Browsing by Author "Mfitumukiza, Valence"

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    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 Prosper
    Globally, 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 HSD
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    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