resistance and stewardship in Uganda.

Human-centred design of a new microneedle-based hormonal contraceptive delivery system. (2021)
Journal Article
Gualeni, B., Hughes, L., Stauber, I., Ackers, H., Gorman, A., Gashuga, D., …Birchall, J. (2021). Human-centred design of a new microneedle-based hormonal contraceptive delivery system. Gates Open Research, 5, 96. https://doi.org/10.12688/gatesopenres.13233.2

It is estimated that 225 million women worldwide have an unmet need for family planning, and more than half live in low- and middle-income countries. Increasing the choice of contraceptive methods available can reduce this unmet need. Microneedle dru... Read More about Human-centred design of a new microneedle-based hormonal contraceptive delivery system..

Antibiotic resistance profiles and population structure of disease-associated Staphylococcus aureus infecting patients in Fort Portal Regional Referral Hospital, Western Uganda (2021)
Journal Article
Ackers-Johnson, G., Kibombo, D., Kusiima, B., Nsubuga, M., Kigozi, E., Kajumbula, H., …James, C. (2021). Antibiotic resistance profiles and population structure of disease-associated Staphylococcus aureus infecting patients in Fort Portal Regional Referral Hospital, Western Uganda. Microbiology, 167(5), 001000. https://doi.org/10.1099/mic.0.001000

Tackling antimicrobial resistance (AMR) is particularly challenging in low-resource settings such as Fort Portal Regional Referral Hospital (FPRRH) in Western Uganda. Specific knowledge of local AMR epidemiology is required to inform evidence-based i... Read More about Antibiotic resistance profiles and population structure of disease-associated Staphylococcus aureus infecting patients in Fort Portal Regional Referral Hospital, Western Uganda.

Antibiotic resistance profiles and population structure of disease-associated Staphylococcus aureus infecting patients in Fort Portal Regional Referral Hospital, Western Uganda (2020)
Journal Article
Goodhead, I., Ackers, H., Birtles, R., & James, C. (2020). Antibiotic resistance profiles and population structure of disease-associated Staphylococcus aureus infecting patients in Fort Portal Regional Referral Hospital, Western Uganda. bioRxiv, https://doi.org/10.1101/2020.11.20.371203

Tackling antimicrobial resistance (AMR) is particularly challenging in low-resource settings such as Fort Portal Regional Referral Hospital (FPRRH) in Western Uganda. Specific knowledge of local AMR epidemiology is required to inform evidence-based i... Read More about Antibiotic resistance profiles and population structure of disease-associated Staphylococcus aureus infecting patients in Fort Portal Regional Referral Hospital, Western Uganda.

Opportunities and challenges for improving antimicrobial stewardship in low and middle income countries ; lessons learnt from the maternal sepsis intervention in Western Uganda (2020)
Journal Article
Ackers, H., Ackers-Johnson, G., Seekles, M., Odur, J., & Opio, S. (2020). Opportunities and challenges for improving antimicrobial stewardship in low and middle income countries ; lessons learnt from the maternal sepsis intervention in Western Uganda. Antibiotics, 9(6), 315. https://doi.org/10.3390/antibiotics9060315

This paper presents findings from an action-research intervention designed to identify ways of improving antimicrobial stewardship in a Ugandan Regional Referral Hospital. Building on an existing health partnership and extensive action-research on ma... Read More about Opportunities and challenges for improving antimicrobial stewardship in low and middle income countries ; lessons learnt from the maternal sepsis intervention in Western Uganda.

A questionnaire study of the negative outcomes for UK health professional volunteers in low and middle income countries (2020)
Journal Article
Tyler, N., Ackers, H., Ahmed, A., Byrne, G., & Byrne-Davis, L. (2020). A questionnaire study of the negative outcomes for UK health professional volunteers in low and middle income countries. BMJ Open, 10(6), e037647. https://doi.org/10.1136/bmjopen-2020-037647

Introduction: Past research has reported considerable benefits of international health professional volunteering for British healthcare professionals; however, there are also some negative outcomes reported. Negative outcomes reportedly happen on a p... Read More about A questionnaire study of the negative outcomes for UK health professional volunteers in low and middle income countries.

Enhancing skills to promote the utilization of medical laboratory equipment in low resource settings (2020)
Journal Article
Oshabaheebwa, S., Namuli, L., Tusabe, M., Nantume, J., Ackers, L., & Ssekitoleko, R. (2020). Enhancing skills to promote the utilization of medical laboratory equipment in low resource settings. Health Policy and Technology, 9(1), 94-101. https://doi.org/10.1016/j.hlpt.2020.01.001

Objective
This study was to demonstrate the efficacy of an intervention model involving on-going skills enhancement of users, Biomedical Engineers and Technicians (BMETs) in enhancing the utilization of medical laboratory equipment in low resource s... Read More about Enhancing skills to promote the utilization of medical laboratory equipment in low resource settings.

Optimising student learning on international placements in low income settings (2019)
Journal Article
Ackers, H., Ackers-Johnson, J., Ahmed, A., & Tate, N. (2019). Optimising student learning on international placements in low income settings. Open Journal of Social Sciences, 7(3), 311-327. https://doi.org/10.4236/jss.2019.73026

This paper challenges the assumption that student visits to low resource settings inevitably promote the acquisition of cultural competence. Much of the literature and marketing rhetoric advocating the expansion of such ‘exposures’ lists numerous pos... Read More about Optimising student learning on international placements in low income settings.

What price a welcome? Understanding structure agency in the delivery of respectful midwifery care in Uganda (2018)
Journal Article
Ackers, L., Webster, H., Mugahi, R., & Namiro, R. (2018). What price a welcome? Understanding structure agency in the delivery of respectful midwifery care in Uganda. International Journal of Health Governance, 23(1), 46-59. https://doi.org/10.1108/ijhg-11-2017-0061

Purpose – The purpose of this paper is to present the findings of research on mothers and midwives’ understanding of the concept of respectful care in the Ugandan public health settings. It focusses on one aspect of respect; namely communication that... Read More about What price a welcome? Understanding structure agency in the delivery of respectful midwifery care in Uganda.

Organisational barriers to the facilitation of overseas volunteering and training placements in the NHS (2018)
Journal Article
Chatwin, J., & Ackers, H. (2018). Organisational barriers to the facilitation of overseas volunteering and training placements in the NHS. BMC Public Health, 18(1), 69. https://doi.org/10.1186/s12913-018-2853-z

Background
Undertaking a period of voluntary work or a professional placement overseas has long been a feature of medical training in the UK. There are now a number of high profile National Health Service (NHS) initiatives aimed at increasing acces... Read More about Organisational barriers to the facilitation of overseas volunteering and training placements in the NHS.

Volunteering and overseas placements in the NHS : a survey of current activity (2016)
Journal Article
Chatwin, J., & Ackers, L. (2016). Volunteering and overseas placements in the NHS : a survey of current activity. BMJ, 6(10), e01216. https://doi.org/10.1136/bmjopen-2016-012160

Objective
The study aimed to establish current levels of overseas volunteering and placement activity across all staff grades within the NHS in the North West of England.
Design
Cross-sectional survey.
Instrument
Descriptive statistics.
Setting... Read More about Volunteering and overseas placements in the NHS : a survey of current activity.

The impact of delays on maternal and neonatal outcomes in Ugandan public health facilities : the role of absenteeism (2016)
Journal Article
Ackers, H., Ionnou, E., & Ackers-Johnson, J. (2016). The impact of delays on maternal and neonatal outcomes in Ugandan public health facilities : the role of absenteeism. Health Policy and Planning, 31(9), 1152-1161. https://doi.org/10.1093/heapol/czw046

Maternal mortality in low and middle income countries (LMICs) continues to remain high. The Ugandan Ministry of Health’s Strategic Plan suggests that little, if any, progress has been made in Uganda in terms of improvements in Maternal Health (Millen... Read More about The impact of delays on maternal and neonatal outcomes in Ugandan public health facilities : the role of absenteeism.