Academic submissions (CHS)http://hdl.handle.net/10570/40862024-03-29T07:25:44Z2024-03-29T07:25:44ZAnti bacterial activity of Cochorus olitorius and Acmella caulorhiza on Streptococcus mutans, a cariogenic bacteria in dental cariesNamwase, Hadijjahttp://hdl.handle.net/10570/66412018-10-29T01:15:16ZAnti bacterial activity of Cochorus olitorius and Acmella caulorhiza on Streptococcus mutans, a cariogenic bacteria in dental caries
Namwase, Hadijja
Assessment of factors associated with district health facility preparedness towards cholera epidemics: A case of Namayingo District, UgandaHyuha, Chrispus Jarmenhttp://hdl.handle.net/10570/70592019-01-04T09:21:52Z2018-11-01T00:00:00ZAssessment of factors associated with district health facility preparedness towards cholera epidemics: A case of Namayingo District, Uganda
Hyuha, Chrispus Jarmen
Background: African countries are prone to epidemics due to poor preparedness. Uganda adopted the Integrated Disease Surveillance and Response (IDSR) strategy to effectively respond to epidemics. Despite having an IDSR, Namayingo district has repeatedly experienced annual cholera outbreaks. The outbreaks result into unexpected government expenditure with a negative effect on people‘s health and economic welfare.
Objective. To assess the district health facilities preparedness to respond to cholera outbreaks in Namayingo district.
Methodology; A cross sectional quantitative study was conducted in all the public health facilities in Namayingo District. A total of 231 health workers were interviewed using a structured questionnaire adopted from the IDSR tool. Data were captured using Microsoft excel and analyzed using Stata 14.0. The median IDSR scores was used to determine preparedness. Logistic regression analysis was carried out to identify factors associated with preparedness.
Results: The District preparedness to respond to cholera outbreak was 38.10%. Factors significantly associated with preparedness included; age, educational level, profession, years of service, duration in current facility, being resident within a facility, grade and location of health facility, and presence of hand washing facilities and detergents. Slightly more than half (51.52% 95%CI 45.02-58.01) of the health workers were knowledgeable on cholera.
Conclusion and Recommendations: The District preparedness to respond to cholera was poor. Health care services in lower and rural health facilities should be upgraded including provision of washing facilities. Trainings on IDSR should be offered to Staff with lower levels of education should be offered IDSR training.
2018-11-01T00:00:00ZThe association of intimate partner violence with mental ill health among pregnant women at Nakaseke Hospital UgandaSsemanda, Danhttp://hdl.handle.net/10570/65172018-10-04T19:20:13ZThe association of intimate partner violence with mental ill health among pregnant women at Nakaseke Hospital Uganda
Ssemanda, Dan
Asymptomatic bacteriuria among pregnant women attending antenatal care at Mbale Hospital, Eastern UgandaNteziyaremye, Juliushttp://hdl.handle.net/10570/81942021-03-19T08:40:07Z2020-03-19T00:00:00ZAsymptomatic bacteriuria among pregnant women attending antenatal care at Mbale Hospital, Eastern Uganda
Nteziyaremye, Julius
Background: Asymptomatic bacteriuria in pregnancy (ASBP) is associated with adverse pregnancy outcomes such as pyelonephritis, preterm or low birth weight delivery if untreated. The aim of this study was to determine the prevalence of asymptomatic bacteriuria, the isolated bacterial agents, and their antibiotic sensitivity patterns in pregnant women attending antenatal care at Mbale Hospital. Methods: This was a cross-sectional study in which 587 pregnant women with no symptoms and signs of urinary tract infection were recruited from January to March 2019. Mid-stream clean catch urine samples were collected from the women using sterile containers. The urine samples were cultured using standard laboratory methods. The bacterial colonies were identified and antibiotic sensitivity was done using disc diffusion method. Chi-squared tests and logistic regression were done to identify factors associated with asymptomatic bacteriuria. A p-value < 0.05 was considered statistically significant. Results: Out of the 587 pregnant women, 22 (3.75%) tested positive for asymptomatic bacteriuria. Women aged 20-24 years were less likely to have ASBP when compared to women aged less than 20 years (AOR = 0.14, 95%CI 0.02-0.95, P = 0.004). The most common isolates in descending order were E. coli (n = 13, 46.4%) and S.aureus (n = 9, 32.1%). Among the gram-negative isolates, the highest sensitivity was to gentamycin (82.4%) and imipenem (82.4%). The gram-positive isolates were sensitive to gentamycin (90.9%) followed by imipenem (81.8%). All the isolates were resistant to sulphamethoxazole with trimethoprim (100%). Multidrug resistance was 82.4% among gram-negative isolates and 72.4% among the gram-positive isolates. Conclusion: There was high resistance to the most commonly used antibiotics. There is need to do urine culture and sensitivity from women with ASBP so as to reduce the associated complications.
A dissertation submitted to the Directorate of Research and Graduate Training in partial fulfillment of the requirements for the award of the Master’s Degree of Medicine in Obstetrics and Gynaecology of Makerere University.
2020-03-19T00:00:00Z