http://dissertations.umu.ac.ug/xmlui/handle/123456789/182 2026-04-07T17:55:51Z http://dissertations.umu.ac.ug/xmlui/handle/123456789/1725 Examining the practice of school based sexuality education programme in primary schools in Bugiri district Acheng, Mystica Jameto Sexuality education has been highly controversial in Uganda in the past several decades. This comes as a result of perceived resistances from parents, teachers, religious leaders and law makers which are due to misunderstandings about the nature, purpose, and effects of sexuality education on young people (Boonstra, 2011; UNESCO, 2009). This study intended to examine the practice of school based sexuality education in primary schools in Bugiri district. It specifically examined the type of sexuality education program available to pupils, determined the factors influencing the type of sexuality education delivered, and critically assessed the usefulness of existing sexuality education programmes in Bugiri district. The study was a cross sectional study design which was descriptive in nature. Both quantitative and qualitative techniques for data collection which include questionnaires, focus group discussion, interviews and documentary review were used to collect data. Purposive sampling was utilized to select teachers and key informants according to their knowledge about the topic being researched while pupils were selected randomly. The data collected was analyzed using SPSS 16.0 for quantitative data while thematic analysis was used for qualitative data. The study found that the most commonly employed type of sexuality education was comprehensive education. Also, most of the teachers (72.2%) had integrated sexuality education lessons in other subjects and some teachers (26.5%) taught the lessons during co-curricular activities. While some teachers were not decided on a systematic way of teaching the subject. This means that there is no clear guidance at school level on how this type of education should be delivered thus, teachers did what was easier to practice. From the study findings time allocated to teach sexuality education was not adequate. The teachers indicated that most parents had positive attitude towards sexuality education. This is contributed to by the whole school approach used. The findings further indicated that the current practice of sexuality education in primary schools is poor (77.5%).This is due to the fact that sexuality education is not examinable hence teachers gave the subject less attention. Sexuality education was not part of teacher training curriculum, and there were no adequate facilities to facilitate teaching. Comprehensive education formed the most common type of sexuality education delivered to pupils in primary schools. Although it was also found that not all the teachers were teaching all topics in the curriculum, some skipped other topics. This means that some pupils did not receive holistic information to influence behavior positive change. Lack of adequate knowledge on sexuality education among teachers, limited resources and minimal time allocated for teaching sexuality education and believes influenced implementation of sexuality education curriculum in primary schools. Despite the critical importance and evidence justifying the need for sexuality education, the actual delivery of sexuality education in primary schools is still insufficient to help young people develop personal skills and influence behaviour change. Government should harmonize sexuality education curriculum for primary schools. All primary schools should be involved in sexuality education to facilitate reach of adolescents at risk due to limited and sometimes inaccurate information regarding sexuality issues. The training of teachers on sexuality education should be integrated as part of the teacher training curriculum and government should introduce an in-service course for teachers on sexuality education. The districts should develop clear tools for monitoring implementation of school based sexuality education to ensure quality age appropriate information are provided to all pupils. The issue of misconception around sexuality education topics should be taken up as serious advocacy issues that require attention of all stakeholders. Lillian Nantume Wampande 2017-01-01T00:00:00Z http://dissertations.umu.ac.ug/xmlui/handle/123456789/1651 Knowledge, attitudes and practices on traffic regulations among Kampala- Masaka highway passenger service vehicle drivers Asiimire, Peace Road traffic crashes continue to be a leading cause of death causing an estimated 1.2 million people globally each year with millions sustaining serious injuries and enduring long term adverse health outcomes. Recently statistics on road carnages in Uganda indicate that approximately 17,000 accidents occur annually. Such accidents claim up to 2,000 lives every year and Kampala-Masaka highway is considered the deadliest road in the country. To assess the Knowledge, attitudes and practices of passenger service vehicle drivers on the Kampala-Masaka Highway as regards road safety regulations. Methodology: An analytical cross sectional study design was employed. Semi-structured questionnaire was used to collect quantitative data from 196 drivers working on the Kampala Masaka Road. Data was captured in Epidata version 3.02 and was exported to stata 13 for analysis. Analysis was done at univariate, bivariate and multi-variate analysis. Qualitative interviews were conducted in form of In-depth Interviews with 15 traffic police officers on the Masaka-Kampala Road. Thematic analysis was done using atlas software so that common themes could be obtained. About 20% of drivers had ever been involved in an accident. Half 51.9% (96) had high driving compliance scores. Drivers aged 40-49years, those who covered weekly distance of 1001 -2000km, those who had high knowledge on road signs and positive attitude toward road traffic regulations were more likely to have good driving behavior in line with road traffic regulations as compared to those who were younger or older than 40-49years, those who covered a weekly distance of more than 2000km, those who had poor knowledge on road signs and those with a negative attitude toward road traffic regulations Knowledge and attitudes of drivers were satisfactory though practices were less satisfactory. There is need to increase awareness campaigns and enhance enforcement to ensure more compliance with the traffic regulations. Kiconco Arthur; Kiconco Arthur 2019-09-01T00:00:00Z http://dissertations.umu.ac.ug/xmlui/handle/123456789/1645 Determinants of uptake and access to hepatitis B vaccination among health workers in public health facilities; case study: South Western Uganda Tumuhairwe, Joel Kenneth Mugyenyi Introduction: Hepatitis B vaccination among health workers is one of the most cost effective strategies of preventing the occupation risk of infection with the hepatitis B virus. With its relatively modest costs and high benefits, HBV immunization continues to be one of the best values for public health investment today. The protection of health workers at their work place against Hepatitis B infection appears to be an emerging concern because of the increasing prevalence of hepatitis B in different regions of Uganda, coupled with low vaccination coverage and low utilization of personal protective gear by health workers. However, there is little literature on the factors that influence uptake and access to the hepatitis B vaccine among health workers. Given that Uganda has experienced several outbreaks of hepatitis B over the last couple of years and the increasing prevalence of hepatitis B in Uganda now estimated at 12%, this study assessed the determinants of access and uptake of hepatitis B vaccination among health workers in South Western Uganda. Objectives of the study: The broad objective of the study was to establish the determinants of uptake and access to Hepatitis B vaccination among health care workers in public health facilities in South Western Uganda so as to suggest evidence based measures that can be undertaken to increase its access and uptake by health workers. The specific objectives of the study were; to determine the individual, institutional and policy factors that influence uptake, to determine the pattern of uptake of hepatitis-B vaccination, to identify determinants associated with the risk of occupational exposure to Hepatitis B virus infection among health workers and to explore the influence of knowledge and attitudes of health workers towards hepatitis B vaccination on uptake of HBV vaccination in South western Uganda. Methodology: This was a descriptive cross-sectional institution based study conducted in four districts of South Western Uganda. Sampling was done both randomly and conveniently. Data were collected through use of a semi-structured questionnaire, conducting key informant interviews, review of primary documents and observation. Analysis of quantitative data was by using the Statistical Package for Social Scientists (SPSS) version 16.0 and Excel computer programmes. The data was presented in form of tables with percentages and cross tabulations. Qualitative data was organized according to major themes based on the objectives of the study. Key statements of major significance were reported verbatim so as to give the exact meaning as presented by the respondents. Results: The findings revealed that; 75.7% of health workers had ever received at least one dose of the vaccine but only but only 57.2% had completed the three doses. 62% had ever tested for HBV. Socio-demographic characteristics (sex, age, level of education, location of work place) of the individual influenced uptake and access of hepatitis B vaccination among health care workers. Females were more likely to uptake the HBV vaccine than males. Contrary to the expectations, health workers of certificate level of education were more likely to be vaccinated than those with higher qualifications. 49.8% of the entire work force was people of ages between 26-36 years. Marital status had an influence on uptake of HBV vaccine with married health workers were more likely to be vaccinated than single health workers. The most significant factor influencing uptake and access was availability of the vaccine, lack of awareness, distance to vaccination centre, cost of vaccine, communication gap between health facilities and the district, complacency of health workers, perception of low risk among others. 78.3% reported that there was no written policy at their health facilities on vaccination of health workers. Duration of service influenced uptake and access to the HBV vaccine with a peak level (35.8%) uptake among health workers who had xvii serviced for 1-3 years. Serving as a health worker for less than 1 year and more than 3 years reduced chances of uptake of the vaccine. Conclusion: Given these findings, the study identified the main determinants of uptake and access to hepatitis B vaccination among health care workers as being; availability of the vaccine in health centre, lack of enough knowledge about hepatitis B, perception of low risk of exposure, inaccessibility due to geographical location, availability of HBV test kits, reluctance or laxity of health workers, cost of the vaccine, lack of a mandatory policy on hepatitis B vaccination, lack of personal protective gear, attitudes and perceptions relating to infection and vaccine safety, management support as well support from government. The study also concluded that level of education and marital status, have a significant influence on uptake of hepatitis B vaccination among health workers Laing Vivienne 2015-10-01T00:00:00Z http://dissertations.umu.ac.ug/xmlui/handle/123456789/1643 Factors influencing traditional herbal medicine use during pregnancy among women attending health facilities; case study: Mpigi District Tumuhaise, Criscent Introduction Traditional herbal medicine is common, and WHO estimates its use in developing countries at about 80%, including use during pregnancy. Despite documented adverse outcomes secondary to, or aggravated by use of herbal medicines, its use during pregnancy has remained high. This high prevalence of herbal medicinal use during pregnancy is believed to be a contributing factor to poor maternal and new born outcomes in Uganda and other developing countries. The factors that influence use of herbal medicinal use during pregnancy have not been elaborately studied, and this hampers efforts to limit their use. Methods A cross-sectional mixed methods study was conducted in Mpigi District Central Uganda, targeting post-natal mothers attending the health facilities for the various post-natal services. The objectives were to determine the prevalence of herbal medicine use during pregnancy and to describe socio-cultural and health system factors that influence herbal medicine use during pregnancy. A semi-structured pre-tested coded questionnaire was administered for quantitative research. Two focused group discussions and four key informant interviews were conducted for qualitative data. A modified poisson regression model was used to find out factors that are significantly associated with herbal medicine use during pregnancy and variables whose p-value of the crude prevalence ratios was less than 0.05 were considered for multivariable analysis. Results Results of the study showed that the prevalence of herbal medicinal use during pregnancy was 79% with the commonest herbal preparation being mumbwa. Several factors were identified to independently influence herbal medicinal use during pregnancy and these were costly health care, availability of traditional birth attendants in communities, Tradition of use of herbal medicines, and perceived safety and efficacy of the herbal medicines. Conclusions and Recommendations Use of herbal medicines in pregnancy is still high and this is majorly influenced by expensive/costly health services to the communities and availability of trusted traditional birth attendants in communities. There is need to develop innovative health financing mechanisms, like the proposed National Health Insurance Scheme, to solve the challenge of costly health care to communities, and also need to train traditional birth attendants and integrate them into the mainstream health care system as community linkage or referral agents. Kabanda Richard 2019-07-01T00:00:00Z