Kabale University Digital Repository (KAB-DR)
KAB-DR preserves research output from the Kabale University community
Communities in KAB-DR
Select a community to browse its collections.
- The collections in this Community are comprised of Indigenous Knowledge emanating from communities in the neighborhoods of Kabale University. These are communities in the great Kigezi Region.
- This community holds students (Graduates) dissertation and Thesis, Staff field reports, Students (undergraduate) study reports
- The community includes research article publications in journals both local and international, conference papers in proceedings and reports, abstracts and reviews by Kabale University Staff and Students
- This community archives publications by individual University Staff and Students, Faculty and Departmental Publications (i.e. University Journal, Newsletters, University official publications etc.), groups and Association operating in the University (i.e. Convocation and Staff and Students Association}
Recent Submissions
Operationalization of the Decentralized Policy Framework in Uganda: An Examination of the Key Milestones and Challenges.
(Kabale University, 2024) Mugavu, George; Mucunguzi, Abel
Decentralization in Uganda has been considered one of the most instrumental and partly successful policies amongst most of the policies that have been implemented under the National Resistance Movement Government. This is attributed to a well streamlined governance structure with connected checks and balances in case of any breach of the rules of procedure of implementation on providing services by a particular individual or individuals working or acting in a particular local government office. Of course there are governance challenges notably corruption, bribery and embezzlement of funds, political pressures and patronage all of which
deter local governments from achieving their set goals and objectives. In this paper we attempt to review and assess the governance of the decentralization policy in Uganda concentrating on the key milestones and failures.
Education of nurses in Rural Primary Health Cares to Improve Vital Care of Newborns: A Community-Based Research in Nigeria.
(Kabale University, 2023) Eze, Nkiru Clementina; Elusoji, Christiana I.; Okafor, Christiana Nkiru; Emeh, Augusta Nkechi; Nwafor, Amuchechukwu Veronica; Obi, Ihuoma A.; Onyeabor, Juliana Odinakachukwu; Ohanme, Eugene Ohams
This study was designed to ascertain the level of knowledge and the degree of practice of the components of Essential New-born care (ENC), and the effects of a training program on the knowledge and practice of ENC among nurses in rural Primary Health Care (PHCs) in South East Nigeria. This study was a one-group pre-test and post-test intervention design. The components of ENC considered were: New-Born Initiation of Breastfeeding, Thermoregulation, New-Born Cord Care, Newborn Eye Care, Initiation of Breathing, and Administration of Vitamin K. A Neonatal care Knowledge and Practice Assessment (NCKPA) Questionnaire tested for validity and reliability, with a Spearman’s correlation coefficient of 0.81, was used for data collection among the (96) available nurses (All-female). There was a significant improvement in the level of knowledge and extent of practice of the components of ENC following the training program. Despite the improvement, there were gaps in knowledge and practice of the components of ENC amongst the nurses in rural PHCs and affected were the level of knowledge of Eye care 40(41.6%) - pre-intervention, and least knowledge of cord care 70 (72.9%) and eye care 90(93.8%) - post-intervention. The increase in knowledge corresponded with an increase in good practice of ENC. The concern with knowledge transfer and translation of knowledge into practice could be achieved by pre-service and in-service education, updated courses, and workshops, and this will empower the nurses, getting them familiar with current trends and practices for improved child survival rates.
Impact of Essential Newborn Care education on Knowledge and Practice of New-Born Care among Nurses in Rural Primary Health Centres in Ebonyi State of Nigeria.
(Kabale University, 2023) Eze, Clementina N.; Elusoji, Christiana I.; Okafor, Christiana N.; Emeh, Augusta N.; Obi, Ihuoma A.; Odira, Chika C. H.; Onyeabor, Juliana O.; Nwafor, Amuchechukwu V.; Ohanme, Eugene O.
Background: This study was designed to determine the level of knowledge and the extent of the practice of the components of essential new-born care (ENC), and the effects of a training program on the knowledge and practice of ENC among nurses in rural primary health care (PHCs) in Ebonyi state Nigeria.
Methods: This study was a one-group pre-test and post-test intervention design. The components of ENC considered were: New-born initiation of breastfeeding, thermoregulation, new-born cord care, newborn eye care, initiation of breathing, and administration of vitamin K. A neonatal care knowledge and practice assessment (NCKPA) questionnaire tested for validity and reliability, with a Spearman’s correlation coefficient of 0.81, was used for data collection among the (48) available nurses (All-female).
Results: There was significant improvement in the level of knowledge and extent of practice of the components of ENC following the training program. Despite the improvement, there were gaps in knowledge and practice of the components of ENC amongst the nurses in rural PHCs and affected were the level of knowledge of eye care 20 (41.6%) pre-intervention, and the least knowledge of cord care 35 (72.9%) and eye care 45 (93.8%)-post-intervention.
Conclusions: An increase in knowledge corresponded with an increase in good practice of ENC. The concern with knowledge transfer and translation of knowledge into practice could be achieved by pre-service and in-service education, updated courses and workshops, and this will empower the nurses, getting them familiar with current trends and practices for improved child survival rate.
A 5-year Retrospective Review of the Presentation Pattern and Management outcomes of Uterine Fibroids in a Nigerian Tertiary Hospital.
(Kabale University, 2024) Madunatu, Chimezie Michael; Okoro, Chukwuemeka Chukwubuikem; Onyejiaka, Chukwudubem Chinagorom; Enechukwu, Chukwunonso Isaiah; Ofojebe, Chukwuemeka Jude; Ani, Vincent Chinedu; Eleje, George Uchenna; Mbachu, Ikechukwu Innocent; Okafor, Chigozie Geoffrey; Okoro, Amarachukwu Doris; Okafor, Christiana Nkiru; Oguejiofor, Charlotte Blanche; Eze, Stephen Chijioke
Background: Uterine fibroids are a common gynecological condition affecting reproductive-age women. Although fibroids are considered benign, they are a cause of major quality-of-life issues for women in their reproductive age.
Objectives: To determine the prevalence, pattern of presentations and management outcomes of uterine fibroids over 5 years.
Materials and Methods: This is a retrospective review of the prevalence, clinical presentations, and outcome of the management of uterine fibroid over 5 years (between January 1st, 2017, and 31st December 2021) at Nnamdi Azikiwe University Teaching Hospital (NAUTH). The case files of women who were managed for uterine fibroid during this period were obtained from the hospital’s Health Records department to extract relevant information. The social, demographic, and clinical data of the subjects were extracted using a designed proforma. The outcome measures included the prevalence, clinical presentations, and management outcomes of uterine fibroids. Data was analyzed using the SPSS 26.0 IBM Corporation.
Results: The prevalence of uterine fibroids was 10.7% of all gynecological cases that were presented to the clinic. Participants, mean age was 39.11±7.01 years, most (75.4%) being nulliparous. Abdominal swelling was the commonest (62.3%) pattern of presentation and most of the subjects presented late with a mean duration of symptoms of 38.2±9.82 months. Surgery was the commonest method of treatment with myomectomy being the modality used in 86.5% of subjects. The common postoperative complication was anemia which was reported in 15.2% of the subjects.
Conclusion: Uterine fibroid prevalence in this review of 10.66% is high and so also are the associated complications. The symptoms correlate with delayed presentations common in our locality. Surgical management comprising predominantly myomectomy and hysterectomy remained the commonest treatment option in our environment.
Self-Care Practices and the Associated Socio-Demographic Variables of Persons with Type 2 Diabetes Mellitus (T2dm) in Southeast, Nigeria.
(Kabale University, 2024) Okafor, Christiana Nkiru; Okonkwo, Uchenna Prosper; Ani, Kenneth Umezulike; Onuora, Ethel Ogoemeka; Nwokike, Mathew; Byabagambi, Jane Turyasingura; Tamu, JohnBosco Munezero; Mfitumukiza, Valence; Nwankwo, Mercy Chinenye; Tumusiime, Alex
Objective: The study was aimed at assessing the self-care practices and the associated socio-demographic variables of persons with T2DM in South East, Nigeria.
Methodology: A cross-sectional study involving 382 persons with T2DM proportionately selected from 4 tertiary health institutions in South Eastern, Nigeria. Data was collected using the Summary of Diabetes Self-Care Activities (SDSCA) and a researcher-developed questionnaire.
The questionnaire was administered to persons with T2DM who attended a diabetic outpatient clinic. Data collected was analyzed
in frequency percentage. Responses on SDSCA were ranked and rated as poor, moderate, and good self-care behavior. The level of significance was placed at P < .05.
Result: The majority of the participants were within the age groups of 40 to 59 (46.9%) and 60 and above (46.9%); the majority (74.6%)
were married while a good proportion were traders (59.7%). Also, the majority of participants (81.2%) were on oral hypoglycemic agents.
Findings further showed that a good proportion (51.3% and 89.8%) of study participants had good self-care behavior in diet and medication
domains respectively. Whereas the proportion of participants with poor self-care behavior was very high in foot care (75.1%) and fairly high
in both self-blood sugar testing (37.7%) and exercise (37.2%) domains. Only 7.9% practiced 3-monthly laboratory blood glucose testing while
16.5% went for eye checks every 6 months.
Conclusion: Individuals with diabetes mellitus have poor self-management behavior in most domains of the self-management practice.
Age, gender, marital status, educational level, and occupation significantly influenced self-management practices. Hence nurses and health
educators should take diabetes self-management education very seriously to help diabetes sufferers improve their self-management