Faculty of Public Health, Nursing and Midwifery

Permanent URI for this community

https://hdl.handle.net/20.500.11951/930

Browse

Now showing 1 - 20 of 49

A Criterion - Based Audit of Postnatal services Given to Mothers and Newborns Within 24 Hours of Birth in the General Hospital in Western Uganda
(Uganda Christian University, 2023-09-12) AGNES AGWANG
Abstract Background: Postnatal care is a key global intervention and a major safe motherhood initiative recommended for reducing maternal and neonatal mortality globally. Criterion-based audit helps measure the quality of postnatal care reliably and checks adherence to World Health Organization criteria and standards. This study assessed the quality of postnatal care services offered to mothers and their babies within 24 hours using a baseline Criterion-based audit at the general hospital. Methods: Mixed methods used on a facility Criterion-based audit with descriptive cross-sectional and explorative study design. Study population comprised of quarterly recorded and reviewed maternal postnatal files. A questionnaire and key informant interview guide were used. A systematic sampling technique was used for selecting files while key informants were selected purposively. Data was analyzed using SPSS version 20. Qualitative data was transcribed using related concepts to form themes and sub themes. Results: 248 files reviewed. Assessment of the mothers and their babies within one hour after birth almost met the WHO standards in all the parameters except after birth pains and incision site for cesarean mothers. Within 6 hours, assessments fell far below the WHO criteria and standards, including records of potentially life-threatening conditions and information shared upon discharge. No mental health information was shared upon discharge. Immediate care of the newborn almost met the WHO criteria and standards except for stimulation of the baby, use of ambu bag and mask, and use of resuscitation drugs. Six hours and subsequently the standards were not met (head circumference, temperature, bladder and bowel function, color of the eyes, cord checked and skin color), including records of potentially life-threatening conditions. Information on discharge was shared except delayed bath and continuity of prescribed treatment. Factors associated with quality of postnatal care included lack of guidelines, understaffing, inadequate sundries and equipment. Conclusion and recommendations: Assessment of the mothers and their babies after six hours of birth did not meet the WHO criteria and standards. Criterion-Based Audit of postnatal services in this study revealed that attention was given in improving the quality of postnatal care than it did before through, adopting WHO guidelines for postnatal care, improving the staffing levels and their general welfare. Criterion-based Audits can be used in other maternity departments like antenatal clinic and labour ward to assess quality of care.
Access and Utilisation of Antenatal Care Services Among Women With Physical Disabilities Attending Mwananyamala Referral Hospital in Kinondoni District
(Uganda Christian University, 2024-09-26) Elia Macha
This qualitative study investigated the access and utilization of antenatal care services among pregnant women with physical disabilities attending Mwananyamala Referral Hospital in Kinondoni District, Tanzania. The specific objectives of the study were to identify barriers and challenges faced by physically disabled women in accessing antenatal care services, to explore the experiences and perspectives of physically disabled women regarding the quality antenatal care services they receive and to examine the support systems and accommodations required by physically disabled women to access antenatal care services effectively. The research employed a case study methodology, and 20 individuals were chosen using the purposive sample technique. Data were gathered through interview while data were analysed using content analysis. Findings from the study reveal a spectrum of barriers faced by physically disabled women, including physical limitations, attitudinal barriers from healthcare providers, policy-related challenges, transportation difficulties, and communication obstacles. Moreover, participants' narratives illuminate the significance of tailored support, education, and accessible infrastructure in facilitating positive antenatal care experiences for this population. From this study, we recommend that there is need to enhance accessibility infrastructure within healthcare facilities, improve transportation options for physically disabled women, and implement training programs for healthcare professionals to become more cognizant of and knowledgeable about the unique requirements of this population. Future research could further explore communication challenges, longitudinal health outcomes, and comparative studies across healthcare facilities, aiming to enhance inclusivity and quality of care for this vulnerable population.
Adolescent Sexual and Reproductive Health Needs and Services for In-School Deaf Adolescents in Uganda School for the Deaf and Mulago School for the Deaf
(Uganda Christian University, 2024-05-08) Dorothy Ajete
Sexual and reproductive health is a critical societal and personal concern; and this phenomenon strongly applies to the young population in the adolescent age bracket. Some of the common consequences of not managing adolescents sexual and reproductive health includes; early sexual encounters, teen age pregnancy, rape, defilement and others. Therefore, this study focused on SRH needs and services of in-school deaf adolescents. This study aimed at examining the various sexual and reproductive health (SRH) needs and services offered to in-school deaf adolescents in two deaf schools in Uganda. The researcher used a cross-sectional research design deploying a mixed method approach in collecting data. The total sample size was 136, of which115 deaf adolescents were surveyed, and 7 key informants were interviewed (2 head teachers, senior women, matron each and 1 senior male teacher). The study finding revealed that majority of the study respondents identified life skills, provision of school health program and sensitive counseling sessions as their preferred SRH needs; language barrier was cited as the biggest challenge in accessing SRH services. Provision of life skills coupled with counselling sessions will play a major role in enhancing the deaf adolescent’s self-esteem and their ability to utilize SRH services. As such the researcher recommends the deaf adolescents be given life skills, government and school administrations to commit to communicating SRH issues in ways understandable by the deaf, and parents to get involved in supporting their deaf children to learn more about SRH. Key Words: Sexual reproductive health, deaf adolescents, health services
Assessment of Factors Associated With Electronic Waste Disposal in Lugazi Municipal Council, Buikwe District
(2024-04-02) Yusufu Kazibwe
Introduction The study was to assess the factors associated with electronic waste disposal in Lugazi Municipal Council. The study specifically sought to assess the knowledge of the community on the effects of poor e-waste disposal, to identify the practices for disposal of e-waste by the community of Lugazi Municipal Council and to explore the extent of awareness and implementation of the existing legislation by Lugazi Municipal Council in the management of electronic waste. Method A descriptive crossectional study design employing both qualitative and quantitative methods was used. A total of 385 respondents were enrolled in the study. Self-administered questionnaires were used to collect quantitative data from the respondents while FGDs and key informant interview guides were used to collect qualitative information from the participants. Quantitative data was analyzed using SPSS version 20 and qualitative data was analyzed using NVIVO. Quantitative data was analyzed at univariate, bivariate and multivariate level. Result. Majority 189 (49.1%) of the respondents were aged between 25-34 years. At bivariate level of analysis, educational level (X2=13.980, df =3, P-value=0.030), knowledge of waste that falls under e-waste (X2=41. X 648, df =4, P-value=0.000), knowledge of the effect of poor e-waste management (X2=450.886, df =3, P-value=0.000,), training on electronic waste management (X2=59.382, df =1, P-value=0.000) and how e-waste is stored in the shop (X2=15.091, df =3, P-value=0.02) was found to significantly influence proper e-waste disposal <0.05 At multivariate level, knowledge of electronic waste (AOR4.8; 95% CI: 1.40-7.39; p= 0.002), Effects of poor electronic waste (AOR=5.8; 95% CI: 1.27-22.42; p= 0.001) and training on electronic waste (AOR=8.8; 95% CI: 1.04-8.68; p= 0.000) were independently associated with proper electronic waste disposal p-value <0.05. Conclusion This study established that only 12% of the respondents properly disposed of e-wastes (i.e disposal after segregation). This study also found out that, knowledge of electronic waste (AOR4.8; 95% CI: 1.40-7.39; p= 0.002). Effects of poor electronic waste (AOR=5.8; 95% CI: 1.27-22.42; p= 0.001). and training on electronic waste (AOR=8.8; 95% CI: 1.04-8.68; p= 0.000) were independently associated with proper electronic waste disposal p-value <0.05 Recommendation From the study findings, there is need for sensitizing electronic dealers on the disposal of electronic waste, by the Municipal Council and the Central Government. There is need for deliberate effort by the ministry of water and environment to disseminate policy guidelines on electronic waste to the population specifically electronic consumers/electronic waste dealers and in order to improve disposal and minimize the effects of poor e-waste disposal, the government should consider putting up e-waste recycling plants so as to reduce the volume of e-waste disposed in the environment.
Barriers to Utilization of Modern Contraceptive Methods Used by Females Aged 15-24 Years. A Case Study of Moyo District
(2024-04-11) Luchio Mua Azoru
Introduction: Modern contraceptives are medical procedures that interfere with reproduction or acts of sexual intercourse. Moyo district contraceptive prevalence used by females aged 15-24 years is 6.03% which is far from the national target. The low contraceptive use among this age group results in high school drops, unwanted pregnancy, early child marriage, and community disputes. General Objective: To evaluate barriers associated with the utilization of modern contraceptive methods used by females aged 15-24 years in Moyo district. Methodology: A cross-sectional design with mixed methods of quantitative and qualitative approaches was used. The reason of using cross-sectional design is to measure the exposure and outcome variables at the same time, its relatively quick and inexpensive, and findings can be used to create an in-depth research study. Multistage sampling was used to draw 423 participants for quantitative and 23 participants were purposively selected for Qualitative study based on knowledge and experience, the results were analyzed using SPSS Version 20 and open code software and presented in the form of tables, pie charts, graphs, and descriptives. Results: The findings indicated marital status OR 3.193, P-Value 0.000 and CI (2.002-5.091), Family/Community influence OR 1.644, P-Value 0.019 and CI (1.084-2.493) and Cultural influence OR 2.004, P-Value 0.006 and CI (1.218-3.298) tend to be associated with using contraceptives. Desire for children OR 0.459, P-Value 0.002 and CI (0.279-0.756) and long waiting time OR 0.442, P-Value 0.003 and CI (0.258-0.756) tend to be not associated with the use of modern contraceptives. Conclusion: The findings of this study have shown both individual and socio-cultural factors contribute to low utilization of modern contraceptives among females aged 15-24 years and these needs to be address with involvement of different stakeholders.
Breastfeeding Practices and Experiences Among Working Mothers: A Case Study of Primary School Teachers and Nurses in Goma Division, Mukono Municipality
(2024-04-11) Stella Asayo
Introduction: Public health specialists recognize that breastfeeding is an unmatched way of providing ultimate food for the healthy growth and development of infants. In fact, it is recognized as an integral part of the reproductive process with important implications for the health of both the infant and the mothers. To this, global world health experts recommend that all newborns should be exclusively fed on breast milk without any additional food or drink for up to six months. Methods: This was purely qualitative research that adopted a case study research design with the aim of finding out the experiences of mothers in formal employment practicing breastfeeding and how work influences breastfeeding among formally employed mothers in Goma Division-Mukono Municipality. Findings: The study findings revealed that mothers in formal employment experience heavy work load, tight work schedules, very minimal institutional support towards practicing breastfeeding; as such most of breastfeeding mothers ended up failing in principles to successfully achieve the goal of breastfeeding their infants. Results: The researcher recommends government to consider extending the maternity leave duration from the current 3 months to 6 months with flexible working hours to breastfeeding mothers to allow them sufficient time to breastfeed, and the government should make regular follow ups with all intuitions to ensure that they implement the maternity leave policy to breastfeeding mothers. Key works: Breastfeeding, work experience, maternal leave, institutional support
Describe the Knowledge and Attitude on the Use of International Guidelines for Management of Patients with Heart Failure Among Nurses at the Uganda Heart Institute, Mulago Hospital.
(2024-03-25) Atifa Munanda
Background and aim: Heart failure is a raising public health issue globally. In Uganda HF affects more than 15 % Ugandans annually, and results to increased hospital length of stay, frequent re-hospitalizations, increase hospital costs and premature deaths among those affected. The aim of study is to describe the knowledge and attitude on the use of international guidelines for managing HF among nurses at the Uganda Heart Institute. Methods: The study employed descriptive cross-Sectional study design of quantitative approach of data collection. The research was conducted on 72 nurses who have worked for more than six months in Uganda heart institute. The questionnaire consisted of 30 questions that assessed knowledge and attitude of nurses on the use of international guidelines. The study questionnaire was conducted on the month of June 2023 to July 2023. Results: A total of 72 nurses participated in this study. Average age was 36.7 years with minimum age 27 and maximum age 58 years. 67% of the respondents were below 40 years. Overall, 46.9% of the respondents had good knowledge about management of heart failure using international guidelines. Among the 72 respondents 48(66.7%) had positive attitude towards heart failure management (M = 3.8, SD= 3.3), male had nearly equal attitude compared to female (70.0% vs. 68.7%), participants who had an experience of more than 20 years had a better attitude compared to all categories of experience. Discussions and conclusion: participants had a good knowledge compared to the results from other studies. The knowledge was associated with knowledge years of experience and some forms of specialization. The results showed good attitude which was similar to other studies. Increasing awareness on the use of international guidelines might further improve knowledge.
Determinants of Modern Contraceptive Use Among Women of Reproductive Age in Uganda: Between 2001–2016
(Uganda Christian University, 2024-09-05) Joyce Ahumuza
Embarking on a comprehensive exploration of modern contraceptive use in Uganda from 2001 to 2016. This study employs extensive secondary data analysis to unravel the intricate dynamics influenced by socio-economic, demographic as well as other factors on the uptake of modern contraceptives. Amidst moderate changes observed in contraceptive practices over the years, the prevalence of users still falls below expectations set by the Ministry of Health and other institutions in the country. Notably, shifting trends in the initiation of sexual activity among women aged 15-49years are unveiled, peaking at 7.6% in 2001 and gradually declining to 6.3% in 2016. Wealth indices indicate a noteworthy decrease in poverty rates over the same period, possibly linked to government-led poverty reduction initiatives. Educational strides are evident, with 6.8% of women achieving higher education in 2016, reflecting the government's commitment to enhancing access. The dominance of rural residence, reported at 85.3% in 2006, mirrors Uganda's primarily rural population, while fluctuations in working status hint at persistent socio-economic challenges and prevalent informal sector employment. Media exposure dynamics exhibit diverse rates, with 58.9% of women exposed to contraceptive information through radios in 2016. Over time, increased exposure to family planning messages, peaking in 2016 across all platforms, contrasts with comparatively lower exposure via TV and newspapers. The study further unveils nuanced patterns in contraceptive use, spotlighting injections as the most prevalent method from 2001 to 2016. These comprehensive insights contribute to a holistic comprehension of Uganda's reproductive health landscape, paving the way for a detailed discussion of the contextual factors shaping modern contraceptive decisions. Keywords: Modern Contraceptive Use, Reproductive Health landscape
Determinants of Modern Family Planning Methods Utilisation Among South Sudanese Refugee Women Aged 15–49 Years in Kiryandongo Refugee Settlement
(Uganda Christian University, 2024-05-23) Estella John Kasiano Kitale
Introduction: This study explored factors that influenced uptake of modern contraceptives among the group of South Sudanese refugee women of childbearing age in Kiryandongo Refugee settlement. Methodology: An analytical cross sectional mixed study was carried out amidst 312 women of childbearing age by administering structured questionnaire from Kobo collect tool to them. Key informants were interviewed for the qualitative arm. Data collection was conducted from July to August 2023; STATA software version 14 was used for analysis and thematic content analysis. Results: The study revealed that 22.1percent of the South Sudanese women of childbearing age used contraceptives methods. Tribe, monthly income of the respondents with [P-value, 0.001)], and [P-value (0.003)] respectively were found to be individual factors related to usage. Availability of the services [P-value (0.035) <0.05)], women who discuss with partners about modern FP [P-value (0.005) <0.05)], self-decision making for the FP method used [P-value (0.023) <0.05)], comfortability with the FP service delivery environment [P-value (0.002) <0.05)] were the respondent and health facility determinants associated with current uptake of the modern contraception method. Conclusions: our findings show a low uptake of modern contraceptive methods amongst South Sudanese women of childbearing age as compared to the current contraceptive use in Uganda which is 38% (UDHS, 2022). Recommendations: There is need to improve the outreaches within the settlement to give more information about the usefulness of FP also and provide FP services. Implement Counselling for refugees within the camp to encourage good decision making on uptake.
Effect of an Education Intervention Based on Utilization of an Individualized Rapid Assessment Tool on Knowledge, Attitude and Practice of Healthcare workers Regarding Medical Waste Management: A Quasi-Experimental Study at Selected Health Center III’s in Mukono District.
(Uganda Christian University, 2024-04-30) Irene Nakamatte
Background/Purpose: At least 5 million people including nurses, doctors, and laboratory workers are diagnosed with hepatitis and human immune virus, the vast majority of these occurring in low-income countries. The spread of these infections to healthcare workers can be prevented through proper medical waste management such as segregation of medical waste and disposal in color-coded bins. This study determined the effect of an education intervention based on the utilization of an Individualized Rapid Assessment Tool (IRAT) on the knowledge, attitude and practice of healthcare workers regarding medical waste management at selected Health Center III’s in Mukono district. The study was guided by the Health Belief Model. Methodology: A quasi experimental study design with quantitative items was used. A total of 36 healthcare workers participated in the study; these were selected by consecutive sampling approach. Results: Utilizing the IRAT significantly improved the healthcare workers’ knowledge (t= 8.40, P=.001), attitude (t (20) = 7.422, P=.001) and practice (t (5) = 7.9, P=.001) of medical waste management. Conclusions: An education intervention based on utilization of IRAT is highly effective in improving the knowledge, attitude and practice of healthcare workers regarding medical waste management. Recommendations: Health facility leaders should organize regular trainings using the IRAT aiming at improving healthcare workers knowledge, attitude and practice. Key terms: Individualized rapid assessment tool, healthcare workers, knowledge of medical waste management, attitude on medical waste management, practice of medical waste management.
Effect of an Orientation Activity on the Perception and Attitude on First Year Direct Bachelors Nursing Students towards the Nursing Profession, A Study Done in Four Universities in Central Uganda.
(Uganda Christian University, 2023-09-15) AISA NAKAWUNDE
Background and Objective: The roles that nurses play in health care are numerous but not well known to the public nor to the students who join nursing. The students instead join with various misperceptions of the profession and they have limited awareness of the different opportunities in nursing. Without any intervention to correct the misperceptions, the students’ attitude towards their chosen nursing course remains questionable and this can affect their performance in school and the quality of nurses they make after school. Orientation programs have been proven to clear misperceptions and promote a positive attitude towards nursing, but their effect has not been studied in Uganda. The purpose of this study was therefore, to determine how an orientation activity affects the perception and attitude of first year nursing students towards the Nursing profession. Method: It was a descriptive quantitative study with a pre-post interventional design (quasi experimental). It was carried out in four universities in central Uganda and 64 students participated. Pre-test data was collected, followed by a one-hour orientation presentation about nursing professionalism, roles and specialties among others in each institution. Then, Post- data was collected two weeks later using self-administered questionnaires. Data was analyzed using stata version 16, and descriptive statistics included: mean, standard deviation, and frequencies. The relationship between variables was examined using a paired T-test with a P value of < 0.05 to measure significance. Results: Students had favorable perceptions in some aspects before the presentation, for example like; the need of knowledge and skills to practice(M=2.1, SD=.9), professional autonomy(M=2.1, SD=.9), gender(M=2.1, SD=.9), nurses’ contribution to research(M=2.1, SD=.9), etc. However, their ideas about nursing were found to be limited and unfavorable in some other aspects before the presentation for example on: nurses pay (M=2.1, SD=.9), marriage (M=2.8, SD=.9), advanced roles (M=2.9, SD= .8), males make good nurses (M=3, SD=.9). Following the presentation, students became more aware of the roles and opportunities in nursing like professionalism, advanced roles, marriage and specialties. Therefore, the presentation had a significant effect on the students perception as shown by the paired T-test (Pr(|T| > |t|)= 0.033 & Pr(T > t)= 0.016 > 0.05) at 5% level. Although some aspects of attitude obtained favorable mean scores, students had an unfavorable score on their comfort in attending to the hygiene needs of others (M=2.7, SD: .9) and this was one of the lowest mean scores before and after the presentation. There was little but no change in their attitude except increment in their intention to remain in nursing following the presentation. Conclusion: These findings reveal that students have some favorable perception of nursing at the beginning of the course. However, their ideas are limited and unfavorable in some other aspects of nursing. Also, unfavorable attitude towards nursing was noted before and after the presentation in very important profession aspects. An orientation activity can improve students’ perceptions and attitude towards nursing, but more effort is needed to change the students’ attitude towards caring for the hygiene needs of others. Educators should pick interest in knowing the students’ perception at the beginning of their course and create intentional positive professional experiences to correct any misperception and influence students’ attitude towards nursing.
Effect of Clinical Coaching on the Health Workers’ Knowledge, Attitudes, and Practice Towards the Use of the Patient Health Questionnare-9 Tool in HIV Care at Atiak HCIV in Amuru District, Northern Uganda
(2024-04-10) Douglas Tonny Otim
Abstract Background: Worldwide depression is a concern, especially in people living with HIV. In low- and middle-income countries, its identification continues to be difficult in lower-level healthcare facilities. Specific assessment tools for depression such as Patient Health Questionnare-9 (PHQ-9) are accessible tools that can be implemented to support and improve detection in clinical settings. Health workers in lower-level facilities are not trained to use the PHQ-9 tool, and yet they are in a better position to screen and improve depression detection. Addressing healthcare workers' knowledge, attitudes, and practices using a clinical coaching strategy can increase the efficacy of the PHQ-9 tool. This study aimed to analyze the effect of clinical coaching on the knowledge, attitude, and practices of health workers towards the use of the PHQ-9 assessment tool in an HCIV in Northern Uganda. Method: A one-group pretest-posttest cross-sectional study that employed consecutive sampling was used among 34 health workers. A 5-hour clinical coaching interventions were implemented, and a structured self-administered questionnaire was used to collect data pre- and post-interventions. Descriptive statistics and the significance of the observed difference were assessed with SPSS version 22. Result: There was a significant difference before (M=70.8, SD=3.3) and after (M=90.6, SD=2.6) the coaching intervention on knowledge, t(33) =11.4, p= <0.001, a significant improvement in the scores for before (M= 3.32, SD=0.42) and after (M=3.58, SD=0.31) clinical coaching intervention in attitude; t(9) = -4.77, p = 0.001, and a significant improvement in the optimal practice scores from the baseline (58.8%) and after clinical coaching intervention (85.3%), p = 0.023. Conclusion: Generally there was a noticeable improvement in the knowledge, attitude, and practices of health workers regarding the use of the PHQ-9 tool after clinical coaching intervention. Keywords: Knowledge, attitude, practices, clinical coaching, PHQ-9, and depression screening.
Effect of Implementing Chemotherapy Administration SOPs on Nurse’s Knowledge and Attitude at Uganda Cancer Institute
(Uganda Christian University, 2024-05-08) Misk Kemigisha
Background/Purpose: The worldwide increase in cancer cases has led to an escalated use of chemotherapy treatment. Administering chemotherapy is a complex and high-risk process that requires a multidisciplinary approach and a high level of competency. At the study unit, nurses lack specialized training in oncology and typically learn on the job, with no structured training or monitoring of the use of standard operating procedures (SOPs) for chemotherapy administration (CA). Therefore, their competency in administering chemotherapy was currently unknown. This study aimed at assessing the impact of implementing chemotherapy administration SOPs on nurses’ knowledge and attitude towards safe chemotherapy administration. Methods: A single group pretest-posttest quasi experimental design was conducted to assess the effectiveness of implementing chemotherapy administration standard operating procedures (SOPs) on nurses' knowledge and attitude. A semi-structured questionnaire containing demographic data and questions about nurse's knowledge and attitude of chemotherapy administration SOPs was used at pre and posttest implementation. Participants were chosen by convenience. Knowledge questions were scored as one for correct answers and zero for incorrect ones, while attitude questions were rated on a 5-point Likert scale. Results: The results indicated that most participants understood the use of personal protective equipment (PPE) in handling of antineoplastic drugs (ANPDs) (98.6%) and the adverse effects of ANPDs exposure (94.4%). Although 80.6% of participants observed safety precautions, 48.6% did not. Most participants did not engage in conversations with patients before chemotherapy administration to assess their understanding. While reasonable steps were taken to minimize hazardous exposure, 43.1% of participants mentioned work overload. The participants' attitude toward paying attention to precautionary measures did not change significantly after training, with time constraints being cited as a reason for the lack of attitude change. Recommendation: The study recommended that the Uganda Cancer Institute and the Ministry of Health should develop institutionalized chemotherapy administration guidelines and support the implementation of educational training programs for nurses. It also suggested the establishment of an orientation program for newly employed nurses and in-service refresher courses for staff in chemotherapy administration safety. Additionally, the study recommended further research to assess nurses' chemotherapy administration practices.
Effect of the Educational Intervention on the Attitude and Practice of Finalist Student Nurses Towards the Care of the Hospitalised Elderly in Uganda
(2024-04-09) Margaret A. Wandabwa
Background to the study: Ugandan hospitals like most countries worldwide have a challenge with caring for elderly patients yet elderly population is increasing. Most of the patients admitted to hospitals are the elderly, (65 years and above) and majority are admitted with chronic conditions and are at high risk for functional decline (Brauwer, Corrette, Boland, Verschuren, & Hoore, 2017). Seventeen percent of those admitted while independently mobile end up either requiring assistance to walk on discharge or with detrimental effects of hospitalization (Inderpal, 2016). Many of these patients are discharged with activities of daily living function worse than the baseline function indicating lack of attendance to activities of daily living (Edemekong, Bomgaars, Sukumaran, & Levy, 2020). Nurses are reported to have negative attitude towards care of the elderly and therefore not correctly providing care to this category of patients. Objectives: The study aimed at determining the effect of the educational intervention on the attitude and practice of the finalist student nurses towards care of the hospitalised elderly in Uganda and compared their attitude and practice towards the care of the elderly with the basic information. Methodology A quansi experimental design, using pretest and posttest single group method was used to determine the attitude and practice of the finalist student nurses towards care of the elderly in relation to activities of daily living. A sample size of seventy participants was selected through simple random sampling. The intervention involved training the finalist student nurses in the use of the Katz tool for assessing activities of daily living. Quantitative data was collected using self-administered questionnaires before and after the intervention. Data was analyzed in SPSS package Version 26.0 at both descriptive and inferential levels. Results All the selected participants participated. They had some information on the care of the elderly 42 (60%) and most of them received it from the clinical area. All had ever nursed elderly patients. The attitude towards care of the elderly in relation to activities of daily living improved from negative to positive for most participants. They were positive that it was vital to correctly assess the patient’s ADLS to determine the functional status and identify areas for intervention. They appreciated the Katz tool as a useful tool for the assessment. After the intervention there was a significant change in the attitude towards the care of the elderly from 2.37 to 5.11 with p <0.001. They strongly agreed that nurses must have positive attitude to be able to provide correct care to these patients. They appreciated the Katz tool as a useful tool for assessing the pts ADLS. Conclusions and recommendations The study results revealed that care of the elderly is a very important area of nursing care and that it requires positive attitude and skills for quality of care. The participants had some information on the care of the elderly which most of them acquired from the clinical area. They realised the importance of positive attitude towards care of the elderly and that negative attitude affects care provision and patient recovery. The study recommends that nurse leaders and policymakers address care of the elderly as a specialty and to formalize training of nurses in the care of the elderly. They should advocate training of care providers emphasizing on positive attitude for them to be able to provide quality care to elderly. They should device effective ways of providing quality care like developing tools that can guide care providers to identify areas of care.
Experiences of Attending Maternal Health Education Sessions Among Women From the Islands of Lake Kivu, Rusizi District, Rwanda; a Qualitative Research
(2024-04-12) Adriana Jacoba Lena Bergman
Background The maternal mortality ratio in Rwanda remains high at 245 (2017) deaths per 100,000 live births (WHO, 2019). Besides improving maternal health, women’s positive experiences during ANC and childbirth can create the foundation for healthy motherhood (WHO, 2016). Maternal health education is an useful intervention to promote health care, birth preparedness and reduce the maternal mortality rate. The purpose of this study is to identify the gaps and contribute to improving maternal health education to improve maternal health and positive experiences of women during pregnancy, childbirth, and post-natal period. Research Methodology Qualitative phenomenological research has been conducted to investigate the experiences of maternal health education sessions among women of reproductive age (15-49 years) from the islands of Gihaya, Nkombo, and Ishywa, Rusizi-district, Rwanda. Primary data has been collected through face-to-face verbal semi-structured interviews. All interviews were audio recorded and transcribed verbatim in English. The data was analyzed by open coding, axial coding, and selected coding. Results and findings The experiences are multidimensional and interlinked. From the data analysis, three main themes came up, which have been used to identify the women's experiences. The first theme is: 1. My life has improved. This theme shows the personal change and narratives of the participants. The second theme: 2. happiness and joy, whereby the participants describe their feelings. The third theme: 3. expectations, needs, and improvement, whereby the participants describe their expectations, needs, and improvement toward maternal health education. Conclusion Based on qualitative analysis of the data collected in the research area it can be concluded that the experiences of women on the islands of Gihaya, Nkombo, and Ishywa were mainly positive. Suggesting that maternal health education sessions contributed to a positive experience in pregnancy.
Experiences of Nurses in the Management of Patients Presenting With Kala-Azar at Amudat Hospital, Amudat District
(2024) Daniel Powon Kalepon
Introduction: Visceral leishmaniasis (VL)/Kala-azar continues to be one of the neglected tropical diseases (NTD) of public health threat. The experiences of nurses in the management of the increasing cases of VL infection remains not well understood. The overarching aim for this study was to understand the nurses’ experiences in management of Kala-azar as an effort to design strategies to alleviate gaps and ensure quality healthcare to patients at Amudat hospital. Methods: We conducted a phenomenological study amongst nurses. We collected nurses’ experiences in terms of; motivators, attitudes, skills, knowledge, and policies in the management of Kala-azar patients through in-depth interviews. Data was analysed thematically using Atlas ti, version 8. Major themes of the findings were recorded. Results: Nurses’ exhibited good clinical practices, positive motivation, used updated case management guidelines, had continuous professional development, received medical supplies, exhibited professionalism and teamwork, and there was Community surveillance for VL. However, they noticed Knowledge gap among patients, inadequate infrastructure, high staff Workload, delayed payments, and little close monitoring. Conclusion: The experience and training of nurses is critical in the management of VL. Nurses have considerable knowledge and skills in the management of VL at Amudat Hospital. Nurses face challenges in management of Kala-azar patients including finances, human resource gap, infrastructure, and patients’ knowledge gap about Kala-azar infection. Recommendations: Nurses’ experiences show potential for elimination of the Kala-azar infection in Amudat. We recommend the Uganda’s Ministry of Health to accelerate measures to eliminate VL such as; community sensitization about Kala-azar, training traditional herbalists on case definition for Kala-azar infection, construct large Kala-azar ward, recruit more staff, and improve the payment schedules for nurses at Amudat hospital.
Factors Affecting Male Partner Involvement in MCH Among Families in Humanitarian Settings. A case Study of Imvepi Refugee Camp
(2024-04-06) Allen Namazzi
A study on “Factors Affecting Male Partner Involvement in MCH among Families in Humanitarian Settings: a case study of Imvepi refugee camp”. It aimed at addressing the following objectives: i) To establish the level of male partner involvement in maternal and newborn health among families in Imvepi refugee settlement, ii) To identify the perceived facilitators/enablers of male partner involvement in maternal and newborn health among South Sudanese in Imvepi refugee settlement, and iii) To establish the perceived barriers that hinder male partners from actively participating in maternal and newborn health. The study used a descriptive cross-sectional community-based survey, that employed both qualitative and quantitative data collection methods. Data was collected through one-on-one interviews, Focus Group Discussions and Key Informant interviews using questionnaires and semi-structured interview schedules with a response rate of 97.6%. Stratified random sampling, Simple random sampling and Purposive sampling techniques were used accordingly to sample respondents. Qualitative data was transcribed verbatim in a local language and then translated into English language. However, quantitative data was analyzed using Statistical Package for Social Scientists version 20.0 into frequencies and percentages. It was noted that men in humanitarian settings were more involved than their counterparts due to increased knowledge of obstetric and newborn dangers signs among men as well as accessibility of healthcare facilities. On the contrary, men were still hindered by financial constraints and cultural connotations surrounding childbirth. In the quest to reduce preventable maternal and infant deaths coupled with the influx of refugees, there is need for governments to reduce out of pocket expenditures associated with healthcare services and invest in sensitizing communities on the critical role played by all stakeholders.
Factors Associated With Men’s Level of Awareness of Obstetric Danger Signs, Birth Preparedness and Complication Readiness in Mparo Town Council, Rukiga District
(2024-04-16) Anne Kikundwa
Background: Child birth is a special moment for parents, families and communities but also a time of intense vulnerability . (Wassihun and Zeleke, (2018) .In many developing countries including Uganda, maternal morbidity and mortality still pose a substantial burden. Raising awareness of men about the danger signs of pregnancy and childbirth is the first essential step in appropriate and timely obstetric care . (Bogale, D., Markos, D. 2015). Awareness of obstetric danger signs facilitates men in making a joint decision with their partners regarding accessing antenatal and delivery care.. Men play a central role in deciding and influencing positive actions to support their spouses during pregnancy, labour and delivery (August, F., Pembe, A. B., Mpembeni, R., Axemo, P., & Darj, E. (2015) Objective: This study aimed at determining factors associated with men's level of awareness of obstetric danger signs, birth preparedness and complication readiness in Mparo Town Council, Rukiga district. Methodology: This was a cross sectional study that enrolled 384 eligible husbands to women that delivered within the past one year from Mparo health centre IV, in Mparo Town Council, Rukiga District, Uganda. The men were interviewed using a structured English questionnaire (also translated in Rukiga) with closed and open ended questions. Systematic random sampling method was used to select the men to be interviewed. Descriptive and inferential analysis was done and associations between independent and dependent variables were computed. Results: Of the 384 men who were interviewed, 365 (95%) had attended ANC with their spouses at least once and 226 (59%) made four or more visits. Mean age was 26.8 and majority had two or more children. Awareness of danger signs was low 119(31%); commonly mentioned danger signs were vaginal bleeding 311 (81.2%), swelling of fingers, face and legs 177 (46.3%) and severe headache with blurred vision 167 (43.6%). In bivariate analysis age, education and occupation were associated with awareness on obstetric danger signs, birth preparedness and complication readiness (P≤0.05). In multivariate logistic regression, age and occupation were statistically significant associated with awareness of obstetric danger signs. Being older in age was eight times more likely (OR 8.1; CI 1.6- 42) to have an influence on awareness of obstetric danger signs compared to young ones (≤20 years); self-employed men were two times more likely (OR=1.9; CI; 1.1-3.3) to have awareness on danger signs compared to being employed. Of the 69 (17.9%) men who reported a danger sign in the last wife’s pregnancy, 51 (75 %) took appropriate health seeking action. Conclusion: Awareness of obstetric danger signs, birth preparedness and complication readiness is low. Key words: awareness, Danger signs, Pregnancy, Birth preparedness, Complication readiness, Health seeking actions
Factors Associated With Men’s Low Participation in Postpartum Family Planning at Kawolo Hospital, Buikwe District
(Uganda Christian University, 2024-05-02) Paddy Tumwesigye
Postpartum contraceptive use is not only important to reduce unintended pregnancies but also pregnancies that are too closely spaced. Male participation focuses on the involvement of males in at least one of the following activities: discussion or spousal communication, support approval, and contraceptive use of the Husband. The study assessed the factors associated with Low Participation of Men in Postpartum Family Planning in Kawolo Hospital, Buikwe District. The study employed an analytical cross-sectional study design involving collection of quantitative data with a sample of 371 study participants. Data was collected using questionnaires. The study employed Spss for data entry, cleaning and analysis. Out of the 371-sample size of the study, the response rate amounted to 350(94.4%). The study found out that Individual Factors associated with Men’s Participation in Postpartum Family Planning in reference to the expected number of children (2-4 children 57.1%), (64% were in a polygamous relationship) and respondents went to school was at 78%). Furthermore, male participation in postpartum family planning was substantially correlated with approval of family planning usage, understanding of family planning, and information source. Comparing respondents who permitted family planning usage at home to those who did not, it was found out that those who approved were more likely to utilize family planning services. The study concluded that the level of male Participation in postpartum family planning is low and there are some areas that need to be improved both by the government and other non-governmental organizations in trying to increase the postpartum family planning.
Factors Associated With Physical Activity Participation Among Students of Uganda Christian University, Mukono
(Uganda Christian University, 2024-05-30) Edson Monday
Background: Physical activity is integral to the overall health and well-being of university students. Understanding the factors that influence their participation in physical activity is crucial for fostering a healthy and active student community. This study aims to identify facilitators and barriers to engaging in physical activity among students at Uganda Christian University (UCU). Methods: A descriptive cross-sectional research design, employing a quantitative research approach, was utilized to collect data through questionnaires. The study involved 207 respondents, students at UCU, selected through consecutive sampling. The questionnaires were designed to capture perceptions of preventive health benefits, venue accessibility, and safety, social advantages, as well as barriers like time constraints, fatigue, and inconvenient schedules for exercise facilities. Results: Key facilitators for physical activity at UCU include students' perceptions of preventive health benefits, accessibility and safety of venues, and social advantages associated with physical engagement 94.7% (Mean = 3.44; SD = 0.643. Conversely, identified barriers encompass time constraints, fatigue, and inconvenient schedules for exercise facilities. Discussion: The findings suggest that students at UCU are motivated to engage in physical activity when they perceive preventive health benefits, accessible and safe venues, and social advantages. However, challenges arise due to time constraints, fatigue, and inconvenient schedules for exercise facilities. Comparisons with existing literature and discussions on the practical implications of these findings are essential for a comprehensive understanding. Conclusion: To address these challenges, there is a pressing need to implement flexible exercise facility scheduling, expand and maintain exercise facilities, and foster peer-led activity groups. Recognizing these facilitators and barriers provides a foundation for tailored interventions to promote physical activity among students at UCU. Keywords: Physical activity, preventive health benefits, time constraints, students, Uganda Christian University.

Browse

Browsing Faculty of Public Health, Nursing and Midwifery by Title

Results Per Page

Sort Options