Kabale School of Medicine (KABSOM)

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http://hdl.handle.net/20.500.12493/226

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Browsing Kabale School of Medicine (KABSOM) by Subject "Factors Associated"

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    Factors Associated with Male Partner Support During Pregnancy and Child Birth in Kabale District.
    (Kabale University, 2024) Niwarinda, Denesi
    Background: Pregnancy and childbirth are natural processes but by no means risk-free. Efforts to improve maternal and child health services have been made, but poor outcomes of pregnancy and child’s birth remain high in Sub-Saharan Africa. The study sought to assess factors associated with male partner support during pregnancy and childbirth in selected public and faith-based health facilities in Kabale district in Uganda. Methods: The study employed a descriptive cross-sectional design using a quantitative approach to assess 318 mothers using a convenience sampling method. Both predictor variables including health facility service factors, social-cultural factors, and demographics as well as support as an outcome were assessed using a semi-structured questionnaire. Quantitative data generated from the field was analyzed using descriptive and inferential statistics and presented in frequencies and percentages, and logistics regression was used to trace the associations between study variables and male partner support during pregnancy and childbirth at a 0.05 level of significance. Results: The main findings of the study indicate that 216/318 (68%) had low male partner support during pregnancy and childbirth and only 102(32%) had high male partner support during pregnancy and childbirth. The study found a significant association between health-related factors and the support women receive from their male partners (OR=1.16, 95%CI: 1.08 to 1.25, p<0.001). Additionally, contextual / social-cultural-related factors were also significantly associated with the support women received from their male partners during pregnancy and childbirth (OR=1.19 95%CI: 1.03c to 1.38, p=0.017). Conclusion: The study recommends building the capacity of health workers on male support, prioritizing the adoption of a resource package for engaging men in pregnancy and childbirth and its implementation, awareness through outreaches and media, incentives at each facility for male partners support and community engagement on male support in pregnancy and childbirth.
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    Prevalence and Factors Associated with Iron Deficiency Among Children Aged 6 Months to 12 Years Attending the Sickle Cell Clinic at Kitete Hospital Tanzania.
    (Kabale University, 2024) Lubeja, Amos Charles (M.D)
    Background Iron deficiency is reported to occur in children with Sickle Cell Anaemia. The prevalence of iron deficiency in children with Sickle Cell Anemia is reported to range from 5.5% to 67.7%. The primary objective of this study was to ascertain the prevalence and factors associated with iron deficiency among children aged 6 months to 12 years attending the Sickle Cell Clinic at Kitete Regional Referral Hospital in Tabora, Tanzania. Methods: A cross-sectional study was conducted among children aged 6 months to 12 years diagnosed with Sickle Cell Anaemia by using Hb Electrophoresis and who were attending the Sickle Cell Clinic at Kitete Regional Referral Hospital in Tabora, Tanzania. Data were collected through a structured questionnaire, and blood samples were utilized to measure serum ferritin, complete blood count, and C-reactive protein. Stool samples were collected for Helicobacter pylori antigen testing, hookworm ova, and occult blood. Data were entered into Epidata 4.6 and analysed using STATA version 17.0. Bivariate analysis was initially conducted on variables, retaining those with p-value <0.2 for multivariate analysis using backward elimination. Factors with p<0.05 at multivariate analysis were considered independently associated with iron deficiency, explained using adjusted odds ratios with 95% confidence intervals. Results: Among the 199 children with Sickle Cell Anaemia, the mean age was 71.1 (SD 46.9) months, with the majority being males (57.3%). The prevalence of iron deficiency was 15.6% [95% CI: 11.03-21.12]. Factors independently associated with iron deficiency in children with Sickle Cell Anaemia included a positive stool test for hookworm [AOR 26.8: (95% CI 5.7-126.0] and xi positive stool antigen for H. pylori [AOR 2.7 (95% CI 1.01-7.40)]. However; these estimates were imprecise probably due to our small sample size. Conclusions and Recommendations: This study revealed that one in six children with Sickle Cell Anaemia has iron deficiency. The likelihood of iron deficiency was higher in children with hookworm infestation and Helicobacter pylori infection. It is recommended to screen children with Sickle Cell Anaemia for iron deficiency and H. pylori infection. Deworming is recommended for children with Sickle Cell Anaemia, and those with H. pylori infection should receive appropriate treatment as per guidelines. Future studies on iron deficiency in children with Sickle Cell Anaemia should consider testing serum hepcidin levels to identify candidates suitable for safe iron supplementation.