TABLE OF CONTENTS
DECLARATION ....................................................................................................... I
SUPERVISOR’S APPROVAL ................................................................................III
ACKNOWLEDGEMENT……………………………...……………..…….………..III
DEDICATION………………………………………………………………………..IV
OPERATIONAL TERMS.....................................................................................VIII
ABBREVIATIONS .................................................................................................IX
ABSTRACT. ............................................................................................................X
SCHAPTER ONE......................................................................................................1
1.3.1 GENERAL OBJECTIVE…………………………………………………………..4
1.3.2SPECIFIC OBJECTIVES…………………………………………………………..4
1.5 THE STUDY JUSTIFICATION ..........................................................................5
1.5.3 ACADEMIC BOARD……………………………………………………………..5
1.6.1 CONTENT SCOPE……………………………………………………………….5
1.6.2 TIME SCOP……………………………………………………………………..5
1.6.3 GEOGRAPHICAL SCOPE…………………………………………………………5
CHAPTER TWO .......................................................................................................8
CHAPTER THREE..................................................................................................17
METHODOLOGY...................................................................................................17
3.0 INTRODUCTION………………………………………………………………….17
3.1 STUDY DESIGN...............................................................................................17
3.3 STUDY POPULATION.....................................................................................17
3.4 SAMPLE SIZE DETERMINATION..................................................................17
3.5 SAMPLING TECHNIQUE................................................................................18
3.6 SELECTION CRITERIA...................................................................................18
3.6.1 INCLUSION CRITERIA…………………………………………………………..18
3.6.2 EXCLUSION CRITERIA………………………………………………………….18
3.7 DEFINITION OF VARIABLES………………………………………………………19
DEPENDENT VARIABLES……………………………………………………………..19
INDEPENDENT VARIABLE…………………………………………………………….19
3.8 DATA COLLECTION TOOL…………………………………………………….19
3.9 DATA COLLECTION PROCEDURE ...............................................................19
3.10 DATA ANALYSIS AND PRESENTATION. ..................................................19
vii
3.11 ETHICAL CONSIDERATION. .......................................................................19
3.12 QUALITY ASSURANCE AND QUALITY CONTROL. ................................20
3.13 LIMITATIONS OF THE STUDY....................................................................20
CHAPTER FOUR; RESULTS.................................................................................21
4.0 INTRODUCTION………………………………………………………………….21
4.1 SOCIO-ECONOMIC FACTORS ASSOCIATED WITH LOW UTILIZATION OF POST NATAL
CARE………………................................................................................................... 21
4.2 CULTURAL FACTORS ASSOCIATED WITH LOW UTILIZATION OF POSTNATAL CARE
SERVICES.................................................................................................................... 24
4.3 B) OTHER HOSPITAL BASED FACTORS FOR LOW UTILIZATION OF POSTNATAL CARE.
……………………………………………………………………………….....25
CHAPTER FIVE: DISCUSSION………………………………………………………28
5.1 SOCIO-ECONOMIC FACTORS ASSOCIATED WITH LOW UTILIZATION OF POST NATAL
CARE. 28
5.2 CULTURAL FACTORS ASSOCIATED WITH LOW UTILIZATION OF POSTNATAL CARE
SERVICE…………………………………………………………………......……....29
5.3 CONCLUSION…………………………………………………………………31
5.4 RECOMMENDATION……………………………………………………………..32
REFERENCES ………………………………………………………………………33
APPENDIX I: INFORMED CONSENT FORM AND QUESTIONNAIRES ...........36
PART B: QUESTIONNAIRE..................................................................................37
APPENDIX II: MAP OF UGANDA SHOWING THE STUDY AREA ...................41
APPENDIX III: MAP OF ISHAKA BUSHENYI SHOWING KAMPALA INTERNATIONAL
UNIVERSITY TEACHING HOSPITAL (KIUTH)................................................42
ABSTRACT The postnatal is defined by the World Health Organization as the period beginning one hour after delivery of the placenta and continuing until six weeks after the birth of an infant. The objectives of the study were as follows To determine the socio-economic factors associated with low utilization of post natal care services at KIUTH. To identify cultural factors associated with low utilization of postnatal care services at KIUTH. To find out hospital facility related factors associated with low utilization of post natal care services at KIUTH. A cross-sectional hospital- based study design was used to conduct the study among 140 mothers attending maternal and child health clinic in Kampala International University Teaching Hospital during the study period and only those who consent to participate in the study. The results indicated that majority of the participants 66(47.1%) were between 21 and 30 years old and most of them 58(41.4%) attained school up to secondary level. A high proportion 120(85.7%) of the participants were married and majority 75(53.6%) were farmers. Furthermore, majority of the participants 70(50%) said that their husbands were not supportive to them and also most of them were moving a distance of between 1 and 2 Kilometers from home to the health facilities. From the results the government should increase the staffing of health units such that mothers can be encouraged to attend postnatal care services. Health workers should do more health education to mothers especially during their antenatal visits about a need for earlier attend postnatal care services after delivery. Mothers who deliver from health centers should be encouraged to attend post natal care service and they can be encouraged to bring their husbands so that they both can be health educated about the health of the mother and the child. The government should use mass media like radios, televisions to encourage mothers to utilize postnatal services in increased numbers.