Masters of Public Health

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    Predictors of low birth weight in Bushenyi district, Uganda
    (Kampala international international: School of Health Sciences, 2007-07) Aggrey, Dr. Kagwtsagye
    The study sought to establish the factors that lead to low birth weight (LB W) of children born in the health units in Bushenyi district. The objectives were to establish the prevalence of LBW of babies born in the health units and to establish the relationship between LBW and selected risk factors. The first four hundred and ninety five (1495) mothers who delivered in the selected health units during July - August 2008 were considered for the study. The study was carried out from three hospitals, 5 health centre IVs and 7 health centre Ills. Analytical cross-sectional study design was used to establish the relative interaction of various independent variables in predicting the dependent variable. Data was collected through an interview using structured questionnaire, observations of mothers at period of delivery, and taking the weights of babies soon after delivery. The data collected was computed into summaries and frequencies for continuous and categorical variables respectively. Spearman's rho correlation was used to establish the relationship between LBW and socio-economic status, while multiple linear regression analysis was used to determine the prediction of soco-demographic, health, behavioral and lifestyle of mothers on LBW status. The prevalence of LBW was found to be l 0.5%. The following factors; mothers’ aged below 21 years, smoking during pregnancy. Alcohol consumption. Poor health of mother and poor health seeking behavior were found to be significantly related to low birth weight. The parity of the mother/ family size, education, and socio-economic status were not significantly related to LBW. The major recommendations were: to strengthen programmes that prevent early pregnancies, especially for the teenagers and youth; strengthen antenatal services; maintain and strengthen malaria control activities; strengthen HIV I AIDS services and intensify family planning services to limit the number of children per woman.
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    Antiretroviral therapy adherence among patients Attending Hargeisa group hospital Hiv clinic, Hargeisa, Somaliland
    (Kampala international international: School of Health Sciences, 2013-11) Adam, Dr. Haibeh Farah
    BACKGROUND: ART adherence varies in different regions of the world. Garcia et al (2006) had examined the relationship between self-reported adherence and viral load suppression. The study showed that 76% of those reported adherence had a viral suppression versus only 25% of subjects reported non-adherence (Rosa, 2006). No previous similar studies were done in Somaliland. OBJECTIVES: This study assessed antiretroviral therapy adherence among patients attending Hargeisa Group Hospital (HGH) in Hargeisa, Somaliland. METHODS: A facility-based cross-sectional study design was employed. A sample of 271 of patients on ART at the HIV Clinic was interviewed and their CD4 documents reviewed. Key informant interviews were held for 4 people from the clinic staff and management. A chi square test was used to ascertain the relationship of independent variables with the dependent variable. RESULTS: The study has shown that 80.8% of respondents adhered to ART at 95% or more of the time. The study also has found that coming on foot to the clinic, living far from the clinic and being newly diagnosed with HN were factors that led to ART non-adherence behavior. The study also assessed other factors that were found to be not related to ART adherence in this clinic. These factors include age, gender, education, marital status, patient's knowledge of HIV and ARTs, family size and previous hospitalizations among other factors. CONCLUSION AND RECOMMENDATIONS: The study found that the respondents who come on foot to the clinic, those lived far from the clinic and those diagnosed with HIV less than 3 years ago were less likely to adhere to ART. The researcher is recommending, making the services closer to the community by opening more clinics or by outreach programs.
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    Assessment of factors influencing the practice of exclusive breastfeeding among mothers with less than 2 years Children in Hodan district, Mogadishu, Somalia
    (Kampala international international: School of Health Sciences, 2013-11) Ahmed, Mulki Dirie
    Background: Exclusive breast feeding is defined by World Health Organization (WHO) as giving breast milk alone for the first 6 months of life. World Health Organization recommends Mothers to breastfeed babies exclusively in the first six months. Breastfeeding and good nutrition for children are essential for achieving the Millennium Development Goals, particularly the goals relating to child survival. Breastfeeding is known to be the best way to feed infants by providing the psychological and health benefit to both the mother and the child. It is therefore considered physiologically, biochemically, immunologically and psychologically suited for this. Objective: The aim of this study was to assess factors influencing the practice of exclusive breastfeeding among mothers with less than 2years children in Hodan district, Mogadishu, Somalia. Methods Community based cross sectional study was carried out among mothers with less than 2years children in Hodan district, Mogadishu, Somalia, selected using cluster and simple random sampling technique. Data was collected by interviewer oral structured questionnaire and it was entered and analyzed by using SPSS for windows version 16.0. The proportion was used to describe the results and it was presented in the form of figures and tables. Findings: A total of 424 mothers with less than 2 years children were interviewed. The ever exclusive breastfeeding rate in this study was 23.3%. And 65.6% breast feed less than 6 months without adding other foods, and .I% feed for over 6 months. The timely initiation rate of breastfeeding within one hour found in this study was 49.3% respectively. Conclusion and Recommendation: Basing on the results of the study the socio-demographie factors studied in this study were not significantly affecting to the practice of exclusive breastfeeding except marital status and occupation of the mother. A range of characteristics affects the practice of timely initiation of breastfeeding and exclusive breastfeeding. Coordination, strengthening and sustaining of the existing strategies and approaches for further improvement of optimal breastfeeding practice is recommended
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    Factors affecting community participation in solid Waste management: acase study of Walukuba division, Jinja district
    (Kampala international international: School of Health Sciences, 2011-09) Mohamed, Kawther Musa
    In developing countries, most of the municipalities spend large proportions of their budgets on the collection, transport and disposal of solid waste. Their solid waste management is a costly service that consumes between 20% and 50% of their available operational budgets for municipal services. The specific objective of the study is; 1. To assess the social economic factors affecting the community in participation in solid waste management in Walukuba I Masese Division. 2. To assess the attitudes, of the community towards participation in solid waste management. 3. To assess resource available for the community participation m solid waste management. Methodology This is a descriptive cross-sectional study was conducted in Walukuba I Masese division, Jinja district in July, 2010 Keish and Leslie (1965) formula was used to determine the sample size that yielded 246 respondents. 4 key informants (Kis) participated in the study. The respondents were identified using multi-stage and random sampling techniques. Data was collected using semi-structured questionnaire and Kls guide. Quantitative data was analyzed using EPI INFO 2002 computer software. Qualitative data was analyzed using a master sheet. Quality control and research ethics were ensured. Results Seventy eight percent of the respondents were participating in solid waste management. There was non-statistically significant association between the age of the respondents and their participation in solid waste management. There was statistically significant association between education, income, occupation, nature of housing, and attitude towards the community participation. The majority of the respondents mentioned that, fund from the division as the resource mostly needed for community participation in solid waste management among others. Conclusions Health and environment concern were the reasons behind the pQrticipation of the majority of the respondents. There was non-statistically significant association between the age of the respondents and their participation in solid waste management. Whereas, education status, income level, occupation, attitude and nature of housing, of the respondents were statistically significant association with their participation in solid waste management. Recommendations The leadership of the community of Walukuba I Masese division should take the advantage of the community participation in solid waste management to create awareness campaigns about proper solid waste management to sensitize those who were not participating. The division authority should explain to the community members the other services that utilize the taxes besides solid waste management. Contracting of private sector in solid waste management should be encouraged. The division should encourage community-based solid waste management in the division with support of local government and NGOs. A further study should be conducted to find out which type of community participation in solid waste management is needed in Walukuba I Masese division.
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    Predictors of low birth weight in Bushenyi District, Uganda
    (Kampala International University; School of Health Sciences, 2009-07) Kagwtsagye, Aggrey
    The study sought to establish the factors that lead to low birth weight (LBW) of children born in the health units in Bushenyi District. The objectives were to establish the prevalence of LBW of babies born in the health units and to establish the relationship between LBW and selected risk factors. The first four hundred and ninety five (495) mothers who delivered in the selected health units during July - August 2008 were considered for the study. The study was carried out from three hospitals, 5 health centre IVs and 7 health centre Ills. Analytical cross-sectional study design was used to establish the relative interaction of various independent variables in predicting the dependent variable. Data was collected through an interview using structured questionnaire, observations of mothers at period of delivery, and taking the weights of babies soon after delivery. The data collected was computed into summaries and frequencies for continuous and categorical variables respectively. Spearman's rho correlation was used to establish the relationship between LBW and socio-economic status, while multiple linear regression analysis was used to determine the prediction of soco-demographic, health, behavioral and lifestyle of mothers on LBW status. The prevalence of LBW was found to be l 0.5%. The following factors; mothers aged below 21 years, smoking during pregnancy, alcohol consumption, poor health of mother and poor health seeking behavior were found to be significantly related to low birth weight. The parity of the mother/ family size, education, and socio-economic status were not significantly related to LBW. The major recommendations were: to strengthen programmes that prevent early pregnancies, especially for the teenagers and youth; strengthen antenatal services; maintain and strengthen malaria control activities; strengthen HIV/AIDS services and intensify family planning services to limit the number of children per woman.