Masters of Public health

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Now showing 1 - 5 of 21
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    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.
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    Satisfaction With Clinical Care and Associated Factors Among Palliative Care Patients at Bukavu Provincial General Reference Hospital, Democratic Republic of Congo
    (Uganda Christian University, 2024-05-15) Guillain Lwesso
    Background: Patient satisfaction is a vital indicator of quality of healthcare. This study assessed the level of patient satisfaction with palliative care services and associated factors among adult HIV-positive patients receiving palliative care services at HPGRB . Methods: A cross-sectional study enrolled 376 adult HIV-positive patients receiving palliative care at HPGRB using simple random sampling. A structured questionnaire assessed socio-demographics, health facility factors, and satisfaction using 18 Likert scale questions. Satisfaction was defined as a score above the median of possible scores. logistical regression was used to identified factors associated with satisfaction among patients receiving palliative care services. STATA v17.0 was used to analyze the data. Results: The satisfaction level was 59.3% (95% CI: 54.3, 64.2). Being female (aPR 2.0, 95% CI: 1.7, 2.9), employed (aPR 3.5, 95% CI: 2.1, 5.9), and aged ≥50 years (aPR 6.3, 95% CI: 2.5, 13.9) were associated with higher satisfaction. Being non-Catholic (aPR 0.4, 95% CI: 0.2, 0.6) and waiting >3 hours (aPR 0.5, 95% CI: 0.4, 0.6) predicted lower satisfaction. Conclusion: Satisfaction with palliative care at HPGRB is suboptimal. Targeted quality improvement initiatives focusing on waiting times, staff interactions, and expectations of non-Catholic patients could significantly improve satisfaction which would ultimately improve the quality of care.
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    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
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    Prevalence and Factors Associated With Use of Condoms Among Adolescents (Boys and Girls) in Selected Health Facilities in Amolatar District, Uganda
    (Uganda Christian University, 2024-05-07) Jimmy Odongo
    Condom use prevalence is a measure of number of times one uses condom during different sexual intercourse. In Africa condom is the main contraceptive use especially male condoms (about 70%). Several factors enhance use and there are also a number of factors that inhibit condom use among sexually active people including adolescents. This research determined condom use prevalence, factors that enhanced and inhibit condom use among adolescents in Amolatar district. A descriptive cross sectional research design was used; the study was conducted in four purposively selected sub-counties being mother sub-counties in Amolatar district. A total of 194 respondents were randomly selected, Descriptive statistics, Pearson chi-square tests and multivariable logistic regression were used to analyse data. Results indicate that users and non-users of condom differed in a number of socio-economic characteristics. Users were older, better educated and were manly boys. Multivariable logistic regression results indicate that, ease of access to condoms and affordability of condoms by adolescents enhanced the use of condom among adolescents. On the other hand, un-affordability of condom and reduction of sexual pleasure inhibited use of condoms. The prevalence of condom use in Amolatar among adolescents was found to be at 64%, however, there is need to increase it through advocacy
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    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.