TABLE OF CONTENTS
DECLARATION....................................................................................................................................i
APPROVAL .......................................................................................................................................... ii
DEDICATION...................................................................................................................................... iii
ACKNOWLEGMENT......................................................................................................................... iv
TABLE OF CONTENTS ...................................................................................................................... v
LIST OF FIGURES.............................................................................................................................viii
LIST OF TABLES................................................................................................................................ ix
LIST OF ACRONYMS ......................................................................................................................... x
OPERATIONAL DEFINITIONS........................................................................................................ xi
ABSTRACT......................................................................................................................................... xii
CHAPTER ONE....................................................................................................................................1
1.0 INTRODUCTION. ..........................................................................................................................1
1.1 BACKGROUND..............................................................................................................................1
1.2 PROBLEM STATEMENT..............................................................................................................3
1.3 STUDY OBJECTIVES....................................................................................................................3
1.3.1 GENERAL OBJECTIVE .........................................................................................................3
1.3.2 SPECIFIC OBJECTIVES ........................................................................................................3
1.4 RESEARCH QUESTIONS .............................................................................................................4
1.5 JUSTIFICATION............................................................................................................................4
1.6 CONCEPTUAL FRAME WORK...................................................................................................6
1.7 SCOPE OF THE STUDY................................................................................................................7
1.7.1 TIME SCOPE...............................................................................................................................7
1.7.2. GEOGRAPHICAL SCOPE ........................................................................................................7
1.7.3. CONTENT SCOPE .....................................................................................................................7
CHAPTER TWO...................................................................................................................................8
2.0 INTRODUCTION ...........................................................................................................................8
2.1 THE PREVALENCE OF PUERPERAL SEPSIS. .........................................................................8
2.3THE PATIENT FACTORSASSOCIATEDWITH PUERPERAL SEPSIS. ...................................9
2.4 THE HOSPITAL FACTORS ASSOCIATED WITH PUERPERAL SEPSIS. ........................... 10
CHAPTER THREE............................................................................................................................. 12
3.0 INTRODUCTION ......................................................................................................................... 12
3.1 STUDY DESIGN ........................................................................................................................... 12
vi
3.2 STUDY AREA............................................................................................................................... 12
3.3 VARIABLE; DEPENDENT AND INDEPENDENT.................................................................... 13
3.4 STUDY POPULATION ................................................................................................................ 13
3.5 SAMPLE SIZE DETERMINATION............................................................................................ 13
3.6 SAMPLING METHODS............................................................................................................... 14
3.7 INCLUSION AND EXCLUSION CRITERIA ............................................................................. 14
3.7.1 INCLUSION CRITERIA ....................................................................................................... 14
3.7.2 EXCLUSION CRITERIA ...................................................................................................... 14
3.8 DATA COLLECTION METHODS.............................................................................................. 14
3.9 METHODS OF DATA ANALYSIS.............................................................................................. 14
3.10 DATA QUALITY CONTROL.................................................................................................... 14
3.11 DATA PRESENTATION METHODS........................................................................................ 15
3.12 ETHICAL CONSIDERATION................................................................................................... 15
CHAPTER FOUR: STUDY FINDINGS (RESULTS) ....................................................................... 16
4.0 INTRODUCTION ......................................................................................................................... 16
4.1 RESPONDENTS DEMOGRAPHIC DATA................................................................................. 16
4.2 PREVALENCE OF PUERPERAL SEPSIS AMONG MOTHERS DELIVERING AT
KAMPALA INTERNATIONAL UNIVERSITY TEACHING HOSPITAL..................................... 17
4.2.1 PREVALENCE OF PUERPERAL SEPSIS........................................................................... 17
4.3 THE HOSPITAL FACTORS ASSOCIATED WITH PUERPERAL SEPSIS AMONG
MOTHERS DELIVERING IN KAMPALA INTERNATIONAL UNIVERSITY TEACHING
HOSPITAL.......................................................................................................................................... 18
4.3.1 HOSPITAL FACTORS .......................................................................................................... 18
4.4 THE PATIENT FACTORS ASSOCIATED WITH PUERPERAL SEPSIS AMONG
MOTHERS DELIVERING AT KAMPALA INTERNATIONAL UNIVERSITY TEACHING
HOSPITAL.......................................................................................................................................... 19
4.4.1. PATIENT FACTORS............................................................................................................ 19
CHAPTER FIVE: DISCUSSION, CONCLUSION AND RECOMMENDATIONS ........................ 21
5.0 INTRODUCTION ......................................................................................................................... 21
5.1 DISCUSSION ................................................................................................................................ 21
5.1.1 PREVALENCE FACTORS.................................................................................................... 21
5.1.2 HOSPITAL FACTORS .......................................................................................................... 21
5.1.3 PATIENT FACTORS............................................................................................................. 22
5.2 CONCLUSION.............................................................................................................................. 22
5.3 RECOMMENDATIONS............................................................................................................... 22
ABSTRACT Background; Definition of Puerperal sepsis, these are infections after birth usually in the first 42 days following postpartum period the major cause of maternal morbidity and rendered the major cause of death worldwide. Puerperal sepsis is second leading causes of maternal death in Africa and in sub Saharan Africa is estimated to be19.5 %. Thus in Uganda prevalence of puerperal sepsis is about 7.2% and considered as the greatest burden experienced in low income countries (WHO, 2006). Puerperal sepsis is estimated to cause complications like obstetric shock resulting into maternal mortality. Ones’ susceptibility to infections is related to factors such as caesarean section, prolonged labour, obesity, anemia and poor nutrition. General Objective The aim of this study was to determine the prevalence and factors associated with puerperal sepsis. This study employed a cross section descriptive study with a sample size of 36 patients of the age ranging from 19 to 45 in KIU-TH through examining the strategies that were put into place to control these infections. Results Data was collected by administering questionnaires to all patients who met the inclusion criteria. The data that was collected was analyzed using Microsoft excel and then presented inform of percentages frequencies through tables, graphs and charts. From the demographic obtained it showed that women aged between 36 to 45 years were mainly affected while the least affected age was less than 36years. According to level of education 44.4% who attained primary level were the most affected group and the least affected were 5.6% who attended tertiary and university levels. Most affected mothers were the married by 88.9% and unmarried least affected by 11.1%. Most of the affected mothers were of high parity 50% (multi gravid), 72.2% had delivered by caesarian section and 50% had multiple vaginal examinations. Conclusion and recommendations Proper nutrition showed greatest impact since some women with good nutrition could experience short durations of labour (27.8%). Chronic debilitating conditions such as HIV (44.4%)also play part in PS by immune suppression. Results showed that there is inadequate knowledge about the etiology of puerperal sepsis of which 88.9% were aware about PS existence and 11.1% did not have knowledge about it. Therefore adequate prerequisites are required to perform PS awareness both in the hospital and the community at large. The above factors tend to underscore the need for MOH to provide funds to aid in the facilitation of campaigns to create awareness. Hygienic education in the communities and policy makers should consider integrating hygienic education and PS awareness into ANC services as a strategy to prevent and control infections.