TABLE OF CONTENTS
ABSTRACT............................................................................................................................................i
© Copyright: Ahurra Miriam, 2017....................................................................................................ii
DECLARATION....................................................................................................................................iii
APPROVAL.........................................................................................................................................iv
DEDICATION.......................................................................................................................................v
ACKNOWLEDGEMENT.......................................................................................................................vi
LIST OF TABLES................................................................................................................................xiii
LIST OF ACRONYMS..........................................................................................................................xiv
DEFINITION OF KEY TERMS...............................................................................................................xv
CHAPTER ONE....................................................................................................................................1
1.1 INTRODUCTION........................................................................................................................1
1.2 BACKGROUND..........................................................................................................................1
1.2 PROBLEM STATEMENT...........................................................................................................4
1.3 Purpose of the study................................................................................................................4
1.4 Specific objectives....................................................................................................................4
1.5 Research question....................................................................................................................5
1.6 Justification of the study..........................................................................................................5
CHAPTER TWO: LITERATURE REVIEW................................................................................................7
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2.1 INTRODUCTION........................................................................................................................7
2.2 HEALTH SERVICE FACTORS.......................................................................................................7
2.2.1 Access to health facilities..................................................................................................7
2.3 SOCIO-DEMOGRAPHIC FACTORS..............................................................................................9
2.3.1 Maternal age.....................................................................................................................9
2.3.2 Education...........................................................................................................................9
2.3.3 Gravidity..........................................................................................................................10
2.3.4 Housing............................................................................................................................10
2.4 INDIVIDUAL FACTORS.............................................................................................................11
2.4.1 Knowledge about malaria....................................................................................................11
2.4.2 Use of ITNs......................................................................................................................11
2.4.4 Behavioral factors............................................................................................................12
CHAPTER THREE: METHODOLOGY...................................................................................................13
3.1 Introduction...........................................................................................................................13
3.2 Study design and rationale.....................................................................................................13
3.3 Study settings and rationale...................................................................................................13
3.4 Study population....................................................................................................................14
3.4.1 Sample size determination..............................................................................................14
3.4.2 Sampling procedure........................................................................................................15
3.4.3 Inclusion criteria..............................................................................................................15
3.4.4 Exclusion criteria.............................................................................................................15
3.5 DEFINITION OF VARIABLES.....................................................................................................16
3.5.1 Dependent variables.......................................................................................................16
3.5.2 Independent variable......................................................................................................16
3.6 Research Instruments............................................................................................................16
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3.7 Data Collection procedures....................................................................................................16
3.7.1 Data management...........................................................................................................17
3.7.2 Data analysis....................................................................................................................17
3.8 Ethical considerations............................................................................................................18
3.9 Limitation of the study...........................................................................................................18
3.10 Dissemination of Information...............................................................................................19
CHAPTER FOUR................................................................................................................................20
4.0 INTRODUCTION......................................................................................................................20
4.1 BIO-DEMOGRAPHIC PROFILE OF THE RESPONDENTS............................................................20
4.2 HEALTH SERVICE FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG PREGNANT
WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL.................................................25
4.3 SOCIO DEMOGRAPHIC FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG
PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL..............................27
4.4 INDIVIDUAL FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG PREGNANT
WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL.................................................30
CHAPTER FIVE: DISCUSSION OF RESULTS.........................................................................................32
5.0 INTRODUCTION......................................................................................................................32
5.1 HEALTH SERVICE FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG PREGNANT
WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL.................................................32
5.1.1 Distance from health facilities.........................................................................................32
5.1.2. Availability of malaria treatment in the hospital............................................................33
5.2 SOCIO DEMOGRAPHIC FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG
PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL..............................33
5.2.1 Maternal age...................................................................................................................33
5.2.2 Education.........................................................................................................................34
ABSTRACT Malaria is a major public health problem especially in the African region. Globally about one million deaths occur annually as a result of malaria. In Uganda, malaria is highly endemic with 63% of the population exposed to high transmission. The main objective was: To determine the factors associated with malaria prevalence among pregnant women attending antenatal clinic at Kagadi hospital-Kibaale district. A descriptive cross sectional study design was used, simple random sampling method used to recruit 49 participants for the interview. The sample size was determined by Fisher’s method. A self-administered questionnaire was used to collect information from the participants. Results The results of the study indicated that socio demographic factors such as: maternal age, education, gravidity, and housing; health service factors such as: distance from the health facilities and availability of malaria treatment and individual factors such as: knowledge about malaria prevention, use of ITNs and uptake of IPTp by pregnant mothers were associated with malaria prevalence among pregnant women. Conclusion: The district has high malaria prevalence among pregnant women and therefore there is need for the district authorities to implement targeted interventions towards malaria prevention in Kagadi district.
