District hospitals in Uganda play a crucial role in healthcare delivery but face challenges in methodological accuracy and adoption rates of best practices. A systematic literature review was conducted to assess studies published between and. Studies were selected based on methodological quality (using a predefined checklist) and their focus on adoption rates of evidence-based practices in district hospitals. Multilevel logistic regression models were employed to analyse the data. The multilevel logistic regression analysis revealed that among 50 studies reviewed, 60% adopted rigorous research methods, indicating a moderate level of methodological adherence. However, there was considerable variability in adoption rates across different categories of evidence-based practices (EBP). This study highlights the need for enhanced training and support to improve the methodological standards and EBP adoption rates in district hospital systems. District health authorities should prioritise investing in quality improvement initiatives that emphasise rigorous research methods, thereby enhancing the quality of healthcare delivery in Uganda. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Bwire et al. (Mon,) studied this question.
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