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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.
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    ASSESSMENT OF FACTORS AFFECTING ADHERENCE TO ANTIRETROVIRAL THERAPY AMONG HIV INFECTED ADOLESCENTS ATTENDING ART CLINIC AT KAJJANSI HEALTH CENTRE IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
    (Student’s Journal of Health Research Africa, 2023-06-26) Nantambi, Liz Birungi; Suubi, Mariam
    HIV/AIDS pandemic remains a serious public health challenge globally therefore for ART to work efficiently, adherence is very essential. The study assesses factors affecting adherence to ART among HIV-infected adolescents attending the ART clinic at Kajjansi Health Centre. The study was cross-sectional and qualitative methods of data collection were used. The sample size of the respondents was 120 HIV-positive adolescents aged between 10 to 19 years attending the ART clinic at Kajjansi Health Center IV, the majority being males 69 (57.5%) and having attained secondary education 52 (43.3%). The biggest proportion 98 (81.7%) had ever missed taking drugs for reasons like having side effects, feeling better, and forgetfulness. The majority 86 (71.7%) had disclosed to relatives about their HIV and 64 (53.3%) were in boarding school. The biggest percentage 61.7% (74) did not know about their caregivers’ HIV status and the majority 60 (50%) reported a good relationship with the health workers. The low level of adherence to ART among HIV-infected adolescents at Kajjansi Health Center IV was attributed to patient-related factors like forgetfulness, side effects of the drugs, discrimination of adolescents, and being in boarding school. Caregiver-related factors like staying with biological parents, forgetfulness, poverty, and the HIV status of the caregiver also were positively associated with ART adherence and furthermore, health worker-related factors like relationship with the clients, maintaining confidentiality, and inadequate staffing. Increasing sensitization on ART adherence, increasing support to HIV service providers through improved budget allocations, educating adolescents on ART and how to adhere to treatment, orienting clients to other public facilities within their catchment area, and use of reminders to take drugs and seeking medical advice from health workers not only when side effects arise but also when they feel better.
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    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.
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    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.
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    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.
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    FACTORS CONTRIBUTING TO LATE ANTENATAL CARE BOOKING AMONG PREGNANT WOMEN IN BUDUDA HOSPITAL IN BUDUDA DISTRICT.
    (Student’s Journal of Health Research Africa, 2023-06-27) Okwany,Jimmy; Kimono, AnnaMary
    ANC booking is the first visit made by a pregnant woman. Despite of government’s commitment in provision of free ANC services most of the pregnant women have continued to delay booking and they have ended up with complications related to delay in diagnosis and management of pregnancy related conditions. The study is aimed at determining factors contributing to late ANC booking among pregnant women in Bududa hospital with the specific objectives being; to find out individual related factors, to establish health related factors and to assess community related factors contributing to late ANC booking among pregnant women in Bududa Hospital. A descriptive cross-sectional hospital based survey with both quantitative and qualitative approach as the research design conducted at ANC clinic in Bududa hospital in Bududa District in February. Altogether 95 respondents were taken and the respondents were pregnant women who had attended Antenatal care services in the hospital. The proportion of pregnant women who booked late for ANC in Bududa hospital was found to be 89%s. It was high and significant in age groups above 20 years i.e. between 20 to 30 years; 15 out of 25 pregnant mothers were late for ANC while those between 31-40years; 30 out of 35 came late, and almost all pregnant mothers above 40 years presented late for ANC (24 out of 25). Married pregnant women were 79% and pregnant women who had support were 78%. Pregnant women came late for ANC booking because they lacked support, distance, poverty, waiting for abdomen to enlarge, prohibited by husband, poor communication by health workers, bad weather, being rescheduled at the time of booking among others.
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    CORD CARE AND ITS ASSOCIATED FACTORS AMONG MOTHERS OF BUWAMBO VILLAGE, WAKISO DISTRICT. A CROSS-SECTIONAL DESCRIPTIVE STUDY.
    (Student’s Journal of Health Research Africa, 2023-06-29) Lizinde, Allan; Suubi, Mariam
    Cord care is the series of steps applied in the handling of the umbilical cord during and after the delivery of the newborn. Cord care is an educational and comprehensive medical activity that majorly prevents cord sepsis. To determine factors associated with cord care among mothers of Buwambo village. While the specific objectives were to assess maternal factors, health workers as well as community impact on maternal cord care practices among mothers of Buwambo village. The majority 83(83%) of the mothers in the study had sufficient knowledge about cord care, 11(11%) of the respondents reported the use of local herbs and other nonmedical substances and 6(6%) had very little knowledge about cord care, 77(77%) of the mothers in the study attended ANC 3 - 4 times, 11(11%) more than 4 times and 12 (12%) mothers attended only 2 times. 85(85%) of the mothers cleaned the cord 3 times a day, 9(9%) cleaned twice and only 6(6%) cleaned more than 3 times a day. 66(66%) of the mothers involved in the study were taught about cord care by a health worker and variations were only in the time of education, 31(31%) were taught by their mothers and elder relatives and only 3(3%) were self-taught. Cultural norms and practices like putting drops of breast milk in the urachus were discussed in the community. Maternal, community as well health workers in contact with the mother play an important role in maternal cord care practices. Mass sensitization of the public should go on to a complete understanding of the recommended cord care practices and their advantages. Any program aimed at creating mass awareness about advised cord care practices at the district level should be boosted by the people in charge
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    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
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    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.
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    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
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    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.
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    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.
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    FACTORS CONTRIBUTING TO THE PREVALENCE OF DENTAL CARIES AMONG ADULT (18-30) YEARS POPULATION IN NDEJJE HEALTH CENTRE IV, WAKISO DISTRICT – UGANDA
    (Student’s Journal of Health Research Africa, 2023-09-21) Suubi, Mariam; Okwany, Jimmy
    The purpose of this study was to identify factors contributing to the prevalence of dental caries among adults in Ndejje Health Center IV, Wakiso District. A descriptive cross-sectional hospital-based study was conducted at the dental clinic and with both quantitative and qualitative approaches as the research design was conducted at Ndejje HCIV in Wakiso District in February. Altogether 85 respondents were taken and the respondents were men and women between 18-30 years who attended a dental clinic at the facility. More than half of the respondents 64% did not seek dental care in the past 6 months. , majority of the respondents 89% regarded it important to have regular dental visits, and the majority, of the respondents 87%, ascribed to the notion that dental diseases can be treated in the hospital but could not go when the need arises. The study revealed that more than half of respondents 53% brush their teeth once a day whereas only 20% brush after every meal and only 29.5% brush twice. The research has reflected less motivation and awareness of dental caries, making people more likely to risk developing caries. All the patients in the present study were informed of their estimated caries risk profile and were encouraged to improve their oral Socioeconomic status, educational level, and poor oral hygiene practices were associated factors for dental caries. Adequate policy guidelines for the supply and uptake of Dental health services in all health facilities in Ndejje HCIV. Streamlining the implementation of Oral health care by integrating it with other health programs. The Health facility should do outreach services and adequate mobilization and sensitization through radios and resourceful people to bridge the knowledge gap on dental health care and utilization.
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    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.
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    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.
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    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.
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    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.
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    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.
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    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.
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    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.