School of Nursing and Midwifery

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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.
OBSERVATIONAL STUDY IN THE USE OF AMPICILLIN SODIUM INJECTION IN THE MANAGEMENT OF CERVICAL DYSTOCIA AND SHORTENING OF LABOR.
(Student’s Journal of Health Research Africa, 2023-06-29) Bantia, Mercy
The article examined the use of ampicillin sodium injection in the management of cervical dystocia and shortening of labor. It arose from a qualitative observation and experimental survey. Data was gathered from ten midwives working in labor suite and experimented on an infinite number of mothers in activ e labor. Data was analyzed in a descriptive manner. The data revealed that for mothers with low parity in active labor with cervical dystocia due to early “pushing”, one gram (1g) of injectable ampicillin given bolus commenced effacement and dilatation wit h shortened length of labor .In grand multiparous mothers in active labor, a maximum of two grams (2g) of ampicillin injection given bolus yielded even faster cervical dilatation resulting in shortened duration of labor. However, the study could not reveal the mechanism through which ampicillin sodium injection yielded the results hence need for more studies
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.
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 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 AFFECTING THE IMPLEMENTATION OF THE NURSING PROCESS AMONG NURSES AT ENTEBBE REGIONAL REFERRAL HOSPITAL, WAKISO DISTRICT. A DESCRIPTIVE CROSS-SECTIONAL STUDY.
(Ninsiima, 2023-09-15) Ninsiima Doreen; Immaculate Naggulu; Bukenya
Background: 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.
PREVALENCE AND FACTORS ASSOCIATED WITH HYPERTENSION AMONG ADULTS AGED 18-50 YEARS ATTENDING HIV CLINIC AT ENTEBBE REGIONAL HOSPITAL IN WAKISO DISTRICT. A CROSS–SECTIONAL STUDY.
(Tumusiime Alice, 2024-03-01) Tumusiime Alice; Mutabaazi Tobias
Background: In Uganda, about 18% of HIV-infected adults are suffering from hypertension.The comorbidity of hypertension doubles the morbidity and mortality amonghypertensive patients thereby hindering the attainment of the third sustainable development goal. The purpose of this study was to determine the prevalence and factors associated with hypertension among adults aged 18-50 years attending the HIV clinic at Entebbe Regional Referral Hospital in Wakiso district. Methodology: A descriptive cross–sectional study design that enrolled 75 respondents who were selected using a systematic sampling method was conducted. Data was collected using self – administered questionnaires and results were analyzed using STATA version 15 and results were presented in tables and pie charts. Results: The study revealed that social-demographic factors like male gender (58.8%), age category 41 – 50 years (64.7%), having attained tertiary education (35.3%),being married (70.6%), body weight of above 75 kilograms (47.1%) and formalemployment (47.1%) were associated with hypertension. Clinical characteristics associated with hypertension were CD4 counts of 200 – 500 cells/mm3 , viral load of over 200 copies/ml, and other chronic illnesses (64.7%). Alcoholic consumption (52.9%) and not engaging in physical exercises (64.7%) were some of the behavioral and lifestyle characteristics thatinfluenced hypertension. Conclusion: The prevalence of hypertension among adult HIV patients aged 18 – 50 years was high (22.7%) mainly associated with older age, male gender, high body weight, sedentary lifestyle, and presence of comorbidities. Recommendation: The Ministry of Health should incorporate comprehensive hypertension care into HIV care to increase accessibility since there is ahigher prevalence among this population.
FACTORS ASSOCIATED WITH ADHERENCE TO DOLUTEGRAVIR-BASED REGIMEN AMONG ADULT HIV/AIDS PATIENTS ATTENDING ANTI RETROVIRAL THERAPY CLINIC AT MILDMAY UGANDA HOSPITAL. A CROSS-SECTIONAL STUDY.
(Amutuhaire Griffin, 2024-03-01) Amututhire Griffin; Mutabazi Tobius
Background: The purpose of the study was to determine the adherence and factors associated with adult HIV patients on DTG regimens attending the ART clinic at Mildmay Uganda Hospital. Methodology: This was a cross-sectional study design that used quantitative methods of data collection methods. Systematic sampling techniques were used to enroll every 2nd patient on DTG daily into the study. Data was analyzed using Microsoft Excel 2013 and presented using tables, pie charts, and graphs. Of the 30 respondents, non-adherence was 30% and this was common among participants aged 21-30 years (67%), those who had attained secondary school education level (67%), those taking alcohol (56%) and those not taking medication in time (56%). Results: Most of the study participants 15(50%) were aged 21-30 years. The prevalence of non-adherence was high (30%) and was common among youthful adults (21-30 years), with poor social behaviors like taking alcohol, low socio-economic status and not taking medication on time. Study findings showed that the majority (33%) of the non-adhering respondents were peasant farmers and this is where they earn their living. Conclusion: The prevalence of non-adherence was at 30% and was characterized by many factors. These were respondents aged between 21 and 30 years of age, young adults without partnership support, low education level, poor social behaviors like taking alcohol, low economic status, and those poor timing for taking drugs. Recommendations: The Ministry of Health should strengthen sensitization programs on DTG adherence through HIV treatment programs like community outreaches and community drug refills where HIV patients can be followed up and given drug refills from their homes.
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.
PREVALENCE AND FACTORS ASSOCIATED WITH MALNUTRITION AMONG CHILDREN AGED 6-59 MONTHS RECEIVING CARE AT TORORO GENERAL HOSPITAL, TORORO DISTRICT. A DESCRIPTIVE CROSS-SECTIONAL STUDY.
(Oboth Miichael, 2024-03-02) Oboth Michael; Mutabaazi Tobiun; Immaculate naggulu
Background Globally, 149.2 million children under the age of 5 years of age were stunted, 45.4 million Wasted, and 38.9 million overweight. In Uganda, an estimated 250,000 children are suffering from severe acute malnutrition which affects their gross well-being and life span. The purpose of the study was to establish the prevalence and factors associated with malnutrition of children aged 6-59 months receiving care at Tororo General Hospital, Tororo district. Methodology The study used a descriptive cross-sectional study design that used quantitative data collection methods. A stratified sampling method was used to select 30 respondents who responded to semi-structured questionnaires. Data was analyzed and presented using Microsoft Excel 2013 that presented it in the form of frequency tables, pie charts, and graphs. Results The prevalence of malnutrition was 30% and was associated with being female children, birth weights of less than 2500grams (55.6%), 2nd – 5th birth order (66.7%), mothers aged 18 – 24 years (44.5%), their mothers having no formal education (44.5%), weaning children before 6 months (88.9%), being more than 5 households residents (44.5%), having one meal per day (55.6%), mother not receiving husband’s support (66.7%), not having latrine at home (55.6%), poor solid waste management (66.7% ) and child having had severe sickness in the past one year (77.8%). Conclusion The prevalence of malnutrition among children was high at 30% and it was associated with a variety of factors such as low birth weight, young maternal age, childhood illness, low maternal education, poor breastfeeding practices, and poor hygiene. Recommendation Therefore, strategies should be put into practice to empower communities and mothers on how to improve the feeding behaviors of children as well as sanitation to aid in preventing these occurrences.
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.
MEN’S INVOLVEMENT IN CARE AND SUPPORT OF WOMEN DURING PREGNANCY AND CHILDBIRTH AMONG MOTHERS ATTENDING ANTENATAL CARE AT ENTEBBE REGIONAL REFERRAL HOSPITAL. A CROSS-SECTIONAL STUDY.
(Nalwanga Lilian, 2025-03-01) Nalwanga Lilian; Mpamize Habert; Immaculate Prosperia Naggulu; Nalubega Jane Frank
Background Men are involved in support of women during pregnancy and childbirth, as men participate in decisions and activities that will improve women's and child health outcomes. Therefore, this study aimed to assess men’s involvement in the care and support of women during pregnancy and childbirth among mothers attending antenatal care at Entebbe Regional Referral Hospital. 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 This study revealed that 65% of the respondents’ husbands had a monthly income of between 100000-300000 Uganda shillings, Half of the husbands to the respondents always provided transport costs to the health facility, and 52% of the husbands never had time to escort their wives for ANC. The findings of the current study indicated that 70% of the respondents agreed that the health workers encouraged men to escort their wives to ANC. However, 37.5% of the respondents believed men were not motivated to attend ANC. 85% of the participants reported having no cultural norms that ban men from accessing labor wards and ANC. However, 50% believed it is the responsibility of the in-laws to care for the woman during childbirth. In conclusion Increasing men’s involvement in maternal care requires a multi-faceted approach that addresses financial, cultural, and health facility-related barriers. By creating a more inclusive and supportive environment for men, both at home and within healthcare settings, maternal and child health outcomes can be significantly improved. Recommendation Health facilities should be more couple-friendly by offering services that encourage male involvement, such as priority service for couples attending ANC together and promoting couple-specific health education.
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.
FACTORS INFLUENCING THE UPTAKE OF THE HUMAN PAPILLOMAVIRUS VACCINE AMONG GIRLS AGED 9-10 YEARS AT KAJJANSI HEALTH CENTRE IV, WAKISO DISTRICT, A CROSS-SECTIONAL STUDY.
(Nantongo Irene, 2025-03-01) Nantongo Irene; Namubiru Rebecca; Nalubega Jane Frank; Immaculate Prosperia Naggulu
Background The study aims to identify the factors influencing the uptake of the human papillomavirus vaccine among girls aged 9-10 years at Kajjansi Health Centre IV, Wakiso District. Methodology This study adopted a cross-sectional study design, utilizing quantitative methods of data collection. It included 30 participants, who were parents and legal guardians of adolescent girls aged 9-10 years attending Kajjansi Health Centre IV accompanied by adolescents. Results The majority 29 (97%) attained formal education, and 1 (3%) were not educated. 21(70%) reported no awareness about the existence of HPV and its vaccine. 23 (76.7%) thought the vaccine wasn’t safe and beneficial for their children to receive. 19(63.3%) reported traditional cultural beliefs or taboos against the vaccination of children, and 11 (36.7%) reported none. 20 (66.7%) reported mistrust towards vaccines provided by the government in their families or communities. 16 (53%) reported that they waited for the health worker for more than an hour, while 1 (3%) noted low delay. 17 (57%) responded that health workers were rude during their last visit, and 3 (10%) said they were polite. 21 (70%) appreciated vaccine availability in the facility. Conclusion Therefore, factors influencing the uptake of the HPV vaccine included the education level of parents, lack of awareness about the vaccine and its benefits, individual attitude towards the vaccine, poor health workers’ attitude, and long waiting times to receive service. Recommendation Ministry of Health, health workers, and other responsible bodies should use all available avenues to increase the public knowledge concerning the availability, safety, and benefits of HPV vaccine through routine public awareness campaigns, regular health education talks, printed flyers, and involvement of village health team to help deal with HPV vaccine hesitancy.
KNOWLEDGE AND PRACTICES OF PREVENTION AND CONTROL OF NEEDLE STICK INJURIES AMONG NURSES AND MEDICAL OFFICERS AT WAKISO HEALTH CENTER IV, A CROSS-SECTIONAL STUDY.
(Musana Patricia, 2025-03-02) Musana Patricia; Nansereko hasifa; Nalubega Jane Frank; Tubenawe Martha; Immaculate Prosperia Naggulu
Background Healthcare workers are at a high risk of accidental needle stick injuries because many are unaware or fail to adhere to set guidelines on infection control, which may often result in injury and blood-borne infections. The purpose of this study was, therefore, to assess the knowledge and practices of prevention and control of needle stick injuries among nurses and medical officers at Wakiso Health Center IV, Wakiso District. Methodology A cross-sectional study design was used to collect quantitative data using a semi-structured questionnaire. Participants were picked to participate randomly using a simple random sampling method, from which 30 participants enrolled and consented to take part in the study. Results Results from the data collection showed a response rate of 100%, and the results showed most participants were in the age groups of 18-45 years. 83.3% of nurses and medical officers were aware that blood-borne infections can be transmitted by needle-stick injuries. 93.3% had heard of needle stick injuries among health workers. 70% were of the impression that syringes and needles should be discarded in a sharp box being used. 60% of the injuries had occurred due to poor disposal of sharps, while 23.3% were due to poor organization in the areas of work. Conclusion In conclusion, this research revealed that most healthcare workers had adequate knowledge about the preventive measures and associated risks of needle-stick injuries. However, practices needed to be improved. Recommendation I, therefore, recommend that continuous onsite training should be done for the prevention and reporting of needle stick injuries. I also further recommend better management of healthcare workers who have sustained needle injuries.
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.
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.
FACTORS INFLUENCING FIRST ANTENATAL CARE AMONG PREGNANT MOTHERS DURING THE FIRST TRIMESTER AT KAJJANSI HEALTH CENTRE IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
(Nakalanzi Aisha, 2025-03-06) Nakalanzi Aisha; Namubiru Rebecca; Nalubega Jane Frank; Immaculate Naggulu Prosperia
Abstract Antenatal care during pregnancy is a measure to reduce the maternal mortality rate. The study aims to determine the factors influencing first antenatal care among pregnant mothers during the first trimester at Kajjansi Health Centre IV, Wakiso district. Methodology A cross-sectional quantitative study design used a simple random sampling technique. Data from the questionnaires was entered into the computer using the Microsoft Excel program. Analysis was done, and data was presented in the form of tables, figures, and statistical texts depicting respondents’ responses in frequencies and percentages. Results Most 5(45%) of the respondents mentioned delay in detecting abnormalities, 12(40%) thought one should start antenatal care, 11(38%) mentioned that distance to the facility hindered them. Majority 21(70%) of the respondents lacked ultrasound machine at the facility, Majority 18(60%) of the respondents spent long time waiting for service, 63% of the respondents were unaware of delayed ANC attendance. 53.3% of respondents reported that their religion restricted access to antenatal services. The study revealed that most respondents (40%) were between 18 and 20 years. Conclusion Level of knowledge and awareness about the risks of delayed ANC attendance, religious beliefs, geographic challenges, Inadequate healthcare infrastructure were the significant factors that influenced the timing of first ANC visit. Recommendations The government should improve access to healthcare services by expanding healthcare infrastructure in rural and underserved areas.
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.
KNOWLEDGE OF HEALTH WORKERS TOWARDS UTILIZATION OF ELECTRONIC MEDICAL RECORDS SYSTEM AT HENROB HOSPITAL ZANA IN WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
(Nuwe Mukama. T.Crispin, 2025-03-31) Nuwe mukama.T.Crispin; Nakafu Teopista; Immaculate Proseria Naggulu; Nalubega Jane Frank
Background. Electronic medical records systems have transformed healthcare delivery, enhanced patient care, and streamlined clinical workflow. However, effective utilization of the electronic medical records systems remains challenging due to issues, data security concerns, and user satisfaction. This study assessed the knowledge of health workers towards the utilization of the electronic medical records system at Henrob Hospital Zana in the Wakiso district. Methodology. A descriptive cross-sectional quantitative study was used with 68 respondents selected through convenient sampling. Data was collected using a semi-structured, self-administered questionnaire, and data was manually tallied using Microsoft Excel, generating frequency tables, graphs, and pie charts. Results (54.4%) of the study participants, the majority of the participants were certificate holders (42.6%). 54.4% reported that they knew what EMR stood for, 60.2% reported that they knew the primary purpose of EMR, and 75% reported that they didn’t know the difference between EMR and EHR. Conclusion. The majority of the participants had a fair Knowledge of Electronic Medical Records and their benefits. Recommendations. Ministry of Health and other responsible stakeholders, including the health workers at Henrob Hospital Zana, should strive hard to educate all health workers about the use of the Electronic Medical records system.

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