Browsing by Author "Komugisha, Sarah"

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Factors Influencing Disclosure of Status and Program Participation Among Prevention of Mother to Child Transmission (PMTCT) Mothers in Kawempe Division.
(International Health Sciences University, 2013-09) Komugisha, Sarah
Introduction: This study was carried out to identify various factors influencing disclosure of status and program participation amongst Prevention of Mother to Child transmission (PMTCT) mothers in Kawampe division. Research Objectives: The specific objectives in this study included: to establish cultural factors influencing disclosure and program participation amongst PMTCT mothers; to determine individual factors influencing disclosure and program participation amongst PMTCT mothers; to find out institutional factors influencing disclosure and program participation amongst PMTCT mothers and to examine socio-demographic factors that influence disclosure of status and program participation among PMTCT mothers in Kawempe division. Methodology: This study employed a cross-sectional descriptive design employing quantitative methods of data collection; the sample size in this study was 178 and this was determined from the accessible population of 320 using Yamane’s formula; both primary and secondary sources of data were employed in this study and questionnaires used as research instrument. The data were employed in this study and questionnaires were used as research instrument. The reliability and validity of the research instruments were determined through pretesting and content validity index. Data was analyzed using SPSS. Frequencies and percentages were used to determine the research objectives. Ethical considerations were also taken into consideration. Results: Factors that were revealed by the study include previous experience of male violence with 44.9%, women's attitudes and perception towards PMTCT with 54.5%, knowledge with 46.6%, fear to deal with the implication with 54.5%, agreed with 44.4%, cultural blame on women with 38.8% strongly agreed, cultural demand for breast feeding with 50% of respondents, low participation of men in reproductive health make disclosure with 51.1%, low motivated health workers with 43.3%, poor facilities in health centers limits 44.3%, low human resource with 48.3%, working women disclose more with 32%, urban women easily disclose with 37.6% Conclusion: This study concluded that cultural factors; individual factors and institutional factors influence the disclosure of status and program participation among PMTCT mothers. However, socio-demographic factors do not have significant relationship with the disclosure of status and program participation among PMTCT mothers in Kawempe division. Recommendation: It is recommended that the ministry of health should put up better health facilities, the community should be sensitized about PMTCT services, increase the resources most importantly the number of health workers, ministry of health should motivate health workers among other recommendations.
Predictors Of Enrollment Into Community Based Health Insurance Schemes Among Patients with Diabetes Mellitus in Wakiso District – Central Uganda
(Clarke International University, 2023-02) Komugisha, Sarah
Background: This study was done to assess predictors of enrollment into community based health insurance schemes and patients with type II diabetes mellitus in Wakiso district – central Uganda. Diabetes is linked with 1.5 million deaths annually, with all deaths related to poorly controlled diabetes that arise, in part due to non-adherence to medication. Such non-adherence in most cases arises from financial limitations and so, diabetic patients need to have health insurance cover. Currently, CBHI schemes are the most common in developing countries and some have been customized for diabetes patients, as is the case in Wakiso district. However, enrollment into those schemes remains a challenge. Method: The study was cross sectional, targeting 291 diabetic patients in Wakiso district, in which all the three facilities with the CBHI scheme were purposively sampled and patients randomly sampled, following which structured interviews were used to collect data. Data was analyzed in SPSS 25 using the log-binomial model. Results: The proportion of patients with diabetes mellitus in Wakiso district that is enrolled into community based health insurance schemes is 81.4% (237). The prevalence of CBHI enrollment was higher among patients who were Catholics (aPR = 3.982 [CI = 1.190 - 13.318], P = 0.025), who had been educated to secondary school (aPR =12.749 [CI = 3.716 - 43.735], P = 0.000), who rated their health status as being somehow okay had 16 times the odds of being enrolled (aPR = 16.526 [CI = 5.001 - 54.611], P = 0.000). It was however less among patients who had lived with diabetes for less than 5 years (aPR = 0.269 [CI= 0.127 - 0.568], P = 0.001), although it was higher among patients who reported that diabetes medication was always available at their respective health facilities (aPR = 1.979 [CI = 1.066 -3.671], P = 0.030). No bivariate analysis could be conducted because of the null integers in the cells of all cross tabulations between the independent variables and the dependent variable. The null integers notwithstanding, it is evident that there could have been significantly higher proportions of enrolled patients who agreed to the institutional assertions than, those who disagreed. Conclusion: Enrollment into the CBHI among diabetic patients in Wakiso district is high, but not universal, contrary to ideal standards. It is mainly predicted by intrapersonal characteristics and to some extent by institutional characteristics, although it was possible that scheme characteristics are also been of conceivable importance. Behavior change communication will go a long way in increasing enrollment among the patients