Kabale School of Medicine (KABSOM)
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Browsing Kabale School of Medicine (KABSOM) by Subject "Kabale District"
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Item Open Access Factors Associated with Hand Washing Practices Among Secondary School Students in Ndorwa East Constituency in Kabale District.(Kabale University, 2021) Twinomuhwezi, BenjaDespite the world-wide Global Hand Washing Day campaign which targets school children as the most effective agents for behaviour change, there is limited documentation in various school settings. This study examined the factors associated with hand washing practices among secondary school students in Ndorwa east constituency. It was guided by two objectives; (i) to assess hand washing practices among secondary schools in Ndorwa East Constituency in Kabale district; (ii) to assess the factors associated with hand washing practices among the secondary school students in Ndorwa East Constituency. A cross-sectional study using quantitative method was conducted among 291 students from five schools. For qualitative data, the researcher used purposive sampling to identify 11 key informants (head teachers and teachers in charge of health and sanitation) and 48 participants in FGDs from the five schools. Systematic sampling was used to select students to participate in the study while simple random sampling was used to identify schools to participate in the study. Of the 291 respondents enrolled, 219(77%) washed their hands after the rest room. Factors associated with a higher likelihood of hand washing practice among secondary school students in Ndorwa East Constituency–Kabale District were being aged <18 years (aOR =8.1, 95%CI: 2.65-21.61, p<0.001), presence of water for hand washing(aOR =50.7,95%CI:11.50-309.38,p<0.001), presence of hand washing stations (aOR=7.3,95%CI:2.72-30.37, p<0.001), and cleanliness of hand washing stations (aOR=70.0,95%CI:10.44-605.6, p<0.001). The factors associated with hand washing practices were presence of water for hand washing, presence of hand washing stations in schools, cleanliness of hand washing stations. The study suggests that the school administrators should sensitize all students to continue practicing washing hands. This would help in preventing students from diseases associated with poor hand hygiene practices. Keywords: Factors, Hand Washing Practices, Secondary School Students, Ndorwa East Constituency, Kabale District.Item Open Access Factors Associated with Stunting in Children Under Five Years of Age: A Case of Buhara Sub County, Kabale District.(Kabale University, 2022) Namanya, OliverUnder nutrition, especially stunting has continued to be a health burden among children of less than five years of age living in low- and middle-income countries. Kigezi sub region, Kabale District is faced with the problem of child stunting with 30 percent of the under-five years stunted. The study assessed factors associated with stunting among children less than five years of age in Buhara Sub County Kabale District. The study employed a cross-sectional descriptive design with qualitative and quantitative strategies in data collection from 380 participants drawn from a population of 5728 households. Data were collected using validated questionnaires and interviews over a period of one month with the help of trained research assistants. Generated data were exported to Statistical Package for Social Sciences (SPSS) version 21 and analysed in frequencies, percentages, confidence intervals, chi-square test and multinomial regression and presented in tables and charts. The study made the following findings in line with the objectives: low household income, child illness in the last few weeks incomplete child vaccination (p- Value = 0.005 < 0.05 and p- value = 0.001 < 0.05), the child’s guardian ethnicity with (p- value = 0.013 < 0.05 and 0.000), open defecation, indiscriminate waste disposal, 18(4.7%) 95 CI= 028311725 - .073831273) and use of unprotected water sources, were the major factors associated with stunting. The child gender, child’s care taker and child’s birth order were equally linked with stunting with (p- Value = 0.023 < 0.05, p- value = 0.003 < 0.05 and, p- value = 0.002 < 0.05) respectively. The MUAC of children in the study with yellow result was 2.6% (.012690006 - .047862066), standard deviation of height 11.3cm and weight 2.7kg. The household financial security was seen to have influenced household food security, diversification, and supplementation. About 82(21.6%, CI; 175466713 - .260603736 eat supplements once a months, while 187(49.2%, CI; (.440755412 - .543579017 do not eat any food supplements at all. The child’s household source of drinking water was significant to nutritional status of children under 5 years especially with regards to drinking water from unprotected source which is the predisposing factor to gastrointestinal infection that is among the risk factor for stunting. The study recommended that, Kabale District local government in conjunction with Buhara Sub County leadership should come up with ordinances and byelaws on how to improve community sanitation and hygiene practices especially improving toilet coverage, hand washing and proper disposal of the wastes to avoid stunting as they pose great risk to diarrheal diseases leading to mal-absorption food. Keywords Stunting Children, Under Five Years, Age, Buhara Sub-County, Kabale District.