Opportunities For Services Research Articles

Experiences on the Utility and Barriers of Telemedicine in Healthcare Delivery in Kenya.

Telemedicine is the provision of health services over a distance using information communication technology devices. Telemedicine is emerging as a promising component of healthcare care delivery worldwide, accelerated by the COVID-19 pandemic. This study assessed the factors promoting uptake, barriers, and opportunities for telemedicine among doctors in Kenya. Methodology. A semiquantitative, cross-sectional online survey was conducted among doctors in Kenya. During a month, between February and March 2021, 1,200 doctors were approached by email and WhatsApp, of whom 13% responded. Findings. A total of 157 interviewees participated in the study. The general usage of telemedicine was 50%. Seventy-three percent of doctors reported using a mix of in-person care and telemedicine. Fifty percent reported using telemedicine to support physician-to-physician consultations. Telemedicine had limited utility as a standalone clinical service. The inadequate information communication technology infrastructure was the most reported barrier to telemedicine, followed by a cultural resistance to using technology to deliver healthcare services. Other notable barriers were the high cost of initial setup limited skills among patients, limited skills among doctors, inadequate funding to support telemedicine services, weak legislative/policy framework, and lack of dedicated time for telemedicine services. The COVID-19 pandemic increased the uptake of telemedicine in Kenya. The most extensive use of telemedicine in Kenya supports physician-to-physician consultations. There is limited single use of telemedicine in providing direct clinical services to patients. However, telemedicine is regularly used in combination with in-person clinical services, allowing for continuity of clinical services beyond the physical hospital infrastructure. With the widespread adoption of digital technologies in Kenya, especially mobile telephone technologies, the growth opportunities for telemedicine services are immense. Numerous mobile applications will improve access capabilities for both service providers and users and bridge the gaps in care.

Resiliency Metrics for Monitoring and Analysis of Cyber-Power Distribution System With IoTs

The electric grid operation is constantly threatened with natural disasters and cyber intrusions. The introduction of Internet of Things (IoTs) based distributed energy resources (DERs) in the distribution system provides opportunities for flexible services to enable efficient, reliable and resilient operation. At the same time, IoT based DERs comes with cyber vulnerabilities and requires cyber-power resiliency analysis of the IoT-integrated distribution system. This work focuses on developing metrics for monitoring resiliency of cyber-power distribution system, while maintaining consumers’ privacy. Here, resiliency refers to the system’s ability to keep providing energy to the critical load even with adverse events. In the developed cyber-power Distribution System Resiliency (DSR) metric, the IoT Trustability Score (ITS) considers the effects of IoTs using a neural network with federated learning. ITS and other factors impacting resiliency are integrated into a single metric using Fuzzy Multiple-Criteria Decision Making (F-MCDM) to compute Primary level Node Resiliency (PNR). Finally, DSR is computed by aggregating PNR of all primary nodes and attributes of distribution level network topology and vulnerabilities utilizing game-theoretic Data Envelopment Analysis (DEA) based optimization. The developed metrics will be valuable for i) monitoring the distribution system resiliency considering a holistic cyber-power model; ii) enabling data privacy by not utilizing the raw user data; and iii) enabling better decision-making to select the best possible mitigation strategies towards resilient distribution system. The developed ITS, PNR, and DSR metrics have been validated using multiple case studies for the IoTs-integrated IEEE 123 node distribution system with satisfactory results.

A Study On Factor Influence Of Mobile Commerce Usage And Satisfaction Of Customers In Madurai District

The potential change for consumer habits on shopping, that establish the significant of commerce channel. The consumers to rely digital devices more than ever before, and growth of mobile commerce. The mobile commerce usage of become the online shopping trends in customers. The advancements of in the wireless communication, mobile commerce has become a new paradigm for personal communication without any constraints in locations. Starting from the teenagers to the retirees, everyone is depending on mobile devices. They use for computers and the internet to purchase products, send and receive e- mail and play games online. This study usage for mobile commerce and factors influence for customers, satisfaction at mobility at offers new – found freedom for the great to pay. Finally, this study at usage for mobile commerce and satisfaction with influences of factors in mobile commerce usage is creating new opportunities for the mobile services in the customers.

Transitional care strategies at emergency department for elderly patients: A multicentre study in Singapore.

Transitional care strategies (TCS) initiated for elderly patients prior to emergency department (ED) discharge are important for ensuring effective transition to other care settings. Such strategies have been shown to reduce avoidable acute admissions. This first nationwide study is targeted at public acute hospital EDs in Singapore, and aims to characterise TCS for ED-discharged elderly patients and understand the experiences of healthcare staff in the delivery of TCS. Seven key informants (KIs), one per ED, completed an online structured questionnaire and semi-structured video conference interview from 8 May to 31 August 2021. The KIs were ED specialists and an ED-trained senior staff nurse who were knowledgeable in geriatric emergency care and had contributed to at least one elder-related TCS. Field notes were compiled, transcribed, anonymised and analysed using thematic analysis. All 7 EDs have TCS as "usual care" available during office hours, at no extra cost to patients. Common components of TCS include screening, evaluation with comprehensive geriatric assessment, health education and follow-up telecare. TCS implementation was facilitated by organisational support in terms of established protocols and communication platforms, training and collaboration of a multidisciplinary team, and caregiver involvement. Obstacles faced include fragmented communication between personnel, limited resources, and poor buy-in from stakeholders. Understanding the heterogeneous characteristics of ED-TCS at various hospitals will aid the development of service typology and identify service opportunities. Provider experiences grouped into themes help to inform future strategies for TCS implementation. More research is needed to evaluate patient outcomes and cost-effectiveness of TCS.

Academic Library service model for e-learning environment: a case study

During the crisis time, teaching and learning activities were carried out remotely using digital teaching and learning apps/devices. In online learning, it is essential to identify the need to respond on time. Libraries are the primary provider of information resources/services to the academic community. In Sri Lankan academia, the time to adopt technologies has become mandatory due to safety concerns and the COVID-19 situation. In this research, one state university was chosen as a case study, and academic staff, students, and library staff were considered as the population. A stratified random sampling method was used to conduct the study. The data collection is done through the questionnaire. The primary framework was modified based on suggestions identified through data analysis. This study aimed to seek the current situation of the e-learning support of the University libraries and to identify other service opportunities in an e-learning environment. Research gaps and factors were identified because of the review process and findings. The findings were identified through major areas, such as e-learning, resources, learning services, ICT infrastructure facilities, Information professionals' roles, and skills and management policies. Library services can proactively organize according to user requirements. For this, library pre-planning is greatly important. The conceptual model presented in this paper was developed based on gaps identified through reviewing existing literature, research results, and user suggestions. Libraries that are conducting user surveys could consider the factors presented in this model.

Implementation of behaviour change training in practice amongst pharmacy professionals in primary care settings: Analysis using the COM-B model

BackgroundThe Pharmacy Integration Fund (PhIF) was established in England in 2016, with funded learning programmes or ‘pathways’ designed to support the development of clinical pharmacy practice in a range of settings. Despite pharmacy staff being well positioned to provide more clinical work, limited research has investigated behaviour change training targeted at widespread practice transformation. Objective(s)To investigate implementation of PhIF learning in practice, using the COM-B model of behaviour change. MethodsAn online survey distributed in February and October 2020 included questions on motivations for learning, confidence in target behaviours and impact of PhIF training on behaviour. The October 2020 survey also included questions exploring the effect of the COVID-19 pandemic. Quantitative data were analysed in SPSS. v.27 (IBM). Inferential statistics were used to compare between the pathways (Primary care pathways [PCP], Post-registration pathway [PRP] and Accuracy Checking Pharmacy Technician [ACPT] pathway). Free text comments were categorised and themed. ResultsThree-hundred and eighty-three responses were received (49% PRP learners, 39% PCP learners and 12% ACPT learners). Learners generally had the capacity and opportunities to apply learning, and were strongly motivated to implement behaviours in practice, although learners based in community pharmacy (those on the PRP) were less likely to report receiving employer support. Enhanced knowledge/skills (capacity) were more commonly reported than change to patient-facing activities, leading clinical services and conducting medication reviews with patients with complex needs (clinical practice behaviours targeted by the pathways). The COVID-19 pandemic heightened barriers to implementing practice change. ConclusionsImplementation of a range of clinical practice behaviours following at scale training appears to have been largely successful. Despite this, the community pharmacy context, where funded service opportunities may be lacking, continues to present challenges to workforce transformation plans. More work is needed to understand how training can be implemented to promote practice change for pharmacy professionals in all settings.

Clinical support during COVID-19: An opportunity for service and learning? A cross-sectional survey of UK medical students

Purpose Medical students providing support to clinical teams during Covid-19 may have been an opportunity for service and learning. We aimed to understand why the reported educational impact has been mixed to inform future placements. Methods We conducted a cross-sectional survey of medical students at UK medical schools during the first Covid-19 ‘lockdown’ period in the UK (March–July 2020). Analysis was informed by the conceptual framework of service and learning. Results 1245 medical students from 37 UK medical schools responded. 57% of respondents provided clinical support across a variety of roles and reported benefits including increased preparedness for foundation year one compared to those who did not (p < 0.0001). However, not every individual’s experience was equal. For some, roles complemented the curriculum and provided opportunities for clinical skill development, reflection, and meaningful contribution to the health service. For others, the relevance of their role to their education was limited; these roles typically focused on service provision, with few opportunities to develop. Conclusion The conceptual framework of service and learning can help explain why student experiences have been heterogeneous. We highlight how this conceptual framework can be used to inform clinical placements in the future, in particular the risks, benefits, and structures. Practice points There was a benefit for most students who provided clinical support compared to those who did not during Covid-19. Most students found clinical support roles more beneficial than clinical placements and most final years wanted their final year clinical placements replaced by a formal role within a clinical team. Not every student’s experience of clinical support was equal. The conceptual framework of service and learning can help explain this heterogeneity. The most beneficial roles for students complemented the curriculum and provided opportunities for clinical skill development, reflective practice, and meaningful contribution to the health service. There is an added benefit of combining service and learning if done correctly, and we can use this to inform the structure of clinical placements going forwards. However, there are risks, and we discuss principles of good practice and provide our own considerations.

Proto-professionalism: Opportunities for student learning and service to homeless people

The concepts of professionalism including ethical practice, reflection, self-awareness, respect, teamwork and social responsibility are present in the healthcare curriculum but rarely learned in combination. The concepts can be combined when students receive practical experiences on the challenges of delivering health and social care to populations experiencing poverty and disadvantage. We report on work with homeless people in our local communities designed to align social accountability responsibilities with healthcare curricula through a student volunteering project; initially established in a medical school. Using an ethical approach we developed this learning through a staff-student-community partnership. The outcome was learning consisting of theoretical teaching, practice learning and the potential to volunteer. We report on the development phases over several years (2013-2017). The pedagogical evaluation used a sequential mixed methods approach. One hundred and ninety-five student participants scored pre- and post-questionnaires. Of these 75% completed reflective assignments and many went on to volunteer. Twenty of those who volunteered participated in one-to-one interviews. Scored data were analysed statistically and reflective written materials were analysed using content analysis. The interview data were analysed using thematic analysis. The learning was positively experience and students reported changed attitudes and understandings of homelessness. Practice-placements and volunteering further enhanced these insights and student’s perceptions of readiness for clinical practice. This can be described as proto-professionalism. The student-staff-community partnership offers an ethical platform on which to build sustainable local outreach projects. The students gained a deeper appreciation of social injustice for homeless people.

The Qianke system in China: Disorganisation, discrimination and dispersion

In the Chinese criminal legal system, the term ‘Qianke’ (前科) is conceptually interchangeable with the idea of a criminal record that lists one’s past crimes, convictions and sentences. In this article, by situating Qianke within the context of China’s distinct criminal justice and social governance ethos, my central claim is that the status quo of the Qianke system features disorganised, discriminatory and dispersed modes of social and penal controls. Specifically, the management of Qianke represents an uncoordinated structure in which criminal record data are regulated by divergent rules and institutions but remain under the complete control of the state. Although largely inaccessible to the general public, the discriminatory effect of Qianke is sweeping. By and large, it is characterised by the imposition of restraints on not only individuals with a criminal record but also their families in accessing equal opportunities in education, employment and public services. This distinctive form of state discrimination is informed by an emerging concern with risk prevention within Chinese criminal justice policy which is further enhanced by Qianke’s orchestrated penetration into the social system (e.g. via the Social Credit System). Moving from the criminal legal system to the social system, Qianke also serves as a tool of control aimed at managing individuals with a criminal history in a way that is conducive to the state’s prioritised governance agenda.

Comparison Research of Mongolian Adventure Travel’s Products

The effect of income from tourism, especially adventure travel, on the world economy is increasing as the years go by. Tourists' interests are changing over time, with a growing preference for professional and adventurous travel. This research paper was conducted to determine the development opportunities for Mongolian adventure tour product services and research tour products organized by Mongolian tour operators. A total of 332 tour programs from 28 organizations were researched, revealing that 96.3 percent of the tours in Mongolia are land-based, 3.9 percent are water-based, and 0.3 percent are air-based. The study identified 27 varieties of soft adventure tours, including photo safari, bird watching, ecotourism, trekking, cycling, camel, and horse travel. Additionally, 14 tour operations offer four types of hard adventure tours with varying costs and durations.

Wi-Fi Localization Obfuscation: An implementation in openwifi

Wi-Fi sensing as a side-effect of communications is opening new opportunities for smart services integrating communications with environmental properties, first and foremost the position of devices and people. At the same time, this technology represents an unprecedented threat to people’s privacy, as personal information can be collected directly at the physical layer without any possibility to hide or protect it. Several works already discussed the possibility of safeguarding users’ privacy without hampering communication performance, using signal pre-processing at the transmitter side to introduce pseudo-random (artificial) patterns in the channel response estimated at the receiver, preventing the extraction of meaningful information from the channel state, a process called obfuscation. One step beyond the proof-of-concept for obfuscation feasibility, is its implementation in working systems. In this work, we present the implementation of a location obfuscation technique within the openwifi project that enables fine manipulation of the radio signal at transmitter side and yields acceptable, if not good, performance, the system has been implemented for both 802.11a/g/h and 802.11n systems, including MPDU aggregation, while implementation for 802.11ac or ax is still not feasible because openwifi does not support 40MHz channelization and beyond. This contribution discusses the implementation of the obfuscation subsystem, its performance, possible improvements, and further steps to allow authorized devices to “de-obfuscate” the signal and retrieve the sensed information.

A beginner’s guide to library association service

Although new librarians are encouraged to become active in professional association service, they may not understand how this could benefit them or how to begin. This article explains the immediate and long-term benefits of service to the librarian. It also covers finding and selecting service opportunities, serving effectively in those roles, and documenting service activities.

Telehealth medication management and health care spending in a Medicare Accountable Care Organization.

BACKGROUND: Value-based care is an opportunity for medication optimization services to improve medication management and reduce health care spending. The reach of these services may be extended through telehealth. However, as health care systems and payers grapple with the long-term financing of telehealth, real-world assessments are needed to evaluate the potential economic impact of pharmacy-driven telehealth services. OBJECTIVE: To evaluate the impact of a scalable pharmacist-driven telehealth intervention to improve medication management on health care spending for clinically complex patients who were enrolled in a Medicare Next Generation Accountable Care Organization. METHODS: Data for this pretest-posttest nonequivalent group design study came from Medicare claims from 2015 to 2020 and linked pharmacist care activity data derived from the electronic medical record. Patients in the intervention group were identified as those who received the telehealth medication management service. Patients in the control group were offered the service and refused or could not be contacted. The primary outcome was total medical spending over a 6-month period, and impact was assessed using a covariate-adjusted difference-in-difference model. RESULTS: There were 581 patients who received the intervention and 1,765 who served as controls. The telehealth intervention reduced total medical spending by $2,331.85 per patient over the first 6 months of the service ($388.50 per month; P = 0.0261). Across a range of estimates for the cost of service delivery, we find a return on investment of 3.6:1 to 5.2:1. CONCLUSIONS: The $388.50 monthly savings found in this study represent a substantial reduction in health care spending and emphasize the opportunity for telehealth delivery of medication management services to improve value as a part of alternative payment models. DISCLOSURES: This study was funded by the UNC Health Care Department of Pharmacy. Dr Urick has received personal fees from Pharmacy Quality Solutions and Cardinal Health. Drs Peters, Vest, Colmenares, Foushee, and DeFalco are employees of UNC Health Care Department of Pharmacy. Mr Easter received a Co-PI grant from NACDS Foundation to implement Community-based Value Care Initiative (CVCI) in a community pharmacy setting. He also received a grant to Eshelman School of Pharmacy. He has an individual consulting agreement with digital health company Truentity Health to provide go to market strategy for medication management services. He also has stock options from Truentity Health as a component of the consulting agreement. Dr Foushee has a leadership or fiduciary role at Member-At-Large and the Ambulatory Care Academy of the North Carolina Association of Pharmacists. At the time this work was conducted, Dr Urick, Dr Pathak, and Dr Blanchard were all employees of the UNC Eshelman School of Pharmacy.

BUSINESS PLAN : RENCANA PENDIRIAN EVENT ORGANIZER

Opportunities for business services for organizing activities that are increasingly widespread and developing, either as activity planners or activity organizers. Here preparations that must be made to conduct events such as community gathering, music concert, wedding, and corporate events are discussed. The objective of this study is to determine strategies that will be realized based on the analyses on the related aspects in order to develop and to face competition in event organizing business in Bojonegoro. This qualitative descriptive research uses primary data obtained from observations and interviews and secondary data compiled from relevant literature. This study finds that the business planning has met the necessary aspects such as analysis of customer’s interest, support from the government, the availability of other companies for partnership purposes, planning workflow and event execution, analyses on competitors of the same field of industry, required service variations, form of partnership agreements, business legality, and analyses of sponsors from other companies as the supporting parties for the organization of an event.

Factors Influencing The Transition Of Transaction Activities From Conventional To Financial Technology

Financial technology as a service innovation in the financial industry has become a means of transaction in the rapidly growing buying and selling transactions. Besides, it has become one of the alternative means of payment for consumers. This opportunity can be used as a business development opportunity for financial services for financial business providers. Changes in the transition from conventional payments to payments using financial technology services are influenced by various factors that support changes in transaction activities. This study aims to determine the factors influencing payment transaction activities, from conventional payments to payments using financial technology services. The research methodology involves various variables involved in it by using the factor analysis approach to determine factors that support the achievement of research objectives. It is supported by a sample of 100 respondents with various representative sample criteria to explain each factor involved in the research. The research results show that the transition of payment transaction activities from conventional methods to payment transactions with financial technology services is influenced by various variables. The variables included are information system flexibility, ideal, and value for use, ability, comfort, safety, interaction, activity, and length of transaction time.

CT without borders: Comparison of diagnoses for abdominal pain from a teaching hospital in rural Kenya and a US academic medical center.

Radiology global health opportunities are expanding as more hospitals in low- and middle-income countries utilize CT. This creates opportunities for global health program building, education, service, and research. This study determines the diagnostic yield and variety of abdominopelvic CT diagnoses for abdominal pain in a US academic medical center (UW) compared to a rural Kenyan teaching hospital (Tenwek). A retrospective, cross-sectional sequential sample of 750 adults from both hospitals who underwent abdominopelvic CT for abdominal pain from February 2019 through July 2020was obtained. Exclusion criteria were trauma, cancer staging, and recent hospitalization or surgery. Patient age, sex, comparisonstudies, use of contrast, known cancerdiagnosis, and CT diagnoses were compared. Negative examrate, acute abdomendiagnosis, and new cancer diagnosis were recorded. Statistical analysis was performed using R. 750 UW patients met inclusion criteria (mean age 53.3 ± 20years; 442 women) and 750 Tenwekpatients met inclusion criteria (mean age 52.5 ± 18years; 394 women). 72% of UW patients had comparison imaging compared to 6% of Tenwek patients. 11% (83/750) of UW patients had a known cancer diagnosis compared to 1% (10/750) of Tenwek patients. 39% of UW patients had a negative exam compared to 23% of Tenwek patients (p < 0.001). 58% of UW patients had an acute abdomen diagnosis compared to 38% of Tenwek patients (p < 0.001). 10 of the 15 topacute abdomen diagnoses were shared, but in different order of frequency. Diagnoses unique to UW were diverticulitis, constipation, stercoral colitis, and epiploicappendagitis. Diagnoses unique to Tenwek were tuberculosis and hydatidosis. 3% of UW patients received a new cancer diagnosis (7/19 metastatic), compared to 40% of Tenwek patients (153/303 metastatic) (p < 0.001). For adults undergoing CT for abdominal pain, there are differences in the prevalence of abdominal pain diagnoses, new cancer diagnosis, and negative exam rate between the rural Kenyan teaching hospital and the US academic medical center.

Health facility readiness to provide antenatal care (ANC) and non-communicable disease (NCD) services in Nepal and Bangladesh: Analysis of facility-based surveys.

Antenatal care (ANC) visits provide an important opportunity for diagnostic, preventive, and curative services for non-communicable diseases (NCDs) during pregnancy. There is an identified need for an integrated, system-wide approach to provide both ANC and NCD services to improve maternal and child health outcomes in the short and long term. This study assessed the readiness of health facilities to provide ANC and NCD services in Nepal and Bangladesh, identified as low-and middle-income countries. The study used data from national health facility surveys in Nepal (n = 1565) and Bangladesh (n = 512) assessing recent service provision under the Demographic and Health Survey programs. Using the WHO's service availability and readiness assessment framework, the service readiness index was calculated across four domains: staff and guidelines, equipment, diagnostic, and medicines and commodities. Availability and readiness are presented as frequency and percentages, while factors associated with readiness were examined using binary logistic regression. Of the facilities, 71% in Nepal, and 34% in Bangladesh reported offering both ANC and NCD services. The proportion of facilities which showed readiness for providing ANC and NCD services was 24% in Nepal and 16% in Bangladesh. Gaps in readiness were observed in the availability of trained staff, guidelines, basic equipment, diagnostics, and medicines. Facilities managed by the private sector or a Non-Governmental Organization, located in an urban area, with management systems to support the delivery of quality services were positively associated with readiness to provide both ANC and NCD services. There is a need to strengthen the health workforce by ensuring skilled personnel, having policy, guidelines and standards, and that diagnostics, medicines, and commodities are available/provided in health facilities. Management and administrative systems are also required, including supervision and staff training, to enable health services to provide integrated care at an acceptable level of quality.

Employment and Rehabilitation for Veterans With Chronic Conditions and Disabilities: Strengths, Challenges, Opportunities, and Policy Suggestions

This review aims to explore and synthesize employment and rehabilitation services for veterans with disabilities to help rehabilitation clinicians and researchers understand the characteristics and needs of this population, with the aim to improve employment and rehabilitation outcomes for veterans with disabilities. More specifically, our goal is to identify strengths, challenges, and opportunities in Vocational Rehabilitation (VR) and employment services for veterans with disabilities. Veterans with disabilities may be eligible to receive VR services from both the Veterans Affairs (VA) and state VR agencies; however, they still experience significant challenges and barriers in employment due to unique characteristics of veterans and their disabilities. For example, poverty, homelessness, and unemployment due to disability are significant challenges for veterans with disabilities, their families, service providers, stakeholders, and policymakers. Research has long identified employment and rehabilitation services can buffer against these challenges; however, VR services are identified as the least used VA services among veterans with disabilities. This study includes implications to inform clinicians, policy makers, and researchers on VR and employment services for veterans with disabilities.

The Effects of a Transformational Leadership Style and Technological Innovation on Crisis Management

Transformational leadership shows a strong influence and impact on the relationship with crisis management. Technological innovation is an iterative procedure started by the impression of a new market and/or new service opportunity for a technology-based invention. This study focuses on the effects of a transformational leadership style and technological innovation on crisis management; This hopes to bridge the gap in its application to local government units. The study aimed to examine the effects of a transformational leadership style and technological innovation on crisis management of the different Local Government Units (LGUs) in the Province of La Union. The key informant interviews were delivered among thirty-three (33) respondents, twenty (20) mayors or municipal heads and thirteen (13) board members. With this purpose, the mixed method was employed by combining qualitative and quantitative data gathering procedures using De Bono’s Six Thinking Hats. The findings revealed: (1) the negative effects of being a transformational leader who is technologically innovated in crisis management, (2) the disadvantages of using technology in crisis management, and (3) some of the technological challenges during crisis management. It implies that local government officials need to significantly improve these, especially in the context of transformational leadership style and technological innovation in crisis management. Hence the researcher develops recommendations.

Barriers to treatment and care for depression among the youth in Uganda: The role of mental health literacy.

Depression represents a significant mental health problem (MHP) in low- and middle-income countries (LMICs), especially among early adults. Nevertheless, most early adults with depression do not seek treatment. Failure to recognize depression and knowledge about mental health literacy (MHL) may contribute to poor help-seeking behavior. This study assessed MHL, access and barriers to mental health care for depression among early adults in Uganda. Data were collected from students in two of the largest universities in Uganda. Participants completed questionnaires on depression, MHL, sources of barriers and opportunities for MH service. Regression analyses and parametric tests were used to assess depression, access, barriers and opportunities to promote MH. About 12 per cent (n = 56) of the respondents were at the level of moderately severe to severe depression. Mental health literacy (MHL) scores were generally low ranging from "Ability to recognize mental disorders" (mean = 19.32, SD 3.22, range 18-32), and "Knowledge of risk factors" (mean = 4.39, SD 1.17, range 2-8), and "Knowledge of available information" (mean = 9.59, SD 2.53, range 5-20). Respondents reported barriers such as "stigma/discrimination" (65.53%), "lack of knowledge of where to receive help" (65.15%), "lack of trust in health workers" (62.56%), and "distant health facilities" (19.70%) that impede access to treatment and care. MHL significantly predicted depression (based on a continuous scale) (β = 0.63, 95% confidence interval [CI]: [0.56, 0.70]) with the regression model yielding a significant fit [R 2 = 0.40, F (2, 460) = 189.84, p < 0.001]. MHL is low among university students amidst several barriers such as stigma, fear, and lack of trust. To attenuate the negative effects of MHPs on wellbeing and lower the increased risk of psychopathology into adulthood, it is critical to prioritize MHL, address barriers to treatment and care, and develop the requisite infrastructure to tackle depression among early adults.