Diploma in Clinical Medicine and Community Health(DCM)

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Browsing Diploma in Clinical Medicine and Community Health(DCM) by Subject "Antenatal care"

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    Assessment of knowledge, attitude and practices of men towards accompanying their spouses for antenatal care at KIUTH Bushenyi District
    (Kampala International University, School of Allied Health Sciences, 2017-04) Tusimire, Mercy
    Back ground: Male involvement in reproductive health is a complex process of social, behavior emotional and psychological change that requires men to play more responsible role in reproductive health Males’ involvement in antenatal care through accompanying their spouses for antenatal care service has greatly reduced on mental mortality and mobility from pregnancy related complications. Significance of study: The study is aimed at .assessing the knowledge attitude and practices of men towards accompanying their spouses for antenatal care at KIUTH Bushenyi Uganda descriptive cross-section design quantize bin nature was used . Convenient sampling methods was employed to recruit sixty seven respondents Methods: Questionnaire was used for data collection and data was analyzed manually. Results: 67.2% of respondents stated that there was need for men to accompany their spouses for antenatal care services. 32.8% stated that it was not necessary for men to accompany their spouses from antenatal care services Conclusion: The research concluded that most of the men knew the importance for escorting their spouses for antenatal care service but they did not know they benefited from the services offered and their roles as far as antenatal care service are concerned
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    Factors influencing the ineffective male involvement in antenatal care In Ishaka Municipality, Bushenyi District, Uganda
    (Kampala International University, School of Allied Health Sciences, 2017-07) Opio, Jacob
    Introduction: Male involvement in antenatal care as one of the major aspects of maternal health care is an important strategy in reducing preventable maternal morbidity and mortality worldwide (Singh et al.,2012). Due to the low male involvement in antenatal care among other factors, the country continues to have one of the highest MMR at 137 per 1,000 live births (Tweheyo et al., 2010). Antenatal care visits are an ideal time to advise mothers with their partners and families on essential pregnancy care to reduce stillbirths and neonatal deaths and develop a birth preparedness plan (Lincetto et al., 2006). Methodology: The researcher employed a quantitative cross sectional study design and the study population involved all married men or men who had ever had spouses in Ishaka municipality, Bushenyi district. Simple sampling technique was used. Data was collected using interview guided questionnaires formulated in English and subsequently analysed using SPSS 16.0. Data was then presented inform of tables, pie charts and graphs. Results: One hundred and twenty males in Ishaka municipality participated in the study. The average age of the participants was 38.0 (SD ± 1.41) and age range was 17- 75 years. The majority of respondents 46(38.3%) were between the age of 35 and 44 years, 81 (67.5%). Banyankole .The majority of respondents 64(53%) have low levels of knowledge on male involvement in antenatal care. Commonly agreed barriers to male involvement included too much waiting time at the ANC,nature of spouses’ occupation, fear of positive HIV results, long distance to ANC clinic,91(75%) ,80(66.7%), 68(56.7%), (51.7%) respectively. Enormous number 85(70.8%) of respondents agree that creation of awareness among men through traditional authorities can promote male involvement in antenatal care Conclusions: This study concluded that, factors influencing male involvement in antenatal care included family Monthly income, distance from health, Alcoholism unit and level of knowledge of respondents. The majority of respondents had low levels of knowledge on male involvement in antenatal care. Time wasting during antenatal visits was the commonest agreed barriers to male involvement during antenatal visit. Recommendation: The study recommended the need to increase men’s knowledge on male involvement in ANC through massive campaign in Ishaka municipality.
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    Factors that lead to utilisation of antenatal care in Ruhinda Health Centre 111 Rukungiri District
    (Kampala International University, School of Allied Health Sciences, 2017-07) Amutuhaire, Pamella
    Globally every year 529000 maternal deaths occur, 99% of this are in developing countries. Provision of early ANC was regarded as a cornerstone for improving maternal and perinatal outcomes and it included improving women's knowledge on Prevention of Mother to Child Transmission of HIV (PMTCT) services. The World Health Organization (WHO) recommended a minimum of four antenatal visits, which ideally should have been initiated in the first 12 weeks of gestation (UNAIDS 2010). This recommendation was based on a review of the effectiveness of different models of ANC. The recommended care included: blood testing to detect syphilis and anemia, blood pressure measurement, urine test, weight and height and HIV counseling and testing which was included at a later stage (UNAIDS 2010). Globally 70% of women accessed ANC at a least once in pregnancy, thus making an opportunity to provide a broad range of health activities (WHO 2011). According to the United Nations (UN 2010) 150 million women become pregnant and out of these 25 million that was 15% developed complications which required skilled treatment. It was also reported that out of these 500,000 died as a result of these complications in Africa. Utilization of the health services was a combination of the supply side and demand side where demand side were issues like perception of the quality offered and supply side included issues like access to health services, financial and geographical(MOH,2013), If these two sides were moving in the same direction the perception of care was said to be good.
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    Prevalence of malaria among pregnant mothers attending antenatal care at Atutur Hospital Kumi District Uganda
    (Kampala International University, School of Allied Health Sciences, 2017) Akol, Tophistar
    This chapter deals with background of the study, global malaria burden, burden of malaria in pregnancy in Africa, burden of malaria in pregnancy in Uganda, problem statement, study objectives, research questions, study justification, conceptual frame work and scope of the study. 1.1 BACKGROUND OF THE STUDY Globally, Malaria is a life threatening parasitic disease transmitted by female Anopheles mosquitoes. More than 40% of the world population lives in malarias areas(World Health Organisation., 2010). According to the report, there were 212 million new cases of malaria worldwide in 2015 (range 148–304 million). The WHO African Region accounted for most global cases of malaria (90%), followed by the South-East Asia Region (7%) and the Eastern Mediterranean Region (2%) (WHO, 2016a). In 2015, there were an estimated 429 000 malaria deaths (range 235 000–639 000) worldwide (WHO, 2016a). Malaria infection during pregnancy is a major public health Problem in tropical and subtropical regions throughout the world (WHO, 2010). The burden of malaria infection during pregnancy is Caused mainly by Plasmodium falciparum (P. falciparum), the most common malaria species in Africa (World Health Organisation., 2010). P. falciparum infection in pregnancy leads to parasite sequestration in the maternal placental vascular space, with consequent maternal anemia and infant low birth weight (LBW) due to both prematurity and intrauterine growth retardation (IUGR). Malaria control still remains a challenge in Africa where 45 countries, including Nigeria, are endemic for malaria, and about 588 million people are at risk (World health organization, 2013). The protection of pregnant women living in malaria-endemic countries has been of particular interest to many National Malaria Control Programme because of their reduced immunity. Most cases of malaria in pregnancy in areas of stable malaria transmission are asymptomatic (Wellington, 2009). To assess the magnitude of the burden of malaria in pregnancy and its contribution to infant mortality, we evaluated data from published and unpublished studies during the last 15 years (1990–2005) and focus on sub-Saharan Africa, where data are most available. Because of the multiple pathways for the chain of events between maternal malaria infection and infant mortality, we specifically sought studies that evaluate malaria, anemia, and HIV infection and their contribution to low birth weight and potentially to infant mortality. There is a paucity of population-based data on malaria in pregnancy in settings of low malaria endemicity. Between 2010 and 2015, malaria incidence rates (new malaria cases) fell by 21% globally and in the African Region. During this same period, malaria mortality rates fell by an estimated 29% globally and by 31% in the African Region (WHO, 2016a).