MIHS Repository :: Browsing by Author "Nansereko Hasifa"

Browsing by Author "Nansereko Hasifa"

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ECONOMIC AND HEALTH FACILITY FACTORS ASSOCIATED WITH SELF-MEDICATION AMONG ADULTS AGED 18 TO 50 YEARS ATTENDING HENROB HOSPITAL ZANA. A CROSS-SECTIONAL STUDY.
(Namagembe Zaliika, 2025-03-31) Namagemebe Zaliika; Nansereko Hasifa; Namubiru Rebecca; Nalubega Jane Frank; Immaculate Prosperia Naggulu
Background. Self-medication is becoming increasingly common among adults in Uganda. Despite its potential risks at the individual and community level, not enough studies have been done in Uganda on self-medication. This study examined individual factors associated with self-medication among adults aged 18 to 50 years attending Henrob Hospital Zana. Methodology. A cross-sectional study was conducted targeting adults attending Henrob Hospital. A total of 40 respondents were systematically selected and interviewed using a semi-structured questionnaire. The outcome variable was the medication with or without a prescription from a doctor / medical worker. The information was manually tallied, and scientific measures were used to analyze the recorded information. 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. The majority of respondents were males 21(52.5%),24 (60%) were in the age group of 45-50 years, 26 (65 %) of the participants replied Yes to having used any drug for self-treatment, 16 (40%) reported being busy with daily programs, respondents who reported buying medicine without a prescription from the doctor majority were Christians 21(52.5), 22 (55%) of the respondents knew the dosage of drugs by enquiring from the seller and 26 (65%) of the respondents obtained their drugs from a community pharmacy. Conclusion. Self-medication in adults is associated with age, level of education, accessibility to pharmacies, occupation, and marital status. Recommendations. Ministry of Health and other responsible bodies, including the health workers, should strive to increase the knowledge of patients about the importance of reporting and obtaining medical consultation.
FACTORS ASSOCIATED WITH NEONATAL SEPSIS AMONG NEONATES AT KISENYI HEALTH CENTRE IV IN KAMPALA DISTRICT. A CROSS-SECTIONAL STUDY.
(Wanjjiro Angellah, 2024-03-01) Wanjjiro Angellah; Nansereko Hasifa; Jane Frank
Background Neonatal sepsis is a systemic bacterial illness that affects neonates under the age of 28 days with or without bacteremia and in Uganda, 18.2% of the 19 per 1000 neonatal deaths are contributed by neonatal sepsis affecting the progress in improving maternal and child health. The purpose of the study was to determine the factors associated with neonatal sepsis among neonates in Kisenyi Health Centre IV, Kampala District. Methods The study used a descriptive cross-sectional study design that used quantitative data collection methods. A simple random sampling method was used to select 40 respondents. Data was analyzed and presented using Microsoft Excel 2013 that presented it in the form of frequency tables, pie charts, and graphs. Findings The findings of the study on maternal factors associated with neonatal sepsis were; that 70% had never attended antenatal care, 80% had untreated UTI during pregnancy and 60% had bathed the baby with herbs. Neonate-related factors included; 60% had babies born before 8 months and 70% had second to fifth order. Health facility–related factors; 60% had more than three vaginal examinations, 70% had not received antibiotics before delivery and 90% reported that wards were congested. Conclusion The study concluded that factors associated with neonatal sepsis were maternal factors, neonate-related, and health facility-related factors. Therefore, health education on appropriate neonatal care practices and adjustment of the quality of maternal and neonatal care practices should be done to reduce incidences of neonatal sepsis. Recommendations Ministry of Health should offer refresher training to health workers regarding the management of mothers in labor like avoiding unnecessary vaginal examinations. Furthermore, antibiotics should be supplied to health facilities to ensure routine provision among neonates.
FACTORS CONTRIBUTING TO SEPTIC ABORTION AMONG WOMEN AGED15-45YEARS ATTENDING POSTNATAL CLINIC AT IRAN-UGANDA HOSPITAL, KAMPALA DISTRICT. A CROSS-SECTIONAL STUDY.
(Nanambi Winfred, 2023-09-15) Nanambi Winfred; Nansereko Hasifa; Immaculate Prosperia Naggulu
Background: 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 at IRAN-Uganda Hospital, Kampala district. Methodology: A descriptive cross-sectional research design was used to describe factors contributing to septic abor tion among women aged 15-45 years attending at IRAN-Uganda Hospital. A cross-sectional descriptive study design was adopted in this study that involved observation of a sample of a population or phe nomena that are made at one point in time. 30 respondents were involved in the study who were selected using convenient random sampling procedures. Results: (43.3%) of the women were aged 20-30 years, 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 safeabortionservices,(70%) reportedthatPoorattitudeofhealthworkerswhereas (86.7%) saidLong waitingtime,majority (66.7%) reportedthat unnecessary requirementlikeparent’s or spouse consent before providing abortion services led to septic abortion Conclusion: 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 aboutthe dangers of septic abortion and all categories of abortions, and mass sensitization of the community against practices of septic abortion
FACTORS CONTRIBUTING TO SUSCEPTIBILITY OF URINARY TRACT INFECTION AMONG PREGNANT WOMEN ATTENDING ANTENATAL AT ENTEBBE REGIONAL REFERRAL HOSPITAL WAKISO DISTRICT. A CROSS-SECTIONAL STUDY
(Nassuuna Bridget, 2025-06-03) Nassuuna Bridget; Nansereko Hasifa; Namubiru.T.Rebecca; Nalubega Jane Frank; Immaculate Prosperia Naggulu
Background The aim of the study is to determine the factors contributing to susceptibility of urinary tract infection among pregnant women attending antenatal at Entebbe regional referral hospital Wakiso district. Methodology The study employed a descriptive cross-sectional study design that used quantitative methods of data collection from 36 pregnant women who attended antenatal care at Entebbe Regional Referral Hospital. The study employed a simple random sampling technique to select the sample. The collected data were summarized on paper using a pen, tallied, analyzed using Microsoft Excel, and then presented in the form of tables, pie charts, and graphs. Results The majority, 30 (83.3%), of the respondents were married, and the least, 6 (16.7%), were single. Most, 25 (69.4%) of the respondents reported having one sexual partner, Most, 23 (63.9%) of the respondents did not change their undergarments, most, 20 (55.6%) of the respondents said Yes when asked whether they had ever had about UTI, majority, 31 (86.1%) shared toilets with their neighbors, 18 (50%) bathed twice in a day, 18 (50%) of the respondents urinated four times and above, majority, 23 (63.9%) of the respondents had no history of any chronic illness. Most, 12 (33.3%) of the respondents were attending their fourth antenatal visit. The Majority, 25 (69.4%) of the respondents had never inserted a catheter. Most of the respondents, 21 (58.3%), were multigravida mothers. Conclusions The susceptibility of urinary tract infections among pregnant women in Entebbe was 20.3% and was associated with Occupation, marital status, gravidity, and education level. Recommendations Ministry of health and other responsible bodies including the health workers should strive to increase the knowledge of patients about the importance of reporting and obtaining medical consultation.
FACTORS CONTRIBUTING TO THE PREVALENCE OF MALARIA AMONG CHILDREN UNDER FIVE YEARS OF AGE ATTENDING HEALTH CARE AT KATABI HEALTH CENTRE III, ENTEBBE MUNICIPALITY. A CROSS-SECTIONAL STUDY.
(Ayebale Kugonza Christine, 2025-03-05) Ayebale Kugonza Christine; Habert Mpamize; Nansereko Hasifa; Nalubega Jane Frank; Immaculate Prosperia Naggulu
Background. Malaria is an urgent health priority; its treatment traps families in a cycle of illness, suffering, and poverty. This study aimed to assess the factors contributing to the prevalence of malaria among children under five years attending health care at Katabi Health Center III, Entebbe municipality. Methodology. A quantitative cross-sectional survey design was used, and semi-structured questionnaires were employed with statistical logistics to identify factors associated with the prevalence of malaria among children under five years. Results 92(61.3%) were Females, 37.3% of the participants were 25-34 years, 71(47.3%) were married, and 40% (60/150) of children tested positive for malaria. Statistically, caregivers with low education level (x2=13.405, p=0.004), religion (x2=9.963, p=0.019), drainage system (x2=9.040,p=0.003), cleared bush around homes (x2=4.714,p=0.029), staying close/far from swamp (x2=9.886, p=0.002) and altitude (x2=13.504, p=0.0002) had statistical significance in association with malaria prevalence. But also, caregivers who didn’t take their children to the health facility when sick (x2=10.155, p=0.017) and household factors like type of house (x2=11.866, p=0.003), preventive measures for mosquito bites (x2=10.155, p=0.017) and source of light used played a significant association with malaria prevalence in the under-fives. Conclusion. The Prevalence of malaria was high, and this was influenced by the level of education, religion, drainage system at home, bush around homes, and closeness to the swamp. Recommendation. The Ministry of Health should facilitate more studies in different areas on malaria prevalence, health education to caregivers, municipal administrators organizing meetings with plot owners, and government to reduce electricity generation costs in people’s homes to increase lighting.
FACTORS INFLUENCING UTILISATION OF POSTNATAL CARE SERVICES AMONG MOTHERS AT KAJJANSI HEALTH CENTER IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY
(Nabakooz Tabitha, 2023-06-23) Nabakooza Tabitha; Nansereko Hasifa; Immaculate naggulu
Background: Mothers are so much vulnerable to complications after child delivery which can greatly affect their health to the extent of claiming their lives these complications are preventable if the mothers utilize the PNC services put in place. This study aimed to find out the factors influencing the utilization of postnatal care services among mothers at Kajjansi health center IV, Wakiso district. Methodology: A descriptive quantitative cross‑sectional study was conducted at Kajjansi health center IV, Wakiso district. A questionnaire was administered after obtaining informed consent from 36 respondents that were present at the time of data collection. These were selected using a simple random sampling method. Results were tabulated, analyzed using Microsoft Excel, and presented using frequency tables, pie charts, and graphs. Results: This study established that the majority of 32(88.9%) of the respondents were aged between 20 - 30 years, and nearly all, 33(91.7%) lived in towns. 23(63.9%) of the respondents had information about post-natal services and 21(58.3%) of them, their society encouraged them to seek medical care after giving birth at the health facility; 28(77.7%) said that their cultures did not encourage mothers to deliver without help from a health care provider whereas nearly two thirds 23(63.9%) of them said nurses and midwives treat the mothers in a good way as they go to seek for postnatal care services Conclusion: Mothers used PNC services and the factors below; women’s residence, awareness of post-natal services, wealth status, marital status, occupation, antenatal care attendance, place of delivery, perceived accessibility of health facilities, and access to mass media messages, and many others were associated with greater use of PNC service. Recommendations: Educational programs with special emphasis on post-natal care services and mandatory participation in educational programs for all stakeholders are highly recommended to enhance the utilization of post-natal care services.
FACTORS INFLUENCING UTILISATION OF POSTNATAL CARE SERVICES AMONG MOTHERS AT KAJJANSI HEALTH CENTER IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY
(Nasasiira Phiona, 2023-09-15) Asasiira Phiona; Nansereko Hasifa; Immaculate Prosperia Naggulu
Introduction: Purpose of the study: The study aimed to determine the study knowledge, attitude, and prac tice 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 meth odswhereaninterviewer-guidedsemi-structuredquestionnairewasusedasadatacollectiontool.The studyincluded50respondentswhowere adolescents living inNsambyaparish,KampalaDistrictData was analyzed electronically by the use of Microsoft word excel version 2013. Results of Study: The study showed results that 84, % HCWs knew that 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 equip ment required in the prevention of hospital-acquired infections for example personal protective equip ment to the health care workers.
FACTORS INFLUENCING UTILIZATION OF IMPLANTS AMONG WOMEN OF REPRODUCTIVE AGE AT KAWAALA HEALTH CENTRE IV, KAMPALA DISTRICT. A CROSS-SECTIONAL STUDY.
(Namuli Racheal, 2025-03-31) Namuli Racheal; Bantia Mercy; Immaculate Prosperia Naggulu; Nansereko Hasifa; Nalubega Jane Frank
Background Implants are a more effective method of family planning methods as they enable women to control their reproductive lives better and are better options for contraception than other long-term family planning methods. The purpose of this study was to identify the factors influencing the utilization of implants among women of reproductive age at Kawaala Health Centre IV, Kampala District. Methodology The method was a descriptive-cross sectional design that utilized quantitative methods of data collection from a sample size of 30 respondents who were sampled by simple random sampling method using a self-administered questionnaire, and data was analyzed using micro soft office programs and presented in the form of tables, graphs, and pie-charts. Results The majority of 12(40%) were between 18 and 24 years of age, and 17(56.7%) were not employed. Regarding individual factors, 19(63.3%) would wish to have three children to start using an implant, 11(36.7%) had one child, 24(80%) did not know all the information about the implant, and 20(66.7%) did not have an overall decision on the use of implants. Concerning Social and cultural factors, 23(76.7%) mentioned that their husbands did not support the use of implants, 27(90%) mentioned that their husbands had desires to have many children, 26(86.7%) did not get support from their husbands during utilization of family planning, and 18(60%) mentioned that their cultural belief does not support the use of implants. Conclusion Factors identified were lack of knowledge about implants, desire to have more children, lack of overall decision-making, lack of husband support, and cultural beliefs. Recommendations Health workers should develop comprehensive health education programs regarding using of long-acting methods of family planning such as implants.
KNOWLEDGE AND ATTITUDES OF PREGNANT MOTHERS TOWARDS THE USE OF FOLIC ACID DURING ANTENATAL AT ENTEBBE REGIONAL REFERRAL HOSPITAL, WAKISO DISTRICT: A DESCRIPTIVE CROSS-SECTIONAL STUDY.
(Habib Atayo, 2023-06-29) Atayo Habib; Nansereko Hasifa
Background: In Uganda, the uptake of folic acid during pregnancy stands at 3.1% among all pregnant women which has led to an estimated 1400 children with spinal bifida annually. The purpose of this study was to assess the knowledge and attitudes of pregnant mothers towards the use of folic acid during antenatal at Entebbe Regional Referral Hospital, Wakiso district. Methodology: A descriptive and cross-sectional study design that employed quantitative data collection methods was used. A sample size of 30 respondents was selected using a simple random sampling method and responded to a structured questionnaire. Data was analyzed using Microsoft Excel Programs that presented it in the form of frequency tables, pie charts, and graphs. Results: The study results on knowledge revealed that 71.4% had received information about folic acid from health workers, 56.7% did not know the recommended time of starting folic acid, 83.3% knew that they should take one tablet daily and 53.3% knew anemia as a danger of not taking folic acid. Regarding attitude; 43.3% believed that folic acid should not be taken throughout pregnancy, 66.7% disagreed that folic acid can be taken without a prescription, and 76.7% did not feel comfortable taking folic acid during pregnancy. Conclusion: The study concluded that mothers were moderately knowledgeable about folic acid use during pregnancy although they had negative attitudes. Recommendation: It is recommended that health education about folic acid use should be strengthened through the media and at the health facility which will aid in improving mothers’ knowledge and attitudes.
KNOWLEDGE AND PRACTICES OF PROFESSIONAL NURSES TOWARDS NURSES’ DOCUMENTATION AT KAYUNGA REGIONAL REFERRAL HOSPITAL, KAYUNGA DISTRICT. A CROSS-SECTIONAL STUDY.
(Namulanda Norah, 2025-03-01) Naulanda Norah; Kyere Olivia; Nalubega Jane Frank; Immaculate Prosperia Naggulu; Nansereko Hasifa
Background Nurses’ documentation is a critical aspect of healthcare that ensures continuity of care, patient safety, and effective communication among healthcare professionals. However, gaps in knowledge and inadequate documentation practices compromise patient outcomes and legal compliance. This study aimed to assess the knowledge and practices of professional nurses regarding nurses' documentation at Kayunga Regional Referral Hospital, Kayunga District. Methodology The method was a descriptive cross-sectional study design using quantitative research methods. A structured questionnaire was administered, and a checklist for the practice of professional nurses at Kayunga Regional Referral Hospital was selected through purposive sampling. Data was collected on nurses' knowledge and practices regarding documentation and analyzed using descriptive statistics, with results presented in tables, pie charts, and figures. Results 60% of nurses had adequate knowledge of the importance of documentation, 55% were unaware of the potential consequences of improper documentation, and 53% did not consistently document nursing interventions provided to patients. 78% of nurses practiced real-time or near-real-time documentation, while 68% adhered to standardized documentation protocols. 22 (55%) were between 25 and 44 years old, while the least number of respondents, 2 (5%), were less than 25 years old. The majority, 32 (80%), were female, while the smallest group, 8 (20%), were males. 28 (70%) had attained a certificate in nursing, while the lowest number of respondents, 2 (5%), had attained a diploma in nursing. 24 (60%), had practiced for 1- 5 years, while the smallest group, 2 (5%), had practiced for less than 1 year Conclusion The study revealed that nurses understood the importance of documentation but struggled with applying documentation standards in practice. Recommendation The study recommended regular training, the use of structured formats, and real-time documentation to improve the quality and accuracy of nursing documentation at Kayunga Regional Referral Hospital.
KNOWLEDGE, ATTITUDE, AND PRACTICES TOWARDS THE UTILIZATION OF ORA-QUICK HIVST AMONG PREGNANT MOTHERS ATTENDING ANC AT ERRH, A CROSS SECTIONAL STUDY
(Kunihira Florence Joyce, 2025-03-06) Kunihira Florence Joyce; Nansereko Hasifa; Immaculate Prosperia Naggulu; Nalubega Jane Frank
Background Ora- Quick HIV self-testing (HIVST) is where a person collects his or her specimen (oral fluid), performs an HIV test, and interprets the result either alone or with someone he or she trusts. The study was to assess Knowledge, Attitude, and Practices towards the utilization of Ora-Quick HIVST among pregnant mothers attending ANC at ERRH. Methodology A quantitative descriptive cross-sectional study design was used to select 40 mothers using a simple random sampling method, collecting data using a structured questionnaire. Data was analyzed using SPSS. Results Most 21) of the respondents (52.5%) were aged 18-24 years, while only 1(2.5%) was aged 35 and above. Half 20(50%) were Baganda tribe. The study indicated that 97.5% of respondents reported having heard of Ora-Quick HIV ST. 51.3% heard it from friends and family. 67% did not know that Ora-Quick is available in pharmacies. All the respondents knew that Ora-Quick HIVST is an acceptable idea, 40% disagreed that HIVST has the potential to reach hard-to-reach areas and 28% said they would not seek help and follow up an HIV positive result on Ora-Quick, 62.5% of the participants had never used an Ora-Quick HIVST, 64% did not know the correct time to read the results and 50% considered positive results to be the final. Conclusion Therefore, the study revealed insufficient knowledge as well as poor attitudes and practices towards Ora-Quick HIVST, which is believed to be related to inadequate community sensitization. The government, through the Ministry of Health, should launch national campaigns to promote HIV self-testing among pregnant mothers, emphasizing its role in early detection and prevention of mother-to-child transmission. Recommendation The government, through the Ministry of Health, should launch national campaigns to promote HIV self-testing among pregnant mothers, emphasizing its role in early detection and prevention of mother-to-child transmission.
Knowledge, attitudes, and practices of mothers towards childhood Immunizations at Young Child Clinics of Mildmay Uganda Hospital, Wakiso District. A cross-sectional study.
(Acac Stanley, 2025-09-01) Acac Stanley; Nansereko Hasifa; Immaculate Prosperia Naggulu; Nalubega Jane Frank
Background. Globally, it is estimated that around 22.6 million infants were partially protected by immunization services. In Uganda, only 52 percent of children aged 12-23 months were fully vaccinated. This assessed the knowledge, attitudes, and practices on immunization among mothers attending the young child clinic at Mildmay Uganda hospital. Methods. A descriptive cross-sectional study design was employed, using quantitative data collection methods. Over five days, 30 mothers were selected through simple random sampling. Data were gathered using a structured, closed-ended questionnaire and analyzed manually, with results entered into Microsoft Excel (2013) and presented using tables, pie charts, and graphs. Results. Most of the participants were aged 25-29(40%) and had secondary education (50%), and 100,000-300,000 Ugandan shillings monthly (47%). All mothers were aware of childhood immunization,70% citing disease prevention as its purpose, and all knew the first dose is given at birth. However, 53% were unaware of the required routine visits. Most received information through radio or TV (60%), while 80% believe in the benefits of vaccination,60% felt unsafe vaccinating their children, and 70% opposed compulsory vaccination. Additionally, 53% didn’t advise others to vaccinate. Regarding practices, many missed vaccine schedules (63%), skipped vaccines (67%) or didn’t complete them (53%), and 87% used pain relievers post-vaccination Conclusion. Mothers had general awareness of childhood immunization, but gaps in knowledge, negative attitudes, and poor practices hindered full adherence to vaccination schedules. Recommendation. There is a need for targeted health education and community outreach to improve mothers’ knowledge, attitudes, and practices toward childhood immunization.
LARGE SCALE YELLOW FEVER VACCINATION: PARTICIPATORY RATE AMONG HEALTH PROFESSIONAL TRAINEES AT MILDMAY INSTITUTE OF HEALTH SCIENCES, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
(Tubenawe Martha, 2025-03-01) Tubenawe Martha; Nansereko Hasifa; Immaculate Prosperia Naggulu; Nalubega Jane Frank
Background Yellow fever remains a major public health issue in Uganda and other tropical regions. Health professions trainees are critical in preventing and controlling yellow fever outbreaks, but their vaccination status and knowledge about the disease were not well-documented. The study aimed to determine the prevalence of yellow fever vaccination and the knowledge of health professional trainees regarding yellow fever and its vaccination. Methodology A cross-sectional study was conducted among 40 health professional trainees at Mildmay Institute of Health Sciences. Data was collected using a structured questionnaire. Data was analyzed using descriptive statistics and cross-tabulation of the key characteristics using an Excel spreadsheet. Results were presented in tables, charts, and graphs to represent key findings and illustrate distributions, respectively. Results The results from the data collection showed yellow fever vaccination prevalence was 72.5% being vaccinated and 27.5% being unvaccinated, with males (91.7%) showing higher coverage than females (64.3%). Trainees aged 31-35 had 100% vaccination coverage, compared to 69.7% among those aged 18-25. Socio-economic status also influenced vaccination rates, with trainees from high-income backgrounds (83.3%) more likely to be vaccinated than those from middle (69.0%). Knowledge about yellow fever transmission, symptoms, and vaccination benefits was high among most respondents. Conclusion Although vaccination rates were generally strong, younger trainees and females showed lower coverage. Recommendation There should be targeted vaccination initiatives for these groups and integration of vaccination services with educational programs within training institutions.

Browsing by Author "Nansereko Hasifa"

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