http://dissertations.umu.ac.ug/xmlui/handle/123456789/202 2026-04-07T11:28:29Z 2026-04-07T11:28:29Z Adrian, Ssenyanzi http://dissertations.umu.ac.ug/xmlui/handle/123456789/1631 2025-04-14T10:26:45Z 2020-12-01T00:00:00Z

Using action research to improve the availability of safe drinking water; case study: Nsangi Health Centre III, Wakiso district Adrian, Ssenyanzi Health care organizations like hospitals are highly resistant to change because of professional role behaviors, hierarchical structures and the influence of hidden curricula that inform organizational culture. Action research (AR) or Participatory Action Research (PAR) has been identified as a promising bottom-up approach that has the potential to address the significant barriers to change. PAR can be defined as a study design that treats the communities of inquiry as part of the generators of knowledge. PAR provides practitioners with new knowledge and understanding about how to improve educational practices or resolve significant problems in classrooms and schools. During participatory rural appraisal, key informant and group interviews were conducted, participatory mapping and modelling and transect walking done through the facility premises. Vital information was obtained by observation, asking questions, listening and discussions. Reports, photographs and audio recordings were also used for vital information collection. A participatory community diagnosis was carried out to identify the health problems faced by the staffs and patients/clients of Nsangi Health Centre III and these were prioritized to come up with practical solutions. The community diagnosis successfully identified several health challenges and prioritized lack of drinking water. This was because it was ranked highest and had many challenges associated with it among which were possible outbreak lack of water borne diseases like cholera, typhoid and dysentery among others. Safe drinking water is not only important but essential because it helps to keep our bodies healthy, quenches thirst and helps in swallowing of prescribed medicines. The identification of this health challenge with the community engagement guided the study to formulate interventions to ensure that safe clean drinking water was made available to the community. This was done by mobilizing little money from stake holders to buy jericans from Joint Medical Stores (JMS) in which treated water was put and made readily available to the staff and patients at large. It was agreed upon that water was to be treated with aquasafe/waterguard by a member of staff of the HC who would then fill it into these jericans. The water would then be dispensed by consumers using a tap provided on these jerricans. This innovation was overwhelmingly embraced by the community and it helped patients avoid drinking unsafe tap water which could expose them to sicknesses. It was recommended that continuing medical education (CME) should be done on weekly basis to create and sustain awareness about the dangers of consumption of unsafe water. Kiconco Arthur

2020-12-01T00:00:00Z Wasswa, Achilles Kawooya http://dissertations.umu.ac.ug/xmlui/handle/123456789/1563 2025-04-03T13:41:26Z 2021-04-01T00:00:00Z

The influence of secondary school environment on students’ academic performance in Uganda Certificate of Education (UCE) examinations for students with first grades in the Primary Leaving Examinations (PLE) in Lyantonde District Wasswa, Achilles Kawooya This study examined the influence of Secondary School Environment on students‟ academic performance in Uganda Certificate of Education examinations for students with first grade in Primary Leaving Education in Lyantonde District. Specific study objectives included: (i) To determine whether there is any relationship between disciplinary management measures in the four selected secondary schools and students‟ academic performance in the Uganda Certificate of Education examinations in Lyantonde district, (ii) To determine whether there is any relationship between physical facilities of a school and students‟ academic performance in Uganda Certification of Education Examinations, (iii) to determine whether there is any relationship between school‟s academic based rewarding mechanism and students‟ academic performance in Uganda Certificate of Educations examinations. The researcher used a causal comparative research design which was both qualitative and quantitative. The data collected, presented, analyzed and interpreted was both numerical and descriptive. The researcher used documentary review, questionnaires and interview guide instruments and established that there was a significant relationship between disciplinary management measures applied to enforce discipline by a particular school and students‟ academic performance in Uganda Certificate of Education examinations for students with first grades in Primary Leaving Examinations. The study findings further indicated a significant relationship between school physical facilities and the students‟ academic performance. In schools were respondents were proud of the quality of classrooms students‟ academic performance in their Uganda Certificate of Education examinations was high indicating that well-spaced desks in the classroom had positive effects on students‟ academic performance in the Uganda Certificate of Education examinations. The study has further indicated that there was no significant relationship between secondary school‟s academic based rewarding mechanisms and students‟ academic performance in Uganda Certificate of Education examinations. In conclusion, quality of disciplinary management measures and physical facilities play an important role in the improvement of students‟ academic performance. Namazzi Elizabeth

2021-04-01T00:00:00Z Wasswa, Joseph http://dissertations.umu.ac.ug/xmlui/handle/123456789/1562 2025-04-03T13:41:24Z 2015-10-01T00:00:00Z

Factors affecting vasectomy uptake in public health facilities in Wakiso district Wasswa, Joseph Introduction Programs targeting men in regard to family planning have and are still very little, making reflection on the desires and views of men in contraceptive services to be limited. It was found out that females take a front seat when it comes to family planning issues as methods targeting women are given more interest while males take on the role of just providing support leading to the very low observed utilization of the male focused family planning methods. However, it is believed that involvement of men in contraceptive issues necessitates both social and behavioral change which will not only interest more men in concerns of family planning but they will also start giving support to their spouses in issues relating to other reproductive health matters. Despite of all the above, studies have indicated that male-focused methodse,g-condoms and vasectomy are insignificantly utilized by populations hence further confirming contraception as a largely female responsibility. Objective This study set out to establish the factors affecting vasectomyuptake in public health facilities in Wakiso District. Methodology The study was carried out in six (6) accredited government aided health facilities that offer family planning with emphasis on vasectomy in Wakiso District from which the researcher used a descriptive, cross-sectional study employinga qualitative approach in which a sample of 132 members was used with 12 focus groups discussions of married productive men aged 15-65 and 12 health workers involved in family planning. All data used in this study were obtained using Focus Group Discussions and Key Informant Interviews with target groups whose validity was accredited by fellow students and computation of content validity index (C.V.I). Reliability on the other hand was obtained by pre-testing of instruments and results were analyzed used tables and qualitative statements obtained from respondents. Results From the above analyses, results obtained revealed that from the census of all health center IVs and Hospital where Vasectomy is supposed to be carried out, The level of knowledge as far as vasectomy was concerned was low yet health workers were not willing to sensitize communities about the method. Men also were found not willing to participate in family planning. Factors xiii responsible foruptake of vasectomy according to respondents included fear to become impotent, poverty, myths and misconceptions about the method; desire to have more children, prohibitive cultural and religious beliefs. Conclusions From the above analyses, it can be concluded that the level of knowledge among men as far as vasectomy is concerned is still low. Whereas knowledge is still low, men also have a list of self created reasons why they are not interested in this method of family planning; the method being surgical in nature, it scares many from participating, the number of children factor has been indicated to be the most influential factor, income level, culture, perception by entire community, religion, and the general myth among different communities that the method reduces the sexual functionality of the man. In addition, the current family planning framework tends to attract more female participation compared to men. Recommendations The study recommended increased sensitization, modifications in current family planning framework, government intervention and involvement of religious leaders in order to improve vasectomy uptake. Agiresaasi Apophia

2015-10-01T00:00:00Z