Masters Degree Dissertations
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12504/96
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Browsing Masters Degree Dissertations by Subject "Entebbe municipality"
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Item Covid – 19 pandemic on the utilisation of maternal and child health services at Entebbe municipality, Uganda(Kyambogo University (Unpublished work), 2024-11) Nabirye, LydiaAll ages of people have been negatively impacted by the global Corona Virus Disease 2019 (COVID-19) outbreak, but pregnant women are particularly at risk. Maternity services changed their protocols and procedures to lessen the COVID-19 risk transmission to women, their babies, and healthcare workers. This study aimed at finding the effects of COVID – 19 pandemic on the utilisation of maternal health and child health services at Entebbe municipality from three health facilities of various levels (health centres III, IV and a hospital). A facility-based cross-sectional design with both quantitative and qualitative approaches was used to collect information at the health facilities. A total of 306 women participated in the quantitative study while 28 women participated in the qualitative study. Pre – tested structured questionnaires, interview guides were used to collect information from the women who consented to take part voluntarily in the study while document review was used to collect women’s information on trends of antenatal utilisation. The findings of the study showed that there was a decline in the initiation of Antenatal Care (ANC) and a reduction in the number of antenatal visits. More than a half 72.2% were satisfied with antenatal care services provided during the pandemic of which 53.9% would recommend the facility to a relative or friend. Women who were older (=> 40 years) (aOR =25.2, 95%CI 1.6 – 389.1) and women who were more educated (aOR = 5.1, 95%CI 1.5 – 17.3) were satisfied with the service provided during the pandemic. Fear of contracting COVID-19 at health facilities, transportation difficulties, shortage of manpower, long waiting times, and harassment by security agents were the major factors that hindered the access and utilisation of Maternal Health and Child Health (MHCH) services during the pandemic. In conclusion the COVID-19 pandemic caused the interruption of health services on a global scale, including MHCH services. Effective preventive and clinical strategies to control future pandemic infection among women are necessary. It is necessary and important to replicate the study using mothers from various private hospitals.