Browsing by Author "Nwankwo, Chinenye Mercy"

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    Effect of Educational Intervention Program on Self-Efficacy of Individuals with Type 2 Diabetes Mellitus in South-East, Nigeria.
    (Kabale University, 2024) Okafor, Christiana Nkiru; Onyenekwe, Chinedu Charles; Okonkwo, Uchenna Prosper; Umunnah, Joseph Onuuwa; Okoro, Chukwuemeka Chukwubuikem; Mbanuzuru, Ahaoma Victor; Agunwah, Ukamaka Elizabeth; Odira, Chika Chioma; Makata, Eucharia Ngozi; Nwankwo, Chinenye Mercy
    Objectives: Diabetes Mellitus is a chronic disease, which requires a level of confidence among the sufferers in its management. This study investigated the effect of an educational intervention program on self-efficacy (SE) in diabetic individuals with type 2 diabetes mellitus in South-East, Nigeria. Methods: The study was a quasi-experimental controlled study, comprising 382 individuals with type 2 DM selected, and assigned to intervention (IG) and control groups (CG). The instrument for data collection was the Stanford Chronic Disease Self-Efficacy Scale (SCDS). Pretest data were collected, and thereafter education on diabetes management was given to the IG group. The IG was followed up for 6 months. At the end of 6 months, post-test data were collected using the same instrument. Data were analyzed using Pearson Chi-square test statistics. A P-value less than .05 alpha level was considered significant. Results: There was no statistically significant difference between the two groups before intervention. However, after 6 months of intervention, a significant proportion of participants’ scores in IG moved from low to either moderate or high SE in almost all the SE domains (P < .05. Conclusions: There was an improvement in most domains of self-efficacy in the intervention group after 6 months of educational intervention.
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    Factors associated with knowledge on the spread of HIV/AIDS among Secondary School Students of Groupe Scolaire De Rugando in Kigali City, Rwanda.
    (Kabale University, 2024) Nwankwo, Chinenye Mercy; Uwizeye, Denyse Sibomana
    Human Immunodeficiency Virus has continued to spread in most countries, including Rwanda. Youths are particularly vulnerable to HIV/AIDS because they are not sufficiently prepared to address problems related to their sexuality and also because they do not have enough real knowledge about HIV and AIDS. The study assessed factors associated with knowledge of the spread of the Human Immunodeficiency virus (HIV) among students of Groupe Scolaire de Rugando in Kigali City, Rwanda. The study adopted a descriptive cross-sectional approach among the target population of 950 students in the secondary school of Groupe Scolaire de Rugando. About 108 students were randomly selected using the systematic sampling method. Self-administered structured questionnaires were used for data collection for one month with the help of a trained research assistant. The study instrument was pilot-tested in a mission secondary school outside the study population and further validation was carried out before it was administered based on consent. The most common predisposing factors in the study to adolescents to HIV/AIDS were curiosity and the need to experiment. The study findings showed that 78% accepted that HIV is transmitted by engaging in unprotected sexual intercourse with an infected person, 65% accepted that the presence of other sex partners increases the risk of contracting HIV, 69% accepted that regular use of condoms helps to reduce the risk of contracting HIV and 55% accepted that by reducing the number of sexual partners, chances of HIV infection are reduced. Additionally, 44 (43.14%, C. I.: 33.37-53.32) of the students indicated that they had previously engaged in sex, while 58 (56.86%, C. I: 46.68-66.63) showed that they did not engage in sexual practice. The majority of the students who had engaged in sex had never used a condom (59.09%). The usage of condoms was perceived by respondents that it does not allow their partner to enjoy sex. This study recommends the need to design interventions that aim to raise awareness of the negative consequences of risky sexual behaviors; increase the availability and accessibility of condoms; fight against the entry of drugs into the country as well as their circulation and accessibility to the youth and finally, guidance and counseling services should be introduced in schools.
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    The Factors Associated with Utilization of Sexual and Reproductive Health Services Among Batwa Adolescents in Kisoro District Uganda: A Cross-Sectional Study.
    (Kabale University, 2024) Kyambade, Robert; Nwankwo, Chinenye Mercy; Tamu, Munezero J.B.; Okafor, Christiana
    BACKGROUND: Adolescents’ sexual and reproductive health (SRH) needs are crucial and meeting such needs presents with a unique challenge among minority and marginalized populations, such as the Batwa of southwestern Uganda. OBJECTIVE: The study investigated the factors influencing utilization SRH among Batwa minority adolescents in Kisoro district. METHODS: A cross-sectional study was adopted, incorporating both qualitative and quantitative methods. Data was collected from a random sample of 241 adolescents from a target population of 608 aged 10–18 years using validated interviewer-administered questionnaires, focus group discussions, and key Informants interviews. Qualitative data were coded into themes and analyzed thematically, while quantitative data was analyzed using frequencies, Chi-square tests, and multinomial logistic regression. RESULTS: The majority of adolescents (59.3%, CI: 52.84 - 65.60), were aware of the voluntary counseling services provided, 76.8% (CI: 70.91 - 81.94) were aware of family planning services, but 53.5% (CI: 47.01 - 59.95) were not aware of SHR related issues. About 44.8% (CI: 38.24 - 51.36) had visited health facility once in the past year, while 55.2% (CI: 48.67 - 61.57) had never utilized adolescent SRH. Furthermore, 71.8% (CI: 65.43 - 77.47) were aware of adolescent-friendly SRH services. Factors associated with SRH service utilization included education (p = 0.029), source of medical services (p< 0.001), and proximity to health facilities (p < 0.001). Findings from the multinomial logistic regression showed that SRH services utilization was associated with an increased odd of distance to health facilities (OR 3.74, 95% CI: 1.86 - 7.53). CONCLUSION: The study highlights high levels of SRH services awareness but low levels of utilization among Batwa adolescents. Strategic planning of reproductive health service programs in Batwa communities is strongly recommended to enhance accessibility, service ownership and utilization.
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    The Factors Associated with Utilization of Sexual and Reproductive Health Services Among Batwa Adolescents in Kisoro District Uganda: A Cross-Sectional Study.
    (Kabale University, 2024) Kyambade, Robert; Nwankwo, Chinenye Mercy; Tamu, Munezero J.B.; Okafor, Christiana
    Background: Adolescents’ sexual and reproductive health (SRH) needs are crucial and meeting such needs presents a unique challenge among minority and marginalized populations, such as the Batwa of southwestern Uganda. Objective: The study investigated the factors influencing the utilization of SRH among Batwa minority adolescents in the Kisoro district. Methods: A cross-sectional study was adopted, incorporating both qualitative and quantitative methods. Data was collected from a random sample of 241 adolescents from a target population of 608 aged 10–18 years using validated interviewer-administered questionnaires, focus group discussions, and key informants interviews. Qualitative data were coded into themes and analyzed thematically, while quantitative data was analyzed using frequencies, Chi-square tests, and multinomial logistic regression. RESULTS: The majority of adolescents (59.3%, CI: 52.84 - 65.60), were aware of the voluntary counseling services provided, 76.8% (CI: 70.91 - 81.94) were aware of family planning services, but 53.5% (CI: 47.01 - 59.95) were not aware of SHR related issues. About 44.8% (CI: 38.24 - 51.36) had visited health facilities once in the past year, while 55.2% (CI: 48.67 - 61.57) had never utilized adolescent SRH. Furthermore, 71.8% (CI: 65.43 - 77.47) were aware of adolescent-friendly SRH services. Factors associated with SRH service utilization included education (p = 0.029), source of medical services (p < 0.001), and proximity to health facilities (p < 0.001). Findings from the multinomial logistic regression showed that SRH services utilization was associated with an increased odd of distance to health facilities (OR 3.74, 95% CI: 1.86 - 7.53). Conclusion: The study highlights high levels of SRH services awareness but low levels of utilization among Batwa adolescents. Strategic planning of reproductive health service programs in Batwa communities is strongly recommended to enhance accessibility, service ownership, and utilization.