Browsing by Author "Namulema, Angella"

Now showing 1 - 6 of 6
  • Thumbnail Image
    Item
    Factors Associated with HIV Testing among Pregnant Women in Rwanda: A Nationwide Cross-Sectional Survey
    (PLOS Global Public Health, 2024-01-18) Nuwabaine, Lilian; Kawuki, Joseph; Namulema, Angella; Asiimwe, John Baptist; Sserwanja, Quraish; Gatasi, Ghislaine; Donkor, Elorm
    Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, through aiding prompt treatment, care, and support. However, few studies have explored HIV testing among pregnant women in Rwanda. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda. We used secondary data from the 2020 Rwanda Demographic and Health Survey (RDHS), comprising 870 pregnant women. Multistage stratified sampling was used by the RDHS team to select participants. We conducted bivariable and multivariable logistic regression to explore factors associated with HIV testing using SPSS (version 25). Of the 870 pregnant women, 94.0% had tested for HIV during their current pregnancy. Younger age (24–34 years), not working, large household size, multiple sex partners, as well as secondary, primary, and no education were associated with higher odds of HIV testing compared to their respective counterparts. However, being unmarried, belonging to the western region, having not visited a health facility, and not having comprehensive HIV knowledge were associated with lower odds of HIV testing. A high proportion of pregnant women had tested for HIV. The study revealed that individual-level factors had the greatest influence on HIV testing in pregnancy, with a few household-level factors showing significance. There is a need for maternal health stakeholders to design and develop HIV testing programs that are region-sensitive. These programs should target older, more educated, working, and unmarried women with limited HIV knowledge.
  • Thumbnail Image
    Item
    Factors Associated with Quality of Intrapartum Care in Kenya: a Complex Samples Analysis of the 2022 Kenya Demographic and Health Survey
    (ResearchSquare, 2024-02-02) Nuwabaine, Lilian; Amwiine, Earnest; Sserwanja, Quraish; Kawuki,Joseph; Amperiize, Mathius; Namulema, Angella; Asiimwe, John Baptist
    Quality of intrapartum care remains a key intervention for increasing women’s utilization of skilled birth attendants in health facilities and improving maternal and newborn health. This study aimed to investigate the factors associated with the quality of intrapartum care using the 2022 Kenya Demographic and Health Survey (KDHS). Secondary data from the 2022 KDHS of 11,863 participants, who were selected by multistage stratied sampling, was used. Quality of intrapartum care was considered if a mother had a facility-based delivery, received skilled assistance during birth, and the baby immediately placed on the mother’s breast by skilled birth attendant within 1 hour after birth. We conducted multivariable logistic regression to determine the factors associated with quality of intrapartum care using SPSS (version 20).
  • Thumbnail Image
    Item
    Factors Associated with Quality of Intrapartum Care in Kenya: a complex samples analysis of the 2022 Kenya demographic and health survey
    (Research Square, 2024) Nuwabaine, Lilian; Amwiine, Earnest; Sserwanja, Quraish; Namulema, Angella; Asiimwe, John Baptist
    Quality of intrapartum care remains a key intervention for increasing women’s utilization of skilled birth attendants in health facilities and improving maternal and newborn health. This study aimed to investigate the factors associated with the quality of intrapartum care using the 2022 Kenya Demographic and Health Survey (KDHS). Secondary data from the 2022 KDHS of 11,863 participants, who were selected by multistage stratied sampling, was used. Quality of intrapartum care was considered if a mother had a facility-based delivery, received skilled assistance during birth, and the baby immediately placed on the mother’s breast by skilled birth attendant within 1 hour after birth. We conducted multivariable logistic regression to determine the factors associated with quality of intrapartum care using SPSS (version 20). Of the 11,863 women who had recently given birth, about 52.6% had received quality intrapartum care. As part of the intrapartum care, 88.2% gave birth in a health facility, 90.4% obtained assistance from skilled birth attendants, and 59.8% had their babies placed on the breast by delivery assistants within 1 hour after birth. Women who had attained secondary education (aOR = 1.46, 95% CI: 1.23–1.90), were working (aOR 1.24, 95% CI: 1.00-1.53), had > = 3 living children (aOR = 1.31 ,95% CI: 1.02–1.68), took 31–60 minutes to reach the health facility (aOR = 1.49, 95% CI: 1.41–1.95), were assisted during child birth by doctors (aOR = 19.86, 95% CI: 2.89-136.43) and nurses/midwives/clinical ocers (aOR = 23.09, 95% CI: 3.36-158.89) had higher odds of receiving quality intrapartum care. On the other hand, women in the richest wealth index (aOR = 0.64, 95% CI: 0.42–0.98), those who gave birth through cesarean section (AOR = 0.27, 95% CI: 0.20–0.36) and those whose current age of their child was > = 2years (AOR = 0.76, 95% CI: 0.60–0.96) were less likely to receive quality intrapartum care. About half of the women received quality clinical intrapartum care in Kenya, with demographic characteristics seeming to be the main drivers of quality intrapartum care. There is need to empower women through increasing access to education and developing initiatives for their economic independence, as well as facilitating their increased access to skilled birth attendants to improve the quality of intrapartum care.
  • Thumbnail Image
    Item
    Human Immunodeficiency Virus Testing and Associated Factors among Pregnant Women in Rwanda: a nationwide cross-sectional survey
    (tudent’s Journal of Health Research Africa, 2022-11-22) Nuwabaine, Lilian; Kawuki, Joseph; Namulema, Angella; Asiimwe, John Baptist; Donkor, Elorm
    Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, thus aiding in prompt treatment, care, and support. However, HIV testing among pregnant women in Rwanda has been barely explored. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda. Secondary data from the 2020 Rwanda Demographic and Health Survey comprising 870 pregnant women were used. Multistage stratified sampling was used to select participants. Multivariable logistic regression was conducted to determine the factors associated with HIV testing, using SPSS (version 25). Of the 870 pregnant women, 94.0% (95% CI: 92.3-95.4) had tested for HIV during their current pregnancy. Younger age (AOR=1.54, 95%CI: 1.54-4.42), not working (AOR=4.29, 95%CI: 1.52-12.08), large household size (AOR=2.96, 95%CI: 1.01-8.61), multiple sex partners (AOR=4.16, 95%CI: 3.01-5.74), as well as secondary (AOR=8.07, 95%CI: 2.15-11.43), primary (AOR=5.53, 95%CI: 1.28-9.74) and no (AOR=6.07, 95%CI: 1.21-10.44)education were positively associated with HIV testing. However, being unmarried (AOR=0.28, 95% CI: 0.19-0.86), belonging to the western region (AOR=0.20, 95% CI: 0.63-0.66), having not visited a health facility (AOR=0.22, 95%CI: 0.10-0.48), and not having comprehensive HIV knowledge (AOR=0.68, 95%CI: 0.30-0.55) were negatively associated with HIV testing. A high proportion of pregnant women had tested for HIV. However, there is a need for improved access to HIV education and testing facilities to address regional imbalances. The need for consideration of occupation, family and household dynamics in HIV testing promotion strategies is also highlighted.
  • Thumbnail Image
    Item
    Prevalence of Risk Factors for Human Immunodeficiency Virus among Sexually active Women in Rwanda: a nationwide survey
    (BMC Public Health, 2023-11-10) Kawuki, Joseph; Nuwabaine, Lilian; Namulema, Angella; Asiimwe, John Baptist; Sserwanja, Quraish; Donkor,,Elorm
    The Human Immunodeficiency Virus (HIV) remains a global health burden, and despite the advancements in antiretroviral therapy and various strategies employed to curb HIV infections, the incidence of HIV remains disproportionately high among women. Therefore, this study aimed to determine the prevalence of the risk factors for the acquisition of HIV among sexually active women in Rwanda. Secondary data from the 2020 Rwanda Demographic Health Survey, comprising 10,684 sexually active women, was used. Multistage stratified sampling was employed to select the study participants. Multivariable logistic regression was conducted to determine the associated risk factors using the SPSS (version 25). Of the 10,684 sexually active women, 28.7% (95% confidence interval (CI): 27.5–29.4) had at least one risk factor for HIV acquisition. Having no education (AOR = 3.65, 95%CI: 2.16–6.16), being unmarried (AOR = 4.50, 95%CI: 2.47–8.21), being from female-headed households (AOR = 1.75, 95%CI: 1.42–2.15), not having health insurance (AOR = 1.34, 95%CI: 1.09–1.65), no HIV test history (AOR = 1.44, 95%CI: 1.01–2.08), being from the poorest wealth quintile (AOR = 1.61, 95%CI: 1.14–2.27) and lack of exposure to mass media (AOR = 1.30, 95%CI: 1.07–1.58) were associated with higher odds of exposure to at least one HIV acquisition risk factor. In contrast, age groups of 25–34 (AOR = 0.56, 95%CI: 0.44–0.71) and 35–44 years (AOR = 0.62, 95%CI: 0.48–0.80), rural residence (AOR = 0.63, 95%CI: 0.49– 0.81) and being from the western region (AOR = 0.67, 95%CI: 0.48–0.94) were associated with less odds of exposure to at least one HIV acquisition risk factor. More than a quarter of sexually active women in Rwanda had exposure to at least one risk factor for HIV acquisition. There is a need to maximize the use of mass media in disseminating HIV prevention and behavioral change messages. Engagement of religious leaders and promotion of HIV testing, especially among the never-testers, may be vital strategies in successful HIV prevention programs.
  • Thumbnail Image
    Item
    Quality of Newborn Care and Associated Factors: An analysis of the 2022 Kenya Demographic and Health Survey
    (PLOS Global Public Health, 2024-11-13) Asiimwe, John Baptist; Amwiine, Earnest; Namulema, Angella; Sserwanja, Quraish; Namatovu, Imelda; Nuwabaine, Lilian
    Kenya one of the African countries has pledged to reduce neonatal death as per the 2030 World Health Organization target. Providing high-quality newborn care is critical in minimizing neonatal mortality. This study aimed to determine the factors that influence the quality of newborn care in Kenya. Secondary data from 11,863 participants of the 2022 Kenya Demographic and Health Survey (KDHS) were analyzed. The participants were chosen using two-stage stratified sampling. The quality of newborn care was operationalized as receiving all components of newborn care after childbirth, as reported by the mother. Using SPSS (version 29), univariate and multivariable logistic regression analyses were used to analyse the data. In this study, 32.7% (95% confidence interval [CI]: 31.0%-34.5%) of the mothers reported that their newborns had received all components of quality neonatal care after childbirth. Mothers who spent an average of one hour accessing the health facilities compared with those who spent less than half an hour were 1.33 (95%CI: 1.01–1.75) times more likely to report that their newborns had received quality newborn care. Mothers who gave birth in a non-government organization health facility were 30.37 (95%CI: 2.69–343.20) times more likely to report that their newborns had received quality newborn care compared with those who delivered from a faith-based organization. On the contrary, in terms of regions, mothers who lived in Nyanza, Eastern, and Rift Valley provinces compared with those who lived in the coastal regions were 0.53 (95%CI: 0.34–0.82), 0.61 (95%CI: 0.39–0.94), and 0.62 (95%CI: 0.41–0.93) times less likely to report that their newborns had received quality newborn care, respectively. Mothers who subscribed to other religions or faith (0.28 (95%CI: 0.10–0.76) compared with those from the Christian faith, were less likely to report that their newborns had received quality newborn care. Finally, mothers who gave birth through cesarean section were 0.44 (95%CI: 0.32–0.61) times less likely to report that their newborns had received quality newborn care than mothers who gave birth through spontaneous vaginal delivery. The study indicates that about a third of the neonates received quality newborn care and that facility-related and parental social factors were associated with receiving quality newborn care. Stakeholders need to pay more attention to newborn babies whose mothers come from certain regions of Kenya where the quality of newborn care was found to be low, minority religious faith denominations, and those who delivered by ceasearen section. Stakeholders also should focus on strengthening collaborations with NGO health facilities and achieving universal health coverage to improve the quality of newborn care provided in health facilities.