Factors Associated with Malaria Prevalence Among Pregnant Women Attending Antenatal Clinic at Kagadi Hospital Kibaale District Western Uganda

TABLE OF CONTENTS

ABSTRACT............................................................................................................................................i

© Copyright: Ahurra Miriam, 2017....................................................................................................ii

DECLARATION....................................................................................................................................iii

APPROVAL.........................................................................................................................................iv

DEDICATION.......................................................................................................................................v

ACKNOWLEDGEMENT.......................................................................................................................vi

LIST OF TABLES................................................................................................................................xiii

LIST OF ACRONYMS..........................................................................................................................xiv

DEFINITION OF KEY TERMS...............................................................................................................xv

CHAPTER ONE....................................................................................................................................1

1.1 INTRODUCTION........................................................................................................................1

1.2 BACKGROUND..........................................................................................................................1

1.2 PROBLEM STATEMENT...........................................................................................................4

1.3 Purpose of the study................................................................................................................4

1.4 Specific objectives....................................................................................................................4

1.5 Research question....................................................................................................................5

1.6 Justification of the study..........................................................................................................5

CHAPTER TWO: LITERATURE REVIEW................................................................................................7

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2.1 INTRODUCTION........................................................................................................................7

2.2 HEALTH SERVICE FACTORS.......................................................................................................7

2.2.1 Access to health facilities..................................................................................................7

2.3 SOCIO-DEMOGRAPHIC FACTORS..............................................................................................9

2.3.1 Maternal age.....................................................................................................................9

2.3.2 Education...........................................................................................................................9

2.3.3 Gravidity..........................................................................................................................10

2.3.4 Housing............................................................................................................................10

2.4 INDIVIDUAL FACTORS.............................................................................................................11

2.4.1 Knowledge about malaria....................................................................................................11

2.4.2 Use of ITNs......................................................................................................................11

2.4.4 Behavioral factors............................................................................................................12

CHAPTER THREE: METHODOLOGY...................................................................................................13

3.1 Introduction...........................................................................................................................13

3.2 Study design and rationale.....................................................................................................13

3.3 Study settings and rationale...................................................................................................13

3.4 Study population....................................................................................................................14

3.4.1 Sample size determination..............................................................................................14

3.4.2 Sampling procedure........................................................................................................15

3.4.3 Inclusion criteria..............................................................................................................15

3.4.4 Exclusion criteria.............................................................................................................15

3.5 DEFINITION OF VARIABLES.....................................................................................................16

3.5.1 Dependent variables.......................................................................................................16

3.5.2 Independent variable......................................................................................................16

3.6 Research Instruments............................................................................................................16

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3.7 Data Collection procedures....................................................................................................16

3.7.1 Data management...........................................................................................................17

3.7.2 Data analysis....................................................................................................................17

3.8 Ethical considerations............................................................................................................18

3.9 Limitation of the study...........................................................................................................18

3.10 Dissemination of Information...............................................................................................19

CHAPTER FOUR................................................................................................................................20

4.0 INTRODUCTION......................................................................................................................20

4.1 BIO-DEMOGRAPHIC PROFILE OF THE RESPONDENTS............................................................20

4.2 HEALTH SERVICE FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG PREGNANT

WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL.................................................25

4.3 SOCIO DEMOGRAPHIC FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG

PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL..............................27

4.4 INDIVIDUAL FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG PREGNANT

WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL.................................................30

CHAPTER FIVE: DISCUSSION OF RESULTS.........................................................................................32

5.0 INTRODUCTION......................................................................................................................32

5.1 HEALTH SERVICE FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG PREGNANT

WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL.................................................32

5.1.1 Distance from health facilities.........................................................................................32

5.1.2. Availability of malaria treatment in the hospital............................................................33

5.2 SOCIO DEMOGRAPHIC FACTORS ASSOCIATED WITH MALARIA PREVALENCE AMONG

PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT KAGADI HOSPITAL..............................33

5.2.1 Maternal age...................................................................................................................33

5.2.2 Education.........................................................................................................................34