FACTORS INFLUENCING LOW UTILIZATION OF EMTCT SERVICES BY PREGNANT MOTHERS AT MBARARA REGIONAL REFERRAL HOSPITAL, MBARARA DISTRICT

Table of Contents

Dedication ................................................................. i

Acknowledgement ......................................................... ii

Declaration ........................................................... iii

Authorization form ............................................................................ v

Table of Contents ................................................................................. vi

List of Figures .................................................................. ix

List of Tables ............................................................................................. x

Definition of terms ........................................................ xi

Abbreviations/Acronyms ....................................................... xii

Abstract ................................................................................xiii

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

INTRODUCTION ........................................................................ 1

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

1.1 Background to the study .............................................................. 1

1.2 Problem Statement ................................................................... 2

1.3 Purpose of the study .......................................................... 3

1.4 Specific objectives ................................................................. 4

1.6 Justification of the study ..................................................... 4

CHAPTER TWO ................................................................ 6

LITERATURE REVIEW ........................................................... 6

2.0 Introduction ............................................................................................................................................. 6

2.1 Socio demographic factors influencing low utilization of eMTCT services by pregnant mothers ........ 6

2.2 Socio economic factors influencing low utilization of eMTCT services by pregnant mothers .............. 7

2.3 Health facility related factors influencing low utilization of eMTCT services by pregnant mothers. .... 8

CHAPTER THREE .................................................................................................................................... 10

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METHODOLOGY ..................................................................................................................................... 10

3.0 Introduction ........................................................................................................................................... 10

3.1 Study Design ......................................................................................................................................... 10

3.3 Study Population ................................................................................................................................... 11

3.3.1Sample Size and sampling method ..................................................................................................... 11

3.3.2 Sampling procedure ........................................................................................................................... 11

3.3.3 Inclusion criteria ................................................................................................................................ 12

3.3.4 Exclusion criteria ............................................................................................................................... 12

3.4 Definition of Variables ......................................................................................................................... 12

3.5 Data Collection Procedure .................................................................................................................... 13

3.6 Data management .................................................................................................................................. 13

3.7 Data analysis, processing and presentation ........................................................................................... 13

3.8 Ethical Considerations .......................................................................................................................... 13

3.9 Limitations/delimitations of the study .................................................................................................. 14

3.10 Dissemination of results ...................................................................................................................... 14

CHAPTER FOUR ....................................................................................................................................... 15

DATA ANALYSIS AND PRESENTATION ............................................................................................ 15

4.1 Introduction ........................................................................................................................................... 15

4.2 Demographic and Social Characteristics .............................................................................................. 15

4.3 Socio economic factors influencing utilization of eMTCT services by pregnant mothers ................... 18

4.4 Health facility factors influencing utilization of eMTCT services by pregnant mothers ...................... 23

CHAPTER FIVE ........................................................................................................................................ 28

DISCUSSION, CONCLUSIONS, RECOMMENDATIONS AND NURSING IMPLICATIONS ........... 28

5.1 Introduction ........................................................................................................................................... 28

5.1.2 Demographic and Social Characteristics ........................................................................................... 28

5.1.3 Socio economic factors influencing utilization of eMTCT services by pregnant mothers ................ 30

5.1.4 Health facility factors influencing utilization of eMTCT services by pregnant mothers ................... 32

5.2 Conclusion ............................................................................................................................................ 35

5.3 Recommendations ................................................................................................................................. 35

5.3.1 Recommendations to the Ministry of Health ..................................................................................... 35

5.3.2 Recommendations for health workers at Mbarara Regional Referral Hospital ................................. 36

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5.3.3 Recommendations for pregnant mothers at Mbarara Regional Referral Hospital ............................. 36

5.3.4 The implications of these findings to the nursing practice include the following: ............................ 37

References ................................................................................................................................................... 38

APPENDICES ............................................................................................................................................ 41

Appendix I: Consent Form .......................................................................................................................... 41

Appendix II: Interview Guide .......................................................... 42

Appendix III: Introductory Letter ............................................ 48

Appendix IV: Map of Uganda showing Mbarara District .................