Student's Journal of Health Research Africa <p>Student’s Journal of Health Research Africa (SJHR-Africa) is an open-access journal that includes all branches of Medicine and health research to narrow the knowledge gap in Africa, (<strong>ISSN 2709-9997). </strong> The journal is peer-reviewed and promotes research on the African continent by accepting original research ideas from African students who are doing research.</p> <p>We are the journal for African students that believes in sharing information for free. Publishing in a total of 39 sections, SJHR-Africa is here to meet the needs of an African student. We believe that when we integrate Knowledge from different academic disciplines, Africa will be a complete ecosystem with adequate scholarly materials to bridge the knowledge gap.</p> <p>As the world becomes more integrated, our scope extends to biological sciences, Vocational studies that have an impact on health such as Agriculture. Informational technology, Environmental science, Business studies, and planning have also shown to influence Health. The journal brings together individual specialties from different fields into a dynamic academic mix. We intended to enhance communication among health system researchers and administrators, policy and decision-makers, legislators, practitioners, educators, students, and other types of professionals in the research that might have an effect on the healthcare delivery systems.</p> <p> </p> Student's Journal of Health Research en-US Student's Journal of Health Research Africa 2709-9997 Assessing The Effect of Selected Cleaning Agents (Bleach, Ethanol and Liquid soap) On Selected Nosocomial Organisms (Escherichia. coli, Staphylococcus aureus, Pseudomonas aeruginosa) in Uganda. A Case Study of Kisubi Hospital. <p><strong>Background</strong></p> <p>The major cause of disease and even human death are bacteria. Disinfectant is widely used in various ways as an effective agent to kill or eliminate bacteria, especially in the microbial laboratory. The most commonly used disinfectants in the laboratory are ethanol, bleach, and hand soap. This study assessed the effect of the common cleaning agents against bacteria.</p> <p><strong>Methodology</strong></p> <p>It was an experimental study on disinfectant efficacy of ethanol, bleach, and antibacterial handwashing soap on surface disinfection. Sampling was carried out between April and June of 2017. The samples were collected from our lady of Consolata kisubi hospital which is located on Nkima Road- <em>Kisubi</em>, Wakiso, Uganda. The samples collected were obtained from the hospital surfaces like door handles, beds, random floors, toilets, and work surfaces before and after cleaning.</p> <p><strong>Results</strong></p> <p>64 samples were collected from 32 sites. The selected nosocomial organism in the study included E.coli, Staphylococcus aureus, and <em>Pseudomonas aeruginosa. </em>Among the selected disinfectants, ethanol was the most effective against the available selected nosocomial organisms.</p> <p><strong>Conclusion</strong></p> <p>Bacteria is present on so many surfaces of the hospital, and the selection of appropriate cleaning agents is vital to achieving maximum cleaning. Bleach and liquid soap should not be used in combination if cleaning different surfaces in the hospital due to the effects of the inorganic compounds that might be present in the liquid soap that inactivates active ingredients used present in the Bleach.</p> <p><strong>Recommendation</strong></p> <p>The hospital should come up with a minimum inhibitory concentration of the disinfectants that is effective to be used. The support staff in charge of cleaning should be trained on the right way of cleaning and disinfecting.</p> Faith Nakachwa David Serunjogi Kizito Muwonge Copyright (c) 2021 Faith Nakachwa, David Serunjogi, Kizito Muwonge 2021-09-30 2021-09-30 2 9 6 6 10.51168/sjhrafrica.v2i9.33 Factors Affecting Management of Epilepsy Amongest Epileptic Clients Receiving Services at Serere Health Centre IV Serere District. <p><strong>Background</strong>:</p> <p>Epilepsy is a neurological condition, which affects the nervous system. It is usually diagnosed after a person has had a least two sutures that were not caused by some known medical condition like; Alcohol withdrawal, extremely low blood sugar, heart problems, or some other medical condition. Epilepsy can also be diagnosed after a seizure if a patient has a condition that places them at risk for having another seizure.</p> <p><strong>Methodology</strong>:</p> <p>The study had both quantitative and qualitative methods of data collection like; data collection tools. The data was collected from 30 respondents who were especially epileptic clients in the catchment area of the whole Centre. Data aggregation, entry, and analysis were done using the Micro-soft excel tool.</p> <p><strong> Results:</strong> </p> <p>The study showed that<strong> </strong>the majority of the respondents were not married (66.7%), the majority of the respondents were below the age of 19 years (40%), also most of the respondents were not educated (40%), (10%) and (23.3%) blamed epilepsy on witchcraft and curse from God, (93.7%) have ever missed clinic day, (55%) had come alone to the clinic. </p> <p><strong>Recommendations:</strong></p> <p>Therefore are that<strong> </strong>the concerned authority and well-wishers are called upon to take up the findings or conduct their study related to these problems to see the way forward. </p> <p><strong>In conclusion:</strong></p> <p>Drug adherence, discrimination, low family social support, were the major factors affecting the management of epilepsy. These challenges would majorly be resolved through health education and counseling of the entire communities.</p> <p><strong> </strong></p> Micheal Albert Olinga Copyright (c) 2021 Olinga Micheal Albert 2021-09-30 2021-09-30 2 9 14 14 10.51168/sjhrafrica.v2i9.65 Exploring Clinical Supervision Model Employed by Qualified Nursing Staff at Mbarara Regional Referral Hospital and Its Contribution to Students’ Competencies. <p><strong>Background.</strong></p> <p>Clinical supervision is an instructional face-to-face interaction between the supervisor and the supervisee which enables the supervisee to perform his/her job better (ABIDDIN, 1980). There is a various model which is being used to in supervision of students which includes coaching, mentorship, preceptorships, and individualized model when used leads to the acquisition of knowledge, skills, improves performance and students competencies. The purpose of the study was to explore clinical supervision models employed by qualified nursing staff at MRRH and their contribution to students’ competencies</p> <p><strong>Methodology. </strong></p> <p>A qualitative descriptive design was employed in this study. The purposive sampling method was used to recruit 9 participants. Data collection was done by in-depth interview method using a semi-structured interview guide. Inductive content analysis was used to generate the themes and categories.</p> <p><strong>Results.</strong></p> <p>The study findings revealed three themes that emerged as the participants’ descriptions of the clinical supervision model. These themes included coaching, self-directed learning, and individualized learning.</p> <p><strong>Conclusion. </strong></p> <p>The supervisory model used by the qualified staff in this study was coaching; mentoring, self-directed learning that enhances professional growth and skills competencies as well as promoting relationships between the supervisor and the supervisee. </p> <p><strong>Recommendation.</strong> </p> <p>The use of supervisory models in clinical practice should be emphasized so that nurse practitioners use them to provide the best learning approach that enables students to gain competencies. Integration of supervisory models in the nurse curriculum so that they know the importance of when they qualify and utilize them during the supervision of students to maximized learning in a clinical setting.</p> Mark Opio Copyright (c) 2021 Mark Opio 2021-09-30 2021-09-30 2 9 11 11 10.51168/sjhrafrica.v2i9.64 Prevalence And Socio-Demographic Factors Associated With Depression Among Patients With Tuberculosis Attending TB Clinic of Butabika National Referral Mental Hospital. <p><strong>Background: </strong></p> <p>Depression is a major cause of the global disease burden, affecting an estimated 350-400 million people worldwide. This makes it the largest contributor to Years Lived with Disability (YLDs) globally</p> <p><strong> Methodology: </strong> </p> <p>It was a descriptive cross-sectional study with an analytic component in which 82 patients already diagnosed with TB were recruited for the study using stratified sampling techniques and convenient sampling techniques. PHQ-9 was used to assess for presence and severity of depression, a score above 9 was considered to be depressed. The socio-demographic questionnaire was used to obtain the socio-demographic characteristics. Data entry and analysis were done using SPSS 23<sup>rd</sup> version, Chi-square test, and T-test was used to find associations of socio-demographic factors to depression.</p> <p><strong>Results:</strong></p> <p>The prevalence of depression was 54.9%, out of whom 22.2%, 66.7%, and 11.1% had mild, moderate, and severe depression respectively. Depression was more prevalent in patients from a nuclear family (34.1%), in the age group of 31 to 60 years (32.9%), treatment duration of 1 month (31.7%), among the females (29.3%), and patients who were unemployed 28%.</p> <p><strong>Conclusion: </strong></p> <p>In conclusion, the prevalence of depression (54.9%) in TB patients is high, with most patients moderately depressed and this could be associated with multiple socio-demographic factors like being female, age of 30-60 years, unemployment, low education level, being in the intensive phase of TB treatment, HIV and TB co-morbidity.</p> <p><strong>Recommendations</strong>:</p> <p>There is a need for the integration of mental health services into TB treatment to ensure routine screening, early diagnosis, and treatment of mental disorders like depression to prevent their co-morbidity with TB, which often has negative treatment outcomes. There is a need to carry out more research on depression in patients with TB to widen knowledge about this problem.</p> <p> </p> Ellen Nagadya Kisembo Copyright (c) 2021 Ellen Nagadya Kisembo 2021-09-30 2021-09-30 2 9 11 11 10.51168/sjhrafrica.v2i9.63 Influence of Children’s Health On Primary School Academic Performance In Uganda. A Case Study of Fort Portal Municipality, Kabarole District, Uganda. <p><strong>Background:</strong></p> <p>The world population comprises 2.2 billion children below 18 years, 1.9 billion of which live in developing countries, 1 billion being caught up below the poverty line, and 340 million in sub-Saharan Africa. 640 million do not have adequate shelter, 400 million do not have safe drinking water and 270 million have no access to health services. In Uganda, better health care is widely thought to improve primary school performance and post-school productivity. This study investigated the influence of children’s health on primary school academic performance in Fort Portal Municipality, Kabarole district.</p> <p><strong>Methodology:</strong></p> <p>Questionnaires were used as the major research tool and it was supplemented through the use of an interview guide and Focus Group Discussion guide. Data collection was then followed by analysis and interpretation of findings.</p> <p><strong>Results:</strong></p> <p>49.5% of children fall sick at least once a year. 20.6% fall sick once every two months, 15.5% monthly, 8.2% twice a week, and 6.2% once a week. The major effects of poor health on academic performance include; absenteeism, lack of concentration in class, missing tests, and exams. Girls get preferential treatment when it comes to accessing medical care from the school nurse. The study showed that the provision of medicine was viewed as the best option.</p> <p><strong>Conclusion </strong></p> <p>Malaria, cough, and flu are the most common health problem faced by pupils and poor health affects children’s academic performance.</p> <p><strong>Recommendations:</strong></p> <p>Massive sensitization campaign about the spread of cough and flu, enhancing health education in schools, recruitment of nurses that would-be residents in schools, economic empowerment of parents, encouraging more NGOs to the extent their work in health services to Fort Portal Municipality and provide free health services to school-going children as well as regular medical check-up preferably once every three weeks.</p> Brenda Kanyesige Copyright (c) 2021 Brenda Kanyesige 2021-09-30 2021-09-30 2 9 14 14 10.51168/sjhrafrica.v2i9.61 Prevalence of Venereal Syphilis Among Youth Aged Between 18-35 Years Attending Kisenye Health Centre IV, Kampala District. <p><strong>Background:</strong></p> <p>Syphilis is an infection caused by a spirochete Treponema pallidum transmitted by direct contact with a syphilitic sore on the skin and in the mucous membrane. The study was undertaken to determine the prevalence of venereal syphilis among youth aged between 18- 35years, it also assessed the predisposing factors, prevention, and control measures of venereal syphilis</p> <p><strong> Methodology:</strong></p> <p>This was a cross-sectional study conducted among 96 respondents in Kisenyi Health Centre IV between the month of January and February 2020. A simple random sampling method was used to select the 96 respondents whereby the respondents were selected on a first come first serve basis. The questionnaire interview schedule was used for data collection, Venous blood was collected and the Treponema pallidum hem-agglutination assay test kits were used in the diagnosis.</p> <p><strong>Results:</strong></p> <p>Out of the 96 respondents who were enrolled in study 20(20.8%) were males and 76(76.2%) were females. The majority of the respondents who were affected were females 04(4.2%) in the age (18-35). The most predisposing factors to venereal syphilis was Ignorance, the use of drugs, poverty, co-infection, little knowledge about the use of a condom, as well as urban residence were also revealed to be some of the predisposing factors to acquire the disease.</p> <p><strong>Conclusion:</strong></p> <p> the prevalence of venereal syphilis in kisenyi health centre IV was found to be higher among the youth especially between the age of 18-25 years.</p> <p><strong>Recommendations: </strong></p> <p>The health care providers should do thorough assessments to address common diseases especially cases of venereal syphilis among the youth between 18-35 years.</p> Ronald Magezi Copyright (c) 2021 Ronald Magezi 2021-09-30 2021-09-30 2 9 10 10 10.51168/sjhrafrica.v2i9.51 Associated Factors to Uptake of Human Papiloma Virus Vaccine 2 Among Girls of Ages 9-14 Years in Igombe Sub-County Bugweri District. <p><strong>Background:</strong></p> <p>Human papillomavirus (HPV) infection is a sexually transmitted infection and it’s estimated that 75% of sexually active people are infected with HPV during their lifetime, HPV vaccines are being marketed in many countries throughout the world, and are highly efficacious in preventing 90% of infections due to HPV virus. Even though HPV vaccination is recommended and mostly carried out in schools, there are multiple challenges in implementing and increasing the vaccine's uptake.</p> <p><strong>Methodology:</strong></p> <p>The study employed a cross-sectional design and utilized a sample size of 424 respondents. Sampling was done by systemic random sampling and data was collected using a self-administered questionnaire. Thereafter, data analysis was done using SPSS version 1.8.</p> <p><strong>Results:</strong></p> <p>The majority of respondents 77 (50.7%) did not receive HPV2 due to fear of needle prick pain, 51 (33.6%) due to discouragement by guardians, while minority 24 (15.8%) of the respondents were not given an appointment date. 127 (30%) of the respondents reported that previous experience such as painful needle pricks, other side effects such as headaches and fevers would hinder HPV2 reception.</p> <p><strong>Recommendations:</strong></p> <p>The government of Uganda through the Ministry of Health should ensure that there are national sensitization programs targeted at improving the uptake of HPV vaccines among girls aged 9-14 years both those at schools and those out of schools.</p> <p><strong>Conclusion:</strong></p> <p>There was poor uptake of HPV2 vaccine among girls aged 9-14 years in Igombe sub-county, this was mainly attributed to poor support by the parents/guardians to their girl children towards the vaccine, failure of health workers to issue return dates to the girls, distant health centers and fear of needle pricks and other side effects such as headaches and fevers. Sensitization of the communities and continuous medical education for the health workers is highly recommended to improve the utilization of the vaccine<strong>.</strong></p> Micheal Albert Olinga Grace Nabaggala Karen Carol Copyright (c) 2021 MICHEAL ALBERT OLINGA, Grace Nabaggala, Karen Carol 2021-09-30 2021-09-30 2 9 13 13 10.51168/sjhrafrica.v2i9.66 Internal Stakeholder Engagement, Organizational Support, Project Team Efficacy and Project Success. A Case of USAID aided Projects in Uganda. <p><strong>Background:</strong></p> <p>This study examined the relationship between internal stakeholder engagement, organizational support, project team efficacy, and project success among USAID projects in Uganda. The objectives were: to examine the relationship between internal stakeholder engagement and project team efficacy; organizational support and project team efficacy; project team efficacy and project success; and to examine the mediating effect of project team efficacy.</p> <p><strong>Methodology:</strong></p> <p>The study applied a cross-sectional research design with a quantitative research approach. A sample of 44 projects was obtained by simple random sampling from a total of 50 ongoing projects. Data was collected using a structured questionnaire. The validity of the instrument was determined by expert judgment and Cronbach Alpha for reliability. Data were analyzed using SPSS v.25 to obtain frequencies, descriptive statistics, factor analysis, and inferential statistics in data presentation and interpretation.</p> <p><strong>Results:</strong></p> <p>Findings established a positive relationship between stakeholder engagement and project team efficacy. The findings also found a positive relationship between organizational support and project team efficacy. There was a positive relationship between project team efficacy and project success. More so, findings obtained that project efficacy is a significant mediator in the relationship between organizational support and project success, but not significant in mediating the relationship between internal stakeholder engagement and project success. The findings further observed that the best predictor of project success is project team efficacy.</p> <p><strong>Conclusion:</strong></p> <p>Internal stakeholder engagement, organizational support, and project team efficacy are critical in project success. As far as project success is concerned, the factors take center stage. Moreover, project managers should concentrate most on project team efficacy.</p> <p><strong>Recommendations:</strong></p> <p> Delegation of responsibilities; effective communication; understanding the strength and weaknesses of each team member; leading by example; and holding meetings frequently.</p> Brenda Kanyesige Copyright (c) 2021 Brenda Kanyesige 2021-09-30 2021-09-30 2 9 17 17 10.51168/sjhrafrica.v2i9.62 Prevalence of Herbal Medicine Use Among Pregnant Women in Zirobwe Health Centre III, Luwero District in Uganda. <p><strong>Background:</strong></p> <p>The prevalence of herbal medicine use is on the rise across the world, especially amongst pregnant women. The purpose of this study was to assess the prevalence of herbal medicine use among pregnant women in Zirobwe Health Center III, Luwero District in Uganda.</p> <p><strong>Methodology:</strong></p> <p>A cross-sectional research design was used on pregnant women aged between 18-38 years, selected using a simple random sampling method and questionnaires to collect data which was analyzed using Statistical Package for the Social Sciences (SPSS).</p> <p><strong>Results</strong>:</p> <p> All respondents 68(100%) used an herbal medicine during pregnancy, (58.8%) used herbal medicine mostly in the first 3 months of the pregnancy, (100%) sometimes used herbal medicine concurrently with conventional medicine, (97.1%) never disclosed herbal medicine used to the physician/health care provider. The most common condition was nausea and vomiting (95.5%), induce/enhance labor (91.1%), keep the baby healthy (88.3%), abdominal/waist pain (85.2%) and to boast or maintain health (73.5%). Reasons for using herbal medicine during pregnancy were; parental/relative advice (88.3%), safe during pregnancy (85.2%), cheaper than conventional medicine (73.5%), readily available (70.5%), used when conventional medicine fails (58.8%), complementing conventional medicine (47.1%), more effective than conventional medicine (44.1%), and being part of the culture to use it (26.4%). </p> <p><strong>Conclusion and recommendations</strong>:</p> <p>The use of herbal medicines in pregnancy was high and attention should be given to the education of pregnant women and the community as a whole on the potentials if any and side effects of traditional medicine use during pregnancy. </p> Josephine Nabirye Najjemba Josephine Copyright (c) 2021 Josephine Nabirye, Najjemba Josephine 2021-09-30 2021-09-30 2 9 12 12 10.51168/sjhrafrica.v2i9.59