Browsing by Author "Nalubega, Jane Frank"

Now showing 1 - 5 of 5
  • Thumbnail Image
    Item
    DETERMINANTS OF MALNUTRITION AMONG CHILDREN UNDER FIVE YEARS IN PAGER DIVISION, KITGUM MUNICIPALITY, KITGUM DISTRICT: A DESCRIPTIVE CROSS-SECTIONAL STUDY
    (Student’s Journal of Health Research Africa, 2023-06-26) Nalubega, Jane Frank; Turumanya, Judah; Onyach, Richard
    The major objective of the study was to assess the determinants of malnutrition among children under five years in the pager division of Kitgum municipality. The specific objectives of the study were to: determine wasting, establish the feeding practices associated with wasting, and establish socioeconomic factors associated with wasting among children under five years at Pager Division Kitgum Municipality. This study adopted a descriptive cross-sectional study designed for children under five years among households in the pager division Kitgum municipality where 150 mothers of children selected using random sampling were interviewed. Data were collected using questionnaires, analyzed using the Epi Info program, and bi-variate analysis was used to determine the associated factors of wasting among children under five years. Results from the study analysis also confirmed how the child caretaker fed the child after six months, the type of food fed to a child at a meal, the amount the child’s caretaker earned per month, occupation of the mother, mother’s level of education, and the number of children under five years in a household were the most significant factors which affect malnutrition in children who were below 5 years of age in Kitgum Municipality. Results from the study confirmed that malnutrition was still high among children under five in the pager division Kitgum Municipality with wasting standing at 17.3% and high among children aged 6-11 months at 6%. The study recommended community nutritional interventions to address the root causes of malnutrition in regard to wasting. Similar community-based studies in the area of child nutrition are needed to determine the root causes of socio-economic and cultural drivers of malnutrition. Further research is needed to obtain an explanation regarding sex differentials with wasting across socio-economic strata.
  • Thumbnail Image
    Item
    ENTERAL NUTRITION AND BURN WOUND RECOVERY OF PEDIATRIC PATIENTS: A CASE OF KIRUDDU NATIONAL REFERRAL HOSPITAL. A DESCRIPTIVE CROSS SECTIONAL STUDY
    (Student’s Journal of Health Research Africa, 2023-09-21) Nassiwa,Suzan; Kigozi, Fred; Nalubega, Jane Frank
    The study aimed at finding the relationship between normal oral nutrition, use of liquid supplements, tube feeding, and burn wound recovery of pediatric patients at Kiruddu National Referral Hospital. A descriptive cross-sectional study design was conducted among caretakers of pediatric burn patients using the prospective sampling method. Socio-demographic factors, medical history, dietary history, 24 hr. recall, and biochemical analysis were assessed. 45 caretakers of pediatric burn patients (mean age = 4.08) were studied. The patients sustained between 02-55% TBSA burns. The majority of burns occurred for children aged between 0-5. With (71.1%) largest burns caused by scalds, (20%) flames, and (8.9%) chemicals. Overall, 73.3% of pediatric patients were placed on normal oral nutrition while 26.7% were tube feeding. None of the pediatric patients under study received a liquid supplement. Data analysis of enteral nutrition feeding routes and nutrition outcomes was conducted using the chi-square. The results showed that there is a significant and positive relationship between normal oral nutrition, tube feeding, and white blood cells (p= 0.005), red blood cells (p= 0.001), hemoglobin (p= 0.000), platelets (p= 0.000), creatinine (p= 0.000), urea (p= 0.000), sodium (p= 0.000), potassium (p= 0.000), chloride (p= 0.000) and albumin (p= 0.002,). The blood cells, protein, and biochemical parameters are indicative of wound healing. With linear regression, the relationship between normal oral nutrition, tube feeding, and albumin was found to be of no significance (p=0.553). The study illustrated a significant relationship between normal oral nutrition, burn wound recovery, and a positive relationship between tube feeding and burn wound recovery of pediatric burn patients at Kiruddu National Referral Hospital. There is a need to carry out a biochemical analysis test that includes transferrin, transthyretin, magnesium, zinc, and copper as these tests can help in determining the nutrition status of the patients.
  • No Thumbnail Available
    Item
    FACTORS ASSOCIATED WITH GROWTH MONITORING AND PROMOTION AMONG CHILDREN 0-23 MONTHS IN MALONGO SUB-COUNTY, LWENGO DISTRICT, CENTRAL UGANDA. CROSS-SECTIONAL STUDY.
    (Student’s Journal of Health Research Africa, 2023-06-27) Naula, Ketty; Nalubega, Jane Frank; Turumanya, Judah
    The study explored factors associated with growth monitoring and promotion among children 0-23 months in Malongo sub-county, Lwengo district, central Uganda with specific objectives; assessment of Nutritional status of children, knowledge of caregivers, accessibility to Health facilities and Health-care package. Qualitative and quantitative approaches were applied to draw clearer correlations of findings. Questionnaires with semi-structured open and closed ended questions were used to collect data. Health staff were interviewed and observations made with a simple checklist. Pre-tests were carried out for result consistency and validity prior to community subjection. Most caregivers were knowledgeable about GMP services. 200(75.5%) had easy access to health facilities. A number of children were wasted 67(25%), stunted 47(17.5%) and underweight 51(19.2%) as per Z-scores. 190(71.7%) female caregivers, 200(75.5%) were cohabiting/married. Education levels did not impact much on GMP , elites 85(32.1%) never practiced what they knew. 63(23.8%) households at times went without a meal due to poverty. 30(11.3%) caregivers received GMP counseling. 240(90.6%) found functional facilities but 115(43.4%) expressed varying challenges. Nutritional status of children was majorly affected by knowledge differences, unacceptable food regarded as medicine where restrictions deprived children of balanced diets. Poor health-seeking practices due to poverty and negative attitude about the health sector contributed to undefined malnutrition. Boy children were more affected than girls. Malnutrition taking both undernutrition and over nutrition was more pronounced in boys than girls. Thus, double malnutrition burden is equally on the rise in low- and middle-income countries thereby calling for more efforts in regular GMP to solve and prevent anomalies especially in the first a thousand days of life. Health service points should be equipped with knowledgeable personnel, functional screening tools and nutritional supplements. Positive attitude should be promoted in both caregivers and health workers. Policy makers should prioritize MCH services.
  • No Thumbnail Available
    Item
    FACTORS ASSOCIATED WITH UNDER NUTRITION AMONG CHILDREN 2 – 5 YEARS LIVING WITH HIV/AIDS IN BOMBO MILITARY BARRACKS, LUWERO DISTRICT CENTRAL UGANDA. A CROSS-SECTIONAL STUDY DESIGN.
    (Student’s Journal of Health Research Africa, 2023-09-21) Alimocan, Anna; Turumanya, Judah; Nalubega, Jane Frank
    The HIV epidemic is a major public health concern and is associated with a range of long and short- term health consequences. Children living with HIV/AIDs related illnesses are still among the leading causes of infant mortality. This study sought to determine the factors associated with undernutrition among children 2 to 5yrs living with HIV in Bombo Military Barracks, Luwero District Central Uganda. The researcher used a descriptive research design to study the study variables. A sample size of 56 participants was selected. Both primary and secondary data sources were used by the researcher. Structured questionnaires, FGDs, and interviews were conducted to collect data, and this data was sorted, edited, coded, and analyzed using SPSS, Dedoose, and WHO Anthro software. The findings of the study showed that nutrition status of children is determined by socioeconomic factors and IYCF Practices. More females (60.9%) were enrolled in the study compared to males (39.3%). 6% of girls have a WFH <-3SD, 15% <-2SD, 34% <-1SD and 1% >+1SD. While, 4% of boys have a WFH <-3SD, 9% <-1SD and 26% >+1SD. Children aged between 2 – 3 years are more wasted with a Mean z-Score of -2SD compared to those aged between 4 – 5 years with a mean score of -1SD. This implies that the independent variable directly influences the independent variable. Data analysis has as well indicated that most of these children have been breastfed for over 12 months and hence introduced to home-cooked meals at the appropriate time. Ministry of health and organizations with nutrition-related programs should take into consideration providing HIV targeted nutrition education.
  • No Thumbnail Available
    Item
    KNOWLEDGE, ATTITUDES AND INTENDING PRACTICES TOWARDS EXCLUSIVE BREASTFEEDING AMONG FEMALE UNDERGRADUATES: A CROSS-SECTIONAL CASE STUDY OF MILDMAY INSTITUTE OF HEALTH SCIENCES .
    (Student’s Journal of Health Research Africa, 2023-06-27) Kyoyagala, Florence; Kigozi, Fred; Nalubega, Jane Frank
    Breastfeeding is a basic human activity that is vital to a baby‟s growth and development. Excellent breastfeeding advice from health professionals can influence a mother‟s decision to initiate and maintain breastfeeding positively. The study was aimed at assessing the knowledge, attitudes, and intended practices toward exclusive breastfeeding among female undergraduates at the Mildmay Institute of Health Sciences. A mixed method cross-sectional study was performed among165full time undergraduate female students at MIHS, using convenience sampling by a structured self-administered questionnaire composed of 16 items to evaluate the students' knowledge, 18 items to assess attitudes towards exclusive breastfeeding, 12 items to assess the intending practices and socio-demographics characteristics questions. Overall, the majority (55%) of study participants had inadequate knowledge, 54.5%of the participants had positive attitudes, 44.4% were neutral and 0.6% of the respondents were less positive towards breastfeeding, a statistically significant association (p=0.019) was found between the knowledge score and the score of intending practices. The conducted study illustrated inadequate knowledge, positive attitudes, and inappropriate intending practices toward exclusive breastfeeding among full-time female undergraduate students at the Mildmay Institute of health sciences. Curricular changes aimed at promoting, supporting, protecting, and correcting the misconceptions about exclusive breastfeeding should be put in place across all levels of female undergraduates in health professions. Smart advocacy about exclusive breastfeeding should be carried out within the institute to improve the level of knowledge about exclusive breastfeeding.