{"title":"Assessment of Diabetes Mellitus Prevalence and Associated Complications among Patients at Jinja Regional Referral Hospital","authors":"Al-Busaidy Swalah Suleiman Salim","doi":"10.59298/idosr/jbbaf/23/14.5311","DOIUrl":"https://doi.org/10.59298/idosr/jbbaf/23/14.5311","url":null,"abstract":"In recent years, Africa has witnessed a notable shift in its disease landscape from acute infectious conditions to chronic non-communicable diseases like diabetes. The economic impact of diabetes and its complications has become a significant concern, affecting individuals, families, healthcare systems, and national economies through direct medical costs and productivity loss. Uganda, in particular, has observed a rising prevalence of diabetes, with the Uganda Diabetes Association reporting a 1.4% prevalence, accounting for approximately 500,000 individuals affected. This surge in diabetes presents a dual challenge as both a public health issue and an economic burden, necessitating vigilant monitoring and stringent management. Recognizing its profound public health implications in terms of morbidity, mortality, and cost, a comprehensive investigation into the prevalence and complications of diabetes mellitus was conducted at Jinja Regional Referral Hospital (JRRH). Using a retrospective facility-based cross-sectional study design encompassing qualitative and quantitative approaches, this research reviewed 784 patient records admitted to JRRH from January 2018 to December 2018. The findings revealed a notably high prevalence of diabetes mellitus at 8.2%. Noteworthy gender disparities were observed, with a higher prevalence among males (12%) than females (6%) within the studied population. Moreover, urban dwellers exhibited a higher susceptibility to diabetes compared to rural counterparts, and the risk was observed to escalate with age. Complications associated with diabetes mellitus were alarmingly prevalent, reaching 89.23%, predominantly characterized by microvascular complications, accounting for 56.90%. Despite the severity of complications, the case fatality rate stood at 1.54%, lower than the documented 4%, possibly influenced by a spectrum of contributing factors both positive and negative. The study underscores the urgency for increased focus on diabetes care in Jinja, emphasizing the imperative for further research, robust health education initiatives, and enhanced funding allocation toward managing this escalating health concern. Keywords: Diabetes Mellitus, Diseases, Public Health, Complications, Males and Females.","PeriodicalId":236427,"journal":{"name":"IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS","volume":"110 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influencing Elements Impacting the Participation in Cervical Cancer Screening Among Women of Childbearing Age at Jinja Regional Referral Hospital, Eastern Uganda","authors":"Belia Ngesa Etale","doi":"10.59298/idosr/jbbaf/23/16.7351","DOIUrl":"https://doi.org/10.59298/idosr/jbbaf/23/16.7351","url":null,"abstract":"This research aimed to gauge cervical cancer screening participation and its influencing factors among Women of Reproductive Age (WRA) at Jinja Regional Referral Hospital (JRRH) in Eastern Uganda. Conducted from January to April 2021, the study utilized a cross-sectional descriptive design, surveying 370 WRA through pretested semi-structured questionnaires. Analysis was performed using SPSS version 20, presenting outcomes through tables, frequencies, percentages, and logistic regression analyses. Among the 370 respondents, merely 24.3% (90 individuals) had undergone cervical cancer screening. Of these, 14.1% had one screening, 7.0% had two screenings, and 3.2% had been screened three or more times. The primary mode of screening (11%) occurred during medical camps. Regarding awareness, 89.7% had heard of cervical screening, predominantly through radio broadcasts (41.0%), with 41.4% recognizing its purpose and 52.4% acknowledging its role in early detection and treatment. Furthermore, 94.3% viewed cervical cancer screening as a beneficial practice, with 81.1% advocating for other women to undergo screening, while 90% believed in promoting this practice. Culturally and religiously, the acceptance of cervical cancer screening was widespread. Demographically, most respondents (66.5%) fell within the 15-30 age bracket, with the majority identifying as Anglicans (33.8%) and 88.9% being Ugandan nationals. Educational attainment was predominantly at the secondary (37.0%) and tertiary (39.2%) levels. Regression analysis indicated that being Anglican significantly influenced the uptake of cervical cancer screening [OR=2.219(1.039 – 3.899); 95% CI, P=0.038)]. Despite increased knowledge and awareness about cervical cancer screening’s purpose, treatment, and associated complications, uptake remains below desired levels. Notably, a substantial number of women did not seek screening due to the absence of signs or symptoms and lack of advice from medical professionals, exposing a gap in primary healthcare significance. The study underscores the need for heightened health education across healthcare platforms to emphasize the critical importance of cervical cancer screening and encourage more women to partake in this essential preventive practice. Keywords: Cancer, Women, Cervical cancer screening, Pap smear test","PeriodicalId":236427,"journal":{"name":"IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS","volume":"112 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining Prevalence and Influential Factors of Cervical Cancer Screening Among Women of Reproductive Age at Fort Portal Regional Referral Hospital in Fort Portal City","authors":"Mumere Mutahunga Robert","doi":"10.59298/idosr/jbbaf/23/19.476","DOIUrl":"https://doi.org/10.59298/idosr/jbbaf/23/19.476","url":null,"abstract":"Globally, cervical cancer stands as a pressing health issue for women, ranking as the second most common cancer type among females worldwide. A study conducted at Fort Portal Regional Referral Hospital in Fort Portal City aimed to assess the prevalence and factors impacting the participation of women of reproductive age in cervical cancer screening tests. Employing a cross-sectional descriptive design with quantitative methods, the study utilized a consecutive sampling technique, surveying 96 respondents through self-administered questionnaires. Data analysis involved coding and entry via SPSS 20.1, with findings presented through tables, graphs, and pie charts. Results indicated that only a quarter of respondents (25%) had undergone cervical cancer screening, predominantly opting for Visual Inspection with Acetic Acid (VIA) (58.3%). Notably, a significant proportion of screened individuals (66.7%) hailed from rural areas, and the majority (66.7%) had a parity of 3 or fewer children. Moreover, 58.3% of those screened reported earning more than 400,000 shs per month. Unexpectedly, reluctance accounted for 44.8% of respondents' reasons for not undergoing screening. In summary, despite free accessibility to the service, there's a notably low prevalence of cervical cancer screening. Reluctance and fear associated with the procedure emerged as significant barriers hindering the uptake of cervical cancer screening among the surveyed population. Keywords: Cervical cancer, Reproductive age, Mothers, Women, Human papillomavirus.","PeriodicalId":236427,"journal":{"name":"IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS","volume":"72 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Affecting Health Workers in Implementation of EMTCT Services at Bushenyi Health Centre IV Bushenyi District","authors":"Nabaasa Olivia","doi":"10.59298/idosr/jbbaf/23/10.1.72","DOIUrl":"https://doi.org/10.59298/idosr/jbbaf/23/10.1.72","url":null,"abstract":"This study focused on factors affecting health workers in the implementation of EMTCT services at Bushenyi Health Centre IV. The objectives of the study were, to find out the health worker-based factors affecting health workers in the implementation of EMTCT services, to establish maternal-based factors affecting health workers in the implementation of EMTCT services and to assess mothers, knowledge in relation to participating in EMTCT services at Bushenyi health centre IV. The study was carried out at Bushenyi Health centre IV which is located in Bushenyi municipality in Bushenyi district which basically serves people from Bushenyi district with a few others from neighbouring districts. It was descriptive and crosssectional in which quantitative and qualitative methods of data collection were used and the study included health workers offering EMTCT services to the mother and mothers receiving EMTCT services who were around during the period of the study. The study found that 81.25%, of the health workers, had ever attained an EMTCT reinforcement workshop and only 3(18.75%) had not attended any workshop of that nature since they were transferred to Bushenyi health centre IV. The study found out that a bigger percentage of mothers at 93.75% have knowledge on various methods in which HIV can spread from the mother to the baby and only 6.25 percentage said she didn’t know of such ways and regarding knowledge on importance of VCT, study found out that all the 16 mothers who took part in the study knew that its of health importance to attend a VCT, but they didn’t have a detailed information about how EMTCT could help a mother who is found HIV positive. In conclusion, from the study health workers and mothers who participated in the study acknowledge that EMTCT is an essential service to the health of the mother and the baby, but is being hindered by fore mentioned challenges which are controllable if timely intervention is put in place. The following are therefore recommendations made for a better EMTCT service delivery, the government through the ministry of health should organize more workshops and short course training on EMTCT to enable health workers to acquire knowledge of the service also the government should sensitize people through public media to make use of EMTCT services from health facilities, the management of Bushenyi health centre IV should make outreaches for EMTCT services to mothers who may be able to come to the health facility quite often, health workers should always do follow up on their EMTCT clients so as to reduce the number of defaulters and lastly pregnant mothers should be encouraged to attend ANC services in which those who need EMTCT services can be identified. Keywords: EMTCT services, health workers, Pregnant mothers, HIV positive, Health facility","PeriodicalId":236427,"journal":{"name":"IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS","volume":"63 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114429814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing the Effects of Alcohol on the Families of the Community Surrounding Rukungiri Health Centre IV","authors":"Ahabwe, Jonnat","doi":"10.59298/idosr/jbbaf/23/10.1.70","DOIUrl":"https://doi.org/10.59298/idosr/jbbaf/23/10.1.70","url":null,"abstract":"The Global Status Report revealed that disease burden as measured by disability-adjusted life years (DALYs) attributed to alcohol and drug use as being significantly higher in America and Europe. However, the overall disease burden attributable to alcoholism is not insignificant and evidence suggests that alcohol-related problems will continue more to the overall disease burden over time. The general objective of the study is to assess the effects of alcohol on the families and communities surrounding the Rukungiri health centre in the Rukungiri district. However, there are specific objectives for example: To establish whether poverty is due to alcohol in the families and community surrounding the Rukungiri health centre in the Rukungiri district, Quantitative data from the questionnaires were analyzed by using Microsoft Excel, figures and tables while qualitative data was analyzed through coding, describing and relating with the findings. All the above data was interpreted to give meaningful information. According to the results from the table. The majority of the respondents were males 40 (83%) and the least respondents were females 8(17%). The majority of the respondents were aged between 27- 40 (52%) and the least were aged between 18-26 (6%). The majority of the respondents were married 35 (73%) and the least were divorced 2(4%). The majority of the respondents stopped at the primary level 20 (42%) and the least respondents didn’t go to the University 0(0%). The majority of the respondents were peasants 33(69%) and the least were the unemployed 2 (4%). Most respondents were from the catholic religion 24(50%) and the least were from other religions (Muslims and protestants). The majority of the respondents strongly agreed that alcohol consumption affect productivity of the family 26(54.2%) and the least respondents disagreed 0(0%). In conclusion, harsh economic conditions are responsible for alcohol abuse. Also the availability and the low cost of alcohol have led to alcohol abuse. Keywords: Alcoholism, Families, Males, Females, Catholic religions.","PeriodicalId":236427,"journal":{"name":"IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126999093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploration of the Factors Contributing to Under Utilization of Artificial Contraceptives in Female Nursing Students of KIU","authors":"Nawana, Miria","doi":"10.59298/idosr/jbbaf/23/10.1.71","DOIUrl":"https://doi.org/10.59298/idosr/jbbaf/23/10.1.71","url":null,"abstract":"Family planning is a basic human right for an individual/couple to exercise control over their fertility, make informed decision on the number of children they want to have. The purpose of this study was to assess the factors contributing to the underutilization of artificial contraceptive methods among female nursing students of KIU Ishaka-Bushenyi. The study employed a descriptive cross-sectional design, a simple random sampling technique was used to get a total of 189 students who participated in the study, a self-administered questionnaire was used for data collection, data was analyzed using quantitative methodology where it was entered in analysis software, analyzed and presented using tables, frequencies, columns and pie charts using SPSS version 20.0. The results showed that majority of the respondents (65.0%) reported not having used artificial contraceptive methods. The majority (63.4%) of the respondents who reported not having utilized artificial contraceptives were between the age of 28 and 32 years. Also, majority of the respondents (66.7%) were in first and fourth year and culture (43.4%) were among the major contributing factors to underutilization of artificial contraceptive methods, also fear of side effects whereby (64.6%) of the respondents reported that fear of side effects made them not to use artificial contraceptives and having one sexual partner contributed to underutilization of artificial contraceptives. Majority of the respondents reported having not used artificial contraceptive methods. In conclusion, age, religion, year of study and culture were among the major contributing factors to underutilization of artificial contraceptive methods also fear of side effects and having one sexual partner contributed to underutilization of artificial contraceptives. Keywords: Family planning, Couple, Fertility, Artificial contraceptive, Children.","PeriodicalId":236427,"journal":{"name":"IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129124249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}