Factors Hindering HIV Counseling Services at Kabwohe Health Center Iv in Sheema District

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

viii

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

ix

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