Kabale School of Medicine (KABSOM)

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http://hdl.handle.net/20.500.12493/219

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Browsing Kabale School of Medicine (KABSOM) by Subject "Affecting"

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    Factors Affecting Immunization Coverage for Children Under Five Years in Rwanyamahembe Sub-County, Mbarara District- Uganda.
    (Kabale University, 2022) Omia, Santos
    The study was focusing on the factors affecting immunization coverage for children under five years taking Rwanyamahembe sub-county, Mbarara district as a case study. The specific objectives were to; determine the level of expanded program on immunization (EPI) service coverage, identify socio-demographic and institutional factors affecting with EPI service coverage. The study adopted cross- sectional study design employing a quantitative approach for data collection. Information was gathered from 120 respondents using questionnaire and interview guide. Data was analyzed using SPSS version 18 to generate both descriptive and regression statistics. The study found out the level of expanded program on immunization (EPI) service coverage to be relatively low as evidenced by few respondents who had children that are fully vaccinated as compared to majority who did not complete vaccination. The study also identified socio-demographic factors affecting EPl service coverage in the area such as lack of information about immunization, age of the mother/guardian. level of education. negative experiences with immunisation, possession of vaccination cards, sex of the child and accessibility of vaccination sites. The study further identified inadequate funding of the program, perceived shortage of staff, cost of vaccination and vaccination cards, inadequate supply of vaccine stock, inadequate vaccination sites and corruption and embezzlement of funds as the main institutional factors affecting with EPI service coverage. As a result of the significant results, the study concludes that EPI service coverage in Rwanyamahembe sub-county is low due to different socio-demographic and institutional factors. It therefore recommends the provision of vaccine related targeted health education to mothers at home and during ANC visits is an effective strategy to improve immunization completion rates in low literacy and income settings. Supervision of immunization activities by the district EPI focal person. This is key in identifying gaps during static and outreach programs. Emphasis on vaccinators arriving on time and all services given to mothers without a cost.
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    Factors Affecting Male Involvement in Family Planning at Kazo Health Center IV in Kazo Town Council Kazo District.
    (Kabale University, 2022) Ndyaguma, Laban
    The study was about factors affecting male involvement in family planning at kazo health center iv in Kazo town council Kazo district. The study was guided by the following study objectives: To find out the level of male involvement family usage, relationship between male involvement and family planning utilization and to devise means of increasing male involvement in family planning in Kazo town council . A cross sectional research design was used for this study where both quantitative and qualitative methods were employed, the population of the study included Women, Men, health staff and local leaders. The study revealed that there is low involvement in family planning to the extent that some men have never a companied their wife to the family planning clinic, claiming that they have no time to escort their wives for family planning saying that they are busy looking for money than going with their wives to clinics, more still men some lack information about the use of family planning other than use of condoms. Also male involvement in family planning has a positive influence in their utilization when male involvement increases family planning utilization among married couples increases and vise verse. Among the views pointed out by the respondent's on men's participation in family planning as highlighted in the study also agreed with the related literature like culture factors, religious beliefs, social economic factors and psychological factors, Also suggested some other reasons like Ignorance lack of time false myth and fear of family planning side effects as mentioned by the majority of respondents as discussed during a focus group discussion where they mentioned that condoms cause cancer. Men need more information and education so that they can fully participate in family planning services, support their partners and utilize the services and that Health care providers should conduct workshops or hold social gatherings and inform men about family planning and its importance. On recommendation the government should establishment of men's clinics so that men can feel free to go and utilize the services. The services should be user friendly to men in order to be utilized to the maximum Male only clinics should inform men about all family planning methods and provide condoms and vasectomy and counsel men with respect and sensitivity, more so Education, men need a lot of information on family planning so that they are well informed.
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    Factors Affecting Utilization of Insecticide Treated Nets in Households Among Children Under Five Years of Age in Kazo Town Council, Kazo District.
    (Kabale University, 2022) Tumwebaze, Rodgers
    The study was carried on factors affecting utilization of insecticide treated nets in household’s song children under five years of age in Kazo town council, Kazo district. It was based on the owing to find out the socio-economic and cultural factors affecting the utilization of ITNs ~ng children under-five, to identify the institutional factors affecting the utilization of ITNs among children under-five and to establish knowledge of care takers in the utilization of ITNs among children under-five in Kazo Town Council. Methodology: A cross-sectional research design which was both qualitative and quantitative methods for data collection. Approaches were used. Sample size of 92 respondents was -"nsidered which comprised of parents/care takers of under five children and other key informants like, health workers. VHTs and town council health inspector. Information was .:ollected from 92 respondents using questionnaires and interviews. Data was analyzed using SPSS version 21 to generate both descriptive and inferential statistics. Results: The study findings indicate that significant socio-economic factors affect utilization of ITNs within households and these include; gender of the household head (p= .017), age of household head (p = .005), level of education; (p< .001) religion(p = .031), household size(p=0.028), income status(p= .031 ), number of children below 5(p= .002), gender of the child(p = .026), age of the child(p = .001), presence of fever a month before the survey and sleeping arrangement(p = .046). The study also identified significant cultural factors affecting the utilization of ITNs among children under-five years to be; misconceptions about malaria and its prevention(p=.017), cultural beliefs(p= .033), poor perception and attitude(p< .001).The study further identified the institutional factors affecting the utilization of ITNs among children under-five years to be awareness (p=.011), access/availability(p= .012), poor coverage(p .031), level of financial investment in ITN distribution(p = .041) and poor quality nets(p .049). Conclusion: There are significant socio-economic, cultural and institutional factors affecting utilization of insecticide in Kazo Town Council. The study recommended that plans be made to increase the number of free ITN s distributed to households, increase in community education and public awareness on ITN use.