Browsing by Author "Christine"

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Assessment of prevention of risk factors to Cardioscular diseases among adults in the communities of Wakiso District
(International Health Sciences University., 2016-11) Namulimu, Annet; Christine
Background: Non-communicable diseases are a public health problem with cardiovascular diseases leading. At community level it is not yet clear how people prevent CVD’s. There is paucity of data documented on CVD prevention practices at community level. This study set out to assess the prevention of risk factors to cardiovascular diseases among the communities of Wakiso District, so as to generate information necessary for formulation of National Policy on the management of CVD’s. Methods: This was a community-based descriptive cross-sectional study undertaken among 13 selected sub-counties of Wakiso district within the month of November 2014.Quantitative data was obtained from 368 respondents and qualitative data obtained from 12 Key informants. Simple Random Sampling and proportionate sampling were used to select respondents. Interviewer-administered questionnaires and key informant interviews were used as research instruments. Data was processed and analysed using SPSS and only significant factors in bivariate analysis were considered for logistic regression (multivariate analysis). Results: The study found that only 113 out of 368 (30.7%)practiced the risk factor prevention measures for cardiovascular diseases which is low and puts the population at a high risk of developing cardiovascular diseases. Using the Binary Logistics regression model to analyse preventive risk factors of CVDs, the following variables were found to be significant; being single (OR 1.572, 95% CI .332-7.448), married (OR 1.686, 95% CI .395-7.192), primary education level (OR 1.767, 95% CI .569-5.487), vigorous physical activity (OR 1.770, 95% CI .572-5.476), moderate physical activity (OR 1.756 .979-3.151), community awareness program(OR 1.657 CI .589-4.658), presence of community-based screening services (OR 1.741 .264-11.489). Conclusions: The study concluded that the low level of prevention could be attributed to lack of prioritisation to prevention of Cardiovascular diseases. The education levels have a great impact on prevention of CVDs, the higher the level of education the higher the practice of preventing cardiovascular diseases. Physical activity is a big factor in regards to prevention of cardiovascular practices. The presence of CVD awareness campaigns and community-based screening programs within the communities contributes greatly to the practice of preventing cardiovascular diseases which according to this study were reported to be very few. Recommendations: Appropriate intervention measures on prevention practices should be instituted to raise the low CVD prevention levels gradually from 30.7% to atleast 60% within a specified period. Lifestyle counseling should be a major component of the intervention package where people will be counseled to practice physical activity, make right food choices, abstain from smoking and no alcohol abuse. Communities are encouraged to go to hospitals for CVD metabolic risk factor screening atleast every 6months for those at a high risk, that is those with family history of CVDs, advanced age (40years and above) and every 12months for the rest of the people. MOH should prioritize the prevention of cardiovascular diseases by allocating funding for setting up CVD risk factor Awareness campaigns and community-based screening programs. A specific policy on CVDs prevention should be developed and distributed through up to community level.
Factors Influencing Uptake of Antenatal Care Services Among Pregnant Women Attending Murchison Bay Hospital, Kampala District.
(International Health Sciences University, 2016-11) Kyabaishiki, Allen; Christine
WHO suggests that all pregnant women begin antenatal care (ANC) in the first three months of pregnancy. This would enable early detection and management of any health complications (WHO, 2015). However, 85% of pregnant women access ANC once and 58% receive the recommended visits is low attendance. This study assessed the social demographic, mother related and health facility factors that influenced uptake of ANC among mothers attending Murchison Bay Hospital in Luzira. The study used a descriptive and cross sectional research design where 196 respondents were selected by simple random sampling and interviews were used to gather information from them. Social demographic factors included; 121(62%) respondents were married, young mothers who 102(52%) were housewives, 78(40%) had primary of education. Culturally 135(69%) it was believed TBAs were the best people to give ANC as they used local herbs which were less costly. Individual factors were; majority 167(86%) had knowledge about ANC and 137(82%) got it from health workers, 161(82%) were aware of the health complications they were likely to face during pregnancy. It was the first pregnancy 85(43%), 125(64%) they never regularly attended ANC and 159(81%) did not know that pregnancy was a risk of death. There was less husband involvement 145(74%) because they were busy with work and 131(67%) did not have anybody at home to help them with domestic chores. Health facility factors were; 127(65%) long distance to the hospital, 143(73%) lack of drugs, 26(64%) low price drugs at the local pharmacies, 131(67%) language barrier, extortion of money from patients, 139(71%) unavailability of health workers, inadequate privacy, 125(65%) inadequate seats, unfriendly health workers. In conclusion, irregular ANC uptake socially was due to much trust in TBAs, low levels of education and income. Individually mothers were ignorant that pregnancy is a risk for death, less husband involvement and much domestic chores. Health facility factors were; long distance, lack of supplies and facilities in the hospital, language barrier and long waiting time. The study suggests that, massive education sensitization should be given to mothers, husbands should participate more in reproductive health, more health facilities be built and facilitated and recruit more health workers to minimize waiting time.