Browsing by Author "Ejike Daniel Eze"

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    Assessment of Factors Associated with Caesarean Section Among Women Attending Kampala International University Teaching Hospital: A Retrospective Study
    (International Journal of Case Studies in Clinical Research, 2020-03-02) Theophilus Pius; Namiwanda Joaniter; Solomon Mbina; Saphurah Nabaasa; Susan Nabukeera; Ibrahim Ntulume; Robinson Ssebuufu; Ejike Daniel Eze
    The rate of caesarean section has continue to increase worldwide and the lack of harmony on its indications and the associated short and long-term risks has been a cause of concern among health professionals and the public at large. A retrospective study was done to assess factors associated with caesarean section at Kampala International University Teaching Hospital (KIU-TH) Western Uganda from 2017- 2018. KIU-TH is the biggest hospital in Bushenyi district and also served as a referral hospital to neighbouring district in Western and other parts of Uganda. This study reviewed 320 women records that underwent CS. Data was collected systematically using simple structured questionnaires and was analyzed using statistical package for social sciences (SPSS). Out of the 320 records reviewed, patient related factors has an increased odd with maternal ages 32-38 and 39-45 were significance, Occupational status, Level of education and primigravidas were significance factors associated with rate of CS. On medical related factors, fetal distress, obstructed/prolonged labour, premature rapture of membrane and mal-presentation were significance associated factors at p-value<0.005 respectively. Despite the factors indicated in this study, pregnant women with should be encourage to attend antenatal clinics for proper preparation towards safe delivery in order to avoid high rate of CS dependent delivery.
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    Contaminants of Domestic Rural Spring Water Sources In Bushenyi-Ishaka Municipality, Western Uganda
    (Journal of Health and Environmental Research, 2020) Solomon Adomi Mbina; Galimaka Wilson; Ejike Daniel Eze; Theophilus Pius; Ssebuufu Robinson; Adam Moyosore Afodun; Iliya Ezekie
    developed and developing countries. In Uganda, most water-borne diseases are known to be the leading causes of serious health burden among the inhabitants. The study objectives were to characterize microscopic isolates using biochemical tests as well as identify the possible sources of contamination of spring water which is the commonest source of water used by rural inhabitants for domestic activities in Bushenyi-Ishaka Municipality, Bushenyi district, Western Uganda. Samples of spring water were collected from all accessible spring water sources in Bushenyi-Ishaka Municipality, Western Uganda. A total of 48 spring water samples were collected using 500 ml sterile glass bottles. The sources of contamination of the spring water samples were determined using a Sanitary Inspection Checklist which was designed using some standard response factors from a collection of standard reference checklists for drinking water quality assessment. Distribution of isolates and indicator pathogens of fecal contamination recovered from positive samples shows 77.8% from Nyakabirizi, 75% from Ishaka and 52.63% from Central divisions. Among the isolates, Pseudomonas spp and Shigella spp appeared more frequent with overall percentage of (52.63%) and (45.83%) whereas, Klebsiella, Staphylococcus aureus and Escherichia coli were found in (31.25%), (12.5%) and (6.25%) respectively. Sanitary inspections showed that springs in Ishaka Division posed a much higher risk (66.7%) of bacterial contamination compared to what was observed in Central (58.3%) and Nyakabirizi (58.3%) Divisions. All the sampled water sources were contaminated hence they posed substantial risk to users in the communities. Regular water examination and quality control including microbial assessment of all water sources should be maintained in the three Divisions of the Bushenyi-Ishaka Municipality, Western Uganda.