Browsing by Author "Mandera, Immaculate"
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Item Open Access Prevalence of and Risk factors associated with hypertension: a community based- cross sectional study in Ndorwa West Health Sub District, Kabale district, southwestern Uganda.(Kabale University, 2024) Munezero,Tamu John Bosco; Mfitumukiza, Valence; Okafor, Christiana Nkiru; Mandera, Immaculate; Kabami, Jane; Arineitwe, Edward Bwengye; Namuyibwa, Lydia; Izo, Herbert; Baikaitwoha, Everd M.; Okonkwo, Uchenna ProsperGlobally, one billion people have hypertension (HT), it kills 9.4 million people annually. Prevalence is higher in developed countries and is rapidly rising in developing countries, and approximately 31.5% of Ugandans have HT. This study aimed to determine the prevalence of and risk factors associated with HT among adults aged 25–65 years in the Ndorwa West HSD, Kabale District. A community-based cross-sectional survey was conducted with 381 adults aged 25–65 years in Ndorwa West HSD, using a modified WHO STEPwise approach to chronic disease risk factor surveillance. Chi-square tests with 95% Confidence Intervals (CI) and p-values less than 0.05, were used to assess the association between hypertension and associated factors. Odds Ratios (OR) with their corresponding 95% confidence intervals (95% CI) estimated the risk. The prevalence of HT and pre-HT in Ndorwa HSD was 28.3% and 45.7%, respectively. 61.8% (n = 243) were females and 36.1% (n = 142) were males with a mean age of 48.18 years and standard deviation of 11.5 years. The mean Body Mass Index (BMI) was 25.92 kg/m2 and the standard deviation was 3.69 kg/m2. Only Age (p = 0.010, OR = 1.81(1.14–2.87) and level of education (p = 0.04) were significantly associated with hypertension. age ≥ 45years increased the likelihood of developing HT by 0.81 times. Behavioral factors associated with HT included awareness of the BP status (p = 0.010, OR = 0.53(CI: 0.32–0.87),use of fats/oil for cooking (p = 0.02, OR = 1.73 (CI: 1.09–2.75)), reduced salt intake (p = 0.001, OR = 0.075(CI:0.01–0.55)), and overweight and obesity (BMI) level ( p = 0.010, OR = 1.77 (CI 1.12–2.80)). BMI ≥ 25kg/m2 increased the likelihood of developing HT by 0.77 times. The prevalence of HT and pre-HT in this rapidly transitioning rural–urban population was high. The risk of CVDs is about 16 folds higher among pre-HT compared to no HT and doubles for every 10-mmHg increase in BP. Hence, the considerable risk and burden of HT and related CVDs that require a dire need to adopt strategies to prevent and control hypertension based on the identified associated risk factors in Ndorwa HSDItem Open Access Utilization of Educational School Facilities Among Students in a Selected Tertiary Institution in South East Nigeria.(Kabale University, 2024) Okoro, Amarachukwu Doris; Okafor, Christiana Nkiru; Menkiti, Ifeoma Oluchukwu; Egbuna, Maryann Chioma; Munezero, Tamu John Bosco; Mandera, Immaculate; Okoro, Chukwuemeka ChukwubuikemBackground: Educational school facilities are indispensable in the teaching and learning process because they enhance understanding, application, and retention of knowledge. Despite the importance of these educational facilities in increasing the performance of students, studies assessing their utilization are scarce. Objectives: The objective of the study was to assess the utilization of educational school facilities among students of a Nursing training institution in South East Nigeria. Methods: The study was a cross-sectional, descriptive, non-experimental, questionnaire-based study. A stratified sampling technique was used to select 130 students from the first, second, and third years who participated in the study. Results: There was poor utilization of the demonstration room partly due to the poor equipment of the laboratory and the school policy of insisting that the student replace any damaged item. There was poor utilization of the computer laboratory for learning mostly due to the non-availability of internet services. Conclusion: We recommend that government and non-governmental agencies join hands in re-equipping the educational facilities and provide the needed manpower to make the facilities suitable and conducive for students.