Theses and Dissertations

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Browsing Theses and Dissertations by Subject "Arua city"

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    Knowledge, attitude, and willingness to provide first aid to trauma victims: a cross-sectional study among boda-boda riders in Arua city
    (Muni University, 2025-11-17) Acidri, Phillip
    Background. Road traffic accidents (RTAs) significantly contribute to mortality and morbidity. Mortality can be reduced by up to 4.5% with pre-hospital care administered by lay first responders. Boda-boda riders are likely victims of RTAs and likely first responders to RTA victims. The study aimed to study the knowledge, attitude, and willingness of boda-boda riders to provide first aid to victims of RTAs. Methods. A cross-sectional analytic study was conducted between June and July 2025. A multi stage sampling method was used to recruit the participants. A semi-structured questionnaire was used to collect quantitative data. Chi-square and Logistic regression analysis were performed in STATA to assess the association between socio-demographic characteristics, knowledge, attitude, and willingness. Results. A total of 368 participants, mainly males with a mean age of 30.6 (SD = 8.1) years, were recruited into the study. The average first aid knowledge of the riders was 56%, with up to 66.6% of them having a positive attitude towards first aid. Notably, a surprisingly low percentage (42.9%) were willing to provide first aid to victims of RTA. Riders with at least a secondary level of education were found to have more knowledge (χ²=29.1, p=0.01), a positive attitude to first aid (χ²=12.6, p=0.006), and were willing to provide first aid in the event of trauma (p=0.038). Riders who had ever received training in first aid were also found to have more knowledge (χ² = 56.6, p = 0.01) and were more willing to provide first aid (p = 0.019). Equally, a previous history of road traffic accidents had a statistically significant relationship with knowledge (χ² = 14.1, p = 0.01). Optimal knowledge of and positive attitude towards first aid were good predictors of willingness to provide first aid, with odds of riders with optimal knowledge willing to provide first aid two times that of riders with sub-optimal knowledge (aOR = 2.27, 95% CI= 1.40 – 3.98, p = 0.002) and the odds of riders with a positive attitude willing to provide first aid six times that of riders with negative attitude (aOR = 5.78, 95% CI= 3.30 – 9.88, p = 0.001) after adjusting for confounders Conclusion. The majority of riders had limited knowledge of first aid, with a significant proportion displaying a positive attitude, and a less than average proportion being willing to provide first aid. Factors associated with knowledge of first aid included educational level, prior first aid training, and history of RTA. That associated with attitude was educational level, and meanwhile, educational level and previous history of RTA were factors associated with willingness to provide first aid. An optimal knowledge of and positive attitude towards first aid were good predictors of willingness to provide first aid. First aid training targeting boda-boda riders should prioritize those with a lower level of education and those without prior first aid training experience. First aid training of lay persons working in public spaces needs to be embraced by Uganda. The training can also focus on the interpretation of legislature in Uganda
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    Understanding the reasons for delayed antenatal care initiation among pregnant women in Adumi HC IV Ayivu west division, Arua city: a qualitative phenomenological study
    (Muni University, 2025-11-25) Dramile, Daniel
    Background: Timely initiation of antenatal care (ANC) within the first trimester is a cornerstone of improving maternal and neonatal health outcomes. Despite its established benefits and being a key target of the Ugandan Ministry of Health and world health organization (WHO,) a significant proportion of pregnant women in Uganda, particularly in the West Nile sub-region initiate ANC late. At Adumi Health Center IV in Arua City, 71.8% of pregnant women begin care after 12 weeks of gestation, hence hindering early risk detection and management. The specific reasons for this persistent delay in this local context remained unclear, thus necessitating this investigation. Methods: This qualitative phenomenological study was conducted at Adumi HC IV, Ayivu West Division, and Arua City. Data were collected through 20 in-depth interviews with purposively selected pregnant women who initiated ANC after 12 weeks, one key informant interview with senior midwife, and three focus group discussions with spouses and Village Health Team members. Semi-structured guides were used, interviews were audio recorded, transcribed, and translated. Data were analyzed using thematic analysis with QDA miner lite software. Findings: The findings revealed several key themes influencing ANC attendance. First, the journey to seeking care was initiated by cues to action, which were supported by comprehensive knowledge of ANC, including its timing, purpose, activities, and benefits, as well as self-efficacy and confidence in acting on this knowledge. However, this journey was often hindered by significant barriers and challenges. These obstacles appeared at multiple levels, including individual and motivational barriers such as personal attitudes and lack of motivation for early initiation; systemic and practical barriers related to healthcare facilities and community health workers; and socio cultural and interpersonal barriers like prevailing cultural norms and the critical role of partner support. Conclusion and Recommendations: The delay in starting ANC at Adumi HC IV was not mainly due to a lack of knowledge, but rather a way to cope with serious structural, economic, and social challenges. Simply providing health education won't be enough. A variety of strategies are suggested, such as offering specific incentives for registering in the first trimester, setting up community outreach clinics, promoting male involvement, and integrating programs to reduce poverty and address economic difficulties.