TABLE OF CONTENTS
DECLARATION
APPROVAL iii
DEDICATION iv
ACKNOWLEDGEMENT v
LISTOFTABLES
LIST OF FIGURES
LIST OF ACRONYMS xi
ABSTRACT
CHAPTER ONE
INTRODUCTION
1.1 Background of the study
I .2 Statement of the problem 3
1.3 Purpose of the study 3
1 .4 Research objectives 3
I .5 Research questions 3
1.6 Scope of the study 4
1 .6. 1 Geographical scope 4
1 .6.2 Time Scope 4
I .6.3 Content scope 4
1.7 Significance of the study 4
CHAPTER TWO 5
LITERATURE REVIEW 5
2.0 Introduction 5
2.1 Review of related Literature 5
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2.2lnfant Mortality rate ~
2.3 Medical Care and infant mortality rate 7
2.4 Conceptual framework 10
CHAPTER THREE 11
RESEARCH METHODOLOGY 11
3.0 Introduction 11
3,1 Research Design 11
3.2 Research population 11
3.3 Data type
3.4 Data analysis 12
3.5 Ethical considerations 12
3.6 Limitations of the study 12
CHAPTER FOUR 13
DATA PRESENTATION, ANALYSIS AND INTERPRETATION 13
4.0 Introduction 13
4.1 Trend of Infant mortality rate 13
4.1 .1 Normality test for Infant Mortality rate data 13
4.2 Relationship between the constructs of medical care and infant mortality rate 14
4.3 Factors that influence infant mortality rate 16
CHAPTER FIVE 19
DISCUSSION, CONCLUSION AND RECOMMENDATIONS 19
5.0 Introduction 19
5.1 Discussion 19
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5.2 Conclusion .20
5.3 Recommendations .20
REFERENCES 21
APPENDIX I:DATA CAPTURE TOOL 24
APPENDIX II:DATA ON SELECTED INDICATORS 25
ABSTRACT The purpose of the study was to examine the impact of medical care on infant mortality rate in Kaliro district. Specifically, the study was guided by three objectives. Firstly. to examine the trend of infant mortality rate in Kaliro district from 2006 to 2014: secondly, to establish the relationship between the constructs of medical care and infant mortality rate in Kaliro district using longitudinal data from the year 2006 to 2014 and third to establish the causes of infant mortality rate in Kaliro district using longitudinal data from 2006 to 2014. The study was majorly quantitative in nature. The longitudinal/cross sectional design was used based on secondary data on infant mortality rate and indicators of medical care. Trend analysis (scatter graphs v~ ith fitted linear lines) were used to idcntif~~ the trend of mortality rate: Pearson’s correlation coefficient (r) v~ as used to identify relationships among the variables while regression analysis was adopted to identify the significance and likelihood effects of the different medical care constructs. Based on the findings. the study concluded that infant mortality rate has been declining. Medical care access has a significant impact on infant mortality rate. The constructs of’ maternal care. labor and delivery care access, access to health services and immunization coverage, have significant influence on infant mortality rate: that is to say. reduces the likelihood of infant mortality rate. The study recommended that: there is need for district health officers to carry out massive sensitization among pregnant mothers to attend antenatal and postnatal health care services to ensure safe delivery. On the other hand. health practitioners at health centers should encourage pregnant mothers to practice effective family planning while those diagnosed v~ ith l—llV/AlDs should he encouraged to take i\RT treatment. Government and other stake holders such as Nongovernmental organizations should put up more health f’aciliiies to ensure that there is even access to medical care and health care. Secondly Health practitioners should ensure that pregnant mothers are monitored and supervised to ensure safe delivery at the health centers. This would serve to reduce infant mortality rate. Thirdly there is need to ensure that infants receive full dose of immunization for BCG, DPT and measles by health actors in the district.
