Browsing by Author "Munguiko, Clement"

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    The correctness and completeness of documentation of parameters on the partographs used by midwives in primary healthcare facilities in midwestern Uganda: A retrospective descriptive study
    (Nursing Open., 2022) Bahizi, Archbald; Munguiko, Clement; Masereka, Enos Mirembe
    This study was conducted to determine the correctness and completeness of documentation of partographs. This was a retrospective descriptive study. We included 365 partographs of deliveries conducted from January 1st to October 31st 2019. Data were collected using a checklist and analysed descriptively. The study based on 13 partograph parameters. About 8–13 parameters were correctly documented in 71.5 % of the partographs. About 38.9%, 24.7%, 99.7%, 22.5% and 16 % of the partographs had no documentation of obstetric risk factors, foetal heart rate, colour of liquor, uterine contractions and cervical dilatation respectively. About 12.1% of the cervicographs crossed the action line and 61.4% of partographs where cervicographs crossed the action line had no documentation of action(s) taken.
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    Implementation of the Perinatal Death Surveillance and Response guidelines: Lessons from annual health system strengthening interventions in the Rwenzori Sub-Region, Western Uganda
    (Nursing Open, 2020) Masereka, Enos Mirembe; Naturinda, Amelia; Tumusiime, Alex; Munguiko, Clement
    To determine the health facility-based perinatal mortality rate, its causes and avoidable factors using the perinatal mortality surveillance and response guidelines. This was an action study conducted in one of the districts in Western Uganda from 1 January–31 December 2019.A total of 20 perinatal death cases were recruited consecutively. Data were collected using a Ministry of Health Perinatal Death Surveillance and Response (PDSR) questionnaire containing questions on pregnancy, delivery and immediate postnatal care.We used descriptive statistics to describe key data elements. We found a health facility-based perinatal mortality rate of 17.3 deaths per 1,000 live births. Birth asphyxia was the most common cause of perinatal deaths. Seven, three and ten mothers delayed seeking, reaching and receiving appropriate health care, respectively.
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    The Prevalence and Determinants of Stunting among Children 6 - 59 Months of Age in One of the Sub-Counties in the Rwenzori Sub-Region, Western Uganda
    (Open Journal of Nursing, 2020-04-24) Masereka, Enos Mirembe; Kiconco, Arthur; Katsomyo, Edson; Munguiko, Clement
    Despite being referred to as one of the country’s “food baskets”, 41% of children, 6 - 59 months of age in the Rwenzori sub-region, Western Uganda are stunted. Stunting is a form of chronic malnutrition in which children are short for their age. In this study, we established the prevalence and determinants of stunting in one of the sub-counties in this region. This was a cross-sectional descriptive study conducted in one of the sub-counties in the Rwenzori sub-region, Western Uganda from May 26th to June 26th, 2018. A total of 372 mothers and their children were recruited using systematic sampling. Data was collected using a questionnaire. Stunting was determined by taking child’s height or length and comparing it with child’s age. A child whose height or length for age index was less than −2 Standard Deviations (SD) was considered stunted. We used descriptive statistics to understand characteristics of mothers and multivariable logistic regression model to obtain the determinants of stunting. Data was analyzed using SPSS version 20. A total of 372 mothers and their children were included in this study; majority, 307 (83.0%) of the children were 6 - 24 months old and nearly half, 167 (44.9%) were stunted. We found that reserving food stock for use in the dry season (aOR = 0.23, CI = 0.08 - 0.62, p = 0.004), deworming children (aOR = 0.32, CI = 0.18 - 0.54, p = 0.001) and the family earning at least 10,000 Ushs (2.7USD) at the end of the month (aOR = 0.36, CI = 0.22 - 0.58, P = 0.001) were associated with no stunting. We found a high prevalence of stunting among children 6 - 59 months of age. We recommend enforcing ownership of food granary by households especially during dry season, support to de-worming programs targeting children below five years of age and establishing community based income generating livelihood projects.
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    Utilization of Youth Friendly Reproductive Health Services among Secondary School Youths in Fort Portal Municipality, Western Uganda: School Based Cross Sectional Study
    (Saudi Journal of Nursing and Health Care, 2018-12-30) Irumba, Pauline; Munguiko, Clement; Miruka, Conrad Ondieki
    Youth often face difficulties in accessing sexual and reproductive health services. The main aim this study was to determine the utilization of youth friendly reproductive health services among secondary school going youths of Fort portal Municipality and ascertain factors that influence use of these services. A cross sectional descriptive study was conducted on 250 secondary school youths in Fortportal Municipality. Sample size was determined by using Kish Leslie’s formula. Clustered sampling method was used to choose two (2) schools from each division of Fort portal Municipality; then respondents selected by consecutive sampling method. Data was analyzed using SPSS V.22. About half (53.2%) of the respondents were females and most of the study respondents (85.6%) were adolescents. Almost a third of the respondents (39.2%) were sexually active with 67.3 percent of them having unprotected sex. The study revealed that more than three quarters (79.2%) of the youths were poor users of youth friendly reproductive health services with sex education as the most utilized service (88.4%) and the least being use of contraceptives (20.3%). Age and availability of the services were the main determinants of utilization of these services. Adolescents utilized Youth friendly reproductive health services more than fellow older youths (P; 0.023 and P; 0.033 respectively). Availability of some Youth friendly reproductive health services in schools and health facilities influenced their utilization (P; 0.001 and P;0.013 respectively).Youth friendly reproductive health services are under-utilized by secondary school going youths. Youth friendly healthcare clinics should be operational in all schools and health facilities.