Factors Affecting Health Seeking Behavior Among Community Members in Ward Iii, Ishaka Bushenyi Municipality South Western Uganda

Table of Contents

ABSTRACT.............................................................................................................................. 1

DECLARATION. ..................................................................................................................... 5

APPROVAL. ............................................................................................................................ 6

DEDICATION.......................................................................................................................... 7

ACKNOWLEDGEMENT. ....................................................................................................... 8

ACRONYMS.......................................................................................................................... 12

LIST OF FIGURES ................................................................................................................ 13

LIST OF TABLES.................................................................................................................. 14

OPERATIONAL DEFINITIONS........................................................................................... 15

CHAPTER ONE: INTRODUCTION..................................................................................... 16

1.0 Introduction................................................................................................................... 16

1.1 Background................................................................................................................... 16

1.2 Problem statement......................................................................................................... 18

1.3 Purpose of the study...................................................................................................... 19

1.4 Specific objectives........................................................................................................ 19

1.6 Justification................................................................................................................... 19

1.6.1 Nursing practice ......................................................................................................... 19

1.6.2 Nursing education ...................................................................................................... 20

1.6.3 Nursing Research ....................................................................................................... 20

1.6.4 Nursing Management................................................................................................. 20

CHAPTER TWO: LITERATURE REVIEW......................................................................... 21

2.0 Introduction................................................................................................................... 21

1. Socio-demographic factors, ............................................................................................ 21

2. Health facility related factors.......................................................................................... 21

2.1 SOCIO-DEMOGRAPHIC FACTORS AFFECTING HEALTH SEEKING

BEHAVIOR........................................................................................................................ 21

2.1.1 Gender........................................................................................................................ 21

2.1.2 Literacy. ..................................................................................................................... 24

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2.1.3 Education. .................................................................................................................. 26

2.1.4 Regular Income.......................................................................................................... 28

2.1.5 Age............................................................................................................................. 30

2.1.6 Knowledge and attitudes towards health services................................................ 31

2.1.7 Cultural beliefs......................................................................................................... 32

2.1.8 Lack of time. ........................................................................................................... 33

2.2 HEALTH SYSTEM - RELATED FACTORS AFFECTING HEALTH SEEKING.. 33

2.2. 1 Closest Facility Type. ............................................................................................... 34

2.2.2 Cost of health services: .............................................................................................. 35

2.2.3 Inadequate medicines and supplies:........................................................................... 36

2.2.4 Inadequate staff.......................................................................................................... 36

2.2.5 Attitudes of health staffs. ........................................................................................... 37

2.2.6 Motivation of health staff........................................................................................... 37

2.2.7 Supervision of health staff. ........................................................................................ 38

2.2.8 Distance...................................................................................................................... 38

CHAPTER THREE: METHODOLOGY .............................................................................. 39

3.1 Introduction................................................................................................................... 39

3.2 Study area and rationale................................................................................................ 39

3.3 Study Design and rationale. .......................................................................................... 40

3.4.1 Sample size Determination. ....................................................................................... 40

3.4.2 Sampling procedure and rationale.............................................................................. 42

3.4.3 Inclusion criteria. ....................................................................................................... 42

3.4.4 Exclusion criteria. ...................................................................................................... 42

3.5 Definition of variables .................................................................................................. 42

3.5.1 The dependent variable. ............................................................................................. 43

3.5.2 The independent variable........................................................................................... 43

3.6 Research instruments. ................................................................................................... 43

3.7 Data collection procedure. ............................................................................................ 43

3.7.1 Data management and quality control. ...................................................................... 44

3.7.2 Data analysis and presentation................................................................................... 45

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3.8 Ethical considerations. .................................................................................................. 45

3.9 Study limitations. .......................................................................................................... 46

3.10 Dissemination of results.............................................................................................. 46

CHAPTER FOUR: RESULTS. .............................................................................................. 47

4.1 DEMOGRAPHIC CHARACTERISTICS.............................................................. 47

4.2 SOCIO-DEMOGRAPHIC FACTORS AFFECTING HEALTH SEEKING

BEHAVIOR........................................................................................................................ 49

4.3 HEALTH SYSTEM RELATED FACTORS AFFECTING HEALTH SEEKING...... 57

CHAPTER FIVE: DISCUSSION, CONCLUSSION, AND RECOMMENDATION. .......... 63

5.0 INTRODUCTION. ....................................................................................................... 63

5.1 DISCUSSION............................................................................................................... 63

5.1.1 Socio-demographics................................................................................................... 63

5.1.2 SOCIO-DEMOGRAPHIC FACTORS AFFECTING HEALTH SEEKING

BEHAVIOUR..................................................................................................................... 66

5.1.3 HEALTH SYSTEM RELATED FACTORS AFFECTING HEALTH SEEKING

............................................................................................................................................ 68

5.2 Conclusion .................................................................................................................... 70

5.3 Recommendation. ......................................................................................................... 71

5.4 NURSING IMPLICATIONS...................................................................................... 71

5.4.1 Knowledge. ................................................................................................................ 71

5.4.2 Practice....................................................................................................................... 72

5.4.3 Research..................................................................................................................... 72

REFERENCES ....................................................................................................................... 72

APPENDIX 1: CONSENT FORM...................................................................................... 77

A MAP OF UGANDA SHOWING THE LOCATION OF STUDY AREA, (WARD III,

ISHAKA BUSHENYI MUNICIPALITY). ............................................................................ 85

A MAP OF ISHAKA BUSHENYI MUNICIPALITY SHOWING WARD III..................... 86