Obstetric service utilization pattern among women in Kyabugimbi Sub County Bushenyi District Uganda
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Date
2010-11
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Publisher
Kampala International University; School of Health Sciences
Abstract
The Government of Uganda recognizes that its population is the most valuable asset and an integral component of the development process. The improvement of the quality of life of the Ugandan population in general is a major development goal of health practitioners and it's hampered by high fertility, maternal, infant morbidity and mortality rates. In 1995 the maternal mortality ratio stood at 506:100,000 live births, IMR was 97:1000 live births, the total fertility rate was 6.9 births and the contraceptive prevalence rate was 15%.the major causes of morbidity and mortality are preventable and one of the major strategies for reducing IMR, MMR and fertility is ensuring access to quality integrated RH services. Currently, MMR in Uganda is 505:100.000 live births, IMR stands at88:1000 live birth, TFR still stands at 6.9birth with CPR of23 %( HSSP, 2000-2005) Maternal child health survey carried out in bushenyi showed that only 15- 3 7% of deliveries occur in the health set ups as compared to 63% in traditional approach (Bushenyi DMO office records 201 0). Only41% of birth are attended by skilled personnel and 7.6% of infants die before their first birth day (UNDP report on Uganda's progress on MDG 2008) Objective The research therefore is thought to provide obstetric utility pattern in Kyabugimbi sub-county and the underlying factors limiting access to these RH services and the general MCH service delivery Methodology A descriptive and cross-sectional study was conducted in Kyabugimbi sub-county Bushenyi district in western Uganda to establish Obstetric service utilization pattern in the district. The study also identified the socio-economic, cultural, physical factors associated with choice of a particular maternal service care and also the cause of maternal mortality in the district. Data was obtained from the office of the District director of health services (D.D.H.S), health units, the reproductive age women, i.e. those attending antenatal care, nurses and midwives by means of pre-tested questioners and focus group discussion guides. The study was conducted between the period ofMayl5th and June 5th 2010. Drastic Action should be taken by government and district health staff to address all factors that hinder access to health care services as this contribute to the high MMR and IMR in the sub county. such as social economic factors, improvement in Health care delivery system, Enact and implement strong policies against TBAs with emphasis on showing TBAs were their experiences end and to avoid risking the lives of Ugandan since they cannot detect pre-pregnancy and pregnancy related complications. Otherwise more lives of these mothers and their unborn babies in Kyabugimbi Sub County continue to be lost. There is need to make Health centre III and N to be fully operational with lighting and power sources, operating theatres, complete equipment and consumables. Running water, transport and communication facilities, and sanitation facilities like placenta pits, women latrines and bathrooms to mention a few. This will help attract these mothers to the health care setups The level of services should be improved to attain recommended WHO (ideal) standard for instance four or more visits of at least 20 minutes each and multivitamins, iron, folic acid supplement, two tetanus injections and various laboratory tests. Post-partum care attendants should receive at least two visits, one after 7 days of pregnancy and the other after 6 weeks. Health centre III and IV should perform Haemoglobin tests which they currently don't and also manage simple conditions of anaemia, malaria and treat hookworms.
Description
A project report submitted to School of Graduate Studies in partial fulfillment of the requirements for the Award of the Degree of Master of Public Health of Kampala International University
Keywords
Obstetric service utilization pattern, Women, Bushenyi District, Uganda