Aim and Scope SJ Gynecology and Obstetrics Africa is an international, peer-reviewed, open-access journal with both Online (ISSN:3006-5143) and Print (ISSN:3006-5135) medium that focuses on scholarly materials on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects. The Journal also accepts case reports and letters in this field. Our focus is studies done by students at all academic levels. We believe such studies will have a meaningful contribution to the knowledge body in this field. The Journal was established on Sunday, 31 December 2023 and it is Published by SJC Publishers Company Limited.
FACTORS INFLUENCING QUALITY OF LIFE AMONG PREGNANT MOTHERS AT ANAKA GENERAL HOSPITAL, NWOYA DISTRICT – A CROSS-SECTIONAL STUDY.
Background: Globally, pregnancy affects the quality of life of women, and this affects maternal and infant health. In Uganda, 85% of maternal deaths are due to poor quality of life during pregnancy. The purpose of the study was to assess the factors influencing the quality of life among pregnant mothers at Anaka General Hospital, Nwoya District. Methodology: It was a descriptive cross-sectional study that utilized quantitative methods. 44 pregnant mothers were selected using a simple random sampling method. A structured questionnaire was used to collect data involving both open and closed-ended questions. The data collected was arranged in tables, pie charts, and graphs. Results: In the study,28(63.6%), of the respondents were aged 18 to 25 years, and 34(77.3%) were unemployed. 33(75%) had had 1 to 3 pregnancies, and 34(77.3%) reported that pregnancy drained their energy or influenced the quality of their lives. However, the majority, 36(81.8%) reported that the health workers were friendly, 23(52%) reported that the facilities from where they received care had equipment, and 33(75%) reported that the facilities were clean. Furthermore, the majority, 20(45%) reported to be staying more than 1km away from the health facility. Conclusion: The study established that the low socioeconomic status of the respondents, the high number of pregnancies, the long distances to the health facility, and the lack of social support; negatively influenced the quality of life among pregnant mothers. Recommendation: The government of Uganda through the responsible ministries should work on improving the socio-economic status of the mothers and carrying out more sensitization about family planning among pregnant mothers.
Copyright (c) 2024 ROVISTER ACAN , Donatus Mr. Kimera (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
FACTORS INFLUENCING UTILIZATION OF MODERN CONTRACEPTIVESAMONG MARRIED WOMEN ATTENDING FAMILY PLANNINGCLINIC AT KAJJANSI HEALTH CENTRE IV,WAKISO DISTRICT
Background World Health Organization defines family planning as a voluntary and informed decision by an individual or couple on the number of children to have and when to have them. The aim of the study is to assess the Factors influencing the utilization of modern contraceptives Among married women attending the family planning Clinic at Kajjansi Health Centre iv, Wakiso district. Methodology This was a descriptive cross-sectional study. The study population consisted of all women who were married attending to Kajjansi Health Centre IV family planning clinic. The sample size was determined according to UNMEB guidelines 2009 which stated an appropriate minimum sample size should be not less than 30 respondents. Results The majority 18(60%) of the respondents were in the age bracket of 26-33 years. Half 15(50%) of the respondents had attained secondary education. Most 28(93%) Resided in urban areas while few 2(7%) were from rural areas. Most 27(90%) had access to government contraceptives. 20(67%) mentioned that health workers were welcoming and polite. Most 17(57%) said husbands decided on the choices. 15(58%) had 4 children. The minority 6(23%) of the respondents mentioned that they had 1-2 children. The majority 18(60%) of the respondents mentioned business as their current source of income. 17(57%) obtained contraceptives from hospital.10(33%) said they obtained from the clinics and the minority 3(10%) got from friends. Conclusion The factors influencing the utilization of modern family planning services were higher levels of education, having the desired number of children, and living in urban settings, good access to government contraceptives, positive attitude towards modern contraceptives, availability of contraceptives, and friendly health workers. Recommendations Education about the importance of having smaller families should be intensified in communities.
Copyright (c) 2024 SHEILLAH NANKYA, Nelson Kakande (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
FACTORS INFLUENCING THE UPTAKE OF COMBINED ORAL CONTRACEPTIVES AMONG WOMEN OF REPRODUCTIVE AGE AT MUBENDE REGIONAL REFERRAL HOSPITAL MUBENDE DISTRICT. A CROSS-SECTIONAL STUDY.
Background Contraception allows women, men, and couples to choose if and when to have children by way of willingly and intentionally delaying, spacing, or limiting pregnancies thus, contraception has been, and continues to be, a key focus of the global agenda for maternal health. The study aims to assess the Factors influencing the uptake of combined oral contraceptives among women of reproductive age. Methodology A cross-sectional descriptive study involving women of reproductive age attending Mubende Regional Referral Hospital, using a quantitative method of data collection. Non-probability convenience sampling approach where the interviewer-administered questionnaires to 30 respondents. Results Half 15(50%) of the respondents were married, 11(37%) were cohabiting, 2(7%) were single, 1(3%) were divorced, and 1(3%) were separated. The majority 19(63%) of the respondents were aged 21 to 35 years. (42%) mentioned having negative outcomes as one of the reasons for not using combined contraceptive pills. 22(73%) said that they needed education about contraceptives. 20(67%) said that preventing pregnancy is one of the benefits. 10(33%) mentioned child spacing as one of the benefits. 5(17%) accepted that cultural norms affect combined oral contraceptive uptake, and 20(67%) of the respondents said that their communities do not support young adolescents in using family planning methods. (43%) said that it is the opinion of both partners that carries weight in terms of contraceptive use. Conclusion Marital status, age, side effects, Benefits and knowledge about contraceptives, community support, cultural beliefs, and opinions of partners were the major factors influencing the uptake of combined oral contraceptives among women of reproductive Age. Recommendations The Ministry of Health should also empower healthcare providers to always educate the women and communities on the various benefits of utilizing COCS.
Copyright (c) 2024 DAISY .S NIMUSIIMA, Patience Sr. Ddumba (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
ASSESSMENT OF THE KNOWLEDGE OF PREGNANT WOMEN ATTENDING ANTENATAL CARE TOWARDS CESAREAN SECTION DELIVERY AT MUKONO CHURCH OF UGANDA HOSPITAL. A CROSS-SECTIONAL STUDY.
Background Cesarean section (CS) is a critical surgical procedure employed to ensure safe deliveries in cases of complicated pregnancies. Despite its importance, misconceptions and lack of knowledge about CS among pregnant women can influence their perceptions and acceptance of the procedure. Mukono Church of Uganda Hospital serves a diverse population, and understanding the knowledge levels of pregnant women attending antenatal care (ANC) at this facility is crucial for promoting informed decision-making and improving maternal and neonatal outcomes. Therefore, this study seeks to assess the knowledge of pregnant women attending antenatal care toward cesarean section delivery at Mukono Church of Uganda hospital. Methodology The study employed a descriptive cross-sectional study design in which 30 respondents were selected. Quantitative data was collected to assess the knowledge and attitudes of pregnant women towards CS. This study design was selected because it would assist in the easy collection of the required data for the study within the appropriate time. Results The majority (87%) of the pregnant women knew cesarean section as a mode of delivery and when asked about the risk they knew about cesarean section delivery, the majority (53%) mentioned death as a risk that results from CS delivery. 10% said losing a lot of blood while 37% said over to stay in a hospital and thus chances of infections. Conclusion Although the majority of the women were aware of CS there was still a low level of knowledge on the surgery in Mukono Church of Uganda hospital. Recommendation The Ministry of Health should support more health talks in the communities to sensitize mothers and girls of childbearing age on the reasons, importance, and need for a caesarian delivery.
Copyright (c) 2024 ANGELLA. E. NAMUSAAZI, Nelson Mr. Kakande, Jane Frances Namuddu (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
A CROSS-SECTIONAL STUDY ON FACTORS CONTRIBUTING TO INCREASED PREVALENCE OF VAGINAL CANDIDIASIS IN PREGNANT MOTHERS ATTENDING ANTENATAL CLINIC AT TORORO GENERAL HOSPITAL, TORORO DISTRICT.
Background: The purpose of the study was to determine the factors (Social demographic and human behavioral) contributing to the increased prevalence of vaginal candidiasis in pregnant mothers attending antenatal clinics at Tororo General Hospital, Tororo district. Methodology: The study employed a cross-sectional study design with simple random sampling as the sampling technique. Data was collected on a sample size of 50 respondents using questionnaires comprised of closed questions written in English and later translated to local languages, data was analyzed using tally sheets, computed into frequency and percentage using the Microsoft Excel program with illustrated figures(bar graphs and pie charts)and tables for easier interpretation. Results: The overall results in regards to social demographic factors contributing to the increased prevalence of vaginal candidiasis showed that (54%) of the respondents were within the age bracket of 27-35 years, (48%) had attained a secondary level of education, (52%) were unemployed, (86) % were urban residents and (54%) were within the gestation age of 7-9 months. In addition to that, the results on behavioral factors contributing to the increased prevalence vaginal candidiasis showed that (80%) were practicing douching, (72%) were using Nylon knickers, (80%) had been on recent antibiotic treatment, and (78%) had been on recent antifungal treatment. Conclusion: The social demographic factors were quite pleasing but noticed poor behavioral factors of practicing douching, wiping the vagina after sex from behind to in front, recent antibiotic treatment especially due to self-medication, and putting on Nylon knickers. Recommendation: The health workers at Tororo General Hospital enrich pregnant mothers with knowledge on human behavioral causes of vaginal candidiasis.
Copyright (c) 2024 Florence Diana Akware , Stephen Oketcho (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
PREVALENCE OF SYPHILIS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE CLINIC AT JINJA REGIONAL REFERRAL HOSPITAL.A CROSS-SECTIONAL STUDY.
Introduction Syphilis infection among pregnant women has been and still is a threat in Uganda and the world at large. The objectives of the study aimed at assessing the prevalence of syphilis among pregnant women attending antenatal care clinics at Jinja Regional Referral Hospital. Study method A descriptive cross-sectional study of quantitative approaches was conducted among a simple random sample of 85 pregnant women from September to October 2023. A questionnaire was used to collect information about the demographic factors and various risk factors associated with syphilis infection. The blood samples collected were tested for syphilis using the Rapid Plasma Reagan (RPR) test and results were analyzed using Microsoft Excel, and presented in the forms of tables, graphs, and pie charts. Results Results from the study revealed that syphilis prevalence among pregnant women was 10.6%, with a history of sexually multiple sexual partners being the most significant risk factor. The age group that was mostly affected by syphilis infections among the participants was 25-29 years old. Conclusions Conclusively, according to the results of this study, syphilis prevalence among pregnant women still showed high percentages. History of multiple sexual partners was the most prevalent factor associated with syphilis infection, with the most positive cases being 25-29 years old. Recommendations Much emphasis should be put on point care Tests (POCTS) for all pregnant mothers at each of their antenatal care visits, awareness about prevention and control of syphilis and other STIs to the public, and effective health education programs to females at childbearing age about the health benefits of full antenatal care services.
Copyright (c) 2024 Grace Bwana , BEN TURYATUNGA (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
PREVALENCE OF HEPATITIS B VIRUS INFECTION AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE UNIT AT BUGIRI GENERAL HOSPITAL- BUGIRI DISTRICT.A CROSS-SECTIONAL STUDY.
Background This study aims to determine the prevalence of HBV and its risk factors most responsible for the Hepatitis B virus among pregnant women attending antenatal care (ANC) at Bugiri General Hospital-Bugiri District. Methodology A total of 70 pregnant women were tested for HBsAg within November for 7 days in 2023. The study was carried out using a descriptive cross-sectional study design and it provided information concerning the situation at that given time, by doing so, the status of the pregnant women concerning the presence or absence of Hep B virus was assessed and involved data collection and measuring prevalence using the hospital-based HBsAg strip test specific for Hepatitis B virus screening. The Data was collected using the Quantitative method to determine prevalence and the Qualitative method was used to determine behavioral risk factors associated with Hep B infections among pregnant mothers attending ANC at Bugiri Hospital by use of Questionnaires. Results 18.6% were tested positive and 81.4% tested negative. The majority 65(92.9%) had one sexual partner 11(84.6%) had Hep B infection, and 58(82.9%) were pierced with unsterilized sharps out of which 10(76.9%) had Hepatitis B infection. 66(94.3%) did not have a history of Hep B infection among their family members of which 11(84.6%) had Hepatitis B infection. The age group most affected by Hepatitis B virus infection among pregnant women attending antenatal clinics was 20-24 years with a prevalence of 30.8%. Conclusion This study underscores the need for increased awareness and education about HBV, along with the implementation of appropriate preventive measures to curb the spread of the virus Recommendation HBV is still a common problem among pregnant mothers attending ANC. Therefore, there should be timely screening for HBV for every pregnant mother attending ANC presenting with likely signs and symptoms of the disease.
Copyright (c) 2024 ISRAEL AINEBYONA , Ben Turyatunga (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
PREVALENCE AND ASSOCIATED FACTORS OF VAGINAL CANDIDIASIS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC. A CROSS-SECTIONAL STUDY AT JINJA REGIONAL REFERRAL HOSPITAL, JINJA CITY.
Background For the good health of both the mother and the baby to be born, pregnant such should be free from disease and disease conditions including vulvovaginal candidiasis. Therefore, this study aims to determine the prevalence and associated factors of vaginal candidiasis among pregnant women attending Jinja Regional Referral Hospital, Jinja City. Methods A cross-sectional study was used and it employed closed-ended questionnaires which were divided into two sections A and B each corresponding to socio-demographic characteristics and risk factors associated with the prevalence of genital candidiasis. Results The overall prevalence of vaginal candidiasis among pregnant women attending ANC at Jinja Regional Referral Hospital, out of 79 pregnant women sampled, 20(25%)were positive for vaginal candidiasis was 25% among pregnant women, and the associated factors were using pit latrines (55.7%) were more affected with C. albicans compared to those using flush toilets (44.3%), those who were in the category of no changing of pants in a day were also more prone to infection (62%) than those that change(38%) this disagrees Conclusion The overall prevalence of vaginal candidiasis among pregnant women attending ANC at Jinja Regional Referral Hospital, out of 79 pregnant women sampled, 20(25%) were positive for vaginal candidiasis and 59(75%) were negative for vaginal candidiasis. Therefore, the overall prevalence of vaginal candidiasis was 25% among pregnant women. Recommendations All pregnant women despite of age, marital status, educational level, or religion should be encouraged to make visits for prompt tests, diagnosis, and treatment of vaginal candidiasis.
Copyright (c) 2024 LINNET HELGA NALUMBEJJA , Samson Wolinga (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
FACTORS CONTRIBUTING TO LOW UPTAKE OF POSTPARTUM INTRA UTERINE DEVICE IN YOUTH AGED 18-35 YEARS A CROSS-SECTIONAL STUDY AT MUKONO GENERAL HOSPITAL, MUKONO DISTRICT.
Background: Postpartum IUD can control 98% of unwanted pregnancies and abortions worldwide, but many postpartum mothers have not utilized it which leads to maternal mortality and morbidity. The purpose of the study was to determine the factors contributing to the low uptake of PPIUD in youth aged 18-35 years at Mukono General Hospital, Mukono district. Methodology: This study used a cross-sectional design and employed a quantitative approach to data collection. The study was carried out at Mukono General Hospital, Mukono district. The study population comprised of postpartum mothers aged 18-35 years. The sample size of 30 postpartum mothers who participated in this study was sampled using a simple random sampling procedure. A self-administered questionnaire was used for data collection and analysis using the SPSS program. Results: The study established that the individual-related factors included misconceptions (70%), and poor attitudes toward IUD utilization (57%). Furthermore, socio-economic-related factors included the wide utilization of herbal medicine in communities (63%). Finally, the health facility-related factors included the negative attitude of health workers (60%) and long waiting hours for services (60%). Conclusion: It was found that most postpartum mothers didn’t take PPIUD due to; misconceptions, poor attitude, utilization of herbal medicine, negative attitude of health workers, and long waiting hours for services. Recommendation: To increase the awareness of IUD utilization benefits among postpartum mothers.
Copyright (c) 2024 BRENDER NAMUSOKE , SR. ORISHABA RONAH (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE ATTITUDE AND PRACTICES OF WOMEN OF REPRODUCTIVE AGE TOWARDS UTILISATION OF PRECONCEPTION CARE AT KAWOLO HOSPITAL, BUIKWE DISTRICT; A CROSS SECIONAL STUDY.
Background: Preconception care has the potential to positively impact 208 million pregnancies worldwide each year, unfortunately, many adolescent girls and women in LMIC which have the highest burden of maternal and childhood mortality have poorly utilized PC. The purpose of the study was to assess the knowledge, attitude, and practices of women of reproductive age towards utilization of PCC at Kawolo Hospital, Buikwe district. Methodology: This was a cross-sectional descriptive study design employing the quantitative method of data collection. The study design was selected because it helped the study to collect data in a short period and the respondents were not followed up later, the findings were analyzed manually and statistically presented using graphs and tables. Results: The respondents' knowledge in this study was fair as all (100%) had heard about PCC, however, (53%) were not able to define preconception care, (50%) stated counseling as a component of PCC, (48%) mentioned alcohol consumption as the mostc01mnon behavioral issues that affect before conception. On the attitude, (67%) of the respondents disagreed with the importance of supplements in PCC, (63%) strongly agreed that only women of reproductive age should benefit from PPC, (70%) agreed with the statement that PCC can help control medical conditions before conception. Regarding practice, (73%) of respondents had never used PCC, (50%) had ever been counseled, and (50%) had utilized pre-conception care only once. In comparison (100%) opined that they had ever used folic acid before conception. Conclusion: The practice was low despite the fair knowledge and attitude. Recommendations: Awareness creation on the benefits of PCC, educating village health teams on PCC, and dissemination of PCC services to the lower health facilities should be implemented
Copyright (c) 2024 SAMSON KALYEBI, Sr. Ronah Orishaba (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE AND PRACTICES OF POST OPERATIVE MOTHERS BETWEEN 25-30YEARS TOWARDS CESAREAN SECTION INCISION CARE AT KAPCHORWA HOSPITAL, KAPCHORWA DISTRICT
Introduction Caesarean section is a life-saving surgical intervention for women and their newborns though its recent overutilization is a global public health concern on average. There is a 4.4% annual rise in cesarean section rates worldwide, with Asian countries having the second highest annual increase during the period 1990–2014. Adequate and practiced knowledge about incision care is vital for preventing infections and promoting optimal healing following a cesarean section. Purpose The purpose of the study was to assess the knowledge and practices of post-operative mothers towards cesarean section incision care at Kapchorwa Hospital Methodology This was a cross-sectional study to assess the knowledge and practices of post-operative mothers towards cesarean section incision care at Kapchorwa Hospital, Kapchorwa District. Data was collected using structured questionnaires designed in-house. The data captured in the questionnaires were entered in Microsoft Excel from where it was exported to a statistical package for social scientists for analysis. Descriptive and inferential statistics were used to analyze the data. Descriptive statistics were used to analyze data to process categorical data which were presented in frequency and percentage distributions. Results In the present study, the majority (48.0%) of the study participants were aged 21-30 years, married (76.0%), had at least secondary education(42.0%), and were rural dwellers(80.0%).In this study, only 19(38.0%) had adequate knowledge about cesarean section incision care. This study also showed that 11(22.0%) of the study had adequate practice while 39(78.0%) had inadequate practice about cesarean section incision site care. Conclusion Post-operative mothers have inadequate knowledge and practice about cesarean section incision site care. Recommendation Policymakers need to package health education sessions at all levels of maternal care, implement a well-defined organized post-cesarean section incision care program, and further research is recommended to find out knowledge and practices in different regions.
Copyright (c) 2024 SARAH NAIT (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE, ATTITUDE, AND PRACTICES TOWARDS MALE INVOLVEMENT IN ANTENATAL CARE AMONG MALE CLIENTS AT MASIRA HEALTH CENTRE III, BULAMBULI DISTRICT. A CROSS SECTIONAL STUDY.
Background Antenatal care is the care given to pregnant women to have a safe pregnancy and a healthy baby. The purpose of the study was to assess the knowledge, attitude, and practices toward male involvement in antenatal care among male clients at Masira Health Centre III, Bulambuli District. Methodology A descriptive cross-sectional design. The study population of interest was all male clients attending Masira Health Centre III. A simple random selection technique was used in this study to give equal opportunity to all respondents and to reduce biases. 96 respondents were recruited. Results The majority of the respondents (35.4%) were aged 24-35 years, followed by (29.2%) aged 15- 24 years, (18.8%) aged 35-45 years and the least (16.7%) aged 45 and above years. Most of them (34.4%) were farmers, (20.8%) were businessmen and (17.7%) were civil servants. The majority 91(94.8%) of the respondents knew about antenatal care services while 5 (5.2%) did not know about antenatal care services. The majority of respondents 84 (88%) agreed that men had important roles to play in their partner’s antenatal care services, and 10(10%) disagreed. The majority 75(78%) reported that they have ever accompanied their partners for antenatal care services whereas 21(22%) said that they have never accompanied their partners for antenatal care services. Conclusion A large percentage of respondents had a good knowledge of the necessity of involving them during ANC, their role in accompanying them, the benefits of accompanying them, and the services offered at the Antenatal clinics. Recommendation The health facility should also invest more in sensitization and education campaigns in the communities to ensure that male partners receive adequate information on decisions to improve male involvement in antenatal care services.
Copyright (c) 2024 Derick Kisombo, Alex Katwe (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
FACTORS CONTRIBUTING TO LOW UTILIZATION OF MATERNITY SERVICES AMONG PREGNANT WOMEN ATTENDING NAMUGONGO HEALTH CENTRE III, KALIRO DISTRICT. A CROSS-SECTIONAL STUDY.
Background Maternity services commence right from Antenatal Care (ANC) which includes health education, counseling, screening, treatment, and monitoring of the mother and fetus's condition in utero to promote their well-being up to the time of delivery and postnatal care which includes the care given to the mother after giving birth to ensure wellbeing of both the mother and the baby. Methodology The study employed a cross-sectional descriptive design, using semi-structured questionnaires to collect quantitative data from 59 systematically randomly sampled participants. The data was analyzed using Microsoft Excel and the results presented information charts, tables, and figures. Results It was noted that the majority of the respondents (31%) were aged between (25-34) years, with (40.7%) of the respondents reporting being married and bout (36%) having attained a primary level of education. (61%) of the respondents said that they were aware that health care providers for maternity services were readily available, while (54%) said that their homes were 2-3km from the health facilities, close to (61%) of the respondents said that the health facilities had no privacy in maternity consultation and (49%) said that sometimes there are no enough equipment and medications in the health facilities. (81%) reported that they spend a lot of time waiting for the health workers due to long queues. Conclusions The established factors leading to low utilization of maternity services were: long waiting hours for the maternity services due to long queues, lack of adequate privacy during consultation, and long distances from the health facility. Recommendations There is a need for the government to increase the supply of medical equipment and supplies for maternity services. Health facilities should increase and improve privacy especially when examining patients in maternity units.
Copyright (c) 2024 Lilian Naisusi, Cliffe Atuukuma (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE , ATTITUDE AND PRACTICES TOWARDS THE PREVENTION OF URINARY TRACT INFECTIONS AMONG FEMALE STUDENTS AT KAMPALA SCHOOL OF HEALTH SCIENCES, WAKISO. A CROSS-SECTIONAL STUDY.
Background According to the CDC, UTIs are common infections that happen when bacteria often from the skin or rectum enter the urethra and affect the different parts of the urinary tract. The study aims to assess the Knowledge attitudes and practices toward the prevention of urinary tract infections among female students. Methodology A descriptive cross-sectional study using a random sampling method until 50 respondents were obtained. Students at Kampala School of Health Sciences were selected by convenient sampling. Data was collected through face-to-face interviews using interview guides and pre-tested semi-structured questionnaires. Results Majority of the respondents were aged 21-23years (50%) and 5(10%) were above 26year. (96%) were single and (4%) were married. (72%) gave the meaning of UTIs as the inflammation of both the urethra and the urinary bladder and the least (8%) defined UTI as the inflammation of the vagina and (20%) defined it as inflammation of the urethra, urinary bladder, and vagina. The majority (80%) strongly agreed that early diagnosis and treatment of UTIs can reduce their complications and (4%) disagreed. (70%) strongly agreed that UTIs are common and (10%) disagreed. (70%) cleaned their perineum from front to back after a bowel movement whereas (30%) didn’t. (64%) always emptied their bladder frequently while (36%) emptied their bladder sometimes meaning held urine for a long time. Conclusion Participants had adequate knowledge and reasonable attitude towards UTIs prevention with Most Participants maintaining good hygiene practices that greatly helped in reducing the risk of transmission of Urinary tract infections. Recommendation The administrators of Kampala School of Health Sciences should organize training about UTI prevention for female students such that they improve their knowledge of how to manage UTIs in case they are infected.
Copyright (c) 2024 Render Nalwadda, Were Amiri (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
PREDISPOSING FACTORS TO INCREASED CASES OF ECTOPIC PREGNANCY AMONG PREGNANT WOMEN ATTENDING NDEJJE HEALTHCENTRE IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
Background: Purpose of the study: The purpose of the study is to determine the predisposal factors to increased cases of ectopic pregnancy among pregnant women attending Ndejje Health Centre IV Wakiso district. Methodology: The study employed a cross-sectional descriptive study design using a systematic sampling procedure technique as the study technique on a sample size of 50 respondents. In Semi structured questionnaire, data was entered into a computer and analyzed using SPSS and presented using the Microsoft Excel computer program in the form of tables, pie charts, and bar graphs. Results: (46%) belonged to the age group of 26-34 years and (78%) were married in general. Regarding Individual factors (76%) had their first coitus below 16 years of age, (N=47) had less than five sexual partners, (92%) denied this being their first pregnancy, (86%) had more than one child, (82%, N=41) had ever had a life-threatening gynecological condition and (56%) mentioned Pelvic inflammatory disease. As community-related factors included (92%) in a town setting (94%) denied cigarette smoking (74%) denied taking alcohol and all respondents (100%) denied any cultural surgical practice. Concerning community-related factors: (56%) of respondents agreed to have undergone any surgical operation, (75% N=21) mentioned cesarean section, (64%) agreed to use family planning (59.38%) mentioned injection, (100%) denied having tried to tie their tubes as a family planning method (94% N=47) denied infertility making it weaker risk factor. Conclusion: Pelvic inflammatory disease caused by chlamydia and gonococcal infections due to multiple sexual partners, previous gynecological surgeries, and some family planning methods like IUD are the predisposing factors to increased cases of ectopic pregnancy among pregnant women. Recommendations: Education of the mass on signs of pelvic inflammatory disease and the dangers of delay in seeking medical treatment. Increased funding of reproductive health and screening and treatment of other gynecological conditions.
Copyright (c) 2024 KENNETH ASIIMWE , SANIA NAKASOLO (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
FACTORS CONTRIBUTING TO INCREASED CASES OF URINARY TRACT INFECTION AMONG PREGNANT WOMEN ATTENDING DR. RONALD BATTA MEMORIAL HOSPITAL, WAKISO DISTRICT. A CROSS-SECIONAL STUDY.
Purpose of the study. The study was to determine the factors contributing to increased cases of urinary tract infection among pregnant women attending DR. Ronald Batta Memorial Hospital, Wakiso district. Study methods/design. The study employed a cross-sectional design; a simple random sampling technique was used. Data was collected on a sample size of 50 respondents using a semi-structured questionnaire with closed and open-ended questions. Data was analyzed manually and entered in a computer using Microsoft Excel computer program to generate tables, pie charts, and bar graphs. Results. The study findings on factors contributing to increased cases of urinary tract infection among pregnant women showed that (76%) of the respondents wore non-cotton garments, (84%) cleaned forward to backward based on anal cleaning direction,(64%) douched with soap while bathing, (78%) did not flash the toilet before use, (84%) used public toilets/ latrines, (66%) had no knowledge about the cause of urinary tract infection, (56%) bathed once a day, (72%) douched after having sex, (78%) were prime gravida mothers, (62%) were in their second trimester of pregnancy, (88%) had a history of urinary tract infection, (78%) had no children. Conclusion. Generally, the researcher concluded that the findings of the study were attributed to a lack of knowledge about UTI, risk factors and their prevention, late diagnosis of the infection, anti-microbial resistance to drugs, changes in the urinary tract, and immunological changes of pregnancy. Recommendations. The researcher recommends that: there should be an introduction of culture and sensitivity of every pregnant woman especially those with a history of urinary tract infection to get the appropriate treatment and hence reduce antimicrobial resistance. More so, pregnant women should be educated about the causes and preventive measures of urinary tract infections during antenatal visits.
Copyright (c) 2024 PRIVAS NYAKATO NINSIIMA , SANIA NAKASOLO (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE, ATTITUDE AND PRACTICES TOWARDS THE USE OF FOLIC ACID AMONG PREGNANT WOMEN AGED 18-45 YEARS AT KITEBI HEALTH CENTRE III, KAMPALA DISTRICT. A CROSS SECTIONAL STUDY.
The purpose of the study Was to assess the knowledge, attitude and practices toward the use of folic acid among pregnant women aged 18-45 years at Kitebi health center III, Kampala district. Methodology A cross sectional study design, with simple Radom sampling as the sample technique. Data was collected on sample size of 50 respondents using semi structured questionnaires written in English language with open ended questions as data collection tools, analysis was done manually using tally sheets, pen and paper, entered in excel computer program presented in tables and figure then interpreted. Results (78%) had ever heard of folic acid, (60%) knew green leafy vegetables contained folic acid, (70%) knew anemia as a defect that arises from deficiency of folic acid. (66%) of the respondents would advise a fellow pregnant woman to take folic acid, (50%) agreed that folic acid supplements prevent anemia. (34%) of the respondents continued taking folic acid supplements after delivery, (80%) had ever taken folic acid before, (60%) took folic acid regularly and at the right time Conclusion Despite the fact that knowledge, attitude and practices towards the use of folic acid among pregnant women aged 18-45 years were fairy noted worth but the study established a research gap in regarding awareness of folic acid, defects that arise from deficiency of folic acid and the fact that a handful of respondents were taking green leafy vegetables on a daily basis which needed to be addressed for equitable prevention of NTDs Recommendation Health workers at Kitebi health center III should continue sensitizing pregnant women about the importance of regular ATN care visits and educating them about the general uses of folic acid as to close the research gaps.
Copyright (c) 2024 VIOLA NASSEJJE, AMIRI WERE (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE OF THE USE OF HERBAL MEDICINE AMONG PREGNANT WOMEN ATTENDING THE ANTENATAL CLINIC OF JINJA REGIONAL REFERRAL HOSPITAL. A CROSS-SECTIONAL STUDY.
Purpose The aim of the study was to determine knowledge towards the use of herbal medicine among pregnant women attending the antenatal clinic of Jinja regional referral hospital, Jinja district. Methodology The study adopted a descriptive cross-sectional study design. The study was carried out from May 2023 to October 2023. Results Out of the 50 respondents who participated in the study, half 25 (50%) were within the age bracket of 25-32 years whereas the least 2 (4%) were within the age bracket of 40-45 years. More to that, (85%) of the respondents had heard about herbal medicine, (55%) got the information from friends and relatives, (52%) gave others as side effects of herbal medicine, (56%) knew that herbal medicine are from plant sources. Conclusion The study established that the knowledge towards herbal medicine was reasonable since majority (85%) of the respondents had ever heard about herbal medicine. Pregnant women had fairy adequate knowledge towards herbal medicine use. Recommendation The ministry of health through the National Drug Authority should carry out more studies and clinical trials on the various herbal medicines used during pregnancy to rule out harmful actives.
Copyright (c) 2024 VIOLA JACKLINE MUFUMBIRO , AMIR WERE (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
FACTORS CONTRIBUTING TO ATTENDING TRADITIONAL BIRTH ATTENDANTS AMONG PREGNANT MOTHERS AGED 18-45 YEARS IN DRANYA SUB-COUNTY, KOBOKO DISTRICT: A CROSS SECTIONAL STUDY.
Background The study was to determine factors contributing to attending traditional birth attendants among pregnant mothers aged 18-45 years in the Dranya sub-county, Koboko district. Methodology The study employed a descriptive cross-sectional design; a Convenience sampling technique was used. Data was collected on a sample size of 50 respondents. A semi-structured questionnaire with closed and open-ended questions in different sections of A, B, C, and D was used as a data collection tool. The study population was pregnant mothers aged 18-45 years. Results The study findings on factors contributing to attending traditional birth attendants among pregnant mothers aged 18-45 years showed that (72%) of the respondents believe in TBAs, (76%) of the respondents agreed that the TBAs are friendly to them, (64%) of the respondents are in polygamous marriages, (92%) of the respondents agreed that the services provided by TBAs are cheap and affordable, (90%) of the respondents reported that maternity services provided by the maternity service providers are not friendly and (68%) reported that they are not affordable. Conclusion The researcher concluded that the findings of the study were attributed to TBAs being friendly to pregnant mothers, availability and accessibility of TBAs in their communities, being in polygamous marriages, being gravid mothers, cheap and affordable services offered by TBAs, expensive costs of maternity services at the health facilities. Recommendations The researcher recommended that: the government should construct health facilities in their communities so that pregnant mothers can access the services. The Ministry of health should empower the Village Health Team to educate pregnant mothers and create awareness about the importance of attending maternity services from health facilities provided by the well-trained healthcare provider.
Copyright (c) 2024 JOYCE KUJANG , Dr. SIDA HARRISON (Author) https://creativecommons.org/licenses/by-nc-nd/4.0
KNOWLEDGE, ATTITUDE AND PRACTICES TOWARDS THE USE OF INSECTICIDE-TREATED MOSQUITO NETS AMONG PREGNANT WOMEN AT KASANGATI HEALTH CENTRE IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
The purpose of the study To assess the knowledge, attitude and practices towards use of insecticide treated mosquito nets among pregnant women aged 18-45 years at Kasangati health centre IV, Wakiso district. Methodology The study employed a descriptive cross-sectional design with simple random technique as the sampling technique. Data was collected using a semi-structured questionnaire written in English language from 50 respondents; later analyzed manually by use of tally sheets, entered in Microsoft excel computer program and presented in frequency tables, and figures. Results All respondents had ever heard about insect treated mosquito nets, (54%) obtained information about insecticide treated mosquito nets from health facilities, (80%) knew that ITNs prevents malaria among pregnant women. Almost all respondents (90%) perceived insecticide treated mosquito nets as very important to pregnant women, (92%) agreed that it was necessary for every pregnant woman to sleep under ITNs. (40%) of respondents had attended three ANC visits, (98%) had a treated mosquito net, (70%) always use the mosquito nets, (66%) reported that they use ITNs to prevent themselves from malaria infection, (54%) reported that they maintain their mosquito nets at home by folding them every morning to prevent holes and (50%) always take IPTp. Conclusion The knowledge and attitude were genuinely inspiring but for reasonable bridging of the in-depth research gap practices slightly could be improved on since the researcher noticed un fully uptake of IPTp due to low ANC attendance. Recommendation There’s need for Kasangati heath centre IV administration to sustain continuous education programs during antenatal care services on the importance of ITNs more so with malaria control and preventing the risk of anemia, low birth weight and death in order to achieve equitable practices towards use of ITNs.
Copyright (c) 2024 RACHEL KANYESIGYE , Amiri Were (Author) https://creativecommons.org/licenses/by-nc-nd/4.0