Browsing by Author "Okii, Richard"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Intrahepatic Pregnancy - A Rare Form of Abdominal Pregnancy at Lira Regional Referral Hospital, Northern Uganda; a Case Report and Literature Review.
    (International Journal of Medical Science and Clinical Invention, 2020) Odur, Andrew; Okello, Tom Richard; Okii, Richard; Obbo, John Stephen Olwenyi; Pecorella, Irene
    Primary intra-hepatic pregnancy is an extremely rare condition. The purpose of this study was to report a case of 24-year-old Gravida 2 para 1+0 who presented at 35 weeks of amenorrhea with vaginal bleeding and mild right upper abdominal tenderness. Ultrasonography revealed a non-viable extra-uterine fetus located around the right upper part of the abdomen with a bulky uterus. Laparotomy was preferred in view this clinical dilemma and a fetus free abdominal cavity and uterus was observed, a macerated female baby was delivered from inside the liver with birth weight of 2.7kilogram. Placenta was left in situ and methotrexate given to hasten its resorption. Maternal outcome during the 18 days of intense follow up was uneventful. This case is a rare occurrence in our setting and it has diagnostic challenges in low resource settings like ours, however intra-hepatic pregnancy can grow to considerable size and weight.
  • Thumbnail Image
    Item
    Medical Waste Management Practices and Associated Factors Among Health Workers in Public Health Facilities Within Lira City, Northern Uganda
    (Lira University, 2023) Okii, Richard; Akech, Stella Immaculate; Musinguzi, Marvin
    Background: According to research done at Lira Regional Referral Hospital (LRRH), only 56 percent of medical professionals appropriately manage medical waste. If not appropriately disposed of, these wastes can cause major health risks to health workers and communities, including injuries, infections, trauma, wounds, and environmental contamination. The objective was: To examine the medical waste management practices and associated factors among health workers in public health facilities in Lira City, Northern Uganda. Methods: This was a cross-sectional study conducted in public health facilities in Lira City in July, 2023. The study population was health workers and the sample size of 200 was determined using the Yamane formula (1967). Simple random sampling and a structured questionnaire were used to collect the data. Data were entered in SPSS version 23 and further analyzed in STATA version 15 at three levels including univariate (descriptive statistics), bivariate (cross tabulations X2), and multivariate level (multivariate logistic regression). Ethical approval was obtained from Lira University Research and Ethics Committee (LUREC) and the ethical considerations were observed during data collection. Results: Just over one-quarter (28.5%) of the health workers in public health facilities had good practices towards medical waste management. The predictors of good medical waste management practices included having knowledge about medical waste disposal (AOR=1.53, p=0.021, 95% CI 0.44-5.4), and occupation (AOR=2.757, p=0.04, CI 0.94-4.12) Conclusion: There are poor medical waste management practices in facilities in Lira City. We recommend that the government of Uganda should provide enough supplies to the facilities, City Health Authorities should conduct continuous medical education for the workers, and there should be supervision of health workers to ensure proper management of medical waste. Keywords: Medical Waste, Health Workers, Public Health Facilities