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Prevalance and Risk Factors Associated with Diarrhoeal Disease in Peadiatric Patients at Masindi Hospital

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Prevalance and Risk Factors Associated with Diarrhoeal Disease in Peadiatric Patients at Masindi Hospital PREVALANCE AND RISK FACTORS ASSOCIATED WITH DIARRHOEAL DISEASE IN PEADIATRIC PATIENTS AT MASINDI HOSPITAL BY KADIIMA LEONARD BMS/0042/61/DU A RESEARCH REPORT SUBMITED TO THE FACULTY OF CLINICAL MEDECINE AND DENTISTRY IN PARTIAL FULFILMENT OF THE REQUIRMNET OF AWARD OF BACHELOR OF MEDECINE AND BACHELOR OF SURGERY OF KAMAPALA INTERNATIONAL UNIVERSITY SUPERVISOR: MR MANIGA JOSEPHAT OCTOBER 2014 Decelerations I KADIIMA LEONARD hereby declare that this research report is my original work and has not been submitted to any university or institution of higher learning for any academic award. Sign ……………………… Date………………………………… i Approval This is to certify that this research report has been prepared under my supervision and has never been presented anywhere for other purpose and is now ready for submission to Faculty of Clinical Medicine and Dentistry Sign.................................................................. Date ………………………… MR. MANIGA JOSEPHAT ii Acknowledgement I wish to extend my sincere gratitude to my beloved wife MRS PHOEBE KADIIMA for her immeasurable spiritual ,social ,psychological support that has enabled me to complete this dissertation . Other people of distinguished efforts and influence include Mr. OKOT JIMMY, PETER KUNGU, PETER KIVUMBI, KYAMBADDE ROBERT, KUSINGURA MESEARCH AND OTHERS. Special thank goes to my supervisor who overwhelmingly offered in his time and academic support iii DEDICATION Because excellence is not granted to a man but given as a reward of labour ,this dedication is in the memory of my late father Mr . Adolf Kitumwa Mulinda ,and my mother Molly Burindima Mulinda who unreservedly toiled toward my upbringing and academic carrier ,sincerely they will continue to excel through whatever achievement I get iv List of Acronyms e.g. exaplia gratia – for example edn(s) Edition(s) et al. et alii- and others ibid ibidem- in the same quotations op cit. opera citato- in the work already quoted sup. Supplement ver(s) version MoH Ministry of Health CDC Center for Disease Control and Prevention v Table of Contents DECELERATIONS ............................................................................................................................... I APPROVAL ....................................................................................................................................... II ACKNOWLEDGEMENT ..................................................................................................................... III LIST OF ACRONYMS ......................................................................................................................... V TABLE OF CONTENTS ...................................................................................................................... VI LIST OF TABLES ............................................................................................................................ VIII LIST OF FIGURES ........................................................................................................................... VIII LIST OF EQUATIONS ...................................................................................................................... VIII ABSTRACT ...................................................................................................................................... IX CHAPTER ONE ........................................................................................................................... 1 INTRODUCTIONS ...................................................................................................................... 1 1. BACKGROUND .............................................................................................................................. 1 1.2PROBLEM STATEMENT ................................................................................................................ 2 1.3STUDY JUSTIFICATIONS ............................................................................................................... 2 1.4STUDY OBJECTIVES .................................................................................................................... 3 1.4.1 BROAD OBJECTIVE ............................................................................................................. 3 1.4.2 SPECIFIC OBJECTIVES ........................................................................................................ 3 1.5RESEARCH QUESTIONS ............................................................................................................... 3 1.6SCOPE OF THE STUDY .................................................................................................................. 4 1.6.1 TIME SCOPE ........................................................................................................................ 4 1.6.2 GEOGRAPHICAL SCOPE ....................................................................................................... 4 1.6.3 CONTENT SCOPE................................................................................................................. 4 CHAPTER TWO .......................................................................................................................... 5 LITERATURE REVIEW ............................................................................................................ 5 2.1. BACKGROUND ........................................................................................................................... 5 2.2 PREVALENCE OF DIARRHOEA ..................................................................................................... 5 2.3 SOCIO DEMOGRAPHIC DETERMINANTS ...................................................................................... 6 2.4 ENVIRONMENTAL RISK FACTORS ............................................................................................... 7 vi CHAPTER THREE ...................................................................................................................... 9 STUDY METHODOLOGY ......................................................................................................... 9 2.0 GENERAL INTRODUCTIONS ......................................................................................................... 9 2.1 STUDY AREA .............................................................................................................................. 9 2.2STUDY DESIGN ........................................................................................................................... 9 3.3 STUDY POPULATION ................................................................................................................... 9 3.4 SAMPLE SIZE DETERMINATION .................................................................................................. 9 3.5.2 SAMPLING METHOD ............................................................................................................... 10 3.4.2 INCLUSION CRITERIA ............................................................................................................. 10 3.5.3 EXCLUSION CRITERIA. ........................................................................................................... 10 3.6 RESEARCH INSTRUMENTS ......................................................................................................... 11 3.7 DATA COLLECTION PROCEDURE ............................................................................................... 11 3.7.1 DATA MANAGEMENT ............................................................................................................. 11 3.7.2 DATA ANALYSIS AND PRESENTATION PLAN ........................................................................... 11 3.8 ETHICAL CONSIDERATIONS ...................................................................................................... 11 CHAPTER FOUR ....................................................................................................................... 12 STUDY RESULTS ...................................................................................................................... 12 4.1 CHARACTERISTICS OF THE SUBJECTS ........................................................................................ 12 4.1 PREVALENCE OF DIARRHOEA ................................................................................................... 12 4.2 SOCIO-ECONOMIC STATUS ....................................................................................................... 14 CHAPTER FIVE ........................................................................................................................ 17 DISCUSSIONS ............................................................................................................................ 17 5.2 CONCLUSION ..................................................................................................................... 19 5.3 RECOMMENDATIONS ................................................................................................................ 19 REFERENCES ............................................................................................................................ 20 APPENDICES ............................................................................................................................. 23 APPENDIX I: DATA COLLECTION TOOL .......................................................................................... 23 APPENDIX II: WORK PLAN ............................................................................................................
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