Diploma in Nursing Sciences(Extension) DNS

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    Factors influencing adherence to option b+ among hiv positive pregnant and lactating mothers at kalisizo hospital, Rakia district
    (Kampala international international: School of Health Sciences, 2017-04) Sylvia, Bukirwa
    Globally, 30-45% of infants born to HIV-positive mothers become infected during pregnancy, child birth and breastfeeding due to poor ARV adherence. Therefore, the purpose of the study was to determine factors influencing adherence to option B+ among HIV positive pregnant and lactating mothers at Kalisizo hospital, Rakai district. A descriptive cross-sectional study and quantitative methods of data collection was used. 58 mothers were selected by purposive sampling technique. Data collected using well- structured questionnaire was analyzed using Microsoft excel and word. 90% of the mothers knew the meaning of adherence to option B+. 60%did not adhere to EMTCT drugs as 49% lacked transport, 20% were fearing people, 20% were feeling healthy state and 9% reported forgetfulness, while the least2% missed drugs while away from home. 52% reported that EMTCT/Option B+ helps to prevent HIV transmission to babies. Major socio-economic factor was transport challenge as 69% used >2000/= and74% used Bodaboda. 84%moved 6KM or more from home and 57% could wait for services for over 4 hours. Although 59% were satisfied with the health staff assistance and overall rate towards quality of services was good, still study findings revealed poor adherence due to the above factors. Emphasis on intensive adherence counseling to the HIV positive pregnant and lactating mothers is needed to improve on adherence. Advising them on income generating activities is needed to enable them earn some money.
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    Factors influencing adherence to diabetes treatment recommendation among diabetic clients at Kampala international university teaching hospital Bushenyi District
    (Kampala International University, School of Health Sciences, 2017-04) Babirye, Oliver
    Poor adherence to treatment of chronic diseases is a worldwide problem of particular concern. Globally, studies have indicated that recommended glycemic control is achieved by less than 50% of patients on anti-diabetes treatment due to non-adherence this was contrary to the findings of across sectional study carried out in Iganga and Bugiri in Uganda between October 2012 and January 2013 where adherence rate was found out to be 83.3%. Therefore, to assess factors influencing adherence to diabetes treatment recommendations, a cross-sectional study design quantitative in nature was employed to recruit 61 respondents for the study out of whom 61 questionnaires were returned completely filled thus a response rate of 100%. The researcher found out that 72.1%, 80.3% and 70.5% of the respondents strongly agreed that level of income, route of drug administration and co morbidities respectively influence adherence to diabetes treatment recommendations. The researcher concluded that demographic factors influencing adherence to diabetes treatment recommendations include; Age, gender, occupation, education level and income level of the client. Therapy related factors influencing adherence to diabetes treatment recommendation include; Route of drug administration, complexity of treatment regimen, side effects, cormorbidities and other perceived barriers. Health care related factors influencing adherence to diabetes treatment recommendations include; Affordability, clinic attendance, health education, waiting time and accessibility.
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    knowledge and practices of postnatal mothers towards umbilical cord care of newborns at Kagando Hospital Postnatal Ward, Kasese District
    (Kampala International University, School of Health Sciences, 2017-09) Asimwe, Ronald
    This study was carried out with the aim to assess knowledge and practices of postnatal mothers towards umbilical cord care of newborns in Kagando hospital postnatal ward, Kisinga sub County, Kasese district. The study objectives included; assessing knowledge of postnatal mothers towards umbilical cord care at Kagando hospital and determining the practices of postnatal mothers towards umbilical cord care of newborns at Kagando hospital postnatal ward, Kisinga sub County, Kasese district. This was a descriptive cross-sectional study employing both qualitative and quantitative data collection methods. A convenient sample of 36 respondents from Kagando hospital postnatal ward completed a set of administered questionnaires. Findings revealed that all respondents interviewed 36(100%) had ever heard about umbilical cord care of newborns, 20(55.5%) of the respondents obtained information from relatives. 26(72.2%) were aware of the recommended cord care practices including using separate utensils like basins and clothes, 17(47.2%) strongly agreed that good cord care is important in maintaining the health of the baby 24(66.7%) of the respondents mentioned that they clean the cord once a day, 27(75%) agreed that they are required by culture to apply local substances to the cord. 18(67%) specified apply other substances like toothpaste, milk, baby powder, powder from roasted sweet potatoes, shoe polish, and jelly. 14(38.9%) of the respondents mentioned using any sharp instrument available for cutting the cord of newborns. This study concluded that some respondents had accurate knowledge regarding umbilical cord care. All respondents had ever heard about umbilical cord care of newborns and were aware of the recommended newborn cord care practices with an average percentage of 37.8% and they strongly agreed that good cord care is important in maintaining the health of the baby. All respondents had negative practices regarding umbilical cord care of newborns as most reported applying local substances on to the umbilical cord such as toothpaste, jelly, milk and roasted sweet potato powder. Most respondents also reported cleaning the cord only once per day and were using any sharp instruments for cutting the cord of newborns. The recommendations included abstaining from risky cord care practices, utilization of postnatal care services by postnatal mothers. Training of traditional birth attendant and including them in the existing health care system, intensifying health education information regarding umbilical cord care, increasing tetanus toxoid immunization for all women in child bearing age. Revision of national policies and standards of umbilical cord care, leaders using their influence to sensitize the community about risks of poor cord care practices
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    Knowledge and attitudes towards caesarian section among mothers attending maternal and child health services at Rwekubo HC IV Isingiro District
    (Kampala International University, School of Health Sciences, 2018-05) Ampire, Diana
    This research was to assess the knowledge and attitudes of mothers towards caesarian section among mothers attending MCH clinics at Rwekubo HCIV Isingiro District. The study was conducted from 60 respondents using a descriptive cross-sectional study design in which the quantitative data was collected for assessing the knowledge and attitudes of mothers towards CS. From the study, a majority 55 (91.7%) of the mothers had knowledge about caesarian section and 40 (66.7%) had ever undergone the operation but still lacked more information to why mothers were operated and crucial reasons that would lead one to the operation. On the attitude, the study showed 30 (50%) of mothers were still not convinced that caesarian section was the only safer birth delivery mode but instead they feared the c/s scars and felt so bad and 25% felt scared whenever a caesarean section was indicated medically in presence of an indication. The Social, cultural and economic states of the women which may influence their knowledge and attitude towards caesarean section were not explored but conclusively attitude was among a leading problem among mothers towards caesarian section. Therefore, further studies would have to be done in our settings to assess the adequacy of pre-operative counseling and the effectiveness of other forms of education such as the use of videos and leaflets and posters to the mothers attending MCHclinics.
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    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.