Browse
Recent Submissions
- ItemFactors Associated With Underreporting in the Compassion Connect Health Management Information System Among Frontline Church Partners of Compassion International Uganda in the Central Region(Uganda Christian University, 2024-10-04) Shellina Rwabyoma AbahoIntroduction: Health information reporting is fundamental in various organizations to ensure the smooth running of programs. Compassion International, a charity organization, employs a Health Management Information System to evaluate information such as medical incidence reporting and medical funds reimbursement requests. However, there has been a mismatch in reporting for the last eight years since the HMIS integration. The study aimed to explore the factors associated with underreporting medical incidents in Compassion Connect HMIS. Methods: A mixed methods study design with quantitative descriptive and qualitative methodologies was used to collect data among Central Region FCPS and key staff at Compassion’s National and Global levels. Key informant interviews were done with four key informants: two health specialists, one global health specialist, and one global health advisory team senior manager. The interviews were analyzed thematically using Atlas ti. Software. Descriptive statistics were used on categorical variables, while non-parametric tests were used to evaluate the Likert scale responses among 70 study participants. Likert Scale analysis and decisions of association were made based on the weighted mean of 2.78. Results: Considering a sample of 70 respondents, 46 were male (65.7%) while 24 (34.3%) were female. 58 (82.9%) participants were CDO-health professionals, while 9 (12.9%) were project directors and 3 (4.2%) occupied other roles. Most study participants 38 (54.3%) spent 1-5 years working at the FCP. 36 (51.4%) of the study participants never had a medical background, and over half of the study participants, 57 (51.4%), were ignorant about the FCP organizational policies, culture, and practices. HMIS complexity, Frontline Church Partner Procedures, National Procedures, Communication and feedback, and individual attitude were significantly associated with under-reporting with a mean value of 2.81, 3.84, 2.93, 3.26, and 3.23, respectively. Also, standardized indicators and training about Compassion Connect were significantly associated with underreporting. Conclusion: Developing the HMIS to capture the different information within Compassion International is vital in promoting evidence-based decision-making. Also, addressing the different factors leading to underreporting is vital in improving the data quality within the system, leading to better decision-making practices in the organization. Key Words: Health Management Information System, Compassion Connect, Data Quality, Underreporting.
- ItemPrevalence and Factors Associated With Road Traffic Accidents Among Boda-Boda Riders in Gulu City, Northern Uganda(Uganda Christian University, 2024-09-28) Keneddy ChandigaBackground: Road traffic injuries pose a disproportionate public health threat in the low and middle-income countries like Uganda, with 85% of all the fatalities and 90% of all disability-adjusted life years lost reported. Road accidents in Uganda continue to increase and occur from different regions and towns across the country including Gulu city. Objective: The main objective of this study was to establish the prevalence, and factors associated with road traffic accidents among Boda-boda motorcycle riders in Gulu city, Northern Uganda. Method: A cross-sectional study utilizing quantitative methods of data collection. A total of 276 randomly selected boda-boda riders were interviewed from 78 Boda-Boda stages in Gulu city. A kobo collect software was used to collect data. Data was analyzed using Stata version 15 software. Logistic regression was used to determine the prevalence of RTAs and the associated factors and obtained adjusted odds ratios (aORs). Result: The study findings revealed that road traffic accident among the boda-boda riders in Gulu city is (64.1%) and Boda-boda riders carrying passengers and luggage (aOR = 4.5, 95% CI:3.2-6.3, p < 0.001), not owning motorcycles (aOR = 2.9, 95% CI: [1.2-4.8], p = 0.016), consuming alcohol before riding (aOR = 2.5, 95% CI:1.1-3.9], p = 0.042). answering phone calls while riding (aOR =2.2, 95% CI:1.3-3.6], p = 0.026) and not having licenses (aOR =1.72, 95% CI: 0.3 – 0.8] p=0.04) were significantly associated with Road Traffic accident. Conclusion The study reveals a high prevalence of road traffic accidents (RTA) among Boda-Boda riders in Gulu City, highlighting the need to implement multi-sectoral interventions aimed at changing riders’ behavior. Coordinated efforts should involve the government, law enforcement agencies, and regulatory bodies to strengthen the enforcement of policies that ensure safer road use. Additionally, continuous awareness campaigns and stricter monitoring of compliance with traffic regulations to improve road safety.
- ItemDeterminants 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 KitaleIntroduction: 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.
- ItemSatisfaction 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 LwessoBackground: 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.
- ItemAdolescent 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 AjeteSexual 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