Diploma in Nursing Sciences(Extension) DNS

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Factors affecting nutritional eating habits of medical students at Kamala International University-Western Campus and its impact on the community
(Kampala International University, School of Health Sciences, 2014-10) Nezerwa, Yves
This study sought to determine whether medical students understood the impact their nutritional habits had on themselves and the community. The study examined the following major areas; Types and quality of foods available to students, mode of preparation, eating patterns and nutrient intake of students. The study also focused on determining what average value and weight of food was taken per meal per student and what determined this…
Factors contributing to low utilization of post-natal care services among mothers attending Mwizi Health Center III, Mwizi Sub-county, Mbarara District
(Kampala International University, School of Health Sciences, 2015-10) Sheila, Ahabwe
Postnatal care is regarded as one of the most important maternal health care services for the prevention of impairment and disabilities resulting from the childbirth. Postnatal services refers to measures undertaken after birth to ensure good health of the mother and child. Postnatal refers to the period immediately after birth up to six weeks. The main objective of this study was to identify the factors contributing to low utilization of postnatal services by mothers at Mwizi health Centre III. A descriptive and cross sectional design was employed and 50 respondents were selected using simple and random sampling procedure. Data was collected using an interview guide. Results were analyzed using tables graphs and pie charts. Majority of the respondents had some knowledge about the postnatal services offered and had delivered their babies from home/TBAs. Respondents faced various individual factors like lack of transport to the health Centre and failure of their partners to encourage them to attend postnatal clinics. Respondents also faced various institutional factors contributing to low utilization of postnatal services such as long waiting hours at the postnatal clinic, long distance from the health Centre and inadequate sensitization of mothers by health workers about the importance of postnatal services. In conclusion, the researcher noted although respondents were knowledgeable about some aspects of postnatal services they faced various factors which contributed to low utilization of postnatal services. There is need therefore for more sensitization and health education of mothers on the importance of ensuring the use of postnatal services.
Compliance to Medication among Hypertensive Patients at Kampala International University Teaching Hospital, Southwestern Uganda
(Kampala international international : School of Health Sciences, 2016-09) Namubiru, Kauthara
Hypertension has become an essential public-health challenge globally and is estimated to cause 7.1 million deaths annually, accounting for 13% of all deaths globally. It’s noted that non-adherence is the major cause of uncontrolled hypertension and its sequel. Purpose of the study: To assess the level of compliance to medication among hypertensive patients at Kampala International University Teaching Hospital (KIUTH), southwestern Uganda. Methods: A cross sectional study design was used employing a purposeful sampling technique, 37 hypertensive patients at KIUTH were enrolled and data was obtained using well-structured questionnaires. The Data obtained was analyzed using statistical package for social scientists (SPSS). Results: There were 21 (56.8%) Females and 16 (43.2%) males. The age range was between 30 and 80 years with mean age of 54.5 years.56.8% diagnosed more than 2 years ago. Compliance medication was 62.2%. Reans for non-compliance included, with running out of drugs 38%, forgetfulness 31% and lack of funds to buy drugs 31% as the main reasons for missing medication. Other reasons for noncompliance included drug side effects (10.8%) and feeling better (5.4%). Compliance to exercise – 73% while 14% for diet. Solutions to the drug non- compliance included; improved health education (86.5%), making drugs affordable (64.9%), and making drugs available and accessible (54%). Conclusion: compliance to hypertensive medication, exercise and diet which are non- pharmacological management of hypertension was 62.2%, 73% and 14% respectively. The solutions to non-compliance include; improved health education, making drugs affordable, available and accessible. Recommendation There should be an empowerment in health education to hypertensive patients and to ensuring that there’s availability and accessibility of the drugs to the patients.
Assessment of knowledge and practices on neonatal resuscitation among midwives at Kampala International University Teaching Hospital
(2016-10) Recheal, Kembabazi
A cross sectional descriptive study was carried among midwives at Kampala International University Hospital to assess their knowledge and practices on neonatal resuscitation. A sample size of 30 midwives was used. Midwives were selected by using systematic sampling technique including all midwives who work in the maternity ward and neonatal intensive care unit. More than half 16(53.3%) of the midwives were between 20 – 30 years, only 1(3.3%) was above 50 years of age. All 30(100%) of the respondents were females. A half 15(50%) of the midwives were enrolled with a certificate in midwifery, 9(30%) were registered midwives, while 3(10%) were certificate holders in comprehensive nursing and another 3(10%) were Bachelor holders in nursing sciences. Majority of the midwives 25(83.3%) had last trained in neonatal resuscitation at the nursing school, 3(10%) had last trained in a workshop while only 2(6.7%) had last trained in a CME/CNE. Almost all midwives were knowledgeable on the resuscitation steps of a new born. The respondents had some knowledge on how to place a face mask on the neonate’s face. The majority of the midwives 18(60%) evaluated respirations, heart rate and colour of the neonate while 12(40%) were not observed to monitor heart rate. Three quarters 21(70%) of the midwives were observed correctly providing positive pressure ventilation with a resuscitation bag with supplemental oxygen, and a third 9(30%) did not administer epinephrine with continued ventilation and chest compression. The maternity and neonatal intensive care units were equipped with almost all the required resuscitation equipment except the cardiac monitor, carbon dioxide detector (capnograph) and naloxone hydrochloride injection. The researcher concluded that majority of the midwives had substantial good knowledge on neonatal resuscitation and despite the good knowledge, a significant proportion of them 12(40%) lacked skilled practices on resuscitation.
Knowledge and Practices Of Child Bearing Age Mothers in Busigi Village on Umbilical Cord Care.
(Kampala International University, School of Health Sciences, 2016-10) Niyonsenga, Meshack
Neonatal mortality rate in Uganda is 27/1000 live births compared to global neonatal mortality rate of 21/1000 live births. 38% of these deaths are related to poor cord care in home deliveries and poor postnatal cord care due to low turn up of mothers for utilization of postnatal care services. The study aimed at assessing the knowledge and practices of child bearing mothers in Busigi village in Kisoro district on postnatal umbilical cord care. A cross sectional descriptive study was used. 150 mothers were selected by convenient sampling technique. Data collected using a questionnaire was analyzed using Microsoft excel and word. 85% of mothers knew that cord care is necessary for all new born, though only 4% knew right when it is initiated. Only 8% of mothers knew cord care for infection prevention, while larger percentages knew cord care for faster separation. Mothers knew to monitor for bleeding, progress in drying and separation, but not for smelling and redness. While applying salty water, leaving cord alone, and applying herbs were misconceived. 4.6% of mothers applied normal saline/salty water, 98.5% applied medication on cord, leave the cord to fall alone, 89.2% monitor for drying and separation, while only 13.8% monitors redness and smelling among other practices. 69% of mothers delivered from home, and 98% depended on home based postnatal care services. The main source of knowledge on cord care among mothers being their relatives. Knowledge on when cord care should be initiated and on importance of cord care is poor as the principle role of infection prevention is known by only few mothers 10.9%. Mothers’ practices are also poor. They are characterized with behaviors like application of herbs and other substances on the cord among others. Community education on when to initiate cord care in first hour of life is needed, emphasizing on ascetic techniques to prevent cord infections and related complications. Bad practices like herbs, failure to wash hands among others should be discouraged to effectively avoid challenges associated with them like cord sepsis and neonates’ death.
Factors contributing to postpartum hemorrhage among pregnant women delivering in Kampala International University-Teaching Hospital
(Kampala International University, School of Health Sciences, 2016-10) Martha, Airanok jilda
Statement of the problem: Postpartum hemorrhage is the World’s leading cause of maternal death and accounts for an estimated 127,000 deaths each year. Identification of some of the risk factors such as; previous postpartum hemorrhage, multiple pregnancies, macrosomia, induction of labour, operative vaginal deliveries and cesarean section would help in preventing PPH. In Uganda PPH accounts for 25% of maternal death related to PPH. Purpose of the study: To assess the factors contributing to Postpartum Hemorrhage (PPH) among pregnant women who attend delivery services in Kampala International University, Teaching Hospital (KIU-TH). Study design and rationale: This study used a cross-sectional descriptive designed where by a cross-section of respondents involving 68 respondents were sampled to represent the target population in these case women who receive maternity service from KIU-TH. Only quantitative methods of data collection using questionnaires with closed ended questions were employed for both mothers and Health Workers. A cross sectional study is the one that is carried out at one point in a time or over a short period of time. Results: During the study period 58 women who delivered in the unit and 20 women developed postpartum haemorrhage giving the frequency of postpartum haemorrhage 34.6%. The majority of the women 30% were between 30-34 years of age. Among the women who developed PPH retained placental tissues was the most common cause 50% followed by uterine atony which was 30%. The rest of the causes of PPH were laceration 20%. Conclusion: Postpartum haemorrhage is still a leading but preventable cause of maternal morbidity and mortality in our country due to underutilization of health facilities, the major cause is retained placental tissues followed by uterine atony.
Attitudes and practices of mothers towards neonatal umbilical cord sepsis in maternity ward of Kitagata Hospital, Sheema District
(Kampala International University, School of Health Sciences, 2016-10) Rebecca, Namuddu
Globally, it is estimated that over four million newborns die annually from serious neonatal infections. The World Health Organization 2007 estimated that 85% of newborn deaths are due to infections including sepsis (50%), pneumonia (15%) and tetanus (20%). Of the infants identified with sepsis, 40% die and the biggest toll is noted in developing countries. Neonatal umbilical septicemia continues to be a major health problem with up to 323 of every 1000 neonates seen in clinics presenting with clinical symptoms. In particular, cord sepsis and neonatal tetanus contribute significantly to high neonatal mortality in settings where clean delivery, cord care and maternal immunization against tetanus are not guaranteed. Cord sepsis poses a significant risk for mortality in resource limited countries, especially in government hospitals. The study was carried to find out the attitudes and practices of mothers towards neonatal umbilical cord sepsis in maternity ward of Kitagata Hospital, basing on the following study objectives; the factors associated with neonatal umbilical cord sepsis and the prevalence of umbilical cord sepsis among neonates in maternity ward of Kitagata Hospital. The study was conducted at Kitagata Hospital, in Sheema district, employing a cross sectional descriptive design and enrolled all mothers whose neonates were found admitted in the maternity ward and ready to freely participate in the study. A sample size of 96 respondents who were selected using a simple random sampling technique was used in the study. A pretested, self- administered questionnaire was used as a primary data collection tool which was filled by the respondents after getting informed consent. All the data collected was kept confidential by the researcher and was analyzed by the Statistical Package for Social Science 17.0 program after which it was presented using tables, pie charts and graphs. Cross-tabulations were also drawn.
To assess dietary knowledge, attitudes and practices among diabetic patients receiving care at Kampala International University Teaching Hospital.
(Kampala International University, School of Health Sciences (Western Campus, 2016-10) Niringyiyimaana, Allon
The study to assess dietary knowledge attitudes and practices among diabetic patients was conducted at Kampala international university teaching hospital in Ishaka Bushenyi , in western Uganda. Uganda is one of the 32 countries of the IDF African region. 415 million people have diabetes in the world and more than 14 million people in the AFR Region; by 2040 this figure will be more than double. [National adoption of the global monitoring framework NDCs 2015. The objectives of study were assessing dietary knowledge, attitudes and practices among diabetic patients. 60 respondents were selected from a total of population of diabetic patients receiving care at Kampala international u university teaching hospital. During the period of data collection, primary data were collected from the respondents with the aid of structured questionnaire and was analyzed using descriptive statistics. The study revealed that more than half o53.3% of the respondents were female ,this is because women consult doctors more frequently on average than men , it is commonly assumed that they consult more for all symptoms and conditions . The level of literacy was about 66.6% in the post primary level. More than half of 66.6% did not have knowledge about bitter food substances in management of diabetic, only 46.6% of diabetic patients avoiding too much carbohydrate while 60% limited their too much sugar intake. Interestingly, the more rigid eating practices such as eliminating sugar, limiting carbohydrates and decreasing dietary fats play important role in diabetic management.66.6% had negative attitude s towards diabetic diet they believe it is a burden to them . 60% believe that all level of economic class could afford diabetic diet ,60% responsible for their choice of diet 29% doctors recommend and 18% said their family responsibility … furthermore the study stressed that 46.6% had good practice of eating smoked meat regularly , 40% practiced eating green vegetables daily . .33.3%used to eat snacks once aday.20%twice and 46.6%could not eat snacks which was not a good practice.53.3%could eat fruits once a day, 26.6%twice and 6.6%on every meal still practice not satisfactory .46.6%could ate eat green vegetables weekly, 40%daily 13.3% monthly of healthy food, fruits consumed on daily basis while green vegetables were less consumed.
Maternal Factors Contributing to Neonatal Sepsis at KIU-Teaching hospital Ishaka In Bushenyi District, Western, Uganda.
(Kampala International University, School of Health Sciences, 2016-10) Nalubega, Harriet
Neonatal sepsis is a clinical syndrome characterized by signs and symptoms of infection with or without accompanying bacteremia in the first month of life. It encompasses various systemic infections of the newborn such as septicemia, meningitis, pneumonia, arthritis, osteomyelitis, and urinary tract infections. The aim of this study was to assess the maternal factors contributing to neonatal sepsis at KIU-TH. This was conducted through a descriptive cross-sectional study design which involved 50 respondents where standardized structured questionnaire was designed to collect data from the respondents. Results showed that most of the postnatal women had knowledge about prevention of neonatal sepsis at KIU-teaching hospital. This came after finding out that respondents were aware of how the disease presents itself in new born babies, and the means of preventing the disease from infecting children. Postnatal mothers care for their children in different ways including; attending antenatal care during pregnancy, proper cleaning of the baby cord, frequent baby bathing, application of local herbs and making sure that they take babies for complete immunization in order to prevent the neonatal sepsis. Results also established that postnatal mothers wash their hands before touching and bathing their babies, changing their clothes after bathing, care for cords while using boiled waters with salts, local herbs, saline water, and application of powder are the practices used during care of newborn at KIU-TH by their mothers. The study recommended that the health workers in the postnatal ward in hospital should all provide health education to newly delivered mothers on the cleaning of the cord and maintaining of the cord before being discharged home. This will help their babies to remain healthy.
Knowledge of danger signs among pregnant women attending antenatal clinic at Mutara Health Centre III Mitooma district
(Kampala International University, School of Health Sciences, 2016-10) Sylvia, Tukahirwa
Maternal mortality is a global burden, with more than 60% of women dying each year due to pregnancy and childbirth-related complications. While maternal mortality and morbidity remains a challenge in many developing countries like Uganda, awareness of danger signs by mothers are critical in reducing morbidities and mortalities due to these complications. To assess knowledge of danger signs of pregnancy among pregnant women, a descriptive cross-sectional study design quantitative in nature was used. Using convenience sampling technique 79 respondents were recruited for the study. Out of whom 79 questionnaires were returned completely filled thus giving a response rate of 100% of the respondents had ever heard about danger signs of pregnancy, 100% of the respondents stated that they conduct health education at their facility and 68.5% of the respondents strongly agreed that level of education can influence level of awareness about danger signs of pregnancy. The researcher concluded that knowledge of pregnant mothers about danger signs of pregnancy was generally good as most of the respondents (68%) had ever heard about danger signs of pregnancy with the main source of information being hospital. Health facility factors that affect mother’s knowledge on danger signs include health education talks and attitudes of health workers. Social-demographic factors that influence the awareness of obstetric danger signs include; age, level of education and marital status.
Knowledge, Attitude and Practices regarding Exclusive Breastfeeding Among Mothers Attending Maternal Child Health Clinic At Kitagata Hospital, Sheema District, Uganda
(Kampala International University, School of Health Sciences, 2016-10) Ganafa, Arthur
ABSTRACT Background; Exclusive breastfeeding entails feeding of infants or young children with breast milk only up to the age of 6 months. Some mothers express milk to be used while their child is being cared for by others by hand or by using a breast pump. Globally, inadequate nutrition is an underlying cause of the deaths of more than 2.6 million children and over 100,000 mothers every year (State of the World’s Mothers, 2012). Exclusive breast feeding entails feeding an infant for 6 months and thereafter should receive complementary foods with continued breastfeeding up to 2 years of age or beyond. This research study was about the knowledge, attitude and practices regarding exclusively breast feeding in Kitagata Hospital. Objective; To assess the Knowledge, Attitudes and Practices regarding exclusive breastfeeding among Mothers attending Kitagata Hospital Methodology; A cross-sectional descriptive utilizing quantitative methods of data collection. Results; The sample size of the study population was 100 mothers. The mother’s ages ranged from I5 to 44 years, majority (25%) age 20- 24 years, (71%) of the respondents heard about exclusive breastfeeding, affordability and attachment to the child was reported equally by (30%) of the respondents, (56%) did not agree that EBF is on way of family planning, those who agreed included (12%) and the rest of the respondents did not know (32%). Sixty two (62%) stated that their culture allowed breastfeeding immediately after delivery, (38%) of the mothers believed, breastfeeding makes them lose the shape of their breasts, this was followed by (24%) who believed breastfeeding in public was their main problem. Most mothers breast fed exclusively only up to 2 months, majority of the mothers breastfed based on the demand of the child (42%). Seventy eight (78%) of the respondents breast fed their children when sick, while only 22% did not do so. Conclusions and Recommendations; Most mothers are married, reached secondary level of education, work mostly as housewife’s, know about EBF, Breast feeding is affordable and created attachment to the child. Mothers perceive babies needing more than milk feared losing the shape of their breasts, breastfeeding being old fashion, culture allowed breastfeeding immediately after delivery, most mothers’ breast feed exclusively only up to 2 months. Public forums should be used as a channel to promote EBF, early introduction of complementary foods to infants by mothers should be discouraged, research on the adequacy of breast milk in meeting the nutritional needs of infants to 6 months.
Factors influencing utilization of reproductive health services among adolescents aged 12-19 years in Mbarara Municipality Schools
(Kampala International University, School of Health Sciences, 2016-10) Dickson, Musinguzi
Complications of unwanted pregnancies and unsafe abortion are the leading causes of disability and death among adolescents especially girls between ages 15-19 years. The study focused on assessing the factors influencing the utilization of Reproductive Health Services among adolescents aged (12-19 years) in Mbarara Municipality schools. A sample of 100 respondents was enrolled in the study using systematic random sampling. A cross sectional descriptive study design was used in two Government Aided Secondary Schools that is; Nyakayojo secondary school and Mbarara secondary and a simple random sampling technique was used to select schools and class for the study. The study indicated mass media (31.8%) as a major source of information about RHS. Most adolescents indicated that they faced huge barriers including long distances to travel to health facilities while incurring high transport costs, harsh service providers, spending long hours in lines and lack of confidentiality also inclined them from accessing RHS thus causing them to miss some of these reproductive health services. Therefore service providers extend operational time beyond official working hours, have good attitude towards adolescents who are seeking RHS and should provide privacy. The Government should also increase the number of health units offering RHS to adolescents which can reduce on congestion, long queues and travelling long distances thus attracting more adolescents
To assess dietary knowledge, attitudes and practices among diabetic patients receiving care at Kampala International University Teaching Hospital
(Kampala International University, School of Health Sciences (Western Campus, 2016-10) Niringyiyimaana, Allon
The study to assess dietary knowledge attitudes and practices among diabetic patients was conducted at Kampala international university teaching hospital in Ishaka Bushenyi municipality, in western Uganda. Uganda is one of the 32 countries of the IDF African region. 415 million people have diabetes in the world and more than 14 million people in the AFR Region; by 2040 this figure will be more than double. National adoption of the global monitoring framework NDCs 2015. The objectives of study were assess dietary knowledge, attitudes and practices among diabetic patients. 60 respondents were selected from a total of population of diabetic patients receiving care at Kampala international u university teaching hospital. During the period of data collection, primary data were collected from the respondents with the aid of structured questionnaire and was analyzed using descriptive statistics. The study revealed that more than half o53.3% of the respondents were female ,this is because women consult doctors more frequently on average than men , it is commonly assumed that they consult more for all symptoms and conditions . The level of literacy was about 66.6% in the post primary level. More than half of 66.6% did not have knowledge about bitter food substances in management of diabetic, only 46.6% of diabetic patients avoiding too much carbohydrate while 60% limited their too much sugar intake. Interestingly, the more rigid eating practices such as eliminating sugar, limiting carbohydrates and decreasing dietary fats play important role in diabetic management.66.6% had negative attitude s towards diabetic diet they believe it is a burden to them . 60% believe that all level of economic class could afford diabetic diet ,60% responsible for their choice of diet 29% doctors recommend and 18% said their family responsibility … furthermore the study stressed that 46.6% had good practice of eating smoked meat regularly , 40% practiced eating green vegetables daily . .33.3%used to eat snacks once aday.20%twice and 46.6%could not eat snacks which was not a good practice.53.3%could eat fruits once a day, 26.6%twice and 6.6%on every meal still practice not satisfactory .46.6%could ate eat green vegetables weekly, 40%daily 13.3% monthly of healthy food, fruits consumed on daily basis while green vegetables were less consumed.
knowledge and practices on infection prevention amongst health workers in St. Daniel’s Comboni Hospital, Bushenyi District, Uganda
(Kampala International University, School of Health Sciences, 2016-10) Orishaba, Justine
Background: Compliance on the part of healthcare workers with standard precautions has been recognized as being an efficient means to prevent and control healthcare-associated infections. Such measures not only protect the patient, but also the HCWs and environment. Objective: To assess knowledge, attitude and practice towards infection control measures among health workers at St. Daniel’s Comboni hospital. Methods: The study was conducted at St. Daniel’s Comboni General Hospital, Southwest Ethiopia. Cross-sectional study design was employed. All HCWs (49) were included in the study but only 36 filled the questionnaires. Self-administered questionnaires were used to collect data. Data was analyzed using Microsoft excel. Results: Demographically, most health works were relatively young and inexperienced with experience of less than 5 years in the field, while very few had had in-service training on infection prevention control. Most of the health workers had fair knowledge about infection prevention only that actual practice was far from impressive. The main reported challenges to infection prevention in St. Daniel’s Comboni hospital were lack of guidelines on standard infection practices the facility and limited awareness about standard among the hospital staff. Conclusion/recommendation: Majority of health care workers’ knowledge, and practice toward standard precaution were not sufficient, favorable and safe enough to the expected standard. Strengthening and integrating universal precaution with routine services through provision of training and introducing health care workers infection prevention standard of practice, protocol, rules, and regulation are recommended.
Assessment of knowledge and attitude of mothers towards immunisation of under five children in rusekevillage Buhozi Parish Busanza Sub-County, Kisoro District
(Kampala International University, School of Health Sciences, 2016-10) Tumwebaze, Felex
A cross sectional quantitative study was carried out from 27 July to 8 August 2016 among mothers with children below five years in Ruseke Village Buhozi parish Busanza sub county Kisoro District Uganda to assess knowledge and attitudes towards immunization of under five children. Random sampling was used to select 96 respondents who were interviewed using self designed questionnaires. The study was aimed at assessing knowledge and attitudes of mothers towards immunization of under five children. Most of respondents were aged 25-30years ,50% of respondents were married and least 12.5% were single mothers. 74(77.08%) respondents had attained primary level of education and 03(3.13%) had not attained formal education. Majority of respondents (75%) were peasants and the least 3% were civil servants. Most respondents (97.92%) were Christians and many of them had knowledge on immunization, only 02(2.08%) had never heard of immunization. Majority of respondents 30(31.25%) got information from local councils and the least 7 got information from newspapers. Majority of respondents 28.13%) took their children for immunization at health unit, and the least (4.17%) to nearby market place post. Majority (39%) move for 4-6km and the least (1%) said that they move for over 7kms. Majority of respondents 68(70.83%) said that immunization service providers are good but 14(14.58%) reported health workers to be harsh during immunization services delivery. The researcher concluded that there should be provision of immunization services with special attention to the religious beliefs with inclusion of counseling mothers, massive health education addressing immunization, its side effects and how to manage them.
Factors affecting medical waste disposal at Ishaka Adventist Hospital, Bushenyi district
(Kampala International University, School of Health Sciences, 2016-10) Tushabe, Edinah
Healthcare institutions/facilities generate different types of infectious and/or hazardous medical waste from different department in the hospital that poses enormous risk to patients, healthcare providers, waste pickers, and the community at large, if their disposal is not comprehensively and scientifically managed, about 5.2 million people (including 4 million children) die each year from waste related diseases and the hazards of exposure to hospital waste. The study purpose was to assess the factors affecting Medical Waste Disposal at Ishaka Adventist Hospital, Bushenyi District. The study was conducted at Ishaka Adventist Hospital. A descriptive cross sectional study and quantitative methods of data collection were used and the study targeted health workers aged 25 years and above and these included; midwives, nurses, nursing aides, laboratory technicians, pharmacist, Medical clinical officers and cleaners in Ishaka Adventist Hospital (IAH). The study considered 44 respondents of which Nurses were (59%), others (laboratory technicians and other supporting staffs at the hospital) were 25%, cleaner (11%) and Medical clinical officers (5%) whom some of them prefer depositing waste using bins (64%) to boxes (36%). The most common method of medical waste disposal reported was open pit burning by 48%, incineration with 43% and least used method was ultra-high temperature with 9%. 93.2% o respondents reported having got the training on job, 6.8% said training was through their professional training at school. The MoH should ensure regular and effective support supervision for Health care waste disposal
Factors contributing to malnutrition its consequences and prevention among children under-five years of age admitted at Kampala International University Teaching Hospital, Bushenyi district
(Kampala International University, School of Health Sciences, 2016-10) Abagye, Frank
Uganda has one of the highest levels of childhood stunting in sub-Saharan Africa. Western Uganda has persistently registered highest levels of childhood malnutrition despite being referred to as “the food basket” of the country. To assess factors contributing to malnutrition, its consequences and prevention among children under five years of age admitted at Kampala International University Teaching Hospital (KIU-TH), a descriptive cross-sectional study design quantitative in nature was used in which 96 respondents were given questionnaires. A total of 55.2% of the respondents agreed that lack of parental knowledge about infantile and childhood diet could contribute to malnutrition among children under five, 71% the respondents strongly agreed that malnutrition among children under five years of age could contribute to and perpetuate poverty due to costs of treatment and 70.8% of the respondents agreed that effective nutrition programs could help scale down prevalence of malnutrition among children under five years. The researcher concluded that the factors contributing to malnutrition among children under five years of age included; lack of parental knowledge about infantile and childhood diet, improper nutrition and dietary practices and infections. The consequences of malnutrition included; increased mortality, anaemia, Poverty and effects on education and intellectual performance of children. Preventive measures of malnutrition identified included; Exclusive breast feeding for the first six month, effective nutrition programs and promoting good hygiene practices
Factors contributing to late antenatal booking among pregnant women at Kampala International University Teaching Hospital
(Kampala International University, School of Health Sciences, 2016-10) Mercy, John Mmassy
The initiation of antenatal care (“booking”) is universally recommended in the first trimester but existing evidence from developing countries indicates that few women seek antenatal care at an early stage of their pregnancy and that late initiation of ANC may lead to undetected or late detection of maternal health problems and subsequently unmanaged complication among pregnant women and thus contributes to maternal mortality. This study aimed to determine the factors contributing to late booking of antenatal care among pregnant women in Kampala International University Teaching Hospital. Cross-sectional quantitative study using interviewer-administered questionnaire was conducted in Kampala International University Teaching Hospital. A total number of 52 pregnant women attending antenatal clinic selected by systematic random sampling were included in the study. Data from the completed questionnaires was entered into the computer and finally analyzed with SPSS version 16.0. It was observed that majority (65%) of the pregnant women book for antenatal services at the second through to the third trimester of pregnancy. Important sociodemographic factors associated with late ANC booking included: maternal age (younger and older age groups- 62.5% and 100% respectively); marital status (single- 77.8% and separated-60%); residence (rural-79.4%); level of education (primary- 86.7% and no formal education-79.4%); gravidity (grand multigravida-100% and multigravida-94.4%); high parity (100%) and previous uneventful pregnancy (87.2%). Socioeconomic factors included: occupation (unemployment-76.9%); financial constraints (66.7%) and distance over 5 kilometers away from the hospital (85.7%). Late antenatal care attendance remains high among pregnant women indicating the need for intensified and more focused utilization of resources aimed at increasing sensitization on the importance of early booking and the holistic value of antenatal care should also be enhanced
Knowledge attitude and practices about condom use among youth aged 18-34 years in Kagoma Parish Buwenge Sub County, Jinja District
(Kampala International University, School of Health Sciences, 2016-10) Nambi, Hadijja
Worldwide, knowledge of the effectiveness of condoms in preventing HIV transmission is high in most countries however, many people still fail to use them consistently especially those who engage in high risk sexual practices. In Uganda, and Jinja in particular condom use is erratic, partly because they are not always available to users as they are not on the essential drugs list or available but not used because of negative Perception and attitudes. To assess knowledge, attitude and practices about the use of condoms among youth aged 18-34 years in Kagoma parish, a cross-sectional study design quantitative in nature was employed using simple random sampling. A total of 96 respondents were recruited for the study out of which 89 questionnaires were completely filled. 93% of the respondents stated that they had ever heard about condoms, 51% agreed that having sex with a condom is a safe practice and 70% strongly agreed that condoms cause inconvenience during sexual activity. The researcher concluded that, most of the youth were aware about condoms and their use, the main sources of information were the media and hospital, attitudes towards condom use were generally not good as most of the respondents were strongly in agreement that condoms were only good for extramarital sex, cause inconvenience during sexual activity and a man’s penis may be bigger than a condom. Regarding practices about condom use, more than half of the respondents agreed that having sex with a condom was a safe practice although poor practices were reported as well such as that one can put on a condom even after intercourse has begun. It is recommended that increased sensitization is paramount in identifying the myths and misconceptions about condoms use to help break negative attitudes and foster positive change in prevention of STIs and unwanted pregnancies
Knowledge, practices and challenges in menstrual hygiene management among girls aged 10-15 years at Karamurani Catholic Primary School, Mwizi Sub County, Mbarara District
(Kampala International University, School of Health Sciences, 2016-10) Tukundane, Arthur
Menstrual Hygiene Management is an issue interested in Gender Equality and Development sector. Globally, particularly in developing countries, girls reach menarche, rules are applied on how they should conduct themselves. Lack of appropriate products and facilities have been previously cited as potentially contributing to school girls’ absenteeism. The project was carried out in three upper classes of KCPS among girls aged 10-15 years. A cross-sectional descriptive method with quantitative questionnaire was employed. Quantitative data was analyzed using SPSS version 20 software package. In total 90 respondents participated aged 10-15 years, (60%) were Catholics. Majority 93.3% of girls said that menstruation is a physiological process. However, 3.3% said that menstruation is a pathological process. The highest percentage of girls (70%) reported normally use pieces of cloth during menstruation. Seventy percent (70%) of the girls missed some days of school because of menstruation, (86.6%) of girls missed due to lack of money. Furthermore, this study showed that some girls need knowledge on menstruation as a normal physiological process not a pathological process or curse from God. Schooling should be comfortable and positive experience, in an environment favorable to learning. Such things are made difficult for girls with old cloths, causing discomfort, worry and risks associated with poor hygiene. This affects their attendance, concentration, self-esteem and ability to carry usually. Menstruation is a natural part of a woman’s life and girls should not have to suffer in any way because of it.

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