TABLE OF CONTENTS
ABSTRACT............................................................................................................I
COPYRIGHT........................................................................................................II
AUTHORIZATION............................................................................................III
DEDICATION.....................................................................................................IV
ACKNOLEDGEMENT........................................................................................V
LIST OF ABBREVIATIONS/ACRONYMS....................................................VI
OPERATIONAL DEFINITION OF TERMS.................................................VII
LIST OF TABLES...............................................................................................XI
LIST OF FIGURES.............................................................................................XI
CHAPTER I: INTRODUCTION.........................................................................1
1.0 INTRODUCTION...........................................................................................1
1.1 BACKGROUND OF THE STUDY....................................................................1
1.2 PROBLEM STATEMENT................................................................................2
1.3 STUDY OBJECTIVES.............................................................................3
1.3.1 Main objective.......................................................................................3
1.3.2 Specific objectives.................................................................................4
1.3.3 RESEARCH QUESTIONS...............................................................................4
1.3.4 JUSTIFICATION OF THE STUDY....................................................................4
CHAPTER TWO: LITERATURE REVIEW.....................................................6
2.0 INTRODUCTION...........................................................................................6
2.1 PREVALENCE OF HOME BASED ACCIDENTS IN UNDER FIVE YEARS
CHILDREN..................................................................................................................6
2.2 PARENTING RELATED FACTORS ASSOCIATED WITH HOME ACCIDENTS
AMONG UNDER FIVE YEARS CHILDREN.....................................................................7
2.3 ENVIRONMENTAL FACTORS ASSOCIATED WITH CHILDHOOD INJURIES......8
CHAPTER THREE: METHODOLOGY..........................................................11
viii
3.1 INTRODUCTION.................................................................................................11
3.2 RESEARCH DESIGN AND RATIONALE................................................................11
3.3 STUDY SETTING AND RATIONALE.....................................................................11
3.4 STUDY POPULATION AND RATIONALE..............................................................12
3.4.1 SAMPLE SIZE DETERMINATION......................................................................13
3.4.2 SAMPLING PROCEDURE..................................................................................14
3.4.3 INCLUSION AND EXCLUSION CRITERIA..........................................................14
3.4.3.2 Exclusion criteria.......................................................................................15
3.5 DEFINITION OF VARIABLES...............................................................................15
3.5.1 Dependent variables.....................................................................................15
3.5.2 Independent variables...................................................................................15
3.7 DATA COLLECTION PROCEDURE.......................................................................16
3.7.1 DATA MANAGEMENT.....................................................................................16
3.7.2 DATA ANALYSIS............................................................................................17
3.8 ETHICAL CONSIDERATION.................................................................................17
3.9 LIMITATIONS OF THE STUDY.............................................................................18
3.10 DISSEMINATION OF RESULTS..........................................................................18
CHAPTER FOUR: DATA PREESENTATION...............................................19
4.0 INTRODUCTION.................................................................................................19
4.1 SOCIAL DEMOGRAPHIC CHARACTERISTICS OF THE STUDY POPULATION. N=130
................................................................................................................................19
4.2: PREVALENCE OF HOME ACCIDENTS IN UNDER FIVE YEARS CHILDREN............20
4.3 PARENTING FACTORS ASSOCIATED WITH HOME ACCIDENTS IN UNDER FIVE
YEARS CHILDREN....................................................................................................22
4.4 ENVIRONMENTAL FACTORS ASSOCIATED WITH HOME ACCIDENTS IN UNDER
FIVE YEARS CHILDREN............................................................................................24
CHAPTER FIVE..................................................................................................27
DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS..................27
5.0 INTRODUCTION.................................................................................................27
5.1.2: PREVALENCE OF HOME ACCIDENTS IN UNDER FIVE YEARS CHILDREN.........29
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5.1.3 PARENTING FACTORS ASSOCIATED WITH HOME ACCIDENTS IN UNDER FIVE
YEARS CHILDREN....................................................................................................31
5.1.4 ENVIRONMENTAL FACTORS ASSOCIATED WITH HOME ACCIDENTS IN UNDER
FIVE YEARS CHILDREN............................................................................................33
5.3: CONCLUSION FROM THE STUDY FINDINGS...............................................34
5.4: RECOMMENDATIONS FROM THE STUDY FINDINGS....................................36
REFERENCES.....................................................................................................39
APPENDIX I: CONSENT FORM FOR CHILD BEARING AGE MOTHERS...42
APPENDIX II: STUDY PARTICPANTS QUESTIONNAIRE...............................43
D: ENVIRONMENTAL FACTORS ASSOCIATED WITH HOME ACCIDENTS
IN UNDER FIVE YEARS CHILDREN................................................................47
APENDIX III: AUTHORISATION LETTER.......................................................48
APPENDIX IV: A MAP OF UGANDA SHOWING BUSHANYI WHERE
KIU- TH THE STUDY AREA IS LOCATED..................................................49
APPENDIX V: MAP OF BUSHENYI SHOWING LOCATION OF KIU-TH....50
ABSTRACT Under-five children are at high risk for many accidents such as burn, fall, accidental poisoning and drowning, 65% injuries occur around home. Unfortunately, low- and middle- income countries in sub-Saharan Africa where Uganda is inclusive bear the biggest burden of child accidents and injuries To assess factors associated with home accidents among under five years children attending Kampala international teaching hospital, a cross-sectional descriptive study was done to assess prevalence, parenting and environment factors contributing to these accidents. 81% of under five children had ever got an accident, 55.2% of accident having occurred at homes, mostly; these were falls, cuts and pierces, and mechanical hits at 37.9%, 25.8%, and 24.1% respectively. Most home Injuries (70.6%) occurred in presence of parents, while the responsibility of ensuring safety solely lied on children’s parent. Prevalence of home accidents was high, mostly reported being falls, mechanical hits, cuts and burns, knowledge on child friendly environment was very low, though parent practiced child protection out of insight rather than by knowledge of why and how. To reduce home accidents in under fives, health education of community about child friendly environment, emphasis being put on ergonomy of play and leisure areas of children, as emphasizing on every stake holders’ responsibility in ensuring child friendly environment children safety