DSpace 7

DSpace is the world leading open source repository platform that enables organisations to:

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Factors associated with adherence to antiretroviral drugs Use among adolescents living with hiv at china-uganda Friendship hospital-naguru, kampala.
(Clarke International University, 2024-03) Nakaggwa winfred
Use of antiretroviral therapy (ART) is the central measure for viral load suppression and prevention of opportunistic infections among adolescents living with HIV. However, in Uganda, ART adherence among adolescents is at 67.4% which falls below the 95% WHO target. The purpose of the study was to determine the factors associated with adherence to antiretroviral drug use among adolescents living with HIV at China-Uganda Friendship hospital-Naguru, Kampala District. A cross sectional descriptive study design employed quantitative collection methods. A sample size of 368 respondents was selected using a convenience sampling method. Using a researcher administered questionnaire, data was obtained and analyzed using statistical package for social scientists (SPSS version 20) for presentation in form of tables and graphs. Findings of the study revealed that 44.8% were under care of a single parent, 69.3% had not disclosed their status, 40.8% mentioned that non – adherence has no effect on them, 51.9% felt stigmatized and 48.1% reported that religious leaders‘ teachings were unbothered about ART, 62.5% were living in a distance of >5 kilometers, 73.1% reported that health workers had varying moods, 81.2% said that the operating time of the ART clinic was not convenient and 78% complained of long waiting time at the facility. The study concluded that adolescents were non – adherent to the recommended use of ART due to individual and health facility related factors. Therefore, health workers and caretakers should offer extensive counselling on adherence and improvement in delivery of ART services are necessary so as to enhance adherence
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Factors influencing post - operative pain management among nurses at china – uganda friendship hospital –naguru kampala district
(Clarke International University, 2023-12) Merry yebio asgede
Background: Post-operative pain (POP) is a form of acute pain due to surgery that results from tissue injury during the surgical procedure. Globally, the prevalence of post-operative pain represents above 50% in the first 24 hours after surgery and above 30% in the next 24 hours after surgery. In addition, a study by 32% of post-operative patients are dissatisfied with their pain control which has been attributed to a shortage of analgesics. Study Objectives: The objective of the study was to determine the nurse-related, practice- related, and health facility factors influencing post-operative pain management among nurses working on the post-operative wards at China – Uganda Friendship Hospital – Naguru Kampala District in December 2023. Methods: The study used a descriptive cross–sectional study design to study 32 nurses at Naguru General Hospital. A purposive sampling method was used to select study participants and data was collected using semi–structured questionnaires. Data analysis was done using a statistical package for social sciences (SPSS) which is presented in tables, graphs, and pie charts. Results: The study findings revealed that only 28.1% of the respondents were adequately efficient in managing post-operative pain. Nurse–related factors had a significant positive relationship with post-operative pain management namely: nursing qualification (0.031) and the perception that sleeping patients do not experience pain (0.046). The health facility- related factors significantly associated were: the unavailability of pain assessment assisting tools at the unit (0.003), inadequate analgesics (0.004), and absence of supervision (0.023). There was no significant relationship between practice-related factors and post-operative pain management. Recommendations: The Ministry of Health through the National Medical stores should supply adequate analgesics needed to attain effective pain management; staffing at the hospital should be increased to provide an adequate workforce; Naguru Hospital management should offer support supervision and there should be regular refresher training to improve the nurses’ skills. regarding post-operative pain management.
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Knowledge and attitude towards vasectomy among married Men in barapwo ward, lira city.
(Clarke International University, 2024-03) Chemutai jovia
Introduction Vasectomy is a permanent contraceptive method available for men with high success rates yet underutilized globally including in Uganda. The utilization of vasectomy in Uganda rarely exceeds 0.1% despite numerous efforts to increase contraceptive uptake. The objective of this study was to determine the knowledge and attitude of married men towards vasectomy in Barapwo Ward, Lira city. Methodology A descriptive cross sectional study was carried out amongst 302 married men selected by simple random sampling. A pretested structured questionnaire was used to assess knowledge and attitudes of respondents. Data was analysed using Stata version 14 software. Results The level of utilization of vasectomy was 0.3% and the proportion of respondents who were willing to undergo vasectomy in future was 19.8%. Majority of the respondents (59.1%) had heard of vasectomy and most of them heard about it from health workers (37.8%). Most of them (69.9%) correctly knew that vasectomy is a permanent family planning method. Majority (41.4%) strongly agreed that men should not involve themselves on family planning while 22.5% agreed with only 8.0% disagreeing. Likewise, majority (50.3%) strongly agreed that permanent sterilization should only be for females while 18.9% were neutral. Further, Respondents who had attained college/university education, whose wives had attained secondary level of education, who were unemployed, who had not heard about vasectomy, who incorrectly answered that vasectomy is effective days later after operation and immediately after were less likely to undergo vasectomy Conclusion In conclusion, Vasectomy is underutilized in Uganda with knowledge gaps and negative attitudes that negatively impact utilization of the method. Recommendation There is urgent need to create awareness about vasectomy to improve on knowledge and subsequently realize attitude change towards vasectomy.
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Effects of covid-19 lockdown on the well-being of adolescents In masindi municipal council, central division
(Clarke International University, 2024-03) Frances caningom
Background: The COVID-19 pandemic and subsequent lockdown measures significantly impacted socially and economically on the well-being of adolescents globally, nationally and locally. In Uganda and specifically in Masindi Municipal Council (MMC), there was increased rates of anxiety, depression, and stress among adolescents due to restricted social interactions and uncertainties. This necessitated a study which aimed at exploring the effects of covid19 lockdown on the well-being of adolescents in MMC, Masindi District. Methodology: A cross sectional study design with quantitative methods of data collection and analysis was used. A sample size of 384 respondents used, selected by simple random sampling. Data collected using self-administered questionnaires and analyzed by cross- tabulation between variables using SPSS version 26 data analysis software, at three steps; univariate, bivariate and multivariate. Results: Out of the 384 adolescents majority 256 (67%) had poor living while the minority 128 (33%) had good wellbeing during Covid-19 lockdown. Demographic characteristics associated with wellbeing included; being a female adolescent (AOR: 0.25, P=0.002), residing in rural areas (AOR: 2.6, P=0.039), being part-time worker (AOR: 0.23, P=0.024) and unemployed (AOR: 0.04, P=0.001). Social effects included; unawareness of adolescent early marriages (AOR: 5.2, P=0.041), having recreational opportunities (AOR: 4.0, P=0.015), parental inaccessibility to work (AOR: 0.06, P=0.001), insufficient food (AOR: 8.4, P=0.001). Inaccessible medical care services (AOR: 5.99, P=0.001), lack coping mechanism support to social effects of COVID-19 lockdown (AOR: 9.08, P=0.001). Economic effects included; family experienced constant income (AOR: 9.6, P=0.001), adolescents who received less economic support (AOR: 78.8, P=0.001) and who felt economically insecure (AOR: 2.9, P=0.031). Conclusion: Due to social and economic effects of covid19 lockdown, majority of adolescents wellbeing were compromised. Recommendations: Government should strengthen strategic framework for Emergency Preparedness for appropriate, timely and effective response to adolescents wellbeing especially in lockdowns.
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The prevalence of hypertension and associated factors among Patients with diabetes mellitus at kiruddu referral hospital.
(Clarke International University, 2023-02) Matovu nayiga margaret
Introduction: Diabetes mellitus (DM), is a highly prevalent non-communicable disease and one of the fastest growing global health emergencies of the 21 st Century. Hypertension (HTN) may precede the onset of DM and these often coexist, which increases the risk of cardiovascular morbidity and mortality among diabetics. Studies indicate that Hypertension is twice as frequent in patients with diabetes compared to the non-diabetic individuals. Methods: A descriptive hospital-based cross-sectional study was conducted among 246 patients with diabetes seeking routine medical care at the Diabetic Clinic of Kiruddu Referral Hospital using a quantitative approach to determine the prevalence and factors associated with hypertension among patients with diabetes. Results: The coexistence of hypertension was reported among one hundred thirteen participants (45.9%). At multivariate analysis, using logistic regression model, the factors that remained significant were: Age (AOR=12.468, 95% CI: 4.298 – 36.171), Obesity category (AOR=2.630, 95% CI: 0.324 – 5.308), and having ever smoked (AOR=0.028, 95% CI: 0.006 – 0.179). Conclusion: These findings demonstrate a high prevalence of hypertension, the prevalence of hypertension among patients with diabetes has been extensively studied in other African countries ranging between 44.2% to 80% (Akalu&Belsti, 2020; Al-Azzam et al., 2021; Alanazi et al., 2017; Bassi et al., 2018; Mariye et al., 2019; Mohamed et al., 2021), among diabetics with an overwhelming risk are the elderly of 60 years and above, those with obesity and patients that had a history of smoking. Recommendations Recommendations to patients Diabetic patients are encouraged to regularly screen for hypertension for timely diagnosis and close monitoring of the comorbidity especially among the elderly.