Table of Contents
DECLARATION .......................................................................................................................................i
APPROVAL..............................................................................................................................................ii
DEDICATION.........................................................................................................................................iii
ACKNOWLEDGEMENT .......................................................................................................................iv
LIST OF TABLES.................................................................................................................................viii
LIST OF FIGURES ...............................................................................................................................viii
OPERATIONAL DEFINITIONS............................................................................................................ix
LIST OF ABBREVIATIONS...................................................................................................................x
ABSTRACT.............................................................................................................................................xi
CHAPTER ONE: INTRODUCTION.......................................................................................................1
1.1 Background .....................................................................................................................................1
1.2 Problem statement...........................................................................................................................3
1.3 Justification .....................................................................................................................................4
1.4 Broad objective ...............................................................................................................................4
1.4.1 Specific objectives of the study ...................................................................................................4
1.5 Research questions of the study ......................................................................................................4
1.6 Conceptual frameworks ..................................................................................................................5
CHAPTER TWO: LITERATURE REVIEW...........................................................................................6
2.1 Introduction.....................................................................................................................................6
2.2Health workers’ knowledge about blood transfusion ......................................................................6
2.3 Attitude............................................................................................................................................8
2.4 Fear of side effects and limited resources.......................................................................................9
CHAPTER THREE: METHODOLOGY ...............................................................................................10
3.1 Study Design.................................................................................................................................10
3.2 Study area......................................................................................................................................10
3.3 Study population ...........................................................................................................................10
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3.4. Study variables.............................................................................................................................10
3.4.1. Dependent variables..................................................................................................................10
3.4.2. Independent variables ...............................................................................................................10
3.5. Sampling methods & procedures.................................................................................................10
3.6. Sample Size Calculation ..............................................................................................................10
3.7.Data collection techniques and tools.............................................................................................11
3.8. Data quality control measures......................................................................................................11
3.9. Data processing and analysis .......................................................................................................11
3.10. Ethical considerations................................................................................................................11
CHAPTER FOUR: RESULTS ...............................................................................................................12
4.1 Characteristics of the participants.................................................................................................12
4.1.1 Qualifications.............................................................................................................................12
4.1.2 Duration of practice ...................................................................................................................12
4.1.3 Distribution of respondents among the departments..................................................................13
4.2 Ever heard of autologous blood transfusion .................................................................................13
4.3 Awareness of patients suited for autologous blood transfusion....................................................14
4.4. Knowledge of how ABT is performed.........................................................................................14
4.4.1 Practice of ABT .........................................................................................................................14
4.4.2 Reasons for not practicing ABT.................................................................................................15
4.4.3 Awareness of side effects of ABT .............................................................................................16
4.5 Qualitative report ..............................................................................................................................16
CHAPTER FIVE: DISCUSSION, CONCLUSON AND RECOMMENDATIONS .............................20
5.1 Discussions....................................................................................................................................20
5.2 Conclusion ....................................................................................................................................20
5.3 recommendation............................................................................................................................20
REFERENCES........................................................................................................................................22
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Annexes...................................................................................................................................................26
Annex i: Informed consent and confidentiality of interviews.............................................................26
Annex ii: Consent form.......................................................................................................................27
Annex iii. Questionnaire .....................................................................................................................28
Annex iii: map of Uganda showing Kabarole district.........................................................................30
Annex iv:map of Kabarole district showing location of Fortportal referral hospital..........................31
ABSTRACT Background: Globally, Autologous blood transfusion (ABT) programs are not well developed and reasons differ from different countries. In East Africa including Uganda, Autologous transfusion has not exerted a significant impact on the transfusion requirements in our Centres and there is paucity of data regarding ABT. The main objective of this study was to assess knowledge and attitude of autologous blood transfusion among health workers in Fortportal regional referral hospital. Methods: Institution-based cross-sectional study design was used and simple random sampling was used to get 50 health workers. Data was collected by a self-administered questionnaire and analyzed using SPSS software version 21.00. Results: More than half of the participants 30(60%) were diploma holders and majority 28(56%) had worked for 4-6 years. 42 (84%) had ever heard of autologous blood transfusion but none had ever practiced ABT. Reasons for not practicing were lack of equipment and fear of side effects . Conclusion and recommendations: The study found out that ABT was not being practiced although all the respondents were willing to practice it if introduced by the hospital. The government through ministry of health should design guidelines concerning ABT and train health workers through CMEs.