Masters of Public health

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https://hdl.handle.net/20.500.11951/1046

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    Knowledge, response, and perceived risk towards coronavirus disease 2019 among village health teams in Kassanda district, Uganda
    (2023-09-07) Isaac Mashate
    Introduction: Despite the recent progress in COVID-19 vaccine development and implementation, COVID-19 remains a threat to the global healthcare systems. VHTs are key in the management of the pandemic and thus important in the system knowledge, response, and perceived risk towards coronavirus disease. Study Objective: To assess the level of knowledge and associated factors, response activities, and perceived risk of COVID-19 among Village Health Teams in Kassanda district Methodology: This was a descriptive cross-sectional study, involving mixed methods of data collection. A sample of 273 VHTs participated in the study. Data entry and cleaning was done using Ms Excel 2016 and analyzed with STATA version 14.0. Quantitative data analysis was done at univariate level to generate frequencies, proportions and percentages., bivariate and multivariate analysis was done to generate Odds Ratios (ORs), 95% confidence intervals and p- values were used to infer statistical associations between the predictor and outcome variables. Logistic regression was conducted providing crude and adjusted odds ratios and their corresponding 95% confidence intervals (CIs). Results: A total of 273 respondents were involved in this study. Of these, more than half 54.6% (149/273) of the participants were female, about half 49.1% (134/273) had attained O’level education. More than three quarters 84.6% (231/273) of the VHTs had high level of knowledge. Secondary education (adj. OR = 2.6, 95% CI; 1.25, 5.61 p = 0.01), and source of training being District Health Team (adj. OR = 7.7, 95% CI; 3.16, 18.85 p<0.001) were factors found to be associated with the level of knowledge of VHTs on COVID-19. The response activities of VHTs that were involved in the COVID-19 response in Kassanda district were community sensitization, follow up of Covid 19 positive cases and support home-based care for mild cases. Conclusion: The level of knowledge of VHTs on COVID-19 was high. The factors associated with the level of knowledge of VHTs on COVID-19 was secondary education and source of training being District Health Team. The response activities of VHTs carried out during the Covid 19 pandemic was community sensitization, follow up of Covid 19 positive cases and support home-based care for mild cases.
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    Modern contraceptive utilization among women of reproductive age in Terekeka county, Central Equatoria State, South Sudan
    (2023-09-12) Alex David Imba
    Introduction: This study investigated modern contraceptive utilization among women of reproductive age in Terekeka County. Methodology: A mixed cross-sectional study design was adopted and quantitative data was collected from 384 women of reproductive age through structured interviews while qualitative data was obtained using focus group discussions and key informant interviews. Data collection was conducted from August to September 2021 and analysis was done using the Statistical Package for Social Scientists (SPSS) version 23.0 and thematic content analysis. Results: The study revealed the level of education of women (AOR=8.68, Confidence interval: 3.22-23.42), occupation of women (X2=19.56, p-value <0.001), religion of women – Muslim (X2=7.45, p-value=0.02) and having 6-12 number of children (AOR=5.36, Confidence Interval: 0.66-43.79) were the socio-demographic determinants while age of women and their marital status were not associated with modern contraceptive use. Knowledge on modern contraceptives (AOR=3.7, Confidence Interval: 1.43-9.61), free family planning services (X2=23.39, p-value <0.001), access – waiting for less than 30 minutes at health facility (AOR=6.80, Confidence Interval: 2.41-19.15) and husband’s support (X2=19.28, p-value <0.001) were found to be the health services factors. The prevalence of modern contraceptive utilization in Terekeka County was 21.88% (Confidence Interval: 18.02-26.29). Conclusions: Level of education of woman, occupation, religion (Muslim), number of live children, knowledge on modern contraceptives, access and partner’s support were positively associated to modern contraceptive utilization while age of woman, marital status and traditional healers were not. The prevalence of modern contraceptive utilization among women of reproductive age was 21.88% (CI: 18.02-26.29), higher than 5% (FP2020 FPET, 2016) as well as the South Sudan government target of 10%. Recommendations: Implement demand creation activities - awareness, Family planning services providers to encourage partners’ support and further research on why Terekeka County has higher prevalence.