Department of Epidemiology and Biostatistics

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Browsing Department of Epidemiology and Biostatistics by Author "Achan, Everlyne"

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    Experiences of health workers in Kapchorwa district in conducting perinatal death reviews: A qualitative study.
    (Lira University, 2022) Kiprop, Allan; Puleh, Sean Steven; Achan, Everlyne
    Introduction: Perinatal death reviews are a widely recommended intervention to achieve the sustainable development goal of ending preventable perinatal deaths because it has been proven to contribute to up to a 30% reduction of perinatal mortality. This study aimed at exploring the health workers’ and health system factors that influence perinatal death reviews in Kapchorwa district. Methods: A qualitative approach was used to explore the implementation of perinatal death reviews in 3 Health Centre III’s, 1 Hospital and among 9 Health Workers. Data were collected in the period of December 2021 to June 2022 through 1 Focus group discussion, 3 random group discussions and 9 key informant interviews who were purposively selected as information rich members of the PDSR committees. Upon transcription and coding, emerging themes were presented in tables and analyzed theme after theme using MS word software. Results: Perinatal death review is implemented at the hospital with a coverage of 57.4% and not implemented at the district and health centre III levels. A functional PDSR committee: 2) Adequate staff numbers that allow for mix of cadres: 3) Capacity of the health workers to conduct the reviews (Trainings, knowledge), and: 4) Financial ability of the institution/system to support implementation of recommendations were the factors that enable or prevent reviews from being conducted. Conclusion: Perinatal death reviews are implemented where committees are available and functional. However, staffing norms and financial incentives are necessary to achieve a complete cycle of implementation.
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    Parents’ Readiness to Vaccinate Their Children Aged 5 to 17 Years Against Covid-19 and Its Associated Factors in Lira District, Uganda
    (Pediatric Health, Medicine and Therapeutics Dovepress, 2023) Puleh, Sean Steven; Kigongo, Eustes; Opio, Innocent Ojok; Akech, Stella Immaculate; Opollo, Marc Sam; Achan, Everlyne; Acen, Joy; Anyolitho, Maxson Kenneth; Acup, Walter; Kabunga, Amir
    Background: Data on parents’ readiness to vaccinate their children aged 5 to 17 years against COVID-19 is still scarce. This study assessed parents’ readiness to vaccinate their children aged 5 to 17 years against COVID-19 and factors associated in Lira district, Uganda. Methods and Materials: A cross-sectional survey employing quantitative methods was conducted between October and November 2022 among 578 parents of children aged 5–17 years in 3 sub-counties in Lira district. An interviewer-administered questionnaire was used to collect data. Data was analyzed using descriptive statistics including means, percentages, frequencies, and odds ratios. Logistic regression was used to determine associations between the factors and the readiness of parents at a 95% level of significance. Results: Out of 634 participants, 578 responded to the questionnaire, giving a response rate of 91.2%. The majority of the parents (327, 56.8%) were female, had children aged between 12 and 15 years (266, 46.4%), and had completed primary education (351, 60.9%). Most of the parents were Christian (565, 98.4%), married (499, 86.6%), and had been vaccinated against COVID-19 (535, 92.6%). Results also indicated that 75.6% (ranging from 71.9% to 78.9%) of the parents were unwilling to vaccinate their children for the COVID-19 virus. The predictors of readiness were the age of the child (AOR: 2.02; 95% CI: 0.97–4.20; p=0.05) and lack of trust in the vaccine (AOR: 3.33; 95% CI: 1.95–5.71; p0.001). Conclusion: Our study shows that parents’ readiness to vaccinate their children aged 5 to 17 years was only 24.6%, which is suboptimal. The predictors of hesitancy were the age of the child and a lack of trust in the vaccine. Based on our results, the Ugandan authorities should provide health education interventions targeting parents to combat mistrust with respect to COVID-19 and the COVID-19 vaccine and highlight the benefits of the vaccines.