School of Health Sciences (Western Campus)
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Browsing School of Health Sciences (Western Campus) by Subject "Abortion"
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- ItemAssessment of the health outcomes associated with unsafe abortion among teenagers in Kamuli mission hospital(Kampala International University. School of Health Sciences Western Campus, 2014-12) Seere, Geoffrey BonnyAbortion remains a major global health issue, an approximately 44 million of the 210 million pregnancies that occur each year end in induced abortion, and almost half of them(4.9%) are estimated to be unsafe. Unsafe abortion is highly prevalent in countries with restrictive abortion laws, particularly in sub-Saharan Africa and Latin-America. Comprehensive access to effective contraception and sex education are effective means of reducing induced abortion, and less restrictive completely eliminate the problem of unsafe abortion and its health consequences. Carrying out this research was necessary in that it would help the public understand the significance of seeking medical attention from a high level facility other than waiting until they realize deterioration of their lives. Majority of the cases were married (65.8%), with incomplete abortion (67.1%), unemployed (59.9%), HIV negative (61.0%), had carried more than one pregnancy (60.3%), dominant tribe was Basoga (71.6%), commonest complication was anemia (54.2%), unknown gestation age (26.2%), inadequate knowledge on contraceptives (56.8%). Statistics also indicated that the post abortion patients suffered from many complications such as high fevers, shock, post abortion sepsis, perforated uterus, jaundice and death, but the most common complication was anemia (54.2%) that could have contributed to mortality and morbidity. After Curettage, Induction or Manual Vacuum Aspiration, as well as other treatment modalities, patients’ hopes for life were almost certain as majority of them were discharged in good conditions (85.6%), meaning that they improved. The recommendation from the researcher was that the matters of abortion should be addressed at primary level to prevent unwanted pregnancies, at secondary level to avoid unsafe abortion by training mid level health providers as well as counselors, at tertiary level by preventing complications that follow unsafe abortion, and also at Quaternary level to prevent the practice of consistent abortion.
- ItemAn assessment of the prevalence of abortion in the obstetrics & gynecology ward, Kampala International university teaching hospital(Kampala International University. School of Health Sciences Western Campus, 2014-05) Birya, Dan CharoThis research conducted to assess the prevalence of abortion in the obstetrics & gynecology ward, Kampala International university teaching hospital
- ItemFactors associated with abortion among clients who attend selected health facilities in Bushenyi Ishaka municipality Uganda.(Kampala International University, School of Health Sciences, 2009-01) Gloria, KiconcoIntroduction globally, abortion mortality accounts for at least 13% of all maternal mortality. Maternal mortality is 600,000 deaths per year due to pregnancy-related causes, and 99% of these deaths are in developing countries (WHO 2008). Abortions occur at a rate of 54 per 1,000 women aged 15–49 and account for one in five pregnancies. (Prada, E et al 2005). Methods. It was a retrospective cross-sectional study conducted in Kampala international university teaching hospital and Ishaka Adventist hospital, to find out factors associated with abortion among clients who attend the health facilities. A period of three months May, June and July 2013 were considered. Purposive sampling was used to select 96 clients, only those who were diagnosed of abortion and had all the necessary information were considered from both hospitals. 72 files were selected from Ishaka Adventist Hospital and 24 files from Kampala International Hospital because more clients attend Ishaka Adventist Hospital than Kampala International Hospital. Objectives. To identify factors associated with abortion among clients who attend selected health facilities in Bushenyi- Ishaka Municipality Specifically; to find out the social demographic characteristics of clients, Establish the commonest type of abortion among clients. To identify medical factors associated with abortion among clients who attend selected health facilities in Bushenyi- Ishaka Municipality. Results Low social economic status, age group of 20-24 years (30.5%), being married (86.5%) and being single but co habiting (11.5%) are positively associated with abortion. Banyankole from Nyabubale (13.5%), Ishaka (10.4%), MItooma(9.3%), Kigoma (6.2%) and Kakanju (6.2) have an increased risk of abortion. Most abortions were spontaneous (87.5%), incomplete (65.6%), with no identifiable cause (79.2%) only (9.4%) were induced. Conclusion, the majority of clients were of low social economic status and most abortions were spontaneous incomplete, with no identifiable cause. Most of them were married and between 20-24 years. Recommendations 1. Massive health education programmes should be conducted to teach females of reproductive age especially in communities of Nyabubale, Ishaka, MItooma, Kigoma, and Kakanju villages about good sexual practices and quality antenatal care. 2. The government should ensure that free or affordable public sector contraceptive services reach all women especially the poor and young to reduce the risk of unplanned pregnancies which end up in abortion. 3. Research should be carried out in Nyabubale, Ishaka, MItooma, Kigoma, and Kakanju villages to find out why there are more abortions and to find out the cause of spontaneous abortion. 4. Economic empowerment in communities through formation of groups, working together and joining village banks to improve their social economic
- ItemKnowledge and Practice of Health Workers on Post Abortion Care at Kampala International University Teaching Hospital Bushenyi District.(Kampala International University, School of Health Sciences, 2018-05) Ssekanjako, WahabAbortion is still a public health dilemma in developing countries Uganda inclusive. Abortion is illegal in Uganda, and unsafe abortion is responsible for at least 30% of all maternal deaths. Each year, an estimated 297,000 induced abortions are performed in Uganda, and nearly 85,000 women are treated for complications, as a result of unsafe abortion. The main objective of the study was to assess the knowledge and practice of health workers on Post Abortion Care at Kampala International University Teaching Hospital. Descriptive cross sectional study design was used which employed quantitative methods and the findings of the study indicated that most of the health workers had knowledge on abortion and PAC. Data is presented in both tables and figures. The health workers had adequate knowledge (95%) on PAC, however the practice of PAC services was not adequate enough to assist the health workers implement the components efficiently. Majority (82%) of the health workers lacked enough skills especially in family planning services and reproductive health services. Understanding the service provider-related challenges and overcoming them can enhance sufficient service provision. Effective support and supervision should be done regularly to guide, help and encourage staff so as to improve their performance in order to provide high quality PAC services. This can lead to early detection of the common challenges faced by the units that deter appropriate management so that they provide high quality PAC services to avert the effects that are experienced by women after an abortion hence reducing on the burden of maternal morbidity and mortality in Uganda.