School of Public Health (Public-Health) Collections
http://hdl.handle.net/10570/184
2024-03-29T00:04:02ZAcceptability and satisfaction of male partners with antenatal clinic-based HIV testing for PMTCT at Old-Mulago Hospital, Uganda
http://hdl.handle.net/10570/2186
Acceptability and satisfaction of male partners with antenatal clinic-based HIV testing for PMTCT at Old-Mulago Hospital, Uganda
Drasiku, Amos
Introduction: Despite benefits of and strategies to increase male partner participation in
AHCT at Old-Mulago ANC, their attendance has remained very low (15.8% tested). It is not clear whether they accept AHCT and how satisfied those who have undergone it are.
Methodology: A cross-sectional study of 214 male partners of antenatal mothers at Old-
Mulago ANC selected by simple random sampling was done. Quantitative data was collected using semi-structured interviewer administered questionnaires. Multivariable logistic regression analysis were performed in Stata 10SE to obtain Odds ratios of satisfaction and their 95% CI so as to identify factors which influence satisfaction with AHCT services. Qualitative data was obtained through four FGDs and analyzed by thematic content analysis method.
Results: AHCT acceptance was 99.8%, most respondents (81%) were satisfied with their overall AHCT experience and 71% were satisfied with service setting. FGD participants reported that AHCT for male partners is good but some men do not want to be tested together with their wives. The FGD participants too reported satisfaction with AHCT services. Factors with statistically significant association towards overall satisfaction were cleanliness/hygiene (AOR 2.53, 95% CI 1.12-5.70) and service duration (AOR 13.05, 95% CI 2.97-57.44).
Conclusion/Recommendation: Men who escort their wives to the antenatal clinic tend to
accept AHCT and tend to be satisfied with the testing experience. However, service duration should be reduced by minimizing delays and commencing work early. More staffs should be allocated to the antenatal clinic especially for antenatal examinations and laboratory.
A thesis submitted in partial fulfillment of the requirements for the award of the Masters of Science Degree in Health Services Research of Makerere University.
2010-12-01T00:00:00ZACCEPTABILITY AND WILLINGNESS TO PAY FOR UGANDA’S PROPOSED NATIONAL HEALTH INSURANCE SCHEME AMONG INFORMAL SECTOR WORKERS IN IGANGA AND MAYUGE DISTRICTS
http://hdl.handle.net/10570/7746
ACCEPTABILITY AND WILLINGNESS TO PAY FOR UGANDA’S PROPOSED NATIONAL HEALTH INSURANCE SCHEME AMONG INFORMAL SECTOR WORKERS IN IGANGA AND MAYUGE DISTRICTS
Namuhani, Noel
Introduction: Access to health care remains a challenge especially among the informal sector in most of the low-income countries due to out of pocket (OOP) expenditures, with Uganda spending over 40.0% out of pocket on health care. To solve this, Uganda has proposed a National health insurance scheme (NHI). However, the acceptability, willingness and ability to pay for the proposed NHI scheme within the informal sector has not been explored.
Objective: To assess the willingness to pay for the proposed NHI scheme and its determinants among the informal sector workers in Iganga and Mayuge districts
Methodology: This was a cross sectional study. It was conducted in Iganga and Mayuge districts in June 2019. A contingent valuation method using the bidding game technique was used to elicit the willingness to pay. A total of 853/781,948 informal sector workers were randomly selected to participate in the study. Six key informant interviews with health workers and 7 FGDs with informal sector workers were also conducted. Logistic regression was done to identify the determinants for willingness to pay for the proposed NHI scheme.
Results: The majority (85.2%) of the respondents would accept the proposed scheme. Most respondents (81.5%) were willing to pay for NHI, the median WTP was UGX 25,000 (USD 6.8) and 74.2% of the respondents believed that they were able to pay for health insurance. The factors that were significantly associated with WTP included; Occupation. Wealth, hearing about health insurance, use of traditional medicine and having saving group membership.
Conclusion and Recommendation: The level of acceptability and willingness to pay was high. Therefore, it is viable for MOH to introduce and extend NHI to the informal sector but with affordable premiums while ensuring that the quality of services is enhanced.
2019-01-01T00:00:00ZAcceptability of integration of cervical cancer screening into routine HIV care, associated factors and perceptions among HIV-infected women: a mixed methods study at Mbarara regional referral hospital
http://hdl.handle.net/10570/8689
Acceptability of integration of cervical cancer screening into routine HIV care, associated factors and perceptions among HIV-infected women: a mixed methods study at Mbarara regional referral hospital
Ninsiima, Mackline
Background: Integrating Cervical Cancer Screening (CCS) into routine HIV care has been
endorsed as an effective strategy for increasing uptake of CCS, and facilitating early detection and
treatment of pre-cancerous lesions among HIV-infected women in Sub Saharan Africa. In Uganda,
this strategy has not been implemented yet in most HIV clinics. Assessing the acceptability of this
intervention among HIV-infected women is of great relevance to inform its implementation.
Objective: To assess the acceptability of integration of Cervical Cancer Screening (CCS) into
routine HIV care, associated factors and perceptions among HIV-infected women enrolled in the
Immune Suppression Syndrome clinic at Mbarara Regional Referral Hospital (MRRH).
Methodology: A mixed methods study utilizing the explanatory sequential approach was conducted
among 327 eligible HIV-infected women. Acceptability of integration of CCS into routine HIV care
was measured using the Theoretical Framework of acceptability (TFA). A pre-tested questionnaire
was used to collect quantitative data. Focus group discussions to explore perceptions regarding the
intervention were conducted among purposively selected HIV-infected women. Descriptive analyses
for all categorical dependent and independent variables were done. Modified poisson regression
with robust variance analysis was utilized to determine factors associated with the acceptability of
the intervention. Statistical significance was determined at p-value <0.05. The analysis was
performed using STATA Version 14.0. Thematic analysis utilizing inductive coding was used to
analyze qualitative data in Atlas.ti 6.0.
Results: Majority of the HIV-infected women (64.5%) accepted the integration of CCS into routine
HIV care. Religion, perceived risk of developing CC and ever screened for CC were statistically
significantly associated with the acceptability of integration of CCS into routine HIV care. Perceived
benefits of the proposed intervention were: convenience to seek for CCS, motivation to undergo
CCS, improved archiving of CCS results, the confidentiality of HIV patient information, and
preference to interact with ISS clinic health workers. Shame to expose their privacy to the ISS clinic
health workers and increased waiting time were the only perceived challenges of the integration of
CCS into routine HIV care.
Conclusion: Study findings highlight the need to take advantage of this acceptability to prioritize
implementation of the integration of CCS into routine HIV care, conduct intensified health education
and awareness about the increased risk of developing CC among HIV-infected women. HIV-infected
women should be reassured of confidentiality and reduced waiting time to increase the uptake of the
integrated CCS and HIV services among HIV-infected women along the continuum of HIV care and
treatment services.
Master’s Thesis
2021-05-07T00:00:00ZAcceptability of male infant medical circumcision as an HIV prevention strategy among patients attending a Health Centre IV in Kampala District
http://hdl.handle.net/10570/3590
Acceptability of male infant medical circumcision as an HIV prevention strategy among patients attending a Health Centre IV in Kampala District
Nsereko, Mary N.
Background: Medical Male Circumcision (MMC) has been shown to reduce the risk of HIV infection by 50-60%. UNAIDS has recommended that MMC be integrated into prevention strategies in countries of high prevalence. Circumcision in infancy has the added advantages of being easier to perform and cheaper through faster healing and less complications.
Objectives: The general objective was to establish the factors that influence acceptability of Male Infant Medical Circumcision (MIMC) as an HIV prevention strategy. The specific objectives were to determine knowledge of Male Medical Circumcision (MMC) and identify factors influencing acceptability of MIMC.
Methods: A descriptive cross sectional design was used. Participants were selected randomly from people attending a health centre. Data from consenting adults aged 18 years and above was collected using interviewer administered questionnaires. Bivariate analysis to determine factors associated with acceptability and logistic regression was done to remove confounders. Odds ratios (ORs), 95% confidence intervals and p values are reported.
Results: A total of 323 participants were interviewed. The mean age was 28.6 with a SD of 9 years. One hundred ninety three of them had 1 or more male children. At bivariate analysis, positive associations with acceptability were prior knowledge of Male Medical Circumcision (MMC) and a belief that MMC improved personal hygiene and prevented STDS/HIV. More than 80% of the respondents preferred circumcision in infancy because of a belief that it healed faster. Significant predictors of acceptability at multivariate analysis were found with being female (AOR 3.36; 95%CI 1.14-9.8), having knowledge about the preventive effect of MMC (AOR 5.61 95%CI 1.17-26.92), perceived family approval for MMC (AOR 23.59; 95%CI 6.43-86.50), and if the service were to be provided safely at affordable prices (AOR 3.27 95%CI1.17-917).
Conclusion: MIMC appears to be highly acceptable in Kampala. The option for safe and affordable MIMC should be made available to all parents.
A Dissertation submitted to the School of Graduate Studies in partial fulfillment of the requirements for the award of the Degree of Master of Public Health of Makerere University
2011-01-01T00:00:00Z