Browsing by Author "Bandawe, Violet Love"
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- ItemOpen AccessAssessment of quality of antenatal care that pregnant women receive during the initial visit at Kawale Health Centre in Lilongwe District(2017-02-01) Bandawe, Violet LoveAntenatal care is one of the strategies for the improvement of maternal health and the he reduction of maternal and neonatal morbidity and mortality. The initial antenatal care visit is the entry point for antenatal care and is the most significant visit since this is the visit where women are categorised into standard care or special care in accordance with the World Health Organization (WHO) guidelines. This study aimed at assessing the quality of antenatal care that pregnant women receive during the initial antenatal visit at Kawale Health Centre in Lilongwe District. Specifically, the study assessed the availability of resources necessary for the provision of quality antenatal care, nurse midwives’ knowledge and actual practice, and pregnant women’s knowledge of antenatal care and their satisfaction with the care that they receive during the initial visit. The study design was descriptive which used quantitative approach. Systematic random sampling was used to recruit 384 pregnant women who participated in the study. Data was collected using observation checklists and structured questionnaires for both pregnant women and nurse midwives. The study was guided by Donabedien’s Quality of Care Framework. Data collection was done in May and June 2015. Data analysis was done using SPSS version 16.0. Results of the study showed that the structure for providing antenatal care scored below the WHO standard at 46% and the process also scored below standard at 65%. Pregnant women lacked knowledge of antenatal care but showed satisfaction with the care received. Uninterrupted supply of material resources necessary for the provision of quality antenatal care, the use of stipulated guidelines, including health education and counselling to pregnant women is recommended for the improvement of quality antenatal care during the initial visit at Kawale Health Centre
- ItemOpen AccessFactors Associated with the Recurrence of Seizures in Epileptic Patients at Kamuzu Central Hospital(Kamuzu University of Health Sciences, 2006-11-28) Bandawe, Violet LoveA quantitative study on factors associated with the recurrence of seizures in epileptic patients was conducted at Kamuzu Central Hospital Epileptic clinic. The purpose of the study was to identify factors that contribute to the recurrent attacks of seizures in epileptic patients. The study consisted of 30 epileptic patients who were seeking health care services at the epileptic clinic. Convenient sampling was used to identify participants of the study. Only those patients who were in a position to give consent on their own participated in the Thedata that was collected was analysed manually. The findings showed that emotional stresses, psychological stress, treatment noncompliance and treatment changes are the major contributing factors to the recurrence of seizures in epileptic patients. The study findings revealed that most of the epileptic patients do not continue with their education and this leads to lack of employment and financial problems. Furthermore the findings have shown that most of the epileptic patients do not know the drugs they are taking by names, but by physical appearance. The researcher recommends that nurses at the epileptic clinic should include education on the nature of the disease and the importance of treatment compliance to minimize all the misconceptions that people have on epilepsy. The researcher also recommends that parents and the people who take care of epileptic patients should be encouraged to send epileptic children to school, because epileptic patients can also do better in class and proceed with their studies. Finally the researcher recommends that all nurses responsible and the hospital authorities should ensure that there is continuous supply of drugs to the clinic to avoid unnecessary treatment changes in these patients.