Department of Nursing Sciences

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    Magnitude of Birth Preparedness among Pregnant Women Seeking Skilled Birth Services at a Rural Hospital in Western Uganda:
    (Scholars Academic and Scientific Publishers (SAS Publishers), 2018-09-30) Munguiko, Clement; Gorrette, Nalwadda; Masereka Enos, Mirembe; Nandutu, Alice; Conrad Ondieki, Miruka
    Abstract: Although the practice of preparing for childbirth among pregnant women is associated with 24.0% and 53.0% reduction in neonatal and maternal mortality respectively in low income countries, it remains inadequately practiced in low income countries. This study sought to assess the level of birth preparedness among pregnant women at one of the rural hospitals in Uganda. This was a descriptive cross sectional study conducted among 332 pregnant women in first stage of normal labour between April and May 2017 at Kagadi hospital, a rural hospital in Uganda. A pregnant woman was considered prepared for childbirth if she fulfilled at least three of the following five birth preparedness elements; saving money, booking birth companion, identifying home caretaker, having at least six birth items and booking means of transport to the health facility. Data were collected using a researcher administered questionnaire. Nearly all respondents had identified birth companion (93.7%) and prepared at least one birth material (97.3%). However, only about half of respondents had procured at least six birth items (48.2%). A small proportion of respondents had reasonable money savings of at least 27.7 US dollars (20.7%). Slightly less than half of respondents had booked someone to take care of their homes (41.3%) and had booked means of transport (40.0%) Overall, only 28.3 percent of the participants had fulfilled at least three of the five elements and were considered as prepared for birth. We observed that most of the pregnant women were not prepared for childbirth. To scale up birth preparedness in rural settings, we recommend that providers of antenatal care services should intensify on assisting pregnant women to draw and continuously review birth plans. We further recommend that birth plan should focus on the five elements commended by the Ministry of Health.
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    Factors Influencing the Timing of the First HIV Virological Test for HIV Exposed Infants;
    (Global Journal of Medical Research: K, 2020) Enos Mirembe, Masereka; Edson Musungu, Bwambale; Edson, Katsomyo; Munguiko, Clement
    Abstract- Introduction: Although Option-B plus has registered tremendous success in the Prevention of Mother to Child Transmission (PMTCT) of HIV, the failure to follow the HIV testing algorithm for HIV Exposed Infants (HEIs) after birth is likely to make achieving zero new HIV infections among children unrealistic. Due to this, we sought to determine the factors affecting uptake of first Polymerase Chain Reaction (PCR) test among HEIs to inform the selection of strategies to strengthen Early Infant Diagnosis (EID), an indicator that tracks progress towards achieving zero new HIV infections in children
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    Infant and Young Child Feeding in the Developed and Developing Countries
    (IntechOpen, 2022) Enos Mirembe, Masereka; Munguiko, Clement; Alex, Tumusiime; Linda Grace, Alanyo
    Abstract Infant feeding challenges continue to manifest in developed and developing countries. Worldwide, more than 80% of babies are breastfed in the first few weeks of birth. However, about 37%, 25%, and less than 1% are exclusively breastfed at 6 months of age in Africa, the United States of America, and the United Kingdom, respectively. These statistics are far below the World Health Organization targets of 50% and 70% by 2025 and 2030, respectively. Complementary feeding practices are varied as well due to nonadherence to Infant and Young Child Feeding (IYCF) guidelines among parents. This accounts for the current trends in malnutrition in children under−5 years of age, adolescents, and the youth, and leads to intergenera tion malnutrition. In this chapter we have included sections on appropriate infant feeding; including how to initiate breastfeeding in the first hour of birth, how to exclusively breastfeed infants until 6 months of age, how to complement breastfeed ing after 6 months of infant’s age as well as continuing to breastfeed until 24 months of age and even beyond. Furthermore, we have included a description of how mothers who are unable to breastfeed can feed their infants on expressed breastmilk or replace breastmilk with appropriate homemade or commercial formula. This chapter as well covers infant feeding in prematurity
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    The correctness and completeness of documentation of parameters on the partographs used by midwives in primary healthcare facilities in midwestern Uganda:
    (Nursing Open published by John Wiley & Sons Ltd, 2022) Archbald, Bahizi; Munguiko, Clement; Enos Mirembe, Masereka
    Abstract Aim: This study was conducted to determine the correctness and completeness of documentation of partographs. Design: This was a retrospective descriptive study. Methods: We included 365 partographs of deliveries conducted from January 1st to October 31st 2019. Data were collected using a checklist and analysed descriptively. The study based on 13 partograph parameters. Results: About 8–13 parameters were correctly documented in 71.5 % of the partographs. About 38.9%, 24.7%, 99.7%, 22.5% and 16 % of the partographs had no documentation of obstetric risk factors, foetal heart rate, colour of liquor, uterine contractions and cervical dilatation respectively. About 12.1% of the cervicographs crossed the action line and 61.4% of partographs where cervicographs crossed the action line had no documentation of action(s) taken.