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 "Children"

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    Assessing Factors Contributing to Diarhoea Among Children Under Five Years in Kasese Municipal Council, Kasese District
    (Kabale University, 2021) Stephen, Bagonza
    Diarrhoea in children remains a major public health problem in Uganda and other countries in the region and is one of the leading contributors to child mortality. of the risk factors for diarrhea in children are preventable. This study was conducted to assess the factors contributing to the spread of diarrhoea among children under 5 years old in Kasese Municipality, Kasese District. Methodology: A descriptive study design was used, employing both quantitative and qualitative approaches, with 375 people as the sample size of mothers of children under five years of age. Results: All 375 study respondents were reached, hence the study achieved a response rate of a. implying that all the women who were presumed to have knowledge about diarrhea among children under 5 years were reached. (75%) of the respondents agreed that lack of knowledge about diarrhea has led to the spread of the disease among children under five years old, while 55.4% of the respondents agreed that the lack of provision of health services in Kasese Municipality has led to the spread of 'Diarrhoea. However, 56.1 % disagreed that too much distance to the health facilities cannot led to the spread of diarrhea among children under five (S) years, but a lack of trained health professionals could, as agreed by 47% of the respondents. This was an indication that the spread of diarrhea is heavily influenced by the healthcare system, which needs to be adequately supported with both qualified and experienced health professionals that can adequately serve. It was found that 81.1 percent of the respondents agreed that failure to wash hands before eating and after visiting the toilet causes diarrhea among children under five years; 68.9 percent agreed that lack of household information on health and sanitation causes diarrhea; and 64.1 percent agreed that failure of the caretakers to wash hands after changing napkins causes diarrhea.
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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 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.
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    Factors Leading to Malnutrition in Children Under Five Years in Nyamwamba Division, Kasese Municipality, Kasese District.
    (Kabale University, 2021) Kabugho, Mary Consolata
    Introduction: The study was carried out to assess the factors leading to malnutrition in children under-five years at Kasese Municipal HCIII, Kasese Municipality, Kasese District. Malnutrition is regarded as the most important risk factor for illness and death globally and it is associated with 52.5% 0f all deaths in young children (Lisanu Mazengia & Andargie Biks, 2018). Methodology: This study used a cross-sectional descriptive research design which used quantitative approaches, researcher-administered questionnaire which was used to determine the factors leading to malnutrition in children under-five years. The study used a probability sampling technique which consisted of a systematic random sampling and 104 respondents were reached. Results: More than half of the under-five children in the study were females (53) and majority were aged 37-59 months (57) and followed by those aged 13-36 months (36) respectively. Half of the children (52) were of birth order 1-2 with a few in the birth order of 3-4 (26) and 5+ order (26) respectively. The number and distribution of under-five children according to the education level of the mother indicates that majority of the mothers had received primary level education (76) and quite a few had never been to school (16). Findings show that 18(104) were wasted and 13 (104) were severely wasted. The highest prevalence of wasting was observed in children aged 24-35 months where 23 (104) and 8 (104) children were wasted and severely wasted respectively. Almost a third, 29 (104) were stunted and 13 (104) severely stunted. Children aged 6-11 month presented highest prevalence of moderate stunting37 (104) while severe stunting was highestl9 (104) in children aged 6-11 months. In conclusion, the study has shown there are some gaps in terms of knowledge towards nutrition. For example only 50 women out of the 104 had the correct knowledge on initiation of breastfeeding after birth. To reduce childhood Under-nutrition in Kasese Municipality which has been on the rise, emphasis should be given in improving the knowledge of mothers on appropriate infant andyoung children feeding. Recommendations l. To reduce childhood Under-nutrition in Kasese Municipality,emphasis should be given in improving the knowledge of mothers on appropriate infant andyoung children feeding. 2. Empowering women in terms of formal education as seen in the current study, education positively affects the correct timing of initiation of complementary feeds. 3. The study recommends exclusive breast feeding and proper supplementary feeding especially among children aged less than three years.
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    Knowledge Attitude and Practices of Mothers on Management of Malnutrion Among Children Under Five Years in Bugongi Town Council, Sheema District.
    (Kabale University, 2020) Mwiine, Dickens Richard
    Malnutrition remains a major cause of morbidity and mortality among children under five years especially in developing countries. Malnutrition is responsible for more ill health than any other cause good health is not possible without good nutrition.Uganda has introduced several programs like OWC to increase food production and reduce hunger and Sheema district too has got its share. This has led to considerable progress in terms of economic growth and reduction of poverty. However, the prevalence of stunting in Sheema has remained high despite its agricultural potential and significant agricultural exports. This study aimed at assessing the knowledge, attitude and practices of mothers on management of malnutrition among Children under- five years in Bugongi Town Council, Sheema district. It went further to determine the knowledge of mothers on causes, signs and symptoms of malnutrition among children underfive years and factors that influence mothers attitude towards nutrition of their children. It also looked at common practices of mothers that hinder normal growth and promote malnutrition among children under-five years. The study employed a cross sectional descriptive research technique where by both qualitative and quantitative methodologies were used. A total of 120 respondents were selected for the study using simple random sampling techniques from all wards ofBugongi Town council. The study findings revealed that the biggest proportion of the sampled mothers had attained some level of education. From the general understanding levels of education have effects on the care a mother gives a child. However, it was noticed that majority of mothers had completed primary level (72.5%) and very few (5%) had attained tertiary education (Diploma, Degree and above) yet the knowledge attained at that level on nutrition may not be sufficient. Largest proportion of mothers (90%) was aware that breast milk is the main source of food for babies. However 10% mentioned artificial food as the best food for under 6 months babies. This reveals information gap which must be fulfilled by health workers through conducting regular health education talks. The study further revealed that majority of respondents do not mix food for babies before serving. This act predisposes infants to malnutrition as they lack some essential nutrients. This study recommends that in formulation of breastfeeding policies by government, culture should be mainstreamed. It was found out to play an important role as at when one should initiate breastfeeding and when other foods are introduced. Secondly, health professionals need to conduct regular health education to educate masses as when complementary feeding should be initiated.
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    Knowledge Attitude and Practices of Mothers on Management of Malnutrition Among Children Under Five Years in Bugongi Town Council, Sheema District.
    (Kabale University, 2020) Mwiine, Dickens Richard
    Malnutrition remains a major cause of morbidity and mortality among children under five years especially in developing countries. Malnutrition is responsible for more ill health than any other cause good health is not possible without good nutrition.Uganda has introduced several programs like OWC to increase food production and reduce hunger and Sheema district too has got its share. This has led to considerable progress in terms of economic growth and reduction of poverty. However, the prevalence of stunting in Sheema has remained high despite its agricultural potential and significant agricultural exports. This study aimed at assessing the knowledge, attitude and practices of mothers on management of malnutrition among Children under- five years in Bugongi Town Council, Sheema district. It went further to determine the knowledge of mothers on causes, signs and symptoms of malnutrition among children under five years and factors that influence mothers attitude towards nutrition of their children. It also looked at common practices of mothers that hinder normal growth and promote malnutrition among children under-five years. The study employed a cross sectional descriptive research technique where by both qualitative and quantitative methodologies were used. A total of 120 respondents were selected for the study using simple random sampling techniques from all wards ofBugongi Town council. The study findings revealed that the biggest proportion of the sampled mothers had attained some level of education. From the general understanding levels of education have effects on the care a mother gives a child. However, it was noticed that majority of mothers had completed primary level (72.5%) and very few (5%) had attained tertiary education (Diploma, Degree and above) yet the knowledge attained at that level on nutrition may not be sufficient. Largest proportion of mothers (90%) was aware that breast milk is the main source of food for babies. However 10% mentioned artificial food as the best food for under 6 months babies. This reveals information gap which must be fulfilled by health workers through conducting regular health education talks. The study further revealed that majority of respondents do not mix food for babies before serving. This act predisposes infants to malnutrition as they lack some essential nutrients. This study recommends that in formulation of breastfeeding policies by government, culture should be mainstreamed. It was found out to play an important role as at when one should initiate breastfeeding and when other foods are introduced. Secondly, health professionals need to conduct regular health education to educate masses as when complementary feeding should be initiated. Keywords: Knowledge Attitude, Practices, Mothers, Management, Malnutrition, Children, Under Five Years, Sheema District.