Browsing by Author "Murokora, Daniel"

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    Beneficial Newborn Care Practices in Rural Eastern Uganda : a Cross-sectional Study.
    (METHODS, 2014) Owor, Michael O.; Murokora, Daniel; Wanyenze, Rhoda K.; Waiswa, Peter; Matovu, Joseph K. B.
    This was a cross-sectional study conducted among 1,616 mothers who had delivered 28 in the past year in two districts (Luuka & Buyende) in Eastern Uganda. Data collection took 29 place between September and November 2011. Data were collected on socio-demographic and 30 economic characteristics (ie household possessions, fuel material used for lighting and cooking, 31 and animals owned), health facility attendance, skilled delivery attendance, number of children 32 ever born, distance to health facility and early newborn care knowledge and practices. 33 Descriptive statistics were computed to determine the proportion of mothers who used beneficial 34 newborn care practices (optimal thermal care; good feeding practices; weighing and immunizing 35 the baby immediately after birth; and good chord care) during the neonatal period and conducted 36 multivariable logistic regression to assess the predictors of use of all beneficial newborn care 37 practices. Analysis was done using STATA statistical software, version 12.1. 38 39 Results: Of the 1,616 mothers enrolled, 773 (38.4%) were aged 25-34; 1,472 (91.1%) were 40 married; 326 (20.2%) had secondary or more education; while 1,357 (84%) were laborers or 41 peasants. Uptake of any beneficial newborn care practices was 13.2% overall; lower in Luuka 42 (11%, n= 797) than in Buyende (15.3%, n= 819). Immunization (80.7% in Luuka; 82.5% in 43 Buyende) and weighing the baby after birth (68% Luuka; 58.9% Buyende) were the most 44 prevalent newborn care practices reported by mothers. At the multivariable analysis, number of 45 ANC attendances (3-4 vs. 1-2: OR= 1.40, 95% CI= 1.04, 1.89), skilled delivery vs. unskilled 46 delivery: OR= 2.69, 95% CI= 1.99, 3.64), husband’s education status (Primary vs. no education: 47 OR= 0.66, 95% CI= 0.48, 0.89), and socio-economic status (middle vs. low: OR= 1.48, 48 95% CI= 1.05, 2.08) were significant predictors of utilization of any beneficial newborn care 49 practices among mothers. 50
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    Factors associated with adoption of beneficial newborn care practices in rural Eastern Uganda: a cross-sectional study
    (BMC pregnancy and childbirth, 2016) Owor, Michael O.; Matovu, Joseph K.B.; Murokora, Daniel; Wanyenze, Rhoda K.; Waiswa, Peter
    Beneficial newborn care practices can improve newborn survival. However, little is known about the factors that affect adoption of these practices. Methods: Cross-sectional study conducted among 1,616 mothers who had delivered in the past year in two health sub-districts (Luuka and Buyende) in Eastern Uganda. Data collection took place between November and December 2011. Data were collected on socio-demographic and economic characteristics, antenatal care visits, skilled delivery attendance, parity, distance to health facility and early newborn care knowledge and practices. Descriptive statistics were computed to determine the proportion of mothers who adopted beneficial newborn care practices (optimal thermal care; good feeding practices; weighing and immunizing the baby immediately after birth; and good cord care) during the neonatal period. We conducted multivariable logistic regression to assess the covariates of adoption of all beneficial newborn care practices. Analysis was done using STATA statistical software, version 12.1. Results: Of the 1,616 mothers enrolled, 622 (38.5 %) were aged 25-34; 1,472 (91.1 %) were married; 1,096 (67.8 %) had primary education; while 1,357 (84 %) were laborers or peasants. Utilization of all beneficial newborn care practices was 11.7 %; lower in Luuka (9.4 %, n = 797) than in Buyende health sub-district (13.9 %, n = 819; p = 0.005). Good cord care (83.6 % in Luuka; 95 % in Buyende) and immunization of newborn (80.7 % in Luuka; 82.5 % in Buyende) were the most prevalent newborn care practices reported by mothers. At the multivariable analysis, number of ANC visits (3-4 vs. 1-2: Adjusted (Adj.) Odds Ratio (OR) = 1.69, 95 % CI = 1.13, 2.52), skilled delivery (Adj. OR = 2.66, 95 % CI = 1.92, 3.69), socio-economic status (middle vs. low: Adj. OR = 1.57, 95 % CI = 1.09, 2.26) were positively associated with adoption of all beneficial newborn care practices among mothers
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    Feasibility of delivering HPV vaccine to girls aged 10 to 15 years in Uganda.
    (African health sciences, 2015-03) Mugisha, Emmanuel; LaMontagne, D. Scott; Katahoire, Anne R.; Murokora, Daniel; Kumakech, Edward; Seruyange, Rachel; Tsu, Vivien Davis
    Background: Cervical cancer is a leading cause of mortality among women in Uganda. The availability of the human papillomavirus (HPV) vaccine presents an opportunity to prevent cervical cancer. The Government of Uganda conducted a demonstration project exploring the feasibility of two delivery strategies. Objective: To explore the feasibility of two HPV vaccine delivery strategies: 1) a stand-alone school-based strategy that selected girls based on their enrolment in grade 5 (known as the “grade-based” strategy; and 2) an age-based strategy that delivered the HPV vaccine based on the girls’ age (10-year-olds). This strategy combined the delivery of the vaccine with the distribution of deworming medication and vitamin A through an existing Child Days Plus program. Methods: A qualitative study that explored the feasibility of the two delivery strategies from the perspective of health workers, district leaders, and staff of the Uganda National Expanded Programme on Immunization, utilizing in-depth interviews and focus group discussions. Results: Coverage data showed that more girls (88%) were vaccinated using the grade-based strategy and completed all three doses compared to those (73%) vaccinated using the age-based strategy. Health workers and teachers indicated that determining vaccination eligibility was easier by grade than by age and there were minor disruptions to health services and school programs during vaccinations, as reported by health workers and teachers using the grade-based strategy. Conclusion: HPV vaccine delivery at schools using grade eligibility was more feasible than selecting girls by age. Lessons learned in Uganda could be relevant for countries considering implementing HPV vaccinations.