Browsing by Author "Kikule, Ekiria"

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A good death in Uganda: survey of needs for palliative care for terminally ill people in urban areas
(2003-07) Kikule, Ekiria
Objective To identify the palliative care needs of terminally ill people in Uganda. Design Descriptive cross sectional study. Setting Home care programmes in and around Kampala that look after terminally ill people in their homes. Participants 173 terminally ill patients registered with the home care programmes. Results Most of the participants had either HIV/AIDS or cancer or both; 145 were aged under 50 years, and 107 were women. Three main needs were identified: the control or relief of pain and other symptoms; counselling; and financial assistance for basic needs such as food, shelter, and school fees for their children. The preferred site of care was the home, though all these people lived in urban areas with access to healthcare services within 5 km of their homes. Conclusion A “good death” in a developing country occurs when the dying person is being cared for at home, is free from pain or other distressing symptoms, feels no stigma, is at peace, and has their basic needs met without feeling dependent on others.
Students’ Health Seeking Behaviour and its Rationale at Uganda Christian University
(Texila International Journal, 2018-09-28) Mukooza, Edward Kibikyo; Carabine, Deirdre; Kikule, Ekiria
Uganda Christian University’s records of 2013-2014 show that approximately 30% of the 3,300 students in the Easter Semester did not register for and therefore could not use the University’s health services. This study analysed Uganda Christian University students’ health seeking behaviour in order to identify their preferred health care services and rationale for their choice, and the barriers to the University’s health system. A cross-sectional and mixed design was applied. Data was collected with a questionnaire administered to a sample of 424 Uganda Christian University students in April 2015. Quantitative data was analysed with SPSS 16. Qualitative data was analysed by content analysis. Most students came from urban (51%) or peri-urban (23.4%) homes and had parents or guardians with post-secondary school education (80%). Most of the students used the university’s Allan Galpin Health Centre (78%) when in need of health care but given choice, they would prefer other health facilities, especially those nearest. The most frequent reason for choice was convenience. The females perceived their state of health differently from the males (p-value 0.03) and they had more unmet health needs. Barriers include unavailability of needed services, long queues, poor customer care, lack of trust in the service, waiting to see if the health problem would resolve and lack of relevant information. The findings are similar to those from studies done in similar contexts. Key influencers of health seeking behaviour were convenience and gender. Unavailability of needed services and customer care issues were barriers to the University health services.
Students’ Health Seeking Behaviour and its Rationale at Uganda Christian University
(Texila International Journal, 2018-09-28) Mukooza, Edward Kibikyo; Carabine, Deirdre; Kikule, Ekiria
Uganda Christian University’s records of 2013-2014 show that approximately 30% of the 3,300 students in the Easter Semester did not register for and therefore could not use the University’s health services. This study analysed Uganda Christian University students’ health seeking behaviour in order to identify their preferred health care services and rationale for their choice, and the barriers to the University’s health system. A cross-sectional and mixed design was applied. Data was collected with a questionnaire administered to a sample of 424 Uganda Christian University students in April 2015. Quantitative data was analysed with SPSS 16. Qualitative data was analysed by content analysis. Most students came from urban (51%) or peri-urban (23.4%) homes and had parents or guardians with post-secondary school education (80%). Most of the students used the university’s Allan Galpin Health Centre (78%) when in need of health care but given choice, they would prefer other health facilities, especially those nearest. The most frequent reason for choice was convenience. The females perceived their state of health differently from the males (p-value 0.03) and they had more unmet health needs. Barriers include unavailability of needed services, long queues, poor customer care, lack of trust in the service, waiting to see if the health problem would resolve and lack of relevant information. The findings are similar to those from studies done in similar contexts. Key influencers of health seeking behaviour were convenience and gender. Unavailability of needed services and customer care issues were barriers to the University health services.
The Health and Socio-Economic Status of the Buvuma Main Island Community in Buvuma District, Uganda
(Texila International Journal, 2020-09-30) Mukooza, Edward Kibikyo; Kikule, Ekiria; Mugarura, Evatt; Semuju, Stephen; Kusiima, Maureen; Ubomba Jaswa, Peter; Kanyesigye, Edward
Uganda Christian University’s Department of Public Health with Buvuma District local government, the local communities and the local Anglican Church of Uganda conducted a study to assess the household health and socio-economic status of communities on Buvuma’s main island. The Study design was cross-sectional and descriptive. The sample was 212 households and data were collected using Pretested Questionnaires, Focus Group Discussions, and Key Informants Interviews. Most respondents (59.9%) were female, aged 18-59 years (89.9%) with primary education (48.1%). About 21% of respondents had no formal education. Housing was mainly (73.1%) one or two roomed with earthen floors in 84.4%.; the lake was a source of water in 41% of households and water was used untreated in 36.8% of households; latrine coverage was 62.7%. Wood (70.5%) and charcoal (29.5%) were the energy sources for cooking and solar energy was used for lighting in 54.3% of the households. Malaria was the commonest cause of morbidity; 100% of households had nets, but 32.1% did not use them. 92% of mothers received antenatal care but 88.2% delivered in health facilities. Income was mostly from subsistence farming (74%) with per capita income of 20,000 to 50,000 Uganda shillings for 45% households. Most income (54%) was spent on children’s education. About 50.9% of respondents did not own land but 89.6% had a garden to grow food. Overall, the study community, in a hard to reach island district, had poorer health and socio-economic indicators than the Country.