1,720,970 research outputs found
FACTORS CONTRIBUTING TO SEPTIC ABORTION AMONG WOMEN AGED 15-45 YEARS ATTENDING POSTNATAL CLINIC AT IRAN-UGANDA HOSPITAL, KAMPALA DISTRICT. A CROSS-SECTIONAL STUDY.
Full text linkBackground:Septic abortion is an infection of the placenta and fetus, products of conception, of a pre-viable pregnancy. The purpose of the study was to examine the Factors contributing to septic abortion among women aged 15-45 years attending IRAN-Uganda Hospital, Kampala district.Methodology:A descriptive cross-sectional research design was used to describe factors contributing to septic abortion among women aged 15-45 years attending IRAN-Uganda Hospital. A cross-sectional descriptive study design was adopted in this study that involved observation of a sample of a population or phenomena made at one point in time. 30 respondents were involved in the study who were selected using convenient random sampling procedures.Results:The majority of them (83.3%) were Catholics, half of them (50.0%) had never been to school, Majority (46.7%) of them were single. The majority of the respondents (46.7%) were employed, (93.3%) of them reported that the distance from home to the nearest health facility contributed to septic abortion, the majority (66.7%) reported unavailability of healthcare services being part of the factors leading to septic abortion, (56.7%) reported high cost of safe abortion services, (70%) reported that Poor attitude of health workers whereas (86.7%) said long- waiting-time, majority (66.7%) reported that unnecessary requirement like parent’s or spouse consent before providing abortion services led to septic abortionConclusion:Personal factors, socio-economic factors, and health facility-related factors contributed to septic abortions among the respondents hence advocacy is needed to improve and prevent septic abortions among women.Recommendation;Septic abortion among women can be reduced and managed by considering and maintaining a balance between regular health education talks about the dangers of septic abortion and all categories of abortions, and mass sensitization of the community against practices of septic abortion
KNOWLEDGE, ATTITUDES, AND PRACTICES OF HEALTH WORKERS TOWARDS NOSOCOMIAL INFECTION PREVENTION AT NSAMBYA POLICE HEALTH CENTRE IV, KAMPALA DISTRICT. A CROSS-SECTIONAL STUDY.
Full text linkIntroduction:Purpose of the study: The study aimed to determine the study knowledge, attitude, and practice of health workers toward nosocomial infection prevention at Nsambya Police Health Centre IV, Kampala District.Methodology:The study was descriptive and cross-sectional in design, employing quantitative data collection methods where an interviewer-guided semi-structured questionnaire was used as a data collection tool. The study included 50 respondents who were adolescents living in Nsambya parish, Kampala District. Data was analyzed electronically by the use of Microsoft Word Excel version 2013.Results of Study:The study showed results that 84, % of HCWs knew that the use of PPEs decreases the risk of Nosocomial infection. The study found that there are insufficient PPEs in the hospital hence affecting the good practices towards infection prevention by HCWs.Conclusion:Therefore, monitoring the level of knowledge in infection prevention will help to work on the gaps so that the rate of HAIs can be reduced.Recommendation:The government should provide Nsambya Police Health Centre IV with the requirements or equipment required in the prevention of hospital-acquired infections for example personal protective equipment for the health care workers
FACTORS AFFECTING THE IMPLEMENTATION OF THE NURSING PROCESS AMONG NURSES AT ENTEBBE REGIONAL REFERRAL HOSPITAL, WAKISO DISTRICT. A DESCRIPTIVE CROSS-SECTIONAL STUDY.
Full text linkBackground:In Uganda, the implementation of the nursing process among nurses is still a very big challenge, especially in many government hospitals. Failure to use the nursing process has led to a lack of continuity of patient care hence delaying the recovery process and outcomes. The purpose of the study was to determine the factors affecting the implementation of the nursing process among nurses at Entebbe Regional Referral Hospital, Wakiso district.Methodology:The study used a descriptive cross-sectional study design that used quantitative data collection methods. A convenience sampling method was used to select 32 respondents who responded to semi- structured questionnaires. Data was analyzed and presented using Microsoft Excel Programs that presented it in the form of frequency tables, pie charts, and graphs.Results:Nurse-related factors were; 25(78.1%) knew less than three steps involved in the nursing process, 18(56.3%) strongly disagreed that the nursing process should be mandatory and 30(93.7%) did not have enough time to use the nursing process. Institutional factors were; 24(75%) did not have policies regarding the use of the nursing process, 27(84.4%) were never supported during the use of the nursing process and 32(100%) reported the absence of designed forms for the nursing process.Conclusion:Nurse-related factors ranging from lack of awareness of steps involved in the nursing process, time inadequacy, and negative perceptions towards the nursing process negatively affected the implemen- tation of the nursing process. Institutional factors that hindered the implementation of the nursing process were the absence of designed nursing process forms, lack of motivation, and absence of policies.Recommendations:The Ministry of Health should design and supply standard nursing process documentation sheets and Entebbe Regional Referral Hospital should develop policies pertaining implementation of the nursing process, supervision, and motivation of nurses
SOCIO-ECONOMIC FACTORS AND HEALTH FACILITY-RELATED FACTORS AFFECTING THE UTILIZATION OF ANC SERVICES AMONG WOMEN AGED 18-40 ATTENDING ANC AT KYANKWANZI HEALTH CENTER III. A CROSS-SECTIONAL STUDY.
Full text linkBackground
The study aims to identify the Socioeconomic factors and health facility-related factors affecting the utilization of ANC services among women aged 18-40 attending ANC at Kyankwanzi Health Center III.
Methodology
A descriptive quantitative cross-sectional study design was used. The study targeted all pregnant mothers who attend ANC at Kyankwanzi Health Centre III aged between 18-40 years of age, with a sample size of 32 participants.
Results
The majority 14(43.7%) of the respondents were aged 18-24 years, while the least 2(6.3%) were 35-40 years. 14(43.7%) were self-employed and 6(18.8%) were formally employed.
The majority 21(65.6%) mentioned receiving advice on pregnancy management as the most important reason for attending ANC. 28(87.5%) reported that financial constraints prevent them from attending ANC visits. 21(65.6%) reported that their cultural norms or traditions in the community do not affect their decision to seek ANC services. 18(56%) said their spouse or other family members play a role in deciding whether or not to attend ANC. 17(53.1%) said the distance to the health facility greatly affects the respondents’ ability to attend ANC visits regularly. 20(62.5%) have experienced mistreatment or disrespect from healthcare staff during an ANC visit. 22(68.7%) said that the availability of skilled healthcare providers at the facility impacted the decision to seek ANC.
Conclusion
Financial barriers, medical supply costs, inadequate support from partners and families, mistreatment, or perceived lack of respect from healthcare staff contribute to delays and missed ANC visits. Factors like perceived quality of care and interactions with healthcare providers also influenced ANC attendance.
Recommendation
Enhancing healthcare staff training to promote respectful, culturally sensitive care, focusing on improving patient-provider interactions and reducing instances of mistreatment.
Hiv/aids treatment adherence among adolescents attending Mildmay Hospital, Uganda, Wakiso District. A cross-sectional study.
Full text linkBackground
Globally, over 39 million people were living with HIV in 2023, with adolescents accounting for a significant portion of new infections and deaths. In Uganda, the non-adherence rate to ART among adolescents is 48.7% attributed to stigma and medication side effects. The purpose of the study was to assess factors affecting adherence to HIV/AIDS treatment among adolescents attending Mildmay Hospital, Uganda, Wakiso District.
Methods
A descriptive cross-sectional study design was used, employing quantitative methods of data collection, conducted in Mildmay Hospital, Uganda, Wakiso District. The data collected was analysed manually, and after the findings were entered into a Microsoft Excel 2013, which was then presented in the form of tables, pie-charts, and graphs.
Results
out of 52 respondents, results showed that 100% of the respondents reported taking their medication daily, yet 73% experienced stigma, 77% had difficulty swallowing tablets, and 33% failed to return for refills. Socio-demographic data indicated that 36% were aged 19 years and above, 40% were in secondary school, and 58% were currently attending school. Regarding hospital-related factors, 52% reported unfair treatment by health workers, 58% lived over 10 km from the facility, 42% missed treatment due to stockouts, and 69% faced long waiting times. Drug-related factors included 46% having difficulties swallowing drugs, 43% experiencing side effects, 79% citing the long duration of treatment as a challenge, and 62% expressing doubts about medication effectiveness.
Conclusion
Adherence to HIV/AIDS treatment among adolescents was influenced by stigma, difficulty swallowing medication, long treatment duration, negative experiences with health workers, and long distances to health facilities.
Recommendation
Adolescent-friendly services, improved drug availability, supportive healthcare interactions, community sensitisation, and enhanced access to nearby treatment facilities are recommended to improve adherence to HIV/AIDS treatment
NON-ADHERENCE TO ANTI-DIABETIC MEDICATIONS AMONG DIABETES PATIENTS ATTENDING DIABETES CLINIC AT KISENYI HEALTH CENTER IV, KAMPALA DISTRICT, A Cross-Sectional STUDY.
No full textBackground
Non-adherence to anti-diabetic medications among diabetes patients poses significant challenges to effective diabetes management, yet many patients fail to take their medications consistently. This study aimed to identify socio-economic, individual, and health facility factors contributing to non-adherence to anti-diabetic medications among diabetes patients attending the diabetic clinic at Kisenyi Health Center IV.
Methodology
A descriptive cross-sectional study design was used, involving 30 diabetes patients selected through simple random sampling. Data was collected using structured questionnaires, and analysis involved descriptive statistics to assess the influence of various factors on medication adherence, with results presented in the form of figures, tables, and pie charts.
Results
The study involved more males, 25 (83%), than females, 5 (17%), the majority of whom were aged between 31 to 45 years, and the least, 1(3%), were aged 61 and above. Findings indicated that socio-economic factors, including limited income (73%) and unemployment (80%), negatively affected adherence. Individual factors such as forgetfulness (57%) and concerns about side effects (80%) contributed to non-adherence. Health facility-related factors, including long waiting times (70%) and limited availability of follow-up appointments (80%), further discouraged adherence among patients. Additionally, 53% reported insufficient patient education programs, which negatively influenced adherence.
Conclusion
There was a complex interplay of socioeconomic, individual, and health facility-related factors contributing to this issue, including medium household income, proximity to the health facility, infrequent transportation problems, forgetfulness, and experiencing side effects that negatively affected adherence.
Recommendation
Enhanced patient education, improved patient-provider communication, and efficient clinic management practices to mitigate barriers to adherence and support diabetes management at Kisenyi Health Center IV
BARRIERS TO EXCLUSIVE BREASTFEEDING PRACTICES AMONG HIV-POSITIVE MOTHERS ATTENDING POSTNATAL CLINIC AT KAJJANSI HEALTH CENTRE IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
Full text linkBackground
Exclusive breastfeeding is critical for infant health, particularly among HIV-positive mothers. This study aimed to assess the barriers to exclusive breastfeeding among HIV-positive mothers attending a postnatal clinic at Kajjansi Health Center IV.
Methodology
A descriptive cross-sectional study design was employed to select 40 mothers. A simple random sampling method was used, and data was collected using a semi-structured researcher-administered questionnaire with both open and close-ended questions. Microsoft Excel was used for data analysis.
Results
40 respondents participated in this study; the majority, 28(70%) of the respondents, were between 18-25 years of age, while only 01(2.5%) was above 35 years. 75% of the respondents knew that exclusive breast milk is important for HIV-positive mothers. However, 37.5% of the mothers were not sure whether taking ARVs during pregnancy and after childbirth reduces the chances of HIV transmission to the born baby, and 37.5% of them also mentioned replacement feeding as the ideal baby feeding method in the first 6 months. 62% of the respondents reported having sufficient breast milk for EBF. However, 65% of them reported sometimes having support from their partners to EBF, and 20% were not sure whether EBF is culturally accepted. Half of the mothers never got breastfeeding counseling during ANC, and 75% were not advised on EBF for the first 6 months at the health facility.
Conclusion
The study found good knowledge among most of the respondents. However, socioeconomic and health facility factors greatly contributed to barriers to EBF among HIV-positive mothers.
Recommendation
The government, through the Ministry of Health, should expand breastfeeding education during antenatal care and postnatal visits, emphasizing the health benefits of EBF beyond HIV transmission alone
KNOWLEDGE AND ATTITUDE OF HYPERTENSIVE PATIENTS TOWARDS DIETARY MANAGEMENT AT ENTEBBE REGIONAL REFERRAL HOSPITAL IN WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
Full text linkBackground.
Hypertension is one of the most crucial health problems and chronic diseases in developed and underdeveloped countries, which is further expanded due to ignorance and lack of knowledge. The study assessed the knowledge and attitude of hypertensive patients towards dietary management at Entebbe Regional Referral Hospital in the Wakiso district.
Methodology.
A cross-sectional study design was used, employing a quantitative approach to collect data using a semi-structured questionnaire from 36 participants. The information was manually tallied; thereafter, Microsoft Word and Excel programs were employed, followed by presentation in the form of frequency tables, graphs, and figures like pie charts and bar graphs.
Results.
Most respondents were in the age range of above 50 years (47.2%), (44.4%) had attained secondary education, (61.1%) had good knowledge, 20 (55.6%) of the respondents were not familiar with salt content in common foods, 32 (88.9%) knew the foodstuffs restricted in hypertension, (47.2%) knew that reducing salt intake can help manage hypertension, (94.4%) agreed that consuming a diet rich in fruits vegetables whole grains and proteins positively impact blood pressure. 30(83.3%) participants had a positive attitude towards adding fruits and vegetables to their diet, and 21 (58.3%) respondents strongly agreed that physical exercises have an impact on blood pressure.
Conclusion.
The majority of the participants had good knowledge regarding the relevant dietary approaches needed to stop hypertension. A significant number of the respondents had a positive attitude toward the dietary modifications for proper hypertension control.
Recommendations.
The Ministry of Health and other responsible bodies should strive to increase the awareness and knowledge of hypertensive patients about the importance of consultation and seeking medical services
FACTORS INFLUENCING UTILIZATION OF INTRAUTERINE CONTRACEPTIVE DEVICES AMONG WOMEN OF REPRODUCTIVE AGE AT ENTEBBE REGIONAL REFERRAL HOSPITAL, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
Full text linkBackground.
Intrauterine devices are one of the long-acting, safe and effective methods of contraception in women of reproductive age across the world with a safety percentage of 89 %. The purpose of this study was to assess the factors influencing utilization of intrauterine contraceptive device contraception among women of reproductive age at Entebbe regional referral hospital, Entebbe municipality Wakiso district.
Methods.
A descriptive-cross sectional design. Quantitative methods of data collection were employed. A self-administered questionnaire was used to collect data from a sample size of 30 respondents. Data was collected using a simple random sampling method.
Result.
Most 13(43.3%) of the respondents were between 26 and 30 years of age, 11(36.7%) had a primary level of education, 12(40%) had two children, 24(80%) had only one sexual partner and 18(60%) had a low family level of income. Concerning health facility-related factors; more than half 17(56.7%) take four hours and more waiting for family planning services, 16(53.3%) mentioned that health care providers do not recommend the use of intrauterine devices, 18(60%) do not receive health education about the use of intrauterine devices at the facility.
Conclusion.
The Individual factors were; age, level of education, number of children, weight, number of sexual partners, and family level of income. The health facility-related factors were; waiting time, health care providers’ recommendations, health education, availability of health facilities in community and availability of intra uterine devices.
Recommendations.
Healthcare workers should implement strategies to minimize waiting times for contraceptive services, including intra-uterine device insertion, and strengthen health education programs within the hospital to raise awareness about the benefits and availability of intra-uterine device
Determinants of turn-up for HIV care among lactating mothers with infants at Panyadoli Health IV, Kiryandongo district. A cross-sectional study.
Full text linkBackground
In Uganda, the impact of low turn-up on Lactating mothers with Infants is significant, as delays in ART adherence increase maternal viral load by 20%. The purpose of the study was to assess the Determinants of Turn-Up for HIV Care among Lactating Mothers with Infants at Panyadoli Health IV, Kiryandongo District.
Methods
A descriptive cross-sectional study design employing quantitative methods of data collection was conducted at Panyadoli Health IV, Kiryandongo District. In a duration of 5 days, 45 lactating mothers were selected using a simple random sampling method. A structured questionnaire was used to collect data, consisting of closed-ended questions. The data collected was analyzed manually, and findings were entered into a Microsoft Excel 2013, which was then presented in the form of tables, pie-charts, and graphs.
Results
The Majority of the respondents, 24(53%), were 18-30 years old. Less than half of the respondents, 16(36%), had secondary education. More than half of the respondents, 26(58%), were married, on individual determinants; 73% of mothers lacked partner support, 84% experienced stigma, 45% cited caregiving duties as a barrier to clinic attendance, and the majority 62% faced challenges due to pre-existing infant health conditions. Health facility-related determinants included lack of appointment reminders (73%), medication stock-outs (80%), and judgmental attitudes from health workers (58%). Socio-economic determinants included long distances to clinics (47%), high medication costs (67%), transport challenges (56%), and lack of support systems (51%).
Conclusion
Lack of partner support, stigma, caregiving responsibilities, medication stock-outs, long distances to clinics, and negative health worker attitudes were key factors affecting ART clinic attendance among lactating mothers with infants.
Recommendation
There is a need to strengthen partner and community support systems, improve drug availability, implement effective reminder systems, address stigma and staff attitudes, education, and advocacy to enhance ART adherence among lactating mothers
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