Browsing by Author "Tugume, Rodrick"

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DOLESCENT-PARENT COMMUNICATION ON SEXUAL AND REPRODUCTIVE HEALTH ISSUES IN MBAARE SUB COUNTY IN ISINGIRO DISTRICT.A DESCRIPTIVE STUDY.
(SJ Nursing and Midwifery Africa, 2024-03) Amanyire, Mark; Tugume, Rodrick; Natwijuka, Andrew
Background: Improving adolescent sexual and reproductive health continues to be a global public health need. Effective parent– adolescent communication on sexual health issues has been cited as a factor that could influence adolescents toward adopting safer sexual behavior. The study aims to invest the adolescent-parent communication on sexual and reproductive health issues in Mbaare sub-county. Methods: It was systematically searched and synthesized qualitative literature. We assessed the methodological quality of the included studies using the Critical Appraisal Skills Programmed (CASP) checklist. We thematically analyzed qualitative data from the included young adolescents who were selected randomly from three parishes of Mbaare Sub County. Results: Fifteen studies were included. Social and physiological events act as triggers for initiating discussions. Fear of personal, social, and economic consequences of high-risk sexual behaviors act as drivers for communication but also carry a negative framing that hinders open discussion. Lack of parental self-efficacy and cultural and religious norms create an uncomfortable environment leaving peers, media, teachers, and siblings as important and sometimes preferred sources of sexual health information. Conclusions: While mothers recognize their role in adolescent sexual and reproductive health and school-based interventions can act as useful prompts for initiating discussion, fathers are mainly absent from the home-based dialogue. Fear dominates the narrative, and the needs of adolescents remain unarticulated. Improving adolescent sexual and reproductive health remains an important public health need globally. Effective communication on sexual health issues between adolescents and their parents has been recognized to influence safer sexual behavior among adolescents. This review combined qualitative evidence to understand the nature of and barriers to communication about sex between parents and adolescents in sub-Saharan Africa. Recommendation: Researchers should use this information for decision-makers in choosing strategies for improving parent-child communication regarding Sexual and Reproductive Health matters
EXPERIENCES OF SELF-CARE AMONG TYPE II DIABETIC PATIENTS AT KABWOHE HEALTH CENTER IV. A CROSS-SECTIONAL STUDY.
(SJ Nursing and Midwifery Africa, 2024-03) Tugume, Rodrick; Natwijuka, Andrew
Background: The study aims to explore experiences of self-care among patients with type 2 diabetes yielding new knowledge regarding self-care and also helping to prioritize type 2 diabetes management targets that are specific to the self-care needs of diabetic patients at Kabwohe Health Center IV. Methods: This was a cross-sectional phenomenological study design that employed a purposive sampling technique that involved diabetic patients of 5 years and above from the time of diagnosis who are receiving care at Kabwohe Health Center IV in Sheema District Uganda. The study involved 18 study participants and employed an in-depth interview guide with open-ended questions Results: Four emergent themes were identified to illustrate the self-care experiences among patients with Type 2 DM. These themes were: (i) dietary adjustment, (ii) social support (iii) personal journey (iv) self-regulation. Conclusion: Participants demonstrated an understanding of diabetes self-care but showed a need for a deeper and personally centered orientation towards diabetes self-care from the health workers Recommendation: The study recommends a detailed and personal-centered health education among these diabetic patients