Browsing by Author "Nabasirye, Caroline"

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    Factors Influencing Contraceptive Use Among Teenage Girls 13-19 Years Old in Kole District.
    (Lira University, 2023) Akello, Loy; Akullo, Betty Nancy; Nabasirye, Caroline
    Introduction: Adolescent girls’ access to contraceptives is crucial for reducing unplanned pregnancies, abortions, and maternal deaths. Uganda faces challenges in meeting the sexual and reproductive health needs of adolescents, with Kole district particularly at risk of high teenage pregnancy complications. This study aimed to assess the prevalence and factors influencing contraceptive utilization among teenage girls in Kole district. Methods: The research design was a cross-sectional study, using a quantitative data collection method. The sample size of 289 was determined using the Kish (1965) formula. A multi-stage sampling technique was employed, randomly selecting two villages from each of the three sub-counties. Households within the villages were the unit of analysis, and participants was selected using simple random sampling. Data collection was done using a pretested questionnaire and analysed at univariate, bivariate and multivariate levels. Results: Results showed that 54.45% of the participants used contraceptives. Socio-cultural factors significantly influenced contraceptive use, with girls in supportive communities more likely to use contraceptives (AOR=0.28, 95% CI: 0.11-0.73, p=0.009). Health facility factors did not show significant associations. Fear of side effects was a significant barrier to contraceptive use (AOR=3.52, 95% CI: 1.51-8.19, p=0.004). Older teenage girls (17-19 years) were more likely to utilize contraceptives (AOR=5.49, 95% CI: 2.48-12.2, p<0.001). Conclusions: Improving contraceptive utilization among teenage girls in Kole requires multifaceted approaches that address socio-cultural factors that dispel fears related to side effects, and consider the unique needs of different age groups Recommendations: Addressing fear and age-related factors can promote contraceptive use among teenage girls. Keywords: Factors, Contraceptive use, Teenage girls.
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    Knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda: a cross sectional online survey [version 2; peer review: 1 approved, 1 approved with reservations]
    (F1000Research, 2021) Amanya, Sharon Bright; Nyeko, Richard; Obura, Bonniface; Acen, Joy; Nabasirye, Caroline; Nakaziba, Rebecca; Oyella, Florence; Afayo, Victor; Okwir, Mark
    Background: Infection prevention and control (IPC) has increasingly been underscored as a key tool for limiting the transmission of coronavirus disease 2019 (Covid-19) and safeguarding health workers from infections during their work. Knowledge and compliance with IPC measures is therefore essential in protecting health workers. However, this has not been established among health workers in northern Uganda in light of the Covid-19 pandemic. The objective of this study was to determine the knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda. Methods: An online cross-sectional descriptive study was conducted among health workers in regional referral hospitals within northern Uganda. A structured questionnaire was distributed to health workers via WhatsApp messenger. Sufficient knowledge was considered at a correct response score of ≥80%, while adequate compliance was rated ≥75% of the maximum score. Data were analyzed using SPSS v21. Results: Of the 213 health workers approached, 75 (35%) participated in the study. The majority were males, 39(52%) and the mean age was 36.92 years. Of the 75 participants, 52(69%) had sufficient knowledge of Covid-19 IPC while 51(68%) had adequate compliance with Covid-19 IPC. Adequate compliance was significantly associated with training in Covid-19 IPC (OR, 2.86; 95% CI, (1.04-7.88); p=0.039), access to Covid-19 IPC materials at workstations (OR, 2.90; 95% CI, (1.06 - 8.09); p=0.036), and having strong institutional support (OR, 3.08; 95% CI, (1.08 – 8.74); p=0.031). However, there was no significant relationship between knowledge and compliance with IPC (p=0.07). The socio demographic characteristics of health workershad no statistically significant relationship with Covid-19 IPC knowledge or compliance. Conclusion: Our results show fairly good knowledge and compliance with Covid-19 IPC among health workers in northern Uganda. There is need for more training and provision of guidelines to promote compliance with Covid-19 IPC. Keywords Infection prevention and control, knowledge, training, compliance
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    Level of Satisfaction and Factors Associated with the Eight Antenatal Care Visits Model Among Pregnant Women at Kitgum General Hospital.
    (Lira University, 2023) Adiga, James; Nabasirye, Caroline; Amito, Freda Ocheng
    Background: Globally, 810 million women die from pregnancy related deaths and child births. The World Health Organization recommended the eight contacts antenatal care model. In Uganda, only 0.4% of women received all four goal-oriented services under the FANC and as such satisfaction with 8+ ANC anticipated to be lower. This study assessed the prevalence of maternal satisfaction and the associated factors with the current WHO 8 ANC model among pregnant women at Kitgum general hospital, Northern Uganda. Methods: A cross-sectional study employing quantitative approach was used for data collection. A total of 419 postnatal mothers were selected consecutively for exit interviews. Interviewer-administered structured questionnaires were used to collect data. Multivariable logistic regression models constructed using backward elimination and logistic regression was used in data analysis. Results: Out of the 419 women, 60.4% were from within the Municipality, 86.2% married, 39.9% were catholic and 47.7% had secondary level of education. Only 254(61%) were satisfied with the WHO 8 ANC visits and the predictors of 8 ANC model were first ANC attendance (AOR: 0.012; 95% CI: 0.003, 0.051; P<0.001), ever had a miscarriage (AOR: 0.367; 95% CI: 0.181, 0.747; p<0.006), and pregnancy planning (AOR: 0.084; 95% CI: 0.043, 0.164; p<0.001). Conclusion: Only 6 in 10 of pregnant women in the post-conflict Kitgum District, Northern Uganda are satisfied with the WHO 8 antenatal care visits. This is likely to reduce levels of utilization of the antenatal care services and can lead to a rise in the maternal complications and perinatal deaths. Keywords: Satisfaction and Factors, Antenatal care visits.