Table of Contents
DECLARATION...........................................................................................................................................ii
COPY RIGHT. .............................................................................................................................................iii
RESEARCH APPROVAL ...........................................................................................................................iv
LIST OF FIGURES....................................................................................................................................viii
DEDICATION ..............................................................................................................................................x
LIST OF ABBREVIATION.........................................................................................................................xi
OPERATIONAL DEFINITIONS ...............................................................................................................xii
ABSTRACT ...............................................................................................................................................xiii
CHAPTER ONE:.......................................................................................................................................... 1
1.0 Introduction .......................................................................................................................................... 1
1.1 Back ground of the study. .................................................................................................................... 1
1.2 Problem statement................................................................................................................................ 2
1.3 Purpose of the study ............................................................................................................................. 4
1.3.1 Broad objective.................................................................................................................................... 4
1.3.2 Specific objectives.............................................................................................................................. 4
1.4 Research questions ............................................................................................................................... 5
1.5 Justification........................................................................................................................................... 6
CHAPTER TWO:......................................................................................................................................... 7
LITERATURE REVIEW............................................................................................................................. 7
2.0 Introduction .......................................................................................................................................... 7
2.1 Health worker based factors affecting health workers in implementation of EMTCT services... 7
Human Resources on EMTCT Management................................................................................................ 7
Drug unavailability....................................................................................................................................... 8
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Lack of resources for follow-up ................................................................................................................... 8
2.2 Maternal based factors affecting health workers in implementation of EMTCT services............ 8
Home Delivery ............................................................................................................................................. 8
Stigma and Feeding Choices ...................................................................................................................... 10
2.3 MOTHERS’ KNOWLEDGE ON EMTCT...................................................................................... 11
CHAPTER THREE:................................................................................................................................... 13
METHODOLOGY ..................................................................................................................................... 13
3.1 Introduction ........................................................................................................................................ 13
3.2 Study area and rationale.................................................................................................................... 13
3.3 Study Design and rationale................................................................................................................ 13
3.4 Study Population and rationale......................................................................................................... 14
3.4.1 Sample size Determination................................................................................................................ 14
3.4.2 Sampling procedure and rationale ..................................................................................................... 15
3.4.3 Inclusion criteria ................................................................................................................................ 15
3.5 Definition of variables........................................................................................................................ 16
3.5.1 The dependent variable...................................................................................................................... 16
3.5.2 The independent variable................................................................................................................... 16
3.6 Data collection tool/research instruments ........................................................................................ 16
3.7 Data collection procedure .................................................................................................................. 16
3.7.1 Data management .............................................................................................................................. 17
3.7.2 Data analysis and presentation........................................................................................................... 17
3.8 Ethical considerations ........................................................................................................................ 17
3.9 Study limitations................................................................................................................................. 18
3.10 Dissemination of results ................................................................................................................... 18
CHAPTER FOUR ...................................................................................................................................... 19
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RESULTS................................................................................................................................................... 19
4.1 Introduction ........................................................................................................................................ 19
4.2 Demographic characteristics ............................................................................................................. 19
4.3 Health worker based factors affecting health workers in implementation of EMTCT services. 20
4.4 Maternal based factors affecting health workers in implementation of EMTCT services.......... 22
4.5 Mothers, knowledge in relation to participating in EMTCT services ........................................... 23
CHAPTER FIVE........................................................................................................................................ 25
DISCUSSION............................................................................................................................................. 25
5.1 INTRODUCTION .............................................................................................................................. 25
5.2 Social demographic characteristics................................................................................................... 25
5.3 Health worker based factors affecting health workers in implementation of EMTCT services. 25
5.4 Maternal based factors affecting health workers in implementation of EMTCT services.......... 27
5.5 Mothers, knowledge in relation to participating in EMTCT services ........................................... 28
5.6 CONCLUSION ................................................................................................................................... 30
5.7 RECCOMMENDATION................................................................................................................... 31
5.8 FURTHUR RESEARCH ................................................................................................................... 31
REFERENCES........................................................................................................................................... 32
APPENDIX 1: CONSENT FORM.......................................................................................................... 35
APPENDIX 2: QUESTIONNAIRE ........................................................................................................... 36
APPENDIX 4: BUDGET ........................................................................................................................ 40
APPENDIX 6: WORK PLAN.................................................................................................................... 41
A MAP OF UGANDA SHOWING THE LOCATION OF STUDY AREA, ( BUSHENYI TOWN). ..... 42
A MAP OF BUSHENYI MUNICIPALITY SHOWING LOCATION OF BUSHENYI HEALTH IV. ... 43
ABSTRACT The study focused on factors affecting health workers in implementation of EMTCT services at Bushenyi Health Centre IV and the objectives of the study were, to find out the health worker based factors affecting health workers in implementation of EMTCT services, to establish maternal based factors affecting health workers in implementation of EMTCT services and to assess mothers, knowledge in relation to participating in EMTCT services at Bushenyi health Centre IV. The study was carried out at Bushenyi Health Centre IV which is located in Bushenyi municipality in Bushenyi district which basically serves people from Bushenyi district with a few others from neighboring districts. It descriptive and cross sectional in which quantitative and qualitative methods of data collection were used and the study included health workers offering EMTCT services to the mother and mothers receiving EMTCT services who were around during the period of the study. The study found out that 81.25%, of the health workers had ever attained EMTCT reinforcement workshop and only 3(18.75%) had not attended any workshop of that nature since they were transferred to Bushenyi health Centre IV. Furthermore the study found out that as cited by 6(37.5%) of the health workers who participated in the study, mothers delivering from home is one of the setbacks to effective delivery of EMTCT program. The study found out that a bigger percentage of mothers at 93.75% have knowledge on various methods in which HIV can spread from the mother to the baby and only 6.25 percentage said she didn’t know of such ways and regarding knowledge on importance of VCT, study found out that all the 16 mothers who took part in the study knew that its of health importance to attend a VCT, but they didn’t have a detailed information about how EMTCT could help a mother who is found HIV positive