Factors Affecting Health Workers in Implementation of Emtct Services at Bushenyi Health Centre Iv Bushenyi District.

Table of Contents

DECLARATION...........................................................................................................................................ii

COPY RIGHT. .............................................................................................................................................iii

RESEARCH APPROVAL ...........................................................................................................................iv

LIST OF FIGURES....................................................................................................................................viii

DEDICATION ..............................................................................................................................................x

LIST OF ABBREVIATION.........................................................................................................................xi

OPERATIONAL DEFINITIONS ...............................................................................................................xii

ABSTRACT ...............................................................................................................................................xiii

CHAPTER ONE:.......................................................................................................................................... 1

1.0 Introduction .......................................................................................................................................... 1

1.1 Back ground of the study. .................................................................................................................... 1

1.2 Problem statement................................................................................................................................ 2

1.3 Purpose of the study ............................................................................................................................. 4

1.3.1 Broad objective.................................................................................................................................... 4

1.3.2 Specific objectives.............................................................................................................................. 4

1.4 Research questions ............................................................................................................................... 5

1.5 Justification........................................................................................................................................... 6

CHAPTER TWO:......................................................................................................................................... 7

LITERATURE REVIEW............................................................................................................................. 7

2.0 Introduction .......................................................................................................................................... 7

2.1 Health worker based factors affecting health workers in implementation of EMTCT services... 7

Human Resources on EMTCT Management................................................................................................ 7

Drug unavailability....................................................................................................................................... 8

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Lack of resources for follow-up ................................................................................................................... 8

2.2 Maternal based factors affecting health workers in implementation of EMTCT services............ 8

Home Delivery ............................................................................................................................................. 8

Stigma and Feeding Choices ...................................................................................................................... 10

2.3 MOTHERS’ KNOWLEDGE ON EMTCT...................................................................................... 11

CHAPTER THREE:................................................................................................................................... 13

METHODOLOGY ..................................................................................................................................... 13

3.1 Introduction ........................................................................................................................................ 13

3.2 Study area and rationale.................................................................................................................... 13

3.3 Study Design and rationale................................................................................................................ 13

3.4 Study Population and rationale......................................................................................................... 14

3.4.1 Sample size Determination................................................................................................................ 14

3.4.2 Sampling procedure and rationale ..................................................................................................... 15

3.4.3 Inclusion criteria ................................................................................................................................ 15

3.5 Definition of variables........................................................................................................................ 16

3.5.1 The dependent variable...................................................................................................................... 16

3.5.2 The independent variable................................................................................................................... 16

3.6 Data collection tool/research instruments ........................................................................................ 16

3.7 Data collection procedure .................................................................................................................. 16

3.7.1 Data management .............................................................................................................................. 17

3.7.2 Data analysis and presentation........................................................................................................... 17

3.8 Ethical considerations ........................................................................................................................ 17

3.9 Study limitations................................................................................................................................. 18

3.10 Dissemination of results ................................................................................................................... 18

CHAPTER FOUR ...................................................................................................................................... 19

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RESULTS................................................................................................................................................... 19

4.1 Introduction ........................................................................................................................................ 19

4.2 Demographic characteristics ............................................................................................................. 19

4.3 Health worker based factors affecting health workers in implementation of EMTCT services. 20

4.4 Maternal based factors affecting health workers in implementation of EMTCT services.......... 22

4.5 Mothers, knowledge in relation to participating in EMTCT services ........................................... 23

CHAPTER FIVE........................................................................................................................................ 25

DISCUSSION............................................................................................................................................. 25

5.1 INTRODUCTION .............................................................................................................................. 25

5.2 Social demographic characteristics................................................................................................... 25

5.3 Health worker based factors affecting health workers in implementation of EMTCT services. 25

5.4 Maternal based factors affecting health workers in implementation of EMTCT services.......... 27

5.5 Mothers, knowledge in relation to participating in EMTCT services ........................................... 28

5.6 CONCLUSION ................................................................................................................................... 30

5.7 RECCOMMENDATION................................................................................................................... 31

5.8 FURTHUR RESEARCH ................................................................................................................... 31

REFERENCES........................................................................................................................................... 32

APPENDIX 1: CONSENT FORM.......................................................................................................... 35

APPENDIX 2: QUESTIONNAIRE ........................................................................................................... 36

APPENDIX 4: BUDGET ........................................................................................................................ 40

APPENDIX 6: WORK PLAN.................................................................................................................... 41

A MAP OF UGANDA SHOWING THE LOCATION OF STUDY AREA, ( BUSHENYI TOWN). ..... 42

A MAP OF BUSHENYI MUNICIPALITY SHOWING LOCATION OF BUSHENYI HEALTH IV. ... 43