Table of Contents
ABSTRACT..................................................................................................................i
COPYRIGHT..............................................................................................................ii
DEDICATION............................................................................................................iv
OPERATIONAL DEFINITIONS.............................................................................vi
ABBREVIATIONS....................................................................................................vii
LIST OF TABLES......................................................................................................xi
LIST OF FIGURES...................................................................................................xii
CHAPTER ONE: INTRODUCTION........................................................................1
1.1 BACKGROUND OF THE STUDY...............................................................................1
1.2 PROBLEM STATEMENT............................................................................................3
1.3 PURPOSE OF THE STUDY.........................................................................................4
1.4 SPECIFIC OBJECTIVES..............................................................................................4
1.5 RESEARCH QUESTIONS............................................................................................4
1.6 JUSTIFICATION OF THE STUDY..............................................................................4
1.7 Nursing education..........................................................................................................5
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1.7.1 Nursing Administration and management...................................................................5
1.7.2 Nursing research..........................................................................................................5
CHAPTER TWO: LITERATURE REVIEW...........................................................6
2.1 Introduction....................................................................................................................6
2.2 Challenges faced by health workers in HIV counseling at Kabwohe Health Centre IV. 6
2.3 Facility Level Related Factors Hindering HIV Counseling Services..............................8
3.4 Study Population..........................................................................................................12
3.4. Sample size determination...........................................................................................12
3.4.2 Sampling Procedure..................................................................................................14
3.4.3 Inclusion Criteria.......................................................................................................14
3.4.4 Exclusion criteria.......................................................................................................14
3.5 Definitions of Variables...............................................................................................14
3.5.1 Dependent variable....................................................................................................14
3.5.2 Independent variables................................................................................................14
3.6 Research Instruments...................................................................................................15
3.7 Data Collection Procedures..........................................................................................15
3.7.1 Data Management......................................................................................................15
3.7.2 Data Analysis............................................................................................................15
3.8 Ethical Considerations..................................................................................................16
3.9 Limitations of the Study...............................................................................................16
3.10 Dissemination of Results............................................................................................16
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CHAPTER FOUR: RESULTS.................................................................................17
4.0 Introduction..................................................................................................................17
4.1 Challenges faced by health workers in HIV counseling at Kabwohe Health Centre IV17
4.2 Facility level related factors hindering HIV counseling...................................23
5.1.1 Challenges faced by health workers in HIV counseling at Kabwohe Health Centre IV
...........................................................................................................................................26
5.1.2 Facility level related factors hindering HIV counselling services..............................29
5.2 CONCLUSIONS..................................................................................................31
5.3 RECOMMENDATIONS....................................................................................32
5.4 IMPLICATIONS TO NURSING PRACTICE.................................................32
REFERENCES............................................................................................................34
APPENDIX I: CONSENT FORM...........................................................................39
APPENDIX II QUESTIONNAIRE..........................................................................40
APPENDIX III: INTRODUCTORY LETTER......................................................44
APPENDIX IV: MAP OF UGANDA SHOWING BUSHENYI DISTRICT.......45
APPENDIX V: AMAP OF SHEEMA DISTRICT SHOWING KABWOHE
HEALTH CENTRE IV.............................................................................................46
ABSTRACT Kabwohe HCIV, OPD attendances from October 2016 to September 2017 was 21592 patients with only 8359patients counseled leaving a gap of 13233 patients not counseled (61.3%). The study was to determine the factors hindering HIV counseling services at Kabwohe Health Center IV in Sheema District. The study was a cross sectional study that used quantitative and qualitative methods to determine factors hindering HIV counseling services at Kabwohe health center IV. The study showed that most of the health workers who engaged in counseling HIVclients were nurses (57.5%) and majority of these health workers (62.5%) had no training in counselling HIVclients. Most of the respondents revealed work overload and associate burnout (67.5%), and child counseling (80%) as the most commonly faced challenges. Long waiting due to long queues (62.5%) and lack of confidentiality (52.5%) were mentioned as some of the factors limiting clients’ turn up for HIV counseling. Health facility related factors like inadequate staff and lack of enough infrastructures can hinder counseling services.Health workers’ related factors like lack of confidentiality, and clients’ ignorance about the advantages of counseling hinder counseling services. This study recommended the following; Improve HIV counseling services, health workers’ trainings in HIV counseling, home based counselling and testing and community sensitization about benefits HIV counselling should be conducted.