Sources and Causes of Maternal Deaths Among Obstetric Referrals to Fortportal Regional Referral Hospital Kabarole District, Uganda

Sources and Causes of Maternal Deaths Among Obstetric Referrals to Fortportal Regional Referral Hospital Kabarole District, Uganda

SOURCES AND CAUSES OF MATERNAL DEATHS AMONG OBSTETRIC REFERRALS TO FORTPORTAL REGIONAL REFERRAL HOSPITAL KABAROLE DISTRICT, UGANDA. BY LOGOSE JOAN BMS/0075/133/DU A RESEARCH PROPOSAL SUBMITTED TO THE FACULTY OF CLINICAL MEDICINE AND DENTISTRY FOR THE AWARD OF A BACHELORS IN MEDICINE AND SUGERY AT KAMPALA INTERNATIONAL UNIVERSITY MARCH, 2019 TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................. i DECLARATION ........................................................................................................................... iv APPROVAL ................................................................................................................................... v DEDICATION ............................................................................................................................... vi LIST OF ABBREVIATIONS AND ACRONYMS ...................................................................... vi OPERATIONAL DEFINITIONS ................................................................................................. vii CHAPTER ONE ............................................................................................................................. 1 1.0 Introduction ............................................................................................................................... 1 1.1 Background ............................................................................................................................... 1 1.2 Problem Statement .................................................................................................................... 4 1.3 Objectives of the study.............................................................................................................. 4 1.3.1 Broad objective ...................................................................................................................... 4 1.3.2 Specific objectives ................................................................................................................. 5 1.4 Research Questions ................................................................................................................... 5 1.6 Scope of the study ..................................................................................................................... 6 1.6.1 Geographical scope ................................................................................................................ 6 1.6.2 Content scope ......................................................................................................................... 6 1.6.3 Time scope ............................................................................................................................. 6 CHAPTER TWO: LITERATURE REVIEW ................................................................................. 8 Introduction ..................................................................................................................................... 8 CHAPTER THREE: RESEARCH MOTHODOLOGY ............................................................... 12 3.0 Introduction ......................................................................................................................... 13 i 3.1 Study design ............................................................................................................................ 13 3.2 Study population ..................................................................................................................... 13 3.2.1 Inclusion criteria .................................................................................................................. 13 3.2.2 Exclusion criteria ................................................................................................................. 13 3.3 Sample size determination ...................................................................................................... 13 3.4 Sampling technique ................................................................................................................. 13 3.5 Data collection method ........................................................................................................... 13 3.6 Tools of data collection ........................................................................................................... 13 3.7 Data collection procedure ....................................................................................................... 14 3.8 Quality control ........................................................................................................................ 14 3.9 Data analysis ........................................................................................................................... 14 3.9.1 Validity of the instruments ................................................................................................... 14 3.9.2 Reliability of the instruments ............................................................................................... 14 3.10 Ethical consideration ............................................................................................................. 15 CHAPTER FOUR: DATA PRESENTATION AND INTERPRETATION ................................ 16 4.0. Introduction ........................................................................................................................ 16 4.1. Biodata ............................................................................................................................... 16 4.2. Sources of obstetric referrals to Fort portal Regional Referral Hospital. .......................... 18 4.3. Causes of maternal deaths among obstetric referrals to Fortportal Regional Referral Hospital ..................................................................................................................................... 21 4.4. Means of transport from the referral source to FPRRH ..................................................... 23 CHAPTER FIVE: DISCUSSION OF RESULTS, CONCLUSION AND RECOMMENDATION ....................................................................................................................................................... 26 ii 5.0. Introduction ........................................................................................................................ 26 5.1. Discussion of results .......................................................................................................... 26 5.1.1. Sources of obstetric referrals to FPRRH ......................................................................... 26 5.1.2. Causes of maternal deaths among obstetric referrals to FPRRH .................................... 26 5.2. Conclusion ......................................................................................................................... 27 5.3. Recommendations .............................................................................................................. 27 5.3.1. To healthcare unit ........................................................................................................... 27 5.3.2. To the district .................................................................................................................. 28 5.3.3. To the Ministry of Health ............................................................................................... 28 REFERENCES ............................................................................................................................. 29 APPENDICES .............................................................................................................................. 31 APPENDIX I: CHECKLIST ........................................................................................................ 31 APPENDIX II: ESTIMATED BUDGET ..................................................................................... 33 iii DECLARATION I, Logose Joan, do hereby declare that this research proposal is the product of my own efforts and to the best of my knowledge has never been presented to any institution for any award or qualification whatsoever. Wherever the works of other people have been included, due acknowledgement to this has been made in accordance with the appropriate referencing and citations. The findings and the analysis that will result from this research project will be my original information. Researcher: Logose Joan Signature ……………………………………………... Date: ………………………………………………...…. iv APPROVAL This is to certify that this research proposal has been prepared under my supervision and has never been presented anywhere for any other purpose and is now ready for submission to the Faculty of Clinical Medicine and Dentistry of Kampala International University for further consideration. Supervisor: Dr. Ddamulira Adam Signed…………………………………………………. Date: ……………………………………………….…… v DEDICATION I dedicate this research to the Almighty God who has seen me through this course, to my parents Mr. Walega John and Mrs. Walega Philo Rose who have been so patient with me and have sacrificed so much to see me through these past six years, my dear friend Mr. Philemon Kiyombo who has continuously encouraged me and put a smile on my face when the going got tough and finally to everyone else who has played a role in this journey and training of becoming a doctor. I am so grateful for all your

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