ABSTRACT The study was carried out in Bushenyi-Ishaka municipality. The purpose of this study was to identify factors which influence mother’s choice of delivery site. The respondents were mothers between the ages of 15-49 years with sane minds. There were 100 mothers in the quantitative data. The research showed that among the women that had delivered before most of them 80% were aware of the common causes of maternal mortality and 30% of those that had never delivered knew the causes of maternal mortality. Among the causes the commonest causes that were known by the respondents were; Post partum hemorrhage, Abortion, post partum infections, Ante partum hemorrhage, pre-eclampsia and eclampsia and ruptured uterus. Most of the women 70% reported that they learnt the causes of maternal death from the clinics where they were attending antenatal services, 20% learnt from their mothers and 10% from their close friends and relatives. General objective: To assess the level of awareness of the causes of maternal mortality in Bushenyi Ishaka municipality. Research methodology: The research method that I used was a cross sectional study Results: The study was conducted in Bushenyi Ishaka municipality among women in the reproductive ages 15 to 49 years to assess the awareness of the causes of maternal mortality. It showed that most of the women in the research area were aware of the most common causes of maternal mortality. Conclusion: Following the outcome of the study, it is recommended that health centers and dispensaries to equip with emergency obstetric care facilities extend the free delivery services up to the district level. Develop a policy to promote safe motherhood activities. Most women were aware of the causes of maternal mortality.
TABLE OF CONTENTS
DECLARATION............................................................................................................................ ii
DEDICATION...............................................................................................................................iii
ACKNOWLEDGEMENT............................................................................................................. iv
ABSTRACT.................................................................................................................................... v
TABLE OF CONTENTS............................................................................................................... vi
LIST OF TABLES......................................................................................................................... ix
LIST OF FIGURES ....................................................................................................................... ix
LIST OF ABBREVIATIONS......................................................................................................... x
DEFINITION OF TERMS.......................................................................................................... x
CHAPTER ONE............................................................................................................................. 1
1.0 INTRODUCTION ............................................................................................................... 1
1.1 Background Information...................................................................................................... 1
1.2 Statement of the problem ................................................................................................ 1
1.3 Research questions.............................................................................................................. 2
1.4 Hypothesis:........................................................................................................................... 2
1.5 General Objective:............................................................................................................ 2
Specific objectives: ..................................................................................................................... 2
1.6 Scope of the study ............................................................................................................ 2
1.7 Justification of the study. ................................................................................................ 3
CHAPTER TWO ............................................................................................................................ 4
2.0 Literature review................................................................................................................. 4
2.1 Postpartum hemorrhage (PPH)......................................................................................... 4
2.2 Pronged labor ................................................................................................................... 5
vii
2.3 Abnormal latent phase of labour...................................................................................... 5
2.4 Prolonged active phase of Labour.................................................................................... 6
2.5 Prolonged Expulsive Phase /Delayed Second Stage ........................................................ 6
2.6 Social demographic characteristics................................................................................. 7
2.7 Accessibility to antenatal services................................................................................... 7
2.8 Attitudes of mothers towards health personnel................................................................ 8
CHAPTER THREE ...................................................................................................................... 10
3.0 METHODOLOGY ............................................................................................................ 10
3.1 Study Design ....................................................................................................................... 10
3.2 Study area: Ishaka municipality-Bushenyi District........................................................ 10
3.2 Economic activities....................................................................................................... 10
3.3 study population ............................................................................................................. 10
3.4 Sample Size.................................................................................................................... 11
3.5 The sampling method..................................................................................................... 11
3.6 Inclusion and Exclusion Criteria.................................................................................... 11
3.6.1 Inclusion criteria ......................................................................................................... 11
3.6.2 Exclusion criteria........................................................................................................ 11
3.7 Data collection................................................................................................................ 11
3.8 Data analysis .................................................................................................................. 12
3.9 Ethical consideration...................................................................................................... 12
3.10 Consent....................................................................................................................... 12
3.11 Data quality control .................................................................................................... 12
3.11.1 Pre-test .................................................................................................................... 12
3.12 Dissemination of results................................................................................................ 12
3.13 Study limitations......................................................................................................... 13
viii
CHAPTER FOUR......................................................................................................................... 14
4.0 RESULTS .......................................................................................................................... 14
4.1 Social demographic characteristics................................................................................ 14
CHAPTER FIVE .......................................................................................................................... 21
5.0 Discussion of Results........................................................................................................ 21
5.1 Demographic characteristics of mothers....................................................................... 21
5.2 Attitude of mothers towards heath personnel................................................................. 21
5.3 The main socio economic factors that determine the choice of delivery site ................ 21
CHAPTER SIX............................................................................................................................. 23
6.0 Conclusions and Recommendations.................................................................................. 23
6.1 Conclusions................................................................................................................... 23
6.2 Recommendations......................................................................................................... 23
REFERENCES ............................................................................................................................. 25
CONSENT.................................................................................................................................... 26
Appendix 1.................................................................................................................................... 27
QUESTIONNAIRE................................................................................................................... 27