Department of Obstetrics and Gynaecology
http://ir.must.ac.ug/xmlui/handle/123456789/173
2024-03-29T10:23:36ZThe impact of HIV on fertility aspirations in Uganda.
http://ir.must.ac.ug/xmlui/handle/123456789/3507
The impact of HIV on fertility aspirations in Uganda.
Snow, Rachel C; Mutumba, Massy; Powers, Gregory; Evans, Lindsey; Rukundo, Edith; Abesiga, Lenard; Kabasindi, Joy; Ford, Tegan; Mugyenyi, Godfrey
This paper reports on a study of whether a women’s personal HIV status, the presence of an HIV+ child in the household, or the presence of foster children in the household, has a measureable impact on a woman’s desire for future offspring, net of parity, or son parity, in an area of Uganda with high fertility norms. A survey of 1,594 women age 18-49 yrs visiting outpatient services at Mbarara Regional Hospital in Mbarara Uganda was conducted from June through August 2010. Among survey participants, 59.7% were HIV-positive (HIV+) and 40.3% were HIV-negative (HIV-); and 96.4% of the HIV+ women were currently on anti-retroviral therapy (ART). Logistic regression models were used to investigate the relationships between fertility desires and HIV status, household, and social factors. We found that, despite high fertility norms in Uganda and almost universal use of ART in our sample, HIV+ women were significantly less likely to desire future childbearing relative to HIV- women, and pregnant HIV+ women reported their pregnancies were a problem. The findings suggest a potential unmet need for family planning among HIV+ women in Uganda.
2011-01-01T00:00:00ZImpact of the Mbarara University of Science and Technology residency training on increasing access to specialty care workforce
http://ir.must.ac.ug/xmlui/handle/123456789/3501
Impact of the Mbarara University of Science and Technology residency training on increasing access to specialty care workforce
Tibaijuka, Leevan; Kajjimu, Jonathan; Atimango, Lorna; Owaraganise, Asiphas; Boatin, Adeline Adwoa; Kayondo, Musa; Kamukama, Nixon; Ngonzi, Joseph
Graduate tracer studies provide an avenue for assessing the impact of residency training on the distribution and access to specialty care and exploring job and professional satisfaction of alumnus. This study examined how the Mbarara University of Science and Technology (MUST) clinical residency training program influenced the spatial distribution and career paths of specialists. We conducted a mixed methods study involving an online survey and 12 in-depth interviews (IDIs) from June to September 2022. The online survey was distributed to a convenient sample of clinical residency alumnus from MUST via email and Whatsapp groups. Alumnus were mapped across the countries of current work in QGIS (version 3.16.3) using GPS coordinates. Descriptive and thematic analyses were also conducted. Ninety-five alumni (34.3%) responded to the tracer survey. The majority were males (80%), aged 31–40 years (69%), and Ugandans (72%). Most graduated after 2018 (83%) as obstetricians/gynecologists (38%) and general surgeons (19%). There was uneven distribution of specialists across Uganda and the East-African community—with significant concentration in urban cities of Uganda at specialized hospitals and academic institutions. Residency training helped prepare and equip alumnus with competencies relevant to their current work tasks (48%) and other spheres of life (45%). All respondents were currently employed, with the majority engaged in clinical practice (82%) and had obtained their first employment within six months after graduation (76%). The qualitative interviews revealed the reported ease in finding jobs after the training and the relevance of the training in enhancing the alumnus’ ability to impact those they serve in teaching, research, management, and clinical care. Graduates cited low payment, limited resources, and slow career advancement concerns. Residency training improves the graduates’ professional/career growth and the quality of health care services. Strategic specialty training addressing imbalances in subspecialties and rural areas coverage could optimize access to specialist services.
2024-01-01T00:00:00ZKnowledge, attitudes, and practices of health professions students on mentorship: a cross‑sectional study at a sub‑Saharan African medical school
http://ir.must.ac.ug/xmlui/handle/123456789/3468
Knowledge, attitudes, and practices of health professions students on mentorship: a cross‑sectional study at a sub‑Saharan African medical school
Tamale, Elvis ; Atuhairwe, Irene ; Ssemwogerere, Arnold; Muhimbura, Brian ; Atimango, Lorna ; Malinga, Paddy Derrick; Mulungi, Jonathan; Ssekitto, Joseph ; Naigaga, Josephine; Kintu, Timothy Mwanje; Masood, Kiran Mitha ; Ohuruogu, Victor ; Ngonzi, Joseph
Background Mentoring involves the informal conveyance of knowledge, social capital, and support, as perceived by the recipient to be pertinent to aspects of work, career, and personal or professional development. Students pursuing health related courses need access to mentorship and its benefits during their formative academic and career states. However, in Sub-Saharan Africa, many institutions have not fully embraced this despite the benefits of mentorship.
Aim The primary purpose of this study was to assess medical students’ knowledge about mentorship and explore their attitudes and practices toward mentorship.
Methodology We held an online cross-sectional study utilizing a pre-tested self-reported questionnaire targeting health professional students in the faculty of medicine, Mbarara University of Science and Technology (MUST). The collected data were coded and summarized using descriptive statistics and thematic analysis.
Results Two hundred eighty-three (283) students participated in this study. Of this group, 79.9% were aware of mentorship, 61% were willing to commit 1–2 h a week for mentorship, and Zoom was the preferred mode of communication; 98.2% expressed the need for a structured student-led hybrid mentorship program.
Conclusion Mentorship at Mbarara University of Science and Technology was considered beneficial by health professions students in the Faculty of Medicine.
Recommendation Future studies should explore accessibility to mentorship and the effectiveness of existing mentorship processes.
2024-03-08T00:00:00ZPrevalence and Factors Associated with Hepatitis B Infection Among Outpatient Adults in South-Western Uganda
http://ir.must.ac.ug/xmlui/handle/123456789/3467
Prevalence and Factors Associated with Hepatitis B Infection Among Outpatient Adults in South-Western Uganda
Ndibarema, Elias Rugaatwa; Olum, Ronald; Ayebare, David; Kabakyenga, Jerome
Background: About 2 billion people in the world are exposed to hepatitis B virus. Africa contributes 25% of the global Hepatitis B burden and prevalence in Uganda is 4.3%. Routine testing to establish the burden, improve prevention and control through early diagnosis and management are rare in hospital settings. We aimed at establishing the prevalence and factors associated with hepatitis B infection among adults attending outpatient clinic at Mbarara Regional Referral Hospital (MRRH) in Uganda.
Methods: A hospital-based cross-sectional study was conducted among outpatients attending MRRH. Consecutive sampling method was used to recruit participants. Interviewer-administered questionnaires were used to collect data. Blood samples were collected to test HBsAg. Summary statistics were used to describe the socio-demographic characteristics of study participants and the proportion of Serostatus for hepatitis B infection. Bivariate followed by multivariate logistic regression analysis was conducted to assess the factors associated with hepatitis B infections. All independent variables with p-values <0.2 were entered into a multivariate model to adjust for confounding. A p value <0.05 was considered statistically significant.
Results: A total of 400 participants were recruited. 64.5% were females (n=258) and aged 18–29 years (48.5%, n=193). Overall, 22 (5.5%) participants were found to be seropositive for hepatitis B infection. Residing in Kiruhura district (AOR = 11.9, 95% CI: 2.40– 59.25, p<0.003) was significantly associated with hepatitis B infection while being female (AOR = 0.3, 95% CI: 0.11–0.88, p<0.018)
was protective.
Conclusion: Prevalence of hepatitis B infection among adult patients attending outpatient clinic at MRRH was 5.5% with male gender and residing in Kiruhura district as factors associated with high prevalence of hepatitis B infection. Ministry of Health should scale up hepatitis B routine testing and treatment at MRRH and its catchment area, with special control programs such as screening, vaccination, and sensitization involving men.
2022-01-01T00:00:00Z