exploration of community perceived risk factors of diarrheal diseases in busaana sub county, kayunga...
TRANSCRIPT
EXPLORATION OF COMMUNITY PERCIEVED RISK
FACTORS OF DIARRHEAL DISEASES IN BUSAANA
SUB COUNTY, KAYUNGA DISTRCT USING
PARTICIPATORY EPIDEMIOLOGY METHODS
Moses Tetui
Makerere University School of Public
Health
Introduction
• In Uganda Diarrhea is among the five leading causes of mortality among children less than five years (Ministry of Health 2005).
• Kayunga district
– Despite epidemiological knowledge no significant reduction in diarrhea morbidity has been noted.
– Third leading cause of morbidity >five years (HMIS, 2008/2009).
Study Objectives
• To describe the community perceived risk
factors for diarrheal diseases in Busaana sub
county, Kayunga district.
• To identify community perceived plausible
intervention that can be implemented to
control diarrheal diseases in Busaana sub
county, Kayunga district.
Methods
• A participatory epidemiology study
�September 2010
�Kayunga district
�Busaana sub-county,
• Two parishes
�The most affected- purposively selected.
�Seven villages randomly selected
�Discussions with eight to ten individuals were held in each of
the villages.
Methods
• PE data collection methods
used
� Simple ranking
� Proportional pilling
� Community mapping.
� Seasonal calendar
� Semi-structured interviews.
• Data analysis
� Manual
� Results presented in text &
tables
Results I
Risk Factors for diarrheal diseases
• Inadequate supply of water
� Using water from R. Nile,
unprotected springs &
swamps
• Seasonality
� Rain
• Poor personal hygiene
� Having dirty compounds
� improper use of latrine
Results
Community proposed
interventions
� Health education,
� boiling drinking water
� Increasing access to safe
water
Recommendations
• To Local government of Kayunga district
�Mobilize resources to ensure increased access to
safe water for Busaana sub- county residents.
�Behavioral change campaigns
• To residents of Busaana Sub County
�Improve personal hygiene
Value added by the PE methods • Community participation
�Increases responsibility
�Acceptability
�Translates into change
• Timeliness
�Collection and analysis of data
• Use of resources
�Less resource intensive
• Design of future studies
�Maternal and newborn intervention
ACCKOWLEDGEMENTS • Co-authors
�Racheal Ankunda
�Christine Nalwadda
• Study participants
�Residents of Busana sub county
�District health team of Kayunga district
• Funders
�PENAPH
�AFENET
�OCHEA