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Adherence to Infection Prevention Precautions Among Healthworkers in Lira Hospital
(International Health Sciences University, 2013-09) Akello, Judith
Occurrence of infections in health care settings has spiraled for a long time; these infections have been triggered much by lack of disposal pits in the hospital, absence of personal protective equipments and antiseptics in all units in the hospital. This high trend in infections has also contributed to the prolongation of sepsis among surgical patients and, high bed occupancy rates.This study was therefore conducted to assess the adherence to infection prevention precautions among health workers in lira hospital. The study design employed was cross sectional while purposive sampling technique was used as a sampling method in this study. The interviewer self administered questionnaire; the questionnaire comprised of both closed and open-ended questions for data collect. A total of 100 respondents’ females and males were enrolled in the study. The study revealed that, majority of the respondents 70(70%) were females while only 30 (30%) were males. In conclusion, infection prevention policies and procedures were acknowledged to maintain competency but were not satisfactorily practiced, this influenced infection prevention precaution to a lesser extent because all these were indirectly associated proper adoption of guidelines on infection control In the light of the above, it is therefore imperative to have an ongoing education and training of facility staff to maintain competency and ensure that infection prevention policies and procedures are understood, followed environmental services workers from an outside agency to enhance the adherence level in relation to infection control.
Adherence to safety precautions among mental health workers at Butabika hospital.
(International Health Sciences University., 2015-12) Amongin, Esther Betty.
Introduction: The study of adherence to safety precautions among mental health workers was carried out at Butabika hospital. Objective: The major objective of this study was to establish the adherence to safety precautions among mental health workers at Butabika hospital. Methodology: The study was a descriptive cross sectional study. 80 respondents were recruited consecutively from Butabika hospital. Their socio-demographic characteristics were obtained using the socio-demographic questionnaire. Adherence to safety precautions was evaluated using a structured questionnaire with a likert scale. Results: 80 mental health workers were interviewed during the study, 77.50% were female and 22.50% were male. More than half of the health workers were cohabiting and below the age of 50 years. 85% of the health workers reported that patients are too many, 75% reported that patients move up and down while on the ward, 48% reported that health workers do not effectively document about the condition of the patients and all heath workers reported that they are not given duress. Factors associated with adherence to safety precautions among mental health workers at Butabika hospital are; high number of patients, patient‟s non adherence to medication, diagnoses of severe psychiatric illness such as; bipolar disorders, schizophrenia. Other associated factors include; inadequate knowledge and training on safety precautions, inadequate safety equipment and poor organizational policies on safety equipment. Conclusion: Many health workers at Butabika hospital do not adhere to the safety precautions, therefore there is need to educate the health workers about adherence to safety precautions, health educate the patients about the benefit of medication and provide health workers with safety equipment.
Alcohol consumption and awareness of the risks related to alcohol abuse among secondary school students in Kampala, Uganda.
(International Health Sciences University., 2015-12) Kesete, Semhar, Tsegay
Introduction: The topic of the study was assessment of alcohol consumption and awareness of the risks related to alcohol abuse among secondary school students in Kampala, Uganda. Adolescent alcohol use is of significance to public health concerns as it has been associated with substance use, criminal activity, alcohol dependence, unintentional injuries, unplanned and unprotected sex, involvement in physical fights, and suicidal ideation and attempts Objective: the main objective of the study was to determine alcohol consumption and awareness of the risks related to alcohol abuse in secondary schools in Kampala, Uganda. Methodology: the study design was descriptive cross section study and data was collected using pretested self administered questionnaires distributed to 300 students using stratified random sampling. The analysis was done using SPSS 17.0 Results: the study revealed that the prevalence of alcohol consumptions was high. Regarding the age at which the respondents first tasted a drink containing alcohol, about 151 (50.3%) did it when they were 10-15 years. Level of awareness of risk associated with alcohol consumption was good as more than two-third of the respondents 205 (68.3%) said it’s true that student who abuse alcohol are more likely to suffer from loss of appetite, weight loss, headache and sleep disturbances and 262 (87.3%) said it’s true that young people who abuse alcohol can suffer from liver disease. Level of awareness of psychosocial risk factors was good as 85.7% were aware that students are more likely to miss class because of drinking (absenteeism) and at least three-quarter of the students 231 (77.0%) were aware that Excessive alcohol use can make young people to lose friends with 253 (84.3%) said its true that alcohol can make a young person mad. Level of awareness of economic risk associated with alcohol consumption was also good as 219 (73.0%) of the respondents were aware that alcohol consumption is a cause of poverty with all most all the respondents 270 (90.0%) said its true that alcohol can lead to loss of job and two third of the respondents 200 (66.7%) were aware that work performance can be affected by alcohol consumption. Conclusion: the results from this current study revealed that there is high prevalence of alcohol consumption among secondary school students and there is good level of awareness of alcohol consumption associated risks. Recommendation: there is need to educate and sensitize the students to increase their knowledge and awareness about misconception on alcohol consumption, and implementing strict laws on underage drinking by the government.
Assessing Factors Affecting the Feeding Practices of Mothers of Infacts 0-6 Months in Kibera Estate Attending Lang'ata Health Centre.
(International Health Sciences University, 2013-09) Mukolwe, Cynthia
The study was carried out in Kibera Estate, Nairobi Kenya with an objective to assess the factors affecting the feeding practices of mothers of infants zero to six (0-6) months. Methods: A descriptive cross-sectional study design was used to collect data through a quantitative approach. A total of 300 mothers of infants six months old and below were interviewed. Results: The study revealed that 89.3% of the sample lived in the urban informal settlements and average household size was 5 members per household, 78.3% were unemployed, 54.6% had little or no education, 40.3% were 25 years and above while 24.7% were 18 years or less. 37.7% were married. About 49.3% of infants were fed on breast milk while 50.7% received cow’s or formula milk. Mixed feeding was widely practiced with largely formula milk, porridge or gruel and herbal drinks. Discarding colostrums, giving pre-lacteal feeds, introduction of other foods too early were some of the common practices noted among the mothers. Conclusions: The study concluded that not all infants aged zero to six months are exclusively breastfed, social-demographic factors have a significant effect on infant feeding practices and culture is significantly related to infant feeding practices.
Assessing Factors Affecting Utilization of Antenatal Services Among Adolescents in Pajule Healt Center IV:
(International Health Sciences University, 2013-09) Atim, Brenda Lakey;
Title: Assessing factors influencing utilization of antenatal services among adolescents in Pajule health center IV: Pader district Background: Antenatal care is a key strategy for reducing maternal mortality but many pregnant adolescents in Pader district do not receive it. Aim: The purpose of this study was to assess and analyze the main factors affecting the utilization of antenatal care among the pregnant adolescents of Pajule health center IV: Pader district. Methodology: Raw data collected from Pajule health center from pregnant adolescents 13-19 years of age using simple random sampling method was used. From the large dataset of women, a total of 300 teenage women at the time of their attendance at the post natal clinic were selected and analyzed. Both bivariate and multivariate analyses were performed to determine the differentials of ANC by explanatory variables. Results: Findings generated by the descriptive analysis of the total 300 respondents revealed that the socio-demographic factors and personal factors were significantly associated to uptake of ANC by the pregnant adolescents while there was no significant relationship between health systems factors and uptake of ANC by the pregnant adolescents. Conclusion: More qualitative and quantitative research is required to explore the factors influencing ANC utilization among pregnant adolescents with more emphasis on socio-demographic and personal factors. Adequate utilization of antenatal care cannot be achieved merely by establishing good health systems factors in place, adolescent’s overall (social, political and economic) status needs to other factors should be considered. Keywords: Antenatal care, pregnant adolescents, utilization of ANC, postnatal clinic.
Assessing Knowledge, Attitude and Practice Regarding Condom Use in Prevention of Sexually Transmitted Infections Among University of Juba Students, South Sudan
(International Health Sciences University, 2013-09) Mawien. M, Mawien Arik
This research was intended to assess knowledge, attitude and practice towards condom use in prevention of STIs among the students of the University of Juba, south Sudan. A cross sectional study design was adopted and simple random sampling was used to obtain the required sample size for both quantitative data and qualitative (301 respondents). Data analysis was conducted using Epi data and SPSS. The findings of this study revealed that the overall level of condom use was low 59.5% (179). There was a significant relationship between condom use and gender as one variable of the socio-demographic characteristics. Out of 228 males students, 146 (81.6%) used condom while 82 (67.2%) never used condom and among the 73 female students respondent 33 (18.4%) used condom and 40 (32.8%) never used condom (X2=8.14, p-value =0.004). However, there was significant relationship between condom use and some variables used to assess knowledge on specific issues of STI’s and practices. Knowledge of the students about condom use was assessed by defining what a condom actually is, of the 208 (69.1%) students who got the right definition, 132 (73.7%) used condoms while 76 (62.3%) never used. 93 (28.9%) got wrong definition, 47 (26.3%) used condom while 46 (37.7%) never used condom). The study concluded that variables such as definition of a condom, brand of condom how to use condom under knowledge were significantly associated with condom use, Participants’ attitude was significantly associated with condom use. The study recommends continuous health education campaigns on sexuality, proper usage and advantages of condoms should be enhanced.
Assessment of Knowledge and Attitudes Towards Hepatitis B Viral Infection Prevention Practices among Adults of Laroo Division, Gulu District.
(International Health Sciences University., 2014-11) Aber, Janet Okello.
Assessment of Knowledge and Facility Adequacy in Conducting Triage Among Nurses in Emergency Units of Naguru Hospital and International Hospital Kampala.
(International Health Sciences University., 2015-12) Naigaga, Patricia
Background: Triage is an essential function in the emergency units. An effective triage system ensures that patients seeking emergency care receive appropriate attention, in a suitable location, with the requisite degree of urgency and that emergency care is initiated in response to clinical need rather than order of arrival. Triage nurses knowledge and facility adequacy have been cited as influential factors in triage decision making, however there has been no study in Ugandan hospitals undertaken to assess the knowledge of nurses working in the emergency departments on triaging. This study therefore aimed at assessment of knowledge and facility adequacy in conducting triage among nurses in emergency units of Naguru hospital and International Hospital Kampala- Kampala district. Methodology: Both descriptive cross-sectional and observational study designs were used and data was collected using structured questionnaire and observational checklist. The study population was all nurses working in emergency units in International Hospital Kampala (IHK) and Naguru Hospital (NH). Analysis: Data was analyzed using SPSS version 14.00. Results were summarized using frequencies and percentages and presented using tables, figures and text. Results: 74% of the respondents knew the concept of triage although 54% of them had no knowledge on waiting time limits for different triage categories assigned to patients according to the severity of the medical conditions and were also not able to assign proper triage categories of patients based on the scenarios presented to them with various health conditions. More than half of the participants (53.7%) felt that their knowledge is not adequate. 59.2% of the respondents in this study had no in-service training/ education in emergency care. Only 12.9% of the respondents received pre-service training. Regarding the health facilities, there was absence of a triage assessment tool in NH and among those who reported to use the triage assessment tool from IHK, only 37.4% used the scale routinely. Furthermore, 83.3% of the participants felt that their staffing was not adequate versus the patient load. In addition, some of the important equipment’s assisting in patient triage were only available in IHK and these basics were deficient in NH. Conclusion and Recommendations: Nurses who participated in this study demonstrated significant knowledge deficits in patient triage in the emergency units of both hospitals. To correct this deficit and improve the knowledge of these nurses, an in-service training should be carried out. The pre-service nursing curriculum also needs to be reviewed, and emphasis put on the contents of the triage assessment. Up-to-date policy guidelines on emergency triage assessment should be provided, stating actions to be taken and the time limit as per patients’ triage category of medical urgency. Nursing staff numbers need to be reviewed by the policy makers to prevent ineffective triaging of patients since there is a high patient load. Efforts should be made to increase availability of equipment that will assist the nurses to thoroughly assess the patients to improve the quality of emergency care.
Assessment of Knowledge, Attitudde and Practices of Nurses Handling Cytotoxic Anticancer Drugs at Uganda Cancer Institute.
(International Health Sciences University, 2016-11) Ninsiima, Jailet
Introduction: Cytotoxic anticancer drugs (CDs) are carcinogenic, mutagenic and teratogenic on additional of other side effects to human thus occupational exposures to them is a potential risk. Health care workers especially nurses who prepare and administer CDs may experience cytotoxic effects through skin contact, respiratory and oral exposure. General objective: The purpose of this study was to assess the knowledge, attitude and practices of nurses handling anticancer drugs at Uganda Cancer Institute. Methods: The study was a descriptive cross sectional study that employed quantitative data collection methods. This study design allowed collection of data on knowledge, attitudes and practices simultaneously at a point in time. This survey was done by administering a self reported questionnaire to 75 nurses working at Uganda Cancer Institute. The questionnaire was designed using simple English containing five sections with a clear subtitle for each, covering, knowledge related to exposure, waste handling and administration of CDs, attitudes of nurses towards safety related issues and practices, and use of Personal Protective Equipment (PPE) while handling CDs. The evaluation of the practices on the different wards was done using a performance checklist categorised into three sections including available procedures (SOPs), PPE and practices. Results: The majority of the participants 61 (81.3%) were females of reproductive age (median age 31yrs) with the diploma as the main nursing qualification with a nursing experience and chemotherapy handling experience of less than 10 years. Generally the participants had moderate levels of knowledge and a moderate positive attitude. Despite these moderate levels of knowledge and positive attitude they reported poor practices due to lack of training, unavailability of safety precautions and PPE. The performance checklist clearly highlighted the profound lack of safe handling policies and guidelines in all chemotherapy administration areas, and thus they should be formulated, updated and provided in all units. Conclusion: The participants had moderate knowledge and moderate positive attitude with generally poor practices while handling CDs. Major recommendation: Provision of proper PPE, implementation of safety guidelines and systemic training programs could demonstrate the institutional supports and reduce the concerns of nurses when handling CDs.
Assessment of Knowledge, Attitude and Practice on on Postnatal Exercises Among Mothers Attending Postnatal Services at Apac Hospital.
(International Health Sciences University., 2015-12) Atim, Victoria Sharon
The study was conducted in Apac Hospital and the main objective was to assess the knowledge, attitude and practice on postnatal exercise among postnatal mothers attending post natal services. A descriptive cross-sectional study design was used to collect quantitative data from 162 postnatal mothers who were interviewed using a simple random sampling technique, The research findings revealed that there was inadequate knowledge among postnatal mothers about postnatal exercises, poor attitude of the mothers towards post natal exercise and that majority of the mothers had not practiced postnatal exercises because they lacked information about postnatal exercises. The study therefore concluded that overall, there was limited or no commitment on the side of midwives on postnatal services There is therefore need for wider publicity of postnatal exercise while at the same time capacity of the midwives should be built.
Assessment of Knowledge, Attitude and Practices of Nurses Regarding Infection Control Measures:
(International Health Sciences University, 2013-09) Rahel, Tsegai Seghid
Background Given the advances in health care system, threats to acquiring infections in hospital by health workers still remain. HAIs are acknowledged to result in considerable morbidity and are probable to cause or contribute to nearly 80,000 deaths annually in the world. Many nosocomial infections are caused by pathogens transmitted from one patient to another by way of health care workers (HCWs) who do not wash their hands between patients or HCWs who do not practice control measures such as use of hand disinfection, glove use etc. Poor compliance to infection control practices is associated with lack of awareness among personnel. Purpose: To assess the knowledge, attitudes and practices of nurse’s regarding infection control measures Methods: A total of 150 nurses working with Mulago National Referral Hospital were included in the study. A questionnaire was administered to the nurse to assess their knowledge, attitudes and practices on nosocomial infections. To measure (quantify) knowledge, attitude and practice (compliance), a scoring system was devised to grade the (KAP score). Adequate knowledge was categorized as an individual score above 80%, high compliance was categorized as a practice score above 80% while negative attitude was categorized as an attitude score below 25 and a positive attitude above between 25 and 50. Results: The study showed that the nurses had fairly adequate knowledge of infection control practices with over 50% of them having knowledge scores above scores of 60% and specifically 39.3% having scores above 80%. As regards attitude towards infection control practices, most of the nurses had a positive attitude towards the precautions as majority had attitude scores between 25–50 (86.7%). The compliance rate to infection control practices was 58.7%. Conclusion: There is a fairly adequate knowledge among nurses towards infection control measures, an average compliance to infection control measures (58.7%) but a negative attitude for 20 (13.3%) the nurses.
Assessment of Knowledge, Attitude and Practices of Pregnant Mothers Towards Routine Ultrasound in Rural Areas of Mubende district.
(International Health Sciences University., 2015-12) Muwumuza, Miriam
Introduction and background: Maternal and neonatal conditions are among the highest causes of ill health and avoidable death in Uganda. Results from Uganda and Health survey (UDHS) reveal that infant mortality rate was 54 per 1000 live birth whereas maternal death was 18% of all deaths to mothers 5-49(UDHS,2011) . Globally, each year about 7.9 million children are given birth with a serious birth defect. Furthermore 3.2 million may live to tell the tale, but later in life can develop a disability(Carmona et al., 2005).Birth defects are among the leading causes of prenatal mortality and childhood morbidity worldwide (Dastigiri et al., 2011) Congenital anomalies may turn-up into long term disability, which may have serious impact on individuals, families and communities. Heart defects, neural tube defects and Down syndrome are most common birth defects. However the occurrence of birth defects in the developing world is underestimated due to poor turn up of mothers for medical services like ultrasound scan which is diagnostic tool. Dependable estimates of occurrence of congenital anomalies at birth come from records of congenital malformation in newborns (Penchaszadeh et al., 2000). The international congenital malformations revealed that the prevalence of identifiable malformations among newborns is between 2-3% and it is comparable to that found in developed countries. Recorded rates for congenital malformations in third world countries are under reported. (ICBDMS, 1991). Data on birth defects in sub-Saharan region is scarce. Many congenital anomalies can be prevented through immunization, sufficient intake of supplements like folic acid, iodine and regular prenatal and antenatal checkups. Furthermore birth defects can also be diagnosed as early as 12 weeks by ultrasound scan, but there‘s poor utilization of the services by expectant mothers. One of the ways congenital abnormalities can be reduced is through addressing pregnant mothers‘ perceptions towards modern health care -techniques like routine obstetric ultrasound scans. Through assessment of knowledge, attitude and practices of pregnant mothers towards routine obstetric ultrasound the study will come up with recommendations which can be used by the stake holders like ministry of Health to put up different policies and interventions to enhance ultrasound use by pregnant mothers. Objectives: Broad objective- to assess the knowledge, attitude and practice of pregnant mothers towards routine obstetric ultrasound. Specific objectives: To assess the knowledge of pregnant mothers towards routine obstetric ultrasound scan. To establish attitudes of pregnant mothers towards routine obstetric ultrasound scan. To assess the practice of the pregnant mothers towards routine obstetric ultrasound Methodology: The study will be carried out in Mubende Regional Referral Hospital. The study will be cross sectional in nature including pregnant mothers of rural areas of Mubende attending antenatal care at the health facility .Qualitative and quantitative data will be generated from cross sectional survey of a sample size of 100 respondents, using structured questionnaires for quantitative data. The data will be entered and analyzed using EPI-INFO, SPSS and Excel.
Assessment of Knowledge, Attitude and Practices Regarding Blood Donation Among the Population of Nile Vocational Institute - Jinja.
(International Health Sciences University., 2016-11) Nabirye, Elizabeth; Christine.
There are insufficient blood donations to meet the transfusion needs of the health facilities in Busoga region. It is therefore upon this background that the researcher set out to assess the knowledge, attitude and practice regarding blood donation amongst the population of Nile vocational institute 2016. Descriptive cross-sectional study was conducted on staff and students of Nile vocational institute. Total of 110 respondents were randomly selected and questionnaires were distributed, both quantitative and qualitative data was collected. Data on demographics, knowledge, attitude and practice of blood donation was analyzed. The key findings of the study showed that majority of the respondents know what blood donation is, however they lack awareness of the basic blood donation facts like age at which one can donate blood and the amount of blood removed from the donor a big percentage (46%) could not explain what blood transfusion is. It was noted that Majority of the respondents agree that blood donation is good and should be given by volunteers, however a big number of them have not donated in their life time (45.5%). It was recommended that the general public should be sensitized about blood donation to create awareness. Secondary the study recommended accountability by the blood bank to the communities about how this blood is utilized in the hospitals. Thirdly the study also recommended the motivation of blood donors in order for them to donate regularly. Key words: blood, donor, donation, knowledge, attitude, practice.
Attitudes and Practices Towards Utilization of Traditional African Medicines Among Women of Reproductive Age in Kisugu Parish, Makindye Division, Kampala, Uganda.
(International Health Sciences University., 2015-12) Nakyanzi, Lucy
Introduction: Traditional African Medicine (TAM) has been around for a long time and is the origin of scientific medicine. It has been growing in popularity and getting increasing attention. Most people associate TAM with herbs, remedies and advice imparted by traditional healers from African indigenous groups. In Uganda, TAM usage for day to day health needs is reported to be close to 90% and women plus children, form the bulk of people reliant on herbal medicine. Therefore, this study was set to assess the attitudes and practices towards utilization of traditional African Medicines among women of reproductive age in Kisugu parish, Makindye division of Kampala district. The main objective was to determine the attitudes and practices towards utilization of Traditional African Medicine among women of reproductive age. Methodology: A descriptive cross-sectional study was therefore carried out involving 383 respondents from Kisugu parish, using a purposive sampling design. Data was collected on social demographic characteristics, prevalence of use of TAM, attitudes and practices towards utilization of Traditional African Medicine. Data was then analyzed using the Statistical Package for Social Scientists (SPSS) version 16.0. The results indicated that the majority of the respondents (46.60%) had a positive attitude towards TAM and showed a high prevalence of use of TAM at 74.5%.The findings also revealed that most practices used were taking mumbwa, drinking local herbs during pregnancy and bathing babies with ekyogero. Majority 47.1% were baganda, 63.7% Christians, 57.9% secondary education, 68.9% were married and majority 42.3% housewives. By use of chisquare tests, it was established that there was a significant association with age, tribe, marital status and occupation with the use of TAM. Conclusions and recommendations: In conclusion, the study findings revealed that women who were Married, and housewives had a high prevalence of use of TAM secondary to a positive attitude towards TAM. Therefore there is a need for the government of Uganda to regulate TAM practices and educate the community more about TAM and its side effects.
Awareness of Causes of Puerperal Infection Among Postpartum Women in Kapchorwa District
(International Health Sciences University, 2013-09) Emily, Cheptoek
Puerperal sepsis is one of the preventable causes of maternal morbidity and mortality. The objective of this study was to assess the awareness of causes of puerperal sepsis. Methods: the study was carried out in Kapchorwa hospital antenatal clinic over a period of two weeks by use of questionnaires. 263 pregnant women who attended the clinic during this period were interviewed to determine their level of awareness of the causes of puerperal sepsis and its prevention. Responses were presented in tables, bar charts and pie charts. Findings showed that only 74 (28.1 %) were aware of the condition leaving out 189(71.8 %) ignorant of puerperal sepsis. This was attributed to institutional, health worker, and client factors ranging from lack of clinical guidelines, lack of knowledge by service providers, poor client education, non-attendance of antenatal clinic by pregnant women, and low socioeconomic status. Conclusion: there is very little known about puerperal sepsis in Kapchorwa hospital. This calls for improved joint effort by the health service providers to identify interventions to ensure increased awareness of this condition in all levels of delivering maternal health. Key words: Puerperal sepsis, Awareness, maternal mortality and morbidity, Antenatal clinic ANC.
Awareness, Attitude And Perception Of Surgical Patients Towards Practice Of Informed Consent At Case Hospital, Kampala District
(International Health Sciences University, 2016-11) Kaggo, Allan
Back ground: Informed consent is aimed each playing a vital role. A doctor at encouraging doctor patient relationship with gives relevant information and the patient taking the autonomous decision, this helps to build confidence by patients in the health workers. Thus both parties negative share the burden that would have led to legal implication. To minimize the implication awareness programs among patients about their rights should be encouraged Objective : The aim of this study was to assess the awareness, attitude and perception of surgical patient towards the informed consent at Case Hospital Kampala. Method: A descriptive cross-sectional study design was employed to assess awareness, attitude and perception of surgical patient towards the informed consent at case hospital. A total of 100 surgical patients were included in the study using purposive sampling methods. Interviewer-administered semi-structured questionnaires were used to collect data. Data was later analyzed using SPSS.V.20 Results: From the assessment done 35 of the majority respondent were between the age of 36—45. majority respondents were women at 56%, majority respondent were married at 61%, 41% of the majority respondents had attained university education level. 61% of respondents were Christian. 55% of the majority respondents ever had of an informed consent, 27% of the majority respondent said informed consent helps patient decide treatment option, 69% of the majority respondent were aware doctor had an obligation to first seek permission so as to agree to a surgical procedure,35% of the majority respondent were aware of their rights to change their minds after signing the informed consent,87% of the majority respondent said that they should be given opportunity to decide on matters concerning their treatment Conclusion: The study revealed that a significant number of respondents have ever had of informed consent and knew its function and many practiced it. The respondents perception and attitude were good hence providing adequate awareness on the importance of informed consent process will improve patient car
Awareness, knowledge, perception of cardiovascular disease risk factors among adults of Kampala district.
(International Health Sciences University., 2015-12) Nakalyango, Immaculate
Background: Cardiovascular disease causes 30% of deaths globally. By comparison, infectious disease accounts for 10% of global mortality. As these statistics indicate, Cardiovascular disease is the most common and yet one of the most preventable causes of death in the world. Rapid urbanization in Uganda is accompanied by rapid changes in lifestyle and environmental exposure that increase the burden of chronic cardiovascular diseases. Risk factors, modifiable or non-modifiable, exist that increases a person's chances of developing cardiovascular disease. Though some knowledge is available about the prevalence of the risk factors in Uganda, no information is available regarding the level of awareness, knowledge and perception among adults in Kampala. Objective: To assess the level of awareness, knowledge and perception of cardiovascular disease risk factors among adults of Kampala district. Methods: A qualitative survey was done and the sample was selected from the five divisions Makindye, Central, Nakawa, Kawempe, Lubaga of Kampala from July 2015 to October 2015. The sampling method was stratified random sampling (n=504). The data-gathering was self-report using a structured questionnaire and analyzed using descriptive statistics. Results: The results obtained from the knowledge, awareness and perception survey indicated that awareness of the risk factors for cardiovascular disease was high (80.4%) as compared to the levels of knowledge (49.8%) and perceived risk factor estimate(57%). Among those who had knowledge, 42.7% over estimated their risk of developing a cardiovascular disease in Kampala district. Conclusions: Our findings suggest that adults lack knowledge regarding the risk of cardiovascular disease risk factors and do not perceive themselves as being at risk for cardiovascular disease. Recommendations: Health workers should educate their patients on their CVD risk as a tool to improve adherence to healthy lifestyles and treatment, and ultimately, help prevent or delay CVD.
Beliefs and Practices of Caretakers Regarding False Teeth in Infants:
(International Health Sciences University, 2013-09) Asaba, Beatrice Kisembo
Background: The World Health Organization recognizes that; although child mortality has reduced globally, there are still some challenges pertaining to poor child health care such as the belief in false teeth (“ebiinyo”) particularly Africa, leading to poor practices like the removal of deciduous canine tooth-buds of infants below 2 years, referring them to as “maggots”, “false teeth”, nylon or worms, also considered responsible for diarrheas, vomiting, fever as well as growth retardation in children. The study objective was to: find out the beliefs and practices of care-takers in regard to false teeth in infants within low economic communities such as Kisugu and to identify the demographic characteristics commonly affected. Methodology: The study targeted Kisugu slum resident caretakers aged 18 years and above, who brought children to Kisugu health centre, for health care services as respondents. Descriptive study design was used in order to describe the results quantitatively. This enabled the researcher to collect data by using a questionnaire in a densely populated area with low standard of living and other challenges in its environment and health care services and determine how these factors eventually lead to the belief and practices of false-teeth. The study then looked at all these areas-mentioned, so as to assess the influencing factors. Results: 75% of the respondents believed in the presence of false-teeth, 63% of these highly associated their cause with witchcraft, and 95% of all care-takers interviewed took their children to the with-doctors for either false-teeth extraction or application of local herbs as treatment for false-teeth. It was discovered that; 86.6% of the care-takers were young parents (18-35years) they can easily be misled. 44.2 % of the respondents were Roman Catholics, and these are well-known for discouraging family planning and thus produce higher numbers of children per family. Finally 75% of cater-takers in this study had lower level of education or no formal education at all, which was also a factor considered to fuel such beliefs and practices related to false-teeth. Conclusion: False-teeth is still a big threat to the health of infants, and greatly contributes to infant mortality in Uganda
Burnout Among Health Workers in Kamuli Hospital:
(International Health Sciences University, 2013-09) Naafa, Jane Rose
This study determined burnout among health workers in Kamuli hospital; assessment of knowledge and coping strategies. To achieve this purpose, the following research objectives were formulated: to assess the influence of socio-demographic factors on burn out among health workers towards burnout in Kamuli hospital; to investigate the levels of knowledge of health workers about burnout in Kamuli hospital; to determine the coping strategies of health workers in Kamuli hospital towards burnout; and to determine the relationship between knowledge and coping strategies towards burnout among health workers in Kamuli Hospital. In the literature, different concepts, opinions and research findings of scholars and authors were analyzed so as to bring about clarity about research variables. In the methodology, this study employed a cross-sectional descriptive study design employing quantitative methods of data collection; the accessible population was 75 and all these were considered as respondents. Both primary and secondary sources of data were employed in this study and questionnaires were used as research instrument. The reliability and validity of the research instruments were determined through pretesting and content validity index. Data was analyzed using SPSS. Frequencies and percentages were used to determine the research objectives. Ethical considerations were also taken in to consideration. The research findings indicated that socio-demographic factors influence the level of knowledge and coping strategies towards burnout among health workers; it was also found out that health workers in Kamuli Hospital have some considerable level of knowledge about burnout; the level of coping strategies towards burnout among health workers in Kamuli Hospital is still low; and finally, this study found out that there is a significant relationship between level of knowledge about burnout and coping 0.000 level of significance and a correlation of 0.84 indicating a positive relationship. The study concludes that socio-demographic factors significantly influence the level of knowledge and coping strategies among health workers; health workers in Kamuli Hospital have some knowledge about burnout; the level of coping strategies among health workers in Kamuli is still low; there is a positive correlation between level of knowledge and coping strategies towards burnout among health workers. This study recommends that different stakeholders such the government, health center administrators and health workers should work hand in hand to ensure that health workers get sufficient knowledge about burnout as it is likely to reduce their work performance and lead to counter productive work behaviors.
Care Giver Factors Associated With Adherence To Antiretroviral Therapy Among HIV Infected Children At Kisugu Health Centre III
(International Health Sciences University, 2017-11) Echiru, Andrew
Background: Adherence to ART among children is a dynamic challenging process involving several factors. With use of effective ART therapy, survival of children with AIDS has extensively increased but the benefits of this therapy are limited by non-adherence. This study aimed at establishing the caregiver factors associated with adherence to ART among children infected with HIV at Kisugu Health Center III. Methodology: The study was carried out using a cross – sectional descriptive study design. The design used only quantitative methods of data collection while in the field and the study population included only caregivers of HIV sero – positive children at Kisugu Health Center III ART clinic by the time of the study and its where a sample of 188 respondents were selected by means of simple random sampling technique. Data was collected with use of pretested and structured questionnaires. Descriptive and summary statistics were employed. Uni-variate and Bi-variate logistic regressions and their 95% confidence intervals were computed to determine the level of statistical significance. Results: Less than half 40.4% of the caregivers indicated that their children were adherent to ART therapy in the last week preceding the interview. The study found out that primary caregivers relationship with the child (P=0.039], primary caregivers level of education (P=0.010), Social support (P=0.043) and ART counseling services (P=0.000) were independently associated with adherence. None of the treatment related factors was statistically significantly associated with adherence to ART among children. Conclusion Only 59.6 %(112) of pediatric patients had good adherence to ART in the previous week prior to study start. The fact that the primary caregiver was a parent of the infected child adversely affected adherence whereas adherence rates were seen to increase with increasing primary caregiver level of education. Recommendations Caregivers should be educated and provided with appropriate and accurate information on HIV/AIDS and about ART therapy as well as encourage support groups since social support improved adherence to ART therapy. There is thus need for assessments of the caregiver’s education level, relationship to the child and provision of social support and ART counseling services in an effort to ensure improved adherence to ART at Kisugu Health Center III.

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