Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse's occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher's = 8.363, p = 0.028*), religion (Fisher's = 5.77, p = 0.048*) and parity (Fisher's 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073-0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There's a need for government to strengthen health promotion targeting women in rural communities.
Globally, infections acquired during childbirth contribute to one tenth of the maternal deaths annually [1] [2]. Factors predisposing to high risks of puerperal infections include non-compliance with Standard Precautions of Infection Control (SPIC), unhygienic births by unskilled birth attendants, multiple vaginal examinations, prolonged labour and premature rapture of membranes [1]. The main purpose of this study was to determine factors associated with compliance to standard precautions of infection control the management of labour by healthcare workers in Mulago Hospital to generate information, which may be used in infection control and prevention practices. A cross-sectional study utilizing a quantitative approach was conducted among 115 healthcare workers. Consecutive sampling was done to include respondents in the study. Data were collected by direct observation and researcher administered questionnaires. Data were coded and entered into the computer using SPSS version 20 with programmed quality control checks. Descriptive data analyses, frequencies, cross tabulations and logistic regression analysis were the major statistical methods used. 103 healthcare workers were involved in the study, where 74% were females. Overall compliance was at 52%, although it varied across domains. The majority of the healthcare workers (95.1%) did not comply with hand hygiene. Being a male was associated with low compliance scores a cross most domains. One of the hospital factors which was significantly associated with compliance to hand hygiene was having had an in-service training with p = 0.008 and p = 0.012 at multivariate analysis. Overall compliance to standard precautions of infection control was
There is a higher Human Papilloma Virus peak prevalence in younger women (18 -25 years) of university age. The undergraduate university students are more at a risk of acquiring cervical cancer because they are at the stage of exploring which predisposes them to risky behavior like early sexual intercourse and multiple sexual partners among others. This creates a need for cervical cancer screening in the population. The facilitators and barriers to cervical cancer screening have been studied in the Ugandan general population but little is known among University students which this study is taking interest. Objective: This study is aimed at determining the facilitators, barriers and background factors associated to cervical cancer screening among female undergraduate students in Makerere University. Methods: Four hundred twenty-two (422) female undergraduate students of Makerere University who fit the eligibility criteria were recruited in this descriptive cross-sectional quantitative study. A self-administered semi structured questionnaire was administered to these participants chosen by convenient sampling. Data collected was analyzed using SPSS version 23 software and logistic regression models was used. Results: Less than a half of (21.1%) of the participants had ever screened for cervical cancer. At multivariate analysis, only year of study and married status were associated to cervical cancer screening with a P-values were of (0.015) and (0.001) with a (1.173 -4.261) and (1.594 -6.130) 95% CI respectively. The facilitators agreed upon by participants included: Access to free cervical cancer screening services, adequate knowledge about cervical cancer screening and advice from a friend, family or physician among others. The reported barriers to screening were fear of bad result, low risk perception and fear of embarrassment among others. Conclusions and Recommendations: Among the female undergraduate students of Makerere How to cite this paper: Kabiri, L. and Komuhangi, G. (2021) Facilitators and Barriers to Cervical Cancer Screening among Female Undergraduate Students of Makerere Univer-
Background: Although different approaches have been utilized for Evidence Based Practice teaching over the years, there’s paucity of literature on the efficacy of Problem Based Learning (PBL) as a teaching strategy for Evidence Based Practice (EBP) for nursing and midwifery professionals. The purpose of this review is to analyze, critically appraise, and synthesize evidence regarding the efficacy of Problem-Based Learning (PBL) in training nursing and midwifery professionals on Evidence-Based Practice (EBP). Methods: High-quality systematic reviews and meta-analyses take great care to find all relevant studies, critically assess each study, synthesize the findings from individual studies in an unbiased manner, and present balanced important summary of findings with due consideration of any flaws in the evidence. The studies will be RCTs and Non RCTs which will be selected from PsychInfo, CINAHL (Cumulative Index to Nursing and Allied Health Literature), PubMed, EMBASE, ERIC, Cochrane Central. The study will be both narrative and quantitative synthesis. The quality of the included studies will be assessed through risk of bias assessment criteria. The population of this systematic review will consist of nursing and midwifery professionals who have been exposed to bachelor's and master's degree nursing and midwifery training on EBP utilizing the PBL method as opposed to other EBP teaching methods. In a global context, the result will be EBP competencies and the factors associated with application of EBP core competencies in clinical practice by nursing and midwifery professionals trained using PBL. This review will adhere to a priori criterion. The review's title has been registered in PROSPERO (No: CRD42023390989). Conclusion: To enhance the quality of EBP teaching for nursing and midwifery professionals, an up-to-date systematic review and meta-analysis of the efficiency of problem-based learning (PBL) as a teaching method for EBP and its influence on the key competencies of EBP is required.
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